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Home My WebLink About2842 LUCIERNAGA ST; ; CB043449; Permitcc , 1/\, City of Carlsbad 09-02-2004 f:--Jl f1s35 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB043449 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2842 LUCIERNAGA ST CBAD MECH 2153302505 Lot#: 0 $0.00 ACHEN RES-REPLACE A/C & FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/02/2004 RMA 09/02/2004 09/02/2004 Applicant: EXCEL AIR CO ACHEN FAMILY 1992 LIVING TRUST 2045 CAMINO DR ESCONDIDO CA 92026 760 480-7557 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 2 0 0 0 0 0 2842 LUCIERNAGA ST CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $0.00 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 Balance Due: $33.00 0336 09/02/04 0002 01 Inspector: FINA Date: L CGP Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City ManacJer for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. 02 33-00 PERMIT APPLICATION Cl"fY OF ,CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE U~E UNL Y PLAN cHEcK Nci. C'll ot...!!JL/41 EST. VAL. _________ _ Plan Ck. Deposit ------,,,..;i...---- Validated By_~-...---,11-.'.!.-',F-=---- Date. __ a-f-~r+--H'-'--+-,------ Address (include Bldg/Suite II Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use sa. FT. lot Stories I of Bedrooms I of Bathrooms S.tate/Zip Telephone I ~»•=• (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file I signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of bivision 3 of the Business and l'rofessions Code) or that he Is exempt therefrom,. and the basis for the alleged ex~tion. A'}Y:,viol Ion of Section 7031 . 6 by any applic~ntJor I permit subjects the applicant to a civl Jenalty of not more than five hundred dollars I$ 60011. · t:::y C e-1-" ' -.3 b / A/ xl-r,N--7 / e LJ, q Z-e;I ~ Name State License I --=.7-....;~=-<j.c..:',Jc..:....::S"9=-....!....-- Address City State/Zip Telephone I L2..1 /2<')-.. License Class __ C __ -_W ____ _ City Business License I -- Designer Name Address City State/Zip Telephone State Licen11• I , . . ~-4'i~m~q~•J21~mir.~mir.~:Btr1.1m:,;i~~ro'S.1.:t111t~1J'l1rJJi~~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have .and will maintain I 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. O 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 worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Polley No. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR-LESS) Ba" 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 es l\obecome subject to the Workers' Compensation Laws of California. WARNING: F■llure to eecura workers' compenaetlon coverage 18 unlawful, and ahall IUbjec:t an employer to crlmlnel penalties and clvll fines up to one hundred thousand dollan 1• 000), In to cost of compensation, damages u provided fodn Section 3708 of the Labor code, Interest and attorney's fees. SIGNATURE . DATE c::7 9 -7 -c:, 1/ . . · ~~~~Iii ·1 hereby affirm that I am exempt from the Contractor's License Lew for the following reason: O I, ati 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, F;!uslness ■od Professio.ns Code: The Contractor's License Lew does not apply to en owner of property who builds or improves thereon, end 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). ,0 I, ea owner of the property, em exclusively contracting with licensed contractor■ to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Lew does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor'• Ucense Law) • . 0 I am exempt under Section ____ _.__ Business end Professions Coda for this reeson: 1, I .personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an eppliciltlon 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 number / contractors license number): 4. I plan to provide portions of the work, tiut I have hired the following person to coordinate, supervise and provide the major work (Include name / address / phone number/ contractors license numberi=·------------------------~---------------------- 6. I will provide some of the work, but I have contracted I hired I the following persons to provide the work indicated (include name / address / phone number / type of work):. __________________________________________________ _;__ _____ _ PROPERTY OWNER SIGNATURE______________________ . DATE _________ _ r;;--..n\i'iil,,ioi!'Nlllii'i!a,.~i:;;r;;.i~nll,!.li.: .,.n.i "~' ·1!i'aii .. ,~IW.'1Jii\ll'Jilil..ti'.r.M&.~i'i,,;:l,'il1,1",;.,,~,il<,!il,"S'!i•-.·, •.;r,r •&'!i[ "-•~-',;I\~'!"~""'.· ··.-if,fl!' · .,wi,.;,, "1;,.ffl', "'1-"' ·•• t'.,~_.,. ""'1',!;1'!>.l' •.it~ ~-~d!~mfi~~~~\UW,i,WU/.l!ill?i~~,;J.l,a;gi,,~ '"'. · .i,.ill;i;i~~t:,14;1~ 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 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? -0 YES O NO Is the applicant or future building occ_upant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO la the facility to be constructed within 1,000 feet of the outer boundary of • school site 7 0 YES O 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. Dai,~t'tiw..fffl~ltl~v~,_.~~-W!"ltv'}O,:J1i'~~~~;J-~~~M~5f%~xWi,S~~~Jirla!:i~Jll~',,]i;:1lf:mll~~~:ill"1tBi'&l I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS ~ 'I .certify that I have read the application end state that the above information is correct·end that the information on the plans ia accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the 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 MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height. f' . ' • '. EXPIRATION: Every permit Issued by tne building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized .by such permit is not commenced within 180 da from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work Is comma r a J)llrl f O d s ctlon 106.4.4 Uniform·Building Code). DATE _c;?_~_-_2.._-_0___,_3/ __ _ WHITE: File YELLOW: "Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/07/2004 Permit# CB043449 Title: ACHEN RES-REPLACE A/C & FAU Description: Type: MECH Sub Type: Job Address: Suite: 2842 LUCIERNAGA ST Lot 0 Location: OWNER ACHEN FAMILY 1992 LIVING TRUST Owner: ACHEN FAMILY 1992 LIVING TRUST Remarks: AFTER 11 AM PLEASE Total Time: CD Description 43 AirCond/Furnace Set l:£;._Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604761800 Inspector: ~ Requested By: ACHEN RESIDENCE Entered By: ROBIN