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HomeMy WebLinkAbout2513 LUCIERNAGA ST; ; CBR2022-0084; PermitPrint Date: 08/19/2022 Permit No: CBR2022-0084 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2513 LUCIERNAGA ST, CARLSBAD, CA 92009-5820 BLDG-Residential 2152504102 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 01/10/2022 01/10/2022 Finaled Close Out:02/18/2022 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:02/18/2022Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Dreibelbis, Peter REPLACE FURNACE AND INSTALL DUCT WORK (E-REVIEW)Description: Project Title: Contractor: JOHN STEVENSON PLUMBING AND MECHANICAL INC 2748 LOKER AVE W CARLSBAD, CA 92010-6603(760) 918-0456 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $193.00 Total Fees:$193.00 Total Payments To Date:$193.00 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check   Est. Value  PC Deposit   Date   Job Address  Unit:  APN: CT/Project #:  Lot #:  Year Built:  Fire Sprinklers:      YES     NO    Air Conditioning:       YES       NO        Electrical Panel Upgrade:      YES     NO    BRIEF DESCRIPTION OF WORK:  PRIMARY APPLICANT   PROPERTY OWNER   Name:  Name: Address:  Address: City:  State:  Zip:  City:  State:  Zip: Phone:  Phone: Email:  Email:  DESIGN PROFESSIONAL CONTRACTOR OF RECORD  Name:   Business Name: Address: City:  State:  Zip:   Phone: Email: Architect State License:  Address: City:  State:  Zip: Phone: Email: CSLB License #:  Class:  Carlsbad Business License # (Required):   APPLICANT CERTIFICATION: 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.  NAME (PRINT):SIGN: DATE:  1635 Faraday Ave Carlsbad, CA 92008 Ph: 760‐602‐2719 Fax: 760‐602‐8558 Email: Building@carlsbadca.gov  1 REV. 07/21 Solar:      KW,  Modules, Mounted: Roof Ground,   Tilt: Y N, RMA: Y N,  Battery: Y N, Panel Upgrade: Y N  Reroof:  Plumbing/Mechanical/Electrical  Only: Other:  Additional Gas or Electrical Features? Pool/Spa:  SF  Is the area a conversion or change of use? Y N Remodel:  SF of affected area  New SF :  _Living SF,  _ Deck SF,  Patio SF,  Garage SF  Is this to create an Accessory Dwelling Unit? Y N   New Fireplace? Y N , if yes how many?   1/10/2022 2513 Luciernaga Replace Furnace and Install Duct Work greater than 40 ft Replace Furnace and Install Duct Work greater than 40 ft Tara Van Sambeek Cyrus Sheikh 3675 Ruffin Rd #320 2513 Luciernaga San Diego CA 92123 Carlsbad CA 92009 888-991-4377 760-822-7334 t.vansambeek@wegreeninc.com cyrous.sheikh@gmail.com John Stevenson Plumbing, Heating, and Air 2748 W Loker Ave Carlsbad CA 92010 760-559-4589 jeff@jsphvac.com 588895 C20 bln007878 Tara Van Sambeek 1/10/2022 CBR2022-0084 □ □ □ □ □ ~ □ Cicyof Carlsbad 00 00 00 0 0 0 0 oo 00 00 0 0 00 00 Tara VaM SarWbeek       THIS PAGE REQUIRED AT PERMIT ISSUANCE             PLAN CHECK NUMBER: __________________  A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON  SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO  PERMIT ISSUANCE.     (OPTION A): LICENSED CONTRACTOR DECLARATION:  I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): I have and will maintain a certificate of consent to self‐insure for workers’ compensation provided by Section 3700 of the Labor Code, for the performance of the  work which this permit is issued. Policy No. -OR- I have and will maintain worker’s compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.  My workers’ compensation insurance carrier and policy number are: Insurance Company Name:  Policy No. _____________________________________________________________ Expiration Date:  -OR- 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. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to  criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,  interest and attorney’s fees.  CONSTRUCTION LENDING AGENCY, IF ANY:  I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).  Lender’s Name:  Lender’s Address:  CONTRACTOR CERTIFICATION: 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. NAME (PRINT):                                                   SIGNATURE:                  DATE:           Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead.   ‐  OR  ‐  (OPTION B): OWNER‐BUILDER DECLARATION:  I hereby affirm that I am exempt from Contractor’s License Law for the following reason: 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, and 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 the purpose of sale).  -OR- 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).  -OR- I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:    AND,   FORM B‐61 “Owner Builder Acknowledgement and Verification Form” is required for any permit issued to a property owner.    By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the  improvements covered by this permit, I cannot legally sell a structure that I have built as an owner‐builder if it has not been constructed in its entirety by licensed  contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER CERTIFICATION: 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. NAME (PRINT): SIGN: DATE:  Note: If the person signing above is an authorized agent for the property owner include form B‐62 signed by property owner.  1635 Faraday Ave Carlsbad, CA 92008 Ph: 760‐602‐2719 Fax: 760‐602‐8558 Email: Building@carlsbadca.gov    2 REV. 07/21  x security national insurance company snp1327529 2/1/2022 Tara Van Sambeek 1/10/2022 Tara Van Sambeek 1/10/2022 0 0 0 0 a 0 □ Tata VaM Sa111beek Ta.ta VaM Sa111beek John Steveson Plumbing and Mechanical Inc 2748 Loker Ave. W Carlsbad, Ca 92010 BUSINESS PHONE NUMBER (760) 918-0456 LETTER FOR AGENT Company Name-John Stevenson Plumbing and Mechanical Inc. Contractor Name: John Stevenson CSLB: 588895 The individuals listed below are a~thorized to apply, pay for, pick up and renew permits on our behalf. The same individuals are also authorized to apply or renew city business licenses on behalf of the licensed contractor. I understand that it is the licensed contractor's responsibility to provide a copy of this form to the building department upon issuance of a permit. The below listed individuals are: Tara Van Sambeek Guillermo Hernandez Jermaine Maeweather Angel Bravo Hannia Ore-lrawo Max Dickson Authorized Signature of licensed contractor~ July 23, 2021 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Cali~ia 't\ .., County of .. ~ Wz9e:> ) tr On J Ltly J 2 lfJ~ before me, lJlYCJ/e,. G r2-0J(E,J f1hr~ Pu h/ G I Date )/· (' Here Insert Nam~MTitle of the Officerl personally appeared b i 1s.fe.t1 ltsy. Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the p~~ whose name(~ @.are sub~bed to the within instrument and acknowledged to me that)re/~tpey executed the same in ))iS~tpeir authorized capacity~, and that by ~tpeir signature-'8)' on the instrument the person'8)', or the entity upon behalf of which the personjsf acted , executed the instrument. ········f CAROLE GRIPPO Notary Public · (;1 liforni;1 San Diego County i Commission II 23◄1352 - y Comm. Expires J;1n 12. 2025 Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ----------------OPTIONAL---------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Documen~ D (\ ~ Title or Type of Document: _ _,(._e....._~1.-1'"--'('-~::,,,a_:::-'---'~ ..... !~~~;:,,::.....---------------- Document Date: ..'),..,lq 2] , 202 { Number of Pages:-~/ ___ _ Signer(s) Other Than Nam~d Above: -"""A __ c-'--N--'-',,___ _________________ _ Capacity(ies) Cl~i~e9 ,by Sigper(s) Signer's Name: ±::r t~ k&'.\ .r:91' □ Corporate Officer -Title(s): ______ _ □ Partner -□ Limited □ General □ Individual □ Attorney in Fact □ Trustee □ Guardian or Conservator ,S-Other: Gwc--e ~ QA" Signer Is Representing: ____ () _____ _ Signer's Name: _________________ _ orate Officer -Title(s): _..,..,,,... ____ _ □ Partne □ Limited □ Genera □ Individual Attorney in Fact □ Trustee □ rdian or Conservato □ Other: --------,,-------- Signer Is Representing: -----~---- ~~~ ©2015 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2022-0084) BLDG-Residential 01/10/2022Application Date:Permit Type:Owner:SHEIKH CYROUS SHEIKH CYROUS P/M/E 01/10/2022Work Class:Issue Date:Subdivision:PARCEL MAP NO 13736 08/17/2022Expiration Date:Status: IVR Number: 38023 Closed - Finaled 2513 LUCIERNAGA ST CARLSBAD, CA 92009-5820 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 02/18/2022 02/18/2022 BLDG-43 Air Cond./Furnace Set 176927-2022 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 176928-2022 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes Friday, February 18, 2022 Page 1 of 1 {cityof Carlsbad