HomeMy WebLinkAbout2512 LUCIERNAGA ST; ; CB901777; PermitJob Address: 2512 LUCIERNAGA ST
Permit Type: RADMAJ
Citv of Carlsbad
RESIDENTAL ADD/ALT (OVER
Status:
Applied:
Permit No: CB901777
EXPIRED
11/7/1990
Parcel No: 2152502800 Lot#: Approved:
Reference No: Issued:
PC #: Inspect Area:
Project Title: 958 SF 25 ADDITION
Applicant: Owner:
HORSTMEYER, A.
7982 AMARGOSA DR
CARLSBAD, CA
619 942-2584
00136104885 Plan Check
00136104885 Plan Check
Fees: $325.00 Additional Fees:
MCCLURE MARK C&DOREN E
$325.00
$325.00
$0.00 Total Fees: $325.00 Balance: $0.00
PERMIT APPLICATION 11\ V
City of Carlsbad Building Department EST. VAL ____ ~'..s,ic_.:_.!....__J_::::._ __ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (6191 438-1161
PLAN CIC OEPOSIT, ____ -::--:=--3,.;.~«:>!'.~5~
1.
A
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4.
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7.
8.
PERMIT TYPE
VALID. BY _______ b=-,.C....,;..-,~---
DATE -------'--~'-'f/'--'-7-'/.-'9L..:O:___
COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL □TENANT IMPROVEMENT
-/(RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DUELLING ~DDITION/ALTERATJON
□DUPLEX ODEM0LIT!0N □RELOCATION OM0BILE HOME □ELECTRICAL □PLUMBING
□POOL □SPA QRETAINJNG WALL □SOLAR □OTHER
~TORIES
0 AGE"'T FOR CONTRACTOR 00'JNER
NAME ADDRESS
ZIP CODE DAY TELEPHONE
ADDRESS~ 1--we::::, ~~N"1
STAT Z!P CODE DAY TELEPHONE
CONTRACTOR
NAME
CITY STATE
STATE LIC. #
ADDRESS
ZIP CODE
LICENSE CLASS _____ _
DAY TELEPHONE
CITY BUSINESS LIC. #
SIGNATURE TITLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
Workers• Con-.:,ensation Declarat1on: hereby affirm that have a certificate of consent to self•,nsure issued by the Director of Industrial Relations,
or a certificate of Workers• C~nsatioo Insurance by an ad'l\itted insurer, or an e11act copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. E)(PJRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not effl)loy any person in any mamer
so as to become subject to the Workers' C~nsation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e~empt from the Contractor's License Law for the following reason:
D I as owner of the property or my effl)loyees with wages as their sole c~nsation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or iffl)roves thereon,, and who
does such work himself or through his own employees, provided that such iffl)rovements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose
of sale.).
D I, as owner of the property, am e11clusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
D I am e11empt under Section ____________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, iffl)rove, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, cOfllllencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES 0NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES 0,0
IF ANY OF THE: .USUERS ARE YES, A FINAL CERTIFICATE Of OCOJPANCT NAT NOT BE ISSUEO AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET CIR IS MEETING THE REQUIREfl:NTS
Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to corrply with all City ordinances and State laws relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)GMENTS, COSTS AND EXPENSES IJHICH MAY IN ANY MAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building
1 s not corrmenced w1 thin 180 days from the date of such permit or if the building or work authorized by such permit 1 s suspended
work is coomenced for a period of 180 days (Section 303(d) Uniform auilding Code).
D QIJNER □ COHTRACTOR □ SY PHONE APPROVED BY:
DATE:
YELLOW: Applicant PINK: Finance
,
City of Carlsbad
MA•IIIIIIIPl ■IIPM•J¥141•1·1,,14111
PLAN CHECK EXPIRATION
PC# ~R9QJ117 DATE: 11/07/91
ADDRESS: 2512 LUCIERNAGA ST
You have applied to have your plans checked on the date shown
above, and you have not obtained your building permit.
The provisions of Section 304(d) of the Uniform Building Code
state:
"Section 304(d) Expiration of Plan Review
Applications for which no permit is issued
within one year following the date of
application shall expire by limitation, and
plans and other data submitted for review
may thereafter be returned to the applicant
or destroyed by the Building Official.
In order to renew action on an application
after expiration, the applicant shall resubmit
plans and pay a new plan review fee."
Please check the appropriate box indicating your choice
and return this letter to the BUILDING DEPARTMENT. ~ PRl"l-TF"'l' ll,_'JlHJT)0NED. I WILL PIC:K l!P P!.1'.NS l-JI'!'HD! 10 ~!WS.
PROJECT ABANDONED. PLANS ~lAY BE DESTROYED.
If you have any questions, please
Department at (619) 438-1161.
DORIS COSMAN
Building Department
2075 Las Palmas Drive•Carlsbad, California 92009-4859•(619) 438-1161