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Home My WebLink About2854 LUCIERNAGA ST; ; CB162818; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-21-2016 Permit No: CB162818 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2854 LUCIERNAGA ST CBAD PME 2153302511 CHASE: REPLACE FAU & AC OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: CHASE ADAM D&MILFETE K 1819 SHADETREE DR SAN MARCOS CA 92078 ISSUED 07/21/2016 JMA 07/21/2016 07/21/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ~ Date: Clearance: $0.00 l\(JJlCE; Rease ta<e l\(JJlCE that~ ci )OJf ptjed irdudes lhe "I · i • ci fees, declc:aticrs, resavaticns, ex ether e><afu1s hereafter cdledivay reterredtoas 'fee&'exa:ocrs." You raveOOdays fromlhe-ths pemil 116S iSSU3d to pretest irrµ,sitioo citresefees'exa:oo,s If you prctest trern you rrust fdlo.vlhe pretest procecires set forth in G:Mmrert Code Sedioo a:m:l(a), a"'d filelhe imest a"'d ar; ether req.ira:I infonraioov.ilh lheOtylv'a1agerfcx processirg in a:xx:rdm:ev.ilh Ga1sba:l Mridpa Code Sedio, 3.32.03). Faltrelotim,lyfdlo.vlhal ~v.ill lB" ,n;sut,;ecµrt lega ,dicx, to atlaJ<, re.-iew, sa aside, void, a clTIJ treir irrp:mjon. You ae here!>/ F\Rll-ER l\(JJlFIED that yo.rrig-1 to pretest the specified fee&'exa:ocrs DCES NOf APPLYtowatera"'d """'ocxnedioofees a"'daµrny d:mges, ncx plmrg, :zrnrg, ga:jrg ex ether snila-applicaticx, processirg ex seniica fees in OCXlnEdiCXl v.ilh ths ptjed. r-m DCES IT APPLY to ar; f ·crs wich ·m1 tlis wi Ii · i hE. • TH",.•OLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMAT/APCD I l~ Building Permit Application Plan Check No. f'}'J-)f l,_ / ~ ( ~ ~ -~-~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date .-7 / -;1 ., I 1 '--ISWPPP JOB ADDRESS 2854 LUCIERNAGA ST. SUITEf/SPACi:.•tUNIT# l"N --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDRvvMS #BATHROOMS 'TENANT &.,...NESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(•) REMOVE AND REPLACE 1 FAU AND 1 A/C UNIT, LIKE FOR LIKE, NO ELECTRICAL EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE !AIR CONDITIONING i I FIRE SPRINKLERS YES[}, N<{J YES0No0 YESONoO APPUCANT NAME TOM WOOD PROPERTY OWNER NAME ADAM CHASE Pl'fllan ,. _ _..._ .... ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 2854 LUCIERNAGA ST. CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92009 PHONE I FAX PHONE I FAX 760 839-8383 760 839-8380 858-692-6584 EMAIL EMAIL INFO@OAKISLANDAC.COM DESIQN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 PHONE PHONE IFAX 760 839-8383 I FAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE UC.# STATE UC.# 'CLASS I CITY BUS. LIC.1212710 745400 C-20 (Sec: 7031.5 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 requtres the apphcant for such pennit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or O,at he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollar.; {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby afflnn under penalty of petjury one of the following declarations: D I have and will maintain a certificate of consent to self➔nsure ror workers' compensation as provided by Section 3700 of the Label Code, for the pertonnance of the wcrk for which this pennit is issued. [Z] J have and will maintain workers' compensatk>n, as reauired bv Sectklr1 3700 of the Labor Code, for the performance of the \Wik for which this permit is issued. My workers' compensation insurance earlier afld policy number are: lnsuraice Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 01/0112017 ~section need oot be completed If the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the petfoonance of the Y«:111<. for which this permit is issued, 1 shall not employ any persoo in any manner so as to become subject to the Worllers' Compensatk>n Laws of California. WARNING: Fallureto 18Cllre workers' compensation coverage Is unlawful, and shall subject a1 8111Jloyerto criminal panalttes a1d civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, danages as provided for In Sect1°'}31os of the ut,}r code, Interest and attorney's fee&. J H$ CONTRACTOR SIGNATURE ~ '/A.fcJ7Jp1 @AGENT DATE "7 /2J:, JI(. OWNER~BUILDER DECLARATION I hereby affirm that I am exempt from C:Ontractor's License Law for the following reason: O I, as owner of the property or my emplo)'ees with wages as their sole compensation, -MIi do the work and the structure is not intended or offered for sale (Sec. 7044, Business and ProfesSKll'lS Code: The Contractor's license Law does not appty to an owner of property who builds or improves thereon, and who does such v.ork himself or throogh his own employees, provided that SWl improvements are not intended or offered for sale. lf, however, the buikling 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 construct the project (Sec. 7044, Business and Professions Code: The Contractofs License Law does oot apply to an owner of property who builds or improves thereon, and conlracts for such projects with contractor(s) licensed porsuant to the Contractor's License Law). I am exempt under Section ___ ~Business and Professioos Code for this reasoo: 1. l personally plan to provide the major labor and materials for construction of the proposoo property improvement. 0Yes []No 2. I (have/ have not) signed an application for a building permit for lhe proposed work. 3. t have contracted with the folklwing person (firm) to provide the proposed construction (incllkie name address/ phone I contractors' license number): 4. J plan to provide portions of the \\Ork, but I have hired the following person to coon:linate, supervise and provide the major work (indude name I address I phone I contra:tors' license number): 5. twill provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (incllde name I address I phone I type of work): NS PIIOPERTY OWNER SIGNATURE □AGENT DATE • COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fOfTTI 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 Mure 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY APPLICANT CERT IF IC AT ION I certify that I have read theappllcatlon and state that the al:ICMI intlnnation ismnact:and that the lnfoonation on the plans lsacx:urate. I agree ID complywlth all City ordinances and Stale laws relallng ID blilclrC CXJOStructlon. I hereby authorize rep-esentative of the City of Cansba:I to enilr urx,n the atx>ve menOOried proi;erty br in~n ~IJlOSeS-I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD AGAINST AJj_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pem,lt is required br excavations over 5'0' deep and demolioon or construction of structures over 3 stories in height EXP/RA T!ON: Every permit issuoo by lhe Building Official undef' the ;;r· ions of th' Code shall expire by limitatkln aid become null and vok:I if the OOildi'lg or Vt{)lk. authorized by such permit is not commenced Wthin 180 days from the date of sudl permit or if the buikling or v«lfk authorized by such it is suspended or abandoned at any lime after the v.orl<: is commenced b a period of 100 days (Section 100.4.4 Unibm Buiking Code). ,@S' APPLICANT'S SIGNATURE • DATE Ju }, PERMIT INSPECTION HISTORY REPORT (CB162818) Permit Type: BLDG-Residential Application Date: 07/21/2016 Owner: COOWNER ADAM AND MILFETE CHASE Work Class: P/M/E Issue Date: 07/21/2016 Subdivision: Status: Closed -Finaled Expiration Date: 01/17/2017 Address: 2854 Luciernaga St Carlsbad, CA 92009 IVR Number: 715928 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 01/06/2017 01/06/2017 BLDG-43 Air 008625-2017 Passed Andy Krogh Complete Cond./Fumace Set BLDG-Final 008626-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Mechanical Final Yes BLDG-Electrical Final Yes January 06, 2017 Page 1 ot