HomeMy WebLinkAbout2574 LUCIERNAGA ST; ; CB023183; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-22-2002 Miscellaneous Permit Permit No: CB023183
Building Inspection Request Line (760) 602-2725
Job Address: 2574 LUCIERNAGA ST CBAD
Permit Type: MISC Subtype: REROOF Status:
Parcel No: 2152604402 Lot #: 0 Applied:
Valuation: $721.00 Entered By:
Reference #: Plan Approved:
Project Title: LEROUX RESIDENCE
7 SQUARES OF COMP REROOF, GARAGE ONLY
Applicant:
EDDNI
STED
636 CORTEZ
VISTA CA 92084
760-726-0947
Total Fees: $60.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOT AL PERMIT FEES
Owner:
LEROUX
2574 LUCIERNAGA ST
CARLSBAD CA 92009
Total Payments To Date: $0.00
PERMIT
Date:
Issued:
Inspect Area:
Clearance:
ISSUED
10/22/2002
MDP
10/22/2002
10/22/2002
$60.00
$0.00
$0.00
$60.00
CGP·
ta proval of your project includes the "I sition" o 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. lt 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 capacity
changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any
I hi h v r i I n n N Tl 'mil r hi whi h t f i i . n r i I h i x ir
02
50,, JO
.
PERMIT APPLICATION . e PLAN CHECK NO.
City of Carlsbad Building Departaent
FSI". VAL t;:>1-r 3LV 2075 Las Pal..,. Dr., tarlsbad, CA 92009 (619) 438-1161
I. P£kMI I IYPE PIAII CK Dl!POSIT _______ _
VAIID. BY __________ _
DATE
From list 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PROJECf INFORMATION FOR OFFICE USE ONLY
Address J. J l t/ L / Bu1ldmg or SU1te No.
uc.1e~f1J4c-A s T
Nearest Cross Street
LECAL DESCRIP I ioN Lor No. Subd1vis1on Name/Number 0mt No. Phase No.
CHECK BEWW IF SOBMII IEb:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEi, EXISTING USE PROP9SED USE
DESCRIPTION OF WORK
# OF BEDROOMS # OF BATHROOMS L
I
NAME (last.name first) ADDRESS
CITY · STATE ZIP CODE DAY TELEPHONE
4. APPLICANI ~WNIHACIUR UAGENI FORWNIRACIOR DOWNER DAGEN I FOR OWNER
NAME (last n me ,rst) mv p LLt \ c "'"'"" .,~ ADDRESS 616 D C,) .ri. +" 2.
CITY y;, f, l STATE [,\ ZIP CODE '7 Z, c .f '( DAY TELEPHONE 7 {, C -1 1 I. er <j '{ 7
5. PROPEkl'Y OWNER I ,-, ~,, v c t a z c 'I NAME (last name first),-.(' 1 ~ ~ ~ ,. ADDRESS J. J 7 '-( /_ {.; (. t (t fl. N oc1 (j. •1 • -, -<°'
CITY LoA.-'ltt i,.,,i STATE(...,\ ZIPCODE'f.Zo>C'( DAYTELEPHONE/-J'f"~...-7i,'5'~C, 7 0J
6. wN f'IW;fuk ,::-I j •7 C ,.. /, ~.-, l O .,_ , -, NAME (last name first) ha<' r,.,_' -+-~ ,r../\ ADDRESS (Ci ., C C f"'L '1 '' '-
CITY V • ~ ,ff< STATE c·,o. ZIP CODE't' J.c,f '-( DAY TELEPHONE 7 lb . '1 'i 'I 7
STA TE LIC. # <5'J',: I J-' J' LICENSE CLASS 1-( CITY BUSINESS LIC. # / ') rl I S-,f C
DESIGNER NAME (last name Ilrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WollkF.lts WMPENSA 110N
Workers' COmpensat1on Uedarauon: I hereby affirm that I have a ceruhcate of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
c· ,.._, J EXPIRATION DATE // -0 / -() 'L
ru 1cate o xempaon: certt at m t e pe ormance o e war or w tc t 1s penmt IS 1ssu , s a not emp oy any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNA~~ ~.If~ DATE /6 ·-;I.. 2--0-L-
8. OWN -hl.LARAIKJN
□
□
□
Uwner-BuUder DeclaraUon: I hereby afhrm that I am exempt from the Confradofs license Law for the following reason:
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. 70441 Business and Professions Code: The Contractor's Llcense 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.).
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 Llcense 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 Llcense Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(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 Llcense Law (Chapter 9, commencing 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]).
SIGNATURE DATE
COMPLEIE IHIS Sf:t'iloN FOR NON-RESIDEN IIAL BOIWING PERMil's ONLY:
ls 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?
□ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCilJPANCY MAY NITT BE ~ AFTER JULY 1, 1989 UNLESS TIIE APPIJCANT
HAS MET OR IS MEIITING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION illNTI\OL DISlllICT.
9. WNSIKUCIIDN LENDING XGF.NCY
I hereby afhrm that there 1s a construction iendmg agency for the performance of the work for which this penmt JS ~ued (Sec 3097(1) dvU C&ie).
LENDER'S NAME LENDER'S ADDRESS
JO. XPPUCANI CFltliFICAIIUN
I certUY that I have read the application and state mat the above mformatton 1s correct. I agree CO comply with ali City ordinances and State laws
relating to building construction. I hereby authorize representatives of the Cicyof Carlsbad to enter upon the above mentioned property for inspection
purposes. I A1SO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE crIY OF CARISBAD AGAINST AIL IJABllITIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY Mx:tl.lJE AGAINST SAID crIY IN illNSEQ\JENCE OF TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA pennit 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 the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such pennit is suspended~r aband ed at any · af~er the~ is commenced for a periOO of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE 7 ./ DATE: ___ _ :e= " . .t."1.--0 2--
TE: F e YELLOW: App 1cant PINK: Fmance
-
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESs:%7</ /.uCtf(2~ AG-t4 SI
2. TYPE OF BUILDING: RESIDENTIAL :>S COMMERCIAL
3. ROOF SLOPE: RISE*inches in 12 inches , __ _,
4. NUMBER OF EXISTING ROOF COVERING (circle one) (V 2 3
5. TYPE OF EXISTING ROOF COVERINGu.,ocd . SHEATHING S /.I._, t
*6. NEW ROOF MATERIAL 'C 0M(1 CLASS~WEIGHT PER SQUARE
7. -NUMBER OF SQUARES_-'7'--_ __.
8. TRADE NAME £L f::_ MANUFACTURER , ______ _,
9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. ____ __,
1 O. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? @ NO
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classification are prohibited.
I understand the following inspections are required: ;,::,
1. Tear Off/Pre-inspection prior to instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signa~~ Date /C>-J.. 3, 0 '-
Contractor '/--Owner ____ Contractor Narrie ______ _
•s -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 10/28/2002
Permit# CB023183 Inspector Assignment: JE ---Title: LEROUX RESIDENCE
Description: 7 SQUARES OF COMP REROOF, GARAGE ONLY
Type:MISC Sub Type: REROOF
Job Address: 2574 LUCIERNAGA ST
Suite: Lot 0
Location:
APPLICANT EDD N I
Owner: LUNG MICHAEL
Remarks:
Total Time:
Phone: 7605182098
Inspector: ~
Requested By: EDDIE
Entered By: CHRISTINE
CD Description
19 Final Structural lf?__m_m_e_n_ts ________________ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
10/24/2002 15 Roof/Reroof AP JE OK TO COVER