HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2015-04-09RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
REQUESTING
DEPARTMENT:
07/02/2014
BUILDING REQUESTER: ^OJUMT^)^ rC
DESTRUCTION APPROVALS:
We. certify that the records iisted below have been retained for the scheduled retention period, required audits have been
completed, a-id no pending or ongoing litigation or investigation involving these records is known to.
DEPARTMENT HEAD: ORDS MANAGEMENT:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(ifapplicable)
' 1-5 2-4/2012 0570-36 CL+2 N/A
NON PERMANENT PLANS
SEE ATTACHED LIST
Jo be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ^
CERTIFICATE OF DESTRUCTION? •YES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE: "i^^SO/D
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
CARLSBAD Revised: 7/2/2014
Building Plans
Permit # mw {Missing ISCANNED 1 Notes 1 Business 1 Address |RnalDate+2|
11-0163 No No 1 False SIGN |HAUTE YOGA/EXPIRED 11905 CALLE BARCELONA #218 01/31/2012
l094218 No No j False RAD RAD/EXPIRED 3926 HIGHLAND DR 02/01/2012
|10-1625 No [" No 1 False 1 VIASAT//ABANDON |6155 ECR |02/01/2012
[10-1633 1 No [ No False RAD RAD 2627 COLIBRI LN [02/01/2012
11-2076 No r No False COGEN |pv 2854 RANCHO RIO CHICO 02/01/2012
[11-2543 No 1 No False COGEN PV 3317 PIRAGUA ST jo2/01/2012
[114548 Nol No False SIGN [REATFiT" 6120 INNOVATION WY 02/02/2012
fll-1765 No No False COGEN PV 6462 CAMINO DEL PARQUE 02/02/2012
11-2147 No No False RET WALL 7352 ALTIVA PL 02/02/2012
11-0780 No No False POOL 6969 CORTE LANGOSTA 02/03/2012!
11-1445 No No False POOL 3231 SITIO AVELLANA 02/03/2012
[114558 No No False RAD RAD 5330 EL ARBOL DR 02/03/2012
11-1772 No No False PATIO 2747 LLAMA CT 02/03/2012!
11-2109 No No False RET WALL 6799 AVIARA PYRW 02/03/2012]
11-1732 No No False PATIO 1 3251 SITIO AVELLANA 02/06/20121
|i 1-2432 No No False PATIO 7442 SUNDIAL PL 02/06/20121
|ll-2580 No No False PATIO 6731F0LLEnEST 02/06/20121
12-0002 No No False SIGN CINEPOLIS 6941 EL CAMINO REAL 02/07/2012
12-0129 No No False COGEN PV 6610 VI ERO CT 02/07/2012
[10-0615 No No False PATIO 6971TRADEWINDS (EXP) 02/08/20121
[10-2480 No No False RET 6932 CORTE LANGOSTA (EXP) 02/08/2012'
11-1380 No No False POOL 2919 VIA EMERADO 02/08/2012
11-1511 No No False RAD RAD 2868 LUCIERNAGA ST 02/08/2012
^^^2153 No No False POOL |6675 HALITE PL 02/09/2012
11-0194 No No False RAD RAD 3235 SANDY PL 02/10/20121
11-0546 No No False SIGN BOB BAKER FIAT 5515 CAR COUNTRY DR 02/13/20121
11-2422 No No False PME 7909 VISTA GUYABA 02/13/20121
[12-0045 No No False COGEN PV 3286 AVENIDA DE SUENO 02/13/2012
|12-0168 No No False COGEN PV 768 MAGNOLIA AV 02/13/2012
\lh0353 No No False SIGN REVOLUTION SALON 300 CARLSBAD VIILL DR #210 02/15/2012
jll-2023 No No False COGEN PV 3111 JEFFERSON ST 02/15/2012
11-2272 No No False PATIO 1013 KNOWLES AV 02/15/2012}
ill-2711 No No False COGEN PV 6566 HALITE PL 02/15/20121
11-0454 No No False! POOL 1 1 7147 SITIO BAHIA 02/17/20121
11-0830 No Noj SIGN NNOVATIONS 2525 EL CAMINO REAL #139 02/17/2012
11-1913 No No False RET WALL 964 ALYSSUM RD 02/17/2012;
11-1954 No No False SIGN MAC 1923 CALLE BARCELONA #145 02/17/2012
1141^ No False [ RAD RAD 7955 SITIO SOLANA 02/23/2012
12-0090 No No False COGEN PV [ 1762 ORIOLE CT 02/24/2012
12-0180 No No False PATIO DECK f 2718 SOCORRO LN 02/24/2012
11-0863 Noj n^joj False] ""IAD [ RAD 2068 PLAYA RD 02/27/2012
11-1760 No No False RAD [ RAD 3515R0CKRIDGERD 02/27/2012j
11-2530 No No] FalseJ COGEN PV [ 5243 COLERIDGE CT 02/27/2012
il-023lf No False [ SIGN [ CENERGY 13176 LIONSHEAD AV ^] 02/28/2012
CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 6/25/2014
Building Plans
Permit#|WaiHiVlissing|SCANNED| Notes | Business | |FlnalDate + 2
10-0761 No! N^^ False! PATIO jEXPIRED :3220 CORTE PACIFIC 02/29/2012
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
^ Program.
CARLSBAD Revised: 6/25/2014
Building Plans
"Permit* 1 Wall|Misslng|SCANNED| Notes 1 Business | Address 1 Final Date + 2
'11-1070 1 No No] False RAD [ RAD 1 1285 SHOREBIRD LN 03/02/2012
11-1907 1 INiO No False PATIO 7138 SITIO BAHIA 03/02/20121
11-2564 1 Mo No False PATIO 1330 CYNTHIA LN 03/02/2012!
12-0083 No No False COGEN PV 2838 RANCHO PANCHO 03/02/20121
11-2713 No No False MISC SAGO SALES OFFICE 3595 GLEN AV 03/05/2012)
12-0110 No No False PAITO 3595 GLEN AV 03/05/2012;
12-0317 No No False PME 370 REDWOOD AV 03/05/20121
11-0876 No No False ELEC 3193 SITIO SENDERO 03/07/2012j
11-2110 No No False PATIO 1 7808 CALLE LOMAS 03/07/2012]
12-0029 No No False RAD RAD 4675 TELESCOPE AV 03/07/2012}
12-0096 No No False COGEN (PC 3459 CORTE FRESA 03/07/20121
12-0240 No No False COGEN PV 1825BIENVENIDACR 03/07/20121
12-0361 No No False COGEN EVC 1303 SAVANNAH LN 03/07/2012j
112-296 No No False SIGN DKNY 5600 PAS DEL NOR #124 03/07/2012]
|11-1379 No No False PATIO 1285 SHOREBIRD LN 03/09/20121
|11-2168 No No False RAD RAD 3737 STIRLING CT 03/09/2012
|12-0039 No No False SIGN SPRINT 6965 ECR #102^^ 03/09/2012
|ll-2052 No No False MISC REPLACE STAIRS EXPIRED 2632 OBELISCO PL 03/12/20121
111-2541 No No False COGEN PV 4120 SUNNYHILL DR 03/12/2012!
ilO-1652 No No False SIGN EXPIRED 6260 ECR 03/13/2012
!ll-2387 No No False RAD RAD 3109 SERRANO DR 03/13/2012
|12-0163 No No False SIGN 7201 AVENIDA ENCINAS 03/13/2012
12-0173 No No False PATIO 1 8024 AVENIDA SECRETO 03/13/2012
ilO-1723 No No False RAD RAD 2641ABEDULST 03/14/2012
11-2721 No No False POOL 3236 SITIO MONTECILLO 03/15/2012
111-2483 No No False SIGN THE COMPASS 300 CVD #202 03/16/2012}
111-1262 No No False POOL 6713 WHITESAIL ST 03/19/2012!
[11-1923 No No False PATIO 4665 SUNBURST ST 03/19/20121
[11-2065 No No False SIGN B BAKER SUBARU 5500 PASEO DEL NORTE 03/19/2012!
[11-2590 No No False RAD RAD 816 CAMINIOT VERDE 03/19/2012
112-0037 No No False SIGN B BAKER 5500 PASEO DEL NORTE 03/19/2012
[11-2107 No No False RAD RAD 3499 CORVALLIS ST 03/20/2012
[11-0539 No No False SIGN T=MOBILE EXP 5617 PASEO DEL NORTE #218 03/21/2012!
p^2572 No No False RAD RAD^ 2677 GARFIELD ST 03/22/2012
p7l840 No No False RAD RAD 2494 OCEAN ST 03/22/2012
11-1994 No No False SIGN PHARMACA 6985 ECR #103 03/22/2012i
111-2560 No No False POOL 3887 ROCKFIELDCT 03/23/2012
[12-0094 No No False |COGEN PV 1689 ROBIN LN |03/26/2012
[12-0293 { No No ] False RAD RAD 7855 SITIO COCO 03/26/2012
[11-1640 No f No False RAD [RAD 4485 SUNNYHILL DR [03/27/2012
[11-1016 No No ] False [SIGN jUFESTYLES 300 CVD #223 03/28/2012
[11-2376 No No False SIGN jPIZZAHUT 2588 ECR #B [03/28/2012
[11-2389 No 1 lio I False [SIGN ALLSTATE 2588 ECR#M 03/28/2012
(11-2405 1 No No False SIGN ICARLSJT 925 PAL AIR RD 03/28/2012
ill-2532 No 1 No 1 False [SIGN" IHYAH HOUSE 5010 AVENIDA ENCINAS [03728/2012
CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 6/25/2014
m Building Plans
Permit* Wall|Mlssing|SCANNED| Notes Business Address Final Date + 2
11-2700 No No False RAD RAD 6615 DAYLILY DR 03/28/2012
; 112-0344 No No False SIGN HOLY CROSS 2510 GATEWAY RD 03/28/2012
^ [11-0963 No No False POOL 7339 EL FUERTE 03/30/2012
11-1045^ No No False SIGN LIFE TECH 5791 VAN ALLEN WY 03/30/2012
\ [11-1818 No No False RAD RAD 4856 SEVILLA WY 03/30/2012
11-2075 No No False RAD RAD 3407 CORTE PANORAMA 03/30/2012
111-2478^^ No No False POOL |7964 SITIO FRESCA 03/30/2012
i 11-2621 No No False [COGEN |PV 1597 MARTINGALE CT 03/30/2012
^ CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 6/25/2014
^ Building Plans
Permit tlWalllMlsslnglSCANNEDl Notesi Business . | Address |nnaipate + ?|
11-0469 No No False [ SIGN 1 UGZ ^ 125 CVD |04/02/2012
12-0198 No No 5iOGEN]i 5V f J800 STONERIDGE ( 34/02/2012;
11-0464 No No False PATIO 1 7005 CRYSTALLINE DR 34/03/2012!
[i2-d093TNo No [ False SIGN [ :HEVRON |5 320 CVD 34/03/2012
[12-0365 No [ Nof" False "siGir]silLVIRGATE BANK 5810 ECR #D ""7 34/03/2012
112-0414 No[ No( False SIGN [ CHEVRON 320 CARLSBAD VILLAGEDR D4/03/2012i
111-07511 No| No| False SIGN CAFETOPES 3091 ROOSEVELT A 04/04/20121
11-1593 No No False MISC 5550 PONTO DR #12 04/04/2012]
[il-2009 No| No False ~RAD~] RAD B735 BARBERRY PL 04/04/20121
11-2323 No No False PATIO 1440 SAPPHIRE DR 04/04/2012
12-0244 No PV [ 4813 REFUGIO AV 04/04/2012
|12-0210 No No 1 False PAITO 6735 BARBERRY PL 04/05/20121
[TMSsg" No jyj^^[l paise RAD [RAD 2406 LA MACARENA 04/09/2012
11-2202 [l^ioT No False POOL 6424 JASPER WY 04/09/2012
112-0488 No No False 1 RAD RAD 3390 ROOSEVELT ST 04/09/2012
[12^0584 1io\ No False COGEN [EVC 6560 BLUEBONNET 04/09/2012:
[06-0895 No No] False SFA LBCCONDOS 4547 COVE DR EXP 04/10/2012
jil-1826rNo No [ False PATIO DECK 3225F0SCAST [04/10/2012 (
112-0406 Nol No False COGEN PV 1254 VERONICA CT ^^^ly2012 \
12-0487] No^ No False MOHO PERM FOUND 2286 BRYANT DR 04/11/2012;
[11-1048 No No False POOL 3254 SITIO AVELLANA 04/12/2012:
jll-1238 No| No False RAD [i^AID^ 2521 CRESTDR 04/12/2012;
Fl 1-1782 No No False PATIO 2132VUELTACT 04/12/2012!
[11-2186 No No False [ POOL SPA 7295 PASEO CAPUCHINA 04/12/20121
112-04491 No No False [COGEN PV 2284AUDEN PL 04/12/2012
No No False COGEN EVC 8077 SITIO TOLEDO 04/12/2012
111-16481 No
1
No False POOL [ 7880 VIA ADELPHA 04/13/2012
11-2287 No No] Fa^ PME 7-11 LIGHTING 201 OAKAV 04/13/2012
in^8 No No False [ PME 7-11 LIGHTING 901 PALOMAR AIRPORT RD 04/13/2012
[11-2289 No No False PME [7-11 LIGHTING 5802 VAN ALLEN 04/13/2012
11-2328 FNO NO False j"PATIO |" 7131 CORINTIA ST 04/16/2012
[il-248l[ No Nof FalsefRAD~]RAD 3311CABO CT 04/16/2012
12-0524 FNO NO False [COGEN [PV 2433UNIC0RNI0 04/16/2012
112-0569 FNO ! NoT^Tais^^ EVC 2716 GROVE AV 04/16/2012
[11-1048 No No False POOL 3254 SITIO AVELLANA 04/17/2012
11-2187 No No False pOoT 944 JASMINE CT 04/17/2012
[li^'35( No| No| False 1 RAD [RAD 1022 IRIS CT |04/17/2012
[l2-0262Tlio [ "NO] Falsef MTsC~]ROCKROSE TEMP DESIGN CENTER 3530 GLEN AV |04/17/2012
12-0619 No No False MOHO 5417 KIPLING LN 04/17/2012
10-2523 FNO [ No [ Failse]~RAD~[RAD 2141LEVANTE ST 04/18/2012
10-1125 No"" No False] RAD RAD 2547ABEDULST 04/19/2012
[16-1669 Nol No| False 1 RAD RAD 7782 PALENQUE ST 04/19/2012
[ir2620rNo[ Nof False ^COGEN[PV 2836 CARRILLO WY 04/20/2012
H-2336pic No 1 False MISC 4884 PARKDR 04/23/2012
111-2595! No
CARLSBAD
No False POOL [5266 COLERIDGE CT 04/23/2012;
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 6/25/2014
Building Plans
Permit #|Wall Missing|SCANNED Notes Business Address Finai Date + 2
12-0415 No No False PME 7001ALMADENLN 04/23/2012
11-2278 No No False PME 7131 CORINTIA ST 04/24/2012
09-2031 No No False MISC 53 MELROSE TEMP SALES OFFICE 3466 FILOLI CR 04/25/2012
10-1515 No No False SFD RAD ABANDONED 7818QUEBRADACR 04/25/2012
11-0545 No No False POOL 7946 SITIO VAQU ERO 04/25/2012
12-0416 No No False RAD RAD 7027 SITIO CORAZON 04/25/2012
12-0731 No No False COGEN ECX 7323 SEAFARER PL 04/25/2012
12-0446 No No False MISC DIRECT VENT FP 3831 MARGARET WY 04/26/2012
11-0668 No No False ELEC 8024 AVENIDA SECRETO 04/30/2012
11-1165 No No False SIGN CHOC BAR 2998 STATE ST 04/30/2012
11-2418 No No False RAD RAD 2905 CORTE CELESTE 04/30/2012
12-0141 No No False POOL 1 2317 MICA RD 04/30/2012
12-0448 No No False SIGN MIGUELS 5980 AVENIDA ENCINAS 04/30/2012
12-0513 No No False PATIO [2353MICARD 04/30/2012
12-0523 No No False [COGEN PV 2075 LINDA LN 04/30/2012
12-0593 No No ' FalsejcOGEN PV 3462 CORTE CURVA 04/30/2012
12-0717 No No False COGEN EVC 6889 VIA BORREGOS 04/30/2012
CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 6/25/2014
Shred-it
3801 Ocean Ranch Blvd
Suite 101
Oceanside CA
92056
Piione: 760- 598- 5700
SERVICE RECORD SUMMARY
CERTIFICATK OF DESTRUCTION
PLEASE KEEP THIS FOR YOUR RECORDS
(THIS IS NOT AN INVOICE)
Customer: 0013185878
CITY OF CARLSBAD
5816 EL CAMINO REAL
CARLSBAD CA 92008- 8816
Order #: 8015065327
Order Date: 04.09.2015
Service Type: ON- SITE PURGE
Contact: PAT DOWNIE
Time In: 07:30 AM
Material Collected
BANKERS/ARCHIVE BOX 163
LARGE ARCHIVE BOX 7
Total: 170
Customer Signature: PAT
CSR Signature: BRIAN SHEPLEY
Siired- it is committed to the secure destruction of its customers'
confidential information. This certification will affirm that
Shred- it destroys the customer confidential material, pursuant to
our customers request and instructions.
The following services are NAID certified:
Hard Drive Destruction
Mobile Destruction
The following services are not NAID certified:
Offsite Destruction
Non- Paper Destruction