HomeMy WebLinkAbout2846 LUCIERNAGA ST; ; 82-513_MISC; Permit"' z 0 : :5 u ..
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D I hert.., affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and effect.
Lie No Class
I hereby alt.rm that I am exempt from the Contrac-tors license Law lor the following reason {Sec 7031 5
Bus1ress and Professions Code Any c,ty o• county which 'e-
QuIres a permit to construct. alter. ,mprove demolish o·
reoa1r any structure, prior to its issuance also requires the ap-~l,cant for such permit to !,le a s,g~ed statement that he ,s
1,censed eursuant to the prov1s1ons of the Contractor's
License Law I Chaoter g commenc,ng w,th Sect<on 7000 of
D1v,s1on 3 o1 tie Business a~d Protess1ons Gode) or that Is ex-empt therefrom and the basis for the alleged exemption. Any
vIolatIon ot Sec1,on 7031 .5 by an appl1can: foe a ~erm,t Stib 1ec1s the apol1ca~t 10 a civil penalty of nol more than five hun-
dred dollars ($5GO·,
I. as owner o1 the property or my employees with wages
as their sole compensation, will do the work. ana the struc-
ture 1s not intended or offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner 01 properly who builds or improves
thereon and who does such work himself or through his own
emoloyees, provided that such 1mprovements_are not intend-
ed or offered for sale. ii however, the buIld1ng or improve-
ment is sold within one year 01 completion, the owner·builder
will have the burden ot proving that he did not build or im-
prove for the purpose of sale)
[l 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 o! property who builds or Im· proves t!lereon. and who contracts for each pro1ects with a
contractor(s) license pursuant to the Contractor's License Law)
C As a homeowner I am improving my home, and the tallow-
ing conditions exist· 1 The work Is being per!ormed prior to sale
2 I have lived in my home for twelve months
prior to completion of this work I have not claimed this exemption during the
last thret1 years
□ lamexemptunderSec ______ ,B&P.C for this reason ____________ _
□ I hereby a!t1rm that I ha,e ace,i,f,cate o1 consen1
to self·1nsure, or a cer11t,cate of Worke,s
Compensa1,on Insurance, or a cer1,f1ecl copy !hereof
(5ec 3800, La~• Colrel (/ / ~
F'OLIC, NO 2 'l l_3 . ,_ _
CARLSBAD
1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
,ILDING DEPARTMENT APt"LICATION & PERMIT
JOBtODRESS. z. <-&' l/ t.o Llr
,l
' AV,,~_T. DATE ~ON "i"Z/'(~NS~, VALUATION '_;cRMI~ NUMBER
(""ONTRACT ,r.;, hO ,J ZONE S' \ 3 °:1"kii-~£ vtt!U. '4-·2-2°?1
?;~3°1Z/°l?;{~,erkle -.Jr.l.3;~~& ~3
PLAN 1.0. # BLDG USE CODE OWN::Sdm°ZS
LOT BLOCK I SUBDIVISION ASSESSOR PARCEL NO DESIGNER LICENSE# STANDARD PLAN# BUILDING sa. FOOTAGE
1r1,11'0•:t'!"'~K he~-e. {L/~ OESIGNER·s AOOAESS DESIGNER"S PHONE
-
CENSUS TRAC, l Ge LAND use l eARK,NG seAn
QTY. PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
-A,.-;i} I NO I ace GP j EDU ' 0 t,1._/'/ V ---------1 F/P FLA ELEV.I STORIES
RES UNOTS l GRADING f'.ERMIT ISSUED
YO ~ □
YO NO
I
REDEVELOPMENT
AREA
YO NO
/ :,,-r1 Ii-QTY MECHANICAL PERMIT -ISSUE
TYPE
CONST
3~
DCC LOAD FIRE SPA
YO NO Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
INSTALL FURN. DUCTS UP TO 100,000 BTU . BUILDING PERM_IT___ 01-00-00-8220 -
j
EACH BUILDING SEWER
EACH WATER HEATER AN □.:0R VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
r~-:.;, ~ ,; . BOILER/COMPRESS-OR U~~r3
1
~~.000 BTU ~ :~::~EHRE:
I
: ~;:~~:_:_~:~::~:~:+------,-, -----j
-~ER/COMPRESSOR 3.15 HP . --TOTAL PLUMBING 01-00-00-8222 / .-~
I--EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
--------·-----------
EACH INSTA~ .. ALTER, REPAIR WATER PIPE
I EACHVACUUMBREAKER _____ _
VENT FAN SINGLE DUCT . MECHANICAL 01-00-00-8224 I I
. __ ->-MECH EXHAUST HOOD/DUCTS M0BILEH0ME 01-00-00-8225
RH0CATtON OF EA FURNACE/HEATER . M0BILEHQME PARK INSP WATER SQFTNER
+EACH ROOF DRAIN I'NSI0E) __ ""' AA 0.1-llil:.IlD..:.B.226_
E ---------·.~~--_ _ --I..----..------~ TQT/;,L MECHANICAL l STRONG MOTION 80-92-33-0519
.---, TOTAL PLUMBING [ ___l_{J . •~ FIRE SPRINKLERS 01-00-0;~
---, /) u-,6' QTY. SOLAR_ ISSUE ~~UC FACILITIES FEE 32-09_·00~_ QTY. ELECTRICAL PERMIT -ISSUE t.:,?<.. -BRIDGE FEE -, --
SCHOOL FEE· DISTRICT
COMPANY e'iktfi_'-t/i: !~~.::. -
lll'_coo, "'""" ••'" '"""' /i! •• . ' I ! NEW CONSTEA AMPISWT BKR +-
□ Cer1,f1ed copy ,s hereby !urn,shed' • 1 PH 3 PH
COLLECTORS
STORAGE TANKS ------+--------,1----·Carlsba~ ______ 80-~2-_?J_-0519
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed ,f tne permit
Is for one hund1ecl dollars ($1001 or less)
D I certify that ,n the pertormance o1 the work for wh,cn 1n,s perm,t ,s ,ssued, I shall no1 employ any
person .n any manner so as 10 become sub1ec1 to
1he Wor,,;e,s Compensa.11on Laws o1 Ca1,torn,a
NOTICE TO APPLICANT 11, alter mak,n;i 1n,s Cert,
locate ot Exemption. you should become sub1ect t? tne Workers· Compensa.t,on prov,s,ons ot The Labor
Code. you must forthw,th comply w,tn such
provisions or th,s permit sna1I be deemed revoked
0 I hereby af!irm tnal 1ne,e ,s a conslruct,on
lend,ng agency tor lhe pertormance ol lhe work for
wh,ch th,s pe,m,t ,s ,ssuecl 1Sec 3097 C,v1I CodeI
Lenders Name ___________ _
--JI---------
EXIST BLOG EA AMP/SWT.'BKR ROCK STORAGE ----------Encinitas BQ-~l-tt9519 ----------1
lPH 3 PH PUMP --+---'--------+------,I ~ Dieguito B0-92-23-0519
~ REM00EL.'ALTER PER CIRCUIT
TEMPP0LE 200AMPS
L---1---'o--'v E R 2 00 AM PS
TEMP OCCUPANCY 130 DAYSI
__ J_ _____ _
---·+-----PLAN CHECK FEE ----+--------
--+----------11---t----
-+------------------
IL-San Marcos 80-92-24-0519
--l--
_ __, _____ __,,~ ---
---
TOTAL ELECTRICAL l TOTA[ SOLAR TOTAL FEES PAYABLE I 'f/t.~
. -,.---------------· -
1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION _ANQ P.~i~MIT,;, ANb OQ HEflEB_Y E)(J)iratton. Evetypermttis~u¥byth•BuilolngOfficialundertheprovisionsofthiS
CERTIFY UNDER PE,NALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~aJI expire by"'tim.l~n and beeome nult and-void." tMbOikfingffl'«:Jrf(·
DE~RATIONS ARB, TRUE AND CORRECT AND I FURTHER CEFIT1FY ANO AGREE IF A PERMIT IS auth~tzed ~ such ~m,1 19 not commenc¥ wtthin 180days ff'?~ the date of such
ISSUED: TO COMPLY WtTH ALL CITY, COUNTY AND STATE lAWS GOVERNING BUILDING CON-=~~ 1~_th• ~,:::1::g o~ work authorized by such per~it IS suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND 8 er he work IS commenced fOf
8
od of 180 ·
* AN~ P£RMIT IS AEqUIRED FQft EXCAVATIONS OVER 5-"o'· oeEP AND DEMOUTION OR CONSTRUCTION o,
STRIJCTURtS OYER 3 STOFUES tN HEKiHT
DATE
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Lenders Address __________ _ KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS,.COSTS AND~APPUCANT'S SIGN~T E lf, OWNER 0
EXPENSES Wf-llCH MAY fN ANY WAY ACCRUE AGATNST SAID CITY IN CONSEQUENCE OF THE , /
GRANTING OF THIS PERMIT. ~ BV PHONE 0
APPROVED BY~-
~ ,Q~t:,~ I \'2-q ~
--········ -· ... ···········-....... !J
,
' > ,
INSPECTION TYPE DATE INSPECTOR
BUILDING FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH INSULATION PRESTAESSEO
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING -
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND SHOWER PAN
GAS TEST PILES CAISSONS
ELECTRICAL
TEMPORARY POWER '
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING ----
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. ---JOB SITE FINAL -~ . ~
PLUMBING /", ..)~
ELECTRICAL -'< /
,
MECHANICAL ,, ,,
GAS I 'I A( -:
BUILDING .7 -V
SPECIAL CONDITIONS ' --~-
CERT OF 0C'"1JPANCY ISSUED
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~· ho..-..b"Y affirm that I am
provisions of Chapter 9 (com
section 7000) of Division 3 of
and Professions Code, and m
full force and effect
Lie Na Cla;1
I hereby affirm that I am exem
tractor's License L..lw lo, the folio•
7031 'i Busmess and Profess,ons
county which requores a perm,t
alter. improve, demohsh. or repa1
prior lo its ,ssuance also requ,res
such permit to hie a s,gned sta
hcensed pursuant to the pro~•s
tractor's License Law (Chapter 9 Section 7CXlO o! o,~1s,on 3 of the
fess,ons Code) or Iha! ,s exemp1
bas•~ for the alleged exemption Section 7031 5 by an ,1,pphcant for
me apphcant to a c1v11 penally ol n
hundred dollars ($5001
0 I. as owner of the property ,,,nth wages as their sole compen
work, and !he structure 1s not mten
sale (Sec 7044, Busmess and P,
The Contrac1or's L,cense Law doe owner o! proper1y who buolds or ,
and who does such wor1< h,msel! 01 employees. prov,ded tha! such , no! intende1 or o!fered for sale
building or 1mprovemen1 ,s sold w complet1on. the owner-builder will of proving that he did not build o purpose of sale)
O I, as owner of the property contrac!ing with licensed cont,ac
the proJec1 (sec 7°"", Business Code· The Contractor's License La·
!O an owner of proper1y who bu thereon, and who contracts for ea,
con!ractorjs) I,cense pursuant 10
License Law)
0 I am exempt under Sec
tor !his reason
D I hereby aH,rm tha1 I ha•e a cert to self-,nsure. or a cer11!1ca Compensation Insurance. a, a cert
(sec 3000. Labor Code)
POUCY NO w co • ?,t:)2.
COMPANY (J H 10 ~ A!> ~ 0""eooy ,s !fled w11h the city
D Certified copy ,s hereby !urn1s
CEATIFICATl OF EXEMPT
WORKERS' COMPENSATION (Th,s sec!,on need not be comple ,s lor one hundre<l dollars IS
0 I cert,!y tha1 ,n the per1ormanc
which this permit ,s ,ssued, I shal person ,n any manner so as to be,
the Wor1<ers· Compensation Laws
NOTICE TO APPLICANT 11. after locate of Exemp1,on you should t:,e, lhe Wor!\ers· Compensation provIs Code. you musl !or1hw,th co,
prov,s,ons or th,s perm,I shall be
0 1 hereby atfirm tnat there Iend1ng agency lor Ir,e per!orman
wh,ch this pe,m,I ,s ,ssued ISec
Lende< s Name _____ _
Lenders Address _____ _
"'
IN FROM
IISURANCE
ffi ,f the perm,t
JOI or less)
ot the worll !or not employ ar,y omt" ~ubIect to ,( Cal,torn,a
akm~ 1h,s Cen, :ome subIect 10 ms ol the Labor
ply ..,,th such ~emed revoked
a LOnstruct,or
i ol !he wor1< lc,r 'FJ7 c,,-I Cooe,
,.
CARLSBA_ BUILDING DEPARTMENT Al•t'LICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS .
A~i.T I D;;:'i,g:·:;7
BUSINESS LICENSE # VALUATION PERMIT NUMBER
::J<&</4' j_ 11 (2 1e RN 146 II c), ~ ',( 7.::, S;\ /
DWNEPRA N K -gUTL.eR_ 11.~:,.~·$.29~ 5~~"~;;, ft'R .'.vr,..,.l u.e,ic
CONTRACTORS PHONE !! ZONE L 49(
;7$5.3 -.;}~(
OWNER'S MAILING ADDRESS C II /Z,u; 13 ~ CONTRACTDA'S ADDRESS s . .n LICENSE NO. PLAN 1.0. # BLOG USE CODE
.:2 <g,¥(., I UC. ; ... 12. Al )'K.-, fr 9;J.oo9 &3VC. K/uerdQ.,/e q:1 I ::Jo 391,1,~3
LOT I BLOCK SUBDIVISION I 3s15i:!l":";ca'o0
;.. ., s -I') 7 DESIGNER STATE LICENSE# STAND:to.Ab PLAN'# BUILDING SQ FOOTA,GE
om;r1ow~J ~A I{ .. IA.In .&> (I hA··---n.-.v-DESIGNER'S ADDRESS DESIGNER'S PHONE
7
'------------------------F /P FLA ELEV NO DCC GP EDU STORIES
v □ "-C
CENSUS TRACl I GP LANO USE I PARKING SPACE RES UNITS f GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
,□ 'D ,□ ""□ vD NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7~o QTY MECHANICAL PERMIT -ISSUE -~.CJ,-, SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT -------
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT -----
;· ----------L a_~-----------
EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
-----------
EACH GAS SYSTEM 1 TO 4 OUTLETS ---j BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING Jc!)' <.70_
-----
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL ------------------------------
EACH INSTAI., ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
---------+-----
EACH VACUUM BREAKER MECH EXHAUST HOOO,..OUCTS MOBILEHOME
--------_, ---------
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
' --------~-----' -
EACH ROOF DRAIN IINSIDE:.I SOLAR
•-~ . --TOHiL MECHANICAL STRONG MOTION ' --
TOTAL PLUMBING : ID "'0 FIRE SPRINKLERS ------~: nn___
----PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR · ISSUE BRIDGE FEE
------>--------------
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT -------
I PH J PH STORAGE TANKS Carlsbad
-' -----------------
EXIST BLDG EA AMP.,SWTtBKR ROCK STORAGE Enc1n1tas ------------
I PH J PH PUMP __San 01eguI!? -___ ----------------.
REMO □El.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
--L_. -~ -----------------------L_ __ ------------
~-TEMP PO LE 200 AMPS _· ------------------------~------
I OVER 200 AMPS ------------s-------------------
TEMP OCCUPANCY 130 DAYSI ------r-------------------------~------------
' l -----------------
TOT Al ELECTRICAL TOTA.L SOLAR l$;o o o . TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED ·'APPLICATION AND PERMIT" ANO DO HEREBY Expiration. Every perm1t iuued by the Building Oflic1a! under the provisions of this * AN OSHA PERMIT IS REQUIRED FOFt EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void If the building or work 5· OH DEEP AND DEMOLITK>N OR CONSTFUJCTION OF"
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT JS authonzed by such permit 1s not commenced within 180 days from the date of such STRUCTURES OYER 3 STORIES IN HEIGHT permit. or if the buildi~ or work authorized by such permit is suspended or
ISSUED: TO COMPLY WITH ALL CITY, COUNT" AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv time a er the work is commenced for a --nod of 180 daus
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~~TS SI~ OWNER □ CONTRACTOR 1W APPROVED BY DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES. JUDGMENTS, COSTS AND .,,..< EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ BY PHONE 0 I ,o.2Sal GRANTING OF THIS PERMIT. , ~ . •
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., ' '~ INSPECTION TYPE DATE INSPECTOR
BUILDING
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE MASONRY CHECKED APPROVAL --GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING -· STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
SEWER AND BL/CO ' HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS --------·-·
PLUMBING TOP OUT ::;PECIAL MASONRY
TUB AND $HOWER PAN
GAS TEST PILES CAISSON:' --ELECTRICAL
TEMPORARY POWER --
ELECTRIC UNDERGROUND ----
ROUGH ELECTRIC
ELECTRIC SERVICE ' I
/1 -----BONDING
G. F. I. -SMOKE DETECTOR.
MECHANICAL --------------
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVEpr;11/ 1...,..,--------
JOB SITE FINAL ~ (..>,l\"'-~
PLUMBING ,'W I J ,,..,-
-ELECTRICAL ,.. 1/ --MECHANICAL .... Nn/-'-f-,..V,,r ----------
GAS ~9',,, }" ¥'I
BUILDING . ., ..., ~// -SPECIAL CONDITIONS .r ... • ,? -------------,
CERT OF OC"''PANCY ISSUED