HomeMy WebLinkAbout2530 LUCIERNAGA ST; ; CB151702; Permit06-03-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB151702
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2530 LUCIERNAGA ST CBAD
PME Status: ISSUED
06/03/2015
JMA
06/03/2015
06/03/2015
Parcel No: 215250240J). Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: WORTMAN: REPLACE CONDENSOR
Applicant:
AIRMAXX, INC
STE B
1865 JOHN TOWERS AV
EL CAJON CA 92020
619 655 3010
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
WORTMAN
2528 LUCIERNAGA ST
CARLSBAD CA 92009
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector: Clearance:
$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. 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 to any
x cti ns of hi h have revi I n iven a NOTl E imilar to this r which he t t t f limita i n ha r viou 1 herwise ex ir
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
«~"'' Building Permit Application Plan Check No. CJ).,\ ,c;-f •t(>']
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date &-,. ~, / 'C lsWPPP
JOB ADDRESS SUl1Ef/SPAC£#/UNIT# l"N 215 2530 Luciernaga St -250 -24 -01
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Atfect.8d Area(•)
Replace condenser (like for like)
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[}I N<O YES □No □ YES □No□
APPLICANT NAME Bonnie Gribble PROPERTY OWNER NAME Di Wortmane .... --
ADDRESS ADDRESS
1865 John Towers Ave., #B 2530 Lucierna11a St
CITY STATE ZIP CITY STATE ZIP
El Cajon CA 92020 Carlsbad CA 92009
PHONE I FAX PHONE l'AX 619-655-3010 619-655-3016 619-888-5415
EMAIL EMAIL
airmaxx@airmaxx.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Airmaxx. Inc.
ADDRESS ADDRESS 1865 John Towers Ave., #B
CITY STATE ZIP CITY STATE ZIP El Cajon CA 92020
PHONE PHONE I 'AX 619-655-3010 l'AX 619-655-3016
EMAIL EMAIL
airmaxx@airmaxx.com I STATE UC.# STATELIC.# I CLASS 11 CITY BUS. UC.# 915327 C-10/C·:II 1233942
(Sec. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to construct, alter, improve, demohsh or repair an~ structure, prior to its issuance, also requires the applicant for such per_mit to file a signed s~tement tt\at he is licensed pursu!'lnt to the provisions of the Contra~r'? License Law /Chapter 9, comme_ndlng with Secti9n 7{):00 of Division 3 of the B_usiness and Professions Code} or that he 1s exemP.t 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 {$5001).
WORKERS COMPENSATION
Wortun' Compensation Declaration: I hereby affirm under penalty of peljury one of the following dedaratiOns: D I have and will maintain a certificate of consent to 1elf•ln1ure for 'MJfkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor!( for which this permit Is Issued.
[Z] I ha'II and will maintain workn' compenution, as reciuired by Section 3700 of the Labor Code. for the performcn::e of the wor!( for v.tlleh this permit Is issued. My wor!(ers' compensation Insurance carrier and policy
number .re: Insurance co. EIS Financial Polley No. AlWC1234807 Expiration Date 416116
l]!i§,section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of !his permit is Issued, I shall not employ any person in any manner so as to become sub)ect to the Workers' Compensadon Laws of
Caltfomia. WARNING: Failure to secure workers' com atlon coverage is u ful, a shall subject an employer to criminal penaltles and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the COit of compensation, damages~l!JP:('!ll'fcor In Section 3706 of r code, Interest and attomey's fee&.
,/E5 CONTRACTOR SIGNATURE
J hereby affirm that I am exempt lrom Contractor's License Law for the fo//or.tllg masoo:
□
□
□
I, as owner of lhe property or my employees with wages as their sole compensation, will do the wor!( and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Controctor's
License Law does not apply to an owner of property who builds or lmproyes thereon, and who does such wor!( himself or through his own employees, provided that such Improvements are not Intended or offered for
sale. H, however, lhe bulkllng or Improvement Is sold within one year of co~letlon, the owner-bullderwlll have the burden of proving that he did not build or Improve for the purpose of sale).
J, as owner of the property, am exclusively contracting -.tth licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contra:nor'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 ----~-uslness and Professions Cocle for this reason:
1. I personally plan to provide the major labor and materials for construction of the pro1X>sed property improvement. Oves Oo
2. I (have I have not) signed an application for a bulldlng permit for the proposed wor!(.
3. I have contracted with the followlng person (flnn) to provide the prolX>sed construetion (Include name address I phone I contractors' license number):
4. I plan to provide portiOns Of the work, but I have hired the followlng person to coordinate, supervise and provide lhe major wor!( (Include name I address/ phone I contractors' license number):
5. I wlll provide some of the wor!(, but I have con"'1~'111eil)ilielt""'11 e the wor!( indicated (include name/ address I phone/ type ofwor!():
JiS PROPERTY OWNER SIGNATURE DATE
I I
'
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a busloess plan, a:utely hazardous materials reglstratioo form or risk ma:iagement and prevention program under Sectioos 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future blildlng occupant required to obtain a pemilt from the air pollution control district or air quality management district? □ Yes □ No
Is the faclllty to be constructed Yotthln 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the perfotmance of the work this penmt Is issued (Sec 3097 (1) CrvIt Code).
Lender's Name Lender's Address
I\_PPLICANT CERTIFICATION
I certify that I have read the application and state that the abo¥e Information Is conectand that the lnfonnatlon on the plans Is accurate. I ag,ee to comply with all City ordnances and State laws niatingto bulldlngconstrucllon.
I hereby authoize representative of the City of Carlsbad b enEr upon the atx>ve mentkJllOO p,q)Elrty for insl):ldbi pu~. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CHY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST S.'JD CITY IN CONSEOJENCE Of THE GRANTING Of THIS PERMIT
OSHA: AA OSHA pemilt is required for excavations over 5'0' deep and demdition or construcoon of structures O'S 3 stories rl height.
EXPIRA TJON: Every permit issued by the Buikling Olfdal under . kJns of this C.ooe expire by li'nitation and taxrne nun and \00 W the Wilding or work au1horized by su::h permit is not oorrmenced v.ilhrl
180 days from lhe date of such pemitor if the buiklirg pemJ;;(~ended or abandoned at any tine after the work is canfT'lElf\'.:8:'. for a peocxl of 180 days (Seclioo 106.4.4 Unit:rm Buikling C.ooe).
AS APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB151702 Type: PME
Date .. lnsp1>ctic,_n Item
07/10/2015 43 AirCond/Furnace Set
07/10/2015 43 AirCond/Furnace Set
07/10/2015 49 Final Mechanical
07/10/2015 49 Final Mechanical
Monday, July 13, 2015
Inspector Act
AEK
AEK
RI
AP
RI
Fl
WORTMAN: REPLACE CONDENSOR
Comments
CALL WITH ETA
Page 1 of 1