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HomeMy WebLinkAbout2832 LUCIERNAGA ST; ; CB044252; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-23-2004 Plumbing Permit Permit No: CB044252 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2832 LUCIERNAGA ST CBAD PLUM 2153101402 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: WAHLQUIST RES NEW H20 HEATER Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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: WAHLQUIST DANA D 2832 LUCIERNAGA ST CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 11/23/2004 SB 11/23/2004 11/23/2004 $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: $0.00 Balance Due: $27,00 6231 11/24/04 0002 Qi CGP Inspector: FINA Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactions.w You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. \I 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 x i n f w . h h r vi I n N T imil r hi whi h h f limi i n h h rwi 02 27-00 PERMIT APPLICJ\ Ti ON CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY _ PLAN CHECK NO.(.) l{ (f Z>L EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By ___________ _ Date -------------------- Address (include Bldg/Suite 1/) Business Name (at this address) Legal Description /' \ D/J '2.\5 --3\0 -'-\--'-- l.ot No. Subdivision Name/Number Unit No. Phase No. Total # of units As(?;sor•s Parcel # \-: ~)cce-1 LAX-ex: ptioot Work Proposed Use #of Stories # of Bedrooms # of Bathrooms !°EiI\'.tii~CQ,N~;R'N.qtt,GJi!~llC~~MllANYI.fiAME:;~~~r,1tn]ir~r~~ia~1•:~j~j~~mw~,~~~~ti{(!;~ffi--~~~j~.,i~~w,1ru~(~~~llil1il~[ta~~~\'.~ (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 tor such permit to file a signed statement th~t 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 emption. An vioiat'on of Section 7031.5 by any applican for permit subj ct the a plicant to a cjvii penalty of not more an f've hund ed dol ars 5 O ). 1 --L..L.."-"~"'-.) __,·. _,...,,__,_,"""---~-'-'=l."-'-.__._.· '-p...,d-"'--1,,~IIL.X....C+---'"-4'. .>C.L.L..,__,,.,::..L-J..~~-"-+---'"-,"1...l--l-=,~L...l,,,>.·ILL-!.,~~--\...1-J T7 Name r,.__0-f....._ ,,,..,o City State/ZiP. T~erone # State License II ~~~-~-~~~-[_,;____ License Class --~~~--~---City Business License # \ 2 \('.)~ Designer Name Address City State/Zip Telephone State License # __________ _ i6W~t'.~WO.RK~J{S.1i¢li1MHEN~AiTlttr;tlT?il1~f~1]~~~;~~flilfi~~~i~rI~ft?fll~~tli[~~~1.1tJ~l-~1~~[~11r~~~~~~;~~~-u)1~fi~~g~~~;1;J;;µ~t~;~~tt·~~~~:~~~ 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 ~~e work for which this permit is issued. ~ 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 -o pens tion insura e carrier a policy number are: · ~ ('1l_j ·1 . Insurance Company ..,._..,,___..,,.....,..._._,,...,"--"'-""-""--"-""',e.i.--------Policy No. j_J :Jo j 7(o-~ .-'7 Expiration Date__,_ 4, (f5 _ (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: 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 ISec. 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 labor 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 __________ _ l•co1Viij(~rj:fiirH1sI~e¢[iiQOO;liGP..fi(tM'ifG.stl)XiJ,tf);1l!i!'tii@JNGeR~llM!!]~".;gf{_ff~·"'Jll:ri~t1.l mr'i![~J~~~l~1~§]~1~)j~\i~ltj;•!~tt~jl,{@1;~J:l!:t~!~:i~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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 site7 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. '.,£Jlt~~gQ:~:~fRQ~ti,QN~~.~N~l[~]i ~'~NC.)1L~~t~~~Jtlik~ffijr~tt?~~tl~~~~~~~fflW.&}!t!t~1~11l~~I~~;~~~~r~~~JtB~lfut11li!~NS¾LtJ11~~~]1Jt11~~U?.1:~i~~:f~~;r;1~'.1'.'.~~l~t 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 ________________________ _ 19i~,t~{f,~ij:ff~t,GANrt'~C(81tIB.lC~l\QN1~~;~~f;ttli~~~ijnum~~-~1-~~~nJ~l~Sr=t'~m~Mifit!i~~~JJ[E~~~![:~~-~mw111~111J~~tBffl!Wf!®ll~i ~~ti,];~ 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 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. ElCPIRATfON: 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 permil is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned al any lime after the work is commenced for '.Zd f 180 da Sectio .4.4 niform Building Code). • NOV ' 2 4 _. 200 J APPLICANT'S SIGNATURE ----,L~~J~~L.l.~--"---'~+~=i2~5;:_________ DATE --"--', ___ .. ___ _ PINK: Finance \\~1 City of Carlsbad Bldg Inspection Request For: 12/07/2004 Permit# CB044252 Title: WAHLQUIST RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2832 LUCIERNAGA ST Suite: Lot Location: APPLICANT A&J FOSTER, INC. Owner: WAHLQUIST DANA D Remarks: Total Time: CD Description 25 Water HeaterNents ~ ~P"# r~ ~-"" 0 Act Comment M Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7608042715 Inspector: ft..,/ Requested By: CHUCK Entered By: JANEAN