HomeMy WebLinkAbout2562 LUCIERNAGA ST; ; CB080485; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-17-2008 Plumbing Permit Permit No: CB080485
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2562 LUCIERNAGA ST CBAD
PLUM Status:
Parcel No: 2152604102 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: WOOD RES REPLACE WTR HTR Inspect Area:
Applicant:
ALL STAR WATER HEATERS & PLUMBING
17886 LAKESHORE DR 92530
1-800-727-0977
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
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
1
0
0
Owner:
WOOD BRIAN&CARRIE M
2562 LUCIERNAGA ST
CARLSBAD CA 92009
ISSUED
03/17/2008
KG
03/17/2008
03/17/2008
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector: Clearance:
$0.00
t 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 permit was issued to protest imposition of these feer./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 i11formation with the City Manager for
processing in accordance with Ca~sbad 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 .ind 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 h fliiin~· h
FOR OFFICE USE~~~ (\.;I\/ I,
PLAN CHECK N~n
PERMIT APPLICATION EST. VAL.----~---
Plan Ck. Deposit -r,;;.r---
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carls~ad CA 92008
Validated By -''-J~.-----.:;~--::., ,_ /
Date ------"'--'---'--·-_Or
1.
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Ptiase No r 01~,1 :. .... i l.
tteclt-e-r::C/0 Existing Use
SQ. FT. # of Stories
P,oposcd Use
# of Bedroo,ns
2.
r,ame Address City Stale/Zip Telephone# Fax;;
5._£0NTM.QLQ6.:.:.CQMf'ANX.NMii'Litzw '3'~i'tfflml>"iJ:a:'f.ffi~1:t,., ' ,,,d.., *••· ,.l £;._' ,,.....,_,,,.. __ ,__ •
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure. pri-lr 1, ·•"
also requires tne applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contracto(s License Law [Chapter 9. co,.,11·,c ·-· 1;
Secuon 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged exemption. Any violauon o' s~c:10 · .7 a
1
ppl,cant for a p rmit subject the applicant lo a civil penalty of not more t~n ve hu dred dollars [$50~,V-? i . rf()C . 'r ! l ~ ·/ 7 2
Name Address Stale/Zip /.' ? ~•"i':P9'/ y
State License # S:, / 2.. B'i c/ License Class C 3 0 City Business License ti --"---'-.?-'.__,;,?-"-_/ ' / •
Designer Name Address City State/Zip r (,,;.;,::~: .. r
State License 11 ________ _
.6·.~.:~~g~:~ 9-2~ffl.S~TWf#tZ~i!f-W . ~·
Workers· Compensation Declaration: I hereby affirm 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 or the Labor Code, to, me p,;11c ,·1J :c .
lor ,mien this permit is issued.
~ I bav" and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the wor,, for wn ch u11s ,;sr.i:.: ,
""''"rs corr.pensa~on insurance carrier a::7olicy number are:
Insurance Company S fa tr' t:!./ () cJ, Policy No. / :f: (,, / & Y/ 0 "9-: Expiration Date f, · · ' · {) fa_
(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 en J•, ,, •.
~ecome s<.oject to \he Workers' Compensation Laws of California.
WARNING: Fallure to secure worker,' compensation coverage It unlawful, and shall subject an employer to criminal penalties and civil flnos up 10 ,>ne 11 "" Jrc _ :: .
dollars($100,000), In addition tot 011 of mpen Ion, damagea are provided for In Section 3706 of the Labor Code, Interest and attorney's lees.
SIGNATURE~~ii~~~~ii~~;iwijijiijijiiii~iimi:i~~~~= DATE J. •-2..~~:8l/!J..gEij D
I hereby affirm that I am exempt from the Conlnictor's License Law for the following reason:
D I, as owner ol the property or my employees with wages es their sole compensation, will d the work and the structure ,s not int~ndtd or offered tor ,co
Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who do~, ,eel! ... ~' .,
tnrough his own employees, provided that such Improvements are not Intended or offered for sale. If, however. the building or improvement is solo •.-,.1, .n
compiei.on, me owner-builder will have the burden of prqvlng that he did not build or Improve for the purpose of sale).
D I. as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and P,ofess,ons C,<ic '·"
License Law ooes not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursu.in: 1_ :cc
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. □ YE s □ NO
2. I (haveiha'le not) signed an application for a building permit for the proposed work.
I nave contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors 1,cense 11u11 ccr
,. I plan to provide portions of the work, but I hove hired the following person to coordinate, supervise and provide the major work (include name/ address 'v,v, 1e , _, ,
/ontractors license number): -------------------------------------------
5. I ,,,di provide some of the work, but I hove contracted (hired) lhe following persons to provide the work indicated (include nama I address I phone number/ 1, "" • .-.• ,
PRO?::RTY OWNER SIGNATURE __________________________ _ DATE ________ _
WHITE: File YELLOW: Applicant PINK: Finance
.,_,. ~If" 7t"'l?'o4'M•
. m. City of Carlsbad Bldg Inspection Request
. For: 09/03/2008
Permit# CB080485
Title: WOOD RES REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address: 2562 LUCIERNAGA ST
Suite: Lot: 0
Phone: 7609319125
Location: Inspector: ___ _
OWNER WOOD BRIAN&CARRIE M
Owner: WOOD BRIAN&CARRIE M
Remarks: A M PLEASE -
Total Time:
CD Description Act Comments
Requested By: KARI
Entered By: CHRISTINE
25 Water HeaterNents -1¥-----
Comments/Notices/Holds
Associated PCRslCVs Original PC#
Inspection History
Date Description Act lnsp Comments