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Home My WebLink About2548 LUCIERNAGA ST; ; CB121909; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-24-2012 Permit No: CB121909 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2548 LUCIERNAGA ST CBAD PME Status: Parcel No: 2152603801 Lot#: 0 Applied: Reference #: PC#: Project Title: DAHM RES-REPLACE WTR HTR Applicant: TH A HEATING & AIR, INC STE B 3240 F ST SAN DIEGO CA 92102 858 571 8865 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: DAHM LYNDA M TRUST 01-30-06 2548 LUCIERNAGA ST CARLSBAD CA 92009 ISSUED 09/24/2012 LSM 09/24/2012 09/24/2012 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPF.OV3° Date .). • r, / 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." You have 90 days from the date this pennlt 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 f hi h r vi I N ! hi r i h um· I /4,l' ~<<~'),> ~ CITY Of CARLSBAD Building Permit Application 1635 Faraday Ave .. car1s6ad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www .ca rlsbadca .gov 4o Plan Check No. C!8 ( ~ C\, 0 Est. Value Plan Ck. Deposit Date I z__ SWPP TENANT BUSINESS NAME OCC GROUP EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES □ NO □ APPLICANT NAME (Primary Contact) ( APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE AIL CONTRACTOR BUS. NAME ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (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 per.mil 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 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WOIU(llffS" coMPl!NSATJ()N Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: ~: have and wlll maintain a certificate of cons~nt to self.i~sure forwo_rkers' compensation as provided by Section 3700 of tl'e Labor Co~e, fo'. the pe_rfor~ance of the work for which this_ pe~it is issued. , r have and will maintain WO ' c~m nsat10 , requ by on 37 of the Labor Code, for the perform~C:lfJl:Jl ~rk for which ~IS p~it IS issued. My workers' com pen~~ m~camer an~OliSY,. number are: Insurance Co. -Policy No, t:Jel'-1 3l -3 g 7 ~ Expiration Date ei .. {:2!£J_ , ,;l UI "'? This section 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 wt1ich this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California WARNING: Failure to secure workers' co ~~;;:~; nd shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages of the Labo code, interest and attorney's fees, (A , . f. ) fL-~ CONTRACTOR SIGNATUR,--,c..4---,-~Iii \.. t:r' ' \...,- 1 hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, 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 sate (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 ovmer 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 improveme11t. □ Yes □ No 2. I (have I 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 I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name/ address/ phone/ contractors' license number): 5. I will provide some of the worll, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): .c----: ~ PROPERTY OWNER SIGNA _,, 7 ~ DATE 1- -" " CO•fll l''l;ITJ TH IS $IC Tl ON 11 OB NON •ffl JU> IIN'l'tAL BUI LOI NG I" Ii RM Ir S ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matarials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollub'on 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? O 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 POLLUTll;>N CONTROL DISTRICT. I certify that I have iead the application and state that the above lnfonnatlon Is conact 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 rer,resentalive of the City of Carlsbad to enter upon the atxive menOOned property tJr inspection pulJXlses. I .ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSB.AD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ;mWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCECl'THE GRANTING OF THIS PERMIT OSHA M OSHA pennlt is required tir excavabcms over 5'(J deep and demolition or oonstruction of structures over 3 stories in height. EXPIRATION: Every pennlt issued by the Building OffK:ial under the provisions of this Code shall expire by lmitati:m and become nuU and VOO Wthe building or WJrk authorized by such perm rt is not commenced 'MIilin 180 days from the date o udl pennltor if · is suspended or abandoned at anytime after the 'M'.lrk ls oommenced for a perbd of 180 days (Section 106.4.4 Unitlrm Building Code). --@S'APPLICANT'S 9<-d -tf -( 'L Inspection List Permit#: CB121909 Type: PME Date Inspection Item 02/07/2013 25 Water HeaterNents 02/07/2013 25 Water HeaterNents 02/07/2013 29 Final Plumbing 02/07/2013 29 Final Plumbing 02/07/2013 29 Final Plumbing 02/06/2013 25 Water HeaterNents 02/06/2013 29 Final Plumbing 02/06/2013 29 Final Plumbing Friday, February 08, 2013 Inspector Act RI PD AP PD PD PD RI AP AP RI RI CA DAHM RES-REPLACE WTR HTR Comments 930-1030 am pis CALL W/ETA PLS Page 1 of 1