HomeMy WebLinkAbout2572 LUCIERNAGA ST; ; 85-491; Permit·~
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O I hereby affirm that I am licensed under
provisions of Chapter 9 1commenc1ng w,th
section 7000) of 01visIon 3 of the Business
and Professions Code. and my license •s 1~
full force and effect
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,,ved ,n my Mme •c· 1we,·1e mort"s pr·or complet,:in of this ,,o,k
3 , have net cIa,'7'eC th,s exemo!·~n GurIns the ,asr lhree yea·:
! am exempt unae, Sec ______ 8 & PC
for th1~ ·eason __ _
□xl1eret,y afl,rm Trl-ill I ha•e a cert,t Lille ot c,o,1sent
to self ,nsure. o, a (·ert,fic.ale o' Worker~
Com pen sat ,on Insurance 01 a c.end ,eo copy TherPol
1Sec 380) L..at>or COde)
eoun ,o TC621698048
cos,.,, Maryland Casualty
□xopy 1s l1led Wtlh The C'ly
0 Ce<1rl1ed copy ,~ hereby 'u,n,shed
CERTIFICAH OF EXEMPTION FROM
WORKERS COMPENSATION :NSU8ANC~
(Th,s s.ect,on need no•, be complptecJ ,, Thf' ,wrn
,s fo, one huncwcJ dol1ars i$1001 Gr ,es5,
0 I lert•'Y t'1a1 ·n The per1orm.inc e ,11 t'>e ,,.,v~ •·,r
..-h,ch lhlS pem,,f ,5 ,ssued I sha11 ct{)t em"'OY act,
pe<son ,n any man~er so as le, t>ecarne ~uD1ec t r,.
The Worl<ers Cor>1pens..;,1,or L.lw~ o' ,~dl,t()'~1d
NOTICE TO APPLICANT I! aller n1ak n] th,5 C.er1,
liciite ()1 bernpl,on 1ou ~hou1d t>e(o,.-,p sutl!en '
111e Worl<ers C0"1pensat,on pro-,~,ori~ ot the Lat"r
Code you mJs• •onn ... ,rh •omp1, ,,.,•.~ ~~-r,
P,<JYJS•ons or lh,s ;.,ern"1 shal• b<" Jpemer1 'h•.'kp:J
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Lenders N.;rnp None
Lenders ActcJ•ess __________ _
----~ .... , .,,., r n" Ullll & t'RESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. Cal1forn1a 92008-1989 ]619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS AV. ST.AD. NEAREST CROSS ST. DATE OF APPLICATION-, BUSINESS LICENSE ii VALUATION I /y~RM<' NUMBER
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LOT \ BLOCK l suB61v1sroN ! ASSESSOR PARCEL NO
OW'\IE R"S NAME'
M~-1-t Mattos T OWNER'S PHONE
!IJB-9199
OWNER"S MAILING ADDRESS
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CONTRACTOR
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CONTRACTOR'S ADDA-ESS J
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Rl77
CONTRACTORS PHONE#
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uct~s~ NO.-
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ZONE
PLAN r.o. R
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2572 Luciernaqa st. DESIGNER LICENSE i. STANDARD PLAN-::-BUILDING SQ FOOTAGE
OESCRIPTlON OF WORK rDESIGNER'S ADDRESS I Water Heater RepJ aceroeot
1-----~ P FLA E~EV
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"NSuS rnAC' -1 '" CANO use l,.;-e,"c 'oCACC TR" uN,,S-r GRADING PERMIT ISSUE:J
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RE:DEVt:r..OP,.,,ENT
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OTYI PLUMBING PERMIT -ISSUE
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MECHANICAL PERMIT -ISSUE
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TYPE
CONST
DESIGNER'S PHONE
ace GP EDU
OCC LOAD FIRE $PR
vQ "JQ Not Valid Unlen Macf11ne Certified
SUMMARY/ACCOUNT NUMBER
EACH FIXTURE: TRAP _____ j INST Al L FURN UUCTS UP TO 100 000 BTU BUILDING PERM:T 01-00-0U-8?20
t]AlH oUILUINC Sf/,[R --, 1 OVER JOO 000 BTU SIGN PERM!' 0, 00-00-8221
-1i~~i:=3AJjf J~ltiT==~ = =-=$2.SILt---~~:'.~::~~:::::~:~'.,'~/HP ---=--~-~:~~~~~r.~------~~~! ~~ :~~: t-$10.00
I---EA_CHC,ASSY~T~~'.JOR_M0/1_£ _____________ ----+~~l~F_PE~A::;F _ _ _ ELECTRICAL ______ 01 00008223_ -----------l
_ --=t~CH INST Al _:_L~tR ~PAtf!_MTER PIPE I VENT!AN SINGLE o_ucr --------_ MECHANICAL __ --___ 01-00-00-8224
fACH VACUUM BREAKER ---I, -1 MECH EXHAUST HOOO S MOBILEHOME OJ.00-00-8225
J-_---4 1\AHR SOF TNER _______ -------+-----_j_-~~ATl~_9F EµefRNAC~ HEA TE~---+------MO-BILEHOME PARK 1r,·5p ____ _ ______ _
-L_!, C1J M r,, ,~,' '''>' F_ _ ___ -+---____ +-_J_--~--~==== -----==-~-----<-_SO~AB 01-00-00-.8226 _
j_ _ ____ j _ I TOH.LMECHANICAL STRONG MOTION 80-9?-33-0519 h --TLJrA/P1 IJ\iiB,r.·u --l D._ /,1
__ __ __ _ _ _______ Fl£!..Eg'f!!_N~~-----___Q_l_=2Q·c0'."0'-'.8'."2cc2._7-+--------=
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I PUBLIC FACILITIES FEE 32-00-00-8930 I QTY. SOLAR -ISSUE ------------------~+~ ---------i-----=71-BRIDGE FEE i\EWC□r.·srt:AAMPSVVl 8KR _i ______ i_ __ ~r.;~ -------------+-------~l:!.QOJ:_F!_E_:_D~~l(2 ____ ------
ELECTRICAL PERMIT -ISSUE
I PH "', PH + I STCIAllr,;~ Tt;'J~S ,,--
E X1S f BlUG EA AMP SW'.__~R-----~-~-~-=----=--=--+---=--l-=_-,-,-S-T-::;,;:;:-ll(-;[---_---------/"--I ~r~~--------_§_Q-~-?.1_·~11._-+---------=-J
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RP,IOOEL ALHR PER C1 Rcu1r I p1~C(J~-;-~:~-----=--------------------+-------+---------------
fE",1PP()lf: /DUMH'~ ------+ _ 1! ___________ _
UVE: R !OU M1PS ---·----------
f[ '.-1P OCCUPA,'IJ_(Y ·3U AYS1 ---------+------t---t------_,
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Encinitas 80·92·22-0519 ---------------__ tt: ___ _
~n 01~1!!.2_ _ _ 80·92·23-0'.ll 9 -------------
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_ -ti--San Marcos______ 80-92·2_4_0c5_1~9--l--------
--
LICENSE TAX 01-00-00·8162 ------t----------i
MFF 80-92-57.0519
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CREDIT DEPOSIT
TOTAL FEES PAYABLE 1 ~ln nn
I HAVE CAREFULL y EXAMINED THE COMPLETED ··APPLICATION AND PERMIT, ANO DO HEREBY E)(p1rat1on. Every per_m1t issued by the Bwldmg Ofl1c1al under the prov1s,onsofth1s * AN ()SH.&. PERMIT IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e)(p1re by llmitalion arid become null afld vo,d If the build,ng or work 5· O" DEEP AND OEMQl,.JTK>N QR CONSTRUCTION OF
0 G I p authonzed by such perm,t Is not commenced w,th,n 180 ctays lrom the date of such
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C I DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AN A REE.FA ERMIT IS permit, or ii the building or work authorized by such permit is suspended 0, STRtJCT\JRES OVER 3 STORIES IN HEKiMT
I ISSUED. TO COM Pl Y WITH All CITY. COUNl Y ANO STATE LAWS GOVERNING BUILDING CON-L_!•~'~'""~"°£"~""~!"'-'~"'!i'..~'•~m~•c;•~ft~•~•_ll~h•!'_.'!•~o~•·~"'-'~o~m~m~•S"£"~d'L!,lo~•c•'--E•••e,osd;!__!loLI _118~02..l!d•••''-,c:-+.,,,,,,.,-.,.,..,.--.,..-----------,----"!I ... ~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT J ALSO AGREE TO SAVE INDEMNIFY AND
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO OWNER O CONTRACTO
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I EXPENSES WHICH MAY JN ANY WAY ACCRUE AGA!NST SAID CITY !N CONSEQUENCE OF THE BY PHONE
GRANTING OF THIS PERMIT l~-<,
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING C ROOF C SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO C:JPUCO
UNDERGROUND CJ WASTE ·□ WATER
TOP OUT CJ WASTE C WATER
TUB AND SHOWER PAN
GAS TEST
C7 WATER HEATER CJ SOLAR WATER
ELECTRICAL
iJ ELECTRIC UNDERGROUND CJ UFFER
ROUGH ELECTRIC
0 ELECTRIC SERVICE □ TEMPORARY
0 BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING I \I
ELECTRICAL -~ '-~\
MECHANICAL ~ :,. ~
GAS ~· -~
BUILDING -. ' , ..
SPECIAL CONDITIONS ....
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INSPECTION JREO 1F~ETTOR S
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DATE CHECKED! i~PROVAL ~=====-~----· ·-~~--f.-_c .¾cc--'"'
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