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Home My WebLink About2868 LUCIERNAGA ST; ; CB111511; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-15-2011 Residential Permit Permit No: CB111511 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2868 LUCIERNAGA ST CBAD RESDNTL Sub Type: 2153302518 Lot#: $7,049.00 Construction Type: Reference #: 0 Structure Type: O Bathrooms: HARRIS RES GUEST BATHROOM REMODEL-133 SF RAD 0 5B 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check# ISSUED 07/08/2011 KG 08/15/2011 08/15/2011 HARRIS JEFF FEDERAL NATIONAL MORTGAGE ASSN 757 VISTA POINT CIR VISTA CA 92084 760-519-6237 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee HMP Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee $99.61 $0.00 $64.75 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 135 N LOS ROBLES AVE #300 PASADENA CA 91101 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF(4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees Fire Sprinkler Fees TOTAL PERMIT FEES Total Fees: $256.36 Total Payments To Date: $256.36 Balance Due: Inspector: rn. ~ FINAL ~RZVAL Date: & t> S l"'Z, Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $70.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $256.36 $0.00 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 fees/exactions. It you protest them, you must follow the protest procedures set torth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager tor 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. NOA DOES IT APPLY to any I x ion fw i h v r vi n iv n N T i ii whi h h h rwi «~f> ~ CITY OF CARLSBAD JOB ADDRESS 'L 'tJ(_p & CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT # Est. Value Plan Ck. Deposit Date7-~-SWPP APN 215 -330 -1., # BEDRO M # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE SF -IB OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NOD YES O NO □ APPLICANT NAME (Prlm•ry ContactJ APPLICANT NAME (Secondary Contact) ADDRESS ~~ CITY STATE ZIP PHONE FAX Al CONTRACTOR BUS. NAME st-ADDRESS r~ CITY STATE ZIP PHONE FAX - EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 JChapter 9, comme_nding 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 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). ' WORKlllH' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pa,jury one of the following declarations: □ 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 of the 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 performar.ce of Iha work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co _____________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. □ 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' Comperisation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand doll an (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE □AGENT DATE OWNER•BUIUll!R Dl!!;LARATION I hereby affirm that I am exempt from Contractor's Ucanse Law for the following 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 o'M1er 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 J sale. If, however, the building or improvement is sold within one year of completion, the owner-builder 'MIi 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes O No 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 construcUon (include name address I phone/ 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 I address/ phone/ 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 I ptione / type of work): ./1$ PROPERTY OWNER SIGNATURE □AGENT DATE 1· · 11 * ' * * * -'* * (OMl!l.11'.fl!' THU SICTIQI\I l!!Ul IIIOl\l•l;tlUIIU:IIITl!'lii IIUII.IUNG l'JiRlillTS' 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 □ No Is the applicant or future building occup0:11t required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer 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. I certify that I have read the application and state lhatthe above infom,ation is correct and that the information on the plans is accurate. I agree to comply with all Clly ordinances and State laws relating to bulldlng construction. I hereby authorize representative of lhe City of Carlsbad to enter u~ the atxJve mentioned property for inspection PJfl'.X)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAR!...SBAD AGAJNST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: MOSHA pennrt is required for excavations over 5'0' deep and demolrtion or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Buik:ling Off'cial under the provisions of this Oxle shall expire by limitaOOn and become null and vlld if the buiK:ling or'M'.lrk authorized by such permit is not commenced 'Mlhin 180 days from the date of such pennit or iflhe building or'Mlrk authorized by such pennrt is suspended or abandoned at any time after the 'M'.Xk is commenced for a perb:I of 180 days (Sectbn 106.4.4 Uniform Building Cooe). _.65 APPLICANT'S SIGNATURE DAT!e City of Carlsbad Bldg Inspection Request For: 02/07/2012 Permit# CB111511 Title: HARRIS RES GUEST BATHROOM Description: REMODEL-133 SF Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 2868 LUCIERNAGA ST Lot: APPLICANT HARRIS JEFF Owner: HARRIS CAMERON C Remarks: Total Time: 0 Inspector Assignment: MC --- Phone: 8013184346 Inspector: __ (',{~· -"-l __ Requested By: MEGHAN Entered By: CHRISTINE CD Description Act Comments 29 Final Plumbing 1-9 ---- Z'}_ -. "3~ Associated PCRs/CVs/SWPPPs lnsiiection Histo!Y Date Description Act 08/24/2011 17 Interior Lath/Drywall AP 08/22/2011 27 Shower Pan/Roman Tubs AP 08/22/2011 84 Rough Combo AP 08/17/2011 14 Frame/Steel/Bolting/Welding co 08/17/2011 24 Rough/Topout co 08/17/2011 34 Rough Electric co -------------------- Original PC# lnsp Comments MC INCLUDES GRG MC MC BATHROOM EXHAUST FAN MC MC NOTICE ATTACHED MC