HomeMy WebLinkAbout2702 LUCIERNAGA ST; ; CB163926; Permit----------------------
10-18-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB163926
Building Inspection Request Line (760) 602-2725
2702 LUCIERNAGA ST CBAD
PME
2153100400
BENCE: REPLACE FURNACE
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/18/2016
SLE
10/18/2016
10/18/2016
BILL HOWE PLUMBING HEATING & AIR CONDITIONING
STE B
BENCE MARGARET K REVOCABLE TRUST
9085AERO DR
SAN DIEGO CA 92123-2378
619-245-5469
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2702 LUCIERNAGA ST
CARLSBAD CA 92009
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: t · I 3 • l J Clearance:
$0.00
NCJTICE: Rease ta<e CE Iha !WM rJ ;oor P'(ja:t ind~ tte "lrrp::,sitiori' rJ f"9S, deda,tic:ns, reservatiCJ'IS, c, cther ex,oic:ns -roledively
ra'erred to as "fees'ex,dions." Yoo have 00 day.; fral1 tte date ths JB!Tit"""' issued to pretest ilTjJOSition rJ these feesfex,dic:ns. If yoo pretest then'\ yoo rrust
fdlootte pretest procedJ'es sEt fol1h in <?cNemrert Olde Section 00)20(a), and file tte pretest and any cther ""1-,ired infam31ion wth tte Qty Mr<gerfc,
processing ir, axoda rewth Ca1sbad Mridpa Olde Section 3-32.CID. Faluetotirrayfdloothat p-ocacirewll ta-anysu:,;ecµrt legi !dionto~
reMew, set aside, vcid, er aTU treir irrp;sition.
Yoo ae t-eret,y FlRT1-ER NCJTIRED trat ,o.r rigt to pretest tte specified fees'ex,dic:ns IXES oor APPLY to\Mller and SEMe' CXllTEldion -and capa:ity
c:tmges, mr plmng, m-irg ga:ing c,cxher sinila-,wliaation processing c, 501\Aoe fees in CXllTEldion wth ths P'(ja:t. I'm IXES IT APPLY to any
fee:/ d been . Cl:sinil cra5 widlthe dlini i t"0S 'red.
{ City of
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
2702 LUCIERNAGA ST SUITE#/SPACE#/UNrTI
Plan Check No.
Est Value
SWPPP
CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
REPLACE FURNACE 70K BTU
EXISTING USE I PROPOSED USE 'GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I IFIRE SPRINKLERS
YESQ_ Na YES □No □ YES□Nc
APPLICANT NAME MITCH BLUMAN PROPERTY OWNER NAME PEGGY BENCE -----ADDRESS 31225 LA BAVA DR. #213 ADDRESS 2702 LUCIERNAGA ST
CITY WESTLAKE STATE CA ZIP 91362 CITY CARLSBAD STATE CA ZIP 92009
PHONE 818-735-7876 isAX PHONE 760-612-6501 IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME BILL HOWE
ADDRESS ADDRESS 9085 AERO DR. #B
CITY STATE ZIP CITY SAN DIEGO STATE CA ZIP 92123
PHONE IFAX PHONE 619-286-6348 IFAX
EMAIL EMAIL SIRENA@MAILBILLHOWE.COM I STATE UC.# STATE UC.# 906704 ICLASSC20 l"lY1~3\~c
{Sec. 7031.5 Business and Professions Code: Any City or Co_un_ty which requires a permit to_construct, alter, improve. demolish or repair any structure, p_nor 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 {Chapter 9, commending with Section 7000 of D1v1sion 3 of the Bus mess and Professions Code} or that he is exemr::.it 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 {i500}).
W O R K I! R S ' C O M P I! N S A TI O N ' .:
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations. DI have and will maintain a certificate of consent to sell-insure for 'MXkers' oompansation as provided by Section 3700 of the Labor Cooo, for the performance of the work for which this permit is issued
~ I have and will maintain workers' compenSl!l!ori, as ~ired bj Section 3700 of the Labor Cooo, for the performance of the Y«lrk for which this ~it is issued. My workers' compensation insurance canier and po icy
numt,,are Insurance o, liALIFuRN A INS. CO, Poicy No. 73876845U1 Expiraton Date 10/1/2017
~section need not be oompleted if the pennit is for one hundred ck:lllars ($100) or less LJ Certificate of Exemption: I certify that in the performal1C8 of the work for'Mlich this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawM and shall suqect an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
additiori to the cost of compensatlori, damages as provided ection 3706 of the Labor code, interest and attorney's fees.
,IS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt mNn Contraclois License Law for the following reason.·
□ l, as owner of the property or my el1l)loyees with wages as their sole compensation, will 00 the 'AOrk and the structure is not intended or offered for sale {Sec 7044, Business and ProfesSIO!ls Code. The Contractor's
License Law ck:les not apply to an owner of property V.00 builds or improves thereon, and who ches such work himself or through his own empb)OOS, provided that such 1mproverrents are not intended or offered for
sale. If, hov.ewr, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he cid oot build or improve for the purpose of sale)
□
□
J, as owner of the property, am exclusively contracting with licensed oontractors to construct the project (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
properfy v.tio builds or improves thereon, 1r1d conlrads for such projects with oontract,r(s) kensed pursuant to the Qint~or's License Law)
I am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major litx:ir and materials for construction of the proposed properfy improvement. O,es Do
2. ! (have/ have not) signed an app~cation for a builang pemit for the~ 'AOrk
3. I have contracted 'Mth the following person (finn) to provide the proposed construction (incUde name adQ"8SS /phone/ contractors' license number):
4. I ptan to provide portions of the 'AOfk, but I have hired the folb'Mng person lo coordinEm, supervise and provide the m~or Y«lrk (include name/ adctess /phone/ contractors' license number)
5. I will provide some of the worl(, but I have contracted (hired) the following persons lo IJ'Ovi03 the oork indicated (incUde name I adctess /phone/type of v.urk):
11· I:':,.,,, ee; P ,-, f111"!:' Rf ·ai■f I.,: P:f t!I ., , .. ,,, ,, ,.,, ,., P :5?11 if::ll t■·e :' ,,
Is the applicant or future buildng cx:cupanl required b submit a business pliri, ID.Italy hazcl"doos materials registration form or risk mi.iagemoot ood prevention pr~m unOOf Sections 25505, 25533 or 25534 of the
Presley-Tanner Haz!l"doos Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required b obtan a permit from the air pollution control dsvict or air qua~ty management cistrict? D Yes □ No
Is the foo~ty to be coristructed within 1,000 feet of the outer bounda,y of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENC\' SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
CO N S T It U C 'I' I O N L E N O I N G A G E NC Y :" ,~,-
I hereby affirm that there is a construction lending agency for the perfonnance of the work this permit IS issued (sec. :1JiJ7 (i) Civil Code)
L9000r's Name Lender's Acttess .
A f>f>t; tC A N-T CERT t FICA T-10-N ------· ---·--7" ,.
lce,tlfYlhatlhawreadtieapplicalonand-1hotlheabcM>lnfmnaloolsClll!O<tllllll11811he-mlieplansis....-_l.,,..tooon.,i,olll~laty-...,.,,n1Slalei..s~.,blildlqioonnu-.
I hereby aulhooze r'!)iesenlative of the Crty ct Ca-lo e-rter-the-. mertoredpropenyfor iropedion puposes I N..SJ AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB<\D
AGAINST ALL LIABILITIES, JUDGMENTS, CCSTSAND EXPENSES \'>HIGH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEOLEl'ICE OF THE GRANTING OF THIS PERMIT
OSHA AA OSHA perml is rE:Q.Jired fer excavations over 5'0' ~ m damolilial er construction ct snx:tures oVEJ 3 s1009S in hegtt
EXPIRATION: Every permij issl.0d by the Bliklng Official urder 1he i:rovisbns r;J this Cocle shall ~e by imilal:00 ard recane nul ard vad if tte buildllJ er wo1< atJhcxiz.a::I DJ su::h r::ermit is net romrnenced within
100 d3.ys from tre dale d such parmit or if the bu· cn.uk · ed DJ sl.dl r::ermit is ~oraban::b1e::l a anytmeaterthe\\Olk is oo,unen::edfora periooct 100 <Bys (Sa::.tOfl 1064.4 lklifcrm Buiki"lg Cede)
AS APPLICANrs SIGNATURE DATE to I ii 1 ~
PERMIT INSPECTION HISTORY REPORT (CB163926)
Permit Type: BLOG-Residential Application Date: 10/18/2016 Owner:
Work Class: P/M/E Issue Date: 10/18/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 08/09/2017 Address: 2702 Luciernaga St
Carlsbad, CA 92009
IVRNumber: 717762
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
02/1012017 02/1012017 BLOG-43 Air 013309-2017 Passed Jonathan West Complete
Cond.fFumace Set
BLDG-Final 013310-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
February 10, 2017 Page 1 of 1