HomeMy WebLinkAbout2847 LUCIERNAGA ST; ; CB921052; PermitC((:/f /oft
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APPROVAL
I NSP. --'--------DATE s/4,AJ
CLEARANCE _____ •
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Departaent
207S Las Pal..,s Dr., carlsbad, CA 92009 (619) 438-1161
I. P£RMII IIPE
A -U Commercial
B -□ Industrial
C -)(Residential
U New Bu1@mg LI lenant Improvement
□ New Building D Tenant Improvement
D Apartment U Condo □ Single Family Dwelling □ Addition/ Alteration
□Duplex □ Demolition
□ Mechanical □ Pool
U Relocation □ Mobile Home U Electrical D Plumbing
□ Spa ~etaining Wall □ Solar □ Other
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Budding or Suite No.
CHECK BEWW IF SUBMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PABCEI. F.XJSJJNG USE
DE~ONOFWORK fe,f,:;i.,,,_,,,~ (;Val( PROPOSED USE
/4. IT. 2.._ < J #,(jF STIJRIES
3. WN IACI PERSON (I( dlliereni from appJJcanO
AME
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
UWNIRACIOR □AGENI FORCUNIRACIOR DOWNER UAGENI FOR OWNER
ADDRESS
STATE ZIP CODE DAY TELEPHONE
Lo w 1'11 &/ ..... ADDREss Z..'81/7 Luct'f",,.,,,_,'if"'7 ~r
STATE Cll ZIP CODE 9 '2.00 J DAY TELEPHONE lf r/ -// s-r
NAME
CITY
CITY
STATE
STATE UC.#
STATE
7. WUkK£ks WMPRNSAIION
ADDRESS
ZIP CODE
LICENSE CLASS
ZIP CODE
DAY TELEPHONE
CITY BUSINESS UC. #
DAY TELEPHONE STATE UC.#
Workers' Compensation Oeclarauon: I hereby aUlrm that I have a certUlcate of consent to self.insure issued by the Director 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
Cert.1hcate of Exemptmn: I certify that m the performance of the work for which chis permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNffi-BOIIDRk DFliAKAIIDN
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the following reason:
D 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.).
D 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).
D 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 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 Llcense 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIIRE DATE
COMPLEIE IRIS SEC I ION FUR NUN-RE:SIDEN IIAL B0IWJNG Pf:RMll'S ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form 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 permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF THE ANSWERS ARI! YES, A FINAi.CERTIFiCATE OF CXIlJPANCY MAY Nar Bl! ISSlll!D AYrnR JULY 1, 1989 UN1JlSS THE APPIJCANT
HAS MET OR IS MEETING THE RF.QUIREMENTS OP TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POU.IJTION CDN11«JL DISTRICT.
9. WNSIR0CIION IJ!NDING ACF.NCI
I hereby afhrm that there 1s a construcuon lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1} Civil Code).
I.ENDER'S NAME LENDER'S ADDRESS
IO. APPllCAN I CRk IOICAIIDN
I cemfy that I have read the apphcat1on and state that the aOOve miormauon 1s correct. I agree to comply with all 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 AI!'D AGREE TO SAVE INDEMNIFY AND KEEP IIARMIJlSS THE QTY OP CARISBAD AGAINST AIL UABILITIES, JIJ1JGMENTS, CDSTS
AND EXPENSES W>IlCH MAY IN ANY WAY ACCRUE AGAINST SAID QTY IN OONSP.QIJENCE OP THE GRANTING OP nns PERMIT.
OSHA: An OSHA permit is required 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 and 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 abandon t any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: _____ _
YEU..OW: App 1cant PINK: Fmance
. I -
D,\1'E s/2 I/"'.. 3 I ? J/
UNSC!IEPVT,f;R IlfSPr::c;::r:r:01{ //
INS PECro11--,,,..£.;.;"""''-=~---;;a~-::-----
PERMIT~ --------c 6 12 / tJj-:z._
PU\NCK ~ <g 7;;, ;&J..o~
JOB ,\DDRESS _____ Z=8c...'fc..7.,__,._; ,..u""C."'-IE'..:.-,._(,t,l""ll~'l--4"-'---------------
TI!ill ARRIVE: ______ TIHE LEA VE: ______ _
CD LVL DESCRIPTION
!?lill.'ll TS
G/15/09
----:-.
/\CT CO!Il1ENTS
,
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB921052 FOR 10/23/92
DESCRIPTION: 225 SF PER SPECS
TYPE: RETAIN
JOB ADDRESS: 2847 LUCIERNAGA ST
APPLICANT: LOWMAN, MICHAEL
CONTRACTOR:
OWNER:
REMARKS: MH/MIKE/431-1159
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA TP
PLANCK# CB921052
OCC GRP
CONS R. TYPE NEW
STR: FL: STE:
619 431-1 59
CD LVL DESCRIPTION ACT COMMENTS
6~ MA __ F_i_n_a_l_M_a_s_o_n_r_Y ________ ~}> -~--.,,,--17 ___________ _
------------------
------------------
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
101692 Footing AP TP 5'4 11 MAX WALL HT
101592 Footing co TP SAME CORR.,CONF
101492 Footing co TP
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PLANNING OiECI<Llsr
Plan Check No. csCf?:toXI.Address 2 6 L/7 l-ll C/612.A//}(J/J qcr.
Planner VAN LYNCH Phone 438-1161 ext. 4325 -------(Name)
APN: -------------------------
Type of Project and Use ~ G/twNIJV(; Wb/L
Zone fl -I Facilities Management Zone _...._6..,''-----
Legend
Item Complete
Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
l'.'.SJ...-Ef o Environmental Review Required: YES -NO K TYPE ---
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
!ZYC] 0 Discretionary Action Required: YES _ NO .PS.. TYPE __ _
Co/60
APPROVAL/RESO. NO. __ _ DATE: _____ _
PROJECT NO. ___ _
OTHER RELATED CASES: ____________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
California Coastal Commission Permit Required: YES _ NO~
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _______________________ _
ct6o
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Landscape Plan Required: YES -NO L
See attached submittal requirements for landscape. plans
Site Plan:
1.
2.
3.
4.
Zoning:
Orr;. 1.
2.
3.
4.
Additional Comments
'
Provide a fully dimensioned sire plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width and
dimensioned setbacks.
Show on Site Plan: Finish floor elevations, elevations of finish grade
adjacent to building, existing topographical lines, existing and proposed
slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front: Required Shown
Int. Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Lot coverage; Required Shown
Height: Required L6r Shown ~/7' lt
Parking: Spaces Required Shown
Guest Spaces Required Shown
'/J/ r.1:NCr:;-; '/,v ,Q£ L---
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oK ro IssuE AND ENTERED APPROVAL 1NTO coMPUTER l) i.yt .).__ DATE lo , s-.J/ 2...
PLNCK.FRM
------·····-·-····
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER cB92-l()S2 DATE _S=. ----=C=l,~ ..... '-1 _-..... ~J""'L..__ ____ _
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL
( < $10,000.00)
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER _____________ DATE _______ _
DATE _______ _
C:\WP51 \FILES\BLDG.FRM Rev 11 /15/90