HomeMy WebLinkAbout2296 LINDSAY DR; ; 86-646; Permit"' z 0 ~ " :l u .. 0
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B'J I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect. [3
L,r No ff-i i,,:)i.;t? C'm
I hereby att,rm th,1.t I am exempt from 1he Con
V03~0;·~~~;i;:: ;;::;-i~~!~~~,~~1tC~e'8t~~~,\~,
county which requ,res a perrn,t to construct
alter. •mprove, demolish. or repair any structure. prior 10 •ts issuance also requ,res the appl1can1 tor
such perm,! to hie a s,gned statement that he ,s
licensed pursuan1 to the prov,smns of 1he Con
tractor's License Law !Chapter 9 commencing w,th
sect,on 70CIO o! D,v,s,on 3 of the Business and Pro-
tess,ons Godel or that ,s exempt therefrom and the
bas•l> for the alleo;ted exemp1Ion Any v,olat1on ot Section 7031 5 by an apphcant tor a permit subIects
tne applicant lo a cIv1I penalty ot no1 more 1han five
hundred dollars ($500)
O I, as owner of the property, or my employees ••1h wages as their sole compensat,on. •111 do the
wori<. and the structure ,snot intended o, offered for sale (Sec 704-4. Business and ProtessI0'1S Code The Contractor's License Law does not apply to an
owner ot property •ho builds or improves thereon and •ho does such wori< himself or through his own
employees, provided that such Improvemectts are
not 1ntende1 or offered for sale If, however, the building or improvement Is sold wrthm one year of
completion. the owner-bu,lder will ha...e the burden of proving that he did not bu,ld or improve tor the
purpose of sale)
D I. as o•ner of the property, am exclusively contracting w11h licensed contrac1ors to construc1
the pro1ect (Sec 704-4. Business and Protess,ons
Gode The Contractor's License Law does not apply to an owner of property who builds or improves
thereon. and who contracts for each pro1ec1s with a contractor1s1 license pursuant to the Con1r..ctor"s License Law)
0 I am exempt under Sec
for this reason
. 8 & PC
'£l. I hereby a!l1rm that I ha-.,e a cer1'!,cate of consent
to sel!-1nsure. or a cert1!,cate of Workers Compensation Insurance. or a certified copy thereof
(Sec 3800 L.abof Godel
POucrna .St·? lo J-st,_
COMPAN' ,; tAt€ /-<.A "'0
~ Copy IS filed W11h 1he city
D Gert1!,ed copy Is hereby furnished
CERTIFICATE. OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE
(This section need not be completed ,t the permit Is for one hundred dollars 1$100) or less!
D I certify tha! In the performance of the wori< for ,..t,,ch this permit is ,55ued I shall not employ any
person m any manner so as to beCome subIect to
the Wori<ers· Compensation l.a•s ot Cal1forn1a
NOTICE TO APPLICANT If_ after maktfl'.,l thtS Cert,
hcate of Exemption you should beCome subIect t'J the Wori<ers· Compensat,on provIs,ons ol the Labor
Code you must torth•ith comply •1th such
provIs,ons or lh1s permI\ shall De deemed ,evoked
D I hereby aflirm that there ,s a cons1ruct1on
ler>d,ng a<;,er>cy tor the perto,mance of the wori< 1o<
wh,ch th,s perrN1 ,s •ssued ISec 3097 Civil Code,
Ler>der s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS AV. ST. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
';).._d--qi, LI ,v rl.SAI.A .DR> RD. /,,-JL -9 t,, -ff ~,~ -l)° •
OWNER'S NAME I OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE# ZONE &# C---fet.L/ 4~ t lfA R J..·,., fe. tJ q4-I,. tf J')-.3 I.Sq A-eno ~~-frc 1o b~ee"lo4se S8B ,, i]
OWNER'S MAll,.ING ADDRESS I CONTRACTOR'S ADDRESS Et.. LICENSE NO. PLAN l.D. # BLOG USE CODE
'J.,:)..ql, l.t/1...Jd (A~ .r'l ~ Lf 3:J. VRttt-JON I..L,'-1 c;,.:[ol\ tj-'/1.:,5"'/t)
L°J,q B/fQ. 7 3 I SUBOI VISION . I ,,_.~R PAI~ i° a.._q ~u DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING 50. FOOTAGE
DESCRIPTION◊: WORK.ti, PA-fro /',..,/~-r:-~s DESIGNER'S AODRi,-DESIGNER'S PHONE
1/--.ti . '-' , · \. ll I I J (j,,;. .-::., .. G/20/'::c, 1::.;·-;.,~i ·1u. '
V u, FLA ELEV. NO OCC GP EDU
STORIES (]! I 1' 3'.-0 t-/F·'i/ --t. 1--)!1 ,, .. vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA AREA CONST
Y □ N □ v □ NO v □ NO Nor Valid Unlt!ss lhchine Certified
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT
--· -------------
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT
--------L----·----------------------------f--------
EACH WATER HEATER ANOIOR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
·---------------------·-------------------------
E~CH GAS SYSTEM_!_ TO 4 O~TL~ ___ j BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING -----~ -----------------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
----------------·-I---------------------------·--· -
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL ----------------------
EACH VACUUM BREAKER MECH EXHAUST -HOO□IOUCTS MOBILEHOME ~
~ -----------------=-§ci WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK~ ~/ Q _ . -~-------------.
r--rH RO~F OR_~IN (INSID~_I __ SOLAR
-------~ TOT..C.L MECHANICAL -----
STRONG MOTION I -. -----------I----
TOTAL PLUMBING FIRE SPRINKLERS . ---------
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE -------
BRIDGE FEE
----·-----------------
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT -·----------------------------
1 PH 3 PH STORAGE TANKS Carlsbad ·-----------. ~--------------------·--
EX!ST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas -------·------------. --·--------~ 1 PH 3 PH PUMP San D1egu1to ~----------------------. --------------
REMODEL-'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos -----------------------------------·---~ ---------~ ---------
TEMP PO LE 200 AMPS ---~-----------·· -------------~------------~---·------·--------
OVER 200 AMPS ~-------------------------r------------------------·-----
TEMP OCCUPANCY (30 DAYSI --, ----------------------------·--------------
_ _l ----~ ----------------
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I ✓o -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLtCATtON AND PERMIT" ANO DO HEREBY Expiration. Every peonit--by Ute Building Official under the provisions of this * ........ / PEPMIT IS FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY bF PERJURY THAT M.L INFORMATION HEREON INCLUDING THE Code shalt expire by llmia.tlOn and t,ecome null and void. It the building or work /s·o" DEEP AND OR CONSTRUCTION OF
'DECLARATION$ ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS euthortZed by such pemrit ii not commenced within 180 days from the date of such STflJCTIJIIES )I""" 3 S':?"IES IN HEIGHT J)ltffflit. ex If ltMt bu#diffa,~ authoriZed by such permit is suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDtNG CON-abandoned 8t , work is commenced fCN" a ..... riod of 1An J. •
,
STRUCTION, WHETHER SPECtFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S StGNATURE --If, OWNER 0 CONTRACTOA'i'I APPROVEOB? 13/ / KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND
~( •. 1) ./) , . tJ ~ p,_p ~ ( l EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 • I 7-tJ/~6 GRANTING OF THIS PERMIT. u
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INSPECTION TYPE DATE INSPECTOR <;fi--t-vJ-BUILDING -
'dJ I J ,,,,,,..-FIELD INSPECTION RECORD
FOUNDATION ?"'' '.rr-REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL I
INSPECTION RED IF INSPECTORS DATE MASONRY CHECKED APPROVAL --------
GUNITE OR GROUT SOILS COMP~IANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI ------
EXTERIOR LATH lNSULATION PRES TRESSED
CONCRETE ------
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
--
-
SEWER AND BL/CO r--------------HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS ---------·-·
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND $HOWER PAN ' ------------
GAS TEST PILES CAISSONS.
ELECTRICAL
TEMPORARY POWER --
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE -------BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL ----------------
DUCT & PLEM., REF. PIPING ----
HEAT -AIR COND. -SOLAR SYSTEMS ------
VENTILATING SYSTEMS
-----
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED., -----
JOB SITE FINAL (1(. -· ---
PLUMBING ./) 'U ----· ELECTRICAL .-'/ I :,
MECHANICAL I ----------------
GAS 11 ,.,
----~
BUILDING II /1
SPECIAL CONDITIONS -----------------·-----
CERT OF OCCUPANCY ISSUED --