HomeMy WebLinkAbout2548 LUCIERNAGA ST; ; 83-37; Permit~ 0 ;: : ~ 0 "' C
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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 affirm that I am exempt from the Contrac-
tors License Law tor the following reason 1sec 7031 5 Business and Proless1ons Code My c,ty or county which re-
quires a permLI to construcl. al\e'. ,morove, demolish or
reparr any structure. p_rior to its issuance also requires the ap-
Dlrcant lor such permit to file a s1gneO statement that he 1s I,cersed pu,suant to the provIsIons of the Contractor's
L,cense La·.,, 1Chapler 9 commencing w,th Section 7000 ol D1v,s1on 3 o: the Business and Professions Code) or \hat Is ex-
emot t%rel<om and the basis for the alleged exemption. Any ·,1olat1on ol Section 7031 5 by an applicant fo, a permit sub-
rects the applicant to a c1v1I penally of not more than hve hun-
dred dollars ($500\
:.J I, as owner of the property. or my employees with wages
as their sole compensation. will do the work and the struc-ture is not mtended or otfered tor sale (Sec 7044. Business
and Professions Code. The Contractor's license law does n□l apply to an owner o! property who builds or improves thereon and who does such work himself or through his own
employees, provided that such improvements are not intend-
ed or offered for _sale. If. however, the building or improve-
ment Is sold w1th1n one year of completion, the owner-builder will have the burden ol proving that he did not build or im-prove for 1he purpose of sale)
CJ I,_ as owner of the property, am exclusively contracting with licensed contractors to construct tM project (Sec 7044,
Business and Professions Code. The Contractor's License
Law do,es not apply to an owner of property who builds or im·
proves thereon. and who contracts tor each projects with a conlraclor(s) license pursuant to the Contractor's license Law)
□ As a homeowner I am improving my home. and the follow-ing condIt1ons exist
1 The work is being performed prior to sale
2 I have lived m my home !or twelve months prior to complet_ron ol th_is work
I have riot claimed this exemption during !he last three years
□ I am exempt under Sec. ______ , B & P C
for 1hIs reason
0 I hereby affirm that I have a cert,f,cate o1 consent to self ,nsure, or a cert1l1ca1e of Workers
Compensat,on Insurance, or a cert,t1ed copy 1hereof
(Sec 3800. Labor Code)
eoucrno"?fl 3<// 'i _ ..
coMPANv C:,-frlf! ~ y._'2.P /i?_,.,izu..e
fj,.,eopy ,shied w,th 1he c,ty
0 Cert,f,ed copy ,s hereby tum,shed
CEATIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need riot be comple1ed ,1 lhe perm,1 ,s Jor one hundred dollars ($1()0) or less)
0 I certify tha1 ,n 1he per!ormance of lhe wor1< for whoch th,s perrrnl Is issued. I shall no! employ any
person "' any marine, so as 10 become sub1ect 10 the Wor1<ers· Compensa1,on Laws ot Cal,forrna
NOTICE TO APPLICANT 11, aher mak,n~ th,s Cert, !1cate ot Exemption, you should become subJeCt I')
the Wor1<ers· Compensat,on prov,s,ons of lhe Labor Code. you must forthwith comply w,th such
prov,s,ons or lh,s permit s11aI1 be deemed reyoked
0 I hereby alf,rm that !here 15 a construc1,o" Iend1ng agency tor t!1e perto,mance of lhe \\,Ori< lor
which !hos perm,t ,s ,ssued 15ec 3097 c,v,1 Cooe,
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB ADDRESS l lA.c..
AV. ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER as'-/<?. \ C'__,..f._eJT" AO. /-;--;;,_j).• :.:i_ '-I I q °I \5 7,-:::7 I e.. -e. A-6, A ' I ,c
OW~'SNAME
ho~.f' RS Y 1,1:3iW~E/03~ Su ;"Js;;i 1912_ .Pecduc:A CONTRACTORS PHONE # ZONE . m. .2~" -22-7i'.
OWNER'S MAILING ADDRESS • ;.:3·s1:'f;~~ rdC(__le...Sf-.
LICENSE NO. PLAN 1.0. # BLOG USE CODE
-Sftm.e. 39&J&2"2i
LOT I BLOCK l SUBDIVISION I ASSESSOR PARCEL NO. ;21-s --,,Ao 3'6' 01 DESIGNER LICENSE# STANOARO PLAN# BUILDING SO. FOOTAGE
0f1"J 'jf~ £#C."' H-~/Fi~ Ch~or. n~ OES~GNEA'S ADDRESS p~SIGNE R'S PHONE -
'" FLA ELEV NO OCC GP EDU I· STORIES
v□ NO --
CENSUS TRACT I GP LAND USE I PARKING SPACE I AES UN,TS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
r □ ~ □ vO NO vO NO Nor Valid Unless ~chine Certified
QTY. PLUMBING PERMIT -ISSUE s'O •--J-.OTY. MECHANICAL PERMIT -ISSUE -<"' SUMMARY/ACCOUNT NUMBER
EACH F1XTURE TRAP / INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
--------
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
-------------------------/ EACH WATER HEATER AND/OR VENT ol. .o: BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8805 -------------/0. 00 EACH GAS SYSTE~~~LET_S _______ i-_ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 -----
EACH GAS SYSTEMS OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 --~ ·-------------
EACH INST AL .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 -
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-00-00-8225 ------
WATER SOFTNER RELOCATtON OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) en, ,o n1-no-oo.ooo< ----TOTkL MECHANICAL STRONG MOTION 80-92-33-0519 --. ---------------,-zo f)t:J TOTAL PLUMBING FIRE SPRl~KLERS 01-00-00-8227 --. ------·-
QTY. ELECTRICAL PERMIT -ISSUE ~ OTY. SOLAR -ISSUE 1--PUBLIC FA(;_IUTIES FEE 32-00-00-8923
-------------------BRIDGE F~t
NEW CONST EA AMP.'SWl BK R I COLLECTORS SCHOOL FEE -DISTRICT ------
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-051_~ _ -----
EXIST BLDG EA AMP/SWT'BKR ROCK STORAGE Encinitas 80-92-22-0519 --------. ----
IPH 3 PH PUMP ___ San D_ieguito 80-92-23-0519 -------------------------
REMODEL.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 -----------------------------------~
TEMP POLE 200 AMPS ------~ -----
' OVER 200 AMPS ----~-------------------------.---------------
I TEMP OCCUPANCY !30 DAYS)
1 -----------·---
' --------I -----
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I /0. oO
!
I HAVE CAAEFULL Y EXAMINED THE COMPt.ETED "APPLICAT!bN AND PERMIT" AND DO HEREBY 'EJtl)iration. Every 1)8f'mit issued by the Building Official under the provisions ot this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code aha» e:,,:pire by fimitatlon and become nult'9nd void If the building-or work · 5' O" DEEP AND DEM0UTI0H OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGFJEE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the date of such ST OVER 3 STORIES IN HUGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-~~ i~ ~v ~,:i:ff:0.!~~~tc~~~~ ~~!si~fsr~~ or //
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INOEMNIFY AND APPL~:~~ ,-OWNER □ CONTRACTDAP' APPROVE{ J DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAB1UTIES, JUDGMENTS, COSTS AND ---l-L(--6 ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE OF THE 1£4_ , --,
GRANTING OF THIS PERMIT. ,--, / j/-BY PHONE D I
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
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 .~'li7 -
ELECTRICAL Al ..-....--: I
MECHANICAL ~"-.,!/ ...-Y/
GAS o/ _.,:,Y
BUILDING / 1,..
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
---'83 ··-=::i 1
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCIURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.,
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