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Home My WebLink About2568 LUCIERNAGA ST; ; CB060878; PermitCity of Carlsbad ,,\> 1635 Faraday Av Carlsbad, CA 92008 -,j 05-09-~0('6 . Residential Permit Permit No: CB060878 Building Inspection Request Line (760) 602-2725 Job Address: 2568 LUCIERNAGA ST CBAD Permit Type: RESDNTL Sub Type: CONDO 0 Status: Parcel No: 4'1.52691388 Lot#: Applied: Valuation: $0.00 Construction Type: VN Entered By: Occupancy Group: # Dwelling Units: Reference#: Plan Approved: 2 Structure Type: MF2-4 Issued: Bedrooms: 0 Bathrooms: O Inspect Area: Project Tille: STIRNKORB RES CONVERT EXIST Orig PC#: DUPLEX TO CONDO, 2568&2570,CODE COMPLIANCE, Plan Check#: Applicant: STIRNKORB R JEROME 2568 LUC\ERNAGA ST CARLSBAD CA 92009 Building Permit Add'\ Building Permit Fee Plan Check Add'\ Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'\ Renewal Fee Other Building Fee HMP Fee Pot. Water Con. Fee Meter Size Add'\ Pot. Water Con. Fee Reel. Water Con. Fee $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 $0.00 $0.00 $0.00 $0.00 Owner: STIRNKORB R JEROME 2568 LUCIERNAGA ST CARLSBAD CA 92009 Meter Size Add'\ Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES ISSUED 03129/2006 KG 05/09/2006 0510912006 $0.00 $0.00 $0.00 $0.00 $1,461.28 $1,348.87 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,871.15 Total Fees: $2,871.15 Total Payments To Date: $2,871.15 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ~ -/1-bf,, :3_,Uij,..DlNG PLANS _L1N STORAGE _ATTACHED Clearance: NOTICE; Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wm bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feesfeKactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES 1T APPLY to any PERMliAPPLICATION FOR OFFICE USE ONLY 1 ~ PLAN CHECK NoC&i~O~ cr~·dF.\'RLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ___ _,.,... ___ _ lF Address (include Bldg/Suite #) 1 Business Name (at this address) l7J, µ. &?STA fYlE;AQDW:$ I 2. Legal Description 215-2.fe0-42-Lot No. Subdivision Name/Number Unit No. Phase No. 5JNC.LL Hlr(IIL'1 ;>INC.<-£ Total # of units Assessor's Parcel # &,,.,v(rz:r £)(IS[ Olf"LCX Existing Use /, • Proposed Use m r:t>t,Jt::n &I? @lk Ctm12J1t,1U ~ti·"{ Description of Work SO. FT. I #of Stories # of Bedrooms # of Bathrooms Name Address State/Zip Telephone# Fax# ,.ID.!.A..-iQr,'.MlJ~l!!!'!.A~ :z (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 S ion 7031.5 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# State license II _________ _ License Class _________ _ City Business license # _______ _ Designer Name Address City State/Zip Telephone State license # _________ _ I~·'. ,WQRk&l&U:QMP&MIAJION\:~,Rlh. ·;;'..::., '~· , -;, 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 of the Labor Code, for 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 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 _____________________ _ Policy No .. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$100) OR LESS) JZ1 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ~ecome subject to the Workers' Compensation Laws of California. WARNING: Failure to .. cure workers' compensation coverage la unlawful, and shall subject an employer to crlmlnal penalties and clvH fines up to one hundred -=1~12-~ thousand {$ 00), n to the coat of compensation, damages as J)fovlded for In Section 3706 oHhelLabor,coda, lnteraat and attorney's fees. ~~-•-\,(. J0 'J 'q:~ "'* I hereby affirm that I am exempt; from the Contractor's License Law for the following reason: 0 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). D 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's 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. D YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction !include name / address / phone number / 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 f address f phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated !include name / address / phone number I type of work): PROl'ERTY OWNER SIGNATURE COll,t&UliI'fflll; DATE Is the applicant or future building occupant require to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 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 tistrict or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 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 ANO THE AIR POLLUTION CONTROL DISTRICT. :l,,,-1,:t,.;Ql~i~,I;'.-~~;,)::..: it\ ,·;, '";;·,:, 1,;;,;,-, .' i: 'I I hereby affirm that there 1s a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097h) Civil Code). ~~~~:~-'" P'~•' q,11 c • 1 LEN~.~~:~ ::R~~~ ,, I" ,Cf,+ " 1f••11"' • "\ • •• 1 I 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 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 AND 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 s•o· deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit Is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work Is n for a period of 180 days (Section 106 4 4 Uniform Building Code). ~ • / APPLICANT'S SIGNATURE ~\"1µ~00,~4",d'.._______________ DATE ~ ~-_J..Dot_ I WHITE: File YELLOW: Apphcant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/10/2006 Permit# CB060878 Inspector Assignment: Title: STIRNKORB RES CONVERT EXIST Description: DUPLEX TO CONDO, 2568&2570,CODE COMPLIANCE, Type: RESDNTL Sub Type: CONDO Job Address: Suite: Location: 2568 LUCIERNAGA ST Lot OWNER STIRNKORB R JEROME Owner: 0 Remarks: condo conversion inspection ? Total Time: Phone: ;;"/5221695 lnspecto;J j;_ Requested By: JOHN Entered By: CHRISTINE CD Description Act Comment ~q_ Fra:2;e~o@omelding ~ ~~~~h jJ~ Comments/Notices/Hold Associated PCRs/CVs Original PC# CV030734 CLOSED N-TRASH RCEPTCLES/STRD ON S.W.: Inspection History Date Description Act lnsp Comments PLANNING/ENGINEERING APPROVALS PERMIT NUMBER ca Ct.c-B: 7& DATI 1../ /,o /ta I ~(&>8 -;;it:;n D lu~u "'-S/: c~) RESIDENTIAL ADDfflON MINOR ( < $10,000.00) TENANT IMPROVEMENT PJJlZA CAMINO REAL CARLSBAD COMPANY STORES VILLAO& FAIRE COMPLETE OFFICE BUILDING OTHER__,~=-"-__,;;M __ ~ __ __,;;'--.US"f\..)-'-. ---'-------- DATE "-I fro J b r> DATE r/rt /ote --------- C8060878 2568 LUCIERNAGA ST CBAD STIRNKORB RES CONVERT EXIST DUPLEX TO CONDO, 2568&2570,CODE COMPLIJ RESDNTL CONDO Lot# STIRNKORB R JEROME fo~~ ~d;v 3 -2 !J--O<o · {bMi, ~ f(i, Cj i (f- 3-J-Ci-do (/}wJ(.IA,,~ ft£ -fFf~ 5/q Joto < s.s~ Oci1 (; ~2 ~~~ :/-·!J-1-- ,· 7 ~ I~ t;.ra-a,,__ ~ 111 ✓<,()el- ., I· (3P ;,,v {;,,,.c ~. /) 7 _ c,u11. er/ f'X;;A-ot- ?.ii${ =~ING ------F~EAPPRIFORM ------HEALTli DEPT ------HAZMAT /AIRQUAI. ,,----=~OTHER SEWER OISTR TO ,_ ·---·--··- SCHOOi. FORM Cl'l>FORM PE & M lllW0RKStiEl:Dl""'-'TI 8UX3 FEES COMPLETE PlNICORR ENOCORR ESGILCORR ' ' FIRE CORR