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Home My WebLink About2586 LUCIERNAGA ST; ; CB050687; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-24•2005 Mechanical Permit Permit No: CB050687 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2586 LUCIERNAGA ST CBAD ME6lt fV\ I~ C., 2152703302 Lot#: 0 $24,400.00 SCOTT RES-2000SF BUILD-UP REROOF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/07/2005 LSM 03/07/2005 03/07/2005 JM PATRIOT ROOFING SCOTT GORDON Y&MEADE-SCOTT TANYA 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 0 2586 LUCIERNAGA ST CARLSBAD CA 92009 Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter oollectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest ill'l)Osition 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 Gartsbad 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 illlX)Sition. You are hereby FUR'THER NOTIFIED that your right to protest the specified leas/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zooing, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any ·n ivnNT ·1 h · I rwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. °'80 5'0h'r,/ CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. ~• J,:JCJo,OU I 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit~ Validated By---~~"-1.......,...----- Date '7 S 1. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use DescripYl °rooo f SQ. FT. #of ;ories # of Bedrooms # of Bathrooms CQlilACT PERSON (If different from applicant) oDOO ~ 2 Name Address City State/Zip Telephone# Fax# lfi, C,QfilllACTOR • COMPAN~ AM (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 e p ion .• An vio ·on of action 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Address License Class __ (1-_ ... ~!'>~°J~----City State/Zt Tjephone # City Business License #Q / L/ Q y Designer Name Address City State/Zip Telephone State License # _________ _ (6 WORKERS' COMPENSATJQN 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 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 c ensation insur nee cartjer and policy number are: / 'l / -- Insurance Company -~.,_..,,.,,. .... '---J.-4''-""'-'--"CY'-----------Policy No. / {.pJ ] a I :J-Expiration Date Or{) ;) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltiea and civil fines up to one hundred thousand dollars 1 0 000), I ddltlon to the coat of compensation, damagea as provided for In Section 3706 of th Lab co~ interest and attorney's fa&1. SIGNATURE---J.'...._\1,LJ,j!!oee:..e..,:::...:i.~,<;..3,a._ _________________ ~ DATE°3 d..) t . owNiR•BUILDE6..P~LA~ION 7 ---:,-----:;::=====-- 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 ottered for sale. If, however, the building or improvement is sold w ithin 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). 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. 0 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 person (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 / address / 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 / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS ONLY 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? 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. 8 CONSTRU~ON LENDING AGENCY 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 ________________________ _ [9, APfLICA,NT CERTIFICi!'TION 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 authorized by such permit is not co enced within 1 BO 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 comm c for a per of 160 days (Section 106.4.4 Uniform Building Code). DATE _::?~---6"'-----'(J--=.J~---- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/23/2005 Permit# CB050687 Title: SCOTT RES-2000SF BUILD-UP Description: REROOF Type: MECH Sub Type: Job Address: 2586 LUCIERNAGA ST Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: SCOTT GORDON Y &MEADE-SCOTT TANYA Remarks: Total Time: ----- CD Description Act Comment 19 Final Structural E';£_ ,4/o Associated PCRs/CVs Inspection History Date Description Act lnsp Comments --\iv'\.. Inspector Assignment: _J --- Phone: 7608096941 Inspector: ---- Requested By: SCOTT Entered By: JANEAN &uvj o✓J