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HomeMy WebLinkAbout2553 LUCIERNAGA ST; ; CB072989; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-04-2007 Miscellaneous Permit Permit No: CB072989 Job Address: Permit Type· Parcel No Valuation· Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2553 LUCIERNAGA ST CBAD MISC 2153000702 $000 Subtype: OTHER Lot#: 0 GAUNCE RES-SOLAR PANELS ON ROOF WITH PLUMBING & ELECTRIC-80 GALLON TANK IN Owner: Status: Applied Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/04/2007 RMA 12/04/2007 12/04/2007 SOLAR PLUS 2067WINERIDGE PL ESCONDIDO GAUNCE GRANT M JR&SUSAN C TRUST 11-04-91 CA 92029 760-612-0100 M1scelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $112.00 Inspector: 2553 LUCIERNAGA ST CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: Clearance: $112.00 $0.00 $0.00 $112.00 $112.00 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 dale 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. City of Carlsbad Plan Check No. 1635 Faraday Ave .• Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Est. Value Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application Date JOB ADDRESS :53 ~uc / £/{A/-4CA s-r. 2-~/5 -3~0 -70 z - h.c=r;=p=Ro=1=ec=r~,~--"'""'"----"'"----"""---.l~LO=T,.:;#=----7--rASE# J"#~OFF~uN=1r=:~#~BE=o=R=oo=MS~-1.,~BA=rH=RO=oM=s~----,--rE=N=ANT~B=u=s1=NESS=~N=11M=Ea!---------~~co=N=sr=R.~lY=P=E~=oc=c~.=GR=o~u=p- DESCRIPTION·oF WORK: EXISTING USE GARAGE (SF) AIR CONDITIONING RRE SPRINKLERS YES □ NO □ YES O NO □ CONTACT NAME (If Dll'ferenr Fom Applicant) ADDRESS ADDRESS z.,,5"·S3 ?C/C../ /.;./2..,,v A CA s-r. 1-:c:c:1TY=------------------=s==1"'Ar=E=--------=z1"'"p-------··-··--c1-TY-·----~~-~~~~~~s=1~A=TEc='-"--L-~~---'=z1=p--------- ci- PHONE FAX FAX EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME CITY FAX ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (let. JOJ 1.5 8u1ine1s and Pro~11ions Code: Any Gt,: CM' Count,: which re,uirn a perm~ ID ciml1mt. alter imprl!Ye, demaluk ar ll!eair any slrUCllft ,riar ID its ■IIIIIICI!, alst n,iirn lhe 1J1plic.it r. 111ch perwiit ID file a liped scatenielll dial he i1 rim1ed J!Ursuant to the pro•i1ion1 of the Con1tac10r'1 license law {ChaPfff 9, commendi!ig with leelion Yooo of Dnision l of the Buiness and Praln'iiaas Cldt} Dr lhat ht is mmpc lhfmla, anti lht basis far lhe all1f!d m111plian. AIIJ riolillion of l1ction 7031.5 by any applicant for a permi1 subjecu th1 applicant to a civil penalty of not more 11laa r,.e hulldrtd dolan {$5DO}i . · WORKJilU' COMPENSATION Workers' Compensation Declaration: I herebyafflrm underpenaltyolperjuryom, olthe following declarations: D I have and will maintain a certificate of consent to self-Inure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance rl Iha work for which llis permit is iSSued. □ I have and will maintain worker$' compensation, as required by Section 3700 of lhe Labor Code, for lhe performance of the work ·t • issued. My workers' llDlllpensation jnstr.lllce carrier and ~ number are: Insurance Co. ~ 'f-t24D Policy No. --f:.~t/t.~~~~;i!:~!:.__ Expirsion Dale ,+-c3 7 · Q ~ Thisseclionneedno1becomplelediflhepermttisforonehundred rs[$100)orless: ~ C.' ~--:::z_D07 /0 • C>/,,. &;$" □ Certificate of Exemption: I certify that in the performa work for which th' rmitis issued, I shaN not employ any person in any marmerso asto become subject lo the Workers' Compensation Laws of California. WARNING: Failure lo secure workeni' c a ul, and shall subject an employer lo crlmfnal p81altles and clvl Hnes up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as of. he Labor code, interest and attorney's fees. Jt5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I. as owner of the property or my employees with wages as their sole compensation, win do the work and the structure is no! intended or offefed for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided thal such improvements are not intended or offered for sale. If, however, the building or improvemenl is sold within one year of complelion, the owner-builder wm have the burden of proving that he did nol build or improve for the purpose of sale!. □ I, as owner of the properly, am exclusively contracting with licensed contractors to construct lhe project (Sec. 7044. Business and Professioos Code: The Contractor's License Law does not apply lo an owner of property who builds or improves lhereon, and contracts for such projects with conlraclor(s) licensed pursuant lo lhe Conlraclor's License Law). □ I am exemp1 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 apprication for a building permil for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license nl.1'11ber): 4. I plan to provide portions of the work, bui I have hired the following person to coordinale, supervise and provide the major work (include name I address I phone I contraelors" license number): 5. I will provide some of lhe work, but I have conlracled (hired) the following persons to provide the work indicated (include name I address I phone I type of work): Ji! PROPERTY OWNER SIGNATURE DATE Is lhe applicanl or fulure building occupant required 10 submit a business plan, acutely hazardous malerials registration form or risk management arid prevention program under Sections 25505, 25533 or 25534 Of the Presley.Tanner Hazardous Substance Account Act? □ Yes □ No Is lhe applicant or future building occupant required lo obtain a permit from the air ponulion control dislricl or air quality management dislricl? □ Yes □ No Is lhe facilily to be constructed within 1.000 feet of lhe 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 OFftCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ll. . -. . City of Carlsbad Bldg Inspection Request For: 12/05/2007 Permit# CB072989 Inspector Assignment: Title: GAUNCE RES-SOLAR PANELS ON Description: ROOF WITH PLUMBING & ELECTRIC-BO GALLON TANK IN GARAGE Type:MISC Sub Type: OTHER Job Address: 2553 LUCIERNAGA ST Suite: Lot 0 Location: OWNER GAUNCE GRANT M JR&SUSAN C TRUST 11-04-91 Owner: GAUNCE GRANT M JR&SUSAN C TRUST 11-04-91 Remarks: Phone: 7609750111 Inspector: Total Time: Requested By: DENISE WILLIAMS Entered By: CHRISTINE CD Description 29 Final Plumbing &f..Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments