HomeMy WebLinkAbout2512 LUCIERNAGA ST; ; 87-539; Permit.,,
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O I hereby affirm that I am licensed under
l)(o,,l1lon1 of Chapter 9 (commencing with f
Section 7000) of Division 3 of the Business
and Prote■atona Code, and my llcense is in
full force and effect. t
I nereby alhrm that I am exempt from the Contrac ' lot's License Law tor lhe IDllowmg reason (Sec 7031 5 i :~i~:s: ~m~oi:s~::1~~e a,~:,Y ~~PiOYecou~~~~~c; r!; ~
,epalf any structure prl()( to its issuance also requires the ap· I ri~~~~~or p~~i~a~t:11
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License Law (Chapter 9 cOff)meiicmg w1lh Section 7000 of J ~;~r~~e;e~!~e a8~~:s~a5~ ,:o:~:sail~~~:::p~:~ IS :;y t
vlOlaIIon o1 Sect10n 7031 5 by an apphcanl IDf a perm11 sub \ ~~e'; =:~~~~;o a c1v1I penalty ol not more than hve h.un-~
I as owner ol !he properly. or my employees w1t11 wages
as 1M1r soie compensation will do !he wOfk and the s1ruc-
1ure 1s 001 mlendeo 0t oflered for sale (Sec 7044 8usmess
and Profession~ COde The Contractor's license Law Cloes
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:~~~:~egr,:•:e '~:. s~;:~:~~~":;:~.~~e o~,~~~:~: E
ment 1s sold within one year of completion the owner-builder I
will have the burden of proving Iha! he dtd not build 01 1m• I
prove lor lhe purpose of sale) f
I. as owner of the property am exclusively contracting with licensed contractors to cons1rucl lhe protect {Sec 7044
Business and Proless,ons COde The Conlfactor's License
Law does not apply to an owner of property who builds or 1m-prwes the,eon. and wno contracts fOf each prOjecls with a
contractor(s) tttense pursuanl to the Conuaclor's License law}
As a homeowner I am ,mprovmg my home. and the lollow
mg cond11tons e,nsl 1 The work 1s bemg perlormed pnOf to sate
2 I have hved m my home for 1wetve months pnor to complel1on ol lh1s work
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lasr:a~h~ee"°~eJr~1med lh1s exemplKHl durmg lhe f
0 I am exempt under Sec ______ . B & P C tor this reason ____________ _ 1 & t I
LJ 1 hereby afhrm that I have a certificate of consent to _
self-,nsure. or a cemhcate of Workers Compensation In-f
surance. Of a cert1'1ed copy thereof (Sec 3800. Labof Code} l
POLICY NO I
COMPANY
Copy IS hied Wtlh the city
:J Ce111hed copy 1s hereoy lurmshed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed 11 the perm11
is for one hundred dollars tS 1()0) °' less)
I • I • •
:::J I certify !hat 1n the performance of the work tor which _
lh1s permit 1s issued. I shall not employ any person m any J
:a~:~erl~::s ~~ ~~~;;1:~bJect to lhe Workers Compen• I
NOTICE TO APPLICANT~ It. after making lh,s Cert1hca1e ',
of Exemption. you should become sub1ec1 to the Workers
Comoensat1on p,ov1s1ons of the Labor Code. you must I
lorthwtth comply with such provisions or this permn shall
be deemed revoked i t I 0 1 he,eby afhrm 1hat !here lS • cons1ruc1>on lend,ng t
agency tor the performance of the work !or which lh1s per-
mit is issued (Sec 3097. Civil Code)
Lender s Name
Lender s Address
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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
J08 ADORESS AV. ST. RO THOMAS BROS NO. I DATE OF. APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER
1.'51 J. l..J.u , e r 11~CL sr o21, 1w -.
LOT BLOCI< I sueo1v1s10N 'II ASSES~ P"'!J.CEL NO. . 8 OU I S ·-2'::Jc) -~ -
CONTRACTOR . CONTRACTORS PHONE • ZONE 2 7 -':SSj
OW~ER'S NAME I OWNER•s PHONE
CONTRACToR·s ADDRESS STATE LICENSE NO BUILDING SQ. FOOT AGE
OWNER·S M A ILING A DDRESS ' DESrGNER DESIGNER"S PHON E
frP'crJ
-
OESCRIPT ION OF WOR I( ~ ,,,/ :.I) ~-.JrilJ :Z.~1 ~F 11 • • · OFSIGNfR'S A OOR FSS STATE LICENSE NO.
-
F, p F LA ELEV NO OCC GP EDU ' STORIES (' ·v:1.1~· -1,) v("j'..,,o --.J. •~, .L.:::.. 1·. r,:t1·1
.. I CENSUS TRACT l PARl(rNG SPACE RES UNO TS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y O N 0 ,□ '<0 vO NO Not Valid Un/en M~ch,ne Certtlied
QTY. PLUMBING PERMIT · ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 15.00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TD 100 000 BTU BUILDING PEHMIT UU 1 ·81 O·OO·OO·H<lU :::>._-"&; c; v
EACH BUI LUING SEWER OVER 100 000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8891 /<,, .~ .... _
EACH GAS SYSTEM 1 TO 4 OUT LETS 801lER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00; ·810·00·00·8222
EACH GAS SYS TEM~ OR MORE J METAL FIREPLACE ,. ,,_ . .•. ELECTRICAL 001·810·00·00·8223 /:,.'.::
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00·8224 .. ) ~ I .
EACH VACUUM BREAKER MECHE XHAUST HOOD DUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER ' RELOCATION OF EA FURNACE HEATER .. SOLAR 001·810·00·00·8226
EACH ROOF DRAIN 11%1DE I '. DRYER VENT STRONG MOTION 880·519·92·33 /, .5" t')
: TOThL MECHANICAL FIRE SPRIN~LERS 001 ·810·00·00·8227
T01 Al PLUMBING I , PUBLIC FACILITIES FEE 320·810·00·00·8740 ·•··
BRIDGE FEE 360·810·00·00-87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU !AREA I -...:·
NEW CONST EA AMP SWl HKR CAR PORT /......-1 ,.,q.5~ TIF 312·810·00·00-8835 .
1 PH 3 PH AWNING /,._<:)"' A e;;.._ LA COSTA TIF 311·810·00-00·8835
EXIST BLDG EA AMP •SW1 BKR GARAGE /,.O,-'JI,,.' -1,\ FMF ,,
1 PH 3 PH I!':) UlO 1QRR ~\ LICENSE TAX 001·810·00·00·8162
REMODEL AL Tt R PER CIRCUIT I(> -"' , .... N MFF 880·519·92-57 .. ftOOft
TEMPPOlE 700 AMPS cg CITY TREASUREt cJ i,
OV ER 700 AMPS \P I.ii ~1.~f ~;;;·n r~ -A'/
TEMP OCCUPANCY 130 DAYSI ,~~ ---~"ff
I \· "-.C?~ . ,\,-:1/ CREDIT DEPOSIT ,r. ro -
TOTAL ElELTRILAl I L -~.
~~6\.~ TOTAL FEES PAYABLE I ..3 /0.J~
' EJCptrahon Every perm,t 111ued by lhe But1d1ng Oft1c111 under the prov1s1ons of th,s 1 HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT ANO 00 HEREBY * AN OSHA PVllot:T IS REOUIAED FOfl EXCAVATIONS OVER
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code srlall expire by hm,tat1on and become null and void II the building or woo, s· 0 .. DEEP ANO OEIIIIOllTION OR CONSTRUCTION a,
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ authorized by such permit 1s not commenced w,th,n 180 days from the date of such STIIUCT\Jfll:S OVEA 3 STORIES 1H HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON ::~n~ 1
~1 •=~y ~,;::•~.~;h:C:~r:~!h~~~e:le:~6~ r~~~'~,s~~~~ or
STRUCTLON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANTS SIGNATUF!E • OWNERn CONTRACTOR 0 APPROVED BY DATE t<:EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO '{ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE n . • //C(/ : f' l:.f~~ 11/~/~g1· GRANTING OF THIS PERMIT ,
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TYPE ' DATE INSPECTOR \
BUILDING I
FOUNDATION •
REINFORCED STEEL f
I
MASONRY I
GUNITE OR GROUT I
SUB FRAMED FLOOR □ CEl,ING
SHEATHING D ROOF D SHEAR
FRAME •
EXTERIOR LATH _,
' INSULATION '
INTERIOR LATH & DRYWALL \
~
•
PLUMBING I
□ SEWER AND BUCO [J P\_/CO
UNDERGROUND □ WASTE □!WATER
TOP OUT D WASTE □ WATER
TUB AND SHOWER PAN !
GAS TEST j
t
□ WATER HEATER □ SOLAR WATER
!
ELECTRICAL !
D ELECTRIC UNDERGROUND □-UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPQRARY
□ BONDING □ POOL I
I
MECHANICAL I .
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS .
l
VENTILATING SYSTEMS ! .
'
CALL FOR FINAL INSPECnON WHEN ALL APPROPRIATE
ITEMS ABOVE HA rJE BEEN APPROVED.
FINAL f
PLUMBING !
ELECTRICAL l
I
MECHANICAL ' :
GAS .
BUILDING I
SPECIAL CONDITIONS '
I
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL .
SOILS COMPLIANCE
PRIOR TO
fOUNDATION INSP
-----~--~ ~-----
STRUCTURAL CONCRETE
OVER 2000 PSI
PRE STRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
-~ -~---HIGH STRENGTH
BOLTS
SPECIAL MASONRY
--
PILES CAISSONS
~ --
--
-·
Ci ' ' .
DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Applicant Please Print And FIii In Shaded Area Only
PLAN ID NO.'?;_ S-:3 q
()oo/6 10/13 0101 05Mfsc-
900d .tO; 13 9:l.Q1 05/ii v,
VALIDATION AREA
9QQf:.~-'i
ESTMATED VALUATIODL / ~
t:.1:crOR.!$' PLAN CHECK FEE 001-810::Zo-8821 . # ~2: ~
A_D_D __ R_E_SS ______________ ........., __ ~-----------IF THE APPLICANT TAKES NO ACTION If--
CITY
BUSINESS
l.,IOENSE NO.
TEL
White -File Yellow • Applicant
WITHIN 180 DAYS, PLAN CHECK FEES
WILL BE FORFEITED.
CHECK IF SUBMITTED:
2 ENERGY CALCS
2 1987 ENERGY CALCS
FOR NON RESIDENTIAL BLDGS
2 STRUCTURAL CALCS
2 SOILS REPORTS
2 SELF ADDRESSED ENVELOPES
DATE GIVEN/
SENT TO APPLICANT DATE
LA COST A LETTER
SCHOOL FEE FORM
P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
Pink -Finance Gold -Assessor