HomeMy WebLinkAbout2524 LUCIERNAGA ST; ; 83-320; Permit&./ "' "
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lie No Class
I hereby a1hrm that I am exempt 1mm the Contrac-tors License Law 1or the 1Dllow1ng reason (Sec 7031.5
Business and Professions Code: Any city or county which re-
quires a permit to construct. alter. improve. demolish. or reoa1r any structure. pr,or to ,ts issuance also requ<res the ap-
pl;cant fo' such perrnrt to Ille a signeo statement that he Is
licensed pursuant to the provisions of the Contractor's
ucense Law (Chapter 9 commencing with Section 7000 o1 D1v1s1on 3 of the Business and Proless1ons Code) or lhal 1s ex·
empt the·efrom and the basis for the alleged exemption Any v1olat1on of Section 703! 5 by an applicant tor a perm,t suO·
1ects the applicant to a c1v1I penalty of no1 more than lrve hun·
dred dollars (SSOO!
:J I. as owner ot the property, or my employees with wages
as the,r sole compensation will do the work anO the struc·
lure is ~ot intended or olfered for sale {Sec. 7044_ Business
and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves
thernon and who_ doos such work h1msel1 or through h,s own
employees. provided that such improvements are not intend• ed o, ollered lor sale. If, however, the building or improve-
ment Is sold wIthm one year of completion, the owner-builder will have the burden of proving that he did not build or 1m·
prove !or the purpose of sale)
'-c l._as owner of the property, am exclusively contracting with licensed contr2ctors to construct the pro1ect [Sec 7044,
Business and Profess,ons Code The Contractor's License Law does not apply lo an owner of property wM builds or ,m-proves thereon, and who contracts for each pro1ec1s with a
contrac1or(s) license pursuant to tM Contractors License Law).
□ As a homeowner I am improving my home, and the follow-
ing cond1t1ons exist
1 The work_ 1s being periormed prior to sale
2 I have lived m my home 1or twelve months prior to completion ot th,s work
I have not claimed this exemption during the
last three years
::7 I am exempt under Sec ______ . B & P.C for this reason ____________ _
D I he1eby affirm that I ha,e a cert1f,cate ol consent
10 self-msure or a cert,!,cate ot wo,ke1s
Compensation Insurance. or a cert,1,ed copy thereof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
D Copy ,s hied w1!h the c,ty
D Cert,!,ed copy ,s hereby lurn,shed
CERTIFICAH. OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE (This sect1or1 need not De completed .i the perm,,
,s !or one hundred dolla<s iSHXll or less,
I cert,ty that ,n the performance o1 the worl< Im
,ch this perrrnt Is issued, I shall no1 employ any
on m any manner so as to become subIec1 10
orl<.ers Compensation Laws ol Ca1,torn,a
NOTICE TO APPLICANT If. after makIn;i lh,s Cert,
!,cate of E~empt,on_ vow should become sub1ect !')
the Worllers Compensat,on prov,s,ons ol ttie Labor Code you mus1 !ortnw1!h comply w1\h such
prov1s,ons or this perm,t shol, be deemed revoSed
0 I he1eby o!t,rm that theri' ,s a construclI0" Iend1rig ao;iency tor trw performance o' the wor1< tor
wn,ch this perm,t ,s ,ssued 1Sec 3097 Civd 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 ciEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-~525
JOB AODR'ESS
l2$UJ L \JC 1€ flA 6-1\ ~<-S~D
AY;;;:'·IDATE OF AP~LICATIDI BUSINESS LICENSE #
OWNER'S NAME
8:8 \JJ)("";-rJ
OWNER'S MAILING ADDRESS
"SA1vt~
, ~-=~-:;;; IR ~TflAl':A,, CONTRACTORS PHONE#
--• I-:::;,..,/ •. 1 "'?53, trJ/'t
CONTRACTOR'S ADDRESS lq()Lj ~A-I l • A -'l.e-5~i1"'-fntlz'Z~-4o s
DESIGNER 7 1 LICENSE#
DESIGNER'S PHONE
1--..5-z;JJ -p ---·--"' SCR ecev. NO ace c, EDU I
STORIES
CeNSUS TRACT l Ge cAND use j "RK'NG se•ce RCS UN'TS l GRADING ~ERMIT ISSUED
y O N □
vO NO
I
REDEVELOPMENT
AREA
vO NO
TYPE
CONST
OCC LOAD I FIRE SPA
vO NO
VALUATION
I
PERMIT NUMBER t rdl"P /3,3ro zo
f>LAN 1.0. # I BLDG use CODE
STANDARD PLAN# I BUILDING sa. FOOTAGE
UiBia.'3~57,J ooc 1:1s 73 111a1 ~ ~
Not Valid Unless MAchine Certified
·7~.~;;
1 J. 9.
QTY. PLUMBING PERMIT· ISSUE l -7--J3!!-QTY. MECHANICAL PERMIT -ISSUE :::;,-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANOiOR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE >---+---
EACH INST AL ALTER REPAIR WATER PIPE 1----~-. .
-
INSTALL FURN DUCTS UP TO 100,000 BTU
-4-----+-------OVER 100,000 BTU
BOILER/COMPRESSOR UPTO 3 HP +---+------BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
BUILDING PERMIT 01·00·00·8220
SIGN PERMIT 01·00·00·8221
PLAN CHECK 01·00-00-8806
TOTAL PLUMBING 01-00·00·8222
ELECTRICAL 01·00·00-8223 ---------
··--.... ··-MFr.HANlr.AI 01-00·00·8224
Mn~II FHnMI: ! EACH VACUUM BREAKER
_ -~ATER SOFTNER
·----+ --·-'--~--'f-···--·--·-··-
-------+-----'--jl----+-R_E_.cL_.cO_CATION □~-EA FURNACE/HEATER ---------!--
II I MECH EXHAUST -HOOO-'OUCTS 01-00-00·8225
MOBILEHOME PARK INSP l-7 EACH ROOF ORAIN1NSIDE1 TOT.G.L MECHANICAL _SOLAR STRONG MOTION
TOT Al PLUMBING I ---~------
oTY.,
I
ELECTRICAL PERMIT -ISSUE
I J==-=t_ I COLLECTORS
jl QTY SOLAR · ISSUE
NEW CONST E.A AMP.'SWT.BKR
----
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE ---
SCHOOL FEE -DISTRICT
01-00-00·8226
i0-92·33·0519
01-00-00-8227
32·00-00·8923
--"77 -✓
-
-~~ ~z.~-
--
-
_,.50_
---
----7 1 PH 3 PH -4-EXIST BLOG EA AMPISWT/BKR
STORAGE TA'IIKS Carlsbad
Encinitas
S~~-Dieguito
San Marcos
80-92-21-05__!4 ___ _ ---
1 1 PH 3 PH ------+---ROCK STORAGE
PUMP -j-------
REMODEL'ALTER PER CIRCUIT PLA~ CHECK r"EE ---+-------------
I TEMPPOLE 200AMPS l-----------1-r--f OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
------------+--
--+-
l +--------
TOTAL ELECTRICAL TOT AL SOLAR
---+------11,-
----·-· --;--------1,,
----
A
---__ ___c_ __ J~r-
----+--
TOTAL FEES PAYABLE
80-92·22·0519
80·92·23·0519
80·92·24·0519
l
--
-
--
---
---
23~-
l HAVE CAREFULLY .EXAMINED THE COMPLETED "APPLICATION ANO PERMIT'' AND 00 HEREBY Exp.••.•tion. E~eryper_mi_ti.~!.l~bythe8uilding0fliciall!nderlheprqvf~ionsofthis I * AN OSHA PERMIT ISRE<lUtRED FOR EXCAVATIONS OVER
CERTIFY UNDEfrPENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm.itation and become nl!II ~nd void. If th8 building or work 5· O" DEEP ANO DEM0UTI0N OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the dale of such DECLARATIONS AR~ TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or if the building or work. authoriZe<I by such permit is suspended or .... STRUCl\JR£$ OVER 3 STORtES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· abandoned at an time after the work is commenced for a riod of 180da .•-•
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND 7nk APPROVED BY T ~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND lp IC~NT s NATURE WNER D CONTAACTO D~E
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE /J '/?:3
GRANTING OF THIS PERMIT. ~:.!:!~~;s.::;~;_ _______ _;_J_ _____ .,,_ 1 / /) 't1_ _:.
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INSPECTION TYPE DATE INSPECTOR
BUILDING -
FOUNDATION 17-;;~~ 11'
REINFORCED STEEL I
MASONRY
GUNITE OR GR"UT
FLOOR & CEILING SUB FRAME
SHEATHING -
FRAME --11'-
EXTERIOR LATH INSULATION -,,._. 11
INTERIOR LATH & DRYWALL I
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED:
JOB SITE FINAL
PLUMBING /I
ELECTRICAL . !l
MECHANICAL J / ~ ,I. I
GAS ,1.-.l.1 1 i
BUILDING fl I I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
-83-3.;tO ...
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
REQ IF INSPECTOR'S DATE \ INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSt
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
_ ... , .. ; . ·---~
'~ -. ... --,
"
----
,• -
. ---
GRADING cusrc YARilS RrnlNER NOTIFIEolECEIVED
'--~ ---------
INTERDEPARTMENTAL INFORMA¥EET
am1D1NG DEPAAJMEt[[ c2s :}:Y ! rJJ1:. .. ~ =~
BUILPING ADD~ESS: ._ c);;.;r;_--ry-f;/-~~~
'}.P.N:K/.5 -J.SO-o?,S -~---· _· __ -· ______ _
JUL 251983
t~;;;;;*;;;;;~;~*****************************************************
E
1
N:_IT_A_S ____ SCHOOL FEES: SAN DIEGUITO _____ S MARCOS ·
CARLSBAD ------------TS REQ'D: PROVIDED: -----------'-----1\--P--=-------' COVERAGE ALLOWED: .PROVIDED: --------~--PARKING SPACES REQ'D: _______ PROVIDED: __________ _
BUILDING HEIGHT REQ'D: PROVIDED: ________ _
ALLOWED: ________ _ _ FRONT SETBACK~
PROVIDED:_·_i(-t=====---·
INTRUSIONS: __ =----
·SIDE SETBACK REAR SETBACK
·I
0 -
RE-DEVELOPMENT APPROVAL REQ 'D: ___ ---1,~...l+-+.(\,.\'---
LANDSCAPE & IRRIGATION PLAN COMMENTS :_j._v_r_. ___________ ___,
ENVIRONMENTAL PROTECTION -REQ: __ ~,.._,_µ_,,_~__,_ft_,_' _____________ _
ADDITIONAL COMMENTS: ---'---------------------·-· -
A: /--------"------------------------
• OK TO ISSUE:$: _DATE: '\\;w\t'? OK TO FINAL: . DATE: __ _
************************************************************************ ENGINEERING DEPARTMENT
R.O. W: IMPROVEMENTS: -------'----------'----------
PUBLIC FACILITIES FEE.:· SEWER CONNECTION: ---------------
DRIVEWAY LOCATION (S) : __________ _...._ ___ _
GRADING PERMIT: ------------------------EASEMENTS: _________ DRAINAGE: _____________ ,
LEGAL DESCRIPTION: -----------------------
-(.' _ADDITIONAL COMMENTS: __ --'--------------------
;~_-,_-------------------------------
"· .,._ *CHECK IF ENGINEERING INSPECTION REQ'D. ON FINAL: ____________ _
OK TO ISSUE: e f,,. DATE: t-1-.h..f3 P\'11: · OK TO FINAL: p [,.
DATE: 7-'J.f, -f>,1 '
Jiiiiffi½iiiif.**********************************************************
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE
FINAL INSPECTION.