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Home My WebLink About2888 LUCIERNAGA ST; ; CB071780; PermitCity of Carlsbad 1635 Faracfily Av, Carlsbad, CA 92008 07-02-2007 Mechanical Permit Permit No: CB071780 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2888 LUCIERNAGA ST CBAD MECH 2153302520 Lot#: $0.00 Status: 0 Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: BAILEY RES-INSTALL NEW A/C PRE PLUMBED AVALANCHE MECHANICAL P O BOX 27355 92198 858 505-9678 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 1 0 0 0 0 0 Owner: BAILEY JUANITA H 6206 LUCIERNAGA ST CARLSBAD CA 92009 Issued: Inspect Area: Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: FINAL APPROVAL Inspector: fu ~ Date: 0 0~ Clearance: ISSUED 07/02/2007 LSM 07/02/2007 07/02/2007 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $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 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 fe/x inf hih hv rvio I n ivn N I imilr hi r t wihh flimi City of Carlsbad Plan Check No. eeo ? I 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Est. Value Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application JOB ADDRESS g 2-o /P JE T# DESCRIPTION OF WORK: PROPOSED USE PR ERl'Y OWNER NAME ADDRESS CITY STATE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS Date Sr-SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) APPLICANT NAME ADDRESS I I CITY ' ( PHONE l I EMAIL ZIP CITY STATE LIC. # APN STATE FAX C. GR UP AIR CONDITIONING FIRE SPRINKLE S YES D NOD YES □ NO □ ZIP ' ' I / ( /Sec. 7031.S Bu1ints1 and Professions Code: luiy City or County: which requires a permit to construct, alter/ improve, demolish or rtP.air any struct11re, prior to its iuuana, also requin!S tbe applicant Jor such permit to file a signed statement that he is r1m1Sed jl_urmnt to tht provisions of the Contractor's License Law {Chapter 9, commending with Section 000 of Div~ion 3 of the Bmin!$1 and Pfo1e11ions Code} or that he is uempl therelrom, and the bai:11 for !ht alleged exemption. Any ,iolation of Section 7031.5 by any applicant for a permit 1Pbject1 lhe applicant to a civil penalty of nol more than five hundred dollars {$5DO}). WORKERS" COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the foJ/owing declarations: □ 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 of the work for which this permit is issued. (J,,r" have and will maintain worken' compensation, as uired by Section 3700 of the Labor . My workers' compens~.RnJ."Juran~~Jrrier and !y number are: Insurance Co . ....:~-.,,1..-,f-C..<;c--<--"':.L<L..,/E"C....../..--,"'-~.....__.a.L --c~.£...-,:~c:£:C,~7'~~)'._;z.Jftxpiration Date ~~ -t? L t2 (!_ This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify tl'lat in tl'le 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. WARNING: Failure to secure workers' compensation coverage it unlawful, and tha/1 subject an employer to criminal penaltlet and clvll fines up to one hundred thoutand dollars (&100,000), in addition to the coll of compensation, damages as provided for In Section 3706 of the l,Jbnc code Interest and attorney's feet. KS CONTRACTOR SIGNATURE I hereby aff,rm that I am exempt from Contractor's License Law for the foJ/owing reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and ll'le structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: Tl'le Contractor's License Law does ool apply to an owner of property who builds or improves thereon, and who does sucl'I work himsetf or tl'lrougl'I his own employees, provided that such improvements are not intended or offered for sale. If, l'lowever, the building or improvement is sold witl'lin one year of completion, ll'le owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). □ 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 wl'lo builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's license Law). □ I am exempt under Section ---~·Business and Professions Code for this reason: 1. t personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for tl'le proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I 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 I phone I contractors' license number): 5. I will provide some of tl'le work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone I type of work): .Jl5 PROPERTY OWNER SIGNATURE DATE Js !tie applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is tl'le applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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 AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGlNC::f' I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I haw read the application and state that the al:>ow infonnation Is oorrect and that the information on the plans Is aCOJrate. I agree to oomplywlth all City ordinanoos and State laws relating to bulldlng construction. J hereby aulhoriza repn,senlalM! of Ille Cly of Carlsbad to enter upon lhe above mentioned property fol 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS P!'RMrr, OSHA: An OSHA pem,it is required for excavations over 5'0' deep and demolitkln or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by 1he Building Official under 1he pn,.,isions of this Code shall expi"e by limitation and become null and void if the buildl'IQ or 'Mlk authorized by such pemit is not coornenced 'Mlhin 180 days from Ille dale of such pem;t,,. W Ille buidi,g ,,. -aulhorized by such pennit • suspended ,,. abandoned at a,y time after lhe -• commenced fol a period of 180 days (Section 1116.4.4 Unifotm ~i~i,g Code). -@S APPLICANT'S SIGNATURE --DATE City of Carlsbad Bldg Inspection Request For: 07/14/2008 Permit# CB071780 Title: BAILEY RES-INSTALL NEW Ale Description: PRE PLUMBED Type: MECH Sub Type: Job Address: 2888 LUCIERNAGA ST Suite: Lot 0 Location: APPLICANT AVALANCHE MECHANICAL Owner: BAILEY JUANITA H Remarks: AM Total Time: CD Description Act Comment Inspector Assignment: I I '"2-"7 (q 6 Of e p.1.-r,,,-,4 ··~ (-_ A--2.ft r ... :::j;' c., Phone: 7604316387 Inspector: MC.. Requested By: P.O. Entered By: JANEAN 44 49 Rough/Ducts/Dampers Final Mechanical kt'_ ________ _ £L _____________ _ -~--·-----~- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments