HomeMy WebLinkAbout2878 LUCIERNAGA ST; ; CB163065; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-09-2016 Miscellaneous Permit Permit No: CB163065
Building Inspection Request Line (760) 602-2725
Job Address: 2878 LUCIERNAGA ST CBAD
Permit Type: MISC Subtype: REPAIR Status:
Parcel No: 2153302525 Lot#: 0 Applied:
Valuation: $0.00 Entered By:
Reference #: Plan Approved:
PC#:
Project Title:
Applicant:
MELIA: INSTALL POST AS PRECAUT
IONARY REPAIR
JTH CONTRUCTION, INC
1805 CORTEZ AVE
ESCONDIDO CA 92026-1704
760-803-9031
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Issued:
Inspect Area:
Owner:
BRUST FAMILY TRUST 09-03-09
2878 LUCIERNAGA ST
CARLSBAD CA 92009
Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due:
Inspector: ~ Clearance:
ISSUED
08/09/2016
JMA
08/09/2016
08/09/2016
$65.00
$0.00
$0.00
$65.00
$0.00
I\OTICE: Aease-1\0TICE Iha ~ ci )OJ' prcject ird~ Ire "lnµ,eition" ci fees, dedcaions, reseivations, er ctrer exoctions la'eafter cdlectively
reierred toas 'fees'exoctions." Yru rave OOdays mntre-tns pemit""' iSSl..<ldto p-ctest inµ,eition cithesefees'exoctions. If )OJ p-ctest ttan )OJ rrust
fdlootre p-dest fX'ClOO(ires se lath in G>lerTrrerl OX>! Section f0020(a), ard file Ire p-ctest ard any ctrer re:µred infmralion wth Ire Oty t.."a1E\Jef fer
pnx:essirg in a:mrdarev.ith Catsboo Mriai:a OX>! Section 3.32.03Q Falu-etotirray fdlootrel pnrscl.rewll ta-anysuta,q.,ent l"i]a action toatta::k,
review, sa: aside, vcid, er aru their ilTfX)5iticn
Yru are reret:ry F\.RTI-ERI\OTIFtEDttet \OJ rig'! to p-ctest !respecified fees'ex,djons OCES l\01' PPR.YtolMier ard S<Ma'cxrrediai feesard ~ty
c:ta-ges, ncr pt..-nrg, zcrirg gairg er ctrer sinnla-wicaion pnx:essirg er seruoefees in oonnection wth tns prcjeci I'm OCES IT PPR. Y to any
f v.hi been . sinil tti o-vJi tre ct Ii . . .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING QFIRE □HEALTH OHAZMAT/APC0
· {cityof Building Permit Application Plan Check No. CB!<o· 300?
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Dep9sit email: building@carlsbadca.gov
www.carlsbadca.gov Date 8'/ Cf/ /'3 lswPPP
JOB ADDRESS~~ 7 ~ LJJ oe R. J.I rt~ ff -s--r ! .:,ulTE#/SPACE#/UNITM rPN : . . .
CT/PROJECT II ILOTII ! PliASt. # 1 • Of CHITS r1H55MS I' BATHROOMS I TENANT BUSINESS NAM£
.. ru, .__,,.,_ ITPE I occ. GROUP ___
DESCRIPTION OF nunK: Include Square Feet of Atrecun• Area(sJ
~f<_EC..1 S-11.J.,3/L 1 ·z..,Z/c.. Po.::;-, t!J.JD6f<. 1;>~C./<-
J:J1.tSTING USE t PROPOSED USE t GA.RAGE (SF! PATIOS (SF) I DECKS (SF) FIREPLACE I IA!R CONDITIONING I FIRE SPRINKLERS
1)£C./.C... Dect<-YESO_ NoCJ vEsQ•oO mO•oO
APPLICANT NAME /. CotJC.1~uc..1 ie, ,J PROPERTY OWNER K~ fl (F N /114'1 /ci. Pdm"Y Contact::.H., Jl0!.Jf-L ... ..:J"1 /d . . ADDRESS ADDRESS.2~7 II Lucte,/Jqe:q S1 1..e-()5 {'_Otl.."[c,?z.., A~. I CITY ' STATE ZIP CITY STATE (J ZIP ::....IE-s_<;_c> IV fl I ,,--,,, ('_ ll-CJ.tJ. o~,A CA-fcc'.,-S &+D (!_ p,
: PHONE I 'AX PHOi (q q 7 :i. ~t, 1_i!?_ l'A)( ! -'1 lnn ~o?.. ~,., "3 I
EMAIL
.J"AN () M Ho.;,@ LO~, N€1'
EMAIL , /<.FftJ-eAf /11 ~LIA 7:>.0 @ i( ,4 l.foo, C.o/11
DESlGN PROFESSIONAL CONTRACTO~US. NAME , ..Pr H C..c./JS 1~VC."1 t c,,.J :£;Jc.,
ADDRESS ADDRESS t8. t5 (!. 011,1 et A tE 8=,co, ofJ1fJ'iJ
CITY STATE ZIP CllY , , STATE ZIP E}5c..o tu D )[)?J (' /(; C1 ~") o 21,,
PHONE (AX PHONE [FAX /
'1roo ,a<23 «~ -::2.J i .. 'EMAIL EMAIL
_j"A-,-Jr, ,M /,J-{) '1'-r@ Co>(, tv€1
!STATE UC,# S1ATf UC.# l'B lc1rs3 I 30 ~/0{,,,_-:?,q
Woriters' Compensation Declaration: / hereby affirm under penalty of p&jury one of th8 following declarations:
□ I have and will ma~ntain a certificate of con~nt to self-in SI.Ire for workers' compensation as provided by Section 3700 of the labor Code, lo'. the perf~r~ance of the work. for which this permit is Issued rn l have and wlll maintain workers' companaatIon, as requ~red by Sec.«oo 3700 of the labor Code, ior the performance of the work for Wh!ch this permit IS Issi1ed. My wolii::ers' compensation Insurance carrier and pol.Cy
rrumbeca<e lnsuraocaCo. 4,c..lf A:M1£fU c.ArJ. 1 iJ 5 (! 0 Pol,cy No. f.t, t..l r--(.'ij,_'a._J._1_3 "I. El<piralion °'" ,Ju ,J,:; I I a..o I J
~sectk:in need not be completed if the pemit! is for one hundred dollars (S100) or l;!ss. LJ Certificate of Exemption: I certlfy that In !tie performance of tlJe work for which this permit is iss:.ied, ! shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Gali!ornia. WARNING: Fallura to secure workers' compensation coverage Is unlawful, and shalt subject an employer to criminal penalties and civil flnas up to one hundred thousand dollars (&100,000), In
addltiOfl to the cost of eompOflHtion, damage$ as pn:wided for In Section 3706 of thG Labor oode, intertst and attomay's tees.
,l!5 CONTRACTORSlGNATURE -~ f"'"f,d. g}AGENT
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner of tlie property or my emp!Oyees wi!h wages as their sole oomperiSallon, will do the work and !he structure is riot intended or offered for sale {Soc. 7044, Business and ProfessiOns Code: The Contractor's
Ucense Law does not apply to an owner of properly who bu1kls or improves thereon, and who does such work himseH or through his own employees, ptovKled that such impro,;ernenls are not intenoed or offered for
sale. If, llOwever, the building or improvement is SOid within one yea, Of oompletion, ttie owner-l'K.iilder w!I have the btmlen of proving that he did not build or impnwe for the purpOSEI of sale).
I, as owner of tlie property, am exclusively cont1c1;lirig with li~nsed contraclors to construct tne project {Sec. 7044, Business and Professions Code, The Controctor's Lic8nse Law does oot apply to an owner of
property who builds or improves thereof'!. and COfllracts for such projects with contraclor{s) ricensed pursuant to the Contractor's l teense law)
I am exempt under Section-··-· ____ Business and Professions Code for this reason:
t. I per,;ona!ly plan to provide the major laOOr and materials for constrvction of !he propo~d property improvement. 0Yes QJo
2. I (have I have not) signed an application for a building pelTTlit for the proposed wof)(.
3, I ha\/8 contracted with the following person (frrm) to provide !he proposed construction (include name address I phooo / contractors' license number):
4. l plan to provide portions of the work, but! have hired the following pefSOO to coo«Jlnate, supe~!se and Pfovide the major work (include name I address I phone I contractors' license number):
5, I will provide some of the worll, bl.rt I ha\18 COlltreteled (hired) the fo~oWlng persons to provfde the work indicated (include name I address I phone I typs or work):
LS PROf'fRT'f OWNER S1GNATURE □AGENT DATE
I
Is tile applicant Ol' llJture bulldlng oo;;upanl reqult&CI IO submit a bus!ness plan, acutely hazarelous materials registralion form or risk managemenl and prevention program under Sections 25505, 25533 or 25534 of the
Pl'esley-Tanner Hawrdous Substance Account Act? □ Yes O No
ls the applicant or future building ocx:upant required to obtain a permit from the airpodutiOn control district Of air quality management district? □ Yes □ No
ls I.tie facility to be constructed within 1,000 feet of the outer boundary of a schOol site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES1 A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONlROL DISTRICT.
I hereby affirm that there is a construction !ending agency for the performance of the wo!i(; this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I rertifythat I halle iead the appllcatlon and stats ttiatthe above lnfonnation Is correct and that the Information on the plans Is accurate. I agree to comply'Mth all Cftyortllnances and State laws 181ating to buUdlng oonstructlon.
• I heleby aulhori7.e representai.. of the Cilyof Gallsbad to enter UIX)l1 the aoove mentioned p!O!'lrty iJr inspect;)n pu!p'.)$8S I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM LE$ THE CITY OF CARLS&\D
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRJE AGAlNST SAID CITY IN CONSEOOENCE OF THE GRANTING OFTH1S PERMIT.
O&iA: M OSHA perm~ is raquk'ed for excavaUons over 5'0' deep aoo demolitbn or mistruclion of struC!Ures over 3 stifles in he",}llt
, EXPIRA. TION: Every f:eITTl~ issued by the Building Offcial under lhe pitMSOOS of this Code shall expire by limitalkm and become nuu and vod W the buikmg or 'M:lfk authofiled lJ)' sud1 ~it is not o:xnmenred 'Mlhin
i 180 days tom the date of such perm~ or if tie buik:lllQ or oork authorized by r1' i:erm~ is suspended or abandoned at any time after the oork is oommenced for a period of 100 days (Sectbn 100.4 .4 UnOOITTl ~ Cede)
_L--•-~ V H":1,/-•• ~06 4 ;,o,C,
t~T.ftl ..,
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email bui\ding@carlsbadca.gov or MaU the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office use Only)
CONTACT NAME OCCUPANT NANIE
A DRESS BUllDJNG ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: o CONTACT {Listed above) o OCCUPANT (Usted above)
n CONTRACTOR (On Pg. 1J
o ASSOCIATEOCB#'-----------
MAIL TO: □ CONTACT (LlSted above) L.! OCCUPANT {Listed i;ibove)
':1 CONTRACTOR (On Pg. 1l o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/FAXTOOTHER: _______________ _ o CHANGE OF USE/ NO CONSTRUCTION
AS APPUCANrs SIGNATURE DATE
Inspection List
Permit#: CB163065 Type: MISC REPAIR
Date Inspection Item Inspector Act
08/29/2016 19 Final Structural
08/29/2016 19 Final Structural AEK
08/17/2016 11 Fig/Foundation/Piers
08/17/2016 11 Fig/Foundation/Piers AEK
08/16/2016 14 Frame/Steel/Bolting/Weldin AEK
Monday,August29,2016
RI
Fl
RI
AP
NR
MELIA: INSTALL POST AS PRECAUT
IONARY REPAIR
Comments
PM PLEASE
AS BUil Tl/ EXISTING
PER HOMEOWNER NO WORK DONE//
NO CONTRACTOR ONSITE
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