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HomeMy WebLinkAbout2830 LUCIERNAGA ST; ; CB971702; Permit' ,, fi~AL APPROVAL ' "~~u.;.._ DATE \( ->"-1 t CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 / 'ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1, PROjECT INFORMATION ,1 ,'.:} 'Z J o L Y (., 1 [ t: (!-'nG ft Address (include Bldg/Suite #) (1A Business Name lat this address) Legal Doscrlp'_,A ef2 1 s 01 c4, No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # o,,ct( ?,___ixisting Use Jr Proposed Use Description of Work ~ SO.FT. #of Storiu I of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax# ti; • • APPi.i CANT • 0 liiiriiii~i:i'"lJ''lge/ltloreillliii~□~ir;)t0 .l;lioillliii~•,s:R'•"'=''"i'!''l'ili'0l".fi'1!S';''\' . .,. " (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit 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, commending with Section 7000 of Division 3 of the Busineu 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 permit subjects tha applicant to a civil penalty of not more than five hundred dollars ( $5001). Name Address City State/Zip Telephone I State License I _________ _ License Class ________ _ Ctty Business License I _______ _ Designer Name Address Ctty State/Zip T8'ephone State License I _________ _ 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury ona of the following declarations: 0 I have 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 which 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♦1001 OR LESSI O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is iasued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to Hcure workers' compensation coverage II unlawful, and 1h10 subject an employef to crlmnll penalties and cMI fines up to one hundrad thousand dollar• 1$100,0001, In addition to the cost of compensation, damages u provided for In Section 3708 of the Labor code, Interest and attorney'• fees. SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION ,,. ,,,,,,,:;:::, :t,,c: : , !":-: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: sS , I, as owner of the property or my employees with wages as their sole compensation, will do tha work and the structure is not Intended or offered for sale 1,s';'c. 7044, Business and Professions Code: The Contractor'• 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 ownar•builder will have the burden of proving that he did not build or improve for the purpon of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Profe1sions 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 Licmn Law), D I am exempt under Section ______ Business and Professions Code for this reason: .Q personally plan to providt the major labor and materials tor construction of the proposed property improvement:J?f YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with tha following person !firm) to provide the proposed construction (include name / 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 !include name I address / phone number/ contractors license number): ____________________________________________ _ 5. I wlll provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated Unclude name/ address/ phone number/ type of workt:, __________ --7' J.,.-,=--,fl-----------------------,,---,,,----,,--.--,,,-------- Is the applicant or future bl.Mldlng occupant required to submtt a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26506, 26633 or 25634 of the Presley-Tanner Hazardous Substance Accot.mt Act7 D YES D NO Is the applicant or future b1.llding occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O 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 POUUTION CONTROL DISTRICT. ,a. , ' coNstlliiCTioM I.ENDINiiiJ.iiENc\' ':.'"~"'~'''"' '"' ,..:; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued !Sec. 3097111 Civil Code). LENDER'S NAME ____________ _ LENDER'S ADDRESS ______________________ _ ig; APPLICANT cERTiFICAtiON ?H,\'."/·':-'".-.~·n-r~:c.'-'.'~~:;?:-«r,~,i~.~:r,_;r,0:7:!,"iamr,,,~~•1~-:r.:tt·~~q ;a:::(,/;""'f;'la',;;!"'r:1.:::~~:f .... "'l::<;::r:r;-1:Tt.~~:":.!1:""'.:~o;:::;·~ ·--· I certify that I have read the application and atlte that the above Information ls correct and that tha Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize repreaentativH of the Cltt 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 UABllffiES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over s·o• dHp and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Bull Ing Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comm ced within 365 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after ttlJJt:J"'.11""-i='!lnmenced for a period of 180 days I Section 106.4.4 Uniform Building Code). DATE .2 V '"'-"Tr",,::,,-_ Vt:•' f"'IU•. fl.,.,,;,.,.,,.,, C,11\IV, 1::;..,,..,,..,. PERMIT# CB971702 DESCRIPTION: BALCONY DECK TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 04/02/98 W/SLIDER 144SF JOB ADDRESS: 2830 LUCIERNAGA ST APPLICANT: MEYER, FRANK CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB971702 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 929-2819 REMARKS: C/KATHY/929-2819 PM PLEASE SPECIAL INSTRUCT: INSPECTOR /J F ------------ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 14 ST Frame/Steel/Bolting/Welding ~--------------- ~=-----~----- DATE 070197 062697 ***** INSPECTION HISTORY***** DESCRIPTION Frame/Steel/Bolting/Welding Ftg/Foundation/Piers ACT INSP AP DC AP DC COMMENTS