HomeMy WebLinkAbout2711 LUCIERNAGA ST; ; CB021913; Permit.dLA8-' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-26-2002 Miscellaneous Permit Permit No: CB021913
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference#:
Project Title:
2711 LUCIERNAGA ST CBAD
MISC
215310380t
$9,472.00
GREGORY RESIDENCE
Subtype: REROOF
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/26/2002
MDP
06/26/2002
06/26/2002
32 SQUARES OF MONIER ICBO 2656
Applicant:
PIVA ROOFING, BOB
1192 INDUSTRIALAV
ESCONDIDO, CA 92029
619-745-4700
Total Fees: $166.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector: ~ '
Owner: 01.62 }6/26/ 02 )002 :H
GREGORY ROBERT A&RUTH W CGF"
2713 LUCIERNAGA ST
CARLSBAD CA 92009
Total Payments To Date: $0.00
PERMIT
FINAL APPROVAL
Date: 'J I dd ltw
Balance Due:
Clearance:
$166.00
$0.00
$0.00
$166.00
$166.00
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 tees/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
f fwhi h r vi I Tl E imil r hi r whi h h fl\mi in h r i 1 h i
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Pa/mas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECKi.
EST. VAL. ~ ?dJ yf _
Plan Ck. Deposi 'ffi{ {~
Validated By ___________ _
Date ______________ _
Address lincluda Bldg/Suite I) Busmas.s Namo lat this address)
2711 Luc1egoo,90
Legal Oescr1puon Lot No. Subd1vis1on Name/Number Unit No. Phase No, Total II ol units
Auessor's Parcel I Existing Use Proposed Use
lot Stories z_ II of Bedrooms. II of Bathrooms
Name Addrou City S.tata/Zip Telephone I
!Soc. 7031.5 Business and Profau1oru Coda: Any City or County which raQuiras a permit to construct, attor, improve, demolish or repair any structure, pnor to its
issuance, also raQuiros the applicant tor such permit to file a 11gn11d statement that ho Is licensed pursuant to tho provisions of th& Contractor's l1conse Law
(Chapter 9, commanding with S11ction 7000 of Division 3 of the 6usiness and Proteuions Code) or that ha Is 11xompt ther11lrom, and the basrs for the alleged
An violation of Sectio 7031.5 by any applicant tor II permit su jojjts the appli t to a civil oaa ty of not more than five hundrod dollars 1$500]).
· -(.Iv s c :.2.J,~~ '1'-1 oo
City State/Zip ,~hone II
State Ucense I Zl 8:9 ;?$ License Class C-3' ? Citv Busineas License I / Z O 3 '-f?j.
Designer Nam■ Addroaa C:ity State/Zip Telephone
Slat• License II __________ _
e: ., -'WORKERS~;c0MPENSATJON,~;·v::;:r::.~;,~:r,7~~~mr...::;;z.:~..1::;;;t,}:;'~~".<;2:.:.~~-~t'P:-?!:-1~~:;:?7.1~~~!_'.~;::.~:••':":"::;~:~.'. .... ~· :'.'.~~~:.'::;:·· ·:. '.':·•:~·r·:::·-:-·
Wo~s• Compenaation Declaration: l hereby affirm under penalty of perjury one ol the following declarations:
~ I have and will maintain II conificata of consent to Hll•insuro for workers· compensation as provided by Section 3700 of tho Labor Codo, tor tho performance
ot 1rork for which this pormlt i5 issued.
[B"" I have and will maintain workers' compens1t1on, as required by Section 3700 of the Labor Codo, tor tho portormanco or tho work tor which this permit is
issuod. My worker's compensation inJ,uranco camer and policy num r are:
Insurance Company L • Policy No._____________ Expirauon Date C,...-3-03:
!THIS SECTION NEED NOT BE COMPLETED F THE PERMIT IS FOR ONE HUNDRED DOLLARS {$1001 OR LESS!
0 CERTIFICATE OF EXEMPTION: I canity that in tho performance of the work tor which this permit is issued, I t.haU not employ ony person in any manner so as
to become subject to tho Workers' Compansauon Laws of California.
WARNING: Fallur11 to ■oCUf'a wOR-,s' compensation coverega 6-unlawful. and &hall aub;ect an employer to crtminal ~na.ttlea tmd clvll llnoa up to one hundred
thouaand dollau ($100,0001, In addltk>n to the coat of compeoutlon, damage• aa provk:t•d lor In Section 3706 ol the Labor code, lntareat and attomoy'a , ....
SIGNATURE________________________________ DATE _________ _
7. ·;;· ~OWNER-BUILDER DEC1.A.RA TION:·~~;_:;;;:;.·,',.~.(;-q.,~~;i.:1#t~i ;,;;;;,;;:: ~:~,;;~.J:~;;,_;~-~ 1.;~~~~";t,";:··.:·?? JB,~'":J·~;~:t:"~~~::i~~:~~-:'~;·i;: ~ ;.:;t; .~;::-~ ·::. · ·;::;_:~~: ~. ~.~_:{E"t<"~:?°.
I horaby attirm that I am exempt lrom tha Contractor's License Law tor the following reason:
0 l, as ownar of tho propony or my omployaas with wages as their aola compensation, will do the work and tho atructuro is not intended or offered for sale
(Sac. 7044, Business and Professions Coda: Tha Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who doas
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, tho building or 1mprov11m11nt la
sold within one year of completion, the owner-builder will have the burden of proving that ho did not build or improve for the purpose of sale).
0 l, as owner ot Iha propony, am exclusively contracting with Uconsrid contractors to construct the project (Soc. 7044, Dus1noss and Professions Code: Tho
Contractor's License Law does not api:ily to an owner of property who builds or improves thoreon, and contracts tor such pro1ects with contractor(s) hcenaod
pur&uant to tho Contractor's Ucense Law).
0 I am exempt under Section ______ Buainoss and Prolas.sions Code lot this reason:
1. I personally plan to provide the major labor and mat•rials lor construction of tho propoud propeny improvement. 0 YES ONO
2. I (have/ have natl signed an applicatlon for a building permit for the proposed work.
3. I have contractod with tho following person !firm) to provide the proposed construction !include name/ address/ phone number/ contractors l1conso number)•.
4. I plan to provide portions of the work, but I have hired the lollowmg parson to coordinate, suporviso and provide the major work (include name / address / phone
number/ contractors license numberJ: _________________________________________________ _
5. J will provide soma of the work, but I hava contracted {hired) the followm~ persons to provide the work indicated (include nomo / addrass / phone number/ type
ol work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _
COMPLE'tf'.TIUS SECTION·FOR.N0N-.J(E$/DDJ'11AL:llUJtblNO],~RM(IiSPm.'f:~~~~=:~f,±e~~:;:~~.:,:~:::~.:-~---.:·:;:.~::·· .. ·:~;::~_z:•~~-~;:;":-~~7?:::
Is the applicant or future building occupant required to submit a busmaas plan, acutely hazardous materials registration form or nsk management and pravontron
progrsm under Sections 25505, 25533 or 25534 ol tho Pre.slay-Tanner Haurdous Substance Account Act1-O· -~ NO
Is the applicant or future building occupant raquirod to obtain a permit from tho air pollution control district or air quality managoment d1str1ct 7 0 YES O NO
Is the facility to be constl\lctod within 1,000 feet of tho outer boundary of a scho~ aite7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE A!R POLLUTION CONTROL DISTRICT.
e.:::::cQNSTRUCTI~_lENOlNG'AGfNCf;:'.;??J~i;~~¼~tl!:.::~~~jL;::;_~:!;,7;.z,;~~'{~}ti.'.i~~~iEXil~~{~~•5.~;r.?7:'.;';':~:::,:.··· ,:'.-.·";.;:;.,:·
I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097{i) Civil Code).
LENDER'S NAME ______________ _
LENDER"S ADORESS========-----------------
s·.:.;t:.;APPUCAtfJ:'CarTtACATION~~~~~~~r:;_;;;:z-~~~~i,~~· ·. · , .. ~,!.~~(':~S~:i;;.:-:~~l'!u.-~•;J.~~i!fr1~,;;:_::;:1~.:.~:·.~:.:.:,::.:··. '.'.::_::-•·: ~:-:-.. ::::~::;::··:
I cenity that I have read the application and state that the above information is correct and that the information on the plans is accurato. 1 agree 10 comply with all
City ordinances and State laws rolating to building con,truction. I hereby authorize representatives ot the Cit', of Carlsbad to enter upon the above mentioned
p,ooerw !or mscoction purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit 1s requ,rod tor excavations over 5'0'" deep and demolition or construction of structuras ovar J stories 1n height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void it the building or
wo,k authonzad by such permit is not co_mmencod within 365 days from the date ot such permit or it tho building or work authorized by such permit is suspended
or abandoned et any time after the work ,s commence t~r a ponod of 180 days (Section 108.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE _ __,.l,""--_.2__.(.,,_o:...:Q~'-'2"-='----
YELLOW: Applicant PINK: Financo
. ,, City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1, JOB ADDRESS; 271/ U<UeRnqg a :ifee;t
2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL,_----"
3, ROOF SLOPE: RISE 2 inches In 12 inches
4, NUMBER OF EXISTING ROOF COVERING (circle one) d) 2 3
5. TYPE OF EXISTING ROOF COVERINGS½a,ke. SHEATHING 7/t(p
*6. NEW ROOF MATERIAL 1:)!e CLASS...tl_WEIGHT PER SQUARE S'.f:t
7, NUMBER OF SQUARES 32 rfJ .
s. TRADE NAME Maarels MANUFACTURER MQW:ef<··
9. ROOF SYSTEM LISTING UL No. ____ I,CBO No. 2C,,S(o
10.IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? @ NO
All roof coverings are required to be (;LASS A, Combustible roof coverings
of any type or classlflcatlon are prohibited.
I understand the following inspections are required:
1. Tear Off/Pre0Inspection 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.
Slgnature, __ ,...4z=. .... :&'01a.,........;./J,.,h,44,'J"", /4,/,Jz..r.1:...,_----!Dafe
Contractor ✓ Pwner ____ C-ontractor Name Rah P, ug I
*6 • Rolled Roofing, Standard/Lite Tile, AsphalUComp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 07/19/2002
Permit# CB021913
Title: GREGORY RESIDENCE
Description: 32 SQUARES OF MONIER ICBO 2656
Type:MISC Sub Type: REROOF
Job Address: 2711 LUCIERNAGA ST
Suite: Lot 0
Location:
APPLICANT PIVA ROOFING, BOB
Owner: PERRY WILLIAM J
Remarks:
Total Time:
CD Description
19 Final Structural
Act Comments
n2-t='wo-0
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: SR ---
Phone: 7607454700
Inspector: ----
Requested By: BOB PIVA ROOFING
Entered By: CHRISTINE
07/10/2002 15 Roof/Reroof AP SR OK TO COVER