HomeMy WebLinkAbout2856 LUCIERNAGA ST; ; 87-1047; Permit., z 0
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O I hereby affirm that I am licensed under
PfOYlslona of Chapter 9 (commencinQ with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s 1n
lull force and effect
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I hereby aflrrm that I am exempt from the Conlrac
lor s License Law tor the 1ollow,ng reason 1sec 7031 5
Busmess and Professions CDde Any crly or county wh,u, re
Quires a perrnll 10 consiruct alter ,mprove dernoIIsh. o·
repa,r any struclure. or.or lo ,1s issuance also requires :he ao
plrcanl 1or such permit 10 tole a s,9ned statement ma1 he 11
I,censed pursuant to lhe provIsIons 01 the t,oniracior s License Law !Chapter 9 commencing wrlh Ser:,on 7000 ol
Division 3 ol me Business and Professions Coder or thal ,sex
empt therefrom ,ind the bas,s 1or !he al!egeo e~emp11on Any
viola11on ol Sec11on 7031 5 by an applicant for a per'TI1I sub 1ecls the applicant lo a c1v11 penalty ol not more than i.ve hun
dred dollars [$5001
I as owner ol the p1operty. or my employees ,.,,th wages
as 1he1r sole compensahon w111 do the work and me struc
1u,e ,snot 1n1enaed or ollered for sale !Sec 7044. Business
and Profession~ Code The Contractor s Locense Law does
sol apply 10 an owner ot property who tluilds or improves
Theieon aoo who does such work h,msell or lhrough his own
employees. prov,ded That sucn improvements are not intend-
ed or otfered lor sale If, however. The Ou1ld1ng or 1mprova
'l1enT 1s sold w1th1n one year ol completion_ lhe owner-builder
will have the burden o1 proving lhal he did not build or 1m
orove tor the purpose of sale1
I, as owner o1 the property. am exclusively con1,ac1mg
w1\h licensed contractors to cons1rucl lhe pro1ect (Sec 7044 Business and Proless1ons Code The Contraclor·s license
Law does not apply to an owner o1 property who builds or 1m proves thereon_ and who contracls lor each pro1ecls with a
con1racto!(S) license pursuant to the Cor.traclar's License Law)
As a homeowner I am 1mprovmg my home and the to11ow
mg cond1tmns exist
1 The work 1s being perlormed prio1 to sale
2 I have lived 1n my Mme for lwelve monlns
pr,or to completion of lh1s work
I have nol claimed this e,empt1on durong lhe
lasl three years
lor /h~~r~:~~tunderSec _____ _ B & PC
I hereby affirm that I have a cert1l1cate of consent 10
sell insure or a cert1f1cate of Workers Compensation In
surance or a certd1ed cooy the,eol 1Sec 3800 Labor Codel
POLICY NO
COMPANY
Copy 15 tiled Wllh the city
Cert,lied copy ,s ~e,eoy furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th1s section need not be completed 1t lhe permit
1s lor one hundred dollars ($1001 or less)
_: I cert,ty that ,n the performance ol tne wor~ for which
th,s permit 1s ,ssued. I shall not employ any person 1n any
manner so as to become subject to the Workers· Comoen
sat1on Laws ol Cal1fom1a
NOTICE TO APPLICANT If, after making this Certil1cate
or Exemp11on you should become sub1ec1 to the Workers
l Compensation pmv,s,ons of the Labor Code. you must
forthwith comply with such prov,s1ons or th•s perm,! shall
be deemed re~oked
il ~ I ~ereby aff,rm that there 1s a construct,on lending
agency 1or the performance ol 1he work ror Nh1ch this per
m,t 1s issued 1sec 309? C1v11 Code)
Lender s Name
Lenders Address
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOS ADDRESS '. A.V. ST. RD. THOMAS BROS NO. DATE OF A.f>PUCATtON BUSINESS LICENSE # VALUATION PERMIT NUMBER
~<;fer L, '<:!..I G.f't.N.o. "'-"' / ..2--,67,/[; ..,,LJ} I ":Jif f7 ..
COT BLOCK I SUBDJVISl.~N I ASSESSOR PARCEL NO ~;NB:::Th J ~ •• ~ CONTFIACJORS PHONE # ZONE c5? 1:f-3~0-;;s-/:;z, '17:i .:-i. / 7;=2-t OWNER'S NAME I OWNER'S ft'HONE
lk',--·-A...,, ZMAtJ...½ Ll,,,'1 l'Y'I CONTRACTOR'S ADDRESS oc.s.Af.Js.\~ S'lATE U9ENSE NO .. BUILDING SQ FOOTAGE
,,. I 'P,,.,. A 7: . ·-"""--··"' W€ . 1 ... ~. g,13.
owNER'$;MA1L1NG AoDi,ess JV ,..,L~
:.-.A . ...__,# l::·--·•··-· -. L.:_ .... e~ ............ ~---DESIGNER OESIGN-E".:. PHONE
• , .
OESCRi'N"fONvQF'WORK, --.. <.:! """ ~ V ~ •' • $ • . .. . . .. OESlGNER'S AOORESS STATE LICENSE NO.
l~x ,o---. Ir& }f/4?1/ >'-~ ~QJ,-,.<.-6" ,it:>.L\.\\ ..... (';1.Y!_ ·:).=:t:" -.-:,,.~ ?'S· .. ~:-.-. ' ' FLR ELEV NO ace GP EDU 1);)16 12/23
STORIES , . y[J "'LJ ! CENSUS TRACT I PAPK IN(j SPACE RES UNIT$ GRADING PERMIT ISSUED ! REDEVELOPMENT TYPE OCC LOAD FIRE SPF>
AREA CONST
,□ 'D -□ .... o YO NO Not Valid Unless M4chme Cemfled
QTY PLUMBING PERMIT -ISSUE ·7~ QTY MECHANICAL PERMIT -ISSUE •.5-':5-/ . SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INST Al L FURN DUCTS UP TO 100.000 BTU tlUIUJINLl ~'l:.RMII UU 1-1:J 1 U-vu -vu -o,: ,:u . ./,'-7
EACH BUILlJING SEWER OVER 100.000 BTU SIGN PERMIT 001-81 0-00-00-8221
EACH WAHR HEATER AND OR VENT . BOILER·COMPRESSOR UP TO 3 HP PLAN CHECK DO 1-810-00-00-8891 /1/i
EACH GAS SYSTEM l l O 4 OUTLtTS . SOILER.COMPRESSOR 115 HP TOTAL PLUMBING 80 ·. -810-00-00-82 22
EACH GAS SYSTEM ':i [JR MO Rt MFTAI FIREPLACE ELECTRICAL DO' -810-00-00-82 23
EACH INSTAL AL TE.A. HEPA IR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS M081LEHOME 001-81 0-00-00-8225
WATER SOFTNER RELOCATJON OF E:A FURNACE.HEATER SOLAR 001 -810-00-00-8226
EA[H R()Uf URH 'Ii : 'JSlnF, DRYER VENT STRONG MOTION 880-519-92-33 .,,;v
TOH-il MECHANICAL FIRE SPRINI\LERS 001·810-00-00-8227
TOI Al Pl UMBINC I PUBLIC FACILITIES FEE 320·810-00-00·8740
S<fa BRIDGE FEE 360-810·00·00·87 40
QTY ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (i'IREA '
NE:W CONST EA AMP SW! BKH CAR PORT Tlf 312-81 0-00-00-8835
I PH I PH AWNING LA COSTA TIF 3 ·11-810-00-00-8835
t:X1ST BlOG EA AMP SWT BKR GARAGE FMF
I PH "1 PH LICENSE TAX 001 -s, o-o:H~·-s 182
RE.MODEL AL TtR PrR CIRCUIT Mff 880-519-92-57
TEMP POLE JOO AMPS
OVER }[JU AMPS
TEMP OCCUPANCY ·30 DAYSI
CREDIT DEPOSIT
TnlAL fLU.IRll:Al I 101 Al TOT AL FEES PAYABLE I _21 5(.)
• C Expiration. Every permit issued by the Budding Olfic1al.under'1he pro111s,ons oftt'l1S l HAVE CARE FULL y EXAMINED THE COMf'LETEb '"APPLICATION AND PERMlr A'No DO HEREBY * ANOSHA-PEFN.'l ISAEQUIREOFOflEXCAYATIONSOYEA
CERTffY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code $hall expire by lim_1tat1on and become null and void If the buildrog o, work 5· o·· DEEP ANO DEMOUTION 0A CONStRuCTK>N Of
DECLARATIONS ARE TRUE ANO CORRECT AND I FUATHEF! CERTIFY AND AGREE lF A PERMIT IS authorized by such perm1t is not commenced w1thm 180 days lrom the date ol such STFlJCl'\JRES OYER 3 STORtES 1N HEIGHT permit. or if the buU~i~-or work authonzed by such permit 1s suspended or ISSUED: TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-abanOOned al anu 11.fne. r the work 1s commenced !or a --nod of 180 d--
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND /~, OWNER[] CONTRACTOR 0 APPABY ' ( ) DATE// KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND A PLIC TS:;;,,,_~
EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~--'~.,. 114fdifl GRANTING Of THIS PERMIT BY PHONE [J /.# ~.,,,-
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEIL!.ING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO ~ PI..ICO
UNDERGROUND □ WASTE □1WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMP(!)RARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPEC7'/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
----X 1-·' : } ...__:, I
FIELD !NSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE:
OVER 2000 f-'SI
PRESTRESSED
CONCRETE
POST TENSIONED
CO~CRETE
FIELD WELDING
-----HIGH STRENGTC"'
BOLTS
SPECIAL. MASONRY
I
FIL.ES CAISSOr--.S
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