HomeMy WebLinkAbout2814 LUCIERNAGA ST; ; CB961101; Permit8 U I ,., D I N Ci P E H M I T Pt=-1nat Ne: '3Cfbllf .1.
J6/17/9b 14:J4
PcHJE" 1 of 1
Job Acl'lres~: 2b14 ~UCIERNAliA ..;T
Permit 7ype: MECHANICAL
Parcel No: 215-jt0-12-oo
Valuation: 0
Proiect N,1: A96J1c-1:
Deve~opment Nu:
Lot#:
Constructiun "yp@:
Occuµdncy Group: Reference#: Status:
App!ie~l:
NFw
ISSIIED
06/17/9t>
06/171'3t,
RMA
Description: ADD A/C TO EXIST SYSTEM W/ELEC
Appl/Ownr : M.A. LEWIS HEATING & dlR CC~D
P.O. BOX 0754
LEMON GROVE t"A
Fee~ Required
Fees:
Adiustment::::
Total Fees.
Ff_e description
Enter 'Y' for Mecha1 ~
Install Furn/Ducts/
Other
* MECHANICAL TOTAL
**It.
91946
619 561
Apr/Issue:
Entered By:
920~
SC 72 06117 /96 0001 01
C F-,MT
<:oller.ted & Credits
0.;
.00
.Ou
44.00
Ext fc=-e Data
15.JJ Y
9.00
20.00 ELECT PERM
44.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION (9 . . PLAN CHECK NO. l /{ o I
City of Carlsbad Building D-rtment
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438·1161
I. PFJlMii IYPE
From List 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ _
Net Los.v'Gain of Dwelling Units
2. PROJF.C'f INFORMATION FOR OFFICE USE ONLY
Address~ '6' l q /.., '\.) c. 1 t::·P, II.) ft°i, i-) -c;;1Buudmg or Suue No.
Nearest Cross Street
LEGAL DESCRIP I ION Lot No. Subd1v1S1on Name/Number Ontt No. Phase No.
ctt8B~t\; SOBMII IEU:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
ASSESSOR'S PARCt;I.
DESCRIPTION OF WORK A tJ JJ
# OF Sl'ORIES # OF BEDROOMS # OF BATIIROOMS
I
NAME (last name fint) ADDRESS
QTY STATE ZIP CODE DAY TELEPHONE
4. APPIJCANI ;at.1JNIRACIOR , UAID-,Nf)pkWNIRACIOR DOWNER DAGEN I FUR OWNER
NAME (last name fint) /..l:WI > //'/. TT , ADDRESS 'j)C> 6) )( 07 .S <j
ClTYl,.aw)wC1ov1., STATE · Zl;CODES/91./ DAY TELEPHONE Sbl-7 Zo 5
NAME (last name fint) Y}t) 1 I f:;'(2.__ .OflVi D ADDRESS ,;rt) I.{ LUC.I /.:f'{l,(\) ti) /'.)--S /
6. ~~ ]M✓ < STATE ~ ZIP CODE 7'.2,0c, ~ DAY TELEPHONE L/3 p;-.. I bh f'
NAME (last name fint) l..i:w 1 ~ !YI. A ADDRESS P.o . pox O 7 5 ,.;
c1TY \.,l::rnow Gf'o0i sTATE (fe z1pcomA194L:> DAYTELEPHoNE Sbl 9LO s
STATE UC. # ,!,7 '/"}../,, '7 LICENSE CLASS C.-2...b CITY BUSINESS UC. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE
7. WoR.RF.kS' WMPENSA I ION
Workers• Compensauon Ueda ration: I hereby affirm that I have a certificate of consent to seif-msure issued by the Director oi 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 ~) CbW? POLICY NO. W'i5 .-1 ~~!RATION DATE
□
□
□
Owner-BulJder Declaration: I hereby alhrm that I am exempt from the Confradofs Llcense Law for the ioiiowmg 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 License 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 Profes~:.ions
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(s) licensed pursuant to the Contractor's License law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.S 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 permit 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$S001).
SIGNATURE DATE
CoMPLE IE I ms SECI ION FOR NON-RESIDEN I IAL BOIIDING PERMI Is ONLY:
ls the applicant or future building occupant required to submit a busineM plan, acutely hazardous materials registration form or risk management and
prevemion program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Subsra:nce Account Act?
□YES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS AREYES, A FINAL CERTIFICATE OF OOCUPANCY MAY NUT BE ISSUED AFTER JULY I, 1989 UNLESS 11m APPLICANT
II/IS MET OR IS MEETING 11m REQUIREMllNTS OF 11m OFFICE OF EMERGENCY SERVICES AND 11m AIR POIL\J110N CONTilOL DlSl'RICT.
9. WNS I KOCI ION LENDING AGENCY
I hereby affirm that ffiere lS a construction lending agency for the peHormance of ffie work for which thlS permit lS issued (Sec 3097(1) C.vU Code).
LENDER'S NAME LENDER'S ADDRESS
JO. XPPUCAN I CElllMCAIION
I certify that I have read the apphcation and stale that the above mformallon 1s correct. I agree to comply with ail City ordmances and Slate 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 Al50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE CITY OF CARL9IAD AGAINSI' ALL LIABILITlllS, JUDGMENTS, <XlSl'S
AND EXPENSES WIIlCH MAY IN ANY WAY Aa:RIIE AGAINSI' SAID CITY IN CONSEQUENCE OF TIIE GRANTING OF nus PERMIT.
OSHA: An OSHA permit is required for excavations over 510" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official u er the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit i n com ced within 365 days from the date of such permit or if the building or work authorized l;,y
such pennit is suspended or abandoned .,..,.,,.me a the work is commenced for a period of 180 days (Section 303(d) Unifonn Bui din,,;..-,,,,.
APPLICANTS SIGNATURE ' DATE:.«· 4-''4<..L..V
Fmance
PERMIT# CB961101
DESCRIPTION: ADD A/C TO EXIST
TYPE: MECH
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/21/96
SYSTEM W/ELEC
INSPECTOR AREA
PLANCK# CB961101
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2814 LUCIERNAGA ST
APPLICANT: M.A. LEWIS HEATING & aIR COND
CONTRACTOR:
STE: LOT:
OWNER:
REMARKS: MW/MR. MILLER/438-1668
SPECIAL INSTRUCT: PM ONLY PLEASE CALL
TOTAL TIME:
CD
49
LVL DESCRIPTION
ME Final Mechanical
------------------------------------------------------
PHONE: 619-561-9205
PHONE:
PHONE:
INSPECTOR --,7<-~~....,--------
ACT COMMENTS ~ 4-----
_____ !\L1/
0 . J
***** INSPECTION HISTORY***** ',y
DATE DESCRIPTION ACT INSP COMMENTS-
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