HomeMy WebLinkAbout2870 LUCIERNAGA ST; ; CB032860; Permit~7 \' .
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-16-2003 Mechanical Permit Permit No: CB032860
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2870 LUCIERNAGA ST CBAD
MECH Status:
Parcel No: 2153302519 Lot#: 0 Applied:
ISSUED
10/16/2003
RMA
10/16/2003
10/16/2003
Valuation: $0.00 Entered By:
Reference #: Plan Approved:
Issued:
Project Title: VAN SICKLE RES-REPLACE FAU/AC Inspect Area:
Applicant:
LEGEND SERVICE
SUITE 15
2588 PROGRESS ST
VISTA CA 92083
760-631-8397
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
Owner:
VANSICKLE SHIRLEY
2870 LUCIERNAGA ST
CARLSBAD CA 92009 6734 l.0/16/03 0002 01 02
$15.00
$18.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.00
CGP 33-00
Total Fees: $33.00 Total Payments To Date: $0.00 Balance Due: $33.00
Inspector:
EXPIRED PERMIT
PERMIT HAS L:'.,IRED IN ACCORDANCE WITH U.B.C
SECTION 106.4.4
FINAL APPROVAL
Date:
SIGNATURE._..N=---
Clearance:
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 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 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
hi have vi lbn'v NTIEimilr hi r i h li"inh
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK NoCIJ O 3 Af£ I)
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit------~---
Validated sv {r2,4-:
Date /(} / /I:, /{lJ
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
#of Stories # of Bedrooms # of Bathrooms
Fax# C 7~t>~1,:v-~.J,;
Name Address City State/Zip Telephone#
(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 requires the applicant for such permit to file a signed statement 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 Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exeJT'ption. Any violafon of Section 703,1 .5 by a')l( applicant/~a permit subjects t e APPlica9t to a civil pa9alty of not J"Ore than five hundred dollars ($500] . •
1..... -e n e r-v i c~ l ..e Y\'1-~ r 3 f-' 1J ,OKe11 1 'I-<.. R d. c. ~W.si-. 7"'°-~J/
~7 Name
State License # _7{-1,,<.o'-'''""3'-'5_,_~_,__,/ __
Address
License Class __ c~_d-__ {) ___ _ City State/Zip Tef~
City Business License # / q(. / 0
Designer Name Address City State/Zip Telephone
State License # -----'------
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 as provided by Section 3700 of the Labor Code, for the performance
~ th.?°rk for which this permit is issued. i,J"'" I h~ve and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's co ensati n insurance carrier a~d policy number..!(.&: ( t> A p .I\ r?d<. 1 /
Insurance Company 4 tJ y Cl c; I {._ Policy No. -D {/ 3 0 I f?!iJ-Expiration Date 1//2 y cil co r
{THIS SECTION NEED NOT BE COMPLETED F THE PERMIT IS F R ONE HUNDRED DOLLARS ($100) OR LESS) /
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building 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 t he purpose of sale).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
O I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number): ______________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
[C.QM.el-UU ljlS .$ECTION FOrt_NON-RESIDENTIAL BUIJ.QIJiQ.,f.ERMID...ONI,, Y
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 26506, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
CONST_!!UC,IION 1.ENDINMQ.Effl;~Y ••• , ,_ .....,. "' _ 1.-.....-
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _
9 Pfl,J.CAffT.,.gimf!QAllQN
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt, of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limilation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from lhe date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is co for a perio f 180 daY. (Section 10 .4.4 Unifor Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
DATE ----1--/ ~{) /'--'-0-=,0~/a--"-__,_3_ I I
I r ;i.-7 --;--1 s ,,,--
City of Carlsbad Bldg Inspection Request
For: 03/08/2004
Permit# CB032860
Title: VAN SICKLE RES-REPLACE FAU/AC
Description:
Type: MECH Sub Type:
Job Address: 2870 LUCIERNAGA ST
Suite: Lot 0
Location:
APPLICANT LEGEND SERVICE
Inspector Assignment:
Phone: 7606039040
Inspector: ___ /_·( (3
Owner: VANSICKLE E SHIRLEY V FAMILY TRUST 10-04-03
Remarks: AM INSP PLEASE
Total Time:
CD Description Act Comment
Requested By: SHIRLEY
Entered By: ROBIN
43 AirCond/Furnace Set ~ A/~J:,
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments