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Home My WebLink About2512 Luciernaga St; ; CBR2016-0472; Permitr Print Date: 04/24/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2512 Ludernaga St BLDG-Residential 2152506100 $12,800.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Cogen Description: REH: 32 ROOF MOUNTED PV PANELS, 9 KW, NORMA, NO UPGRADE Applicant: COOWNER REH GEORGE P&JOSEPHINA C 2512 Luciernaga St CARLSBAD, CA 92009 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) S81473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $243.33 Total Payments To Date: $243.33 Status: Applied: Issued: Finaled: Inspector: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBR2016-0472 Closed -Finated 12/28/2016 12/28/2016 AKrog $0.00 $141.57 $99.10 $1.00 $1.66 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE {city of Carlsbad JOB ADDRESS 6/~ Lvcie,v, CT/ OJECT # LOT# EXISTING USE APPLICANT NAME '2.n Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNIH Plan Check No. Est. Value PHASE# # OF UNITS # BEDRO MS # BATHROOMS TENANT BUSINESS NAME STATE ZIP k- ADDRESS ZIP CITY STATE PHONE FAX EMAIL STATE LIC.# CLASS □HEALTH 0 HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP ZIP CITY BUS. LIC.# FIRE SPRINKLERS YES □ND□ (Sec. 7031.5 Business and Professions Code: Any City or Count}' which requ·Ires a permit to. construct, alter, ·,mprove, 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 provIsmns of the Contractor'_s License Law /Chapter 9, comme_ndmgwith Section 7000 of DivIsIon 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION . " Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· 8 I have and will maintain a certificate of consent to self-Insure !Or workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have 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 workers' compensation insurance carrier and policy number are: Insurance Co~--------------------~ Policy No,~-------------Expiration Dale~--------- ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance 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 Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. _,g CONTRACTOR SIGNATURE □AGENT DATE OWNER•BUILOER DECLARATION , I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 0 /, as owner of the 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 property 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 w'thin one year of complet'1on, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). llJ. I, as owner of the property, 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 w·Ith contractor(s) r1censed pursuant to the Contractor's License Law). D I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have/ have not) signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name I address I phone/ contractors' f1cense number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work)· _,g PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the aJlrlicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accourrt Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnatlon is oorrect and that the infonnation on the plans is accurate. I agree to oomplywith all City ordinances and State laws relating to building oonstructlon. I hereby authorize representative of the Cityof Car1sba::l !o enter upon the atxive mentioned property fbr inspection puf'JX)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmEs, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pennn is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every perm'rt issued by the Builcf1ng Offi:::'!al under the provisions of this Cooe shall expire by limitation and become null and void W the building oroork authorized by such permit is not oommenood .,.,.;thin 180days fi"om the date of such permit or if!he building oroork authorized by such permit is suspended or abandoned at any time after the w:irk is oommenood for a perbd of 180 days (Section 100.4.4 Uniform Building c.ode). -@!APPLICANT'SSIGNATURE c/J~ DATE jdJ /Ly /J t, _________ ---<:c:.4-L-'~L'c'--=.__:_;~---~------------------l-.---?..---,71--'=-"--/,I-'--",._ _____ --- • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME 0 LIPAN NAME ADDRESS BUILDING ADDRESS Cl STATE IP Cl STAT Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) 0 MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) 0 MAIL/ FAX TO OTHER: ________________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATED CB#•------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP -~*-~ ~ ~ . . PERMIT INSPEC.t!ON HISJORY REPORT (CBR2016-0472) Permit Type: BLDG-Residential Application Date: 12/28/2016 Owner: Work Class: Cogen Issue Date: 12/28/2016 Subdivision: Status: Closed -Finaled Expiration Date: 10/23/2017 Address: 2512 Luciemaga St Carlsbad. CA 92009·5819 IVR Number: 1084 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 04/24/2017 04/24/2017 BLDG-36 Solar 020918-2017 Passed Andy Krogh Complete Panel BLDG-final 020917-2017 Passed Andy Krogh Complete- Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes April 24, 2017 Page 1 of1