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Home My WebLink About2876 LUCIERNAGA ST; ; CB161430; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-14-2016 Permit No: CB161430 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2876 LUCIERNAGA ST CBAD PME Status: Parcel No: 2153302526 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: WEBSTER RES-AREPLACE WATER HEATER ARS OBA RESCUE ROOTER STE B 9895 OLSON DR SAN DIEGO CA 92121 858-457-6572 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: REG WEBSTER 2876 LUCIERNAGA ST CARLSBAD CA 92009 760 920-8063 ISSUED 04/14/2016 RMA 04/14/2016 04/14/2016 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: FINAL APPROVAL Inspector: Date: 9-t.'{'-// Clearance: ------ $0.00 NOTICE Rease tn that ~ cl~ f:Xtject 1ndudas the "lrqx:sitiai' cl fees, dedcaiCJ1S, rE!S8\Sicns. cr ctha'" era:iials hered\er rold\lely refared to as "feee'exa:iiCJ1S." Yru i"aJe 00 day.; frcmthe date tlis perrril 'MIS i$00d to prdesl irTJX)Sition cl these feee'exa:iiCJ'lS. If ,o.i pretest them, ,o.i nu;t fdlo.,vthe p-ctest ~ set forth in GcMmTent Q:deSedion oo:J20(a). a"dfilethe ~ a"d a,yctha'" reqjred infcmetionwth the Qty r,.ta,agerfcr pu:esslrg in arndam ...,.th Qrlsl:a:I IIArid;:a Q:de Sedioo 3.32.030. Falueto tirrayfdlo.vtlu p-ccecire½111 tw a,ysubseqJellt lega adiontoattock, rEMEM\ set aside, ldd, er 1ITI.J tteir irTJX)Sition. Ycu ae herecy Fl.Rn-ER I\OTIRED that~ rigi to pctest the specified feeslexa:iiCJ1S ca:s NOT APFl Y to '1'.01:er a-cl '$SN8f COTEldicrl fees a-cl~ c:ra-ges, ncr plmrg, za-irg, gmrg cr cther sinilar ~ic:atioo p-a:essirg er SS'IACS fees in c:cmedioo wth tHs ptject. f'.(R CXES IT ACR Y to a,y t . v.ri . . ·1 . . ct lirri i . . ;l' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING 'Af"A' \~_~::I',, ·~ CITY OF CARLSBAD CT /PROJECT # LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACU/UNITf # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) □BUILDING □FIRE Plan Check No. EXISTING USE PATIOS (SF) DECKS (SF) FIREPLACE vEsO AIR CONDITIONING No□ YES □No □ FIRE SPRINKLERS YES□No□ APPLICANT NAME (Secondary Contact) AO DRESS CITY STATE ZIP PHONE FAA EMAIL ·,- ZIP °l"'2.oo61 FAX 54 ARCH/DESIGNER NAME & ADDRESS STATE LIC. # {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair an)' 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 P1v1sion 3 of the Business and Professions Code) orfhat he is exempt therefrom, and the basis for the aueged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]1. WORK~RS' COMPENSATION Workers' Compensation Declarallon: / hereby affirm under penalty of pajury one of the following declaraNons: ave and wlll maintain a certificate of consent to self-insure for IM'.lrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ave and will maintain worke!:'::lioo,§Sas uired bv Section 3700 of the Labor Code, for the performance of the work far which this permit is issued, ,.l workers' compens_ation inrran1ca,rier and policy number are: Insurance Co _bl ..C ~ ~ Policy No. j (b -0 \ 5~ 1,o'o \ 0 \ ::)Expiration Date \ {) \ \ I I le, 1]li§, section need not be completed ff the permit is for one hundred liars ($100) or less, LJ Certlflcate of Exemption: I certify that in the pertormance of the work for which 1his permit is issued, I shall net employ any person in any manner so as 1o become subject to 1he Worker,;' Compensaijon Laws of Cal~omia. WARNING: Failure to secure workers' compensation CO'lerage Is unlawful, and shall subject an employer to criminal penaHies and civil fines up to one hundred thous d dollars (&100,000), In addition lo the e-0st or compensati~magas as provided for In Sect! 3706 the Labor de, int d attorney's fees. ,/15 CONTRACTOR SIGNATURE LJ,-.....,.,_ ~ I hereby affirm that I am exempt from Contractor's License Law for the folJowfng reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and 1he 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 1hereon. and who does such work himsett or 1hrough his own employees, pro'lided tha1 such improvements are not intended or offered for sale If, however. tlie bulldlng or improvemen1 Is sold within one year of completion, tlie owner-b\Jilder will have the burden of proving 1hat he did no1 build or improve for lhe purpose of sale), I, as owner of the property, am exclusively contracting wi1h licensed con1rac1ors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner al property who builds or improves ttiereon, 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. 0Yes Oo 2, I (have I have not) signed an applica1ion for a building perrn~ for the proposed work. 3. I have contracted With the following person (firm) 10 provide 1he proposed construction (include name address I phone/ contractors' license number): 4. I plan 10 provide portions of the work, but I have hired the follow!ng person to coordinale, supervise and provide the major worlc (include name I address/ phone I contractors' licenre number): 5.1 will provide some of the work, but I have con1racted {hired} the following persons to provide the worlc indicated (include name I address I phone I type of wo!lc): k$ PROPERTY OWNER SIGNATURE □AGENT DATE ·' COMPLl!TE THIS SECTJON FOR NON-RESIDENTIAi. BUILDING PERMITS ONLY ts the applicant or fultJre building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 255:¼ o1 the Presler-Tanner Hazardous Substance Account Act? Yes No 1s the applicant or future building occupant required to obtain a permit from the air pollution control dis!rict or air quality management dis!rict? Yes No Js the facility to be constructed within 1,000 feet o1 the outer boundary o! a school site? Yes No IF MiY 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. CONSTRUCTION LENDING AG£NCY I hereby affimi that there is a construction le!lding agency for the performance of the work this permit is issued (Sec 3097 0) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and stile that the above infomiation Is conect and that the lllfulmiltion on the plans is accuralll. I agree to compl)lv.fth all Clly ordinances and Sta1e laws relating Ill building construction. I hereby aulhcrize rep<esentatt.e of the City of Carlsbad to enter up:in the atove mentiooed property for ilsr:ecfion txJrp:ises. 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 Cf' THE GRANTING Cf THIS PERMIT. OSHA AA OSHA permit is requred for excavations O\'ef 5'0' deep and demolition or =truction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buik:Ung Official under \he provisons of this C'.ode shall expre by limitaoon and beOJme null and void if the buikfog orv.ork authorized by such permitis notcnmmenced 'M\hin 100 days from the date of such pemilt or if the building or v.ork authorized by such pem,lt is suspended or abandoned a\ any time after the ...mis rommenced for a rod of 1 ays (Section 106.4.4 Uniform Building Qrle). .f#5 APPLICANT'S SIGNATURE DATE 3 23 lb • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. . ' ' r: : { (, \, ( !J ;: " .r. ( ' ~ ' ~ : ~ ' ~ ' . i I,: ~ Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Llste<I above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :1.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN use/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List Pennit#: CB161430 Type: PME Date Inspection Item 09/28/2016 25 Water HeaterNents 09/28/2016 25 Water HeaterNents 09/28/2016 29 Final Plumbing 09/28/2016 29 Final Plumbing 09/26/2016 25 Water HeaterNents 09/26/2016 29 Final Plumbing Thursday, September 29, 2016 Inspector JW JW Act RI AP RI AP RI RI WEBSTER RES-AREPLACE WATER HEATER Comments AM PLEASE AM PLEASE Page 1 of 1