HomeMy WebLinkAbout2512 LUCIERNAGA ST; ; 81-514; Permit.,, z 0 ~ a: ~ u ... 0
IC I[ 0 I her9oy affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
fuliforce~t.
Lie Nn-:287Class C-$3
u
IC ... 0 ... 5 I ... z 3 0
z 0 .= ~ z ... CL :IE 0 u
(/) a: ... :,,: a: 0 3
I heteby athrm tNlt I -exempt trom the. Con-
~J•f ~i,:i; ~ ~f~~~'.~i~ county which requires a pennlt to construct alter, ,mprove. demohsh, Of repa,r any structure.
prio, to its issuance also requires the appHcant for such pem11t to hie a s,oned statement that he ,s licensed pursuant to the prOY1st0ns of the Con-
tractor's Ucense Law (Chapter 9 commenctng with
Section 7000 of Oiv1st0f"I 3 of the Business and Pro•
fess,ons Code) or that ,s exempt therefrom and the
blslS tor the alleged exempt,on A"'I vlOlation of
Sect,on 7031.5 by an applicant for• permit subjects
tne apphc.nl 10 a civil penaJty of not more than five
hundfed dollars (S500I
0 I, as owne< Of the prc,perty, or my employees ,.ilh wages as their sofe compensation, will do the
W()n(, and the structure Is not intended or offered tor sale (Sec 7044, Bus,ness ...cl ProleSSIOIIS Code The Contractor's License Law does not apply to an
owner of property who builds or Improves thereon and who does such WOB h1mseU °' through his own
employees, provided lhot such ,mproveme~ts are not ,ntende-1 or offered for sale If, however, the
building or 1mproo,ement 1s sokj within one year of
complet10n. the owner-buildef will hove the burdef>
of pro¥1ng that he dtd not butld Of 1mpt0Ye for the
purpose of salej
□ I, as owner of tne p,operty, am exclusively contracting with hcensed cont,actors to construct
the p,o,ect (Sec 7044. Bus,ness and Proless10ns Code: The Contractor's License Law does not apply
to an owner ot property who builds or improves
~~~i~ 7~C:~~ ~~~~~~~::-: Ucense Law)
0 lomexemptunde<Sec _____ ,8 &PC
tOf this reason
I D I hereby affirm that I ha1le a cen1hcate ot consent
to self-insure. or a cert1f1cate of Workers· Compensatton Insurance. 0< a certified copy thereof
(Sec 3800, Labo< Code}
1 POLICY NO
COMPANY
□ Copy IS hled w,tn the City
O Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the permit
1s 10< one hundred dollars (S100) or less) ~ cet11ty tNlt 1n the perlormance of the wM 10< F en 1n,s pemut 1s issued. I shaJI not employ any • person 1n any manner so as to become sub1ect to
lhe Wor1lers· Compensahon Laws ot Cahto,ma
NOTICE TO APPLICANT "· after malun~ this een,
ltcate of ExemptlC>n, you snould become subject t"l
the WOf'kers' Compen$.ill1C>n P,0¥1SK>nS of lhe Labor
Code. musl f0t1hw,1h comply with such r:::J_°"• th,s permit shall t>e oeemecl revol<~
cc lending agency tor 1he performance of the wor1l tor
r
. lo, :eby affirm that there ,s a constructoon
~ .. which 1'HS permit ,s issued (Sec 3097. C1v1I Codel
"' Lenders Name ___________ _ ... Lenoer's Address __________ _
USE BALL POINT PEN ONLY & _II_RE!S HARD ........ ,,.~ -APPLICANT ro~':L IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS,
CARLSBAD .AIILDING DEPARTMENT AP.,__,CATION & PERMIT 1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525
JOB ADDRESS 4V. STJ DATE OF 41't'LtC4Tl0,A BUSINESS LICENSE # VALUATION PERMIT NUMBER ftD, .2.#'/;''7 1-t 7 3 42.:, -L-----;-t ~ ~ , ,.. · .... .a-A-~ -------, .. __.L_,,/J •'°'-J-==-1...;,, nA /"-:;?-.~-B Bt-s,4 ......
OWNER'S N4ME I OWNER'S f'HONE PIIIME CONTfti.CTOA CONTRACTORS PHONE I ZONE
.... ~--~ ~---.a.~ .. . JII--,~--... I • <!II:, --:-~ --,A.~ .-JA ~/P,J & ~ .
OWNER'S M41LtNG 4D0RESS ,CONTRACTOR"S ADDAEIII C-~ LICENSE NO. PLAN 1.0. # BLOG USE CODE
---A ---~--~~5'~7 f()Ot, .L"\.C2' ~C✓C... -~, .. ~• ·-~ ,-.,Jt,rp.
!ji IBLOCK~:1:.c::..•1181~~.P~..,~ng .,t,0 ·"-™tr,c:::q"/ CA, 7.:::_ -# STATE LICENSE # STANOARO PLAN# BtJtLDtNG SO. FOOTAGE .
1 f '!1'.J. eo~ }-.. DESCRIPTION OF WOIIK ~ ;:)/M!:>/~::>7'11
-~ J!!l~.J~ .J._. ~ DEStGNEft'S ADDRESS DESIGNER'S PHONE OOOJ~i l.lJ ?/02 1'6?' I I? I • 3"1
----FIP FLR ELEV. NO OCCGP EDU STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR AREA CONST
YO N 0 vO NO vO NO Not Valid Unlm MachiM /Anifil!d
QTY. PLUMBING PERMIT · ISSUE 1,,50 QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
..... A'\
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220 ..,.,-Vi. ~o
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT ,,. ..,,..DI 01·000-4221 f --
L EACH WATER HEATER ANO /OR VENT "l,t:;(J BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK tA,oS (l.eC.,. -01-000-4806
I EACH GAS SYSTEM I TO 4 OUTLETS h .~o BOILER /COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 l z::::,, o o . EACH GAS SYSTEM 5 OR MORE -METAL FIREPLACE ELECTRICAL 01-000-4223 7 .no
EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
I EACH VACUUM BREAKER /J .~n MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000-4225
WATER SOFTNER -RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOTJ.L MECHANICAL :STRUNli MUTIUN 65-640-0519 _Y>'1
TOTAL PLUMB!NC i [ ,:,#()f) FIRE SPRINKLERS 01-000-4227
1.Aoo PUBLIC FACILITIES FEE 25-000-4933 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
I PH 3 PH PUMP San Oleguito 65-625-0519
I REMOOE UAL TEA PER CIRCUIT t::: J')0 PLAN CHECK FEE San Marcos 65-626-0519 , TEMP POLE 200 AMPS -
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL I -Z,.oo TOTAL SOLAR TOTAL FEES PAYABLE I /Z,{, ?,Cf
I HAVE CAREFULLY EXAMINED THE OOMPLETED •APPLICATION ANO PERMIT" AND DO HEREBY Eltpifatlon. E.-y .......... .., .. llullellngOlllc:ial _., llte prOVi9ioneof'INa * AN OSHA l'IMIIT • REQl..a> 1'011 PCAVATIDNB OV8I
CERTIFY UNDER PENALTY OF PER.ltlfff-=T ALL INFORMATION HEIIEON INCl.UDING TH£ Code alllll _,... ti, lllnilalloll and beco-.11111 and-ff Ille bui~ or work !I' Cl"' DEEP AND CIEM0UTIDN OR CONSTIIUCTl0N OF
DECLARATIONS ARE TRUE AND COflAECT'1 I FURTHER CERTIFY AND ltGAEE IF A PERMIT IS ......., i;rauc11 pannlt la nal-llilladwllllill 110ctaya lrofflllte of aucll STIIUC1\NS OVEfl 3 STONES .. HEIGHT Plffllll. or Ille 1~or.!"'1' IIUlllortaacl ti, IUCII permit la or ISSUED: TO COMPLY WITH ALL CITY, COdNIY AND STATE LAWS 'GOVERNING BUILDING CON-•-11n11 --• 111ra-o11110--STRUCTION. WHETHER SPECIFIED HEflEIN_qR NOT. I ALSO AOREE TO SAVE INDEMNIFY AND ·-__ .,.._ IIGNATUIIE • l OMERO CONTRACTOR 6 A~
DATE KEEP HARMLESS THE CITY OF CARl..88AD-NIAINST ALL UABIUTIEJ, JUDGMENTS, COSTS AND ")Ji' '"
.J1. ,.. J IIWPHONE I lf.-t-8 --BI EXPENSES WHICH MAY IN ANY WAY AOClllll! AGAINST SAID err,-.. OOHSEQUENCE OF THE ~ _..
GRANTING OF THIS PERMIT. e? . ~
~ u::
>, io 0 a. E ~
I
"Cl 0 (.!)
0 i~.
a. a. <{
I _,,,_
C a:
0 rt)
rt)
Q)
rt)
rt)
<{
I
~ _Q
ai >-
,,;
rt)
Q) 0 £ .,,
«I 0
ff
Q)
0
C .,,
C u::
C Q)
Q) ~
0
0 Q) a. rt)
C
~ J:: ~
INSPECTION TYPE
BUILDING
FOt:JNE>ATION
REINFORCED STEEL
MASONRY
GUNITE_ OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
,;J
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN-APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS ...
BUILDING
SPECIAL CONDITIONS
CERT OF OCCI 1PANCY ISSUED 1 1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
D -..
-
-;-1 -
-
-
-
-
-
~
~
FIELD INSPECTION RECORD
REOUl~ED SPECIAL INSPECTIONS
REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS ~
,,;-
-
' . , f' ~ ....
r ----\
\ -----.... ,_
\ "" . ,_ _.,, ---. \ "I,
' -~ ~ ' -. '
' . ' ,... --~ -\-.=,.~ .. •. , 't
•'"'•' llr ~~~ '...: 1,
t'. \'\ lj
2_ , ... s-J t.f
~
INSPECTO R'S NOTES
DATE \ ..._ I .
,. t , .. ,
I
' -.
~ I, ~ ' . ---.. . '
-,~ ::.:~
-j \'" . ''
.. ,,. ~ ,, ., "" ,~ \ ,.. ' :
1;""""'-: ' -~ . ~-., ..,_ .. '->. ' , ,,,, ·--' . . --= ' ' -
' . a \, .
y ...... ~' " ' . ~. --~
~
' :... -' ' ... C'7' -;,___ \. ,.,,, ... ~·-'\ '-\'-... -.... ~
--
\ .,
I
. ' . . .
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
~itp of ~arl.sbub
TELEPHONE:
(714) 729-1181
This document will certify that I am aware of the provisions of the
California Administrative Code, Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL #297. I understand
· tl:}at neither a swimming pool bu,ilding permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at..:'?57.z (, f<:;..,Aij-s~,,q · -~ ·
(site address) I certify that all of the following requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" m:i"limum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January 1, 1982, new heaters installed must have 75%
thermal effi_ciency.
5. 'l'ime clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name:
Owners Signature:
Print Contractors Name:
/
------------------
_, INTERD~iTAL INFORMATION SHEET
B,UILDiNG DATE:°'!ECEIVED
BUILDING
Dre 221991
~LANNING DEPARTMENT
ZONE _________ LOT S IZE _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
__________ PROVIDED __________ _ PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
_____________ PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED __ ~----
INTRUSIONS
__________ PROVIDED __________ _
SIDE SETBACK: REAR SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
I
OK TO ISSUE: -------~DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS ---------------
SEWER CONNECTION DRIVEWAY LOCATIONS ------------
GRADING PERMIT I:~~Nl_S ,-A--,/-~-,-, _____ DRAINAGE ____ _
LEGAL DES CRIPT I-0-~~~,,4:_===),=f=7:~~,£f:_""-'-->c..~~_......=~ ... g""'.JJ.,o"'--~ -~=--,;I!__,_/ _________ _
ADDITIONAL C
DATE+IC--L--.~3~-~~~1~PWI ____ OK TO FINAL ____ DATE ___ _
•
t FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
· FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ______ ~--
I