HomeMy WebLinkAbout2850 LUCIERNAGA ST; ; 87-1044; Permit"' z 0 ;:: : ~ [al
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O I hereby atllrm that I am licensed under
prOYlalons of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Protaaalons Code, and my license 1s in
full lorce and effect
1 hereby atl,rm That I am exempr trom the Contrac
tor s License Law for the I0IIaw1ng reason (Sec 7Q31 S !
Bus,ness and Profess,ons Code Any c,ty or county wh,cr, re
qu,res a permit to construcl al1er ,rnprove demolish or
repa11 any structure prior to ,ts issuance aIso 'equ11es i~e ap
plrcant tor such perm,1 10 hie a s,qned statement that he ,s
I,censed pursuant lo lhe prov,s,ons of The Conrractor;
L,canse Law !Chapler 9 commenc,ng wrth Ser.toon 7000 of
Ow,sron 3 o1 tne Business ;rnd Proless1ons CDde; or thal ,s e,
empt There1rom and the basis for the allegeo e,empt,on Any
,iolat,nn ol Section 7031 5 by an applicant for a perm,I su~
,eels the apol,canI to a c,v,I oenaItv of not more than l,ve ~un
dred dollars 1$5001
I as owner of Ine property. or my employees w,lh Nag es
as the,r sole compensa\Ion, will do the worl< and lhe slru:
ture ,s no1 ,nlended or oflered lor sale !Sec 7044 Business
and Profession<, Code The Contractors License Law does not apply to an owner of properly who bu,lds or ,moroves
lhereon and who does such work h,mselt or through h,s own
employees. p,ovrdet:J \hat such Imorovements are nol ,11ena eo or o11ered lor sale If. however the buIldong or 1mprove-
menI ,s sold w1thm one year of completion. the owner-builder
w,I, have \he buraen of wovIng lhal he did nol bu,ld or ,m
orove lor lhe puroose of saleI
I as owner of The property am exclusively con1ractong
w•lh licensed contractors 10 construct the proIecI (Sec 7044
Busmess and Praless1ons Code The Contractor's License
Law does noI apply to an owner 01 property who builds or w,
proves thereon and who contr.icts tor each p,0Iects with a
con1rac1or(sI license pursuanl lo 1he Contractor's License Law)
As a homeowner I am ,mpro,,ng my home. a~d the '0II0w
mg cond,toons exisl
1 The worl< ,s being performed pr,or to sale
2 I have lived ,n my home lor twelve months
prior to compleI1on ol this work
I have not claimed th,s exemption ouring the
last lhree years
for t'h~~ r::~~t under Sec ~-----B&PC
I hereby attirm tha! I nave a cert1hcate o! consePt 10
self insure or a ce!t1f,cate ol Worl<ers Compensation In
surance or a c Ied cop, thereol 1Sec 3800. Labor Cede\
POLICY
CO ANY
Coo; Is f1 led w,th !he city
Cer\if1ed copy Is hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(This seci,on need nol be completed ,I ttie permII
Is lo, one hundred dclla's 1$1001 or l~ssl
_ I cert1•y tha1 ,n tne pe,rormance ol the wor~ for whIcn
This perm,t Is issued I sMII not employ any person In any
manner so as to become subIect I01ne Wor~ers· Comoen
sat,on Laws of Cahlorn,a
NOTICE TO APPLICANT 11 after mak,ng this Cert1J,cate
of E,empt,on. you should become subject to the Workers
Compensation prov,sIons of the Labor Code. you must
lorthw1th comply w,th such provIs10ns or this permit shall
be deemed revoked
_, I hereby aff,rm tha1 the,e 1s a cons1ruct,on lending
agency !or the performance of the work !or wh,ch this per
m,i Is issued ISec 3097 c,v,I Code)
Lenders Name
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.fl[). THOMAS BROS NO. 0
:a7iW~NI
)('NESSrr~·· #
VALUATION PERMIT NUMBER
~is() I UC 1 E Riv r:,, '\.; /,, 31,, ?' 1);1-
LOT BLOCK I suso1v1s1?,N,. j ASSE~/~l N~3c,--,__j5'~09 CONTRACTOR , CONTfl~TOR$_ f>liONE # • ZONE /OY// ' . ST Ar'l ~' ~ c::T,1-,ctt ,v:J ' -:ir~-~l7~ OWN'EA'S' NAME . OWNER'S PHONE
/lv',IZ f /'It RS (,-i,:i;<:,,1-Hf
. -. ,, . CONTRACTOR'S ADDRESS OC.Ejl:!,,f•.,/3; bf-STATE LICENSE NO. BUILDING SQ FOOTAGE
OWNER'S 6AILING ADDRESS --. , o~C::,0 ·p,, -:p-lWw(:.\\o--,--c:, f,vG 4'i,7~3~ \3
\~~if~:it'f E .. Q..~A~l'< · ~t::,..t~ ,;/\ . . 9'd-OO~ . DESIGNER DE SIGNE R'S PHONE .
!jfsc.Al'Pl'1bN:o ft' wY-··/.;,i-j''.} . -' . . ~-r •. • t .. . . . . .. . OESIGNER'.S.AOORESS .. STATE.LICENSE NO.
,-<r!\(1';( (' ·,. ,
·-'.,.:... /, . ;1 I:.' ;_,, d -.. --··_1~~-·-•-""~~--.
'ii) J.·6f£:;;,b; . " FLR ELEV NO OCC GP EDU
' 97;;1 STORIES
. vO ,□ 0016 12/?3 OJ..01 02BlcW11(-\:. .2··:,· ~ :., .' I CENSUS TRACT l PAF>KIN(~ SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD F'I RE SPF>
AREA CONST
,□ ' □ ,C ,□ vO NO Nor Valid Unlen M•chme Cemf1ed
QTY. PLUMBING PERMIT -ISSUE 722-QTY MECHANICAL PERMIT -ISSUE IS~ SUMMARY/ACCOUNT NUMBER
EACH 1-IXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU trnlLu,,rn ~•tRIV I I UU1 -i:j 1 u·u,rUU-uuu "/-
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00·00-8221
EACH WATER HEA TE: R ANU OR VEN I BOILER..-CUMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 ,L
EACH GAS SYSTEM I TO 4 OUTLETS BOILER:COMPRESSOR 3 15 HP TOTAL PLUMBING 00; -8 c 0-00-00-82 22
EACH GAS SYSTEM J OR MOKE 'viETAL FIREPLACE ELECTRICAL 001-8 '0-00-00-8223
EACH INST AL Al I ER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL o:, 1-810·00·00-8224
EACH VACUUM BREAKER MECHE XHAUST HOOD DUCTS MOBILEHOME 001-810-00-00 ·8225
WATE.R SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001-810 ·00-00-82 26
FACH R(l(]F f")RA1); 'J5I['.,;: I DRYER VENT STRONG MOTION 880-519-92-33 • ,:::: 0
TQTi'...L MECHANICAL FIRE SPRINKLERS 001-81 0-00-00-8227
TOI Al Pl\JMBINL I PUBLIC FACILITIES FEE 320-810-00-00-87 JO
BRIDGE FEE 360-810-00-00-87 40
QTY ELECTRICAL PERMIT -ISSUE s _s;;,5.2.. QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA I
NEW CONST EA AMP Slf. l 1:!KR CAR PORT TIF 312-81 0-00-00-8835
I PH J PH AWNING LA COSTA TIF 311-810-00-00-8835
EXIST 1:!LDG lA AMP SWI lJKR GARAGE FMF
lPH 1 PH LICENSE TAX Q:J1 -810-CO-OC-8 · 62
REMOOFL AL ltH PtR CIRCUIT MFF 880-519-92-57
lEMPPOIE JOO AMPS
OVER 200 AMPS
TEMP OCCUPANCY 'JO OAYSI
. CREDIT DEPOSIT
Jill AL tllLTRl(.Al I ~OT Al TOTAL FEES PAYABLE I 29. ~l)
' 'ExpiratiOO Ewry permit iewed by the Building OH,c1al undl!r the PfOY1s1ons ofth,s ·---.. . . . .
t HAVE CAREFULLY EXAMINED THE COMPLETED ··APPL\CATlON AND PERMIT" ANO DO HE~EBY * AN OSHA PEAM:l IS fiE0UtFIE0 fOA EXCAYATK>NS OYER
CERTIFY UNDER.PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE COde shall expire by limitation and become nulrand vokl II lhe building or work 5· O" OEEP ANOOEMOI..ITJON OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND! F\JRTHER CERT1FY ANO AGREE IF A PERMJT I& authorized by such permit 1s not commenced w1lh1n 180days from the date ol sucti STRUCTURES OVER 3 STORIES IN HEIGMT
ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUlLOlNG CON-::!in~ 1~11~v bliu,;!:·~.ith:~!r:utc0i:~~l~~~~ r~~d1~1s~:ge_?_ded or
STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE !NOEMN!FY AND Lr CONTRACTOR 0 API ~o '°"'-a DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS A~VL CA~IGNATURE .__,.; OWNER[] '/-. 'J-u,d . A. ,, --11~itt7 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH '\JV\ '-..::1 "-BY PHONE fJ GRANTlNG OF THIS PERMIT. J ~ ~ ) _/ v•''"'' -
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TYPE I DATE INSPECTOR
BUILDING I '8; 7 ~ ; o lf '--! '
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEl,ING SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME I
FOUNDATION INSP
~----------~
EXTERIOR LATH ' I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ' PRESTRESSEO
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED ' ' CONCRETE
PLUMBING ' FIELD WELDING
□ SEWER AND BL/CO CJ PL/CO
UNDERGROUND □ WASTE □:WATER
..
Hl(]H STREI\/GTH
BOL Ts
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN ' GAS TEST ' ' PILES CAISSON~
□ WATER HEATER □ SOLAR Wll'.TER
I --
ELECTRICAL ' ' □ ELECTRIC UNDERGROUND DUFFER
-ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPQRARY -
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING ·----~·
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
i
ITEMS ABOVE HA ~E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
I A'6 v.l ,:,,, JoUlll!tt, 'i, ..J_ f•~ c,.f--];""8 ,0 I
o-,. 1,1 . Sc..,r-e...,,... .. I BUILDING
SPECIAL CONDITIONS