HomeMy WebLinkAbout2586 LUCIERNAGA ST; ; CB043697; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ~~((ftiJ
09-27-2004 Miscellaneous Permit Permit No: CB043697
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2586 LUCIERNAGA ST CBAD
MISC
2152703302
$0.00
Subtype: OTHER
Lot#: 0
SCOTT RES REMODEL BATHROOM
REPLACE WINDOW
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/27/2004
SB
09/27/2004
09/27/2004
EDEN CONSTRUCTION SCOTT GORDON Y&MEADE-SCOTT TANYA
7458 ALICANTE RD
CARLSBAD 92009
760 966-7375
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $180.00
2586 LUCIERNAGA ST
CARLSBAD CA 92009
PERMIT FEE
Total Payments To Date: $0.00
$180.00
$0.00
$0.00
$180.00
Balance Due: $180.00
1999 09 /27 /04 0002 01
CGP
Inspector: 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 will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
02
180 -00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C,(},,1..(°3{, ?J
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA.92008
EST. VAL. __________ _
Business Name (at this address)
Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use
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0
, S,o,;e,
Proposed Use
# of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone# Fax#
Ill; ·:?Al:ito::i~:i\Y~tG!Ee~m'ti~i;P:;'.HU:f'.~8Ql1ij\iQf:ti¢1:,'.lltf@ JJf}il:0:PV/rl.~r;;:;: t□;,c~~E!Oh'Or>Owiier',;. · ; .
Address City State/Zip Telephone#
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 iss,uanc,,, 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
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
tion. Any violation of Section 7031.5 by any applicant tor a p rmit subjects the applicant to a 7ivil penalty of not more than five hundred dollars [$5001).
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Address City State/Zip Telephone # State Ucense # -.;,5'.,..,_l~,S:~S:~L{/.~v~-License Class -~/2,~-------City Business License # _______ _
Designer Name // ,:' Address City State/Zip Telephone
State License # _________ _
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issued. My worker's compensation insurance carrier and policy number a/~ J Insurance Company Sfutr UJfl1 lllh5.rhlNI J:j,S.,"'1n(t CJd.~6f>ol!cy No. (J/,llf?l,--cJ .5 Exp!rat!on Date /f-/-'1,!
<THIS SECTION NEED NOT BE coMPlnED IF THE PERMIT Is FOR ONE HUNDRED DOLLARS 1$1001 OR LEss1
0 CERTIFICATi;; OF EXEMPTION: I ;;;ertify that in the perfotm11nce of the work for which this permit is issued, I shall not employ any person in anv manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage Is unlawful, and ahall aubjact an employer to crlmlnal penaltlea and civil fines up to one hundred
thouaand dollars I 100, O) n a~ljon to the coat of compenaation, damages as provided for In Section 3706 of the Labor code, if'tprest and attorney's fees.
IGNATURE_,'-'"""='--=:.u._.:__:=--------------------DATE '2-,2J-tJ'1 ~~~~1:~!:::::p:=~~~:!:::::~!~!::~:f::~r::::f~:::l=~: :;:;':~::e ::::✓~::::: '::::::::'.:,(:::l;~~end::' o;:::::,:.,;:::,::::l
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 a 1d materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for E• building permit for the proposed work.
3. J have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number I 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 / address I phone number I contractors license number): ________________________________________________ _
5. I will provide some of the work, but f have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): __________________________________________________________ _
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? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district 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? D 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 AND THE AIR POLLUTION CONTROL DISTRICT.
l~~Ji~f~~,~~TRVCTioN::(e,ilD_1_i•fG1:~o-~N.C)';·1: ;;·,;·:A(";(: -< .. ;:;;;;-y
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code),
LENDER'S NAME LENDER'S ADDRESS
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 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
, authonzed by such permit Is not commenced w1th1n 180 days from the date of such permit or rf the bwldIng or work authorized by such permit 1s suspended or abandoned y.t any time after the work Is commenced for p 1o~fJBO days (Section 106 4 4 Umform Building Code)
APPLICANT'S SIGNATURE 'pf.-DATE 9-:z:} pit
WHITE· File YELLOW: Applicant PINK· Finance
City of Carlsbad Bldg Inspection Request
For: 11/23/2004
Permit# CB043697
Title: SCOTT RES REMODEL BATHROOM
Description: REPLACE WINDOW
Type: MISC Sub Type: OTHER
Job Address: 2586 LUCIERNAGA ST
Suite: Lot 0
Location:
OWNER SCOTT GORDON Y&MEADE-SCOTT TANYA
Owner: SCOTT GORDON Y&MEADE-SCOTT TANYA
Remarks: please call when within 1 hours of arriv
Total Time:
CD Description Act Comment
19 Final Structural W--
Inspector Assignment: PD ---
Phone:a~
Inspect~
Requested By: MIKE
Entered By: CHRISTINE
~~-i-~~~
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
10/15/2004 14 Frame/Steel/Bolting/Welding AP PD
10/15/2004 24 Rough/Topout AP PD