HomeMy WebLinkAbout2576 LUCIERNAGA ST; ; 84-345; PermitD: 11,1
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I hereby affirm that I am licensed under
rovlslona of Chapter 9 (commencing with
Section 70001 of Dl•ision 3 of the Business
and Professions Code, and my license is in,
lull force and effect.
l·C Ne ___ ___ _ Cl.a:,'
I t--er!:b-y atfic~ that I am ue(l"~? 1rom ·ne C:.;;n:·ac-
'.c.r s L1ceris-e Law tor '.he 1adowing '~asor> !Sec ,;031 J
8uc;.mess and Prc'ess10l'ls Code i:i.ny cI~)! or counly wh,c.t; re cui~es a oerrn1: t:i cor:s.tr!Jct a:ter ..... ,pr'.lve t1err::,1,s~ .. or
·e"Jair any structurie prio~ 10 its •s5.1Jance also re□u1res !heap
pl1c:ant !or su~h perm1T TO lite a: s,~neC:: sta.teme~,t '.tia'. he 1s
.1tense-d pur5ua~t lo the prov1s10.ns of the: Gonrrdcwr ,;_;
:...IcensP. Law iC"a:J?ef 9 commenc•ng w11h Sec!•-::in 7:::0D :if
)1v-s.m, 3 vt ·ne ,iJs1ness aflt' P·o1e"Ss1ons Cede, er tnr1, Is. er
ern'Jl there'corr and the ti-as1s for the alle-gea e:xempt1c'"I Any v101at1or ot Sec'. on 7031 5 by a:11 .:ipplicant for a oer'l11r S.JI)
iects tne app'ica:it ~o a civil pen-atty of na1 more :har. fr✓e h,;r
i;rei., dollars (S500;,
I as owne~ 01 the DfG'Jerty. or my emoloyees u1ih wa,ges
as their sole compensation. will -110 the wor;.;, .ilrld ~he :s!n..ic-ture is not Iritende-d or ofterec far sale rs-e-c 7Qi:4. Bus·ness
and Pra!essi0fl5 COde: The CDntractor's License-i...aw does
riot apply to an owner or propefty who blJllds or improves
1hereon afl:d w'hO does such work himself or through his awn
emcloyees. provided thal such irnoravements are not intend-
ed or oUered for s.ale IL howe11er. the building or improve-
ment Is sold with1fl one year ol complelio11. lhe owner-builOer
w111 have the burden of proving lhat he d,d not build or ir.i-
orove far the purpose o1 sate)
-, l. as owner of the property. am exclusively con.tr.1cting
wi~h license-ct conrfactors t-o constfUc1 lhe project {Sec. 704-4. Business and Professions t:Ode: Tile Contrac1or's. L1ce-nse
Law does l'IOl apply ta an owner of property who builds or im-proves therem1, and wh-o contracts for each projects with .a confractor(s) license pursuant 10 the Contractor's License
Law).
IJ As ;1 h:omeown-er I am improving my home. al"!d lhe fallow· ing cOflditions exist:
1. The work is being pertormed prior to sa1e 2. I have l,ved i11 my .home lor tw-elve months. prior to completion of l'his work.
3. l have not claimed tMs exemption. during the 1.!sf three years
0 lonnexemptunderSec _______ ,B&P.C. for this reason ____________ _
□ I h-ereby affirm 1ha1 I ha¥ea ce'11f1ca,e o1 consent
to seU-tnsure-. or a cert1f1c,c11-e ot Workers
Com.pensa1ton Insurance.ma cemf1M copy thereof
(Sec. 3800. Labor Code)
POUCYNO 6cs, ~ 1 ct ~ '3'
COMPANY l!,()'{ A-c
)!-Copy IS hleO Wlfh t'l'le c1rv
□ Gertlfied copy IS. h~eb 'IJ 1shed
CERTIFICATl O lMPTION FROM
WORKERS 0Q! SATION INSURANCE
(This secr,on ~eed' tie comp1e,ed. 11 me ;:iiermIt
15 for o~ hun d dollars (SHX)1 or lessi
0 ' cer11ty--U,in the performance of The ~ork ror
w-h1ch th,-s pt 1t 1s issued. I shall 11ot emplo-.,. any
person ,n any anner :5,0 c1,s 10 becomP ~ub1ect lo
the Workers· Gompens.ahon Laws ot Ca11torn1a
NOTICE TO APPLICANT If. after m;:,km"J fhi-s Cert1
f1cate of E:i,;empr1on. you should ~come s.ub1ed h
the Wor'l\ers· Cornpe~s.at1on pro .. ns1ons of O"'le Labor
Code you must to-rth~1th comply w11,-. SU"C.11
provisions or trt1s perm1f shalr be ij,e-emed revottP.(~
O I hereby .afhrf'l ,~at rh-€'r-e ,s a :..or,~ l'u~:T•<~r-
Iend1ng ,3:ger>cy try trl-P p,i:,r+,:,·rri.a:nce ut t~lf' W'.)r1-fe;r
wri,c-r. rn,-; pe-rrr-1r 1s. •s;sc.Jec:! 1Ser ~H. Li..,,, C.~Jd-e
i 1ot,.;,e ler,der s N,:1.-ne _ _:_/V-'----"----~----
Lenaer ~ Adme-ss __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATJef1 & PERMIT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV. Sl'.RO. NEAREST CROSS ST. fue R ~~,.I 0LE-0;z:~;ttl BUSINESS ~_SE# VALUATION 4 J>EAMIT NUMBER
~ ~7/.p L 0 C. ~ e.-R. ~ t4ti A :=;T, EL SS91 B' Jt./5' L01' BLOCK I SUBOtV1SIQN I ASSESSOR PARCEL NO. lu~0
~~~Rµ SJD ~n+e' CONTRACTORS PHONE " ZONE
~~-~~31: oitARA~Y SARW/N l43i~s3H~s s4iC3R·YJJ;;i~ h+Jk, tJI LICENSE NO. PLAN I.□. z:t BLDG USE COOE
l/3G,07/ OWNER'S MAILING AOD·RESS
5F,-rv\e DESIGNER LICENSE # STANDARD PLAN rt BUILDING SQ FOOTAGE
DESGSO:~K ·. V\ea«.)e/{. CV\Cl n.. ~e Du....f-DESIGNER'S ADDRESS ,-OESIGNER"S PHON.E
1,..,1'
·:-. --------------···: .• , ~----.d--
_______ , ,.., ___________ ···---·· --·· FiP FLR ELEV. NO OCC GP EDU
STORIES
-vO NO ---
CENSUS TRACT I GP LANO USE I PARKING SPACE, RES UNITS I GRADING PERMIT lSSUED I REOEVELOPMENT TYH ace LOAO FIRE. SPA AREA CONST
,□ ND vO "'O v □ NO Nor Valid Ur,leu Milchine Cerr1/1ed
QTY. PLUMBING PERMIT -ISSUE 7_$--QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER I
EACH FIXTURE TRAP / INSTALL FURN DUCTS iJP TD 100,000 BTU BUILDING PERMIT 01 ·00-00-8220
---i---~~--
EACH BUILlJING SEWER OVER 100.000 BTU SIGN PERMIT 01-00·00·8221 e--, ·-i-----... ,:; SD --------------------,·---
EACH WATER HEATER AND·OR VENT BOllER/COMPRESSOR UP TO J HP PLAN CHECK 01-00-00-8806 ,..,
EACH GAS SYSTEM 1 TO 4 OUTLETS +---801LER/COMPRESSOR 3 15 HP TOTAL PLUM BING 01 ·00·00·8222 .AJ---·----------------··-~-·----
EACH GAS SYSTEM 5 0 R MORE i METAL FIREPLACE ELECTRICAL 01 ·00 OD 8223
EACH INST AL. ALTER. REPAIR WAT ER PIPE ! VENT fAN SINGLE DUCT MECHANICAL 01-00·00· 8224 ·-· ··-·-· ·--------~--------+------,--------~ --. -. -
EACH VACUUM BREAKER I MECH EXHAUST HOOD'DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER I RELOCATION OF EA fURNACE.1HEATER MOBILEHOME PARK INSP I
FACH ROOF DRAIN 1:NSIDE1 SOLAR __ 01-00,00-8 22.6. -TQT/";L MECHANICAL STRONG MOTION 80-92-33-0519 -------------~·
TO I AL PL UMBINL I IU -FIRE SPAIN KLERS 01-00-00-8227
SOLAR · ISSUE PUBLIC FACILITIES FEE --------32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE .,,-;--QTY.
BRIDGE FEE -NEW CONST EA AMP SWl 8KR I COLLECTORS SCHOOL FEE · DISTRICT ·-
1 PH ·i PH STORAGE l AN KS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP,SWT.'BKR : ROCK S TORAGF Encinilos 80-92-22-0519 -----I------..
1 PH 3 PH PUMP San OieguilD 80-92· 23-0519
REMODEL ALHR PER CIRCUIT PLAN CHECK FFE San Marcos 80-92-24-0:,1 9 --··· ..
TEMP Pou= 100 AMPS --
0 VE A 100 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI
l -----~--
CREDIT DEPOSIT
HlfAL llELTRICAL ! lOTAI SOLAR l oo
I TOTAL FEES PAYABLE /0 --
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERM Ir ANO DO HEREBY E•pltallon, Every permit ,ssuedbylheBoilding Off1c,aI unoerthe pro01s1ons otlh1s * AN OSHA PERMIT IS AEOUIAEO FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Co<U> .shall expire by limita~on and ~ome nuU and vood. 11 lhe building or work s· o·• DEEP A.NO OEMOUTION OR CONSTRUCTION OF authorized by such permit is not commenced withtn l80 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or if the bUildi:ft or wo,k author-~zed by such permit is suspended or STAIJClVAES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-abanflnned at .. anv t,me ter the work is commen<:ed for a oeriod of 180 davs. srn"GTIO,. w,ernrn sr,cno "'"" = ,m. , .cw ,c,ee rn ~" "~"'"' :~.!'.f .,.,, . & CONTRACTO~ APPROVED BY f/4 DATE KEEP HARMLESS THE ylTY.OF CAHLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AP. CANTS SIG1';ATU 'f-,jWNER □
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE rH~ ,11 ,/I J_ -/ · I lo-Jb.,9; <J GRANJ'ING OF THIS PERtvf1.T0 . .. .£.Ill{ ~ BY~ONE ci
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
J
REINFORCED STEEL I
I MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF □ SHE,+.R
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □IPUCO !
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WA"T;ER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □ L(FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING D POOL I
I
I
MECHANICAL I
□ DUCT & PLEM., D REF. PIPIN~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS j
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE1BEEN APPROVED.
FINAL I /)
PLUMBING hJ//./ I 7/~/1'4 17'
ELECTRICAL / I F , ',/
MECHANICAL I
GAS I
BUILDING I
SPECIAL CONDITIONS ' I
I
j
-. gt/,,,,. 3'-f-;S:-
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
--~-~ . ·-
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH sou's
SPECIAL MASONRY
PILES CAISSONS
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