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HomeMy WebLinkAbout2564 LUCIERNAGA ST; ; CB061989; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-12,2006 Miscellaneous Permit Permit No: CB061989 Building Inspection Request Line (760) 602-2725 Job Address: 2564 LUCIERNAGA ST CBAD Permit Type: MISC Subtype: OTHER Parcel No: l! I 52e04209 Lot#: o Valuation: $0.00 Reference #: Project Title: 2564 & 2566: 2800 SF RE-STUCCO Applicant: ST CLAIRE JOHN 1839 FREDA LN #B CARDIFF CA 92007 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $120.00 PERMIT FEE Owner: ST CLAIRE JOHN 1839 FREDA LN #B CARDIFF CA 92007 Total Payments To Date: $120.00 Inspector: f'.11 ~ FINAL APP;VAL Date: IYO Ob Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Balance Due: Clearance: ISSUED 07/12/2006 JMA 07/12/2006 07/12/2006 $120.00 $0.00 $0.00 $120.00 $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 permit was issued to protest imposition of these fees/exactions. If you protest them, you must fol!ow 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 le s x ins fwhich h r vi sl en iv n N Tl imil r which h s f\irni in ha r io I PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor'• Parcel # Existing Use #of Stories FOR OFFICE USE Ot,IL Y PLAN CHECK No.Q,ofu LC/.£3 EST. VAL ________ _ Plan Ck. Deposit _______ _ Validated By , \ W7k Date 7 ( rz..-{.Q.k_ Unit No. Phase No. T ptal I of units Proposed Use Name City State/Zip Telephone I Fax # ,,,i·:.t~~- " '" --,,i:fflr~.!!!l!Dlaii'-l!!i!lllJl!!!lfii'al'll!!Il!'li!'illi Name Address City State/Zip Telephone # ... ; • llillli~Bill!f!iill~/i1s:i!lil\,!t~ll!!,ill!il!ll\~Ii~,I~ Name Addresa City State/Zip Telephone# . "iilil!illili.liB!!:U,'i>. (Sac. 7031.6 Business and Profusions Coda: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its iss.,.nce, also requires the applicant for such permit to file a signed statement that ha Is licensed pursuant to the provisions of the Contractor's Licenu Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) 01 that ha is exempt therefrom, and the basis to, the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone I State Ucenn I _________ _ License Class ________ _ City Business License # _______ _ Designer Name State License # Address City State/Zip Telephone illPPPl!ffl"5¾A.,.i E~i.1-,_,'\~~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as prov/dad by Section 3700 of the Labor Coda, tor the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the wo,k for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Polley No. Expiration Date. _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESSI 0 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 be~ome subject to the Workers' Compensation Laws of California, WARNING: Failure to ucure workera'. compenaatlon cow.rage la unlawful, and ahall sUbjact an employer to crlmlnal penaltfaa and dvll flnu up to one hundred thouHnd dollars ($100,000), In addition to tha coat of compenHtlon, damagu u provided for In Sacdon 3708 of Iha Labor coda, Interest and atto~•• fees. SIGNATURE DATE . ~iiiX/IQil!l,dW-iiMK&rrm:mmrmP111r,r:rrr:l11!111111!1!1e\ii!l'i:i'IM-'IIF7115YIITPBWliiJil-- l hei'eby affirm that I am exempt from the Contractor's Ucenae Law for the fO,lowlng reaaon: D I, as owner of the propany or my employees with wagu as their sole companaatlon, will do the work sod tha etructure 11 not intended or offered for sala (Sec. 7044, Busineu and ProfeaIlona Code: The Contractor's Ucenaa Law don not apply to In owner of property wh:o builds or improves thereon, and who does such work hlmHlf o, through his own employ•••• provided that 1uch Improvements are not Intended or offered for sale. If, however, the building or Improvement 11 sold within one year of completion, the owner-builder will have the burden of p,oving that ha did not build or improve tor the pwpo,a of sela). D I, as owna, of the propeny. am axclualvely contracting with llcansed contractors to construct tha project (Sac. 7044, Bu81neu and ProfeHlona Coda: The Contractor'• Ucense Law does not apply to an owna, of property who .build• or Improve, thereon, and contracts for such projects with contractor(s) licenaed pursuant to the Contractor'-. UcanH Law). D I am exempt under Section ______ Bualneu and Professions (;ode for this reason: I personally plan to provide the major labor and materials for construction of the proposed property Improvement, D YES ONO ~ hava not) signed an appllcitlon for a building permit for the proposed work. · 1. 2. 3. I hava c_,g.ntr ad _wl~ th~ollowlng p,efson lflr~ ... 'P provide the proposed constructlo~n':.tJd• n~• / address I phona number I contractors llcanu number): 4, I plan to provide portions of the work, but I have hi 'the following person to coordinate, supervi,a and provide tha major work Unclude name / addraas / phone number I contractors license number):, ____________________________________________ _ Is the applicant or future building oc program under Sections 25505, 25 ted (hired) the following persona to provtde the work Indicated !Include name I addreu / phone number / type -(2 -[) required to submit a business plan, acutely hazardous materials registration form or risk management and prevention or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the .ippJlcant or future building occup.im required to obtain a permit from the air pollution control district or air quality management district? D YES O NO I• the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 • ...,,_..,,iffll!lii!i!ili'"'«;,;,r-.,,,,.:.,rn,.,,,""""'""''~''' :r•""'"'~•""''"·'i·"''''~ii,""1,,,.iiJ,P';;;ct,,,i,•''l<i;:r,ii,"'''''''""'"'""""'"''""'"'m"'"''"'~"""'M.,··,1'!/,,,,,,o.,,;;,0,;,,,. ~-· •· i!!iili!l.!l-~~~~!t/',Ui,"""i:ililil,~,£~ .. ;;;.:_,_,,ci,._,11,,.,-:t, ... i, ..... ,.,.,;~l-ei!::.,J.,"'.:r.MlillOOJ:l..:tllilllil:UlllilA~~tmii,~~~Ji;rufffl.,!}il;f!!l'l~"Jll!iilllliID,i/l:i.tllo.i.l"Jii I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS fjjfflftiiljllijliiiiMilff n rnmrnr~~liia1:~~P"mfflMN&lfti!ti~i!R'Cmn:wlfi!IIIII I certify that I have read the application and state that the abOva Information Is correct and that tha information on the plans la accurate. I agrn to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID 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 pe~m/1 Issued by the buH.di~g Officlal under the provisions of this Code shall expire by limitation and become null and void If the buUdlng or work authorized by such permit Is not commence 1th1n 1 BO days from the date of such permit or If the building or work authorized by such permit ls suspended or abandoned at any time after the work is commence r a period of 1 ys (Section 106.4.4 Uniform Building Code). 'XAPPLICANT'SSIGNATURE -..,,.;~:::::_ _________________ DATE 7-(°2 -,:J 6 Inspection List Permit#: CB061989 Type: MISC Date Inspection Item 12/04/2006 19 Final Structural 07/18/2006 18 Exterior Lath/Drywall Tuesday, December 05, 2006 OTHER 2564 & 2566: 2800 SF RE-STUCCO Inspector Act Comments MC Fl MC AP Page 1 of 1 UNSCHEDULED BUILDING INSPECTION 1,-,,-7 r--z c:: DA TE 04 t>~ '1,,;,o'- PERMIT# ~o C..l ~S-9 INSPECTOR -...M......-..c(,,,,'------ . PLAN CHECK# ----- JOB ADDRESS --2Sb4 t....u~ ~ NAf-'IA. ~-r DESCRIPTION ___________________ _ CODE DESCRIPTION ACT ei COMMENTS m . . . City of Carlsbad Bldg Inspection Request . . Permit# CB061989 For: 07/18/2006 Title: 2564 & 2566: 2800 SF RE-STUCCO Description: Type: MISC Sub Type: OTHER Job Address: 2564 LUCIERNAGA ST Suite: Location: OWNER Owner: Remarks: Total Time: ST CLAIRE JOHN CD Description Lot 0 Act Comment Inspector Assignment: Phone: 7605221695 Inspector: M C.. Requested By: JOHN Entered By: CHRISTINE 18 Exterior Lath/Drywall PR_----'------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments