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Home My WebLink About2630 LUCIERNAGA ST; ; CB054321; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-27-2005 Miscellaneous Permit Permit No: CB054321 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2630 LUCIERNAGA ST CBAD MISC Subtype: REROOF Status: Parcel No: Valuation: Reference #: 2152901602 $0.00 Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: LOSAVIO RES-900 SF TORCH Inspect Area: Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $44.00 Inspector: Jt;r\ PERMIT FEE Owner: LOSAVIO JOHN&KERI M 2630 LUCIERNAGA ST CARLSBAD CA 92009 Total Payments To Date: $44.00 Balance Due: Date: Clearance: ISSUED 12/27/2005 LSM 12/27/2005 12/27/2005 $44.00 $0.00 $0.00 $44.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpo tion" 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 lo 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 f . n f i h h t N Tl r hi whi h flimi i r vi I h rwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (?.6054 3c}-f CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit--~~----- Validated By ___ .,~.._,_.._-llQ'--'"~...,.~ Date. ____ _.!...:i-4 } ,:,:O:...)L.f-1 _._Q._).,__ I I Business Name (at this address) Assessor's Parcel II Existing Use Proposed Use #o; Stories # of Bedrooms # of Bathrooms .sr',,,; ;~17,;;i.,1,,,,, ,ii/i!•!!i~~ll!i~!!i'ltilifi'!,_lil!i;irjj,~~\~ N State License # -'-'-"'--'--'--I---- Designer Name State License # City Address City State/Zip Telephone# Fax# State/Zip Telephone =~0-VJhit,WA!h/ulitili:ffiD~tv«¾Jl'.jjl3J}i;;;;t£tt~~'WAl4\l~t!iit480/TIR~{~Wll:£¥~1~1ff~]m~~(~,~filt~~~~a 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. if1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which t Issued. My worker's c pensatio insurance c rier and policy number are: Insurance Company -7-~~q._.~lll-l'l,,!--...L:.\,='-'--""''.Ll<""'"-'q.__ Policy No. / 2JJ/ :J'1J '/: t( (THIS SECTION NEED ONE HUNDRED DOLLi.rs/; 1001 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. to secure workers' compensation coverage la unlawful, end shall subject an employer to criminal penahlea and clvll fines up to one hundred 10 ,000), In a n to the cost of compensation, damagu •• provided for In Section 3706 of the Labor , lnte t _!!!JI attorney's fees. DATE SIGNATURE I hereby affirm that I am exempt from the Contractor's 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). 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 tabor and materials for 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 _________ _ --•~BMIBN.~§fil-~~~1£il?A1*;22qf!~z<~1i:~g%t-.,1~~wr0;r,11m~Brf'.4'.1•~~ 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 26606, 26533 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 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. i~~;.!rJm~•~&~E~¼h~.~1r;~r;::i,,1:£!.~f:lila'.tl~~~~r,rat•~a~,~•~~-•~,,la.~~:_1~~,~;~:;.~~:2.r~:: 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) Civll Code). LENDER'S NAME LENDER'S ADDRESS,:,--------------,---------------------------------------------. _·; ·; Wl~~J~~;\;F;½1t,'j,JQ'ff0&01ff,ilibl¥t1%%.Iltf~~f;;;;1;;msN~~;r~~J&~?,filrffl~hlffi~11\~1[8~~-~ 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 demolitlon 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 com enced within 180 days from the date of such permit or if the building or work authorized by such permit is uspended or abandoned at any time after the work is comme ce for a period of days (Section 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: ~?i) /JJ(J.O,,y'()/3~Ci st. 2. TYPE OF BUILDING: RESIDENTIAL f ~ COMMERCIAL. __ ....: 3. ROOF SLOPE: RISE t/J inches in 12 inches · · 4. NUMBER OF EXISTING ROOF COVE~~~ircle one) rf) 2 3 5. TYPE OF EXISTING ROCj>F COVERING SHEATH!~~ *6. NEW ROOF MATERIA@Gh CLAss.Ls::.._WEIGHT PER StiUARE All roof coverings are required to be CLASS A. CombU5tible roof coverings of any type or classification are prohibited. I understand the following Inspections are required: :,:, , .. 1. Tear Off/Pre-Inspection prior to install' new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SlgnoW'9 *JoJ&b Date L~116-s-T · 'I Contractor£owner ____ Contractor Narrie ' · *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built u Other. ------........ .. ., •. ···•-·--- City of Carlsbad Bldg Inspection Request For: 01/24/2006 Permit# CB054321 Title: LOSAVIO RES-900 SF TORCH Description: Type: MISC Sub Type: REROOF Job Address: 2630 LUCIERNAGA ST Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: LOSAVIO JOHN&KERI M Remarks: Total Time: CD Description Act Comment Inspector Assignment: PD --- Requested By: JEREMY Entered By: CHRISTINE 19 Final Structural li_ _____________ _ ---------------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 01/09/2006 15 Roof/Reroof AP PD existing ply -flat roof only