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Home My WebLink About2561 LUCIERNAGA ST; ; CB004268; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11/16/2000 Plumbing Permit Permit No:CB004268 Building Inspection Request Line (760) 602-2725 1,h G \ Job Address: Permit Type: '"2560 LUCIERNAGA ST CBAD PLUM Status: ISSUED 11/15/2000 CB 11/15/2000 11/15/2000 Parcel No: 21e2604101 Lot#: o .) 1s 300 oc,O?-Construction Type: NEW Applied: Entered By: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B NEW WATER HEATER 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Plan Approved: Issued: Inspect Area: Owner: KROMINGA DAVID 1449 SANTA FE DR ENCINITAS CA 92024 .,, '")7 •j-/ ii., .. • .,,._,.:..; ...... .\./ ..i..' .• !. Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: 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 TOTAL PERMIT FEES 0 0 0 0 1 0 0 FINAL APPROVAL $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 Inspector: SR Date: \ lall JOI Clearance: ______ _ 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 permtt 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 capactiy 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 vou have nreviouslv been a\ven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise excired. -PEI.MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ., rr:rr::r : 2561 LUCIERNAGA STREET Address (include Bldg/Suite#) Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use WATER HEATER REPLACEMENT Description of Work SQ. FT. # of Stories VANCLEAVE JACK 2561 LUCIERNAGA ST CARLSBAD Name Address City FOR OFFICE USE ONLY PLAN CHECK NO.(_£;{i):f2{d? EST. VAL _______ _ Plan Ck. Deposit ______ _ Validated BY. Lg;.. Date Ii I I S: l frl) Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms CA 92009 760-931-1632 State/Zip Telephone# (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 permit 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 Business 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 civil penalty of not more than five hundred dollars ($500]). A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477 Name Address City State/Zip Telephone# State License# ,6~3~0~1=2~0 _____ _ License Class c,3,6,,_ ______ _ City Business License# 1210836 ST Designer Name Address City State/Zip Telephone State Licence# ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of the following declarations: D 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. li2I 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 worker's compensation insurance carrier and policy number are: Insurance company Truck Insurance Exch Policy No. A20075651 Expiration Date 05/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 workers' compensation covera nlawful, 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 comJ)E! ges as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE -------------=,::;;;;o..._..c::..._✓ ________ PATE -'-11"-/"'08"'-/"'20"'0'-'0'------ 7. OWNER-BUILOER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 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). 0 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 threreon, and contracts for such projects with contractor(s) licensed e!;!!Suant to the Contractor's License law). U 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 ONO 2. I (have / have not) signed an applicant for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address/ phone number I contractors license number): <Name> <Address> <Work Phone> <State License> 4. I plan to provide portions of thA wnr1c hut I h~vA hirAri thA fnllnwina nA~on to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number) <Name> <Address> <Work Phone> <State License> 5. I will provide some of the work, but I have contracted (hired) the following person to provide the work indicated (include name/ address/ phone number/ type of work): <Name> <Address> <Work Phone> <Work Type> PROPERTY OWNER SIGNATURE PATE Is the applicant or future building occupant required to 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 Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of school site? DYES D 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. ■Ill I 77"1915BP'B'llii iil•i 1111■1 ii II I II L,J 7 Li a•1 ltfl I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS l certify that I have read the application and state that the above information is correct 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 representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIC CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the building Official under authorized by such permit is not commenced within 180 days fro at any lime after the work is commenced for a period of 180 he provisions of this Code shall expire by limitation and become null and void if the building or work ate of such permit or if the building or work authorized by such permit is suspended or abandoned i 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ___________ _,,_ PATE _1~1~,o~a~,2~0~0~0 _____ _ City of Carlsbad Bldg Inspection Request Permit# CB004268 Title: NEW WATER HEATER Description: For: 01/24/2001 Type:PLUM Sub Type: Job Address: 2561 LUCIERNAGA ST Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: VANCLEAVE J M&MARY L Remarks: Total Time: CD Description Act Comments 25 Water HeaterNents _9Q_ \::~ Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: ~ Phone: 7609311632 Inspector: ~ Requested By: JACK VAN CLEAVE Entered By: CHRISTINE