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Home My WebLink About2545 Luciernaga St; ; CBR2017-0620; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 07/28/2017 Residential Permit Permit No: CBR2017-0620 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2545 Luciernaga St BLDG-Residential 2153000502 $0.00 www.carlsbadca.gov Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E SMITH: AC AND FAU CHANGEOUT LIKE FOR LIKE Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 03/28/2017 03/28/2017 SHARON K SMITH 2545 Luciernaga St CARLSBAD, CA 92009 CHAMPION AIR CONOITIONING AND HEATING PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 120 N Pacific St, Ste A9 San Marcos, CA 92069-1223 760-736-4100 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "tees/exaction." 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 chal'lges, 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 $166.00 THE FOLLOWING APPROVALS REQUIRED PRJOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE 0 HEALTH O HAZMATIAPCO ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Oll-O{J{J DESCRIPTION 0 . ' IC EXISTING USE ARAGE (SF) ADDRESS CITY STATE ZIP PHONE FAA EMAIL STATE LIC. # I/UNl'TI PATIOS (SF} DE KS (SF) PROPERTY OWNER NAME ADDRESS FIREPLACE YES[} l-" '-1-, L V c:..:, ...... "" "" AIR NDITION!NG N<O YES □No□ -S.\. STATE ZIP C..I?-- FAA FIRE SPRINKLERS YES□N<CJ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also reciuires the applicant for such permit to file a signed statement that he is llcens&d pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of D1v1sion 3 of the Business and Professions Code} or that he 1s exemQt therefrom, and the basis for the alleged 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}). Woriters' Compensation Declaration: / hereby afffnn under penalty of petjury one of the fol/owing c1ec/arations: D I have and wlll maintain• certificate of consent to self.insure for workers' compensation as provided t:,y Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and wm maintain workers' comoenutlon, as reQuired by Section 3700 of the labor Code, for the performance of the work for which this permit ls issued. My wakers' compensation Insurance carrier and policy numberare: Insurance Co. :?rtti\k-W:rn ~ ""' II'\ S.1/ ..-euic.,. -wwi( PIJUcy No. C\01-3 OJO} J..--11 Exp"1ion oate _l'"j'-'O~l4li1_..f>~--- 'Plii.section need oot be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the work for which lhis permit is Issued, I shall oot employ any person io any manner so as to become subject to the Workers' Compensation Laws of California, WARNING: Fallureto secure w ' utlon COV81'198 is unlawful, and shall subject an employer to criminal penalties and civil ftnts up to one hundred thousand dotlars (&100,000), in addition to the cost of compenutlon, d for In Sec:tfon 3706 of the Labor code, Interest and attorney's fees. RS CONTRACTOR SIGNATURE I hereby affinn thst I am exempt from Contractor's L/cense Law for the fol/owir,; reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structlJre is not intended or offered for sale (Sec. 7044, Business and ProfessiOrls Code: Toe Contractor's license Law does not apply to an owner of property who builds or impl'OY8S thereon, and who does such WOOi himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building er improvement is SOid within one year of oomplelloo, the owner-builder will have the txm:len cl proving that he did not build or improve for the purpose of sale). D I, as owner of lhe property, am exCluslvely contracting with lk:ensed contractors to construct the protect (Sec. 7044, Business and Professions COde: The Coolraeto~s lkense Law does not apply to an owner of property who builds or Improves lheraoo, and contracts for such profecis with cootractor(s) licensed pursuant to lhe Contractof's license law). □ lam exempt under Secllon ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and matenals for construction of the proposed property improvement. □Yes Do 2. I (have I have not) signed an appllcalk>n for a building permit for the proposed work. 3. I have contracted with the following person (flm,) to provide the prop::ised construction (Include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeMse and provide the major work (Include name I address f phone f contractors' license number): 5. I will provide some of the won,;, but I have contracted (hired) the following persons to provide the work indlc.ated (include name I address I phone/ type of work): RS PROPERTY OWNER SIGNATURE □AGENT MTE Is the applicant or future bullding occupant required to submit a business ploo, acutely hazardous materials registration form or risk management and p(evention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No ls the applicant or future building occupant required to obtain a pennit from the air pollution control dislricl or air quality management district? LI Yes LI No Is the facility to be constructed within 1,000 feet of the outer boundary of a scoool 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. I certify that I have read the appllcatlon and state ttlatthe above lnfonnatton Is correct and that the Information oo the plans Is accurat.e. I agree to CXlmpt;wlth all Cl1y ordinances and Stat& laws 181ating ID bulk:llng construction. I hemby aulhori2e reprasenlali\'e of Ille Cly of Carlsbad to enler ur,in Ille a!Jo\e menti)ned property br mspedioo pulJ)OSOS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSMD ACWNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE ACWNST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. OSHA: AA OSHA permit Is JeQUired tir excavations o 5'0' deep and demoliOOll or construdbn of structures over 3 stooes in height. EXPIRATION: Every pennlt issued by the Buikl · under the provisions of this Code shal expi'e by imitatk'.ln and become nuN and vdd W tie building or V()rk. authortzed by sudi pennlt Is not oommeoced wthin 180da~ from the da.il of such pe,mltor · · bysudl pennlt is suspended or aband:>ned at any time after the 'M)rk. is oommenred tir a i:erbd of 180days (Section 100.4.4 Unitlm1 B.Jjtjing Code). AS APPLICANT'S SIGNATURE PERMIT INSPECTION HISTORY REPORT (CBR2017-0620) Permit Type: Work ClJss: Status Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date; 03/28/2017 Issue Date: 03/28/2017 Expiration Date: 09/25/2017 JVR Number: 2792 Inspection No. Inspection Status 07(28/2017 07/28/2017 BLDG-43 Air Cond./Fumace Set 029962-2017 Passed July 28, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 029963-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address; Primary Inspector Chris Renfro Chris Renfro SHARON SMITH PARCEL MAP NO 10523 2545 Luciernaga St Carlsbad, CA 92009-5821 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Incomplete Complete Page 1 of 1