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Home My WebLink About2547 LUCIERNAGA ST; ; CB112546; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-05-2011 Permit No: CB112546 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2547 LUCIERNAGA ST CBAD PME 2153000501 Lot#: 0 PASHAIAN RES-REPLACE 2 FOOT SECTION OF .&IS"WATER PIPE FROM WATER METER TO f'l/6 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/05/2011 RMA 12/05/2011 12/05/2011 BERCKS OLD TIME PLUMBING PASHAIAN HAIG&KELLER-PASHAIAN SHEILA A 38415 INNOVATION CT STE E 92563 951 676 7197 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2547 LUCIERNAGA ST CARLSBAD CA 92009 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: M-c.:,...ee,.;.. ~ FINAL APPROVAL Date I "2:{ in( 11 Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.ff You have 90 days from the date this permit was issued to protest imposHion 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 wiH 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 x i n I whi h v I i ·1 h. r whi h h f Ii i <<~~ ¥ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov c fe,..-n PHASE# # BEDROOMS SUITE#/SPAC # BATHROOMS Plan Check No. Est. Value Plan Ck. Deposit Date SWPP TENANT BUSINE DESCRIPTION OF WORK: Include Square Feet of Anecfed Area(s) I t> ;t: ,, vc. - -~-~ ~ / . . S (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □ # NO □ YES □ NO □ YES O NO □ -- APPLICANT NAME (Primary Contact) Cl(e "A_D_D_R_E7S~S--------~ APPLICANT NAME (Secondary Contact) ADDRESS CITY CITY STATE ZIP PHONE '/§l (; 71 711 7 PHONE FAX IL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS 2 ADDRESS .5 4/> t:t E CITY ZIP ,, ,Z CITY STATE C'f ZIP 'f 2->~ 7 PHONE PHONE FAX 7to '1>1 1? 7/ '11 E AIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS C2c, C.1(, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an:r: structure, prior to its issuance, also requires the applicant for such per_mit 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 B_usiness and Professions Code} or that he is exempt 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 affil1TI under penalty of petjury one of the following dec1ara6ons· □ I 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, Im I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo. WqTe,.yi(}Q: £ PolicyNo . .5V('/tJ(lf7i1 ExpirationDate /{} ze /2- This secHon need not be completed if the permit is for one hundred dollars ($100) or less. □ 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 workm' 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, dam a provld 3706 of the Labor code, interest and attorney's fees. ,15 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ \, as owner ot 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 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 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 with contractor(s) licensed pursuant to the Contractor's License Law). □ 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. □ Yes □ No 2. I {have I have not) signed an application for a building permit for the proposed work 3. I have contracted v.ilh the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. \ plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated {include name I address / phone I type of work): A5 PROPERTY OWNER SIGNATURE ~AGENT DATE I I / 1 eoMPlETI!' THI$ SECTION FOR NON-IJIISIPliNTIAL Plll!;PING l'EIJMITS ONLY ls the applicant or future building occupant required to submit a business plan, acuJely hazardous materials registration form or risk manaiJement and prevention program under Sectklns 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substarn:e Account Act? □ Yes □ t-t> Is the applicant or future bllilding occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes ~No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes _.e[No 1F 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 applicatlon and sbrte that the abcwe lnfonnatlon Is correct.and that the infonnatlon on the plans Is accurate. I agree tD com'piywlth all Cily ordinances and State lav.s relating to building oonstruction. I hereby authorize representative of the Qty of Carlsbad to enterulX)ll the alxlve mentlJned property br inspection purp.:ises. I PlSO 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 CONSWJENCE CT' THE GRANTING OF THIS PERMIT. OSHA: AA OSHA peITTllt is required br exc.avations over 5'0' deep and demolition or oonstruction of structures over 3 stores in height. EXPIRATION: Every permit issued by the Buik:ling Offk:ial under the provisions of this Code shall eXJ)re by ~mitati:ln and become null and void lthe buik:ling or ....ork authorized by sud, peITTllt is nota:immenred 'MIilin 1B0days from the date of such permit or if the bu Mc. authorized ITTllt is suspended or abandoned at any time after the w::irk is oommenced fir a pe!ioo of 180 days (Secti:ln 100.4.4 Unifom, Building Code). ~ APPLICANT'S SIGNATURE DATE /( I I City of Carlsbad Bldg Inspection Request For: 12/06/2011 Permit# CB112546 Inspector Assignment: Title: PASHAIAN RES-REPLACE 2 FOOT Description: SECTION OF ABS WATER PIPE FROM WATER METER TO EXISTING PIPE. APPROVED OF BY LINDA O IN ,...,,,..,1.,r-r-.-.11,1,.. ,au.-.,,.., 1..--I"'" ,arA,, nr-,...a■IT Type:PME Sub Type: Job Address: 2547 LUCIERNAGA ST Suite: Lot: 0 Location: OWNER PASHAIAN HAIG&KELLER-PASHAIAN SHEILA A Owner: PASHAIAN HAIG&KELLER-PASHAIAN SHEILA A Remarks: BY 10 AM PLEASE Phone: 9516767197 Inspector: t--f {.. Total Time: Requested By: GREG Entered By: JANEAN CD Description Act Comments 21 Underground/Under Floor .hf_ ~'l:;.~-'IZtEV ~ Pf" ftp..: ot,IL-::( ______ ,fl Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments