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Home My WebLink About2642 LUCIERNAGA ST; ; 80-130; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that l am licensed under provi· sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes• sions Code, and my license is in full force and ef· feet OWNER·BUILDER DECLARATION '.::11 hereby affirm that I am exempt from the Con· tractor's License Law tor the lollowmg reason (Sec. 7031.5 Business and Professions Code), Any city or county which reQuires a permit to con· struct, aller, improve, demolish, or repair any structure, prior to its issuance also reQuires the applicant for such permit to file a signed sta1e· ment that he is licensed pursuant to the provi· Sions of the Contractor's License Law {Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex· emption. Any violation of Section 7031.5 by an ap· plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation. will do the work, M the structure is not intended or of· fered for sale (Sec. 7044, Business and Protas· sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself o'"r through his own employees, provided that such improvements are not intended or of· fered for sale. lf, however, the building or improve- ment is sold within one year of completion, the owner·builderwill have the burden of proving that he did not build or improve for the purpose of sale) -~ I, as owner of the property, am exclusively con· tracting with licensed contractors to construct the project (Sec. 7044, Business 2.nd Professions Code: The Contractor's License Law does not ap· ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro· jects with a contractor(s) license pursuant to the contractor's LicerA Law). ·, I am exemP._t u~~Seq~ __ , B. & P.C. for this reaso Date Owner I hereby affir'tn that I have a certificate of con- sent to sell-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Labor Code) POLICY NO. __________ _ COMPANY __________ _ r.JCopy is filed with the city. _I Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit Is for ;;Jne hundred dollars ($100) or less). 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO Af>PL\CANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len-• -•~-__ ,..,,_~_,,.,_.,,th"' work for CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. ,o. JOB ADDRESS AV.ST. IDATE OF APPLICATION BUS. L lCENSE PERMIT NUMBER 2 ,ioi,L 7, 1L1• '.,,-,I ,E,fl..,"-1 w::.... I\, eo • ~, (,"'_--:;-~-; /~-' I . I I I I I I I I I-,:-"-~ 3o-/?xJ I -.., ,' . "), :--, -, OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE Tss. 1...'.s. N\Oh "LC< SL~._;~--' -r~-:.ci. ~> ~-::; 2' ·::, l -, C s...s OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S '2.b42. '-u C IE.RN A.&/:>. 1::_·.r\,_r,t ;,...<,_ i;.w_·;-.:::_-_ j'-, ~9C PHONE -"', /\ ,n-1'. \CL \)i?._, ·1 A--.2--r -~i_--:.:. LOT .. ,,f-!LOCK ] s,usD1y1,.§1_0'!.,_ 1',f: _ [ ASSE~OR's PARfr...EL. No. I _,, _:5:-:IGNER STATE LICENSE ~.0 ,..A ;;.-·.,:,~,..,~l"'-L I 1:5 ( 1\,,-<, j ,01 1 Jl12,..,,---""', --=> /4. -~ $, DESCRIPTION OF WORK ,,..,, F !::... C.n.r_,;_ I>\ ,_ rs ,_ ,:·· /·, ~"-.:,,.; <··t-.. .; f_ \/q "S-li/; 1V, ,-,✓, 1 ~_; ;·-T-c··::1_ DESIGNER'S AODRESS oes ·-/ ) D s::f:r., ~;,...,f,,__\jf,..__ ~-~ tole, 1 1 t -,. -, , '." ' ,.---. ~, ·' CENSUS TRACT GP LAND USE ZONING sf I RES. UNITS l PA;KING SPACE I N?tt.t.eFR Of STORIES Not Valid Unless Machin, CIJrtlfi«J '"' 3'JJ r;.J BLDG USE occ. GP I STANDARD PLAN ti IPLANIO;t l TYPE CONST l occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY, MECHANICAL PERMIT AMT. ' EACH FIXTURE TRAP INS-,.,._._ 1 FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER ----OVER 100,000 BTU / EACH WATER HEATER ANO/OR VENT ,t •• --BOILER/COMPRESS~ TO 3 HP . EACH GAS SYSTEM 1 TO 4 OUTLETS :z---BOILER/COMPRESSOR 3-15"lltl.. EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16·30 HP ........ I EACH INSTAL., ALTER, REPAIR WATER PIPE -VENT FAN SINGLE DUCT ........ b, EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION: ~ -, r, WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ' I I • f5 t:. 1.::.- T--··-3.00 Issue 3.00 SIGN PERMIT ~ 3-IS o ' I I . TOTAL PLUMBING TOTAL MECHANICAL PLAN CHEal /J,tJo-rr /Lh.5J" ?, (j--0 I I I I CONTRACTOR CONTRACTOR ALL INCLUSI ,..: l't.HMI 1 I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I 1, . ...,. QTY. QTY. ' MOBILE HOME PERMIT ELECTRICAL I 1'7' NEW CONST EA AMP/SWT/BKR ,( ,~, AWNl'N.G MECHANICAL I I'. I 1 PH ,25 3 PH . ") -PORCH '-MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP "-.. SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA ' I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' "-.. ' I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME '-MICO-FILM I I I OVER 200 AMPS '-I I I ' TEMP OCCUPANCY 130 0AYSI '-, ~m-~"~ I I I ' I I 11\l • T----··-"· Ci' I I I TOTAL ELECTRICAL "7 ~ ✓• TOTAL FEES PAYABLE I ,.. / CONTRACTOR ,, I I - SCHOOL FEES: 5 ()._.o-1J I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO 0 AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARL SBA□ AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT l..,APP~l'\IT'S s.r::MA..,.ri"RE" , "' OWNER □ CONTRACTOR□ ,~VED BY DATE -'? j "'--,: . /7 /4 ----AGE~ BY PHONE □ _ _,,, / d/_-,,-/ ,. L?ff / .I'< ✓, " -,_ / • ... '< 0 ~ > 5 .= u ... "-V, ~ L..- SITE 'SO -1 ?::,() ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD - INSPECTION DATE INSPECTOR / NSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK •TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET - OK TO POUR CONCRETE " FRAME ROUGH ELECTRICAL • ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER & STEEL . PLATE Tl ES/HEIGHT OF CHIMNEY . OTHER TEMP POWER {POLE) SEWER GAS TEST SWJM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN I J I FINAL INSP BY BLDG DEPT II 1,-1 If~ 11/),-J OTHER DEPT'S REQ COMPLETED \ ELEC METER-PERM-TEMP GAS METER-PERM-TEMP --- r-· I CER~_?F OC~UPANCY IS.SUED -,t_ c.,vv~t? n--€ r Y )_ 13 , NT UIL~ING DEPARTMENT ~UILDING ADDRESS: PLANNING DEPARTMENT RDEPARTMENTAL INFORMATION SHEET RECEIVED DATE: ________ _ fAAR 3 138'1 CITY OF CARLSBAD 811lldln1 Desartment ZONE _________ LOT S IZE _________ 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 PROTECTIO OK TO ISSUE: OK TO FINAL ________ DATE, ____ _ ENGINEERING DEPARTMENT R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ________ DRIVEWAY ~UCATIONS GRADING PERMIT --~~ ___ .EASEMENTS \Jr<-C LEGAL DESCRIPTION fr ~S_s-' J._, C /}i,c_~ DRAINAGE ____ _ z¥2- ADDITIONAL COMMENTS __________________________ _ FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS ____________________________ _ 'OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE, ________ _ •• TO: Department of Planning and Land Use This document will certify that I am aware of the provisions of the California Administrative Code, Title 24, Section T2O-14O6(c), "Swimming Pool Heating", as shown on form DPL #297. I understand that neither a swimming pool building permit using a fossil-fueled heater nor a plumbing/electrical· permit for a new or replacement fossil-fueled heater will be issued until this certification is executed. For the swimming pool located at Zb 2-l-UC /E.R....t-.lt,..(;,r.,.._ (site address) I certify that all o the ollowing requirements or fossil-ueled (or electric) swimming pool heaters will be met: 1. ()utdoor pools shall be equipped with a pool cover. 2. ON-OFF switch on outside of heater to allow shutdown without adjusting thermostat and start-up without relighting pilot light, 3. · 36" minimum length of "plumbing provided between. filter and heater to allow future solar installation. 4. After January 1, 1982, new heaters installed must have 75% thermal efficiency, s. Time clocks installed to allow pump operation during off-peak demand periods (unless pump used for active solar). 6. Directional water inlets in pool for good mixing. Signod ,,~.,,~ )11n«,,' ,,,,Q;) g_/;qft, DPL #379B 6-22-79 • TO: THE DEPARTMENT OF LAND USE AND ENVIRONMENTAL REGULATION AFFIDAVIT This document will certify that I am aware of the provisions of Ordinance 4945 requiring fencing for swimming pools. I have received a copy of LUER Form #297 which stipulates what is an acceptable pool enclosure. DI understand that I, as the owner, must obtain a building permit for the pool fencing at--==...,.,==~----------------SITE ADDRESS and must obtain an approved final inspection of the fencing from your Department prior to final inspection of the pool, and prior to any use of the pool. SIGNED DATE ________________ (Owner) [SQ I have not made application for a ·fence permit. Enclosure for my swimming pool presently conforms to LUER Form #297 as follows: SIGNED{i},'7,,1.,/~ 'yr~ (Owner) DATE(B cL,/JtJ _/yo This form is to be attached to the Inspector's copy of the pool permit. Form 379