HomeMy WebLinkAbout2298 LINDSAY DR; ; 86-156; Permit"' z 0 ;:
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.. . D I hereby affirm that I ;,,,n licensed under
provisions of Chapter 9 1commencmg with
Section 7CXXl) o! Division 3 ot the Business
and Professions Code, and my license 1s in
full force and effect
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I he·eby a'f,•<n that I am e,8mpt •~:;·" th~
·c, s c1Ce",se Law lor the lo,lu;,·11~ reasrw 1Sec
3us,~ess and Protess,c,ns C~de A')' Ui o-
r.u1res a ~errrnl :a :Q1c; .. uc' cllf" ,-c·~·,e ·epa r ary struct,.re ~' ~r TJ ,ts ,ssua'ce a,,·. reou 'Wi
p 1canl lo· sue" ~erm,' 1: •,:ea s,qred sid!c,..e·.-n,dl
11:enoed JJrSvant to 1he prJv,s orio 01 t!·~ lc·,·~•H,t8r ,
L,cerse ~aw •Cha~•w g co-nl'",en: ry ,.. rr s,,,:,w nn~ :/
D,.,,,,or 3 01 :ie 8Js,1eso and Pr~!ts, Grs C:;~~. Jr !"at
ern:J' therei•a"" and the ba,.s !Jr :he alle~ea exern:,:,0°
.:o,;;: Jn ol Sec:,~n 7031 5 by an appl1ca~: tor a perrc ·
el.ls •ne :,ppl,can: to a c111i pe0ally ot ~o• rnve '1Jr f,v~ r,Jn
d·ed dC'IMS ,:SJOQ1
a, J\'/~er ~f :he prGpE·ty C' erra oyew; ,,,tr w;;oe0
as •~e" o:ile cnrn~en<,aT:or v,,,1 OJ wo•s
··Jre , not •nterdea or ol'e·ed for sa e ,:Ser.
and 0rofess1or., Coce The Contracw s 1.,ense Law dces
~o: a:iply to ,rn owrer cl property w~:i ~J1,d1 or improve;
Thereon and who does such work r1r";e' or !~rough his ow 0,
emp,oyees orwded that such ,,,,pcove-ienls are net ,nrenc
ed or olle·ed lo· sale II however 'he burla,ng or 1mp,cve
me~,1 ,s sold v,1th1n one year of complel,on 1'1e owner•bu,lder
w I' t1ave tre D·,raen of pro,.ng tt,at he did not bu1 d or ,m-
p,nve :or the purpose o' sole1
as owner o! the pro"e·!y am exclusively con!ract1ng
with licensed coniracior~ to construct The pro1ect !Se~ 1044
Business ;rnd P'ofess,ons Code T~e Conrractor s L,ce~se
Law Coes not appl1· to an owner ~f property who bu<lds or ,m
proves :hereon and who contracts 10, eacr, P'01ec1s with a
[~~;actor(si license pursuant to t~e C~rtractor·s L1cens~
I As a homeowner i am ,mprovi1q my home, and the '0110w
,ng conct,t,ons exist
1 The work 'S being "erbrmed prio· to sa1e
2 I have lwed 1~ my home f~r ·weive monlho
prior to comp et1on G' th,s WO'k
nave not claw,ed t~1s exemoi•on curin~ the
las: t~ree yea's
__ i am exemal under Sec ______ B & PC L lo: th,s reason ____________ _
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I hereby a'f,rm !hat I have a cwt1•1cate of conseot to
se't-1nsure or a certrf,catc of Wor~ers CoCT1pensat,crn •1
s"rarce ~r a cert1•1ed copy thereof 1Sec 3300 Labor Code,
POLICY NO
COMP,;>-jy
Copy 1s 'ded ;.•,t~ the City
Certified copy 1s hereby lurn15hed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s section need not be completed If the permit
,s for one hundred do'lars 1$100) or less,
_ I certofy that 1n the performance of the work for which
this permit 1s issued. I shall rlOt employ any person 1n any
manner so as to become sub1ect to the Workers· Campen
sat1on Laws of Calrforn1a
NOTICE TO APPLICANT II, after mak,ng this Cert1t1ca\e
ot Exemption you should become subject to the Workers
Compensation provisions o! \he Labor Code. you must
forthwith comply w1!h such provisions or 1h1s pe,m1t shall
be deemed revoked
C I hereby aff,rm that !here 1s a constructron lend1~g
agency tor the performance of the work tor which th,s per
m,t 1s issued {Sec. 3097 C1v1I Code)
Lenders Name
Lenders Address
, USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad. California 92008-1989 (619) 438,5525
JOB ADDRESS ~ d--. :v h--t :e:STCrr:-:. r-shad :s~01 t"=·s~ONI BUSINESS LICENSE " V:Ler PERMIT NUMBER
.2_-;;,_9 8 g0-
1::P BLOCK I SUBD!VISION l ~SO~ARCEL NO ~~;:R CONTRACTORS PHONE • ZONE I 5lf 0 I;;). lO I 50CJV -t--:hP~
0~$ NAU-u.a aQ,rd I OWNER'S PHONE I " ..._
CONTRA~~~ l-e _J LICENSE NO PLAN I.D # BUILDING SQ FOOTAGE
21/ I'.,-' U; (. / Co~ ~/~~,?~lj OWNER'S MA>L•NG A,DORl=sc;l -
~9'o ctj'._,~,rlcn ~ (_l-l I DESIGNER DES!GNE R'S PHONE
• \)0 • I
OESCRIPTl~t OF,t,N,RK \.,, ,,-~ q_ -l " r,"\ 4-il, I/,,-'" ,r, \ ,,P DESIGNER'S ADDRESS LICENSE NO.
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d' ,\
------------e S Ft.Fl E:...EV NO OCC GP EDU
STOR'ES y= .... o
CE: .... SUS TRACl
I
':;P i...AND USE. I PARKING SPACf-RES uN,TS
I
GRADING PERM'T ISSUfD I Ric-DEVELOPMENT TYPE OCC LOAD FIRE SPF'
ARE:A CONST
,O ' □ ,r:: •.□ vO NO Nor Valid Unless Machine Cerrrfred
'
QTY PLUMBING PERMIT -ISSUE OTY MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTUR!:. !RAP 1 INSTALL FURN DUCTS UP TO 100 000 BTU BUILD'"JG PERMIT 001-810-00-00-8220
--------~-----
1 ~
EACH BUILlJING SFWER j OVER 100.000 BTU SIGN P£:RMIT 00 1 -81 0-00-00-8221
~---------------------+------------~ -------
EACH WATER HEATER ,\r-.lJ OR VEN1 i I S0ILERC0MPRE_SS0R UP TO J HP ----PLAN CHECK 00 1-810-00-00-8806
-----------------
EACH GAS SYS I EM l TU 4 U U 1 LE TS I BOILER.COMPRESSOR 11~ HP TOTAL PLUMBING OU 1-810-00-00-8222
--. --I-----------I[_____ -------
EACH (;AS SYSTEM':, UR MOIH t,E. Al f 'PEP'LM:E ELECTRICAL 001-81 O· 00-00-82 23
~-J.....---------------,----{ ---------~
EACH INST Al All !:.R. l'lE:.PAIR \'.'ATER PIPE VEN! ~AN SINGLE DUCT --·~ MECHANICAL 00 1-810-00-00-82 24
----~-
EACH VACUUM BREAKER MECH EXHAUST HODO DUCTS MOBILE.HOME 001-8 1 0-00-00·8225 r -,._ 00
' --
v1,ATER SUFT~ER RELOCATION OF EA ~URNACE:HEATER MOBILEHOME PARK IWJP
---------i l.:C...i RUUI ·1:;;,1~J , :'J'.;1~: SOLAR 001-81 0-00·00-8226 ------
I 7' TOT kl MECHANICAL
I I
S[RUNG MOTIO~ 880-519-92·33 -----,
IU!Al PllJMklN[,
' -. FIRE SPRINKLERS 001-810-00-00-82 27 --C VT. \~U\.I.O PUBLIC FACILITIES FEE _l l -:-:,0. 00
QTY. ELECTRICAL PERMIT -ISSUE [1 OTY lo --------332-810-0Q·00-89:J.O SVA~ -ISSUE oc
NfWCONSTEAAMPSV';! l:JKR I' ('OLL~CF1RS SCHOOL FEE -DISTRICT •-----
I PH ·; PH S fOH.AG~ :, \ SS Carlsbad ---
EXISI l:JLUG EA AMP.SWT 8KR ROCK s·GRA-'-;l Encinitas -----
I PH 1 PH Pl,_11/ P _San D~egu1~0 -----
REM[llJEL Al TtR PER CIRCUIT p1 A'J C'lLCK ~f-~ ---p,!an Marcos -----------~tl tq, L..LQ 00 .... L '.n 1:::ie,1 i " es: i;:; ") TE\IP PULE' 200 AMPS oQ
OVE: R 200 AMPS LICENSE TAX 001 -810-00-00-8162
TEMP OCCUPANCY ']0 DAYSI -
I! I
,,,-FF[c_. BSO ---880-519-92S7 ~~o .oQ_ -t-----
____L_ CREDIT DEPOSIT ~
----------
!fl I AL f"LfLIHl(.Al HllAL '.->0.Af-l 1~~c) : :1 i S'D 00 TOTAL FEES PAYABLE .oo
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY Exp1rat1on. Every permit issued by the Building Official under the prov1s1ons of this * AN OSHA PERM:T IS RfQUIREO FOR EXCAVATIONS OVER
I CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void II the buildmg or work 5' O" DEEP ANO OEMOI.JTION OR COHSTRUCTK>N OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s nol commenced within 180 days from the dale of such STRUCTURES OVER 3 STORIES 1N HEKiHT permit. or 1I the buildmff or work au1horized by such permit 1s suspended or
I ISSUED: TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· abandoned at anv lime a ter lhe work is commenced for a =riod of 180 davs
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY ANO PPLICANTS' nNATU~ OWNER O CONTRACTOR 0 APPROVED BY ~ o•~-,1-f& KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES. JUDGMENTS. COSTS ANO I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .l I 1 .. ;. -,,..b,. oef BY PHONE 0 I GRANTING OF THIS PERMIT I I . '
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I DATE ,-----------·--------------------------_______ :....._ __ "'\_~ TYPE DATE INSPECTOR
BUILDING ' ~i.,-t~f,,:, I ~-FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I --
I INSPECTION REQ IF-) iNSPECTOR S DATE GUNITE OR GROUT ' CHECKED, APPROVAL
SUB FRAME □ FLOOR C CEllllNG ·==----t::..: --
SOILS CCMPL:M'\J,-E ' SHEATHING □ ROOF □ SH,EAR PRIOR TO
FRAME I I FC,UN:;,\-10" ,\SP
----------·-t----+---·-·------------S 'R;JC":l,iqA ::_'('1i\<CPE 'F:. I I I EXTERIOR LATH I CVE8 l(HlU F-'S
-------INSULATION I >-'9ESTf--1ESSED
'
I C::ONCf--<FTE INTERIOR LATH & DRYWALL --~---~--POST 'fN~ .. C'~E:.[~
I CONC;ciETE --------+----------
PLUMBING .
Flf:._C) WEL81'\JG I
□ SEWER AND BL/CO P~ICO ---~-------,. !r; •! '.:; I ;::i E ".,(; -1--
UNDERGROUND □ WASTE □ WATER HDL rs ~--
TOP OUT □ WASTE □ WATER '.)F-'EC,A, '/,\':=;. ~N::-,y
··--------s--
TUB AND SHOWER PAN I
GAS TEST ,~----
' P, __ E:::, CAhS,~:','
-1: --+-=--□ WATER HEATER □ SOLAR W/HER ...____,_ ______ -
I
~---------
-i ELECTRICAL I
-
□ ELECTRIC UNDERGROUND □;UFFER ---r--------i ROUGH ELECTRIC I -------------
□ ELECTRIC SERVICE □ TEMPORARY ---------------------------
□ BONDING □ POOL ' I
I -------------
MECHANICAL I ~---------------------t---------------
□ DUCT & PLEM., □ REF. PIPl)'JG ---------HEAT -AIR COND. SYSTEMS I
-VENTILATING SYSTEMS I
I
' --
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I i -MECHANICAL I //
GAS I I I ' ,
BUILDING I ,,r:: _,, / '--I J ~ i i / I -----------~---___ L __ J
-~--SPECIAL CONDITIONS I ' i I I ~ •
Q'.( CARLSBAD UNIFIED SCHOOL DISTRICT
□ CARLSBAD HIGH SCHOOL RECEIPT NO.
□ VALLEY JUJ:fIOR HIGH SCHOOL
RECEIVEWRQM Y' R L _f (ii&!)~~ ~
I~ ~ I, \'ii., \ \\u-°'._qO..t-a.
10017
DATE -0a..__,\l-'l,\;-'-'\l..f.?S-.J~D--
FOR ~'m\no ~\\ls \-...6~ C\ 0
USE OF SCHOOL FACILITIES/RENTALS $ ____ _
USE OF SCHOOL BUS
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
$ ____ _
$ ____ _
$ ____ _
$-----
INCOME 13' ABATEMENT 0
CHARGE To ACCOUNT No. l -~~ C\1
RElMBLJ,RS,f;MENTS
Sc."-oct, '-\lees-
TELE PHONE COMMISSIONS $ ____ _
INSURANCE CLAIMS
REIMBURSEMENTS
(EMPLOYEES)
$ ____ _
$ ____ _
RECEIVED BY
TOTAL $ h l <\ (Q
¼ {A0.).-40\.)
RECEIVED CASH □ CHECK 0
\) . (y~~ ,:s~~S)
'
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-6541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
LEGAL DESCRIPTION
REMARKS:
LATERAL LOCATION
ST.
LATERAL NO. _______ INSTALLATION DATE-------
ISSUED BY ---;--;...:...:.:..;. _ ___;:c...;.., _________ _
DATE ISSUED.....:;;+---'-<-...:....:---::.:;..,; __________ _
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD ... (Max. H. 30', V. 10'>---------=-
OVEA 30' H. @ FT. ____ ......a;._ ___ _
OVEA 10' V . ___ • ___ FT. _________ _
STANDARD 8" (Max. H. 30', V. 10') ________ _
OVEA 30' H. ___ .@.,,__ __ FT. _________ _
OVER 10'V. ___ @. ___ FT. _________ _
TOTAL CONSTRUCTION COST----------
SEAVICE CHARGE (REPAVING ETC.) ________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ CQST PER FT. ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ___ TOTAL __ _
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
City of Carlsbad
1200 Elm Avenue
Carlsbad, Ca. 92008
Attn: Mr. Dennis Smith
February 11, 1986
Assistant Civil Engineer, Chief of Quality Control
Dear Mr. Smith,
We respectfully request transfer of occupany from lot #55
to lot #90.
With your approval, please sign in designated place below.
Thank you for your co-operation.
Art Anderson
Project Manager
Camino Hills Mobile
/clc
5285 El Camino Real
Mail: P.O. Box 2138
Carlsbad, CA 92008
(619) 931-1234
Home Park
Mr. tlenn i '-c,_, +-.h
Associate Civil Engineer, Quality Cont
City of Carlsbad
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Lor '30 ,cf" I" "' JO,
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I~' s. £ 78,.:ic IC.
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