HomeMy WebLinkAbout2860 LUCIERNAGA ST; ; 87-1045; Permit., z 0 ;: .. a: .. ~ u .. 0
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D I hereby affirm that t am licensed under
provisions of Chapter 9 (commencing with 1
Section 70CN)) of Division 3 of the Business
and Proteaalons Code, and my license 1s in
full force and ellect
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1 hereby alf,rm lhat I am e,ernpt from lhe Conrrac 1
tor's License Law tor me followrng reason (Sec 7031 5
Business and Proless,ons Cooe Aoy c,ty or county whrcr re Qu•res .i perm,1 to construct alter ,mprove. aemol•sh O'
rep,m any structure pr,or lo ,ts ,ssuance also 'eQuires !heap
0I,cant tor such perm,t to hie a s,qned sratemenT that he s
t,censed pursuanl to me provIsIons of lhe conlranor <,
L,c,mse Law iCMpte, 9 commenc,ng wrlh Section 7000 ot Qi,rs,on Jot The Bus,ness and Pro!ess,ons CWei or that ,s e,
empl therefrom and Jhe bas,s for lhe allegeo exempT,on Any
v•olat<on ol Sect,on 703 l 5 by an .iopl,cant for a perm,t sub
1ects lhe aopl,canT to a c,v,I penally of noT more lhan five hun
d•ed dol•ars 1$5001
1 as owner ot lhe property. or my employees w1lh wages
as their sole compensat,on will do IM work and the slruc lure IS not rntendea or oflered !or sale (Sec 7044 Business
and Proless,ons Cooe The Conlraclor's License Law does
not apply to an owner or properly who builds or improves
I hereon and who does such work h,msell or lhrough his own
employees. provided 1ha! such ,mprovements are no1 ,ntend ea or o1tered for sale If_ however me bu1ld1ng or improve
ment ,s sold w,thIn one year of complelton. the owner-builder
w,II have the burden ot prov,ng that ne did no1 build or ,m
prove lor lhe purpose ot saleJ
I as owner ol the property, om exclusively contracting
w,th licensed conlraclors to construct the oro1ecl (Sec 7044 Business and Professions Code The Contractor's License
Law does not apply to an owner ot property who builds or Im
proves thereon. and who contracts for each proIects w1lh a
contrac1or(s) I,cense pursuanl 10 the Contractors License law)
As a homeowner I am ,mprov,ng my home. and lhe follow ,ng cond,t,ons ex,sl
1 The work ,s tleIng performed pr,or \Q sale
2 I have lived In my home lor twelve monlhs
prior to complelion ol th,s work
1 ho~e not cIa,med this exemption during lhe lasT lhree years
I om exempt under Sec _____ _ 8 & PC
,.,;, '0d0V" ____________ _
__ I hereby afhrm that I "ave a ceri.t,ca1e ot consent 10
seIl ,nsu,e or a cemf,cate ol Worl<ers Compensa1,on In
surance or a cert,hed copy 1hereol 1sec 3800. Labor Godel
POLICY NO
COMPANY
Copy ,s f11ed ,.,th lhe city
Certil,ed copy ,s hereby furn,sned
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s sect,on need not be completeO ,f the per'Tl,t
,s lor one hundred dollars 1S1001 or less1
~ I cert,ty 1hat ,n the performance ot the work for wh,ch
1hIs permit ,s ,ssued I shall not employ any person ,n any
manner so as to become subJec1 to the Workers Com pen
sat,on Laws of Cal,forn,a
NOTICE TO APPLICANT· If, after ma~1ng this Cer!o11cate
of Exemption. you should become sub1ect to 1he Workers I Compensa1,on prov,s.ons of the Labor Code. you must
L lorthw,th comply with such provIs1ons or 1h,s perm•! shall
be deemed revoked
![ I hereby aftlrm that there ,s a construct,on lending
agency for the performance of the work for ,ih,ch th,s per
m,t ,s issued (Sec 3097 C,v,I Code,
Lender s Name
Lender s Address
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JOB ADDf\ESS
ot ·~ LUC. I £1 RN A"'-1'
AV. ST.RD. THOMAS BROS NO.
OAT~; z;Cj;~ 8USIN~SE # VALUATION PERMIT NUMBER
CONTRACJOl'S PHONE• ZONE /
3 ~,r <t, 7 / LOT BLOCK SUBDIVISION ~SSESSO;;;ARC5 NO. . / -,3. 2,-/9-
OWNER'S PHONE
CONTRACTOR
~An..('-. ~7:o r.r .,., ~ ();}3 OWNER"Si;NAME I CONTRACTOR'S ADO RESS O<:E.,M,s.i,e:e
rr:......_..._ Aur-
STATE LICENSE NO. BUILDING SO FOOTAGE
.\ ~r>",;E, ~ £..ot,_,_~
OWNER'SMA!UNG ADOR~, 1,--.r-. A~-~
.,...:.7:,.;._L:u, l~t'l.N:!l,i"", &.;1.(s. ~ "' -,
lDES(:..R1PnioNOF~WORJ< -. ,-,,. -~------,.--Y,-, ""-J ~ DESIGNER
DESIGNER'S ADDRESS
r <r.x\~ ~NQ..kSE:b ~-'t) JC t5 D -3 ?4' I r F P FLR ELEV
' /or-/? I CENSUS TRACT I SAPnNG seAu =:J
QTY. PLUMBING PERMIT· ISSUE 7£9-
EACH FIXTURE TRAP
EALH BUILOING SEWE:.R
EACH WATER HEAHR ANO OR VENT
EACH GAS SYSTEM I TO 4 OUT LETS
EACH GAS SYS I EM J OR MORF
EACH INST AL ALTER, REPAIR WATER PIPE
EACH VACUUM BR FAKER
WATER SOF fNER
F.ACI-I ROGF DRA·'·J ,:'·JS'i!l I
TU!Al PllJMBINC I
QTY I ELECTRICAL PERMIT· ISSUE s~
NEW CONST EA AMP SWl l:JKR
I PH \PH
EXIST bllJG EA AMP SW! BKR
I PH JPH
REMODEi ALltH PER CIRCUIT
TEMPPOlE JOO AMPS
OVER 200 AMPS
TEMP OCCUPANCY '30 DAYSI
T (11 Al fl t CTR 11: Al I
,[; "□
GRADING PERMIT ISSUED 1REDEVELOPMENT
ARfA
YON D ·C -..C.
QTY MECHANICAL PERMIT. ISSUE
INSTALL FURN OUCTSUPTOlOOOOOBTU
OVER 100.000 BTU
BOILER:LUMPRESSOR UP TO 3 HP
BOILER.COMPRESSOR 3 15 HP
~E'AL F18EPIACE
VENT FAN SINGLE OUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE-HEATER
DRYER VENT
TOTM MECH-ANICAL
QTY I MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
T(JiAI
NO
STORIES
TYPE
CONST
JS,£!-
'i87-1 .~
DESIGNER'S PHONE
STAT6 iJcENSE NO.
DCC GP EDU
OG16 :1 :L<~-"! 1)1.1)1 ◊2f~s:F~;-:. _.,
OCC LOAD FIRESPP
vO r-.0 Not Vahd Unless M~chine Cerrlf1ed
SUMMARY/ACCOUNT NUMBER
BOILUINL, PEHrvi I 001-810-00-00-8220 2-o/
SIGN PERMIT 00 1-81 0-00-00-82:? 1
PLAN CHECK 001-81 0·00·00-8891 I~
TOTAL PLUMBlr.G oo·,-s10 oo oo-s222
ELECTRICAL CJQ 1-810-QQ-QQ-8223
MECHAN1CAL 00 ~ -810-00-00·8224
MOBILEHOME 00 ·, -810-00·00-8225
SOLAR 001-810-00· 00·8226
STRONG MOTION 88□-:i 19-92-33 ,.SD
FIRE SPRINi<LtRS 00' -810-00-00-8227
PUBLiC FACILITIES FEE 320-810-00-00-8740
BRIDGE FEE 360-810-00-00-87 40
PARK-IN-LIEU iAREA
flF 312-81 0-00-00-8835
LA COSTA TIF 3 i 1-81 0-00-00-8835
FMF
LICENSE TAX 001-81 :)-Cr>00-S 162
Mff 880-519-92-51
CREDIT DEPOSIT
TOTAL FEES PAYABLE I J9 5-V
t HAVE C~REFULLY EXAMtNED THE COMPLETED .. APPl,.tCAT!ON AND PERM!r AND DO HEREBY €~ration. E;eryper_mi_tissuedbylheBuildingOtt,c1alundertheprov1slC,msoHhis * AN OSHA PERMIT tSREOUtflED FOA£XCAVATIONS0VER
CERTIFY UNDER PENALTY -OF PERJURY THAT ALL INFORMATION HEREON iNCLUDiNG THE Code Shall exp1fe by l1m1t~ion and become null and void If !he burldmg or work 5· 0·· DEEP ANO DEMOLITION OR CONSTRUCTION Of authonzed by such permit is not commenced w1ttun 180 days from the date ol such OECLAAAfflONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I& permit. Of rt the building or work authonzed by such permit is suspended or STRUC'TURE.S OVER 3 STOAtES IN HEIGHT
ISSUED: TO COMPLY WITH All CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· ~·~·~"'!!!£"°~"""!!!.!'~'!'"!'!.]''~me!!!•~·~ ... !!..!"'~•!,.!w~o~•~'~"c£'O~m~m~en!!!£"'!"!!.!;'O~•c•!..l!!'0"S!l."'£0!,fl1801!!1,~d·•·•L--..--------...... ------------.------.
STRUCTIQN. WHETHER SPECIFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY ANO APP\DCAN , If. 0 0 IJ;;;P. VED 8'1' ~ □,TE * KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND TS SIGNATURQ,_,E OWNER CONTRACTOR , fr_ ·.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE A A_ ~ -...r..t:::. BY PHO E [] {. /ivl/1
GRANTINGOFTHISPERMIT :!V\ c,:> N I l_'{A_/_16 ,_
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' TYPE ' DATE INSPECTOR
BUILDING I
'
FOUNDATION I
REINFORCED STEEL I
25' I ~., '. -' ,_.,... . r..J~.,~"
I
FIELD INSPECTION RECORD
MASONRY I
'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEili.iNG
SHEATHING □ ROOF D SHEAR SOILS COMPLIANCE
PRIOR TO
FRAME I f-OUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
' PRESTRESSEO
INTERIOR LATH & DRYWALL I
'
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BL/CO c_ PL/CO Hl(iH STRENGTH
UNDERGROUND □ WASTE □:WATER BOL.iS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
-~
TUB AND SHOWER PAN I
GAS TEST I
I PILES C::AISSQr-.,5 □ WATER HEATER □ SOLAR Will.TEA . --+--
I
ELECTRICAL 7
'
--
D ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPORARY -!-----------
□ BONDING □ POOL I
I
MECHANICAL : --
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I .
I
CALL FOR FINAL INSPEq~oN WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I
MECHANICAL I
GAS I /)
BUILDING ' z.f/7/yy IY--
SPECIAL CONDITIONS ;
'