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Home My WebLink About2585 LUCIERNAGA ST; ; CB112340; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-01-2011 Permit No: CB112340 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2585 LUCIERNAGA ST CBAD PME Status: Parcel No: 2153002201 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: GUTHRIE AND SONS CARTER RES-REPLACE FAU IN SAME LOCATION 3814 HICOCK ST 92110 619 269-3013 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: BOUSKOS CHRISTINA F 2585 LUCIERNAGA ST CARLSBAD CA 92009 ISSUED 11/01/2011 RMA 11/01/2011 11/01/2011 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 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 tees/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 lees in connection with this project. NOR DOES IT APPLY to any xinf'h NTI Iii h ~ «~If> ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT# LOT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE APPLICANT NAME (Primary Contact) e. &-.,~.,. ' -e.. 9'. TA #BEDROOMS # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □# __ NOD APPLICANT NAME (Secondary Contact) ZIP "'3-\\ C, ATE I fJ) SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES O NO □ YES □ NOD ZI (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 requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor'_s License Law {Chapter 9, commending with Section 7000 of D1vis1on 3 of the B_us1ness and Professions Code) or that he is exemJ.)t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicanffor a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars \$500)). WORKERS' (OMPliNSA1'10N Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. -g' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the performance of the wonl for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. & ... ate A ::s:-.....,s -.::.C:?>cv::e C--:r<o~ Policy No. (;TL)\NC-:'.n); \ °',. ~ 'g s Expiration Date S/\ / ra This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for whk;h this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California, WARNING: Failure to secure work.ers' compensation coverage is unlawful, and a hall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damage& as provided for in Section 3706 of the labor code, interest and attorney's fees. _,,I!$ CONTRACTOR SIGNATURE 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, 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. !f, 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 and materials for construction of the proposed property improvement. □ Yes □ No 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 I contractors' license number): 4, I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of !tie work, but I have contracted (hired) the following persons to provide !tie work indicated (include name/ address I phone I type of work): A$ PROPERTY OWNER SIGNATURE □AGENT DATE OMPLl!TI! THU $1!CTION FOR NON•RIUIDl!NTI.AL IIUILDING Pl!fflUTS ONLV , 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-T a11ner Hazardous Substance Account Act? □ 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? □ 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 POLWTION CONTROL DISTRICT. I certify that I have read the applicatlon and state that the above information Is correct and that the information on the plans Is accurate. I agree to comply with an City ordinances and State laws relating to building construction. I hereby authorize represenlalive of ~e City of Carlsbad 1o enter upon ~e 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 WIY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required for excavations rN« 5'0' deep and demolition or construction of structures over 3 stones rl height EXPIRATION: Every pe,mit issued by the Building Official under the provisions of this Code shall expire by imitation and become null and void if the building or work authorized by such pennit is not commenced vmhin 180 days from the date of such permit or if the building or work aulholized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,i!5 APPLICANT'S SIGNATURE DATE \0/3\/ \\ ···----·--- City of Carlsbad Bldg Inspection Request For: 11/22/2011 Permit# CB112340 Title: CARTER RES-REPLACE FAU IN Description: SAME LOCATION Type: PME Sub Type: Job Address: 2585 LUCIERNAGA ST Suite: Lot: 0 Location: APPLICANT GUTHRIE AND SONS Owner: BOUSKOS CHRISTINA F Remarks: 12-2-PM Total Time: CD Description Act Comments Inspector Assignment: J:.M Phone: 8584720951 Inspector: ---- Requested By: CHRISTINA Entered By: JANEAN 44 Rough/Ducts/Dampers tf:_ ___________________ _ 49 Final Mechanical ---1-- ~~ L ~~~~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments