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Home My WebLink About2856 LUCIERNAGA ST; ; CB091550; Permitr City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-22-2009 Mechanical Permit Permit No: CB091550 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2856 LUCIERNAGA ST CBAD MECH Status: Parcel No: 2153302512 Lot#: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: DAVIS RES REPLACE FAUi AND AIR CONDITIONER-SAME LOCATION Applicant: ASI HASTINGS 1250 GREENFIELD DR EL CAJON, CA 92167 619-223-9016 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: DAVIS EARL C&PENNIE J 2856 LUCIERNAGA ST CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due: Inspector: Clearance: ISSUED 0912212009 KG 09122/2009 09/22/2009 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 NOTICE: Please take NOTICE that roval 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. You are hereby FURTHER NOT!FIED 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 f xa i n f which u have reviou I n i n a N TICE similar I hi or hi h he tu e f limit ti n ha r vi I City of Carlsbad 1635 FfJraday Ave., Carlsbad. CA 92008 760-602-2717 / 2718 / 2719 \ \.: \; • ~ o'\U..~t . ~· Building Permit Application ~l:.~<.Q. \'\'SO"-O Fax: 760-602-8558 Plan Check N Est. Value Date 1 lOB ADDRESS\,, I ~S. : C:1, PROJECT# "OF u1;1r5 o 3£DROO~IS ~ BA.THROO~IS Ti::NANT 8LSl"JESS NAME CONS TR ·oES~+;~•(•J~ ~~ ~ ~ ~ ~~~c~ PROPOSED USE ?ATiOS 1SF1 DECKS iSFi APPLICANT NAME FIREPLACE YESD AIR CONDIT10NING No□ YESl9No □ FIRE SPRINKLE~S 1 . YESQNo□ IAaoRE-ss·--------=-------------------+A~o~o~R~,~s~s~~.,., __ _:,,~...cu,,..:s.;:,.,""'""r:,;;L _________ ___j Jee C~,TY~~c;~...._.C\.7,..,...,...=e..___=,,_--~ST°"AT""E ___ --ccZl"'P ----"!=~c"--'---'<70 \)\-t,\.,)_,'Q_,_""'1=.c~cc--li"\c'V"'-""-L--__l,r_=d--()"-=-'c):__ ___ -j ' "'-'"' ~ -<p, ,I) PHONE ; FAX ! PHONE ' l.. \'\ -h'1C2-C:UlC:'"'o'-----'-',.,........L.CcJ...""-'-----'-'~......L.~___J EMAIL E~ a CONTRACTOR BUS. NAME ADDRESS ZIP C,TY STATE ZIP PHONE ! FAX ! EMAIL .\RCH/DESIGI.ER ~,.\~IE II, 4DDRESS STATE UC # STATELICd !Sec, 7031.5 Business and Professions Code: Any City or County wh1ct1 requires a permit to construct. alter. impro.,e. demolish or repair any structure. p_nor to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the pro.,,s1ons of the Contractor's License Law !Chapter 9, commending with Section 7000 of D1'11s1on 3 of tne Business and Professions Code) or tnat he 1s exempt therefrom. ana the basis for tl'1e alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a CN1i penalty of not more lhan five hunored dollars ($500)). WO!fl<ERS' COMPENSATION , , , , . Workers' Compensation Declaration· I hereby affirm under penalty of pequry one of the following declarations 8 I ha'le and will maintain a certificate of consent to self-insure for 1YOrl<ers· compensation as provided by Sec11on 3700 of the Labor Code. for the performance of !he work for whK:h this permit 1s issued I have and will maintain workers' compensation as reouired ov Sec~on 3700 of the labor Code for the perior~ al 1he work for which this oerm1t ;s issued. My ·NOrkers compensar1on insurance earner and oolicy number are Insurance Co Pohcy No S'\> Soot> :J l\"') tO 8p1ra11on Date \ o\ \\,,\ :t)'\ Th tion need not be completed 1/ tr,e permit Is for one hundred dollars {S100) or less rtificate of Exemption: I cert~y tin the periormance of the work , this permit Is issued I shall no1 employ any oerson ,n any rr>anner so as ;o become subJect to !he Worxers Compensation Laws of a. WARNING: Failure to s cure kers' c:ompensation cove ge is u awful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars (&100,000), in n to the cost of compensatio damage as provided for in Sectio 706 the labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE 1 nereoy affirm mar I am e,emtil from C:1fllractor's License !.aw for me lo/lowing reason □ □ □ I as owner of :~,e prope11y or my ~mployees -111lh wages as lhe1r sole compensat:on will jc the 11crk ana the stn.Jcture Is not !nlended or offered lcr sale 1sec 7044 aus1ness and Proless1cns Cade ;ne :antrac:or s ~1cense ~aw cces no! a~piy lo an owner cf prooeny wno builds or :mproves thereon and who does s.;ch 11ork ri1mself or ,~rougn ri1s own employees, ~rovlCled lhat ;ucr. 1mprovemen1s are net 1ntenced er cffergd fer sa1e If nowever, t~e bwlc!1rg or ,mprovernen1 ,s sold w1(hm one year ot comp1et1on, :he owner -builder will nave :he burden ol proving that he (!IC! not build or improve tor the purpose ot sale) I as owner of :he p<cperty am exclusI~ely contracting Nilh licensed contractors to construe! lhe prc1ect (Sec 7044 Business and Professions Code T~e Con1rac1or's i....cense law dces not api::ly tc an owner Jf oro~env 11no turlds or ,mproves !hereon and :;on1rac:s fer such PfOJecis .v11h contrac:Ofls) licensed pursuant !O lhe Car1ractor's ~cense Law1 I am exernc1 :.miler Section . _ Business and Professions Coae for this rea:.(Jn 1 I persoraily p!an to provide 1~e ,naior la tor and rnaterrals for cons1ruct1on cf :ne prcposed property improvement 0Yes Di lo 2. I (have Mve not) sigr.ed an applica11on for a building pem11t for !he proposed work J I na'le sontracted 11•,th the foilcw1ng person (firm1 :o prcv,de the ;iroPosea constr~ct10n (1ncl~de ~,ame address phone, :ortraccors· I1cense numt;er) 4 I p1an 10 ~ro,Ide portions ot :he 11or1<. bul I na•e ,,ired tr,e fellowing person lo :oo•d;rate ;;uper,Ise and provide :ne ma,or wcrx \include narne address ;i~one :ontrac:cr; :1cerse %rnDe/'I 5 ' . ..,,I1 prcv1Ce 50fl1€ JI !~e ·JrOrk ~i.;I ~a~e cor1racted 1f'lred) \he 'ollow1ng :erscns !O cro1·rde •.ne wcrk ,rdIcated ,rclude name aCdress phore tyoe JI ,,.,cr'<l A5 PROPERTY OWNER SIGNATURE DATE ~---~·· --··--~--- Is tl1e appht:ant or futurt building occupant required to submit a ousiness.]!2.Q, acutely hazardcus matenals ieg1stration form :r nsk maragernenl and pre,,ent1on program :mdH Sections 25505. 25533 or 25534 JI the Presley-ianner Hazal'dous Substance Account AcP D Yes LJNo Is the aoplK:ant or ruture build1r.g occupant reau1red !O otJta1n a permit from the air pollutror contrcl 11stnct Jr air auahty rnar.agemenl fatrrct? Oves D ~lo Is the facility to be construc1ed w1tr,in 1.000 feel of the outer boundary of a school site? 0Yes 0Mo 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. -' " ' ) i ' " "CONSTRUCTION U,NDtNG AGll'NC,Y, , , , , , , , , ', _,, I hereby affirm that !here is a construction lending agency for the performance of the work lf11s permit is issued (Sec. 3097 (i) Civil Code) Lender's Name Lender's Address ,APPLICANT C:ERTIFICATl,ON , , , , , , '.-, I certify that! have read the appication and state that the above information isCOITect and that the information on the plans is atttJrate. I ag1eeto comply with all City ordinarices aod State laws relating to buildfngconstrucbon. I hereby authorize representative ot the City of Carlsbad to enter upon the aOOve mentioned property for msrection purposes. I ALSO A.GREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARL SB.AO AG).IHST ALL UAB\LITiES JUDGMENTS, COSTS ANO EXPENSES W MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COOSEOUEMCE OF THE GPA~JT!NG OF THIS PERMIT OSHA Ar, OSHA perm I 1s required for excavations over S'CI deep and emoli\Jo constructton ol structures over 3 sicnes in r.eigllt EXPIRA.TION faery perrrnt issued by '.he Building Official under the pr sJOns ::if !h1 Code shall expire by lim1tation and become 11ull and ..old if :t,e 01.Jild1ng or ....en< authonzeo ty Such pennIt ,s net s:::immenced "'1ttm1 180 days from Ille a ate of such penn1t bu11d1ng or NOrk aulhcnz , 111s suspenaed or abando~ed at any t1rre after the work 1s commenced for a pericd of 180 days (Section 1(i6 4 4 l.m1brm Bulldrng Cooe) k5 APPLICANT'S SIGNATURE DATE m· -City of Carlsbad Bldg Inspection Request For: 10/02/2009 Permit# CB091550 Title: DAVIS RES REPLACE FAU/ AND Description: AIR CONDITIONER-SAME LOCATION Type:MECH Sub Type: Job Address: 2856 LUCIERNAGA ST Suite: Lot: 0 Location: OWNER DAVIS EARL C&PENNIE J Owner: DAVIS EARL C&PENNIE J Remarks: Total Time: Inspector Assignment: Inspector: ---- Requested By: EARL Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set Act Comments , J ~ ~ ~_--~tfr ---_--- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments