HomeMy WebLinkAbout2588 LUCIERNAGA ST; ; CB022410; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-20-2002 Electrical Permit Permit No: CB02241 o
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
FLETES LEBRAC
Building Inspection Request Line (760) 602-2725
2588 LUCIERNAGA ST CBAD
ELEC
2152703201 Lot#:
REPLACE 100 AMP PANEL WITH NEW
125 AMP PANEL
0
Owner:
FLETES LEBRAC
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
2588 LUCIERNAGA ST
CARLSBAD CA 92009
2588 LUCIERNAGA ST
CARLSBAD CA 92009
ISSUED
08/20/2002
AMA
08/20/2002
08/20/2002
Total Fees: $16.25 Total Payments To Date: $0.00 Balance Due:
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
Inspector:
25
0
0
0
Date: Clearance:
$10.00
$6.25
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$16.25
'·"·· :'\,'.
$16.25
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.
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
·n f ih i I NTI imilr hi r 'hh liit' h i I hrwi
PERMIT APPLICATION
FOR OFFICE USE O~ 'ti
PLAN CHECK NO. vf}0~2<::/fO
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit 7J
Validated£ / 1 ff..t/:
Date e-/ 2-,&(o A..
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use
I g Proposed Use
Q. FT. #of Stories # of Bedrooms # of Bathrooms
Name State/Zip Telephone# Fax#
Name Address City State/Zip Telephone#
(Sec. 7031.5 Business and Professions Coda: 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, commanding with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged
a pti n. Any violation f Sac ion 7031 .5 by -l!.ny ap licant for a par_!;tlit ubjacts the a plicant to civil penalty of not more than f' a hundred dollars I$ 5001).
~ ~ '
License Class _________ _ City Business License # _______ _
State License #
8. \il.QRKERS.;::l\cri:;:O;;M;;:;l>;:;:E;:::;N_:;;;SA:;;T;;;:10:;N;:=::::;;--;:;
City
' , ..
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
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 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)
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 es
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 penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the coat of compenaatlon, damages es provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE DATE
OWNER-ijU1LDER DEClARATIOf4 :--;;;:-::;;::::;;:::=::;:;:::::;::;::::::=;;:::;:;:::
I he;eby 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 pr~ving that he did not build or Improve for the purpose of sale).
bi:t_ I, as owner of the property, am !'xclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Gractor'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.
2.
3.
I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ~O
I~/ have not) signed an application for a building permit for the proposed work.
1'tnr,,tcontracted .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 numberl=----,-------------------------------------------
5. I will provide some of the work, but I have the following persons to provide the work indicated (include name / address / phone number / type
of work): _________ -:;::::✓'7''-j~--~r,-,liji;::~~----------------;~-..:;,:~::--;;.::-':'l~--------
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 D 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
II, ~§Jf!l,JCTION 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).
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 Cit\! 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.
demolition or construction of structures over 3 stories in height.
ovlsions of this Code shall expire by limitation and become null and void If the building or work
te of such permit or if the building or work authorized by such permit is suspended or abandoned .~~E"tt;!~~~15o;6.~4~.4~U~n~iform Building Code).
DATE
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/21/2002
Permit# CB022410
Title: REPLACE 100 AMP PANEL WITH NEW
Description: 125 AMP PANEL
Type:ELEC Sub Type:
Job Address: 2588 LUCIERNAGA ST
Suite: Lot 0
Location:
APPLICANT FLETES LEBRAC
Owner: FLETES LEBRAC
Remarks: PM PLEASE 1PM-130PM
Total Time:
Inspector Assignment:
Phone: 7604310632
Inspector: ___.P___.Y.___
Requested By: LEBRAC FLETES
Entered By: GIOVANNA
CD Description Act Comments / Ar_ ~,,e_ 33 Service Change/Upgrade
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments