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Home My WebLink About2586 LUCIERNAGA ST; ; CB162292; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-13-2016 Permit No: CB162292 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2586 LUCIERNAGA ST CBAD PME 2152703302 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: GERBARG: 125A PANEL UPGRADE Applicant: GERBARG DAVE 2586 LUCIERNAGA ST CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: GERBARG DAVE 2586 LUCIERNAGA ST CARLSBAD CA 92009 ISSUED 06/13/2016 SLE 06/13/2016 06/13/2016 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APP OV L/t Date: & i .. :z-U Clearance: $0.00 ~ ci)QJprgecl irdudestte "lrrpcmiori' cifees, declcalicn\ reservatioo;, cr ci!Hexa:li0"6-cdlectivay reterredtoas 1ees'e,ooj0"6_" 'II h'Ma OOdey.;frcrntte-ttis pemit w,s iss.aJ to i,dest irrpcmi01 ci tresefees'exa:ti01S If )00 i,ctest tt-ern )00 rrust fdlo.vtte i,ctest ~ set forth in GcMlrrn"a1t Code Secti01 60020(a), ard file tte i,desl ard "1)1 cther req..ired infc,m,jj01 wlh tte Oty Wa'1ager fer processirg in aooodaicewth a.lsbad M.ridpa Code ~013.32.030. Rilu-etotirrelyfcllo.vlhal procecirewll ta-a,ySl.tseQ.Bll l"i)a ectiootoatta:ls l"EMeN, set cSde, vdd, cr aTU tta'r irrpBtioo. You ae hereby F\RTl-ER t-OTIFIED lhal )OJ rigt to i,desl tte specified fees'e,ooj0"6 IXES r,.or APPLY to \Mller ard "3Nel" oorr,ectj01 fees ard ~ty c:talg3s, ra pmrg, zcrirg, ga::irg or dher sinila-ai:,plica:ia, fl'(XESSirg cr servire fees in a:media, Wth tlis ptjed. I'm. oc:es IT Am.. Y to fffJ t e<a:ii dv.Jidi been . l'OTl 'm'la-toth v,.n tte lini i has ctheMt THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD {__ City of Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date lo-I?. -/I " lswPPP JOB ADDRESS Sr. SUITEI/SPACEI/UNITI IAPN ---i--s--~~ Ir t--,' e-,, A"'? "" CT/PROJECT# l LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF i;~ ~elude Sr;re;eet o~ 7;i = ~~ r -(\..0 '}¥--en ~-,h. <... I __, l25A PAwr=1 EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE . IAIR CONDITIONING 1FIRE SPRINKLERS YESC)#_ No□ YES □No □ YES□No□ APPLICANT NAME PROPERTYOWNER / )~ r ~ fZ--< l::.,_.... ' Primary Contact ADDRESS ADDRESS '2--) f&, ...,, ) f-. 1,,-.., r,..:, er ""'v--<... a-..- CITY STATE ZIP CITY ~Is bV'J STATE CA ZIP '? i--oot:/ PHONE IFAX PH°f.S ) 111 /..f 1 3cj{AX lflo-Z. g - EMAIL EMAIL d,:<,,M. 1,,..,.., c... e 8 """" -1 .t-4""- DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE l'AX PHONE I 'AX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. UC.# {Sec. 7031.5 Business and Profes~1ons 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 per_m1t 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 Division 3 of the B_usiness and Professions Code} or Oiat he 1s exempt 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 c1v1I penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION WOl"lters' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations· D 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No ______________ Expiration Date _________ _ ~secUon need not be completed ii 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 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil 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 . .85 CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense 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 ','3'l 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 contracUng 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. 0Yes 0No 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 ~rtions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name I 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 I phone I type of work): 8$ PROPERTY OWNER SIGNATURE □AGENT DATE r;, 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 POLLllTION CONTROL DISTRICT. I certify that I have read the applk:atlon and state that the above infonnatlon ls oonectand that the lnfunnation on the plans Is accurate. I agree to oomplywith all City ordinances and State lav.s relating to building oonstruction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned r.roperty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CDNSEQJENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA penn~ is required for excavations over 5'0' deep and demdltion or construction of structures over 3 stories Jl height. EXPIRATION: Every permit issued by the Building Offcial under the r.roviskJns of this Code shall expire by limitation and become null and vod ~ the building oroork authorized by such pennit is not commenced 'Mthin 180 days from the date of such pennit or if the building oroork authorized by such pennit is suspended or abandoned at any time after the IMJfk is commenced for a period of 180 days (Section 100.4.4 Uniform Building Code) ~ APPLICANT'S SIGNATURE 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 Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, 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) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ A! APPLICANT'S SIGNATURE o ASSOCIATED CB#•------------ □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penni!#: CB162292 Type: PME Date Inspection Item 06/14/2016 33 Service Change/Upgrade 06/14/2016 33 Service Change/Upgrade Tuesday, June 21, 2016 GERBARG: 125A PANEL UPGRADE Inspector Act Comments RI Late Pm fuse panel replacement PY AP Page 1 of 1