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Home My WebLink About2860 LUCIERNAGA ST; ; CB980999; PermittHt/07/98 14:46 P.:.ille 1 of 1 B U I L ;:, I N G 1 Job Address: 28o0 LUCIERNAGA ST PPrm1t Type: MECHANrCAL Parcel No: 215-330-25-14 va.::.uation: 0 P E R M I T Suite: Lot#: Permit No: CB9809Y9 Proiect No: A9U01JlH Development No: 5796 04/07/98 0001 01 C-PRMT Construction Type: 02 42-00 uccupancy Group: Reference#: Status: Applied: NEW I~~UED 04/07/98 04/07/98 JM Description: INSTALL 3 TuN A/CW/ 40 AMP CR Apr/Issue: Appl/Ownr : COASTAL A[R 12860 WARHORSE STREET SAN DIEGO CA 92129 Fees Required Fees: Adjustments: Total Fees: Fee description Enter 'Y' for Mecha Install furn/Ducts/ Other *** 619 Entered By: 679-7951 .OU .00 42.00 Ext fee Data 15.00 Y 9.00 18,00 ELEC FINAL APPROVAL I fNSP .. ____ DATL:_ CLEAHA:~CE I• ---=-=----_-_ -_ -_ -_--- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION . . . CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION c29~o Lµc;€,fd .-lt:f,4 5r FOR OFFICE USE ONLY PLAN CHECK NO. ff'J/J 9'?'7 EST. VAL.--------=-- Plan Ck. Deposit-,,,....-~=.:;... __ _ Validated By·_....1.{l;!.~~!:--,,S.,,,-- Date, ______ ....t,,~1/-.L,~--- Address (Include Bldg/Suite II Busineu N1me tat this 1ddrasJ Lega_l Oescr1pt1on Assessor's Parcel II :f't.A<:£ Description of Work Lot No. Subdivision Name/Number Existing UH (!aef~b,l'f@ ,t._ ~/'- SQ. FT. #of Stories Unit No. Phase No. Propmed Use II of Bedrooms .2. . CONTACT PERSON (If dlff...iit tiam .;,,,ianii _,.w•-•••••--••.,,--.--•..--. •---•-,.,.,,..,,.....'.'" __ ,, •-•-.--♦-•♦•-- Total I ot umts II of Bathrooms Nam■ Address City State/Zip Telephone I Fax II ,3. APPLICANT ~tractor 'j}.fJ//2> A/4:t. Sc N' ~ e~"~'o;t~is7's~ Agoni.; CZ"~' 9uz...p <,/? VJY.. f.3. ./o Name Address City State/Zip Telephone II 4. PROPERTY OWNER ::r,4m€s L.o-</4-• ~8kl Lue-tE-W Af.4 <;°", 7&P -&· 5,:b z..- Name Addreu re1ephona I S. CONTRACTOR • COMPANY NAME (Sec, 7031.5 Business and Professions Code: Any City or County which rltQl,liru • permit to construct, ■tter, Improve, demoli■h or repair any structure, prior to h:s issuance, also requires the applicant for such permit to file • signed ltatement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Butinnt and Profnsiona Codll or that he ii exempt therefrom, and the basis tor the alleged exemption. Anv violation of Section 7031.5 by any applicant tor• permit !ubtec:.!• the applicant to a civil penahv ~not more than five hundred dollars lt500Jl,; {!tJ-4-Sr(k 41/4 mk.1/ (ZfJGo tv,4/dl,I!,,(.,~€ 5, .S,D '1Z-IZ..? (e/9-?f!~ r-'l'!rl Name Address City . State/Zip Telephone I Stata L;cenH I {,,, t./ { 0 ~ f Licenn Cini (!_ 2-0 City auo-. Lie.,.. I ______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS" COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation •• provided by Section 3700 of the Labor Code, tor the perform1nca of the work for which this permit is issued. 0 I have and will maintain workers' compenaation, 11 required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insuranca c1rri1r Ind policy number are: Insurance Company____________________ Policy No.____________ Expiration Date. _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS lt1001 OR LESSI ~TIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is issued, I ahllH not emptoy any person In •nv m■nnar 10 .. to become subject to the Workers' Compensation Laws of California. WARNING: Failure to work • COWWllgll la unlawful. and ahd subject M employer to crtmllllll~llftd c:lvll fines up to one hundred thousand doftan ($10 ,0 OJ. In t coat of compenutlon, damegea a prowlded for In Section 3706 of 'Iha ~,.,.JtJJJ,relt and attomey'a fw. SIGNATURE '.S~ DATE --',~6-"..,_-'Y-' t?c,_ __ _ 7. OWNER-BUILDER DECLARATION • --• ' •• ~ ~--4 ~;-;:..::.vr~ • . . ,. • ?tin' •' • I hereby affirm that I am e,cempt from the Contractor's Ucanse Law for the following ,ea,on: 0 I, 11 owner of the _property or my employee• with wage1 11 their sole compensation, will do the wark and the ltfUctUre II not intended or offered for alle !Sec. 7044, Busin111 and Profnaions Code: The Comractot'a Uclnl:1 Law don not apptv to an owner of property who builda or lmprovn thereon, and who don such work hlmulf or through N1 own emplOYffl, provktad that auch lmprovamenta era not lntandld or offered for ..... tt, however. th■ bulldlng or lmprovement la sold within one year of completion, the owne,-buildar win h■YI the burden of proving that hi dtd not bulfd or Improve for thll purpoa1 of ull), 0 I, 11 owner of the prClperty, am e,cciu■lvlly contracting with licenud contractors to construct the pro;■ct IS.c. 7044. Bulinna and ProfHaiona Coda: The Contractor's License Law don no1 apply to an owner of property who buildl or improvn thereon, and cont,1ct1 for such pro;■cts with contr1ctorC1I lk:■nNd pursuant to the Contractor'• Ucena, Llwl. 0 I am e,cempt under Section ______ Buslnaal and Profn1lon1 Code tor thia ,n,oa: 1 . I personally plan to provide the major labor and material• for con1truction of the propoaed property lmprovlffllf'lt. □ YES ONO 2. I (have / have not) aigned •n application for • building permit for th■ propoud work. 3. I have contracted with the foHowlng parson lfirml to provtde the proposed con■tructlon Clnciude name / 1ddrN1 / phone number / contr■ctora licenae number): 4. I plan to provide portiona of the work, but I have hff"ed the following parson to coordinlt1, supeMH and provkle ma ma)or work Undude nam1 / lddrels / phone number/ contractors license number) •• _--------------------------------------------- 5. I will provide some of the work. but I have contractld lhired) the followtng p■raan■ to provtda the work indicated llndude nama I •ddreu / phone number / type of work): ______________________________________________________ _ Is the applicant or future building occupant required to submit a businau plan, acutely hazardous materWa Ngiwhalhwr farm or rtalc management and prevention program under Sections 25505, 25533 or 25534 ot the Prnley-Tanner Hazardous Substance Account Act? □ YES D NO Is the applicant or futur1 building occupan1 reQUlred to obtain I permit from thl air pollution control distn_ct or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 Ifft of thll outer boundary of• school 111,1 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE 1ssum UNLESS TH£ APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ia. --CONSTRUCTION L.EN01NG AGENCY ,.,. ... ,-• " ...... _, ' · ·, 1•r · • -, .• -... .,~_,.-.. ,,. _,,_,,. ___ ,. __ .,. .-~,-;,...,. , ............... ,.., .......... • , .... ,,., ., ... . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit 11 ilauad (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS, _______________________ _ '9. APPLICANT CERTIFICATION -..... -· -.••. ---~, . .,.,..-__ .. •···~-·-···•.-,_--.~-,-, . .,,..,....,,w:~,~··:.-,-.,.,:i:," .. ··.-i· -'~"'' ... '"""'"''"'··~- I certify that I have read the application and at1te that the above Information ii corract and that the Information on the plans la accurate. I agree to comply with 111 City ordinances and State laws relating to building construction. I hereby authorize reprnentathrea of the Citt of Carlsbad to enter upon the above mentioned property for in1pection purposes. I ALSO AGREE TO SAVE, INDEMNrFV AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID crrv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for e,ccavetions over 5•0• deep and damolition or construction of ltructur11 over 3 stories in height. EXPIRATION: Every permit issued by ullding Official under the provisions of this Code shall expire by limitation and become null and void it the building or work authorized by •~ch permit is no o m:~~e~h!~85 days from the date of such permit or If the building or work authorized_ by such permit is suspended o, abandoned at eny tome after the rk c/ ~ period of 1 BO days ISect;on 108.4.4 Uniform Bulld;ng Code). ~ ! ! APPLICANT'S SIGNATURE • ~ DATE ~.!3 WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB980999 DESCRIPTION: INSTALL 3 TON TYPE: MECH CITY OF CARLSBAD INSPECTION REQUEST FOR 04/17/98 A/CW/ 40 AMP CR STE: INSPECTOR AREA PLANCK# CB980999 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2860 APPLICANT: COASTAL CONTRACTOR: LUCIERNAGA ST AIR PHONE: 619 679-7951 OWNER: REMARKS: C/JAMES/438-5302 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION :::::~~1- ACT COMMENTS CD 43 ME AirCond/Furnace Set fu _____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS CITY OF :ARLSBAD N OT I C E (700) 43~3550 BUILDING DE ARTMENT 2075 LAS PALMAS DRIVE DATE -f 1-y TIME. _______ _ LOCATION d-f(p O b tJ (_ It ltt! ,4 bj /:f: PERMIT NO._________ ~ C) f:! (_, Co ,,;lz ,11 --r N o --r ,, ."5 ld/i -(} th) p It fl/?; • I {!) f1tJJ dD11Jiz; //\) S rA-L✓ t;· D c a II o u c ft) /L //J 6 r 1(1) C_l.) IJ D c.J I r. • a~ 9 /.A-· D '1 CD f-J D i ,,u s A --r«-Dil A/ ,J, It• f/'u ~4. £ f l2 6 C .S () o tJ D c/v .5 ,4 TE 7}, I(-dA IN lt"'CC 7 CALL (760) 438-3101. RE-INSPECTION FEE DUE? □ YES FOR FURT INFc;>RMATION, CONTACT _________ _ PHONE CODE ENFORCEMENT OFFICER . :