HomeMy WebLinkAbout2862 LUCIERNAGA ST; ; 87-1049; Permit"' z 0 ;: .. .. ..
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0 ! hereby altlrm that I am licensed under
provlaions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prolesaions Code. and my license 1s in
lull force and ellect
I hereby a111rm that I am e~empt from The Conlrac
Tor's License Law tor the follow,ng reason (Sec 703' 'J
Business and Proless,ons Code Any c,ry or counly wh,c~ re quires a perm,1 10 construct alter. ,mprove demolish or
,epa,r any struCTure pnor ro ,1s issuance also requires !heap
pl,cant for such perm,1 To fole a s,qned slatemenr That he ,s
1,censed pursuant to lhe prov1s1ons of the Con1rac101 s L,c~nse Law !Chapter g commenc,ng with Sef!1oc 7000 o•
D,v,s,on 3 ol the Business and Profess,ons Code, or lhal Is e,
empt lhere1rom and the basis 1or the allegea exemption Any
;oOlahon ol Sect,on 7031 5 by an applicant for a permI1 sub
Iects the applicant lo a c1v1I penally of not more !han five hun
dred dollars 1$500)
I as owner of me property. or my employees w,th wages
as their sole compensa1,on wIII do !he work ano me struc
lure Is not intended or ottered lor sale (Sec 7044 Business
and Pro1ess1ons Code The Con1rac10,·s license Law does
ooi apply to an owner ot property who builds or improves
thereon and who does such work himself or th,ough his own
employees provided 1hal such Imorovements are not intend
ed or ollered for sale 11 however lhe building or improve
menr 1s sold w1th1n one year ol complehon, the owner-builder
will have lhe burden of proving that he did nol burld o, Im-
orove for the purpose of sale1
I as owner or the pro~erty, am exclusively con1ract1ng
with licensed con1ractors to conslrucl lhe pro1ect (Sec 7044
Business and ProfesS<ons Code The Contractor's L•ce~se
Law does not apply lo an owner ot properly who bu,lds or Im
proves thereon aM who contracts for each pro1ects w11h a
contraclor(sl license pursuant 10 the Con1rac\O' s license Law)
I As a homeowner I am Imorov,ng my nome. am1 lhe 10I10w Ing condIhons ex,st
1 The work Is being ~rtormed pr,or 10 sale
2 I have 1Ived 10 my home lor twelve months
prior to complet10fl of this work
I have nol claimed this exemp1,on during the last three years
lor i'h~: r!~~;t under Sec _____ _ B & PC
I hereby alhrm that I hase a cert1!1ca1e of consent to
sel' insure or a cert1licate ol Workers Compensation In
surance. or a certd1ed copy thereol 1Sec 3800. Labor Code!
POLICY NO
COMPANY
Copy Is lileo with the c,ty
Cert1f1ed capy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s secloon need not be completed 1f \he perm,t
Is lor one hundred dolla,s 1S1001 or IPssl
_ I cer!lfy that .n the performance of rhe work lor which
lhIs permit ,s issued. I shall not employ any person In any
manner so as to l>ecomesubJec1 to the Workers Com pen
sat1on Laws of Cal1forn1a
NOTICE TO APPLICANT If, after making lh1s Cert1hcate
of Exemption you should become subject to the Wor1<ers
Compensation prov1s,ons of the Labm Code. you musl
lorthw,th comply w1lh such provIs,ons or th,s perm,t shall
l>e c!eemed revoked
_ I hereby affirm that there Is a construc1,on lending
agency to, the performance of the work for wh•ch lh1s per
m1t Is issued {Sec 3097 Civ,I Code1
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
J08 AOO~~ss AV. ST. RO. THOMAS BROS NO.
DATE ?/2PPLOZNI BUSINESS~ VALUATION PERMIT NUMBER 'J._< f>a. I 1 .nJ~IT2. AJA"'-~ Id _;,, 0 /3{;£ Sl' LOT 8L0CI( I SVBOIVIS!ON I SSE~R PARCEL NO. CONTRACTOR ' CONTRACTORS PHONE t ZONE --· '/."i • 3 CJ~--?.:r, 5 ~r-, ()""' ... ~"'· ,,.., ._,' I '11'.) ·17~.3 OWNER"S NAME OWNER'S PHONE I\-..., tr:,~-., U, 'it.n Vt T-z_ CONTRACTOR'S AOORESS G<:6~ •t:.? STATE LICENSE NO. BUILDING SO. FOOTAGE
~ I",-,. .t\ ;' -_,..,... -. .,,. lt'J<.7"~0. 1!. OWNER'SMAlLING AODIHSS -ac;:.,;,.;~ _lu~, E,., • ,;..~ ~ _ CA,z,(s--~ q~, -DESIGNER DESIGNER'S PHONE
• Df_~~IPTJ'tiN<o'F+wbAK ,, •. ' '~ -'. -OESJGNER'S ADDRESS STATE LICENSE NO. ' -: ~ --9. ,t">l--~ ... ~q,,-. C:C:i6 12/23 0101 :;2BI:::;-:·.11-t. ~;:; -::: .-' ' FLA ELEV NO ace GP EDU . ' -STORIES
'[J '-0
I CENSUS TRACT I PAPl<'.INC, SPAC~ RES VNITS I GRADING PERMIT ISSUED 1 REDEVELOPMENT TYPE OCC LOAD FIRESPP AREA CONST
,□ ' D ,'.:] ..... o YO "-D Not Valtd Un/en ~chine Certified
QTY PLUMBING PERMIT -ISSUE 7£5:.. QTY MECHANICAL PERMIT -ISSUE ;s-~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP -INSTALL FURN DUCTS iJP TO 100 000 BTU OLl_ul"Jc., n-RMIT 001-8' u-uU-00-o,: ,:0 :J.<-i
EACH BUILDING SFWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00 8221
EACH WATER HEATER ANO OR VENT BOILER·CUMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 I"" EACH GAS SYSTEM l TU 4 OUTI ETS 80ILEH·COMPRESSOR 3 lJ HP TOTAL PLUMBl"JG oo; 810 oo 00-8222
EACH GAS SYSTEM J OR MORE Mt'Al F,REPLACE ELECTRICAL oo~ Hrn-no-oo-s223
EACH INST AL. ALT EH. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHAN1CAL 00 i-310-00-00-82 24
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME OD 1-8 '0-00-00-8225
WATER SOfTNER RELOCATION OF EA FURNACE-HEATER SOLAR OD 1-81 0-00-00-8226
FACH KOC,F n:;;Alf, I'·,S .H 1 DRYER VENT STRONG MOTION 880-J'.9-92-33 . 5 V
TOTi-iL MECHANICAL FIRE SPRIJ\Jr\LERS 001-810-00-00-8227
TOIAL P!\JMfllN\J I -PUBLIC FACILITIES FEE 320-810-00-00-87 40
s-;25.J.. BRIDGE FEE 360·810-00-00-8 7 40 QTY ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP
PARK-IN-LIEU iAREA
NEW CONST E:.A AMP SW! 8KR CAR PORT T'F 312-810-00-00-8835
I PH ,\ PH AWNING -LA COSTA TIF 311-810-00-00-8835
EXISTHLlJG~AAMPSWT 8KR GARAGE --FMF
I PH 1 PH ,--t,\' LICENSE TAX oo • -s 1.J-0·'.1•:,0-s· 62
REMODEl Al HR Pt.H CIRCUIT ,' M FF 880-519-92-57
TE',,,1PPOlE /110 AMP(,
OVER }(JU AMPS
TEMP OCCUPANCY 30 OAYS/
-CREDIT DEPOSIT
TOTAL fL~LlHICAI I TQ" A, TOTAL FEES PAYABLE I 3'/. so
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY E:r:pirat1on. E~y permit issued by the Building Official unoer !he provisions ol lh1s * AN OSHA PERMIT IS RE0UtREO FOfl EXCAVATIONS OVEA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shf!I 8Jt"pire by lil'nitat,on and become nun and v·o1d If the building o, w·ork 5·0·· DEEP ANOOEMOUTION ORCONSTAUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND! FURTHER CERTIFY AND AGREE IF A PERM1T I& authonied by such permit 1s not commenced within 180 days lrom the date 01 such
STRUCTURES OYER 3 STORIES IN HEIGHT t perm1( or 1f the bt.111<11:H or work authonzed by such permit 1s suspended or ISSUED-TO COMP.LY WITH ALL CHY, COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandoned at an., time a ler tne work Is commenced fOf a oerIod ol 1M da···· ' STRUCTtON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
APPUc;::;S<:SNATURE •~ OWNER[) CONTRACTOR 0 i~-~ 1Di¼f}f7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABIUT!ES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT r, vV\' ~'\,. BY PHONE []
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TYPE I DATE INSPECTOR
BUILDING I
I
2:7-·1or.x;
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
GUNITE OR GROUT I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEiii.iNG
SHEATHING □ ROOF □ SHEAR
SOILS COMPI_IANCE
PRIOR TO
F-OUNDATION INSP
FRAME I --STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I
I PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I
' FIELD WELDING
C SEWER AND BL/CO CJ PL/CO HIGH STRENGTH
BOL Ts UNDERGROUND □ WASTE □,WATER
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
'
TUB AND SHOWER PAN I
~
GAS TEST I PIL.ES CAISSON':"
□ WATER HEATER □ SOLAR WATER --------. -----
I -~·
ELECTRICAL I
□ ELECTRIC UNDERGROUND n UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPG>RARY ·------i----------·-
□ BONDING □ POOL I
' ----
I
MECHANICAL I -----------------
□ DUCT & PLEM., □ REF. PIPING -
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTilON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
PLUMBING I
ELECTRICAL I
' MECHANICAL I
GAS I /)
BUILDING I -z../11/yt, -r
' SPECIAL CONDITIONS I
I