HomeMy WebLinkAbout2630 LUCIERNAGA ST; ; CB081905; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-08-2008 Plumbing Permit Permit No: CB081905
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2630 LUCIERNAGA ST CBAD
PLUM Status:
Parcel No: 2152901602 Lot#: 0 Applied:
Reference #:
PC#:
Construction Type: NEW Ente,·ed By:
Plan Approved:
Issued:
Project Title: LOSAVIO RES REPLACE WTR HTR Inspect Area:
Applicant:
ARS
STE 100
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677-5455
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
1
0
0
Owner:
LOSAVIO JOHN&KERI M
2630 LUCIERNAGA ST
CARLSBAD CA 92009
ISSUED
10/08/2008
KG
10/08/2008
10/08/2008
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmpositi "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 seivice fees in connection with this project. NOR DOES IT APPLY to any
i n i I imil r whi ·r
· City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718; 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
PlanCheckNo.C rtcto<'
Est. Value
Plan Ck. Deposit
Date -r -of"
APN
TENANT BUS1N
ED USE GARA E ( F) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE PRINKLERS
YES □#_ NO □ YES □ NOD YES O NO □
"""'ADD.----RESS-----==----=--------r.c,-.-----q ~'15 Q L-~ · ~ ✓e., ~~ A
Cln' STATE ZIP Cln' ~ t:?/ ;;-t;, I
STATE t1 'fl
FAX <ti h77-5'-f1Cj
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
fSK. 7031.S Businus and Profenions Code: Any Gty or County: which requires a permit 10 COMtruct, alle~ impl'OYt, demolish or repair any Slnlcturt, pfior to i~ isl~ a"9 rtQUim tbt IIIOfiant ror 111ch pt911il to lilt I si!Md swemeat tllat tie is lct11Std _ll!rsuant to tbt provisions of the '9ntnctor's License Law {Ch~ler 9, commending with Section ,000 of Dm1ion 3 of the Bulillffl and P1t11fflions c:odeJ or that he I fflfflpt tbermm, aM ~ basis for the allezed &emption. Illy ¥iolatioli of Section 7031.S by any applicant for a permit subjetts the appliwt to a cm pellllty of not m0f1! than li'ff hundred dollars {$500}~
WORl(ERS' COMPENSATION
-• Compen1otlon Die,.,_: I hereby llffim under penalty d petft,yone dltlo foDowlng-:
□ I have and will maintain a certificate of con,w to Hlf-lnaure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit Is Issued.
I have and win maintain Htion, as required by Section 3700 of the Labor COde, for the perfi:lrm~Ellpj gUt_e ~ for which ~Is ~it 1,:. let•"'"''''d • • '.., workers' compeni=~ Ti su~ CjllTier and policy
number are: Insurance eo.__11.Ji~,e,.'1:!c1~=-----------Policy No. ~_lli.blc;b{0,2 f ()_~ Ex~rallon Date'. I U • t cri __
This section need not be completed if the permit is for: hundred dollars ($100) or less. □ Certfflclte of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in My manner so as to become subject lo the Workers' Compensation Laws of
Califomla. WARNING: Failure lo ,ecure wo mpenutlon coverage 11 unlawful, and shall aubJect 1n employer to crtmln1I penlllJN and clvH fines up to one hundred lhounnd doln (&100,000), In
addition to lhe colt of compensation, d1 tel for kl Section )ffl~bor ~' lnttrtlt and attomey'1 fen.
L5 CONTRACTOR SIGNATURE // f ~
I hereby affirm that I am exempt fn:vn Contractcr's License Law for the following reason:
C 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 sle (Sec. 7044, Business and Professions Code: The Contractor's
license law does not apply to ll'I owner of property who builds Of Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended Of 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).
C I, as own'erof the property, am exclusively contracting with llcensed contr~tors lo construct the protect {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 contra::ts for such projects with contractor(s) licensed pursuant lo the Contractor's Uceose Law).
c I am exempt under Section ___ ~Business and Professions Code for this reason:
1. I personally plan to provide the maier lebor and materials for construction of the proposed property Improvement C Yes C No
2 I (have I have not) signed an appllcation for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include nane address I phone I contractors' Hcense number):
4.1 plai to provide portions of the work, but I have hired the followlng person lo coordinate, supervise and provide the major work (include nane /address/ phone/ contractors' license number):
5. I will provida some ol ~•--but I have conlracled (hirod) ~e lolklwing persons to provida !he work Indicated (indude narna I aldress I phone I ~pool work):
Al$ PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or Mure building oooupant required to submit a business plan, ac\Jtely hazlldous materia& registration form or risk mEllagement end preventioo progran under Sections 25505, 25533 or 25534 of the
Presley~ T anrier Hazardous Substance Account Act? C Yes □ No
Is the applicant or future• building occupant required to obtain a permit from the air pollution control district or air quality manaJemenl district? □ Yes □ No
ts the fl:dlity lo be constructed within 1,000 feet of the ooler boundary of a school site? □ Yes □ 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.
m City of Carlsbad Bldg Inspection Request
For: 12/22/2008 ..
Permit# CB081905
Title: LOSAVIO RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2630 LUCIERNAGA ST
Lot:
APPLICANT ARS
Owner: LOSAVIO JOHN&KERI M
Remarks:
Total Time:
0
CD Description Act Comments
~ E~eel/Bonding/Fence ~
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assig~ment:
Phone: 7602135989
Inspector:~
Requested By: JEFF
Entered By: .JANEAN