HomeMy WebLinkAbout2740 LUCIERNAGA ST; ; CB960113; Permit,
01/22/96 10:15
Page 1 of 1
B U I L D I N G PERMIT
Suite:
Lot#:
Permit
Project
Development
No:
No:
No:
;-. __ '.:::.:,_._,,'T ·,,. , ,\·It
CB960113
A9600184
·.,.:;.
Job Address: 2740 LUCIERNAGA ST
Permit Type: MISCELLANEOUS
Parcel No: 215-310-09-0l
Valuation: o
Occupancy Group: Reference#:
Construction Type:
status:
VN
ISSUED
01/22/96
01/22/96
MDP
Description: CREATE PASS-THROUGH
: EXISTING WALL
WINDOW AT Applied:
Appl/OWnr: FRIENDSHIP BUILDERS
6330 RAYDEL COURT
SAN DIEGO, CA. 92120
*** Fees Required *** ***
619
Apr/Issue:
Entered By:
994-6995
Fees Collected & Credits
•
*** ------------------------------------------------------------------------Fees:
Adjustments:
Total Fees:
Fee description
50.00 .oo
50.00
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.oo .oo
50.00
Ext fee Data ---------------------------------------------------------------------------Miscellaneous Fee #1
Miscellaneous Fee #2 * MISCELLANEOUS TOTAL
>
>
20.00
30.00
20.00 ELECTRI
30.00 PERMIT
50.00
•
•
J'ERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438·1161 ESf.VAL,..._ _________ _
I. PRkM.t I NPR
PIAN CK DEPOSIT _______ _
VAIID. BY __________ _
From Llst l (see back) give code of Permit-Type: --~\<_~fTu.~o~------DATE
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: --------~5"~~-E-~ft~------
Net Loss/Gain of Dwelling Units 0
2. PROJECf INFORMATION FOR OFFICE USE ONLY
Address ;;z.-t4=6 CU£, I e.-tno..'fj )t-_BuiJdmg or Suite No.
Nearest Cross Street Coy\(\.~ 'ct
LEGAL DESCRIPIION Loe No. Subd1vts1on Name/N~
tHECR BEWW IF s □BMII rnd l-4,C09'tp ()1 5:
Omt No. Phase No.
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D l Addressed Envelope
ASSESSOR'S PARCEL EX)STIN~SE PROPOSED USE
DESCRIPTION OF WORI{ ?~-tt,tl-1 I.A.II~ (1'n¥r(c-r 1.vt# e,\$c"(
SQ. FT. # OF STORIES # OF BEDROOMS # OF BA TIIROOMS
3. WN IACI PFltSON (U dlfferent from appHcanO o
NAME (lastnamefirst)fy.ed L...t'I::>~<? ADDRESS ,-z14-o Luc I~>+·
4. ~\ ~~11\ACIOR siJThEN S:11!{ Jg;, ?~1Gf ~utNE~AY Y:Mrn?~6R OWNER
NAME (last name rst) Cb., I<.. M 14'" e.f ADDRESS fc,170 ~u Cot<.r-t-
CI1Y 5afl.O,·-s&.TE CPr ZIP CODE '21-zo DAY-TErlPHONE 4-.q,4---699<;;
NAME (last name first) L--1G~-f (' Fred ADDRESS "'Z-14-o l,.-(..(C.(e,-r,~ $-f--..
□1Y Co,r-k STATE CA ZIPCODE1'Zvo DAYTELEPHONE <;<'JB -~~
NAME (last name first) Ql (e., ;;f;b 5 ADDRESS b 'J}o ~Jej Co..,,-t--
CJ1Y SU<TJP"Y<' ""/ STATE Ct}-ZIPCODE q-z,1-0 DAY TELEPHONE q-c:t4--b9"i5' POt:ff'r
STATE UC.# b 7/ 7f'!r LICENSE CLASS (?-I CI1Y BUSINESS UC. # /Z..0 z4ff;fj
DESIGN f'.R NAME (last name hrst) ,-1 1 ■ O'Y""'" (' 0V'\.. ~KESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WdkkEAfi CDMPENSA I ION
Workers' Compensation beclarat,on: I hereby aft inn that I have a cernhcare of consent to self-msure issued by the b1rector of lndustnal
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 POLICY NO. EXPIRATION DATE
□
□
□
Cert1hcate of Exempuon: I cemfy that m the performance of the work for which this pernuc 1s issued, I shall not employ any person m any manner
so as to become s bject o the Wo kers' Compensation Laws of California.
ere ya am exemp e o owmg reason:
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.).
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 Llcense 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 Llcense Law).
I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's license 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIJRE DATE
COMPIB IE I HIS SEGI ION FOR NON-RESIDEN I IAL BUILDING PERMI IS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 pennit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within J,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF TilE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NUT BE ~ AFTER JULY 1, 1989 UNLESS TilE APPLICANT
HAS MIIT OR IS MEIITING TilE REQUIREMENTS OF TilE OFFICE OF EMERGENCY SERVICES AND TilE AIR POLLUTION CONlllOL DISI1UCT.
9. WNS I KOCI ION LRNDING AGENCY
I hereby afhnn that there is a construction lendmg agency for the perfonnance of the work for which this penn1t 1s issued (Sec 3097(1) ClVli Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANI CERIIFICAIION
I certify that I have read the application and state that the above mformatmn 1s correct. I agree to comply with ail City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TilE CTIY OF CARISBAD AGAINST ALL IJABILlTIES, JUIJGMENTS, CXJSfS
AND EXPENSES WHICH MAY IN ANY WAY AaJUJE AGAINST SAID CTIY IN CONSEQUENCE OF TilE GRANTING OF nus PERMIT.
OSHA: An OSHA pennit is required for excavations over S'O" 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 Ccxle shall expire by limitation and become null and void if the
building or work authorized by such pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such pennit is suspended or abandoned at an tim e work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
APPLICANTS SIGNATURE DATE: /-/1.-'Z.~
YELl.OW: App icant PINK: Finance
0
J' CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB960113 FOR 02/08/96
DESCRIPTION: CREATE PASS-THROUGH WINDOW AT
EXISTING WALL
TYPE: MISC
INSPECTOR AREA PY
PLANCK# CB960113
OCC GRP
CONSTR. TYPE VN
JOB ADDRESS: 2740 LUCIERNAGA ST
APPLICANT: FRIENDSHIP BUILDERS
CONTRACTOR:
STE: LOT:
PHONE: 619 994-6995
PHONE:
OWNER: PHONE:
REMARKS: MW/931-5844 INSPECTOR
SPECIAL INSTRUCT: DID NOT SAY WHAT TYPE OF INSPECTION--+----------
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
14 ST __ F_r_am_e_;_s_t_e_e_1_;_B_o_1_t_i_n_g_J_w_e_1_d_i_ng_ JJk. _____________ _ _fl__ ~ -------------------
***** INSPECTION HISTORY*****
DATE
012496
012496
DESCRIPTION
Frame/Steel/Bolting/Welding
Rough Electric
ACT
AP
AP
INSP
PY
PY
COMMENTS
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