HomeMy WebLinkAbout2610 LUCIERNAGA ST; ; 82-33; Permit.. z 0 ~ " :l u .. 0
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t;J'..JJ:,_ereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect c·· --;,
lie No3lj,-'-t--'.1 Clo,s _,_1_,J __ -:l
I hereby atf,rm !hat I am exempt from the Con ~1l~r~~~~:;:: ~: ~;~,~~';,~~l~~/8:~~,(~r
county which requ,res a permit to construct
alter, ,mpmve. demolish. or repaor any structure
proor to ,1s issuance also requ,res the appl,can\ tor
such permit 10 hie a s,gned statement that he ,s
,licensed pursuan1 to the prov,s,ons of the Con
tor's L,cense Law (Cnapter 9 commencmg with
t,on 70CO ot D,v,s,on 3 ot the Business and Pro
les ns Code! 01 that ,s exempt therefrom and the
oas,s or the alleged exemption Any vrolat,on of
Sect,o 1.5 by an appI,cant for a permit subjects
trie appll n1 to a c1v,I penally ol no1 more than f,ve
hundred lars {S500)
□ I, as own o! the prope'1y, or my employees
w1!h wages as e,r sole compensat•:>n. will do the
worll, and the str lure Is not intended or offered tor
sale (Sec 7044 mess and Professions Code
The Contractor's Lie se Law does no1 apply to an
owner ot property wh builds or improves thereon and who does such wo 1msel! or through his own
employees. provided tha uch ,mproveme;,ts are
not intende1 or oflered fo sale If. however. the
building or ,mprovement Is d w,thm one year ol
completion, the owner builder Iii have the burden of proving that he did not build r improve 1o, the
purpose ot sale)
C I. as owner of the propel1y. a
contracting wI!h licensed contiactors
the proJect (Sec 7044, Business and Code The Contractor's L,cense Law does t apply
to an owner of propel1y who builds or Im oves
thereon, and who contracts for each pro1ects ha contractof\S) license pursuan1 to the Con11act 's
L,cense Law)
□ I am exempt under 5ec
for this reason
B & PC
D I hereby aft>rm that I ha·,e a ce11,t1cate of consent
to sell insure, or a cert1!1ca1e ot Workers
Compensation Insurance, or a ce11,t1ed copy thereof
(Sec 3800, Labor Code)
POUC,NO ,l _>t Z 1)(
COMPANY 'Z.~ j 71-1
0 Copy Is hied with the c<ty
~rt,t1ed copy Is hereby furnished
CEATIFICAH. OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE
(This section need not be comple1ed 1! the perm,t
Is 1or one hundred dollars 1$1001 or IessI
that ,n the per1ormance of 1he "'ork for
,t Is issued. I shall not employ any
er so as to become subJect 10
1I0n Laws of Cal1forn,a
NOTICE TD APPLICANT I • er makrn;i this Ce,i,
t,cate of Exemption you shoul come subIec1 t'J
1he Workers Compensation p,ovIsI
Code. you mus! torthw1th comply
provIsmns or th,s perm,1 shall be deeme ~oked
0 I hereby aflirfY' 1hat there Is a construct,on
,end,ng agency to, the performance c,1 the "IOrk lor wh,Ch th,s perm,t ,s issued 1Sec 3097 C,v1I Code!
Lender s Name CA \ f i
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT--, FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSB'--BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS
7, (,,,,IO l-V.. C / e,fuJ ,A G-7'\
AV. ST. BUSINESS LICENSE # VALUATION
~o i')O~ 0ZZ8 I •
OWNER'S NAME /Z.of!:£12::t F/2Ave 12-. 14 3°#-':..clft'5'-'
OWNER'S MAILING ADDRESS
ZONE
PLAN 1.0. #
-.S/'t7'1-'f ~ -SS1 er-I G-t/2...t:£.. 3 _,~zJ BLOCK. ~801v1s10N~; I ASSESSOR P~CEL NO
'Of Ur Cos /'16.<tOow.J ~i5\-z_.CJQ-19-0/
OESCR•p-,,:?J.'JJ"/-re:. -&oc 38°() rj,
e--~1o' ~
DESIGNER
C .. 1-r. s Ci-( 12£1 !3e/2.
DESIGNER'S ADDRESS
L,4 JVte..5A
F/P FLR ELEV.
YO "'□
NO
STORIES
TYPE
CONST
STATE LICENSE# STANDARD PLAN#
DESIGNER'S PHONE
occ GP I EDU
DCC LOAD I FIRE SPA
I PERMIT NUMBER
8Z-33
l~_crbol.-
BUILDING SQ. FOOTAGE
3foD
CENSUS TRAC, I c, CANO use l 'AR.,NG seAcC RCS UN,TS I GRADING f'.ERMIT ISSUED
Y □ N □ I
REDEVELOPMENT
AREA
,□ .... o YO NO Not V;,/id Unkn Machine Certified
QTYI ·, PLUMBING PERMIT -ISSUE 7;50i! QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER ,
INSTALL FUR~:_DUCTS iJ~-TO 100,000 BTU BUILDING PERMIT ____ __L?"'t.-,2(.L l
EACH FIXTURE TRAP
I OVER 100,000 BTU 1-----SIGN PERMIT
EACH WATER HEATER AND DR VENT +-----PLAN cH,c'4(},0S l?El'A ,z--to::e EACH BUILDING SEWER
-~-:~CH GAS SYSTEM 1 TO 4 OUTLETS _,....__~--c_:_:c:____ TOTAL PLUM_B_IN_G___ t---~ _
~!~!i_ASSYSTEM~OR MORE __ _ ----'--➔_ELECTRICAL
1'--J....-i-:CEA_::C-:_Hc:l:CN.STA~. ALTER, REPAIR WATER PIPE _ _j__-4~~~ _____ -_Jf-------11--MECHANICAL
EACH VACUUM BREAKER f.,.,_t.;;.,'"1--C:_"""",.:.:._"'"'~=~ ---l----'--ll--MOBILEHOME
WATER SOFTNER ------_ _J ___ _c ---/HEATER MOBILEHOME PARK INSP --E. ---=
1------1-E'-ACH ROOF DRAIN fiNSIOE\ -~~~=~-= ---"'-..-,-_J ___ _:__+SO_L_A_R __
STRONG MOTION ____ ---~--=
TOTAL PLUMBING _,~~~=~ FIRE SPR_IN_KL_E_RS __ _ ->f;, --. PUBLIC FACILITIES FEE
ELECTRICAL PERMIT -ISSUE QTY. -SOLAR· ISSUE ---+------" BRIDGE FEE QTY.
~W CONST EA AMP'SWT-BKR _______ +--COLL1&.QRS SCHOOL FEE · DISTRICT --+------jf------~----
1---+1 PH 3 PH -li----STORA~~
EXIST BLOG EA AMP.1SWT.'BKR ROCK STORAGE
Carlsbad
Encinitas
-----
1 PH 3 PH PUMP --"-.,_-1~ Sac o,egwto
1----3..i~~MODEL:ALTERP~R c~Rcu~T _:=--~-~J~ PLAN CHECK FEE -"'=---1-------+I~---~~n M~rcos
TEMP POLE 200 AMPS ------------------------
I---□.::'.ER 20~ ~~s __ _ __ ____ _ ___ _c,.,__if----'--lll----
!TEMP OCCUPANCY {30 DAYSI ---,I---
-+--
------1----
--------
-
+---------
---
.--1-------=-·r---
TOTAL ELECTRICAL 1
I
_:__ ---+------
l I ,oc TOT AL SOLAR --+---~-11 I I gq I TOTAL FEES PAYABLE .,,.--
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY Expiration. Everypermi_t i~ued bythe8uilding0fficiali,!ndertheprov~ionsofthis * AN OSHA PERMIT IS REQUIRED FOR ucf..vATIONS OYER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall exl)lre by fim_,t~tion and become n~II and void. II the bulldmg or work .5· 0" DEEP ANO DEMOLITION OR CONSTRUCTION Of authorized by such permit tS not commenced w1thm 180 days from the date of such
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~ DECLARATIONS ARE TRUE AND CORRECT ANO 1 FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or ii the building or worlir. authorized by such permit jg suspended. or STAUCT\.IRES 0VEA 3 STORIES IN HEIGHT
ISSUED: TO COMPL y WITH ALL CITY, COUNT" AND STATE LAWS GOVERNING BUILDING CON· L2•~•~an~do!!2!ned!!!!Jal!._!8"!!)'._l~ime~l••~e,!!!..!t~he!._!W~o~•k0!i•~c~o~m~m~en!!J!l,erud!..!£fo~•~·~~•i2od!!..QoLf ]1 !QJl!>~•---;;:;,-r~~~~~,-----------~~ .... --r---,
STRUCTION, WHETHER SPECJFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO , 'lid' ma□'"'"..,... v KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANTS SIGNATURE 1f-OWNER O CONTRACTOAP\
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,--" ) _._J . } ~ /J BY PHONE 0
GRANTING OF THIS PERMIT. -..,..r _ _,,,_ ......... _ ~ J_,l_ -,.,,,,._ V~
occov~~ Jtg/tv-{ ~
I
INSPECTION TYPE DATE INSPECTOR
BUILDING
' ' FOUNDATION
REINFORCED STEEL " ,,-2+-/>I I"(
MASONRY l
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING -
SEWER AND BL/CO
PLUMBING UNDERGROUND z -u-s1 llf
PLUMBING TOP OUT
TUB AND $HOWER PAN '
GAS TEST u..~,e,.
ELECTRICAL ~
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC l7-1-Q7. h'
ELECTRIC SERVICE ' .
BONDING ,.-Ii 1-JA,.IJt ~
G. F. I. -SMOKE DETECTOR.
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING ',
ELECTRICAL ' ft
MECHANICAL ' • IJ
GAS " .,,__ J/f·O,
BUILDING ~ '
SPECIAL CONDITIONS '
CERT OF ocrlJPANCY ISSUED
z,;2.,33 '
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES .
INSPECTION REO. IF INSPECTORS DATE ,J--&,p.r~~ flJl"tl~ ,. ,Ar?~~ CHECKED APPROVAL 4A~, <"f'~e,/ "~-..i.LI<
• I I SOILS COMPLIANCE .f'1)/ I ~,,,. ,J .A _. ,.) A~_, __ .-, AJ-~ PRIOR TO
FOUNDATION INSP
.•.
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE .
POST TENSIONED ------
CONCRETE
FIELD WELDING .-. ----------HIGH STRENGTH .
BOLTS
·-c-------------------.
SPECIAL MASONRY
·.
··-----·---t-------
i PILES CAISSONS
!
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------
...
----------
,-.
-----
SHEET
BUILDING
BUILDING
PLANNING DEPARTMENT
DATE:'.E CEIVED
FEB 10 1982
cny OF CARLSBAD Buildlng Dcp;,rtment
ZONE __________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED _______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENT~• flµJ!!:_ ~...-::::::::: ~ // .
OK TO ISSUE: tv!/r DATE,2·(•-'J1-6K TO FINAL DATE I -------------
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT _ _,._,,. _____ EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTION#d: ;l'J ;;i_ ;;tfJ ¼.ea/HI» #-/
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUEJutC: DATE A\ b,%V PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPFiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARHS EXITS, ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
-OK TO ISSUE: _____ DATE. ________ OK TO FINAL ______ DATE. ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET _________ DATE ________ _