HomeMy WebLinkAbout2297 LINDSAY DR; ; 87-460; Permit"' z 0 ~ "' ~ u "' C
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0 I hereby •ttlrm that I am licensed under
provisions of Chapter 9 icornmencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and effect.
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I hereby a1hrm tha1 I am exempl lrom the Conirac
tor·s License Law tor the lollow,ng reason (Sec 7031 5 Business and Pro1ess1ons Code Any city or counly wh,c~ re
quires a perm,1 to construct, alter, ,mprove_ demolish. ar
repa,r any structure. prior to ,ts ,ssuance also requtres '.heap
p11can1 tor such perm11 to hie a signed statement lhal tie 1s licensed pursuanl to the prov,s,ons ol the Conr,acmr s
L,cense Law !Chapter 9 commencing wrth Section 7000 ol
Ow,s,on 3 of the Business and Profess.ans Gode) or that Is ex-
empt therefrom and the basis 1or the alleged e,emp1>0n Any
violation o1 Section 7031 5 by an applicant tor a permit sub
Iec1s the applicant to a CIVIi penalty ol not more than lwe hun
dred dollars {$JOO)
i I. as owner of the property. or my employees w1lh wages
as the,r sole compensation will do the work. and the siruc
ture Is not intended or offered !or sale (Sec 7044, Business
and Professions Code The Contractor's License Law does
not apply lo an owner o1 property who builds or improves
thereon and who does such work h1mself or through his own
employees. provided 1hal such Improvemen1s are not intend-
ed or o11ered for sale If, however the bu1ldmg or ,mprove·
ment Is sold within one year of completion. the owner-builder
will have \tie burden of proving that he dId not build or Im-
pr011e for 1he purpose of sale)
I, as owner o1 the properly. am exclusively contracting with licensed contractors lo construct the proIect (Sec 7044
Business and Protess1ons Code· The Contractor's License
Law does not apply to an owner of property who builds or im
proves thereon. and wM coniracts !or each proIec1s w,th a
contraclor(s) license pursuant to 1he Con1rac1or's License Law)
; J As a homeowner I am improving my home. and the tallow
,ng cond1t1ons exist
1 The work Is being performed prior to sale
2 I have lived In my home for twelve months
prior to completion of this work
I have not claimed this exempt,on durrng the
last three years
~r tlh~: r~~~~t under Sec _____ _ B&PC
~ ' t,ereby a!lirm that I have a cert,flcate of consent to sure. Of a certificate of Workers Compensation In
' e o, a ce,t,l,ed copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
Copy ,shied with the city
C Certlf,ed copy Is hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1! the permit
,s for one hundred dollars ($100) or less) = I certify that in the performance of the work for which
th,s permit ,s issued, I shall no1 employ any person ,n any
manner so as to become subIect to the Workers· Compen-
sa!mn Laws of Cal1lom1a
NOTICE TO APPLICANT: 11. after making this Cert,fLcate
ot Exemption you should become subJect to the Workers
Compensat,on provisions of the Labor Code. you must
forthwith comply with such provIsIons or this perm,! shall
be deemed revoked
![ =:J I hereby affirm tr.at tr.ere ,s a construction lending
agency for the performance of the work for which this per
mIt is issued (Sec 3097, C,v,I Code)
Lenders Name _________ _
Lenders Address_
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
,OBAOOd.~~? ,l;. ••' A,, Ay;; NEAREST CROSS ST.
I o~~z.noNl BUSINESS LICENSE # VALUATION PERMIT NUMBER
-'1~0 COT BLOCK j suso1v1;10N I 'ASSESSO!.."ARCEL NO. "'!:> O u CONTRACTOR CONTRACTORS PHONE ll ZONE I~ 10 I -:;,.. ~(,.; f/'cA... OWNER'S NAME e -~-k~ I 1s1 .7;;s:;ONE f! ~ L-CONTRACTOR"$ ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER"$ MAILING ADDRESS
DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORIC 79-~ DESIGNER'S ADDRESS STATE LICENSE NO. 0024 05/26 0101 02BldPml
"'J~b '-"_V'<,A-_ I-tft.vN/~---_ -' ' FLA ELEV NO OCC GP EDU
STORIES
vC NO
I
l PARKING SPACE RES UNITS I GRADING PERMIT ISSUED ! REDEVELOPMENT TYPE ace LOAD FIRESPf>
AREA CONST
,□ N 0 •C "'□ vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE ') s:o QTY. MECHANICAL PERMIT -ISSUE 1<· oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS VP TO 100.000 BTU BUILDING PERMIT 001-81 0-00-00-8220 ./. J ---' EACH BUILDING SEWE.R OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221 ,_
~ --------~----------'<1/-EACH WAHR HEATER ANO OR VENT BDILER:COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER,COMPRESSOR 3 lJ HP TOTAL PLUMBING 001-810·00-00-8222 ---------------+----·· +----------, ------------l ------
EACH GAS SYSTEM~ OR MO Rf j
METAL F1REPlACE ELECTRICAL 001-810·00-00-8223
-----------
EACH INST AL Al TER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-81 0-00-00-8224
~ -. .. -------------------------------
EACH VACUUM BREAKER MECH EXHAUST HOOo:ouCTS MOBILEHOME 001 ·81 0-00-00-8225
WATER SOFTNER l RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226 -
~t1CH RUOf [)RA ',JI I\IS10E: : DRYER VENT STRONG MOTIO'.IJ 880-519·92·33 -------
TOT!'.iL MECHANICAL I FIRE SPRINr<LtRS 001-81 0-00-00-8227 -----i
TOT Al Pl UMHINC I I PUBLIC FACILITIES FEE 320-810-00-00-8740
ol BRIDGE FEE 360-810-00-00-8740
QTY. ELECTRICAL PERMIT· ISSUE s;· QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT 11KR CAR PORT TIF 134-810-00-00-8835
-----------I PH 3 PH AWNING LA COSTA TIF 133-810-00·00·8835 --1-
EXIST !HUG EA AMP:·SWT BKR GARAGE FMF -I PH 3 PH LICENSE TAX 001 ·81 0-00-00-8162
REMODEL AL TtR PER CIKCUIT Mff 880-519-92-57
-------~ ___ 1.------~ --------·--------
TE'vlPPOlE 700 AMPS ---;.,., -OVER 200 AMPS ---~ ----
TEMP OCCUPANCY i]O DAYSI / ' ---< ,s. 7 I CREDIT DEPOSIT
TOTA! ELELlRICAL I
I 77'-' rOlAl TOTAL FEES PAYABLE
i
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"' AND DO HEREBY Expirat,on. Every permit issued by the Bulld1ng Off1c1al under the pro111smns ofthts * AN OSHA PERMIT IS REQUtREO FOR EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eKp1re by limitation and become null and void II the bu1ld1ng or work 5' 0 .. DEEP ANO OEMOt.lTtON OR CONSTRUCTION OF authonzed by such permit 1s not commenced within 180 days lrom the date ol such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHEA CERTIFY AND AGREE IF A PERMIT !S ~~~~n~• I~\/ ~r!~i~ff-?~ .. ~~~r:~ti~~:'e~l~~~~ rn:.7i6d1
~i5~~~~d or
STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUEO: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STAUCT!ON WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ;~ 1/~ a. 0 APPROVE\:// 1~c/t7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND APP AN SIGN RE OW ER CON ACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CffY IN CONSEQUENCE OF THE L ~ _ BY PH O
GRANTINGOFTHISPEAMIT. t::? .,,. -~ ~11"-' --y ,, ONE
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' TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION .I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT ' I
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SIJIEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
□ SEWER AND BL/CO .. PL/CO
UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE □ VIJATER
TUB AND SHOWER PAN ' ' GAS TEST I
□ WATER HEATER □ SOLAR l.iATER
'
ELECTRICAL I
□ ELECTRIC UNDERGROUND [;I UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. Pl~ING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
'
' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
PLUMBING I
' ELECTRICAL ! ' MECHANICAL I
GAS I
' -.
BUILDING I IL',.;! f-V' I/.,......
SPECIAL CONDITIONS I
I
!
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPi_lANCE
PF;;IOR TO
~OUNOATION INSP
STRUCTURAL CONCRETE
OVER ?000 PSI
PRES TRESSED
CONCRETE
POST TE'NSIONED
CONCRETE
REQ IF I INSPECTORS CHECKED APPROVAL
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FIEL_D WELDIN(;
'''("",H Sl REN("",TH
BOLTS
SF-'ECIAL MASGNqy
1-----.. ------+
Pl'._ES CAISSOr-,.,;:-·
f---· ----,-----
DATE
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1------------+----+----------+ . ·--
t-·------1----+------
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---f-------+--------f-----
~7-4(,1)
INSPECTOR'S NOTES
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