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Home My WebLink About2847 LUCIERNAGA ST; ; CB043484; Permit1!ij\\p t7, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-07-2004 Miscellaneous Permit Permit No: CB043484 Building Inspection Request Line (760) 602-2725 Job Address: 2847 LUCIERNAGA ST CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2153102201 Lot#: 0 Applied: Valuation: $627.00 Entered By: Reference #: Plan Approved: Project Title: LOWMAN RESIDENCE tplicant: 5.5 SQUARES OF COMP REROOF PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-7 45-4 700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT Owner: LOWMAN SALLY R 2847 LUCIERNAGA ST CARLSBAD CA 92009 Total Fees: $28.00 Total Payments To Date: $0.00 Issued: Inspect Area: Balance Due: ISSUED 09/07/2004 MOP 09/07/2004 09/07/2004 $28.00 $0.00 $0.00 $28.00 $28.00 0518 09/07/04 0002 01 CGP Inspector: Clearance: NOTICE: Please take N at 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 1T APPLY to any fe x i n f w i h v r vi I n iv n N Tl E i ii r h' hi h h tu i ion h I h i 02 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY l))'-\-3 t.{,X" PLAN CHEf;f:1 / d ;,-- EST. VAL. L -z ~ Plan Ck. Deposit __ _.{ _____ _ Validated By __________ _ Date _____________ _ Address {include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No, Total # of units Assessor's Parcel # Existing Use· Proposed Use Name Address City State/Zip Fax# ·,1~~?~~~· m Name ' S.tate/Zip Telephone # ~JiJ\WiN~'/11\lli . ·---,lllli,"li,~ (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 for such permit to file a signed statement that 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 exemption, Any vlolatlon of Sectlon;(031,5 by any applicant for a p rmit subjects the appllcant to a clvil pe¥Itv of ~t more than ·five hundred dollars {$5001), · r J<;· "I --,rD u:,, ;1.9 ?:t,,o Name License Class _,C::_",s=;'------- City State/Zip _ ;r Qle,.hone # City Business Lie.ens~ # J :2Q'3 I '1, f Designer Name Address City State/Zip Telephone State License # _________ _ f6~8RSJ\~KfPe,i'SATf6~l1~~~1~~11h'f~~~-jltt;~~~f~ffi!Wif:,;;;r:;~~~<~~(fS!Ti!~±1;i:1:}·:1~;';,l;f,t·~h"il;,~J1{/> Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certifi~ate 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, ~ I have and wlll 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 pollcy number are: lnsu,ance Company 5TC..-\c, fi_, <0 . PoHcy No . .:;z1fSO 00 ,5l ~ '.) 5() >-/ Expiration Oate,_-'4:"-'/-'-1rp""o-'~"-'-- (THIS SECTION NEED NOT BE COMPLETED lf'THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) O 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 lews of California. ensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred e cost of compensation, damages as provided for In Section 3706 of the Labo co , Interest and attorney's fees. t,/ . DATE 9 7 D I, as owner of the property or my employees with wages es 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). D I, as owner of the property, am exclusively contractlng 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 buHds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to t~e Contractor's license Law). D 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. t 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 wUI provide some of the work, but I h8ve contracted (hired) the following persons to provide the work indicated (include name / address/ phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE~--~--------------------DATE__________ . ,,,,...., ""'"-"l'"~•"'·-··m~,s...-,,""'"""""'"J'.,_""""'"'""'"' -•-""" ,.,. .. _,_,,,,...,,"'~•··,, ,.,.,.., '""'"""'"1··•··""" ·•'""•'· ., .... ,, <r ,,,.,.,,, , •. •s.e·,.,,.,~., .. ,~,., .. , .. , , .•. , ~~Q1v1.PJ;,~.~1M,tl .. ~J.91:~J:1.9.~Y.ISl,,lmzy.1.:f,;~::-n~l'l'1~.q;.~.vA1..._~_~~~Jl,~E.R.MIJ:.~.lQ.f'~Y£!.mli~~,\,¼!C,;il'm;:i::.,;cl;:wB;:~d&;i1:,~~:rrf/4,i~~~li~i(:ilf;U:,,11&!ilt:Tu~lk,t!::;},;,';;'(!fWraiili;i:~E~.f:J-a1•1.,;,;r,~,:;~~_,~.;r-t,,\'.; Is the applicant or future building occupant reqUlred to submit a business plan, a.cutely 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollutfon control district or air quality management district? 0 YES O NO Is the facility to be construc~ed within 1,000 feet of the outer boundary of a :;chool site? D 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 ME'ETING THE REQUIREMENTS OF THE OFFICE OF EMERG$NCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. rDmtcJ.W$.ifrumilfiW~~J~JR(ilffi_ ... , ). ~-~~~~~~IW~"~;,~~~~i~~~,~~JrJ]!\1ti~~lilil~;1~1~"~;~1:;~V~l~-~~:: ,;,::,if-~~~~1MLlk:; 1 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 fil~ue~1:c;WJfi1ilmr1i!IPatili_N 1 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 tD comply with all City ordinances and State laws relating to b.uildlng construction. I hereby authorize representatives of t.he Cit\' of Carlsbad to enter upon the 1ove mentioned property· for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST LL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS ERMIT. OSHA: An OSHA perr,;ilt ls requlred_for excavations over 5'0" deep and demotltior, or construction of structures over 3 stories in height. I EXPIRATION: Every Aermit Issued by the bulldlng Offlclal u er the provisions of this Code shall expire by llmltatron and become nun and void ff th building or work authorized by such perlTlit Is not commenced-Within 180 day f om the date of such permit or if the bulldlng or work authorized by such permit Is suspen ed or abandoned at any time after the work Is commenced fi period of 180 ays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE <' (!_.. DATE --'-,f-Y+""p'-1/"'----f----- WHlTE: FIie YELLOW: Applicant PINK: Finance City Of .Carlsbad SUPPLEMENTAL.: BUILDING PERMIT APPLICATION FOR REROOFING 1. JQB ADDRESS: R ~L\ 1-l uci'e rActr 61""' 2. TYPE OF BUILDING: RESIDENTIAL ')C . COMM.ERCIAL'-----=- 3. ROOF SLOPE: RISE /.f Inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3 5. TYPE OF EXISTING ROOF COVERING Skill.. SHEATHING - . *6. NEW ROOF MATERIAL di:mf CLASS A WEIGHT PER SQUARE 7. -NUMBER OF SQUAR.ES 6 -5 8. TRADE NAME tff&( MANUFACTURER--.-k_A_1-= -----=- 9 •. ROOF SYSTEM LISTJNG · UL No. . ICBO No. £R-I/ 05 10. IS THE EXISTING STRUCTURAL OESIGN SUFFICIENT TO SUSTAIN THE · WEIGHT OF THE PROPOSED ROOF? ~. ·NO . . . . All roof coverings are required to·be"CLASS A:Comba'!?tible roof coverings . ~ .. . ., of any type or classification are·prohibited. I understand the following inspe~tions are required: .. 11' 1. Tear Off/Pre~ins'pection prior to install~ew·roof covering. 2. Final Inspection ' . I agree to provide a ladder extending at least 2 rungs ,above the roof for inspection. n Signature Cdl&!L -· • G }irwt; Date 1 /--, /,y --+-, -,--<----- Contractor X Owner ____ Contractor NafPe L¼ Rv~ f2oo .ff('.j "b -Rolled oo 1119 , a 1dai d/~it~ Ti!c, A!::phaJt/Ccmr J:!be rgfac; , R11ilt ur: Other. ./' City of Carlsbad Bldg Inspection Request For: 09/20/2004 Permit# CB043484 Inspector Assignment: PY --- Title: LOWMAN RESIDENCE Description: 5.5 SQUARES OF COMP REROOF Type: MISC Sub Type: REROOF Phone: 7607454700 Job Address: 2847 LUCIERNAGA ST Suite: Lot O Location: Inspector: ----- OWNER LOWMAN SALLY R Owner: LOWMAN SALLY R Remarks: RESET FM FRIDAY Total Time: CD Description 19 Final Structural ----------~ Act Comment Requested By: PIVA ROOFING Entered By: ROBIN ¥----- Associated PCRs/CVs Inspection History Date Description 09/17/2004 19 Final Structural 09/10/2004 15 Roof/Reroof Act lnsp Comments CA PY ROLL TO MONDAY AP PY OK TO COVER