HomeMy WebLinkAbout2578 LUCIERNAGA ST; ; CB880506; Permit.,, z 0
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D I heteby affirm that I am licensed under
provision• ot Chapter 9 (commencing with
Section 7000) of Division 3 of the Businass
and Pfofeaalons Code, and my license ;s in
full force and effect.
1 hereby .alfirm th.a:1 I am exempt frnm the Contrac
tor"s. License Law ior the following r~ason (Sec 703-1 5
Business and Professions. Code Anv cdy or cou,..ty wh1ct, re-Quires a permit to .co-ns1ruct alte-r. 1mpro..,e. dem-oltsh. or
repair any s.truclure. prwr to its 1ssuance.also requires the ap-
pl1c.ant for such perm,t 10 l11e a s1qned slatement that he 1s
licensed pursuant !o l'he provisions of !tie Lom;rac.ror ~ Licans-e Law (Chap!er 9 cornme-m:111g w1tti Section 7000 of
□I11,smn. Jot 1tie B-us.1ness..and Proiessions Code) or 1ha1 i-s.e;,:-
empl tlleretrom anel n,e b.as1s lof the atlegea exemp11on Any
v101at1Q11 of Section 703: I ) by an applicanl 1or a permit -sub
Jects. the app11cant to a (111i1 .alty of not rnore than 1,v,e hun·
d,ea oolfars (S5'00t
my employees with wages
o ihe work. and the strut
d or sale rsec 7044. Business
I. J.S. owner of th-e pi"d(e,ty
a-s ihe,r sole compens.atmn
run~-1S. not rnten-ded or offe
ano Profe-ss1oris Code Th
noi applv to an owner o
tllereon aJJd who does
employees. prov1cJed t t
ed or ottered far s le
rnent 1-s -said w1H11
will have the bur
orm,e lor the
the o~erty am exclusively contract111g ctt:irs construc.t the pro1ecl (Ser 70'14
ss.1ons ode The Contractor's license
to an owner _o1 property wtio tn • .nl(IS or 1l'l'I
proves lhereon d who comracts. to1 Si:ICh orOJecls with a
contractorrs.; license pursuant 10 the Comracto(s. Ltc.en-se law}
A-s a homeowner I am 11-nprov1n-g my home. ~ml the toll ow
109 -condit1cms exist
1 The l'IOrk 1s b-e1ng performed prmr to sale
2. I have 1r11ed m m~ home tor fw,e:lve mnr:tris
prior to c:omplel!On of n~1s work
I have-not c.la1med lh1s exemp11on cJurn1g the
last three y-ears
I am exempt under Sec _______ . e & P C
for th,s reason -------------
. X1 heret,y affirm ttlal I ha...,e a cert1t1cate o, consent to
se!f-rnsure. or a certit1cate of Workers Compe11sat1on ln-
surillr'lCs_ or a cart1f1ed copy thersot 1sec 3800. Labor Ced-el :~L~c;.:, 1013568-87
Copy" ''1Seare0;fFund
-_xcerlif1ed copy 1S-hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(Tl"t,s sectmn need not be completed 1f the permi! 15 for one hundred aollars 1s1om or lt""SS)
I cert1ty that H1 the perforrr.ance of the -1,i·ork 1o,; -...,h;cJ;
this pe-rm,t rs issued. I shalf llOl employ any person in any
manner so as to become subject to the Worker!!.· Compe-r,-
sa!1on Laws of Ca:1fom1a
NOTICE TO APPUCANT. If. alter making H11s Cert1l1cate
of f,i:emp11on. you should become subiecl to !he Workers·
Compensalion ;::irovis.ions of the La[)Ol Code_ you musl
fortl'twith cornplv with sue~ pro1ri:s1ons or this permit s.hafl
De deemea revoKea
W
U:~~ l--· I her&by a.fhrm that there i:s a con,sln..iction lend1rt,g
agency fof rhe performance of ttie work tor wti,ch this per
mil is 1ssued (Sec. 3097. Ctv11 Codei
Leade,' Name None
Le-1der·s Add,ess.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palrnas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JOIJ AOORESS AV. ST.RO. THOMAS 81:l()S NO.
cazadero Dr. ··
BUSINESS LICENSE # VALUATION PERMIT NU;,,i&EFI
2578 Luciernqga st •. · 19451
LOT BLOCK ' ZONE ' ','
OWNEi°l'S.NA ME' Arlen.foster.Plumbing ·,. 697'."'4151 ..rack antivetbs ·
' , ·,·.. OWNER'S !'HONE_.
'' . 438-2935 CONTl'IACTOR"S ADDRESS ,, . ~E~ENO. BUILDl~G SQ FOOTAGE
. ... ,i ;, . .. , ..
O~NER'$M.A.1LiNG ADDRESS' .· ... , ....
,·•~25 7~\a~,.i~~'~ri~~~••:,5;t;"
.· ....
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I CENSUS TRACT 1 PAP,ONG 5PAC< I
QTY. PLUMBING PERMIT · ISSUE
EAf.H FIXTURE TRAP
EACH BUILDING SEWER
l EACH WATEf! HEATER ANU OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM 5 UR MORE:
EACH INSTAL. ALIE.fl, REPAIR WAT ER PIPE
EACH VACUUM BREAKER
WATER SOf INER
fACH ROOF CJHA ~ ,:•,S Ill,
IUIAI Pl IJMHINL I
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONSf £A AMP SWl !!KR
I PH :l PH
DIST BLOG EA AMP SWT BKR
I PH 1 PH
REMOnEL AL ltR PHl (IRCUIT
TE MP POLE /00 AMPS
OVER 21JU AMPS
TEMP UCCUPANCY ,JO OAYSI
l (HA t EI EI.TH I I Al I
2819 -Centtal Ave.·
.OESIGNER ' 92008
R<S UNITS I
.:::,n nn
' ;· ;, OEStGNER'S ADORESS
,,
,, ', f p f'. LFI ELEV.
v □ ~o
GRADING PERMIT ISSUED l AEDEVELOPME"NT
A REA
• □ N □ --□ ..... o
QTY MECHANICAL PERMIT· ISSUE
INSTAL l FURN DUCTS iJP TD 100.000 BTU
OVER 100.000 BTU
BOllER,COMPRESSOR UP l OJ HP
80ItER,COMPRESSOR 3 15 HP
MET AL FI REPLACE
VENT ~AN SINGLE DUCT
MECH EXHAUST HOOU DUCTS
RELOCATION OF EA FURNACE HEATER
DRYER VENT
TQT;;l MECHANIrAL
NO
STORIES
TYPE
CONST
QTY. MOBILE HOME SET~?G27~a~ ,. -..9 ~·-,
CAR PORT
AWNING
GARAGE
I ()l A'.
,,,., \
'"", . '
A/
...,_ \,..,,/
.-r,\.'0/
· -443348
DESIGNER'S PI-IONE .,
ST-ATE-UCENSE NO,-
OCC GP EDU ..
OCC LOAD FIRE SPR
Not Valid Unlen Machme Cerril,ed
SUMMARY/ACCOUNT NUMBER
tlUIUJIN~ PERMIT 001 ·610·DD· DD·822D
SIGN PERMIT 00'-B 10·00-00-8221
PLAN CHECK 001-810-00-00 8891
TOTAL PLUMB;NG 00 ;-810·00·00·8222 c::1 n nn
ELECTRICAL 001-810·00·00·8223
MECHANICAL 001 310 00-0D-8224
MOBILE HOME 001-81000008225
SOLAR 0018'0·00·00·8226
STRONG MOT ION 880-519·92·33
FIRE SPRINKLERS 001-810-00-00-8227
PUBLIC FACIUTIES FEE 320· 810·00·00·87,0
BRIDGE FEE 360-810·00·00·87 40
PARK IN LIEU iAREA
TIF 312 810·00-00-8835
LA COSTA TIF 3 i 1·810-00-00·8835
FMF
LICENSE TAX 001 81J OG 00 8162
MFF 880-519·92 57
CREDIT DEPOSIT
TOTAL FEES PAYABLE I (' l (1 (1(1
l HAVE CAREFULLY EXAM;·NED THE COMPLETED '"APPLICATION AND PERMIT" ANP po HEREB_Y Expiration Everyperm,tissuedby!h<tBuifdi"!IOllic,alunderlheprov,5,onsoftl'l,~ ~ ·ANOSW.PERM..'TIS RECUAED FOR..UCAYATioHS OVEfl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shan IINplrt by hm,tai,on and become null 8nd •o•d II the budding o, work 5· o·• OEEP ANO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I& aulllonzed by such perm,! is not commenced w,t~in lSO days from th9 date ol such STIIUCl\lflES OVIEfl 3 STOAI~ IN HEIGNT
ISSUED: TO COMPLY WITH ALL-CITY, COUNlY AND STATE LAWS GOVERNING BUIL04NG CON-1 .:~::b::en:::m:::!o:::• :::no=::o~i~:!.t~=:::~z.:v~!!.:..::l,;i~i~~:::•::o:.,'!!llle~w:.'!.:::'~~:::'::.u!o,!c.;~;:.:oo!!':O:::~!!d:!:en!!b~ied~•u..::f~,:~:.a!!.pe~IM>rm:::'"~~:!!•..l~!!f•_~!.!iBO!l!pe~d,u~u~~• .... _0_'-:-c:--t---------------------------"""" STRUCTION. WHETHER SPECIFIED HEREI.N OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO -, )J,r' ,KfEP HARMLESS THE CITY OF. CARlSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO APPLICANrs SIGNATURE ,._ OWNER O CONTRACTOR;-APPROVED BY
EXPENSES WHICH MAY IN ANY.WAY .ACCfU:IE AGAINST SAID CITY IN CONSEQUENCE OF THE r\ r°"\ 0, I • BY PHONE [J /(\ ' f\
GRA.NTINGOFTHISPERMH. . . .. ~•..on.,,\_ \. j,.,. LI. n"•-r--1•-~ ~
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
C SEWER AND BUCO LJ P~/CO
UNDERGROUND D WASTE □WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND Di UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE □ TEM PCIRARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTiON WHEN ALL APPROPRIATE
ITEMS ABOVE HAV.E BEEN APPROVED.
FINAL I
PLUMBING I
I
ELECTRICAL I ..,..
MECHANICAL !
GAS I
BUILDING I
SPECIAL CONDITIONS I
I
!
-
/) 5!St0 SO/.?
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMP' IANCE
PRIOR TO
~OUNDATION lf,Si-'
--------~---f-----STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE -
FIELD WELDING
c•---r-------------
f-i!GH STRENGTH
BOLTS
SPECIAL MASONRY
-
~~-
Pll.ES CAISSONC:
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