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Home My WebLink About2574 LUCIERNAGA ST; ; CB160900; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-07-2016 Permit No: CB160900 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2574 LUCIERNAGA ST CBAD PME 2152604402 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: HOEHN: REPLACE AC & FURNACE Applicant: SHERLOCK HEATING & AIR CONDITIONING INC STE 104 2880 SCOTT ST VISTA CA 92081-8560 760-295-5014 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: LEROUX PIERRE&JANET M 2574 LUCIERNAGA ST CARLSBAD CA 92009 ISSUED 03/07/2016 JMA 03/07/2016 03/07/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ~ Date: Clearance: $0.00 NOTICE Aeaseta<e NOTICE Ina-™' ci)OOI" prtjed indudes tre"lrrp;:stiori' cf fees, derlc:aicns, reservatia,s, ordha"exa:lic:ns hare!ita" cdledivay referred to as 'feesiexa:licns." Yoo h>le 00 days fr<rn Ire date ths permt ""5 issued to prctest irrµ::,sition ct trese feas'exa:licns. If )QJ prdest trem )QJ nu;t fdlo.11the protest JrOC8CU"S set fol1h in G:M:nmrt Code ~on e&m(a), and file Ire protest and rn; dha" re:µred infonr<iion wth Ire Oty ~ for proa,ssrg in occcrda-<Jewth Ca1stm M.ridpa Code Section 3.32.ln'.J. Failu-etotirrayfdlo.11ttat procecirewll ta-,n;Slbseq.Jert lig,I a::tiontoattad<. revieN, set aside, vtid, a ITT"U tfeir irrp::sition. Yoo ITT> t-a"Et>j F1.RT1-ER NOTIFIED ttat )OJ nifl to prdest Ire specified feesiexa:licns IXEl NOf !'PPL Y to'Mller and,,,,_ oorredion fees ard ~ ctier-. ra plmrg, ztrirg goorg or dha" simla-appic:aion proa,ssrg or S8'Aoe fees in oorredion wth ths prtjed. I'm IXEl IT !'PPL Y torn; f Wldl ·vena ·m1a-ti eras 'chthe Ii THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD Ccityof Building Permit Application PlanCheckNo.C616. (A~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. qepqsit email: building@carlsbadca.gov www.carlsbadca.gov Date ~I '? I J l,, ISWPPP JOB ADDRESS 257'-I Lv c,_; e-.-r, a..3a.. s,--, SUITEI/SPACEI/UNITI IAPN --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Q~\a.c.c.. 2. S·-\-o"'-A/c. I Co,), t 901 coo ~,v ~.,~r-,,o..ce. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) TDECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[)I "'° YES □No □ YES□No□ APPLICANT NAME s;:-\-C..'Ve "'--s;-~ \... ..._, e-'(" e.< PROPERTY OWNER j<e, ·,'"' 1--l D-e. \,,_ ,-... Primary Contact ADDRESS ADDRESS ? ~- 3\c.?.5 L,,__ 'R, "'"__, ~ u" -~ -Z.\3 S74 Luc.\ e...,rn a...<.::;a.. S\, STATE ZIP CITY STATE ZIP CITY W" <:..\-I "'-\<. .,_ V; I \ "'<-<-CA "ll~loZ. Cc...-\sh~ CA. C\2.00" PHONE IFAX PHONE I FAX 212 ·7"=-5 -78.rt_.. 5\oZ.-~2C:.>-2.'-H~ EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME S'"'-= \oc...1,<.. 1--\e."'-\-'n" i:;. A,.- ADDRESS ADDRESS .s: f\t -z.aeo c...o 9. ::¢ 104 ZIP CITY STATE ZIP CITY STATE V; s-\-c. CA C\ 2.0:0 l PHONE IFAX PHONE IFAX •'-'O·Z"rs-St>~ EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. UC.# l?;b'-j~.J.8 c....-2-0 1 L.. 2!ob84 {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair an>" structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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 pennit is issued. ~ave and will maintain wo~' comp~"A~lon, as required by Section 3700 of the ~bar Code, for the performance of the work for which this pennil is issued. My workers' compensatio in urance carrier and policy numberare:lnsuranceCo. \ C::...c...l-\-l<-C.o:-s:v:veY\~a.\\<;:?'\,-,, PolicyNo. t,.,) A (?Ou.>c...fC,QC) Expiration □ate_lc+~•_._,1~----- ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certfy that in the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worfl.ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars {&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE ~-z_. ~ ' I hereby afflnn 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, 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), 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). I am exempt under Section _____ ,Business and Professions Code for this reason 1. I personally plan to provide the major labor ar.d materials for construction of the proposed property improvement. OYes 0No 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) to 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 to coordinate, supeNise and provide the major work (include name I address I 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 I address I phone I type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Act? Yes No Is the applicant or future building occupant required to 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 DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this penn1t Is issued (Sec 3097 (1) CIVIi Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I csrllfythat I have read the application and state that the above infonnatlon Is conectand that the lnfonnation on the plans Is accurate. I agree to comply with all Cify ordinances and State laYoS relating to bulldlng construction. I hereby authorize representative of the City of Ca~sbad to enter UJXln the aOOve mentioned property klr inspection pul'JX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAA.LSBA.D AG-\INST All. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is required klr excava~ons over 5'0' deep and demolition or ronstruction of structures over 3 stories n height. EXP\R/fflON: Every perm~ issued by the Building Official under the provisi::ms oflhis Codes hall expire by limitation and berome null and void if the building or 'M>lk authorized by such permit is not commenced 'Mthin 100days from the date of sudl permit or if the building oroork authorized by sudl permit is suspended or abandoned at any time after the wk is commenred for a perkld of 100 days (Sec!On 100.4.4 Unirorm Building Code) AS APPLICANT'S SIGNATURE ~~ s-z:___.:_ DATE 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 building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (LISted above) CONTRACTOR (On pg_ 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ ,IS APPLICANT'S SIGNATURE ASSOCIATED CB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ., . Inspection List Permit#: CB160900 Type: PME Date Inspection Item ----- 05/18/2016 43 AirCond/Furnace Set 05/18/2016 43 AirCond/Furnace Set 05/18/2016 49 Final Mechanical 05/18/2016 49 Final Mechanical 05/13/2016 43 AirCond/Furnace Set 05/13/2016 43 AirCond/Furnace Set 05/13/2016 49 Final Mechanical 05/03/2016 43 AirCond/Furnace Set Wednesday, May 18, 2016 Inspector Act RI AEK AP RI AEK Fl RI AEK NR RI AEK co HOEHN: REPLACE AC & FURNACE Comments NO ONE HOME LADDER REQUIRED FOR AC UNIT INSPECTION Page 1 of 1