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HomeMy WebLinkAbout2506 LUCIERNAGA ST; ; CB091207; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-21-20b9 Plumbing Permit Permit No: CB091207 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2506 LUCIERNAGA ST CBAD PLUM 2152503601 Lot#: 0 Construction Type: NEW FRIED RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/21/2009 KG 07/21/2009 07/21/2009 AFFORDABLE WATER HEATER FRIED ALBERT L&BUTLER KATHRYN F 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 2506 LUCIERNAGA ST CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $27. 00 Balance Due: Date: Clearance: $0.00 approval of your project includes the "I sition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Y have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f I x i n f whi h ou h v r v· I n iv n N Tl E similar this r as to whi h h t f I' i i n h r vi l h rwi City of Carlsbad 1635farada):Ave., Carlsbad, CA 92008 • 7e0-602-.2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application Date JOB ADDRESS _ J '.) 01,c SUITE#/SPACE#/UNIT# APN Cf/PROJECT#~---.. DESCRIPTION OF WORK: Lv.. c1 e, n"""'°' s+. ILOT# 7·~r◊FU~TS------'-·-·_'D_R_O_O_M_S_J_·_"_'_"_"o_o_·M_,_-_-__J_'_'_NA-N-T-B-US-I-NE-S-S-N-AM-E-----------'-----~---- "' EXISTING USE PROPOSED USE GARAGE (SF) AIR CONDITIONING FIRE SPRINKLERS YES O NO □ YES D NOD CONTACT NAME (If Different Fom App/leant) ADDRESS CITY STATE ZIP ZIP PHONE FAX PHONE FAX titil·MC! • 71 I I G,t,1 • EMAIL CITY STATE PHONE I FAX --r C>C f;-_l '5_-~'~<;~1,i~-f.__ __ ~_ ~ EMAIL ARCH/DESIGNER NAME & ADDRESS ZIP STATE LIC. # EMAIL Sc.ott@ tlWffltP, (Orr, ZIP PHONE q13JJ '-G,I· 9· OS"c10 EMAIL CITY BUS. LIC.# ,~, 7J.7 / /Ste. 7031.5 8uiinm and Praftssions Code: An?:i ity or Count): which requitl!J a permit 10 conmuct, alte/,r improY,, ~~molish or rtP.air any mucturtl prior to its i1suantt, al19 requim tht 1pplian1 !or sudl permit to lilt a 1ifned 1ta1emen1 that he is fice~1ed ..P.ursont to the p~1ionJ of tht Cqn ,Or'1 Lictnst ~ {Chapter ,9, <ommtndm! with ~~rion ODO of DIYl$lOn l of the Bu1ine11 and Pm e11ion1 Code} or dial ht 11 exempt thtrtli'om, ill'ld the basis for tht alleged umption. Any violiiltion of Sec11on 7031.S by any apphclllt for a ptrmtt su ,em the appl1can1 to a Cl'III penalty of n t more than vt hundred dollars {$500}). WORKliRS' COMPENSATION Worller,' Compen11tion Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: □ I hive ind wlll maintain a certificate of consent to self-In tu re for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work to, which this permit is issued Ii(;" have and will maintain worlle2compe~•,tlpn, as required by Section 3700 of the Labor Code, for the performance of the work r ich this rmit is Issued. My worker1' compensation insurance carrier and policy numberare:lnsuranceCo. ,._e,"11'.:h PolicyNo.~liJ~LI.t:..lJL,lll.;I. _____ Expiration Date I•/ .. { O This section need not be completed if the permit is for one hundred dollars ($100) or less, □ Certificate of Exemption: l 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: Fallure to secure worllers' compen11tlon coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thou send dollars (&100,000), In addition to the co,t of compensation, damag as prov;ted for In Section 3706 of the Labor code, Interest and attorney's fees. IS CONTRACTOR SIGNATURE {!,(}Jft . I hereby affirm that I am exempt from Contractor's License Lew for the following reason: □ t, as owner of 1he property or my employees with wages as their sole compensation, will do the work and the structure 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 properly who builds or improves thereon, and who does such work himself or through his own employees. provided that such improvements are not intended or offered for 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 not build or improve for the purpose of sale). □ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section __ -~-Business and Professions Code for !his reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with !he following person (firm) to provide the proposed construction (include name address I phone/ contractors· license number): 4. I plan 1o provide portions of the work, but I have hired the following person to coordinate, supervise aid provide the major work (include name/ address/ phone/ contractors' license number): 5, I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): DATE I certify that I haw read the appllcation and state that the above lnfonnation ls correct and that the lnfoonatlon on the plans Is acx:urate. I agree to oomplywlth all Cltyoltllnances and State laws relating to building construction. I hereby au~olize represen\awe of lhe City ol Gallsbad lo enter upon~. above mentioned property for ilspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES \\\ilCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: An OSHA permit• requied for excavations over s·o· deep and dem<Jilion or conslruction of slruclulllS-3 slilries 11 height EXPIRATION: Eve,y permit issued by lhe Building Ollicol under ~e pro,,isklns of~• Code shaU expre by-and become nul and void! ~e bui~"II or wD11< ..-zed by such pemit o nolOO!Mlel1ced IM\hin 180. days worn~• date of such pennitor! lhe J orwDII< aulhoozed by such perm-1 o suspended or abandoned al"fl line after~• wDII<. . • corrmeoced for a period of 180 days (Section 106.4 .. 4 Unifoon Bui~ing Code. ). IS APPLICANT'S SIGNATURE {!,(}Jff. ---------DATE / -1 5--o GI ------·-;:,,.-------~-·---------· --- City of Carlsbad Bldg Inspection Request For 08/24/2009 Permit# CB091207 Title: FRIED RES REPLACE WTR HTR Description: Type PLUM Sub Type: Job Address: 2506 LUCIERNAGA ST Suite: Lot 0 Location: APPLICANT AFFORDABLE WATER HEATER Owner: FRIED ALBERT L&BUTLER KATHRYN F Remarks: 2pm to 4pm please Total Time: CD Description 25 Water HeaterNents Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7608151564 Inspector: ----- Requested By: JIM ed By' CHRISTINE Q/