HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2024-06-134/5/24
CORODATA 6/13/2024
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RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 2-28-2024
REQUESTING DEPARTMENT: BUILDING REQUESTER: SETA LEVANDUSKI
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
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DEPT, HEAD/DIVISION MANAGER DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Building Plans -Finalled -SINGLE
1 FAMILY RESIDENTIAL -SFR and 1-1-2022-CD-035 2 YEARS See attached APPURTENANCES, REMODELS, 3-31-2022
ADDITIONS POOLS
*If more spaces ore needed, click in the last box in right hond corner of table and hit "tab". This will create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: __________ _ DATE: _____ _
CERTIFICATE OF DESTRUCTION? 0 YES 0 NO
TAB BARCODES DELETED BY: _____________ _ DATE: ____ _
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
{:Cityof
Carlsbad Revised: 2021
Page /1
Building Plans 2/28/2024
Permit# Notes OMS Business Address Final Date+ 2
C19-0510 COMM !Tl j701 PALOMAR AIRPORTRD #CS 1/9/2022
R21-1937 RES 'ALTERATION '4208 HIGHLAND DR 1/i0/2022
R21-1662 RES iALTERATION 12254 VISTA LA NISA 1/10/2022
R19-0955 RES !ALT ; i6261 ARBOR ROSE DR 1/13/2022
jR21-1453 RES !PATIO ! 7865 SITIO FRESNO 1/22/2022
jR19-2286 RES 'PATIO 6799 ENCELIA PL 1/28/2022
IR21-.3571 RES :DEMO ;3826 HIGHLAND_ DR 2/9/2022
R21-2195 RES '.ALTERATION '3105 SERRANO DR 2/17/2022
jR21-3063 RES !PATIO [2198 CORTE MANGO 2/19/2022
R21-1260 RES .. !ALTERATION '6982 CORTE LANGOSTA 2/23/2022
R21-2556 RES \PATIO !6671 ENCELIA Pl 2/23/2022
R21-1637 RES !PATIO j7179 TAN~GER DR 2/23/2022
jR21-0506 RES ;PATIO !2935 RANCHO CORTES I
2/25/2022
jR19-2685 RES ;POOL :7925 VIA ENSENADA 2/28/2022
jc20-0211 COMM !Tl !2827 WHIPTAIL LOOP 2/28/2022
R21-0549 RES :ALTERATION ;1787 BLACKBIRD CIR 3/1/2022
R21-2087 RES iDECK !1229 GOLD FLOWER RD 3/1/2022 ' R21-2694 RES iPATIO :1690 CALLAIANDRA RD 3/1/2022
R21-2326 RES ;PATIO -i6221 ALVERTON DR 3/1/2022
jR21-0179 RES :PATIO ;2352 ALTISMA WY #11 3/1/2022
jR21-2401 RES /RETAINING WALL j4115 HIGHLAND DR 3/1/2022
R21-1114 RES 'RETAINING WALL :7312 EL FUERTE ST 3/1/2022
R19-2796 RES 'COGEN j 1734 MALLOW CT 3/4/2022
R21-2316 RES 'RETAINING WALL .2935 RANCHO CORTES 3/4/2022
R21-3201 RES iPME j3494 RICH FIELD DR 3/7/2022
R21-1258 RES ALTERATION :3421 CORTE VIEJO 3/8/2022
jc21-0211 RES ;P/M/E 12840 LOKER AVE E 3/8/2022
-IR21-3324 RES :PATIO :3219 AVENIDA LA CIMA 3/11/2022
IR20-2038 RES 1ALTERATION 6982 CARNATION DR 3/18/2022
IR21-0004 RES DECK 6550 PONTO DR : 3/22/2022
jR2i-2737 RES :PATIO ;6140 PASEO TAPAIOS 3/22/2022 ;
jR21-2386 RES [DECK 3437 DON ALBERTO DR 3/24/2022
jR21-1235 RES jDECK it659 CORTE ORCHIDIA 3/24/2022
R20-2219 RES iALTERATION :7159 smo CALIENTE 3/29/2022
R20-0708 RES [DECK 12042 LEE CT 3/29/2022
R21-0977 RES PATIO 6428 LA VAN CO CT 3/29/2022
Totali
Page 1
CERTIFICATE OF DESTRUCTION & RECYCLING
This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
Account #(s)SD012455
Certificate #104470
Date Issued Tuesday, June 18, 2024
Service Locations 5815 EL CAMINO REAL
Date Range of Service Jun-13-2024 thru Jun-13-2024
Work Ticket(s)1331793
Quantity/Item 2 -2 Boxes for Destruction (odd sized)
44 -44 Boxes for Destruction (standard)
* Nothing in this certificate shall be deemed to modify the terms of the parties’ Service Agreement(s) or Work Ticket(s).
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