HomeMy WebLinkAbout2542 LUCIERNAGA ST; ; CB891115; PermitB U I L D I N G
11/06/89 11:47
Page 1 of 1,;f:;i'7C -7~
Job Address: -~ LUCIERNAGA ST
Permit Type: DUPLEX
Parcel No:
Valuation: 338,883
Construction Type: NEW
P E R M I T
Str:
Permit
Project
Development
Fl:
No: CB891115
No: A8901856
No:
o:~
.1 S'6,·/7°,. t:C·
Occupancy Group: Class Code: Status: APPROVED...._
07/28/89
10/25/89
,TPY
Description: 2327
: + 75
DUP+ 506 GAR+ 192 PATIO
SF BALCONY BOTH UNITS
Applied
Apr/Issue
Validated By:
CONTRACTOR WILLIAMS ROGER JR
1420 PHILMAR LN
VISTA CA 92083
Lie. C 207725 438-1463
*** Fees Required *** *** Fees Collected & Credits ***
Fees:
Adjustments:
Total Fees:
Fee description
20,602.00
.00
20,602.00
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.00
953.00
19,649.00
Ext fee Data
---------------------------------------------------------------------------Building Permit
Plan Check
Strong Motion Fee
Enter 'Y' to Autocalc License Tax>
F.M.F./G.M.F. and Zone(99) >
or manually enter Lacosta TIF >
or manually enter Bridge Fee >
Enter Number of EDU's >
or manually enter M.F.F. >
* BUILDING TOTAL
Enter "Y" for Plumbing Issue Fee >
Each Plumbing Fixture or Trap >
Each Building Sewer >
Each Water Heater and/or Vent >
Gas Piping System >
Each Vacuum Breaker >
* PLUMBING TOTAL
Enter '1Y11 for Electric Issue Fee >
Single Phase Per AMP >
* ELECTRICAL TOTAL ($10 Minimum)
Enter 'Y' for Mechanical Issue Fee>
Install Furn/Ducts >
Each Install/Reloc Appliance Vent>
Each Hood/Fireplace >
* MECHANICAL TOTAL
620.00
1072.00
848.00
2,00
3426.00
30.00
2.00
2.00
2,00
4.00
400,00
2.00
8.00
4,00
CITY OF CARLSBAD
,00
2.50
6,50
2.50
2.50
2.50
.25
9.00
4.50
6.50
/ 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
1476,00
959.00
24.00
11861.00 Y
620.00 6
1072.00
848.00
.00
3426.00
20286.00
7.50 Y
75.00
13.00
5.00
5.00
10,00
116.00
5.00 Y
100.00 2 X 200
105.00
15.00 Y
18.00
36.00
26.00
95.00
PERMIT APPLICATION ~ V
City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) <38-1161
1.
'
C
2.
PERMIT TYPE
C0"1MERCIAL
0 INDUSTRIAL
0 RESIDENTIAL O APARTMENT
Q0UPLEX QDEMOLITI0N
0 MECHAN ! CAL O POOL
TENANT IMPROVEMENT
0 TENANT IMPROVEMENT
QCONDO □SINGLE FAMILY DWELLING OADDIT10N/Al TERAT ION
□RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
QsPA QRETAINING l,,IALL QSOLAR QOTHER
PLAN CK DEPOSIT, ___________ _
VALID. BY ______________ _
DATE ______________ _
Nearest Cross Streets CA::2%l CkiRc)
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit .N9. Phas~ No.
t A.J C+:r I:; '°" ~ lp,,\--a, Oe MAe ($0 0 LA. Cr1STA ClrJ1/ ,ur1 · (4 CHECK BELOt,j IF SUBMITTED:
Q2 Energy Cales qz Structural Cales qz Soils Report
ASSESSOR'S PARCEL
DESCR!Pi ION OF WORK ____. /-e,,..,,~
BLDG. SQ. FIG. ,6 3.) 7 ;l.. # OF STORIES
0 1 Addressed Envelope
EXISTING USE PROPOSED use
3. CONTACT PERSON
NAME ADDRESS
C[TY
SIGNATURE
STATE ZIP CODE DAY TELEPHONE
4. APPLICANT ,... "'-'". Nti' COIONTRACTOR
NAME /J74/Z/(. A v• r-<...(tPq/ □AGENT FOR CONTRACTOR t? O0\./NER □AGENT
ADDRESS / ' o, 60./(. {OBl.f
FOR 01-JNER
CITY ~/ "7 ffT STATE{4 ZIP COOE "Ji)-o/ L( DAY TELEPHONE 7S-G, -CJJ'( '-(
5. PROPERTY OWNER
NAME /) §i J/e 3:l 4 V")...,/--.>rt° OWNER
STATE (4 mY C r+-r.2L::, l3A O
DESIGNER NAM
CITY / STATE
ADDRESS
ZIP COOE
ADDRESS fZ /:) , '3,iJX l o8y
ZIP CODE 9,)oi'-f
LICENSE CLASS ___ 6 ___ _
TITLE
ADDRESS
ZIP COOE
DAY TELEPHONE
CITY BUSINESS UC. #
DATE -5-8
DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
8.
Workers• C~nsat1on Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' COftl)ensation Insurance by an actnitted insurer, or an exact 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. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, ! shall not employ any person in any manner
so as to become subject to the \Jorkers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner·Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Lai. for the folloi.ing reason:
DJ as owner of the property or my employees i.ith i.ages as their sole compensation, 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 improves thereon,, and who
does such work himself or through his own employees, provided that such irnprovements are not intended or offered for sale. If, however, the building
or frnprovement is sold within one year of cO!Jl)letion, the owner·builder will have the burden of proving that he did not build or improve for the purpose
of sale.).
D !, as owner of the property, am exclusively 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 pur,suant to the Contractor's License Law).
D ! am exempt 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, improve, 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, col!ITiencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
and the basis for the alleged exe~tion. Any violation of section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than tfve hundred dollars [$500]).
SIGNATURE DATE
COMPLETE TIHS 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 pcrmft from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within l,000 feet of the outer boundary of a school site?
□YES o,o
IF ANY OF THE ANS\ERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET Oil IS MEETING THE REQUIREMENTS
OF THE OFFICE Of EMERGENCY SERVICES AND TIIE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME
10. APPLICANT'S SIGNATURE
J certify that ! have read the application e a the above information is correct. l agree to comply with all City ordinances and State laws relating
to building construction. I hereby authorizer presentatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TH CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLOGf4ENTS, COSTS ANO EXPENSES WHICH MAY IN ANY \JAY 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
or work authorized y su permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit
the building
is suspended
at ny t e afterhe work 1s c01T111enced for a period of 180 days (Section 303(d) Uniform Building Code).
,; /
GNAT E #-/,_,/ 0 OWNER □CONTRACTOR
-::--y / ------
D BY PHONE
WHITE: File YELLOW: Applicant PINK: Finance
APPROVED av::------~
DATE:
SEE
2540 LUCIERNAGA ST
FOR MORE
INFO ON
CB891115
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