HomeMy WebLinkAbout2645 LUCIERNAGA ST; ; CB890883; Permit"' z 0
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D ! hereby affirm !hat I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Profaulons Code, and my license 1s 1n
full force and effect
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1 hereby alhrm lhal I am exempt 110m ine Con1·ac
ror's license Law tor the following reason ISec ?OJI ',
Business and Proiess,ons Code Any city o' r.ou11y wn,c -re
ourres a perm,1 to construct alter ,,..,prove demol·sh o-
repa,r any slr~cl•~re pr,or to ,ts ,ssuance a'so ·equ res '.he a~
pIIcan1 1or such perm,1 to lile a s,qned staTe'llent t"at he ,,
licensed ~urs~ant lo the orovIsIons or the Con1rac1~· s
License Law :'Chanter 9 commenc,nq w,10 Se,r,or 70-JO o• D,vis,on 3 of The Bus,ness and Pro1ess1ons Code, o, •hat,, e,
e"1PI toeretrom and the bas•s 1or the aliegea e,empt,on Ar1 ;iolat,on of Sect,on 7031 ~ by ar applKant lor a p~,n-,,t suo 1er.is the appl,cant to a ci,1I penalt·1 of oor more thdo •,ve ru",
dred dollws !$~001
I as owner of the properly. or m·1 em~loiees ,i.t~ ,iar,<,1
as rneir sole compensalmn w,11 do the th~ ,
rure 1s no: ,nteoded or o'fered lor sale 3us ne,·,
and p,8tess,ons Code The :ont,ac:or s L1Cer1se I"" Cor:, sot 30ply to an owner ol prope·ty who hurlds 8r improves :nereon ano who d0€s sucn ,iork h,ni;e'I or mr~uqr ,.,, own
e"lo1o'rees. NCv1deO lhat such ,cr,pro,emenls are not ,ntenc ea or o•ie•ed 1or >ale 1• hOweve-the bu11d,ng o, ,mpro•,~ ,s so'd w,rn,n one year ol como1e•,on tr,e owser ~c11dw
w, rave 1ne burden of wo,ing tnar he ct,d not ~u, d or m
prove •or The purpose o• s~e1
JS owne· ~f 'he prc~erty d':1 e,vus,ve1y cor:rac:.nq w11h !1censea :oniraclo"; to conslrud Tne pro1ect ',Sec /'.I~~
Busrne<o ana Praless,ons Coue ree CGrtractor s L,cerse Law does nor app:y to an 01'.~er o' o,:;Jer!y who bu11as ~' ,rn pcoves lhereo~ and wno co~:racts b, each ~ro1ec1s ,,-10 "
canrractor1s·, license PJ'suant to rre Co,01•actor's I ~eoct Law)
As a homeowner I am rmprovmg my home Jna the 101,~w
,ng cond1t1ons e~1st I The wor~ ,s t>emg performed p•,o, •o sare
2 I have 11~ed ,n my home lor twe,,e monrhs
p•,or to complehon ot this work
l 3 I have nol claimed this exemptiGn durrnG tne last lhree years
I am exempt under Sec ______ B & P C
lor This reason
I Mretv affirm that I have a ce,til1cate of consent to
self-,nsure or a certiltcate ol WorKers Compensation In
su,a,ace or a cerf,hed copy the,eol ,Sec 3800. Labor Godel
POUCY NO
COMPANY
Copy ,s loled with the city
Cert1l,ed copy ,s 1ereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th1s section need 101 be completed 11 the perm,t
,s '0, 0rie hurH.ireo oo, ars ,$1UU1 or 1ess1
_ I cerJr1y ma1 ,n 1he performance of lhe v,,ork lcr ,ii',ch
m,s pPrm,t 1s ,~~ued I s~a" not CM pie, Js, ~c:sc~ ,;, .;c,
manner so as to become sub1ect to 1he WorKers Comoen sat,on Laws or Cal,forn,a
NOTICE TO APPLICANT If, afler making this Cert1f1ca!e
o1 Exempr,on you should oecome sut1ect to lhe Workers
Cornpensa1,on prov1s1ons of lhe labor Code. you must
forthwith comply with such provrs,onsor this permit sha I
be deemed revoked
ffi agency <or tre perfor.,.ance al the ;,a,k 'o· .,h·rn ,,.,s re· I I heret,y a11irm 1ha1 there ,s a -cnsir ,C1icy1 ,~sd·r,g
0 m1'. ,s issued ,sec 309? C,,.,1 Co,,e, z ~ Len,:Jer ~ Name
Vr,cJe· s AdcJr~,s
USE BALL POINT PEN ONLY & PAE~S HARO 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
JOB AO DRESS AV. ST. RO THOMAS BROS NO. D~'/~1/t'i'DN BUSINESS UCE1'14SE st VALUATION PERMIT NUMBER
2'-45 Wc...(E/2..N.A.G-P,; $1"". LDT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR ?W~NG-CONTRACTORS PHONE # ZONE Cbo/&f.?~ ~ c.A_'I){ A
OWNER'S NAME 5~f!:.Nefz 1431 :i;•;~DNE SHkWN CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ FOOU,GE
OW"1EA'S MA,UNG ADDRESS
Zb4-5 Lu u-EJZNAG-A s---r. DESIGNER DESIGNER'S PHONE
0 "t-r,::{ $~-c:"(' lDN 0€ NEIN GAS lANe DESIGNER'S ADDRESS STATE LICENSE NO.
!-tEl¥T~.
;:>;q :,.i -4,/ "·-· fblZ--Pe:oL ,,..,
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' e FLA ELEV NO DCC GP EDU
STORIES
'C "LJ ---I CENSUS TRACT I PAPKlr,.,,(, SPA Cl RES U'.IITS I GRADING PERMIT ISSUED ! REDEVELOPMENT TYPE DCC LOAD FIRE SPP AREA CONST
•□ ' □ ,=:; .... o YO r-.O Nor Valid Unless Machine Cerrrfmi
QTY PLUMBING PERMIT. ISSUE -=,g:; QTY MECHANICAL PERMIT· ISSUE 1 -<,cc SUMMARY/ACCOUNT NUMBER
EAr.H f IXTURE TRAP INSTALL FURN DUCTSUPTOlOOOOOBTU ~ulL,,,, '-', ullVI 1 :Ju, d 1.,, u.,,-o~ s22u
EACH flUILOING SFWER OVER 100.000 BTU SIGII) PERMIT DO 1-810-00-QO-i:Ji21
EACH './'/Al ER H~ATEH AI\/U UR VENT BOILER·CUMPRESSOR UP TO 3 HP PLAN CHECK 00 1-810-00-00-8891
EACH GAS SYSTEM I I [l 4 OUT! E.Z BOILER·COMPRESSOR 3 1~ HP TOTAL PLUMBl~G oo; 310-00-00-8222 /0
I EACH GAS SYSTfM ~ ClR MORE.,A' J/ II~ . MUAL FIRfPLAC~ ELECTRICAL 00. Cl IO-OD-00-322J
EACH INS TAL ALTER. REPAIR~:ATEi'P1n VENT ~AN SINGlE DUCT MECHANICAL JO 1-81 0-00-00-8224
EACH VACUUM BREAKER MECH FXHAUST HOOD DUCTS MOBILEHOME 00 1-8 1 0-JO-00-822:l
WATfR SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001-810·00-00·8226
I ACH KUUf flR,',·'1 , \':, r>_, DRYER VENT STRONG MOTIO\ 880-";',9-92-33
TOH;_[ MECHANICAL FIRE SPRi,IJi<LtRS OD 1-810-C·O-C,0-822 /
IOIA! P! IJ",lR/1\/L I /'1::::, ~ PUBLIC FACILiTIES FEE 320-810-00-00-8 7 4D
c., cO BRIDGE FEE 360-810-00·00-8740
QTY ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP PARK·IN-LIEU 1AREA '
NEW CONSf EA AMP Sl/'/1 fJKfl CAR PORT TIF 312-810·00-00-8835
I PH IPH AWNING LA COSTA TIF 311-810-00-00-8835
fx1SltltDGEAA"1PSWT fJKfl GARAGE FMF
' '" ~, PH LICENSE TAX 08 '·5 10-c,.::;. :,~,-3' t,:
RUMJOEt AlTtR pf P CIRCUIT MFF 880-519-92S
TH,1PPOlE /IJD AMP"
OVER )(JIJ AMPS
IEMP OLLUPANCY JO UAYSI
CREDIT DEPOSIT
T1ll/'q fl!UHl(J,1. I 1_;1f,I TOTAL FEES PAYABLE I lo
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT' AND DO HEREBf Expnat1on Every permit issued bytlieButldt11gOff,c1al under 1tieprov1s1onsofth1s * .AN OSHA PE.CW.t:T IS REQUIRED FOR EXCAVATIONS O\IER
CERTiFY UNDER PENALTY OF PERJURY THAT A.LL INFORMATION HEPEO~ INCLUDING THE Code shall e~p,re by 1,m,tat,ori and become null and void It the bu1!dmg or work 5,' O" DEEP ANO DEMOLITION 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I !'"URTHER CERTIFY ANO AGREE IF A PERMIT I', author,zed by such perm,! ,s "lOI commenced wtth,n 180 days from the dateot such STRUCT\JRES OVER 3 STORIES IN HEIGHT permit. or ,f the bu,10,nfi o;~,/k authorized b~ch perm,t ~!pended or !SSUED TO COMPL y WITH .<\Ll CITY COUNl y AND STATE LAWS GOVERNING BUILDING co•, abandoned at anv !1me a 1er t ,,.,ork ,s commen d for a ~An,.,._ f 180 davs -STRUCTION WHFTHER SPECIF;ED HEREl"J OR NOS I ALSO AGREE 7 O SAvt. INDEMN1FY ANO APPLICANTS SIGNA TUA£ r·i~ OWNEA('r' CONTRACTOR 0
<PP~~ ~1D&/11 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL '..:ABlltT.fCS JUDG'.ffNTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY :N CCNSEOUENCE OF THE A. • ... I,. GRANTING OF fHIS PERMIT ~ -BY PHONE rJ
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TYPE DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILl~G
SHEATHING D ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO □ PUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ~
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE SEEN APPROVED.
ANAL I
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
I
CR> g "7 o ~<c:,?,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOL Ts
SPECJAL MASONRY -
PILES CAISSONS
,
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