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HomeMy WebLinkAbout2807 LUCIERNAGA ST; ; CB984216; PermitCJL I B U I L D I N G 12/IJ4/98 13:24 Pa_re 1 of 1 Job Address: 2807 LV-IERNAGA ST Permit Type: MISCELLANEOUS Parcel No: 215-310-17-00 Valuation: 500 P E R M I T Suite: Lot#: Occupancy Group: Reference#: Description: BUILD WING WALLS IN GARAGE TO Permit No: CB98421 · Project No: A98ll546e Development No: 4064 12/04/98 0001 01 02 C-ffiMT 40-00 Construction Tvpe: VN s a tus: ISSI JED : CREATE WORK SHOP NO ELECTRIC ROCK GAR . Applied: 12/04/98 Apr/Issue: 12/04/98 Entered By: MDP Appl/Ownr : ZEZELJ MILIVOJ 2807 LUCIENAGA ST CARLSBAD CA 92009 A k fl Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T 760 438-6866 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 .00 .OU 40.00 ** Ext fee Data 40.00 PERMIT 40.00 PERMIT APPLICATION FOR OFFICE USE ON~ X PLAN CHECK NO ._tl-1--16._.__· l..:.....I Z_(_(:;_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palm as Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ 1. PROJECT INFORMATION 2 f!\!:? Z kJ¼llf'lb¥,t4 tt: Address fi ncl ud a Bl dglSuite #I ' Business Name fat this address) ;, 7 .2. tJ ,c.' L-A-CO s r A-H ~iJ c?IV .S. Z. legal Description lot No. Subdivision Name/Number Unit No, Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work , SO. FT. #of Stories # of Bedrooms # of Bathrooms ,.P..+/2-T? 7)iJA.J Wlft.-L--S ~S IF" 2. CONTACT PERSON (If different from appllcant) Name Address 3. APPLICANT 0 Cont111ctor D Agent tor-'CofltrectOr -% Owner Name Address 6. CONTRACTOR~ COMPANY NAME- City 0 Agent for owner City State/Zip SUte/Zip Telephone# Fax# Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anv structure, prior to its issuance, also requires the applicant for such p11rmit to Me a signed statement that h11 is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commend·1ng with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for thl! 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 [$5001). Name Address City StatelZip Telephone# State license # _________ _ license Class _________ _ City Business License # _______ _ Des·,gner Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS• COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I havll and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation. as required by Section 3700 of the labor Code, for the performance of the work for wh·1ch this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any m11nner so as to become subject to the Workers' Compensation laws of California. WARNING: Fallure to sacure workers' compemetlon coverage Is unlawful. 8r1d ehall subject an employer to criminal penalties and civll finea up to one hundred thousand dollars ($100,000), In addition to the cost of compenaatlon, damages as provided for in Section 3706 of the labor code. Interest end attomey's fees. SIGNATURE _______________________________ DATE _________ _ 7, OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ).g" 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 tor sale iSec. 7044, Business and Professions Code: The Contractor's license Law does not apply to dn 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 intend11d 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). 0 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(sl licensed pursuant to the Contractor's license Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I {have / have notl signed an application tor a building permit for the proposed work. 3. I have contracted with the following person {firm) to provide the proposed construction (include name I address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work Onclude name / address / phone number/ contractors license number): _____________________________________________ _ 5. I will provide some of the work. but I have contracted (hired) tha following persons to provide the work indicated (include name / address / phone number / tYPe of work): _________________________________________ __,..--::,-------------- --,.ROPERTY OWNER SIGNATUR~ c----~ , DATE (.:<_ -,t,;. &JB -----------'COMPLETE TH Is: sec no N: FOR: NON-REBID sm'A.L: BU I LO iN b ',alM int Q · LY .. ,.:.··· Is the applicant or futura building occupant required to submit a busine s plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner azardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air ciualitv management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ·8, · • 'CONSTRUCTIONiLENDING A(JENCY : · I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097Iil Civil Codel. LENDER'S NAME _____________ _ 8, . A9PLICANTiCEIUIFI.CATION. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I egree to complv with all City ordinances and State laws rel111ting to building construction, I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is reciuired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null end void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned et any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). -APPLICANT'S SIGNATLrl'II!" __ ..,---.:;.,.......~==-"'"",. ---------------.---------------DATE f..2 -Lr,~ 'ff3 YELLOW: Applicant PINK: Finance PERMIT# CB984216 DESCRIPTION: BUILD WING WALLS CREATE WORK SHOP TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 12/21/98 IN GARAGE TO NO ELECTRIC ROCK GAR. STE: INSPECTOR AREA PLANCK# CB984216 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2807 LUCIERNAGA ST APPLICANT: ZEZELJ MILIVOJ CONTRACTOR: PHONE: 760 438-6866 OWNER: REMARKS: C/MIKE/438-6866 SPECIAL INSTRUCT: TOTAL TIME: CD 14 19 LVL DESCRIPTION ST Frame/Steel/Bolting/Welding ST Final structural ------------------ ------------------------------------ PHONE: PHONE: INSPECTOR ACT COMMENTS A( <v'\L ,,. J Ar _ __._ .......... _________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 2.Bo7 ,?t1/t!.,,/F~Nlt-C7,+ s;r.t2eFr . L>s:.-TA ILI!'~ IYG"W ?eo POST:D Plt-12.rt r/ON I IV C; fre A-S & I ! I 1 l I I ~A /////7777 T/ OIi(; C/I C y/ll!lt<. r 1 4 -'<.. P D00/2 /,6' (VVl/, >·V - <;,Ae/f c; c-. , I ~\ I --rhr '> p r•-1 .,_ 4 -\-o co .-fl LY 0\,..,/\q'j}-[ use i --~-++-- DEC 04 998 ('-l6 d ec__ cfl--I l CltyofCA ~~PT. ll.c/k BUILDIN ~ --·----------....., \) C')· . ,.. ,,, \ \ {A ..__ ~ ,,, () < l's> f'1 (-, -\': ~· '). ~ (') VJ I'-': Q I') ,( ' ' \ >-., '><. °" ~ <"'\ (0 /,\ ~ ~ 'l1 i ') "" ~ ., ,,.., I? \, ~ ':t: fl\ :t, i (:j -~ ';:\ I'!'\ ~ I'S J lfl ()~ ), ~ N ~ ~ () '>< G 11)! ui 0\ 'J>. ~ (~ r- " ~ ~"' ~ (\ ' \.) l\ I".) ,'ll ' .... ('I 'I :j\ r, ~\ \JI ..... \,1 ,. -..... . I 8 @ (.j D •f = sJ) \J C) " \ ' ~ ._.._ --~-- l I \_ __ j '