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Home My WebLink About2628 LUCIERNAGA ST; ; CB911050; Permit. ... -.-I B U I L D I N G PERMIT Pi=>rmit No: CB9110~D 07/17/91 15:24 Page 1 of 1 Job Address: 2628 LUCIERNAGA ST Permit Type: MISCELLANEOUS Parcel No: 215-290-16-00 Valuation: O Construction Type: VN Occupancy Group: Class Coe. e: Project No: A9101289 Development No : Str : ;;-1 : Ste: 3524 07/17/91 0001 01 02 C-PRHT 30-00 Status: Description: COMPLIANCE : CONVERTING INSPECTION REPORT EXIST DUPLEX TO CONDO Applied: Apr/Issue: ISSUED 07/17/91 07/17/91 KZH Appl/Ownr : OWSLEY, LOIS 2628 Ll'CIERNAGA ST CARLSBAD, CA 92009 OWNER BROWN, LEE *kk Fees Required **k Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee #l * MISCELLANEOUS TdTAD Validated By: 619-438-7762 OWNER Credits .00 .00 30 .00 Ext fee 30,00 30.00 ANALAPPROV~v/// INSP.17 DATE~ CLEARA7ce9 ---------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 *** Data COMP INS PllRMIT APPUCATION PLAN CHECK NO. City of carlsbad Building Depart,aent I EST. VAL 2075 Las PallllllS Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT _______ _ VAIID. BY ___________ _ Caupliance Inspection Report I. PEkM1 I I YPE DATE A -Li Commercial □New Buddmg Li Ienant Improvement B -D Industrial □ New Building □ Tenant Improvement C -ml Residential □ Apartment %J Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool D Spa D Retaining Wall D Solar □ Other 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Address Bu1idmg or Suite No. 2628&2630 Luciemaga Street, Carlsfud, CA 92009 Nearest Cross Street An~l~ s~ LEGAL bESCRlMibN ~ U1Vls1on Name/Number 0mt No. Phase No. Lot 162 La Costa Meacl<:ms Unit No. 1, Map 6800 CHECK BEWW IF S0BMI I 1£D: □ 2 Energy Cales O 2 Structural Cales □ 2 Soils Repon □ l Addressed Envelope aro.ruum DESCRIPTION OF WORK Converting an existing duplex into 2 condauiniums SQ. IT. # OF S'IDR!ES 3. WN l'.AC'I P£RSON (If duierent from applicant) NAME Lois O;/sley ADDRESS 2628 Luciernaga Street CITY Carlsbad STATE CA ZIP CODE 92009 DAY TELEPHONE 438-7762 4. APPllCAN I LI CoN i RAC I OR UAGENI FORCONiRACIOR Qi.OWNER □ACF.Ni FORDWNEk NAME Lee Br= ADDRESS 2630 :Wciemaga Street CITY Carlsbad STATE CA ZIP CODE 92009 DAY TELEPHONE 438-0836 NAME Same as contact person and Aa>Bj>1¥cant CITY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS CITY N/A STATE ZIP CODE DAY TELEPHONE STATE UC.# UCENSE CLASS CITY BUSINESS UC. # CITY N/A STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WuitkERS WMPENSXIiuN \ Workers• Compensation Declara11on: 1 hereby afl1rm that I have a cerutlcate of consent to seli-msure issued by the D1rectoroi industnal N/A Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POUCYNO. EXPIRATION DATE - ere ya mn t at am exempt r t e w or t e o owing reason: □ N/A I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner•builder will have the burden of proving that he did not build or improve for the purpose of sale.). N/A □ □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPi£tE 'iRIS S£ctiON FOR NON-RESIDEN IIAL BotillING PERMI l's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OP TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OP ocx:tJPANCY MAY NOT Bil ISSUED APTER JULY 1, 1989 UNU!SS nm APPIJCANT HAS MET OR IS MEETING nm RF.QUIREMENTS OP nm OFFICE OF l!MERGENCY SERVICES AND nm AIR POLLIJ110N WNTROL DISTIIICf. 9. WNS'IRUCliUN illNDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this penmt 1s issued (sec 3097(1) Civil Code). N/A LENDER'S NAME LENDER'S ADDRESS 10. APPilCAN l ci'ltllFltxiiuN I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply wuh all Cuy ordmances and State laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE m SAVE INDEMNJFY AND KEEP IIARMIBSS nm crIY OF CARISBAD AGAINST ALL LIABIUTIES, JUDGMENTS, CXlSTS AND EXPENSES WIDCII MAY IN ANY WAY NOUIE AGAINST SAID crIY IN WNSEQUENCE OP nm GRANTING OP THlS PI!RMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such pennit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Un"7' =g Code). k AP~ DATEj,~e?",/99/ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB911050 DESCRIPTION: COMPLIANCE CONVERTING CITY OF CARLSBAD INSPECTION REQUEST FOR 07/23/91 INSPECTION REPORT EXIST DUPLEX TO CONDO TYPE: MISC JOB ADDRESS: APPLICANT: 2628 LUCIERNAGA ST BROWN, LEE PHONE: CONTRACTOR: PHONE: OWNER: BROWN, LEE PHONE: STR: 619-438- REMARKS: MH/LOIS/438-0836 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: INSPECTOR AREA PY PLANCK# CB911050 OCC GRP CONSTR, TYPE VN FL: STE: 36 CD 92 LVL DESCRIPTION MI Compliance Investigation ACT ? -·- COMMENTS DI<. fJ2:: j/j /,j/ I/fed~ :'x£,.-,__/~,l jl/1-4£± '~---------/-K3--· ------ DATE DESCRIPTION /) ""----vv ***** INSPECTION HISTORY ACT INSP 0 -~-