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Home My WebLink About2847 LUCIERNAGA ST; ; CB960166; PermitI r. 'I I L D I N G J/96 :r,::~ Patft=' 1 of 1 Job Address: 2847 LUCIERNAGA ~T Permit Type: PLUMBING Parcel No: 215-310-22-0l Valuation: o Suite: Lot#: Pez:rn1.t-No: BYbOlbf-i Prl'Jec-t N( : A'1tiOOc.bl Development No: Conbtruct1on ~yre: NSW Occupancy Group: Reference#: Std tu::;: ISSUED Applied: 01/30/Jo Apr/Iscue: 01/30/96 Enten:Jd By: RMA 619-431-1159 Description: REPLACE WATER HEATER Appl/Ownr : LOHMAN, MICHAEL 2847 LUCIERNAGA ST CARLSBA,CA 92009 *** Fees Required Fee~ Collected & Credits **" ------------~-r---r ------------------------Fees: Adjustments: '!'0tal Fees: Fee de:::cription 2 7 . .oo 2.'lJ • I Enter "Y for Plumbi. ss.U F<:>e > Each Water Heater and 1c( ◄ V. nt > * PLUMB:::NG TOTAL Tot'll creait.s : Tot<ll Efoyrn nts: 8 ll:lnc"e Du0: Uni. ts Fe /Vn · t ) .po --- .00 .00 27.0U Ext fee Data 20.00 Y 7, (I 0 27,(.}lJ PERMIT APPLICATION PLAN CHECK NO. 960//C City of Carlsbad Building Deparbaent 2075 Las Palms Or., carlsbad, CA 92009 (619) 438-1161 I. PRRMI I IYPR From Llst l (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ---------'""'"------------- Net Loss/Gain of Dwelling Units 2. PRClJECT INFORMATION FOR OFFICE USE ONLY ress 2847 Luciernaga St. Nearest Cross Street LEGAL DESCRiF'IION Loe No. Sub(liV1s1on Name/Number Omt No. Phase No. □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi POSTING USE PROPPSED USE DESCRIPTION OF WORK water Heater Replacement 40 Gallon SQ. Ff. # OF STORIES # OF BEDROOMS # OF BATI!ROOMS 3. WN IACI PFJlSON (II dlIIerent from apphcanO NAME (last name first) Lohman, Michael ADDRESS 2847 Luciernaga St. CITY l,cl,.,ad_ STATE .cz, ZIP CODE Jl?Qfl.9 DAYTELEPHONE 1111 1)59 4. APPLll!XRf17 titufviRACJOR OAGEN"f-J.ORWNIRACIOR UOWNER OAGENI FORbWNEH NAME (last name first) carol F6ster ADDRESS 13706 Highway 8 Business, Suite B CITY t t, • S. PkoPJh ➔ili?ff' STATE CA ZIP CODE 92Q2J DAY TELEPHONE 190 4477 NAME (last name first) Lohman, Michael STATE ADDRESS 2847 Luciernaga St. CITY 6. WNiiffiefmfi'a8. ZIP CODE 1#2001# DAY TELEPHONE 4 3) J] 59 NAME (last name first) A & J Foster, Inc. ADDRESS 13706 Highway 8 Business, Suite B CITY El cajon STATE CA ZIP CODE 91977 DAYTELEPHONE 390-4477 STATE UC.# DESIGNER NAME (last name hrst) eaOHW UCENSE CLASS CITY BUSINESS UC. # J 200351 CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORKERS' OOMPRNSA:J iuN Workers, Compensanon Declaration: I hereby afhrm that I have a ceruhcate of consent to self-msure issued by the DireclOr of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY rt1 1cate o xempllon. t nee o t e wor o so as to become subject to t~ Workers' Compensation Laws of California. ny person many manner 8 _s)f;~nti:.t~ DATE I -?JJ -C?l/ □ □ □ Owner-Bmlder Deciarahon: I hereby afhnn that I am exempt from the Contractofs License Law for the iollowmg reason: 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.). 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). I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit 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, commencing 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 violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATIJRE DATE COMPLE IE I HIS SEGI ION FOR NON-RESIDEN I IAL BUILDING PERM! IS ONLY: 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO ls the facility to be constructed within 1,000 feet of the outer boundary of a school sire? □YES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE Ii;slJED AFTER JULY I, 1989 IJN1.ESS THEAPPUCANT HAS MJIT OR IS MEETING TIIB REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLl.UTION OONTROL DIS111ICT. 9. WNSIRUCIIDN LRNDING AGENCY I hereby afunn that there is a construction iendmg agency for the performance of the work for which this pernut 1S issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI CERIIF~ I certHY that I have read the application and state that the above mformauon 1s correct. I agree to comply wtth all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARl.5IIAll AGAINSI" AIL LlABILlTIES, JUDGMENTS, CDSfS AND EXPENSES WHIOI MAY IN ANY WAY A(x:IUJE AGAINSI" SAID CTIY IN OONSEQlIENCE OF THE GRANTING OF TIUS PERMIT. OSHA; An OSHA permit is required for excavations over S'O" deep and demolition 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 commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandoned t any time after the work is commenced for a pericxl of 180 days (Section 303(d) Uniform Build'J'. g Code). APPUCANTS SIGNATURE (/ ,,.,.____ DATE: _-31-':J ( WHITE: File YELLOW: Applicant PINK: Finance