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Home My WebLink About2862 LUCIERNAGA ST; ; CB160647; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-18-2016 Permit No: CB160647 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2862 LUCIERNAGA ST CBAD PME Status: Parcel No: 2153302515 lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: BENGIS: REPLACE WATER HEATER SAME LOCAL CALIFORNIA DEL TA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ. 85206 480-898-0007/866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: BENGIS STEVEN H 11034 W OCEAN AIR DR #350 SAN DIEGO CA 92130 ISSUED 02/18/2016 JMA 02/18/2016 02/18/2016 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: Clearance: $0.00 NOTICE A""'8 la<e NOTICE tt,,t ,q,ov.;i d )OJ prtjed irdl.des tte "lrrpcsilim' r1-, dedcaicrs, rese,vaticns, er cthEr exa::ticrs -roledively ra'ened to as "fees'exa:li=" Yoo rave 00 days frcrn tte-ths JB111t ""'5 isso.al to pictest irrpcsitia, ri ttese fees/exa::tiais. If )00 pictest tt-,,n )00 rrust fdlo.vtte prctest ;:,oo,cl.res set forth in GoJerrment Qxle Sadia, 60020(a), a-dfilette pictest a-d anyctherrecµred infonraia, l'oith tte aty ~tc, IJO(l'SSing in axxnJa-ce l'oith Gatsbat Mridpa Qxle Sadia, 3.32.000. Faillre to imaly fdlo.vtret ~ l'oill ba' any subse<µrt lega oclia, to atta:I<, revieN, set aside, vdd, a an.J thlir i!Tflliition. Yoo a,, rereo,, FlRTl-ER NOTIFIED that yo.rrigt to pictest ttespedfioo fees/amens rxESI\Of APPLYtow,ter ard """"oainedion feesa-d """'1Y cta-ges, ncr plmng, mi~ gajng crcther srrila-applic:alia, IJO(l'SSing crsenArefees in oainediai l<ith ths prtjed. frn rxES IT APPLY to any f exadicnscl'Nlch 'nila-toths W'i lirri i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE· 0 PLANNING 0 ENGINEERING OBUILD!NG QFIRE □HEALTH [JHAZMAT!APCD (·city of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph 760-602-2719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov www.carlsbadca.gov I Plan Check No. C.B! b • 01;::,t./7 t Est. Value Plan Ck. Deposit Date Z-111:' SWPPP JOB ADDRESS 2862 Luciernaga St UITEI/SPACE#/l/NITI cr-Pw; EC! i; --___ j"" • rASE • I' .. , osrs r '1eDR5DMS ... [,3"i0<0DMS DESCRIPTION OF WORK: Include Square Feet of Affected Atea{s) lco;;.iST;i_>PE I oc::··;>~0;_~ C36 Replace 50 gal gas water heater like for like same location EXISTING USE PROPOSED USE G•\RAGE iSF) PATIOS \SFl DECKS iSFl FIREPLACE YESQ AIR CONDITION ING Nc:0 vcs □,oD FIRE SPRIJ\KLERS v,so,o□ APPLICANT NAME -~.!IX ~n4~:L. ADDRESS CITY PHOt-.E John Santos 6056 E Baseline Rd #155 Az FAX 85206 Mesa 866-692-5273 866-692-5275 .EMAIL DESIGN PROFESSIONAL b,,QDRESS PHCThE ··------·-··· EMAIL Capermits@deltamechanical.com ST.\l'[ ZIP .FAX PROPERTY OWNER NAME Steven Bengis~ tMA1L Carlsbad 650-255-0160 2862 LuciernagaSt Ca STAT IP CONTRACTOR BUS. NAME Ca Delta Mechanical 6056 E Baseline Rd #155 ADDRESS PHONE EMA.IL ZIP Mesa Az 866-692-5273 Capermits@deltamechanical.com · ... ... --CLASS ____ ----CffY -3LS.-~· 92009 85206 811114 C36 1214281 .Sec, 7031.5 Business and P_rofes.s,ons Cooe: An'/ Citi, or County wh,ch requires a perm,t to coristruc(, alter, improve. demohsh or repair an:i: structure. prim to ifs issuance, also reQu1res the app1,cant for St.Ch per_rvtt to f,le a s,gned statement that •ie ,s licene.ed oursuant to the provIs,ons of tne Ccr•tractor's lke-ise Law iCha'/'ter 9. commenm,ig w,th Section 7000 of D,v1s1on 3 of tne Business arl<I Professions Code} or 01at 11e Is >:f~tllPt :herefrolll. an<J me Oasis for tl1e alleged exerrpt1on. A.ny v1olat1on ol Sect;on to3 .5 by ar,y aµphcantfor a 1)13rmit sutijec~ the applicant to a civil penalty of 'lOt more tnan five hundred dollars \$500)J. WOl'llera' Compensation Declaration· i hereby affirm i.iride! pw-111#1 Gf P,,1)/J/')I one o(rhe fo!kavmg mu;/IJl'at1<m,;: 0 I have and will maintain a certificate of conSfllt to self•insure for workers ,;ompe11sai>011 :is provided by Sect10n 3700 o; me Laoor Code, for the pe:formar.ce of tne work fer 1'.t1!d\ this permit ;s ssued ~ I have and will maintain worllers' coml)tnution. as r~uited bv Section 3700 cf !re Labor Code for the oerto:'!Tl;mce of t'1e wor!t for which thts permit is issued. My worl\ers compensation insu•ance carrier and policy ~umber are: Insurance Co !win Cit'/ !'"iit Prot&etkin -··--··-Policy N,). _ .. l4WEQ101ZO E,p,raUori Dale___ 4121116 This sec~on need not be completed ,r lhe permit 1s /01 o hundred do!iars ($100) er less. D Certificate of bemption: ! ::ert1fy \hal in r' ,1ar-ce of the w.xk for wh,cll this oerm:t 1s :ssuetl, I shall not employ any person in any manner so as to =ome sJbject IO the Workers Compensation Lam of Cahforma WARNING: Failure to secu,e rker ompensation covenige is unlawful. and shall subject an employllll' to criminal penalties and civil fines up to one hundred thousand doHan (& 100,000). in addition to the cost of compensation. ~-J'.#t<""'"'""'!fS,ec!ion 3706 of !he Labor code. mtmst and attorney's letis, N$ CONTRACTOR SIGNATURE [dl(GENT 1 hereby affirm thar I am exempt Iron• Ccnrractors Llr,ense Law !or me fol/owmg reasa11 □ □ □ I. as owner of the property or my employees with wages as their sole compensation. will do the work a11d the struct,;ie 1s not ;r,tended or offered !or S!!le (Sec. 7044. Business anc Professions Code. Tr,e Contractor's L'cense Law does '1</t a:iply to a11 :wner oi p';)pertJ Nho Dulids or impro,es thereon. aru, wnc (loes s~cl', ..,.o,1,_ h·mse!l or tt>rough h's own employees prode<J t"at sucn improvements are not 1n;ended oi offered !or SAie. If, t>awe~er. the bu~dir19 or ,rn:iro,eriecit 1s sold witnm one 1ea'. ,:if corrpletion. tr,e owne1-b1.Jilder wi!i have the burce1 ol Jro~ing that ~e did not :,1.;ilcl or 1r;pmve for the l)IJrpose of salei I, as owner of Ille ;:irooerty, arr eidtisively coniractmg with licersed rontrac1ors to -::onstrJCt the Dro1eci. tSec. 7044. Business and P'rofes~ons Code The Conlractvr s l:cense Law does r.ot c1pol~ to ai owner of property who builds or improves (hereor and contracts for sucn proJects w1!h .:,:o,waclcris, !1cense<l pursmmt to the Contracto(s L;cense lawi. I am exempt under Sect,or BuSlfless a.rd Professions Coce br tn1s reas,)n 1 I personally plan to provide the ma1or labor and ma\ePa!s 1or constrnc:-or of the prooos1:d property ,mpro~ement OY\>s Do 2. I (have, have no!) signed an applica1ion !or a bu1k11ng oerrn,! !or !he proposed wort J. ! Mve contracted witn the fof<..,wing oersOfl \1·m,) 10 p1ov·de t~,e proposed construc:1or-:1r.ciude ~ame adcrass, phone: co1tractors hce1se nurr:ber: 4 I pla11 to provkle porticns of the w1;r!<. but I haw:t h,ract :tie fc!low,ng person to cocrdmate suveriise and prov,de the ,najor wor~ !include name; ad Gress ;:hoM crn:!rac!Q!s licen~e n~rr.beri 5. I will provide scme of the worK, but I ~ave contracted (h1rtK1.1 'he following Dersons tO provide '.he work ,ncicatec! (1nci•Jde name adcress 1 ~hooe tyD€ of work1 ,If PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicanl or future bU1ldin9 occupant required to submit a business plan, act.ilely hazardous materials res1st1atlon form or risk managemer,t and prevenijon program under Sec tons 25505. 25533 or 25534 of lhe Presley-Tanner Hazaroous SutlStance Account Ac!? □ Yes □ No Is the applicant Of future bU1lding occupant required to obtain a permit from the air pollution control distnc! or air qualify runagement district? , Yes □ No Is the facility to be constn.cted withi~ 1 _0CO !aet of the ooter boundar1 of a schooi site' :::J Yes '.J 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 OFF,CE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROl DISTRICT. I certify that I have read the application and state that the alM:Jve lnl'oonation Is correct and that the lnfoonation on the plans is accurate. I agree to romply "'1th all City ordinances and State laws relating t.o bulldlng construction. I hereby auMize representative of lt1e City of Caltbad to enterupoo the above mentioned property for inspecboo purµ:,ses. I ALSO AGREE TO SAVE, INDEMNiFY ~D KEEP HARMLESS THE CITY OF CAALSBAD AGAINST ALL llA8!UTiES, JUDGMENTS, COSTS Af\1O EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAO CliY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA kl OSHA pemut rs required ~ excavauons deep and derrciioon or coostrucOOn of struct.Jres over 3 stolies ,n height. EXPIRATION; Every permtt issued by the Buik:ling nder !he provis!IX'IS of this Code shal expire by li'rntaoon and beCOme nuQ arxl void if1r,e buik:lirg or v.oo<. aulhoozed by such pennrt is not commenced wilhf"I 180 clayS from the date al such permit or if !tie b tjin authortZed by such perm,! is suspended oc abandoned al any lime after the 'M)t'k is commenced for a penod of 180 days {Section 106A.4 Uniform Buik:ling Code). ,fS' APPLICANT'S SIGNATURE DATE 2, /~!,(, . ' - Inspection List Pennit#: CB160647 Type: PME Date Inspection Item ____ _ 03/31/2016 25 Water HeaterNents 03/31/2016 25 Water HeaterNents 03/31/2016 29 Final Plumbing 03/31/2016 29 Final Plumbing 03/08/2016 25 Water HeaterNents 02/26/2016 25 Water HeaterNents Thursday, March 31, 2016 Inspector AEK AEK AEK AEK Act RI AP RI Fl NR NR BENGIS: REPLACE WATER HEATER SAME LOCAL Comments NO ONE HOME NO ONE HOME Page 1 of 1