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Home My WebLink About2814 LUCIERNAGA ST; ; CB150117; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-13-2015 Permit No: CB150117 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2814 LUCIERNAGA ST CBAD PME 2153101200 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: EMMA RES:.: REPLACE FAU AND 8 SUPPLY RUNS AND DUCTWORK Applicant: Owner: AR S AMERICAN RESIDENTIAL SERVICES OF CALI FORNI EMMA WILLIAM STE 110 8949 KENAMAR DR 2814 LUCIERNAGA ST SAN DIEGO CA 92121-2435 CARLSBAD CA 92009 858-805-0613 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Issued: Inspect Area: ISSUED 01/13/2015 LSM 01/13/2015 01/13/2015 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: FINAL APPROVAL Date: o'"-1'6" 15 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 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. /),';-Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. <!,.8 t 5" 0 I l 7 "\\ '4-{ .- ~ CITY OF CARLSBAD LVC.leY-n Fax 760-602-8558 www.carlsbadca.gov 5UITE#/SPACE#/UNIU Est. Value Plan Ck. Deposit Date 1 --'-J I ISWPP? I -jlD PHASE ~ ~ OF UNITS ~ 8EDROOMS 1 aATHROOMS TENANT BUSINESS NAME COMSTR. TYPE DESCRIPTION OF WORK: lnclurle Square Feet at Affected Area(S) EXISTING USE i--esiJ~..-1.f.'o..\ APPLICANT NAME (Primary Contact) Gi" u P~cu,y"" of-A~S ~ A.OORESS ( / 89Lii~ 'C\lt\Q. be: <Je. STATE Ck," EMAIL ,---._ . _ r pa.c~?U ~r<;,c;,c-,...,. PROPERTY OWNER NAME w- ADDRESS .ice IY STATE CA FAX EMAIL ARCH/DESIGNER NAME & ADDRESS ---- L\ ZIP q)...(;z_) S-L ZIP 9 ;Kl 4} STATE UC.~ --- 'l PATIOS ISF) DECKS(SF) EMAIL EMAIL STATE LIC.# ;°![152-0 FIREPLACE YESO '!-._: ,,nar vr, STATE 0\- CLASS c-2..-0 ZIP ZIP CfJ,. (l--\ CITY BUS. UG • .I (2.2 "&77 acc. GROUP (Sec. 7031.5 Busmass 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 sucn permit to Ale a 311!/ied 1tatement tllat he is licensed pursuant ta the provisions of tJle Contractor's License Law [Chapter 9, commendlngwltn Section 7000 of DMsiOn 3 of the Business and Professions Code} or Chat he is exemP.t therefrom, ano the bas,s for the alleged exemption. Any vlolatlon ol Section 7031.5 by any applicant for a permit subjects the applicant to a clvil penalty of not more than live hundred dollars [$5DO)f. · Workar.i' Compensation Declaration: I hereby '#/rm unrlar panaltyof f18/illl'/ one of'1le liJllowill(J declaralloos; 0 I have and will maintain a certificate ol consent to self-insure tor v.orkers' compensatloo as provided by Section 3700 of Iha Labor Code, for Iha performance of Iha wolk lor which lhis perrnll is i&S1Jed. ~ I have and wfll maintain workers' compensatlon. as 11lQulll!d bv Sectbll 3700 of Ille Labor Code, for Iha pertormance of lhe walk for which this llermit is issued. My workers' compensaUon insurance c.1mer and pol!cy number are; lnsu11111Ce Co · · Li b ~,J · · · · · Policy No. -Jf, 3 { -S O S-b .? I -0 ~ ':xpiraUon Dale • I O /r / :i..-o l ';5 _ ]JJW, sectbn need nol be completed N the pennit · for one hundred dollar. ($100) or !ass. ' LJ Cartllfcate of Exemption: I certify lhat in lhe pelformance of Ille work /or which !Ills permit is issued, I shall not employ any person in any manner so as to ~coma subject to lhe Workers' Compensatlcn Laws of Callfomia WARNING: Failure to secure workers' campensatlon coverage la unlawful, and shall subject an employer to criminal penalties and civil lfnas up to one hundred thousand dollars (&100,0001, In addition to the cost of compensation, damages as provided for in Sedlon 3706 of the Labor code, inter.1st and attorney's fees. HS coNTRAcToR s10NATURE G..... · p ~v t---1... <Q -f A~ s . :,- / hereby amrm that I am exempt from Cont13cJot's License Law for !hll lo/lowing mason: □ □ □ I, as owner of lhe property or my sml)loyeas with w.iges as !heir sole oom[lensatlon, 'Nill do Iha work and Iha structure is not intended or offered far ,ala (Sec. 7044, Business and Professions Code: Thll Conlractor's License Law iloes not apply to an 01M1er of property 'Nho builds or imp10ves lheraon, and who does such wort himseW or through his own employees, provided 1hat such improvements are not intended or offered for sale. If, however, Iha building or impro1111menl is sold within one year of compleUon, Ille owner-builder 'Nill have the buroen al proving Iha! ha did not ~ulld or impmve for the purpose of ,ale). I, as owner of lhe pm party, am sxclusiVBly conlractlng 'llilh licensed contractor.; to construct Iha project (Sec. 1044, Business anct Professions Code: The Conlra::tor's Ucense Law does not apl)!y 1D an owner of prol)8rty who builds or improves lllmon, and contracts for such projects 'Nith conlractor(s} licensed pursuant to lhe Contrac1or's Ucense Law}. I am axempt under Secilon ____ ,Business and Professions C-Oda for 1his reason: l. I pe1sona11y plan to provide Ille maprlabar and materials for oonsttuction of Ille proposed property improvement Oves 0No 2. I (have I have not) signed an aiipllcation for a building permit for the proposed wor11. 3. \ have contrac1ed ·liilh Iha following person [firm) to provide the proposed coostructlon (include name address I phone I contraclors' license number): 4. I plan to provide portions of lhe •110lk, but I have hired the lollowing person to coordinate, ;upervise and pio~ide the major work [Include name I addrass I phone I contractors' license number)· 5. I 'Nill pro~ide ;oma of the •NOrk, but I ~ave contracted (hired) !he lollowing persons lD pro~ide the 'NOrk ,ndicaled !Include name I address I phone/ type of "Nork): ~ PRDPERT)' OWNER SIGNATURE DATE . ·~1J::t;ti;~'•~'t!fiitt:t1~:tti'.tt.~i:J;tltlJiLttt;tt:t'.¥.J'Ci;Ctt't,:t~titt{!f n~tlit:Ctt!J)'.t·iti~~tv:1Btlrt;.[·:,\~~tl-i' Is lhe applicant or future building occupant raqui1ed lo ;ubmit a business olan, acutely hazardous materials registration form of risk management 3nd prevenlion program under Sec lions 25505, 25533 or 25534 of lhe Presley-Tanner Hazafdous Substance Account Act? D Yes D Mo Is Iha applicant or fulure building occupant required !o obtain a permit from Iha air pollution control dlstnct or ai,ullality management dlstncl? 0Yes O No Is Iha facility 10 be constructed within ! ,000 leet of the outer boundary of a school sile? OYes LJMo IF MY 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read tile application and state that the above!nfonnation is colll!Cl.and that tile information on the plans isacrurate. I agree to oompJyl'oith a11 City on:llnan=and state laws retatlngto building oonslrucUon. I hereby authorize represenlati1e of the City of Callsba:I to enter upon the above mentioned property /or inspection purposes. I ALSO AGREE TO SA VE. INDEMNIFY At-ID KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penntt is required lorexcavations over 5'0' deep and demolillon or construction of structures over J stories in height. EXPlRA TICN: E•1er1 permrt issued by \he 9uifding Official under'he provis10ns Jf '.his Code snail sxpim by 'im,ta!icn and cecome null 3nd •JOid iftl7e buildir.g or work 3Ul~orired oy ;uct, permd ·snot oommencro •llllhin 180 days from the date of such permttor if the building or work au1hmized by such perm! is suspended ned at any time after the •NOrk is commenced for a period of 180 days (Section 106.4.4 lhlililllTI BuikJing Co:le), ,1$ APPLICANT'S SIGNATURE G DATE \-Q.-,~ Inspection List Permit#: CB150117 Type: PME Date _ lnspec!io_n!tem ____ _ 06/12/2015 43 AirCond/Furnace Set 06/12/2015 45 Hoods 06/12/2015 49 Final Mechanical 06/12/2015 49 Final Mechanical Monday, June 15, 2015 Inspector MC MC Act AP RI RI Fl EMMA RES= REPLACE FAU AND 8 SUPPLY RUNS AND DUCTWORK Comments FAU ONLY, NO CARD ON SITE AND NO HERS PACKAGE. EMMA RES, LATE PM Page 1 of 1