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Home My WebLink About2850 LUCIERNAGA ST; ; CB112253; Permit10-20-2011 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: CB112253 Building Inspection Request Line (760) 602-2725 2850 LUCIERNAGA ST CBAD PME 2153302509 Lot#: 0 ROSENBERGER RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/20/2011 LSM 10/20/2011 10/20/2011 CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $150,00 $0.00 $0.00 $0,00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date: $0.00 NOTICE: Please take NOTICE trat approval of your project includes the ulmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Ycu have 90 days from the date this permit was issued to protest imposition of these fees/exactions. !f 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 wrth 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 fees in connection with this project. NOR DOES IT APPLY to any h TEimilrhi fi h . ~ City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2850 Luciernaga street Plan Check No. ~ [ l ;;} Est. Value Plan Ck. Deposit Date 10 2.01 SUITE# /SPACE# /UNITlt APN !'OH 7HASE # I" OF UNl':J ,□EDROOMS "D"E"S"C"R'"IPT=1o~N=o·F"w=o·•·•-, "la-c"IL"d"e~S-•"-.-,-.~Feet of Affected Area(s) CT/PROJECT# ,_B_A_T-HR_O_O_M_S _ _I TENANT BUSINESS N<ME-~-____ J__ coNsrn TYPE15cc GR-OW Replace existing like for alike water heater EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS v,so No□ YEcONoD YEsONoC CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAME Galina Pavlova ---------------------ADDRESS ADDRESS 6056 East Baseline rd # 155 6056 E B3seline rd # 155 --------------- CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 ----------------------~IFAX" ----------1x PHONE PHONE 480-898-0007 1-480-218-5645 858-361-6495 ---_ 1-858-240-6677 ---------EMAIL EMAIL california@.deltamechanical.com galinap@.deltamechanical.com PROPERTY OWNER NAME Erich Rosenberger CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2850 Luciernaaa street 6056 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE IFAX PHONE I FAX 858-525-3565 480-898-0007 480-218-5645 ·-- EMAIL EMAIL .ARCH/DESIGNER NAME & ADDRESS I STATE LIC, # s-rii.TE LIC.# I cc,ss c36 I c,JY BUS LIC 1214281 811114 (Sec: 7031.5 Business and P_rofessions 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_mIt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9. comme_ndrng with Section 7000 of 0iv1s1on 3 of the Business and Professions Code) or that he is 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 civil penalty of not more than five hundred dollars ($500]}. Workers' Compensation Declaration: I hereby affirm under penalty of periury one of the following declarations [Z] 1 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 0 I have and will maintain workers' compensation. as required bv 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 _____ 1697823 _____ Expiration Date___ o7io1m121 This section need not be completed if the permit is for one hundred dollars ($100) or less [Z] 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 lhe Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltiei; and civll 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. ~ CONTRACTOR SIGNATURE I hereby affirm fhat I am exempt from Contractor's License Law for the following rea n □ □ □ 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. 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 contracting with licensed contractors to cons1ruct the project (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an c-wner 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 Secl1on Business and Professions Code for this reason 1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. OYes ONo 2. I (have I have not) signed an application for a building permit for the proposed work 3. I have contracted with 1he following person (firm) to provide the proposed construction (include name address l 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 l contractor.>' 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 I address I phone I type of work) -----··-------------------- _2S PROrERTY OWNER SIGNATURE DATE