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Home My WebLink About2551 LUCIERNAGA ST; ; 80-557; PermitLICENSED CONTRACTOR'S DECLARATION t hereby affirm that I am hcensed under provi• sions of Chapter 9 (commencing with Section 7000) of Division 3 of !he Business and Profes- sions Code, and my license is in full force and ef• feet OWNER-BUILDER DECLARATION :::'I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5.Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure. prior to its issuance also requires the appUcant for such permit to rne a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt the,efrom an<I the basis for the alleged e•- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5()()), [~• I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions 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 of• tered for sale. If, however, the building or improve- ment is sold within one year ot completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). =i, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap· ply to an owner of property ·•ho builds or im• proves thereon, and who contracts for such pro~ jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. _____ , B. & P.C. for this reason _____ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirrn thal I have a cerlificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ____________ _ COMPANY ::JCopy is Wed with the city. = Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this pe,mit is issued, I shall nol employ any person in any manner so as to become subject to tM 1/Jorkers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to tt\9 W9rkers' Compensation provisions of the Labor Qjlde, you must forthwith comply with such pro,isions or this permit shall be deemed revoked. cor,STRUCTION LENDING AGENCY · hereby affirm that there is a construction len- ~gency for the performance of lhe work for ~is permit is issued {Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. JOB ADDRESS Z.1S14191~1 2 I S'ISI i I IL ILJlt.-11 I~ ~I U1A141A NO. I f I I I I AV. ST. IDATE Of" APPLICATION BUS. L1CENSE RD ,,:: ( _.,. .,,:v ') /' fi 1~1-i:. Jo<, -::;,·· c;x..1/ ,:;,(_ ,tJ 9 p / PERMIT NUMBER OWNER•s MA!LING .AODRESS tA~tez.' Di=---lC-i,A-S,. LOT 199 BLOCK DESCRIPTION OF WORK (.•.;..,,-r· ,,G,/ I Cbo'(J S,k?'°(.lC7 lCU C>P" CENSUS TRACT Gp LAND USE BLOG SQ. F'T. BLOG USE llTY. PLUMBING PERMIT _:: t,,, EACH FIXTURE TRAP / EACH BUILDING SEWER !} EACH WATER HEATER AND/DR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS & EACH GAS SYSTEM 5 0 R MORE 4-EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER lssue TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CON~T EA AMP/SWT/BKR 3 PH EX'lsl"8LOG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS Pt w,,. • &f't.(_. OVER 200 AMPS , TEMP OCCUPANCY 130 DAYSI Issue OWNER~S PHONE CONTRACTOR'S ADDRESS DESIGNER I DESIGNER'S ADDRESS ZONING I RES. UNITS I P~RKI NG SPACE sf occ. GP I STANDARD PLAN It I PlAfl-s-s-7 1 •YPE CONs-r AMT. ClTY. MEC~ANICAL PiRMtT I ~-' I) 3 •. OU AMT. r7f .<-'" ;,-,.{__./•-- 2,00 INSTALL FURN. DUCTS UP TO 100,000 BTU F/~~-DVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3·15 HP BOILER/COMPRESSOR 16,30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER lssue TOTAL MECHANICAL CONTRACTOR QTY_ MOBILE HOME PERMIT AWNING PORCH SET-UP RAMAOA, CABANA FENCE OVER 6' TOTAL MOBILE HOME STATE LICENSE CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE I NUMBER OF STORIES I occ. LOAD AMT. y, - ,., Not Valid Unlffs MachinB Cartifitld I ./"'1 .. ~ VALUATION: j;f?-.,f" 1066 e.._ I BUILDING PERMIT 3-. 0 0 SIGN PERMIT , I , I I I AMT. TOTAL PLUMBING ELECTRICAL MECHANICAL 1 l-.2. (1)~~ MOBILE HOME I SOLAR l , I I l I , I I J I I I I MICO-FILM ! , I I I I ' I I J..,. STRONG .MOTION: I •I'].~ I , I I I ,.. ! I-< 0 ~ > TOTAL ELECTRICAL CONTRACTOR 7 2-,t!Jt l----+-----------+-------11 TOTAL FEES PAYABLE I , 1~Sv 1¥. ~~- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THA, ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STA•E LAWS GOVERNING BUILDING CONSTAUC-rlON. WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CAR LS BAD AGAINS, ALL LIABILITIES, JUDGMENTS, cos-rs AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cl TY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. .-AN OSHA PERMIT IS REQUIRED FOR EXCAVATlONS OVER 5'-0" OEEP ANO DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER JSTORIES IN HEIGHT 0".':'.r>I.ER,Q.._ CONTRACTOfi.0 !APPROVED B"7.::v"7. OATE ,.,-;;GENT"Xf BY PHONE El. ./or:-;; '-lt-1?u!.f.-,r" I ?-M I SITE ADDRESS· jNSPECTION I WOOD FLOOR I FOUNDATION• FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBO~RD WALLBOARD ·OK• PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO • FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST i SWIM POOL• STEEL BONDING : • PRE DECK ! • FENCE PREP LASTER SHOWN • FRAME . PAN , FINAL lNSP BY BLDG DEPT I OTHER DEPT'S REQ COMPLETED ! ELEC METER-PERM-TEMP !GAS METER-PERM-TEMP r t : i ---· L~~-~ OF OCCUPANCY IS:' _•ED -. OWNER: PERMIT NO: 80--'5S; -· FIELD INSPECTION RECORD DATE iNSPECTOR INSPECTOR'S NOTES ! .. I ........ r J J J / n_.1.1• .,~ . / F fl'/ - ' I i I I i , ,:.~~~:-~-T-~~o_R_,N_s_P_e_c_T~?.:,T No _____ :~:::--;p-~-------1- 0WNER 7 ADDRESS ?!4'1-r!~ I t.VCI~ BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING D FRAME 0 EXTERIOR LATH D INSULATION INTERIOR LATH OR DRYWALL FINAL PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING 0 TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST D WATER HEATER ~ FINAL , ' ELECTRICAL D TEMPORARY SERVICE □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC D POOL BONDING □ ELECTRIC SERVICE □ CEILING HEAT □· G.F.1. D SMOKE DETECTOR ~ FINAL MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING ~ FINAL READY FOR INSPECTION: ~ONDAY D TUESDAY □WEDNESDAY D THURSDAY D FRIDAY ~.M. bP.M. SPECIAL INSTRUCTIONS __________________________ _ REQUESTED BY __________________ PHONE NO. _______ _ PERSON TAKING REPORT _______ _ ~EOUEST FOR INSPECTION .. BUILDING 0 FOUNDATION 0 REINFORCING STEEL D MASONRY 0 GROUT· GUNITE D FLOOR AND CEILING FRAME D SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSU TION 0 I RIOR LATH OR DRVW L FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO D TUB OR HOWER PAN □GA D TIME-· _____ _ _______ DATE: c.-20-11 ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE D CEILING HEAT D G.F.1. OSM0'RE DETECTOR r:l!f"' FI NAL MISCELLANEOUS 0 PLENUM AND DUCTS D COMBUSTION AIR 0 PATIO 0 SIGN D GRADING D DRIVEWAY ~ O ITI0NED AIR SYSTEMS 0 FER PIPING FINAL READY FOR INSPECTION: D"!9NDAY ra'A.M. 0P.M. □TUESDAY □WEDNESDAY □THURSDAY ~DAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY sc1n ::I /k,z:.;J!zp PHONE NO,-...,_.,..?½--ik=....ta!=::--- PERSON TAKING REPORT--..:..!J.---~-------_________ ......... .. \ ', \ \ \. ' 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 TELEPHONE: 714-438-5!>25 2-27-81 Rancho SAnte Fe Development Paseo Delicias Rancho Sante Fe, CA. 92067 '~==::a,,,,,..____ Re: PC# 80 557 254,/2551 Luciernaga Dear Sir: .work has been completed on your project and all necessary permits have been finaled. We do not keep residential plans after the job has been completed. Should you desire our copy of the plans for your project please pick them up from the Building Department within ten days of receipt of th5 s letter. · If we do not hear from you within the allotted time period the plans will be destroyed. Very truly yours, .1{{0 J-_':V'~\~~ Martin~t;nyak, :t~ Building Official M:>:hh -~ -. INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: r-0 ~· . DA.RECEIVED c;;l5¥fL,2,S-S1 ~.-(!{,. / JUN1S 1980 CITY OE CARLSBAD Building Department I :LANNING DEP :;TMENT ZONE ,--V ~NITS ALLOWED UNITS PROVIDED LOT SIZE LOT WIDTH ----------------- , ------------------------ PARKING SPACES REQUIRED PROVIDED % COVERAGE ALLOWED PROVIDED ------------ BU IL DING HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTE f, 1 , -2k ----------- REAR SETBACK: DATE ------------ ENGINEERING DEPARTMENT~~~ ~/--o p~l'T ~/~ / R. 0. W. ~1\l-I NDUSTRIAL WASTE J{J\-IMPROVEMENTS_....c../0_x.._1s_-r ___ _ SEWER CONNECTION _______ DRIVEWAY LOCATIONS bl<.. 5"' ~~ M¾<t .. [ GRADING PERMIT J:J)e__ EASEMENTS NJ~ DRAINAGE (;))(__ •LEGAL DESCRIPTION ~/!'ff ~ cf'_/(~ ;;c:/_.;r:- ~8 l • FIRE DEPARTMENT SPRINKLING SYSTEM FIHE ff~-'JfRDANT ROOF REQUIRED CITY ORD. #&Of -S(~"IliO:t {h}A .£10N EQUIP. ------- FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS __________ LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _ ENGINEERING, INC. 476W. Vermont Ave., Suite 102 Escondido, California 92025 714-743-1214/ 727-1818 Job #1131-80 August 26, 1980 Mr. Lee Julien P. o. Box 485 Rancho Santa Fe, CA 92067 SUBJECT: Moisture Test for Lot 199, La Costa Meadows #1 In accordance with your request, this letter is written to verify that the moisture content of the soil on subject property is from one to three percent (1% -3%) over the optimum moisture content as required by Benton Engineering soil report. The field sample was taken and tested August 25, 1980. The results are as follows: Optimum Moisture Content Field Moisture Content 15.0% 16.4% If you have any questions, please contact this office. ~INEERm;;~ RCE #25115 RMV:mv ' SEWER PERMIT ISSUED UPON 2/22/78 RECEIPT OF BUILDING PERMlT. . BUILDING PERMIT MUST BE LEUCADIA COUNTY WATER DISTRICT APPi.I CATION FOR SEWER SERVICE APPLIED FOR BY ~-..l::_'aQ Owner's Name Mailing Address Frank Newberry-Greentree Development Phone No. 563-5710 __ 839 "A 1~ Downs ~Centuey Bldg.Suite 328 s~ ~ Cfj_ 92025 -3443 Camino Del Rio South, s.o. 92108 Service Address: ;t~[2fir!oaga -5.tr.eftL __ _ Tract Description: Lot 199, la Costa Meadows #1 Assessor I s Paree 1 No. _2] ... 56.----3_,0o ..... -...... o ..... 6 ________ _ Type of Building _ .....,Du...,.p ..... J.._e,x...._ ____ No . Uni ts 2 Connection Fee ~1 , 200. 00 Lateral Size: 411 6" 811 Saddle Easement Connection pre-pd( (400.00) Extra Footage: __ @$ Extra Depth: ___ @$~--800.00 Amount Rec'd $Bro.co Ck. No/Cash~~ Date - Rec'd By Lateral Fee • Prorated Sewer Service Fee --- Total $1,200.00 The application must be signea by the owner (or his authorized representative) of the property to be· served. The total charges must be paid to the District at the time the application is submitted. If a service lateral is required, it will be installed by the Leucadia County Water District. The service lateral is that part of the sewer system that extends from the main collection line in the street (or easement) to the point in the street (at or near the applicant 1 s property line) where the service lateral 1s connected to the applicant's building sewer. The applicant is responsible for the construction, at the applicant's expense, of the sewer pipeline (building sewer) from the appli- cant's plumbing to the point in the stree·~ (or east!llent) where a connection is made to the service lateral. The connection of the applicant 1 s building sewer to the service lateral shall be made by the applicant at his expense. The connection must be made in conformity with the Oistrict1s specifications, rules and regulations; and IT MUST BE INSPECTED AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT. THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE. MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC- TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED. The prorated sewer service fee is based upon the date the District est111ates that service will begin and covers the balance of the fiscal year. There will be no additional fee or refund if service actually conmences on a different date. For succeeding fiscal years, the sewer service fee will be collected on the tax roll in the same manner as property taxes. The undersigned hereby agrees that the above information given 1s correct and agrees -. to the conditions as stated. ~~ Owner's Si gnituri {--- q .. 4:,, Date }Q\Q1 Account 0. -----_,, ____ ,,,,,, __ , -··