HomeMy WebLinkAbout2720 LUCIERNAGA ST; ; 87-503; Permit.. z 0 ~ a: .. ... iii C
"'~ e I hereby affirm that I am licensed under
U [ cwlalona of Chapter 9 (commencing w. ith 1 =: Section 7000) of Division 3 of the Business
1-and Profe■slons Code, and my license 1s in ~ full force and efhtct.
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I hereby a1hrm that I am e~empt lrom the Contrac-
1or·s License Law tor lhe lollow1ng reason (Sec 7031 5 Busmess and Professions Code· Any c,1y or county wh1ct, re-
Quires a perm11 !o construct, alter, improve. demohsh, or repair any structure. pnor 10 ,ts ,ssuance also requires !heap·
pl,cant for such permit to file a sI~ned statement that he ,s licensed pursuant to the pr0'/1s1ons 01 !he con1ractor s
license Law !Chapter 9 commencing with Section 7000 of 01v1s1on 3 of the Business and Professions Code; or that ,sex-
empt therefrom and the basis !or the allegea exemption Any
v1ola11on o1 Section 7031.5 by an applicant 1or a permI1 sub-
1ects lhe applicant to a c1v1I penalty 01 not more than hve hun-
dred dollars ($500)
I, as owner o1 the property. or my employees w•th wages 1
as their sole compensation. will do the work. and the s1ruc-
ture Is not intended or offered lor sale (Sec 7044, Business
and Proless1ons Code The Conlractor's License Law does
not apply to an owner 01 property who Du1lds or improves
!hereon and who does such work h1msel1 or through his own
employees. provided that such improvements are not intend-
ed or ottered for sale. II. however. the bu1ld1ng or improve-
ment ,s sold within one year o1 completion. the owner-builder
will have the burden of proving that he did not build or im-
prove !or the purpose of sale)
il I. as owner of the property. am exclusively contracting
w11h licensed contractors to construct the pro1ect {Sec 7044,
Business and Pro1ess1ons Code The Contractor's License
Law does not apply to an owner of property who builds or 1m• proves theroon. and who contracts for each pro1ec1s with a
cantractor(s) license pursuant to !he Contraclor·s License Law)
'l As a homeowner I am Improv1ng my home, and the lollow
ing cond1t1ons ex,s1
1 The work ,s being performed prior to sale
2 I have lived In my home tor 1welve months
prior to cornple11on of this work
I have not claimed this exemptron during the lasl three years
L lamexemp1underSec _______ B&PC
for this reason, ____________ _
_ I hereby affirm that I have a certificate of consent to
self-insure. or a certificate of Workers· Compensa11on In-I
surance. or a certified copy 1t1ereof1Sec 3800. Labor Code) I
Certified copy ,s hereby lurn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th,s section need not be completed 1f the permit
Is for one hundred dollars ($100) or less)
~ I certify that in the performance of the work !or wh,ch 1
this permit Is issued. I shall not employ any person 1n any
manner so as to become sub1ec1 to the Workers· Compen-
sation Laws of Cal1fom1a
NOTICE TO APPLICANT II. after mak,ng this Certificate
ot Exemption, you should become sub1ect to the Workers
Compensation prov1sIons of the Labor Code. you must
forthwith comply with such prov1s1ons or this perm,t shall
be deemed revoked
I hereby affirm that there Is a construction lending
agency for the performance ol the work lo, which th,s per-
m,t 1s issued (Sec. 3097. Ci.ii Code)
Lenders Name __
Lender s Address -'
I
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
;;•;~ ,-1ik!,;,iR.NA64T'a-. NEA~A.)7,l/o/'~,0~2;c7,oN jus,~o&" VALUATION
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LOT 1 •~i?}-f!.;Jf&'::-0~ ~o:i ZONE
OWNEA"S PHQNE
+ 8~Y93c
l'.S PHONE ' -
PERMIT NUMBER
'37 --;· '2-_ ) l.,/ . ._/ --._/
BUILDING SQ. FOOTAGE
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OE t:) ~_;,,r,,; ------DESIGNER'S ADDRESS -STATE LICENSE NO.
~
0007 06/05 0101 02f:! dP111t 25-~~ f-
I ~y . "
YD ,□
F LR ELEV NO
STORIES
OCC GP EDU
I I 'AR< >NG SSA CC RCS UN>'S I GRADING PERMIT ISSUED I
10 ND
REDEVELOPMENT
AREA
·□ "□
TYPE
CONST
ace LOAD FIRE SPA
vO NO Not V~lid Unlers Mdch.ine Certified
QTY. PLUMBING PERMIT· ISSUE 7
I 1$ QTY MECHANICAL PERMIT -ISSUE IS~ SUMMARY/ACCOUNT NUMBER
,-
EACH FIXTURE TRAP
EACH BUILOING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM I TO 4 OU! LETS '
EACH GAS SYSTEMS OR MORE --------+---
INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT oo 1·81 o-oo--=--oo=-8220 /_°';;
OVER 100,000 BTU SIGN PERMIT 007-810-UU-OU-8221
: BDILER:COMPRESSORIJPTOJHP PLAN CHECK 001-810-00-00-8821 /(__) -
_ +80 ILER, COMPRESSOR_] __ l) __ ~P___ TOTAL PLUM BING 001-810-00-00·8222
I 'viETAl. FIREPLACE ELECTRICAL 001-810-00·00-8223
--
----------t----------
f--+-E_A_C_H INSTA~. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
VENT FAN SINGLE DUCT fl __],1---\-L''----MECHANICAL 001-810-00-00·8224
MECH EXHAUST H□oo ouds / MOBILEHOME 001-810-00.00-8225
WATER SOFTNER SOLAR 001 ·810-00-00-8226
DRYER VENT STRONG MOTION ____ 880-5_19_-92·32._j_ _ __ _... ;$ ~-j
FIRE SPRINr<LERS 001-810-00-00-8227
T[JT AL PLUMFllNC --'--_____ _l_______ --PUElL1CFAC1-L1TIES FEE 32.0·810·00·00-8740 .,-----------!
-BRIDGE FEE 360-810-00-00-8740
~f1CH RUOf lJRA'~J I INSIDE,
QTY. MO ILE HOME SETUP PARK-IN-LIEU (AREA
I I NEW CONST EA AMP SWT BKR I !I TIF -_---134-810-00-00-8835 I ~
QTY. ELECTRICAL PERMIT -ISSUE 6 99--
I PH 3 Pl-l LA COSTA TIF
EXIST BLDG EA AMP·SWT BKR GARAP ~~-M-~
I LICENSE TAX I PH J PH
REMODEL ALHR PER CtRCUII MFF ------11---
TE.MPPOLE lOOAMPS
OVER /00 AMPS
133-81 0-00-00-8835
001-810-00-:J0-8162
880-519-92·57
---
· -------+--------------t-----11 CREDIT DEPOSIT I
1
TEMP OCCUPANrv 11n nAYSI
-
TOTAL FLEC!RICAL ' I
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICAT!ON AND PERMIT"" AND DO HEREBY
CERTIFY UNDE-A PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT 15
ISSUED: TO COMPLY WlTH·ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO'
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
' /
TOT Al TOTAL FEES PAYABLE I 2~"7,.50
ry permit issued by the Budding Offlc1al under the prov1s1ons of this
by limitation and become null and void If the building or work
a lhonzed by such permit 1s suspended or
1s commenced tor a eriod ol 180 da s
,~ OWNER□ CONTRAC~
~ _ ~ • BY PHONE 0 --
* AN OSHA PERMIT 1$ REQUtRED FOR EXCAVATIONS OVER
5· O" DEEP AND OEMOUTION OR CONSTRUCTION OF
STRUCT\JRtS OVER 3 STOR.eS IN HEIGHT
APPROVED BY
---:> l/ ~-/
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DATE
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TYPE I DATE I INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEl~ING
SHEATHING □ ROOF □ St'iEAR
FRAME
EXTERIOR LATH ' INSULATION '
INTERIOR LATH & DRYWALL '
PLUMBING
□ SEWER AND BUCO C RL/CO
UNDERGROUND □ WASTE q WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL ..L
□ ELECTRIC UNDERGROUND [1] UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE D TEMFE_RARY
□ BONDING □ POOL
MECHANICAL --'-□ DUCT & PLEM., □ REF. PIPIING
HEAT -AIR COND. SYSTEMS l
VENTILATING SYSTEMS
CALL FOR FINAL INSPECtlON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL _l I )/
MECHANICAL
GAS
BUILDING 1 \
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPl_lA!\JCE
PRIOR TO
F-OUNOATIOr--. INSP
REQ IF I INSPECTOR s
CHECKED APPROVAL DATE
I STRUCTURAL CONCRETE I 1-------+--·--
0VER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH S1RENGTH
BOLTS ----
SFECIAL MASONRY
P1:_ES CAISSON~~
i---------
f------------l-------t------1-----l
r-------------+-----+---------+-----,
----
-+-----+-------!-----
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INSPECTOR'S NOTES
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JU 5.19-37:
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City of CARl!.SBAD
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