HomeMy WebLinkAbout2510 LUCIERNAGA ST; ; CB881240; Permit., z 0 ~ "' "' ... i.l 0
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OC, I hereby affirm that I am licensed under
p?ov1s1ona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
lull force and effect
1 he,eby atfirm mar I am exempl lrorn !he Can1rac
tors l,cense Law tor the following reason iSec 7C:J1 J Business and Profess,ons Code Any c11y or county wh1c~ re
qUl'es a per-n,1 to construct alter ,mprove demol,sh or
repa,r any s1rnc1~re. pr,or to ,ts issuance a1so requires '.heap
.i1,cant lor such perm,1 to t,1e a s1i:ined stalemeot 'ha! he ,s licensed pursuanl To the prov,s1ons ol the Loniracior s
L,cense Law !Chapter g commenc,ng wrth Sect,on 7000 of
o,-,,s,on 3 ot The Business and Protess,ons COOe, or lhar ,s e,
empt lneretrom and the basis lor the al1egeo e,emol,on l>.ny
·,im.iMn ot Section 703i 5 by an appl,ca~t tor J ~e·'l'1' s~~
1ects lne applicant to a c,v,I penally of nof'TI~re Than lwe nun
dred do,lars 1$5001
1 as owner ol tne property or m'I employees w,•~ ,11ages
as the,r sole compensation w,1I do the won, and lhe s\ruc
ture ,s no1 ,nlendea or ollered for sale (Sec /044. Business
and P,o!ess,ons Code The Coniraclor s L•cense \aw does
nol aoply to an owner ol prope,ty who bu1lds or ,mproves !Mreon and wno does such work tw%elf 0' 1hroug h his own
employees prc"ded that such ,mprovemenrs are not intend-
ed or ottered for sale It, hOweve, the bu,ldmg or ,mprove
ment ,s sold w,1n,n one year ot complet,on The owner-bu,lde<
w,11 have lhe b~rden 01 prov,ng that he did not build or ,m
prove tor lhe purpose ol sale1
I, as owner of lhe properly am exc1us1vely conlrac1,ng
,111lh licensed contractors to conshucr lhe proIect (Sec 7044
Business and Protess,ons CMe The Contractor's Locense
law does not apply lo an owner ol properly who nu,lds or ,ni proves Thereon and who conrracts for each oroiecls w,1h a
i;on1racl0r(SI l,cense pursuant to the Contraoor·s license Law)
As a homeowner I am ,mprov,ng my Name. and 1ne to'low ,ng condIt,ons ex,s1
1 The work ,s being performed prior to sale
2 ' nave loved ,n my home for lwelve months
orior to completion of !hos work
I have not claimed rh,s exemp11Gn Cur,nq lhe
lasl three years
I am e~empt u~der Sec _____ _ B & PC for lh,s reason
V I nereby allrrm 1Mt I have a cenil,cate of consent 10
"°t-,rsure or a cert1•Icate of Workers Compensation Ir
5u,ance or a cert,lred copy thereof I&,c 3800 Labor Ccde1
POLICY NO 5'5'.o q O r
COM""Gc,L.bE.lJ fiA-6L. I:
)( Coo, ,s fried wrlh the c,ty
Cert,1,ed copy ,s nereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION ,NSURANCE
;This section need nol be completed 1! lhe permit
,s for one hundred dollars •,SIOO) or lf'Ssl
_ I cert,!; that In the per1ormance ol the work tor wh,ch
:his permit •s ,ssued I shall not employ any person ,n any
'!1anner so as lo become sub1ect to the Workers· Cornoen
sat,on Laws of Cal,forn,a
NOTICE TO APPLICANT. If. after making this Cert1f1cate
o! E.empt,on, you should become sub1ect to !he Wcrke,s
Compensation provis1ons o! the Labor Code. you musl
lorthw,th comply w,th such prov,sIons or this permit shal
be deemed revo~ed
I ',ereby affLrm thal there Is a const1uc1,o~ lend,~g
agency for the performance ot the work for wh,ch t~,s pe'
--n,t Is issued (Sec 3097 C1>1I Code)
Lenders Name
Lender s 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 92009-1915 (619) 438-1161
JOB ADDRESS AV.ST.RD. THOMAS BROS NO. DATE Of APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
2510 i..v c.,r.R NAGA--51 rzo64 qpl6p~ 16°153 / "75..~
( r;, 'l't/z. ,j,o ,~ BLOCK I SUBDIVIS,ON I ASSESSOR PARCE >"fs-75'-z.q J\fRoc~/\W0
~ bP-iJltUo\lS~
CONTRACTORS PHONE # ZONE sre-1,,:s OWNER"S NAME OWNER'S PHONE
~Hl~ 4'3f>-7Cf~f, ;£~i~"W'A-<~fi.(.p.~ STATE LICENSE NO. BUILDING sa FOOTAGE
~Stb OWNER"$ MAILING ADDRESS
rlsto /...!Jc.urR. NA'oA ~ 4tP-£.s f>Ab • cA c:ru,oq OESIGNER • ,...,_ DESIGNER'S PHONE
o,sc"""ONOFWOR't>A-'no ,;""~ Ll-Ci,;,,.,. --.... DES!GNER"S ADDRESS STATE LICENSE NO
~up} 1918 09/16/88 0001 01 02
BldPn>t 69-0(
' e FLA ELEV NO ace GP EDU STORIES
,□ ~o ---I CENSUS TRACT I PAFIKl"'G SPACE R~S UNITS l GRADING PERMIT ISSUED ! REDEVELOP.,,,,ENT TYPE ace LOAD Fl RE SPF! AREA CONST
,□ " □ 'CJ -..□ YO r-.O Not Valld Unless M;uhine Certified
QTY. PLUMBING PERMIT. ISSUE 7~ QTY MECHANICAL PERMIT. ISSUE / .:-;-,J() SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100 000 BTU uv,,_Ull'l'b cu,,.-,11 UU1 d IU-uu·UU-8<:cJ "T"f
EACH eUILOING SEWER OVER 100.000 BTU SIGN PERMIT 001-8' 0-00-00-8221
EACH WATER HEATER ANU OR VEN! BOILER:'COMPRESSQR UP TO 3 HP PLAN CHECK 001-810·00-00-8891 :l·/
EACH GAS SYSTEM 1 TU 4 OU! LETS BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING oo·, s10-oo-oo-8222
EACH GAS SYSTE:M 5 OR MO Rt MtTAL F-iREPLACF ELECTRICAL 001 -81 :J-OC-Q0-8223
EACH INSTAL Allt.R. REPAIR WATER PIPE VENT ~AN SINGLE DUCT MECHANICAL OD 1-81 :J-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-8·.o ::io-oo-s22s
WATER SUFTNER RELOCATION OF EA FURNACE-HEATER SOLAR 001 01:•-00-:J0-8225
f_<'l[r-1 RDUI [,R,'.,,l~J , "J~'l',-. DRYER VENT S:RONG MOTIO"I 580-519-92-33 I
TOT.c.L MECHANICAL FIRE SPRINKLERS oo 1-8 1 0-00-o:,-s2 27
IU!Al Pl\J"'1fl1NL I iJUBLIC FACILITIES FEE 320-8 1 0-00-00-8 7 40
s~" BRIDGE FEE 360-810·00-00-8740
OTY ELECTRICAL PERMIT · ISSUE QTY MOBILE HOME SETUP PARK-lr-.J-LIEU 1<\RE.A I
NEW CONST EA AMP SWT 8KR CAR PORT TIF 312-81 0-00-00·8835
I PH \ PH AWNING LA COSTA TIF 311-81 0-00-00·8835
rXIST !HOC EA AMP SWl tlKR GARAGE FMF
I PH l PH LICENSE TAX 00 1-S 1 L•-C"~ -:,,J-3162
RErii,QOEL AL a· R PER L'IR[Ull MFF 880-519-92-:S/
TEMP P(]LF !00 AMP\
OVER }(JU AMPS
TEMP [ILCUPANCY 30 OAYSI
CREDIT DEPOSIT
l1lTAL fl~LlRILAI I TOT A! TOTAL FEES PAYABLE I t, 9 ,--v
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPUCATION AND PERMIT'" AND DO HEREBY E,cp1ration. E11ery perm,! issued by the Building Qff,c,al under the provisions ofth,s * AN OSHA PERM:l IS REQUIRED FOR EXCAVATONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMAT10N HEREON INCLUDING THE Code Shall 8Kp1re by lim,tat1on and be<:ome null and vo,d It ll"le build,ng or work 5· O" DEEP ANO DEMol.lTION 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO t FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,snot commenced wtth,n 180 days trom the date of such STRUCTIJR(S OVER l STORIES IN HEKiHT permit. or 1f the b1..11ldmff., or work authonzed by such perm11 ,s suspended 01 ISSUED· TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GO"VERNING BUlLDlNG CON-abandoned at an11 tune a r the work 1s commenced for a neriod of 180 da.,s
STRUCTION. WHETHER SPECIFIED HERE!N OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANrs SIGNA~ /If. .,_ OWNER[1 CONTRACTOR-
A~ ( ~ -• 1°ct/H,/ePJ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C1TY IN CONSEQUENCE OF THE ~1. ,. . J.),._ BY PHONE [1 ....
GRANTING OF THIS PERMIT ;y ' •
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TYPE DATE INSPECTOR CS ?S?, J .::i}JJ_J--' '-
BUILDING
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEILING SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR PRIOR TO
FRAME FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION PRESTRESSEO
INTERIOR LATH & DRYWALL CONCRETE
POST TENSIONED
CONCRETE
PLUMBING FIEL.0 WELDING
D SEWER AND BUCO D PL/CO HIGH STRENGTH
UNDERGROUND D WASTE D WATER BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN
GAS TEST PILES CAISSONt·
D WATER HEATER D SOLAR WATER -
ELECTRICAL
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS i,}'~! .. ·: : ,, --VENTILATING SYSTEMS ';_:.J ·':-.... :::
·;-Y:<-1 .-,c --
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS AfJOJ{E HA VE BEEN APPROVED
FINAL / "'i",
PLUMBING -V1Y
ELECTRICAL A ~
MECHANICAL /, I 'j/ ~ -
GAS '/ IJ ,V
BUILDING ·v /\ ~
SPECIAL CONDITIONS
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