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Home My WebLink About2888 LUCIERNAGA ST; ; CB000656; PermitJ ~\\ 0\\ ~\oS City of Carlsbad 02/28/2000 Plumbing Permit Permit No:CB000656 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2888 LUCIERNAGA ST CBAD PLUM Status: ISSUED 02/28/2000 JM 02/28/2000 02/28/2000 Parcel No: 2153302520 Lot #: 0 Reference #: Construction Type: NEW Project Title: WATER HEATER REPLACE Applicant: ARS STE 100 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619-677-5445 Total Fees: $27.00 ~;;~~l'ayments To·Oaiet Applied: Entered By: Plan Approved: Issued: Inspect Area: e Due: $27.00 • t,t .. ~ Tu<\ ·,'?,'\ ,.\:: ~;~~~~~x!,~ ~ 40 • 4 tr; ·aw:rwf/28/00 0001 01 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Inspector: FINALr;;iOVAL Date:~ 00 Clearance: $0.00 $0.00 $27.00 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 perm~ 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 Car1sbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have areviouslv been c iven a NOTICE similar to this or as to which the statute of limitations has areviouslv otherwise exaired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 /[I 02 27 .()() PERMIT APPllCATION FOR OFFICE USE ONLY ./ ~/ PLAN CHECK NO. 03-t?'.5£) CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __________ _ 1. PROJECT INFORMATION Address (include Bldg/Suite #J Legal Description Lot No. s~vision Name/Number Unit No. Phase No. Total II of units xisting Use Proposed Use SQ, FT. #of Stories # of Bedrooms # of Bathrooms City State/Zip Telephone# Fax# 3. ,,----:....U.:::t::L~LL4-.JY.lL.LLµJ~-J;:2.U~~c..u..~~(L.llr..:.,:;;~~~~~,!=,;2-tL_l!loi:'.!_~.!,.:7·=~ 4. PROPERTY OWNER Name Address City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME Designer Name Address Citv State/Zip Telephone State License # __________ _ 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. [l' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i,'~d. My worker's co~!-~Cfi insurance carrier and policy number are: Q 7 2 -4 / Insurance Company _ _,,l5,~~(0f~-~ '\_________________ Policy No. ---Wl.: I 2 Expiration Date _ J::¥'°) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) / 0 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 Laws of California. WARNING: Failure to secure workers' companaation coverage ii unlawful, and ahall aubject an employer to crlmlnal penaltle• and clvll fine• up to one hundred thousand dollar 00,000), I tkm to the coat of compensation, damages as provided for In Section 3706 of the Labor coda, lntareat and attomey's fees. oAn 2-:· 7-B ,ao I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). 0 I am ~xempt 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. l 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 I phone number/ contractors license number): ________________________________________________ _ 5. I wilt provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILOINO PERMITS ONL V 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code}. LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ 9. ,APPLICANT CERTIFICATION I 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 to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. 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 OF THE GRANTING OF THIS 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 permit is suspended or abandoned at any time af r he work is commenced for a peri of 180 days 16ection 106.4.4 Uniform Building Code).~ / APPLICANT'S SIGNATURE -""C'-.,..,'d--t""'--'-..... ,st"--L.l--l>"'-'""'"-'--'-"-'"-'!<1..---------DATE -LSI.$) t PINK: Fmance City of Carlsbad Bldg Inspection Request For: 3/6/2000 Permit# CB000656 Title: WATER HEATER REPLACE Description: Type:PLUM Sub Type: Job Address: 2888 LUCIERNAGA ST Suite: Lot 0 Location: APPLICANT ARS Owner: SCHIPKE GAIL M Remarks: INSPECT AROUND 10AM PLEASE Total Time: CD Description 25 Water HeaterNents 4t-Comments Associated PCRs Inspection History Date Description Act lnsp Comments ~ Inspector Assignment: l L. Phone: 7608041928 Inspector: ---- Requested By: GAIL Entered By: CHRISTINE