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Home My WebLink About2894 LUCIERNAGA ST; ; CB984186; PermitB U I L D I ~ G P E R ~ I T Li/l 1/CJtl lll:Ub I aqe 1 >f 1 ,Tvo A1du•ss: 2s-,4 LUC.IERNAuA ST Permit Tyte: PA~IO/DECK Par,.; 8 l N, : 21 5 J J 0--2 Ci -, L Valuation: 537 Su::.te: Lot#: Urcupancv Group: Referenr~#: Iescript1on: SUNROOM 74 SF ICBO#5014 Ptlffilt N<: I.B'id4!.1·<t, t?r > •e ·t l\i): AJdt,">4.U r:>eve ... 0pn t=-n t .\lo: 3901 12/01/98 0001 01 Construction c'I~: ~t...itu::.: Applied: Apr/I.;.;ue: Entered Ev: N9lw 29-00 L3S JF.~ 1,.;u11~~ 12/lll/98 ;M Apol;Ownr : PACIFIC PATIO 8012 WONDER LANE EL C"AJ•JN CA 92121 blC/ ,h"-930J *** Fees Rf'qu1red *** Collerte~ & Credits ., * * Fee:c-: AdJustrnents: '!'otal Fees: Fee description Bui l<nnq Permit flan Check ~tronq Motion Fee * BUILDING TOTAL CLEARANCE _______ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 . )0 . (l (l 29.UO Ext fee Dat 1 17,00 11.0U 1,LO 2 9. oc, ~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _.-.J.--'-"'..J---"-+-"+-.,...,;+ Plan Ck. Deposit~,..,..:--=---==...!:'.!...~::::.... Validated By,_~d-1t.=......l,,.-f""rH-f-.:;;-:;"""" Date, ________ _.c..e::,,_"1---P'F-i>- 1. PROJECT INFORMATION «1<'fl'f't LitetMAIA<el/ ST~ E£T Address (include Bldg/Suite #) / Business Name (at this address) Ui FA'h«tl lit LLAS Legat Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units a1/5 ·.33<> -.;.15 -:3 I .SF 12. /( Jf.<'Rc!I IZ<utlRl Assessor's Parcel # X #,' ~ t SU l.f1Ytd11 Oscription of Work c;... Existing Use Prof>osed Use 71-·---,,-~,-------,c-=-=----,--..:L----so. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT'PERSON ClfclfforotU.strvmoppllcantl Name Address City State/Zip Telephone# Fax# :3. •APPLICANT ,F1hY D Contractor (i;k(gent for Contractor O l:)wner .-0 Agent for Owner ,5/(lAI l if ?'/od, @L5lc/4' 7>12, vL >¥1NUE {' /J "i-:kl7/ C, I q -,i}. 5 'i?-/'17 &' Statefilp Telephone # Name Address City 4. PROPERTY OWNER QA ,4L i;AO,LµA[b Name Address City State/Zip Telephone# t; .. · 1:oNTRACTOR.' COMPANY NAME"" (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basts for the alleged exemption. Any violati n of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penal y of not more than five hundred dollars 1$5001). c.1r1 o £ L a -5 3o3 Designer Name Address City State License # _________ _ 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O l have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ve and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: lnsu,anceCompany 57ATF <'fimPXNSUQI/N<!E CQ Pol;cyNo. / nl,qt,355 Exp;,a,;onDate 'f/t/qJ (THIS SECTION r,u=:ED NOT l!E COMPl!:TED IF THE Pr:RMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS! D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar• 1 0,000), In addition to e coat f compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomay's fees. SIGNATURE:_~;/z!:d~~1-..s:,a~:1,,tl!~~~~-----------DATE / {/ 2i/'lfe 7. OWNER'BUI I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the ~tructUre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of propor:tv who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or 9.tfeN(cffor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did n,9l--btfi"id or improve for the purpose of sale). O l, as owner of the property, am exclusively contracting with licensed contractors t struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or · roves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section _____ _ 1. I personally plan to provide the major labor and materials f onstruction of the proposed property improvement. 0 YES ONO 2. 3. I to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. I plan to provide portions of the w , but t have hired the following person to coordinate, supervise and provide the major work {include name / address / phone number / contractors license numb 5. I wilt provide some oft work, but I have contracted (hired) the following persons to provide the work indicated !include name/ address / phone number / type of work).:_----,-"'--------------==-----------------------=~----------- PROPERTY OWNER SIGNATURE _____ _,::::::_ ______________ _ ---·· COMPLETE THIS SECTION FOR NON./IESIDEN11AL 8UILOIN0'PERMITS'ON1..Y ls the applicant or future building occupant required to submit a business program under Sections 25505, 25533 or 25534 of the Presley•Ta cutely hazardous materials registration form or risk management and prevention QYESQNO Is the applicant or future building occupant required to o a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 f of the outer boundary of a school site? 0 YES D NO IF ANY OF THE ANSWERS ARE YES, AL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFIC EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTIIUC'liON; ING,AGENCY .. :' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER"$ NAME ,J O tf£ LENDER'S ADDRESS. ______________________ _ ll. Al'l'UCANT~ERTlflcATION::: •": I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is n ommenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after w k is commenced for a eriod of 180 days (Section 106.4.4 Uniform Building Code}. APPLICANT'S SIGNATURE DATE : Applicant PINK: Finance .. • e City of Carlsbad Inspection Request For: 1 /18/99 Permit# CB984186 Title: SUNROOM 74 SF ICBO#5014 Description: Type:PATIO Sub Type: Job Address: 2894 LUCIERNAGA ST Suite: Location: APPLICANT : PACIFIC PATIO Owner: ENGLUND CARL E Remarks: Total Time: CD Description 19 Final Structural Lot Inspector Assignment: Phone: 6195619303 Inspector: {}}~ Requested By: ADELEINE Entered By: CHRISTINE ,Ac(-) Comments