HomeMy WebLinkAbout2892 LUCIERNAGA ST; ; 81-272; Permit•
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O 1 hereby affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No:)._,1j( /(; 1 Clas1 7 -"
I hereby afllrm that I ~ 11xempt from the Con Voitr~~~~:;;: ~; J~~f~hS~l~~lic:J/'t~;~,(~f
county which requires a permit to constnict
alter, ,mpro..-e. demolish. or repalf any structure,
pmx to ,ts issuance also requires the apphcant !or such perm,t to hie a s,,ined statement that he ,s
1,censed pursuant lo the prov1s1ons of the Con
mw:tor's License Law !Chapter 9 commenc1ng with
Section 70'.XJ of D,v,s,on J ol the Business and Pro
fess,ons Code) or that 1s exempt therefrom and the
~•s for the alle,ged exempl1on Any v,olat,on o!
Sect,on 7031 5 by an iJPpl1cant for a permit subJec!s
me appilcant to a c1v11 penalty ol not more than live
hundrl!d dollars ($500)
D I. as owner o! the property, or my employees
••lh wages as their sole compensat,on, will do the
worll, and the structure ,snot mtended or offered tor
sale (Sec 7044, Business and Protess1011s Code
The Contractor·s License Law does not apply to an
owne, of property who builds or improves thereon
and who does such wane. himself or through his own
employees. provided Iha! such •mproveme;its a.re
not mtende1 or offered !or sale It, however. the
booldmg or improvement ,s sold w1th1n one year of
completion, the owner-builder w,11 have the burden
ot pmv1ng tha1 he did not budd or improve lor the
purp0se of sale)
0 I. as owner at !he property, am exclus1Yely contracting with licensed contractors to construct
the proiect (Sec. 7044, Business and Proless,ons
Code The Contractor's License Law does not apply
to an owner ot property who builds or 1mpr0Yes
thereon, and who contracts !or each proJects w,th a
con1ractorjs) license pursuant to the Contractor's
License Law)
0 I am exempt under Sec
tor th,s reason
, B & PC
D I hereby atflrm that I ha~e a cen1t1cate of consen1
10 self-insure, or a certi11ca1e of Workers
Compensation Insurance. or a cert,l1ed copy thereof
(sec 380'J. Labo1 Code)
POLICY NO _ ~' -_
COMPANY},' ~,? 1..='/!
., -7
~o Copy IS filed w1th the city V' __ ~~--_:4L
D Cert1tied copy 1s hereby lurn1s:ed a/ #
CERTIFICAH. OF EXEM )~F
WORKERS-COMPENSAT!O~ C
(This sec1,on need not be completed ,t the per 1
,s for one hundred oollaf!; 1S100) or 1ess1
0 I certify that ,n 1he performance of the worll to,
Nh1ch this perrrnt 1s issued. I shall not employ any
person in any manner so as to become sub1ec1 to
the Worllers Compensation Laws at California
NOTICE TO APPLICANT 11, afler makm;i thtS Cen,
11caie o1 Exemp11on. you should become sub1ect t') 1he Worllers· Comper1sa1,on provisions ot t11e Labor
Code you must for1hw,th comply w1!h such proy1s,ons o, 111,s perm,t shall be deemed ,evoked
0 1 hereby ath,m !hat 1here 1s a construc110"
1end>r1g agency for the performar1ce of the wor,,; to,
wrr,ch th,s pe,m,t ,s 1ssued \5ec 3097 C,v11 CCKle1
Lenders Name ___________ _
Lende• s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS 2892 Luciernaga
AV. sT~, DATE oF APP1.:1cAT10NI
RO. 5/J0/fil ·
OWNER'S NAME
Jos, E, Kini T 438:;~~SPHONE PRIME CONTRACTOR
Bob's Plumbin,,.
BUSINESS LICENSE # VALUATION PERMIT NUMBER
21473 \,
CONTRACTORS PHONE Ir ZONE A. 7 :J...-
729-2055 J
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
Sa111e 2501 State St. Carlsbad 245707
LOT BLOCK 1 SUBOI VISION T ASSESSOR PARCEL NO.
'
OESIG'!ER STATE LICENSE# STANDARD PLAN# BUILDING sa. FOOTAGE
DESCRIPTION OF WORK ·roEStGNER'SAOOR£SS· I Water heater
P'I/UC'.'/tl iL~,7
DESIGNER'S PHONE t,j_-.!~67~ :',/~;:,::::
F/P FLA ELEY.
-!-.
vO NO
NO
STORIES OCC GP EDU
ems us TRAC. I Ge CANO usE I eARK<NG SeACE I RES uNm I GRADING ~EAMIT ISSUED
VD N □ I REDEVELOPMENT
AREA
vO NO
TYPE
CONST
DCC LOAD Fl RE SPA
vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP --------+ INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER . OVER 100,000 BTU . SIGN PERMIT
BUILDING PERMIT --------------·---+----------
EACH WATER HEATER ANDiOR vENT C, -2-._50 --so1LERtco_MPAEissORuP-rn 3 HP -----I-• PLAN CHECK ----_--_ +--.,,...a....--
EACHGiSsvsTEM 1 TO 4 OUTLETS --~-t-----+-so1un1coMPAESson 3-15 HP---TOTAL PLUMBING _ -------+--_ /,&·~---
l -----------
EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE ELECTRICAL 7
~------t ti~r INSTA~ .. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER --. ---
WATER SOFTNER
---L-.___ ---·---------------
VENT FAN SINGLE DUCT MECHANICAL ---------r---------7
t--. MECH EXHAUST -HOOD/DUCTS MOBILEHOME
-----11--------REL□cAl-ioN □F EA FURNACE/HEATER . M□BILEHOME PARK-1NSP -----+----------{
-. --------.-·-------SOLAR 1----+-E_A_GH ROOF DRAIN (INSIDE)
----f--TOTAL Pl llMRINf,
·-----+---_{ ~~ I TOT SL MECHANICAL I I f¥RONG MOTION~ --+---
1( •. QQ FIRE SPRINKLERS ---_,__ -----·---
l--
QTY. ELECTRICAL PERMIT -ISSUE
I---
NEW CONST EA AMP/SWT 'BKR
I PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
---. --------
REMOOEL·'ALTER PER CIRCUIT
----
TEMP POLE c----ZOO AMPS
OVER 200 AMPS f---
TEMP OCCUPANCY (30 DAYS)
~_J_
TOTAL ELECTRICAL I
'
----
Y. SOLAR -ISSUE -------------------1 QT I l ~UBLIC FACILITIES FEE .J
---1-_____ _,,__ --+--------------1-------_ca._BRIOGE FEE___ __ ___ __
t-.
--+--
COLLECTORS SCHOOL FEE -DISTRICT --+ ---+----------
_· ----ll---STORAGE TANKS -------------------f-------<f--Carlsbad f-----· ·------
ROCK STORAGE Encinitas ---1--------
PUMP s~~gu,10__ __ _ f-------
San Marcos -~ ---l/-~-AN CHECK FEE _ __ _ ___ ---t------,11 -----+--------__,_~--
__ · --~------+-----
___ _,__ --_._
TOTAL SOLAR
_· -· __,__ ---
-----
TOTAL FEES PAYABLE I ;;--t I -+-----ii I L!
I HAVE CAREFULLY EXAMINED THE CONIPLETEO "APPUCAT~ ANOPl;RMtr' AND 00 HERE8:V , -EarpwdkJrLEvery,-.lt~bytheBuildingOffiClel-1:inderthepr~i~softhis T AN OSHA PERMIT 1$FIEQUIREO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INfQflMA~ t-1£REONJ,NCLUDING THE Code lhalf expiN by HmftdiOn end become n~II ~d void. 11 the buildmg or work ·~'O" DEEP ANO DEMOLITION 0A CONSTRUCTION OF
2 LL
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DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 18 aulhCWi%ed ~ tMtlCh ~ la not ccmmenc~ wiihm 180 days fro~ the date of 91.JCh STRUCTURES: OVER 3 STORIES IN HEIGHT
'r ~'BUI DtNGtx>tt'•l}paii!"""~-!i,i"'~•~.,.!!li!!!!i:!i"ii"';!!i-~g!!•J"'i:"£"'~"~•~•~by~ouL!£eh"ii.pe,ijm~•~•2L•ii§~dadXL~•:'-c,+'!"'""'.,.""'--------------------! ISSUED: TOCOMPLYWITHALLCITY,COUNTYANOS ATE LAWS ,l ·, llib■clu:;lllldat ''thilllfOftlilcommencedfora 'Odof1 ,
STRUCTlON, WHETHER SPECtFlED HEREIN OR NOT, I ALSO AGREE TO SAYE INDEMNIFY ANO~~~, ,If, ,. 0 &,f APPROVED BY ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS -. , (A ~ '" OWNER CONTRACTOR r fo ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT . ,', ~., .,. /~/·.-,~ '.'' ·,··,, ,,"-, B PHONE O ~
GRANT!NG0FTHISPERMIT. ·\ / t ' '1://V~i':!.'~-<.,s.'/l, J y . ---/'7
/
INSPECTION TYPE DATE INSPECTOR '61 -):7 'J-• BUILDING FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTORS DATE MASONRY CHECKED APPROVAL
·---· -------------·-
GUNITE DR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING ·-. STRUCTURAL CONCRETE
FRAME OVER 2000 PSI ~---·-----PRESTRESSED
EXTERIOR LATH lNSULATION CONCRETE ---------------~ --~--------
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
-----·----------------------------· ---~ SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS --t-------··--· -------------··-
PLUMBING TOP OUT SPECIAL MASONRY
' TUB AND SHOWER PAN '---------·---·
GAS TEST I PILES CAISSONt;
ELECTRICAL I -
r TEMPORARY POWER --
ELECTRIC UNDERGROUND
ROUGH ELECTRIC I
ELECTRIC SERVICE
-----··-
BONDING I
G. F. I. -SMOKE DETECTOR
MECHANICAL . ----·-----. -----
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
-----
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED. -----
JOB SITE FINAL ----------
PLUMBING .-..
ELECTRICAL . //
MECHANICAL // ----------, .
GAS "'J'7/ £
7/J/ ,,, ,,~ . , ---------
BUILDING
SPECIAL CONDITIONS ( v/ / -----------------
CERT OF OCCUPANCY ISSUED /