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Home My WebLink About2864 LUCIERNAGA ST; ; CB091689; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-08-2009 Mechanical Permit Permit No: CB091689 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2864 LUCIERNAGA ST CBAD MECH Status: Parcel No: 2153302516 Lot#: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: PATTEN RES=REPLACE FAU & DUCT WORK&ADDAJC 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: PATTEN JAMES F&DONNA K 2864 LUCIERNAGA ST CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due: Inspector: tfA ~ FINAL APPROVAL Date: Clearance: ISSUED 10/08/2009 LSM 10/08/2009 10/08/2009 $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 approval 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 Car1sbad 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 f fwhi I in N Tl E imilr ihth f' i h rvi I thrwi ~ity of Carlsbad 1635 F;,raday A,e .. Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application Plan Check No. c.e, O'i I 0gq Est. Value Plan Ck. Deposit Date /0 0 ~ 0'9 l.PC! TENANT 8USINESS NAME CONSTR f'rPf OCC. GRGUP ;·oESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . ~r., ~X'l..A--o ~ 6"V~ ~ ~-~-<\.~ ~~ PROPOSED USE CITY STATE PHONE FAX EMAIL FAX ·3AR,:.,GE iSF1 PATIOS \SFJ ZIP ZIP °'-~o '\ AIR CONDITIONING YES oD FIRE SPRINKLERS , 1 YES□No□ ,\RCH/DESIGl'.ER ~,AME & ADDRESS STl.TE LIC. II 1sec. 7031. 5 Business and P_rofess1ons Code: Any City or County wnicn requires a permit to construct. alter. improve. demolish or repair any structure, r,rior to 1ts issuance, also requires ttie applicant for sucn per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law \Chapter 9. commending with Section 7000 of D1v1s1on 3 of tne Business and Professions Codel or (hat he 1s exempt therefrom. and the basis for the alleged eiemptIon. Any v1olatIon of Section 031.5 by any applicant for a permit sub1ects tne applicant to a c1v1I penalty of not more than five hundred dotlars {$500)). WORl(ERS' CQMPENSATION , ' , ', . ' , ~ ·' ' " ,,,,, Workers' Compensation Declaration: I hereby affirm undeJ" penalty of peryu,y one of the following declarations B I have and will maintain a certificate of consent to self-insure for worl<ers' compensation as provided by Section 3700 of the Labor Code. for the performance of the work ior which this_ permit 1s ,ssued l have and will maintain workers' compensation as reau1red bv Section 3700 of the Labor Col'.!e for the performance of the worll for which this oerrn1t Is issued. My workers· compensat10 msura~e c number are Insurance Co Po11cy No. \l) ~ ~ $!0b0':ll\)0() E~pirat10n Date \~ \0 ier and 001Icy e work for which this permit Is issued, I shall not employ any oerson ,n any manner so as to become sut:i1ect to the Workers' Compensallon Laws vi coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up lo one hundred thousand dollars (& 100,000), in tion 3706 of the Labor code, interest and attorney's Fees. I neretiy affirm mat I am e,empt from C:)(]tractor's License Law fer 1he followmg reason □ 'D □ I as owner of :tie property or my employees with wages as their sol(! compensation w1ll-:Jo the Nork anct the structure 1s not intendecl or offered for sale 1sec 7044 aus1ness and 0rofess1ons Code ihe Contractors License Law dces llOI apply to an owner cf properly who builds or improves thereon and .-iho does si.:ch worll n,msell or througn ri,s own eIT'ployees. prov1oed I hat such rml)l'ovements are not !ntenced or ctfered :or sale If. nowever tl'.e bu1ld1r.g or improvement is sold w11t'11n one year of comp1e1ron, thi;> owner-buitder will nave the burden of_proving thal he did i\Ol build or improve for the purpose of sale) 1. as owner of the property am exc:us1vely contracting .v1lh IIcensecl con1ractors to construct the project (Sec 7044 Business and Professions Code T~e Contracior s L:cense Law does not apply to an owner JI property .vhO builds or improves ihereon and contracrs for such proiects with contractor(s) l1censeo pursuant io !tie Ccr.trac:or"s ,_1cense Law) I am e~empt :.inaer Sect10n __________ Busmess and Pr□fess10ns Code for 1n1s aeaS(ln 1 I persor.ally plan to ;irovide ttie ma1or labor alld 11atenals for cons1ruct1on of me prooose~ pr:iperty Imoro1•ement Oves 2. I (have have not) signed an application (or a building permit ror the proposed work Ot-io J I nave -:ontrac:e1 Mth the follcw1ng person (firm! !O prcv1de the prooosed construction (1ncli.de riaffie address phone, ccrtrac:ors license nu~~e') 4 I plan to provide portions of the N0111. but I have hired tne fellowing perscn to coordir.ate. super1Ise a~d prcv1de :~,e rna1or wcrk 'include name address ~~ore :crtractors ·,1cerse n,.;rncer', 5 • ·Nil! prcv,ce some of t~e worJ.:. b,.;1 nave ~cntracted {hired) !he 'ollowmg :ersons to ~rcv1de ine l'ICrk !f!d1cated 11rc:1..de ~ame a<:ld'e5s ::ncre tyse Jf Ncr>,:i ---··~------- ~ PROPERTY OWNER SIGNATURE DATE ------------------------. 9'. '. • , > ( i < ~ ,1 i, _, } , } c , , , ,_ ' ' \, J~ / , -\-a , , • , C:Dlll1LEJE THIS 'SECTION FOR NON•ll'EUQI/NTJ,IU,'IIUIL'DJNG PERMITS Oll!LY ·;· '' ~,dl -J • , '-" • -· Is the al,1icant or future building cccupant required 10 submit a D1..is1ness,.Q!aQ. acute I~ hazardous matenals registration form sr nsk managerienl and pre~ent1on program under Sec1ions 25505, 25533 or 25534 of the Presley. Tanner Haza'rdous Subs~nce Account Act? D Yes LJNo Is the aophcant or future bu11d1ng occupant reouired 10 obtain a permit from the air pcllut1ofl c:imrcl 'Jistnct or a\[..2!,lality rianagemer.! d1s:ncP 0Yes D ~lo Is the facility to be constructed w,thm 1.000 feet of the outer boundary of a school Site? OYes LJtlo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEET!NG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ',CONSTRUCTION \ENDING, llGENCY, ' , :, , , , :. , . , .. , ·,, ,, I hereby affirm that there is a construction lending agency tor the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address APPLICANT CJRTll'ICATION ' ' : , , , , I certify tllat I h.l'le read the appHc.ation and state that the above information is correct and that the information en the plan!'. is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authon2e representative of the City of Carts bad ,,._.._,oon the above mentioned property for 1ns~n p~rposes. I ALSO AGREE TO SAVE. INOEMMIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD AGA.IMST ALL LIABILITIES JUDGMENTS COSTS A E:XPEN S WHICH MAY IN ANY WAY ACCRUE .AGAINST $.A.ID CITY IN CCNSEOUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA peImt Is required excavations ave 5'0' deep a emolition or construction of structures over 3 stones 1n l'.e1ght. EXPIRATION Every ~it iss Building Offici nder l~e pro is ions of this Code shall expire by limitation and become null and veld if the building or WJrk authonzed by such permit !s net cor.imenced within 180 days from the date cf such e building or' authcn2 such permit 1s suspended or abandoned at any 11rre a~er the wor1< Is commenced for a pencd of 180 days (Section 106 4 4 Uniform Building Code) DATE \0\ City of Carlsbad Bldg Inspection Request For: 11/04/2009 Permit# CB091689 Title: PATTEN RES=REPLACE FAU & DUCT Description: WORK & ADD A/C Type:MECH Sub Type: Job Address: 2864 LUCIERNAGA ST Suite: Lot: 0 Location: APPLICANT ASI HASTINGS Owner: PATTEN JAMES F&DONNA K Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604792600 Inspector: M,6 \\-z,"1 q-5 Requested By: JIM PATTEN Entered By: CHRISTINE 43 AirCond/Furnace Set -Pf-------- -~~-~ff~ ~--·~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments