HomeMy WebLinkAbout2545 LUCIERNAGA ST; ; CB910901; Permit' I
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CITY OF CARLSBAD
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2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
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PERMIT APPLICATION PLAN CHECK NO. 1/-
City of Carlsbad Building Department
2075 Las Pal .... Dr., Carlsbad, CA 92009 (619) 438·1161 . v./, -·\ FSI". VAL .;;:;;;: ,C(./ ._,.
PLAN CK DEPOSIT _______ _
VAIID. BY __________ _
I. P£kMI I hPE
A -Li Commerc1a( U New Bu1ldmg D tenant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C ~esidential □ Apartment □ Condo D Single Family Dwelling ,,.-(f Addition/ Alteration
□ Duplex D Demolition D Relocation D Mobile Home )l:'Electrical D Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall □ Solar D Other
2. PRQJECT INFORMATION
Address
Nearest Cross Street
LEGAL DESCRIP I ION Lot No.
CHECK BEWW IF S0BMll 1£O:
SulxhVJs1on Name/Number
DATE
Omt No.
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope e
SQ. IT. ,~ # OF STORIES
WNIACl~erent from appJJcant)
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
FOR OFFICE USE ONLY
Phase No.
4" 1~:k/'f'y=iJty5f{~r(f%~k?s~10R'-{71'Ts DAG'Cd5tt!rs-1,
CITY $ STATE ZIP CODE 9, DAY TELEPHONE
NAME
CITY STATE
ADDRESS
Ca_zIPCODE
· NAME$ R'y{iv1 e. ADDRESS V 7 S-
c1TY LY"V\ STATE LA.__ ZIPCODEq {91./.d-DAYTELEPHONE
DESIGNER NAME
STATE uc. # :;l) 3/'SuiENSE CI.ASS 6 / CITY BUSINESS uc. #
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOIUMlS" WMPENSAIION
Workers' Compensation Declaration: I hereby alhrm that I have a cemhcate of consent to self-msure issued by the 01rectorof Industnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director pL!:..he insurer-thereof filed with the Building Inspection Department (Section 3800, Lab. C). C1
INSURANCE COMPANY ra POLICY NO. fbfcCIY-J{7xP1RAT10N DATE I I· { G:, . (
rti 1cate o xempuon: cert1 l at m t e pe ormance o t e wor or w 1c t 1s permit 1s 1ssu , s a not emp oy any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-B0llDEk DECLARAIIUN
Owner-Bmlder Oeclarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the foliowmg reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the struccure 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 improvements 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 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 pursuant to the Contractor's License Law).
D I 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, commencing 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]).
SIGNATIJRE DATE
COMPLEIE IAIS SEGIION FOR NON-RESIDENIIAL BOiLulNG PERMll'S ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OFOOCIIPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNIJ!SS TIIEAPPLICANT
HAS MET OR IS MEE11NG nm REQIIIREMENTS Of nm OFFICI! Of EMERGENCY SERVICI!S AND TIii! AIR POLI.ll110N mNTROL DISl1UCT.
9. WNS'IROCIION IENDING AGENCY
I hereby afhnn that there 1s a construction lend mg agency for the performance of the work for which this permit 1s issued (Sec 3097 (I) CIVIi C&lej.
LENDER'S NAME LENDER'S ADDRESS
10. XPPilCAN I CE.lllOtcAIION
I certify that I have read the apphcauon and state that the aOOve mformat1on 1s correct. I agree to comply with all City ordmances 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 nm CITY OF CARISBAD AGAINST AIL LIABIU11F.'i, JUDGMENTS, CDSTS
AND EXPENSF.S WIIlCH MAY IN ANY WAY A£DUIE AGAINST SAID CITY IN OONSEQUENCI! Of nm GRANTING OF nns PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is nor commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the wo k is commenced for a period of 180 days (Section 303(d) Unifo!: ~~i~¥rxl/l•
APPLICANTS SIGNATURE DATE: _.M_.,.__~/_'-f __ 1
f •
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB910901 FOR 07/17/91 INSPECTOR AREA TP
PLANCK# CB910901
OCC GRP
DESCRIPTION: 290 SF ENC PATIO 3421P ICBO
TYPE: RAD
JOB ADDRESS: 2545 LUCIERNAGA ST
APPLICANT: SKYLINE SUNROOMS
CONTRACTOR:
OWNER:
REMARKS: MH/469-9556
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
PHONE: 619
PHONE:
CONSTR. TYPE VN
STR: FL: STE:
469-95565
PHONE: ~
INSPECTOR -----l-1-4~WIJ)'~l"'I-----
ACT COMMENTS
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------------------~ ---------------
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
061991 Ftg/Foundation/Piers
ACT INSP
AP TP
COMMENTS
18 X 18 X 12 PIER (1)
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