HomeMy WebLinkAbout2727 LUCIERNAGA ST; ; CB880124; Permit., z 0 ;:: .. "' :5 " .. C
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, M I hereby alflrm !hat I am licensed under
PfO'llslona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proteaalons Code, and my license is 1n
lull force and effect
I hereby alhrm thal I am exempl trom me Conlrac
:ors License Law tor lhe lollow,ng reason !Sec 7031 5 1
Business and Profess,ons Code Any c,ty or counly wh,u, re
auires a perm,t 10 conslruct aller. ,mprove Oemo11sh. or
'epair any struclure. prior to ,Is issuance also reQuires !he op
ol1cant for such perm,1 ro llle a s,qned staieme~t that he ,s
,censeo pursuant to the p,ov1s1ons ol the Lontrac1or s
License Law ,:Chapter 9 commenc,ng w,th Se~t,on 7000 ol
D1v,s1on 3 of the Bus,ness and Pro1ess,ons Godei or •hal Is e•
emol therefrom and !he baS<s lor the allegea e,empt1on Any ·;,olahon ol Sechon 7031 $ by an applicant lor a perrr>11 sub erts !he applicant lo a c,v,t penalty ol not more than l,ve hun
dred dol•ars ($5001
I as owner al the property or my employees with wages
as the,r sole compensation w,11 do the work and lhe struc ture 1s not 1ntenoea or olferM to, sale !Sec 7044 Bus,ness
and Proless1on1 Code The Contractors License Law does not apply to an owner of property who bwlds or improves !hereon and who does such worl< h1msell or through his own
employees. provided that such improvements are not intend ed or offered for sale I!, however. The bu1ld1ng or ,mprove rnent ,s sold w,th,n one year ol complet,on_ me owner-builder ,,,11 have the burden 01 proving lhal he d,d not build ar 1111
prove for me purpose ol sale1
I as owner of lhe property am exclusively contraclrng with licensed contractors !o construe! lhe pro1ect (Sec 7044 Business aM Proless1ons Code The Con1raclor·s License
Law does not apply to an owner 01 properly who builds or ,rn proves lhereon and who contracls tor each pro1ects with a comractor(s) license pursuant 10 the Conlfacrnr's License Law)
As a homeowner I am ,rnprov,ng my home and the lo•low rng cona,t,ons exist
1 The work ,s being perlormed prior to sa1e 2 I have lived m my home for lwelve months
prior lo cornplet,on o1 lh1s work
I have nol claimed th,s e,erno1,on during the 1as1 three years
tor t'h~~ ,~:~~it under Sec _____ _ B&PC
~ I he,eb~ affum \hat I have a cer\if1ca1e of consent to ~I insure o, a certif1cale ot wo,kers Compensatoon In
surance o< a ce,td1ed copy 1hereof 1Sec 3800 Labor Code!
eooc, so 1013568-87
COMPANY
;,,; Coo, ,s ,.~~~ "J;und
Xcert1fted copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s secHon need not be completed 1f the permit
1s for one hundred dollars 1$1001 or less)
__ I cer11!y that 1n the performance of the work lor which
r~.,s pe:m,t :s :ssued. ! s~a!! ~ot employ a~y pe,son ,n a~y
manner so as to become subiec1 to the Workers Com pen
sa1ion Laws or Cal1forn1a
NOTICE TO APPLICANT. 11. after making this Cert1f1cate
of E,emo1,on you should become sub1ect lo the Workers
Compensation pro,is,ons of the Labor Code. you must forthw,1h comply w11h such prov1s1ons or this permit shall
be deemed revoked
= ~ , hereby affirm tha! there ,s a construc11on lending
agency for the performaWfiework for wh1c~ lh1s per
m1t 1s issued (Sec 3097. C1v1I Code!
Lenders Name
Lender s Address
USE BALL POINT PEN ONLY & PRE~S HARD A ... t-'Ll(.;AN I I U t-lLL IN INt-UHMA I IUN WI I MIN .:»MAUC.U AMC.I-\ Ml'!IIU UC\.,Ll'\MM I IUJ'I.->.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOS AOORESS . AV. ST.RD. THOMAS BROS NO. DA TE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
2127 Luciernaga ·st. Alga 12/21/87 19451 ~g
/2-Cf LOT B~OCK j suep1v1s10N , -J ~SSES~A ,PAR~EL NO. CONTf'IACTOR . ~TA~TORS PHONE• ZONE , . . --: , , ',' ,97-4151 ,~ OWNER'S: N,AM€. . , OWNER'S PHONE Arlen Foster Plumbina
viola r.ane E)(f);~&D -, . CONTRACTOR'S ADO RESS -, ' ' ST~ "~:NO'., :· BUILOlNG SQ. FOOTAGE 931-9060
01/YNEA'~MAILlNG ADO,flESS 2819 Central Ave. 443348 -
. lf~~Wi~,naga st. Carlsbad . 9200') DESIGNER OEStGNER'S PHONE
' . --..
OeSCFl11>Tfb~·oPw(hf~ s,,,•-·q,, J, ; .
. water He-ater, Replacement: --.. -.. --. DESIGNER'S ADDRESS STA 1 E-LICENSE NO. . . •
-. • .
F :p FLA ELEV NO ace GP EDU
STORIES
' . . vC "'□ I CENSUS TRACT I PARKING SPACE AES UNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE ace LOAD FIRE SPP
ARE A CONST
,□ N 0 ,O ,□ vO NO Not Valid Unlf!rs M~chme Certified
QTY PLUMBING PERMIT· ISSUE _77~ QTY MECHANICAL PERMIT· ISSUE IS~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU l,UILu11~u r--tR,V II UU 1-81 u-uu-00-ouu
EACH 8UILUING SEWER OVER 100.000 BTU / SIGN PERMIT 001-810-00-00-8?21
l EACH WATER HEATER ANU UR VfNT S2,5U BOILER,CUMPRESSOR UP TO 3 HP I/ PLAN CHECK 001-81 0-00-00-8891
EACH GAS SYSTEM 1 TO~ OUT Lt TS 801LER·COMPRESSOR 315 HP / TOTAL PLUMB1"JG 00 ·, -810-00-00-82 22 <:rn nn
EACH GAS SYSTEM 5 OR MORI: METAL FIREPlACt. ./ ELECTRICAL 001-810-00-00-8223
EACH INSTAL AlllR, RE:PAIR WATER PIPE VENT FAN SINGLE DUCT / MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST H□OrU([JCTS MOBll EHOME 001-810-00-00·8225
WATE:R SOFTNER RE.LOCATION OF t.Pr"fURNACE-HEATER SOLAR "'1 >ff0-O!J!M":8"/26() /';1 C.'7;~:·-;'°\~-·-;, ~ . ,.,
f.ACH R()Ul-l)RAlfJ 1 :'JS,JF: DRYER VENT/ STRONG MOTION 880-519-92-33
/ t;.L MECHANICAL FIRE SPRINi<LtRS 00' -81 0-00-00-8227
IO!Al PltJM81NL I ;;,.Lu. uu PUBLIC FACILITIES FEE 320-810·00-00-R~ -
, BRIDGE FEE 350-s10-o[l,,{"lli:~cf-
QTY ELECTRICAL PERMIT -ISSUE S'"?("-, QTY. MOBILE HOME SETUP .../' PARK-I'll-LIEU (AREA
'
NEW CONST EA AMP SWl 8KR CAR PORT , T(F 312-810-00·00·8835
I PH ·; PH _,,,. AWNING / . LA COSTA TIF 311-810-00·00-8835 '
EXIST BtOG EA AMP SWT 8KR ../ GARAGE / FMF <I
I PH 3 PH / / LlCENSE TAX oop 0-C(l-,J0-8162 Cli
REr.ftOnEL ALTtR PfR CIRCUIY / Mff \ tA-519-92-57 /.a':,'/
TEMPP[lLE JOO AMPS _,,,, / -6' ,
OVER ?OU AMPS .,., / -.....:. < 0
Tt:.MP UCC~CY 1JQ OAYSI / -...,:_ .. _-
/ / CREDIT DEPOSIT
/ T(HAl fL!-1,lHILAI I V TOlAI TOTAL FEES PAYABLE I ../ sin nn
. E)(pirat1on. E~y permit iuued by the Building Olf,c,al under the prows1ons ofth,s I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT"" AND DO HEREBY * AN OSHA PEFMIT 1$ REQUIRED FOR EXCAVATIONS OYEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e)(p1re by Hmrtahori and becol'l"l8 null and vo,d, If the budding ·o, work 5· 0 .. OEEP At«> DEMOl.lTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT 1~ authorized b\f such permit is not commenced w,thin 180 days lrom the date of such STRUCTURES OVER l STORtES IN HEIGHT permit. Of 11 the budd1:Jt or work aulhm1zed by such pe1"m1t 1s s~~ded or lSSU-ED: TO GOMPLY WITH All CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· abandoned at anu time a !er ttie work IS commehced !or ;j -nod o! 1 da:,;.
STRUCT10N. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE JI, OWNER □ CONTRACTOR, APPROVED BY 00-/ KEEP HARMLESS THE CHY Of" CARLSBAD AGAINST ALL UABILIT!ES. JUDGMENTS, COSTS ANO -pl; EXPENSES WH1CH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE S,. __ ( 'l )_ L I BY PHONE [J 1/ ~11tt GRANTING OF TH1S PERMIT. ----:Ir---·-'
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TYPE : DATE INSPECTOR
BUILDING I
FOUNDATION ,
REINFORCED STEEL !
MASONRY 1
GUNITE OR GROUT 1
SUB FRAME □ FLOOR □ CEll.'.ING
SHEATHING □ ROOF D SHEAR
FRAME ;
EXTERIOR LATH I
INSULATION 1
INTERIOR LATH & DRYWALL 1
I
PLUMBING I
□ SEWER AND BUCO L P(./CO
UNDERGROUND D WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN i
GAS TEST 1
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL '
D ELECTRIC UNDERGROUND □, UFFER
ROUGH ELECTRIC :
□ ELECTRIC SERVICE □ TEMf><5RARY
□ BONDING □ POOL 1
' MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS '.
VENTILATING SYSTEMS 1
' CALL FOR FINAL INSPECnON WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
PLUMBING : ~
ELECTRICAL I '
MECHANICAL ,
GAS I
BUILDING I
SPECIAL CONDITIONS ,
:
I, ,. . a~ .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPI_IANCE
PRIOR TO
F-OUNOATION INSP
--STRUCTURAL CO!'<CRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
~ --------f<IGri STRENGTH
BOLTS
SPECIAL MASONRY
--
PIL_ES CAISSOM~
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