HomeMy WebLinkAbout2510 LUCIERNAGA ST; ; CB071812; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-06-2007 Mechanical Permit Permit No: CB071812
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2510 LUCIERNAGA ST CBAD
MECH
2152502900 Lot #:
$0.00
MAZANDARANY: UPGRADE NC FROM
3T TO 5T/NEW FURNACE IN ATTIC
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
FRANK SHARIAT
23512 CALVERTON
LAGUNA NIGUEL
CA 92677
949-310-6364
MAZANDARANY FARHAD N&SHAHLA
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
2
0
0
0
0
0
2510 LUCIERNAGA ST
CARLSBAD CA 92009
Total Fees: $53.00 Total Payments To Date: $53.00 Balance Due:
Inspector:
FINA
Date: Clearance:
ISSUED
07/06/2007
JMA
07/06/2007
07/06/2007
$15.00
$18.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$0.00
$53.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dications1 reservations, or other exactions hereafter collectively
referred to as •·tees/exactions." You have 90 days from the date this pennit 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 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. NOR DOES IT APPLY lo any
f s/ex c i n f whi h hav r i I n i n N TICE im' r hi r hi h f Ii i h
City of Carlsbad • Plan Check No. C{;, 07 / <r' { Z.
1635 Faraday Ave., Carlsbad, CA 92008 m·~ Est. Value 760-602-2717 / 2718/ 2719
Fax: 760-602-8558 Plan Ck. Deposit I •
Building Permit Application Date 1/1,,,/1)7
<'.~OBADDAESS ,..5 i O )-VL1£~rvA6-A S1", SUITE#/SPACE#/UNIT# rPN ---
11,;T/Pr,vJE-.;T # rOT# I PHASE# I# Or UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I Qi.;,.;, GROUP
DESCRIPTltm OF WORK: Al~ ~Nt)l'T\Oiv\N G, I tlE \I 1.-A ( ~ °3 1 ' l/N['T '3 ..-. .'' Vf'C-1',Ap\NG 'TO
~
>fl IT ,: 1( S'T~M/ F= V/2.IV' ACG / ,V .ATTJ( / C~rvP, V'/VtT //II ftp(. YAf?.J)
EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NOD YES □ NOD YES □ NO □
CONTACT NAME (If DIWerent Fom App/leant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I"" PHONE I""
EMAIL EMAIL
PROPER1Y OWNER NAME MA Z:.AtV p,-4 ~/\I Y :>(NTRACTOR BUS. NAME > HAP.,,......-!=\\AN/'<
AODRESS ADDRESS (.A\...1,-'t;_(<T"N CIR, 2-'J?°l2
CITY STATE ZIP CITY ~C..VNA .v1&utL STATE('.' A ZIP ')2617
PHONE I FAX PHONE ~)b4 l'AXq "i-'l-4!15 5 I '8 / ''-i-~-':>lo
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# ~ATE LIC.# 0A l0B A rTY;-;2 'I I z 1 . 7.. '-,-12 't I .. /S!c. 7031.5 Bu1111es1 and Prolemons Code: Any City or County: which J'!IIUtres a perrmt to COMtruct, alttr 1mprove1 demolish or reP,air any strvctu~ pnor IO 1u iu:uance, also requ1m the applicant for such permit to file a stgned stattmenl that he 11 fictnsed~r1uan1 to the pmisions of the Contractor's Limse law {Chapter 9, commmding with Section 1000 of Or,ision) of the Businns and Professions Code} or that he i5 enmpt therefi'om, and the bans for the alepd exemption. Any ,iolation of Section 7031.5 by any applicant for a ptm1it Hb~cts the applicant to a civil pmlty of not mort than live hundred dollm {$500}),
WORKERS· COMPENSATION
Workers' Compensation Daclamlon: I hereby affirm under penalty of perjury one of the following dec/erations:
□ I have and wlll maintain a cenlflcate of consent to 1elf•ln1ure for workers' compensation as provided by Section 3700ofthe Labor Code, for the performance of the work for which this permit is issued.
□ I have and will maintain workers' compensation, as required by action 3700 of the labor Code, for the perfomlance of the work for which this permit is issued. My workers' compensation insurance carrier and policy x' numbe< are: Insurance Co. , • Policy No. I 'i '11 O') .2 Expiration Date I \ , '3 ~ ,0 7--
This section need not be completed if the permit is for one hundred dollars ($100) or less. / /
D 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 worker1' compen11Uon coverage 1, unlawful, and shall subject an employer to criminal penallln and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the labor code, Interest and attorney', feel.
L5 CONTRACTOR SIGNATURE • , ' f' ~-
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, wil! 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 Contrcr::tor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects w1lh 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 □ No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name/ address/ phone I 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/ phone /type of work):
.Jl5 PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submil a business plan, acutely hazardous materials registration fcrm 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 occupant required lo 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 OISTRICT.
I certify that I have read the application and state that the a bow lnfonnatlon Is oorrect and that the Information on the plans Is aoourate. I agree to oomplywlth all City oldlnances and State laws relating to building oonstructlon.
I hereby au~orize represenlative of ~• City of Carlsbad to enter upon Ille above mentioned property for nspecion purposes. I ALSO AGREE TO SA VE, INDE~IFY AND KEEP HARM.ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W<Y IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pem,11 i; requred for excavations ""'SU' deep and demolb rx construction of slruciureS over 3 stories r, he\ihl
EXPIRATION: Evel'/ permit osued by Ille Bui~ing Official uoder Ille prtMSions of ~is Code shal expre by imrtation and become nun and void ff Ille bulding rx -aulhonzed by such pen,-;t Is not commenced with•
80 days from Ille date of such pem,llor ff ~e buklr,g rx-a.ilhorized by such permit• suspended rx-at any lime after~•-• "''""iced for a period of 180 days (Section 106.4.4 Un!oon BuHding COde). r~-DATE "''l--/"'o/67-
lnsp~ction List
Permit#: CB071812 Type: MECH
Date Inspection Item
08/22/2007 43 AirCond/Furnace Set
08/22/2007 49 Final Mechanical
Thursday, August 23, 2007
Inspector Act
RI
PC Fl
MAZANDARANY: UPGRADE A/C FROM
3T TO 5T/NEW FURNACE IN ATTIC
Comments
PHIL REMEMBERS FINALING PERMIT
PREVIOUSLY
Page 1 of 1