HomeMy WebLinkAbout2568 LUCIERNAGA ST; ; 87-925; Permit"' z 0 ~ "' .. ~ u .. 0
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rt.i' I hereby affirm that I am licensed under
~vlaiona of Chapter 9 (commencing with
S.Ctlon 7000) ol Division 3 of the Business
and ProleHlona Code, and my license 1s in
fult force and effect.
I hereby af!,rm that I am exemDI lrom the Con:·ac I
10, s License Law lo< me lollow,ng reason (Sec 703': S
Business ana ProJess,ons Code Any c,ty or count1 wh1cr re quires a perm,t to construcl a11er. ,mprn,e. demo1,sn. or
repair any structure. prior to ,ts issuance also requires :heap
pl,can1 tor such oerm11 to hie a s19ned stalement lha1 ~e ,s 'Icensed pursuant lo the provisions ol the l,ontrac10, s
L,cense Law !Chapter 9 commencing with Sect,on 7000 of 1 Owis,on 3 o! the Bus,ness and Pro!ess,ons Code; or that •sex
empt lheretrorn and lhe bas,s lor the allegeo e,empt,or Any
,iolatIon 01 Sect,on 7031.5 by an applicant 1or a perrr>,1 suo 1ec1s the applicant toa cIv,I penally ol not more than !,ve nun
dred dollars ($500)
I as owner ol the properly, or my employees w11h wages
as their sole compensation will do lhe work and the STruc I
lure 15 not intended or altered for sale (Sec 7044. Business
ancl Protess,on~ Code The Contractor s License Law does
not apply to an owner of property who builds m improves
thereon and who does such work himself or through h,s own
employees. provided that such improvements are nol ,n1end
ed or o11ered !or sale If. however, the building or improve
ment ,s sold wIth,n one year ol compIet10n, me owner-builder
will have the burden o1 proving \hal he did not build or ,m-
prove !or the purpose ot sa1e1
I. as owner ot the property. am exclusively contrac1Lng
w,th I,censed contractors to conslruct \he pro1ect (Sec 7044
Business and Pro1essIons COde The Contractors license
law does not apply 1o an owner ot properly who builds or ,m proves thereon. and who contracts !or each pro1ects with a contrac!Or(s) license pursuant to the Conlractor's License Law)
-As a homeowner I am Improv1ng mv home. and the follow mg cond1t,ons exist
1 The work ,s being performed prior to sale
2 i have 1,ved m my home for twelve months
prior to completion of This worl(
I have not cla,med this exemption during The last three years
~r t'h~: r~::~i! under Sec _____ _ B & PC
~ -:X1 hereb\' aff,rm that I nave acert,focateofconsent to I
sell-insure. or a ce1t1hcate of wo,kers Compensation In• !
surance. or a cert1f1ed copy thereof 1Sec. 3800. Labor Code) ,
POLICY NO 1013568-87
COMPANY ~ Copy IS 1,Stat&c1fund
~Cert,f1ed copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sect,on need not be completed •f the permit
,s to, one hundred dollars ($100) or less)
I
I
~ I cert,ty that In 1he performance of the work for wh,ch
this perm,t Is ,ssued. I shall not employ any person In any 1 manner so as to t,ecome subJeCt lo the Workers Compen-
sation Laws of Cal1forn;a
NOTICE TO APPLICANT: It. after makmg this Cer\1frcate
ol Exemption, you should become subJeCI to the Workers
Compensat,on provisions of the Labor Code. you must
forthwith comply with such pro"sions or this permit sMII
be deemed revoked
=-._,, I hereby aff,rm \hat there Is a construction lerd1ng
agepcy lor the performance of the work for wh1c~ tr1s per
'1111 IS \SSUed iSec, 3097,~i,,1 Codel
Lenders Name ___ one __
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS AV. ST.RD, NEAREST CROSS ST.
corintia st.
DA TE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
2568 Luciernaga St. 10/13/87
LOT BLOCK I SVBOIVISION ·1 ASSESSOR PARCEL NO J,, I -:5' ;:i. k>.D <-l-~ V -;;L
OWNER'S NAME
Tony Saenz 1
7 27 _o;
5
~;S PHONE
OWNER'S MAILING ADDRESS
CONTRACTOR
Arlen Foster Plumbina
19451 9,1" '" 0 CONTRACTORS PHONE It ZONE g &::::;'
697-4151 qc:,.<
CONTRACTOR.$ ADDRESS
2819 Central Ave.
STATE LICENSE NO.
443348
BUILDING sa FOOTAGE
DESIGNER DESIGNER'S PHONE
~ u:
~ 2568 Luciernaga St. Carlsbad 92009
DESCRIPTION OF WORK
0026 11./02 0101 02B1 dPn1t .:tC .. 1-{} ~ 0 I Water Heater Replacement I o,s,oNea·s ,ooaess
C-------------· ___ ,,,,. __
T T 'ARK <NG 5'ACC RCS UN<TS 1 GRADING PERMIT ISSUED
YO ~ D
F:P FLA ELEV
y[J .... o
I
REDEVELOPMENT
AREA
ye"'□
QTY. PLUMBING PERMIT -ISSUE $rJ'.5f!{) II QTY. MECHANICAL PERMIT -ISSUE
NO
STORIES
TYPE
CONST
~OD
STATE LICENSE NO.
OCC GP EDU
ace LOAD fl RE SPA
vO r-.□ Nor Valid Unlen M~chme Cerrd1ed
SUMMARY/ACCOUNT NUMBER
I EACH FIXTURE TRAP I --~--~RN. DUCTS UP TO 100 000 BTU _.,,,--------wTLDING PERMIT --001810-0()-00-82~
~ .. --~ACHBUILlJINGSE_WER_ ---------1 '. -t--j --------------~ER_l_~o.ooo_~T~ ~::-:______ SIGN PERMIT 001-810-00-00-8221 I
_L_ __iA_CH WATER HEATER ~NO·DR_'-'.~--_, _$~~ _ ~ BOtLER,CDMPRESSOR UP TO 3 HP >/ . PLAN CHECK --___ oo~O-OD-00-8821 '
+ --I-t BOIL~ c~~~Ess;~~]_l-2_ HP / -r--~-__ TDT±:~UMBING___ [}01-810-00-00-8222 $1Q_. 00 EACH GAS SYSTEM 1 1 U 4 UUTLE rs -----------
i>JEIAL FIREPLACE ELECTRICAL [}01-810-0()-00-8223
~H-~~A~ ALTER,_~~'.AIR __ ~TER '.!~E _j -=----~=-V~N~ FANS1NGLE olJCT _ _----=-~ = -= --MECHANIC~l_-=-[)01-8~0-00·00·8224
l--~A~H GAS S_YSTE~R MORE
'--
1 I EACH VACUUM BREAKER MECH EXHAUST D DUCTS MOBILEHOME 001-810·0D-OD·8225
WATER SOFTNER RELOCATJO~EA FURNACE,HEATER SOLAR 001-810-00-0D-8226 ----------------------------r ---
I LACH R.00~ 'JQAI\J -:,\S,'Jl: ' DRYER VOO STRONGMOllO~
f--_J__ --
880-519:~33-+-
oo, -810-00-00·8227
I
---
T[JTAL PlUMBINC
. / TQTi:;LMECHANICAL I flRESPRINKLERS
$10":no -: / ·-· ,.. , -PUBLIC FACILrnEs FEE
· ·"_ -• ,.;_ ,: -. > ,., BRIDGE FEE
IQTY I ELECTRICAL PERMIT. IssuE ---0:L --aTY. . 1v1o:s,LE HOME SETUP / -
320-810-00-0-'0·.c8c.7 4-'0'-lf-----------1
360-810-00-00-87 40
--, 1 0 -v • / PARK-IN·LIEU {AREA -------1---------l
( NEWCONSTEAAMP'SWTl:lKR / CARPOfl.1°~· ,.___. • _,,/ TIF 134·810-00-00-8835 ----::..+-------
1 ,,, ,,,-11 1 AWNING NO.v 1987 / , LA COSTA TIF 133·810-D0-00-8835 1 1 I IPH J PH /
-,,,. GARAGE ,, / FMF tXISf llLDG EA AMP SWT BKR 4 --·f-
l ii I -----✓ / -=.=-~l~tNSETAX ___ GOleE~EAREI} ~ I PH :\ PH 7
1-------J. R E M O O EL A l H R PEH CIRCUI ~f=== TU,IPPnLE: 7UO AMPS / ------
OVER 200 AMPS /
-------1----TEM~CY 130 DAYSI --------~---------7
/
/ lOTAl [LlCTRICAL '
ii
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/
TQl A1,
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U b 1.. 1 JT!HJITT
CREDIT DEPOSIT
""Y ~T TOTAL FEES PA't1EWl_Oj>_MFNT -rll"n ... _ ~ ~~
-
I HAVE CAREFULL y EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY E,cpiration, Every permit issued by the Building Ofhc1el undertheprov1s,onsoflt11s 1r AN OSHA PERMll IS REQUtRED FOft EXCAVATIONS OVER
CERTlFY UNDER PENAL TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by !Imitation and become null 8nd void If lhe build mg or work ~· 0" OEEP AND DEMOl.ITK)N QR CQNSTROCTK)N OF authorized by such permit ,snot commenced w1th,n 180 days from the date of such
I
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authonzed by such perm,t is suspended 0, STAUCT\JA£S OVER 3 STORIES IN HEtGHT
ISSUED. TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON-L•~b~•~"~•~o~a~ed~•~·~·~"t.!';~m,,~•!"~•~'-''~•!•-'•~o~,!'-'"'--''0£<>:mcm,,~,~Ce~d110£<c•'--'!~""""-''['-''''°"--''••"'-'---:,c:;J~~:II~~:----~:-----------------~ ~~~~CHT!~~l~~i~~~Rc~:YEg~~fR~~:;~ A~:iN~~ A)L~~~Zs~3~~;.TJ~~~~~~~:~;~~~ :~g APPLICANT'S SIGNATURE .. OWNER □ CONTRACTOR rn BY ~ UP.TE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF THE <' /J () BY PHONE rJ 1
GRANTING OF THIS PERMIT t. )1 1 ,rv, [__1__(.:____:_ ~~Ad, acu,,-J L,,1 1/~C?
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TYPE .DATE INSPECTOR
BUILDING '
'
FOUNDATION ;
REINFORCED STEEL I
MASONRY '
GUNITE OR GROUT ' I
SUB FRAME □ FLOOR □ CEIUNG
SHEATHING D ROOF D SHEAR
FRAME ' ' EXTERIOR LATH '
INSULATION ' I
INTERIOR LATH & DRYWALL I
'
PLUMBING ',
□ SEWER AND BUCO □ ~UCO
UNDERGROUND D WASTE □ WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST '
0 WATER HEATER D SOLAR V\fATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND CJ UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMRORARY
D BONDING D POOL ' l
!
MECHANICAL I
D DUCT & PLEM., D REF, Pl~ING
HEAT -AIR COND. SYSTEMS '.
VENTILATING SYSTEMS I
' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA'vE BEEN APPROVED ,,
FINAL I
PLUMBING ' I
ELECTRICAL I ,,
~ ' MECHANICAL
GAS ' I,' .,
I
BUILDING I I ' ~'
SPECIAL CONDITIONS '----'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTtONS p--~~-~~~ -R-E-0~·--,F~-,N-S~P-EC_T_OR S
INSPECTION CHECKED APPROVAL
~--==-
J :_;o,_Ls c~J,\'-~~ ::..'..J::E -==t===-:=--=--t==
PRl1.JR TO
FCiU~~D;\~lllN ,~Jsr·
DATE
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f'lifSTRESSE-'.) ----I
::ONCRE'E -'----------'-I
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'.~P[CIAL \lA'::'<J"'qy
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Pll.ES CJilSSO'.::
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INSPECTOR'S NOTES :..£:_--c..:..1''
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