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Home My WebLink About2563 LUCIERNAGA ST; ; CB142538; Permit• 09-30-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB142538 Building Inspection Request Line (760) 602-2725 2563 LUCIERNAGA ST CBAD PME 2153000901 Lot#: 0 ATTWOOD RES-REPLACE ALL DUCT WORK Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/30/2014 LSM 09/30/2014 09/30/2014 ACTION AIR COND & HEATING-SD ATTWOOD CAMERON E 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2563 LUCIERNAGA ST CARLSBAD CA 92009 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: fY'. ~< Date: t> Clearance: $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 infonnation 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 in hi Eim'r hi r 'hh h vi I xi THE FOLLOWING APf-iovALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Ccityof Building Permit Application Plan Check No. ~ I L-f ~S-3 8' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date q / 30 ( •Y lswPPP JOB ADDRESS ~S~'?. L \,\. (., i' 't '( \,\, l<C, II >t· Cc-,.h.i,,cJ SUITEaSPACEf/UNITI IAPN '"lnll I --- CT/PROJECT# 1LOT# lPHASE # l # OF UNITS I# BEDROOMS # BATHROOMS TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Mected Area(s) ~e~l1.1c'( All D.Jcf \,.JurVC EXLSTINO USE 1PROPOSED USE lGARAGE (SF) PATIOS (SF) 1DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS YES0, Na YES □No□ YES □ND□ APPLICANT NAME "(oV\ l"t 0"'~\rr PROPERTY OWNER Co,.,.,' A-+wJO d Primary Contact ADDRESS 'Y)5i Sc-So"'-\-11 t c. ADDRESS ') > b ~ l,1.td { I' VlW"J ~ .s,.,.. CITY ~ .. vi fvl; N \ j STATE ZIP '{}I~'\ CITY Co✓l ~ l,..&1.11 STATt f) q :l OO't PHONE 1\,,, ,11 'v( I.J >---l'AX PHONE7(,e 'dlJ..) m l'AX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME .l+c.,. l-ir ••-A(" ADDRESS ADDRESS )ls\ <:.....-s. r,,.,J" fl CITY STATE ZIP CITY~ fvv,u f STATE /\ ZIP°' J C:l.:,u (?.,L C . PHONE l'AX PHON"No. ,11-01 ~J I 'AX EMAIL EMAIL ISTATELIC.# s,,,,uc., Si!>'l. <Cos. l°lASl.Jo lcLJt,t~oD (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, comme_ndmgw1th Section 7000 of Division 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compenutlon Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ l have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ave and will maintain wor1<ers' ~pensatlon, as rea::= by Section 3700 of tf Labor Code, for the performance of tpe rorl( for which this perm~ issued. My workers' compensation insurance carrier and policy numberare,lnsuranceCo .:)(J f ~f\l 1-lr:lL Polo,No. l..f$D3· () '1~ &p;rationDate '7-/5 ~section need not be completed if the permit is for one hundred dollars ($1 less. LJ Certificate of Exemption: I certify that in the performance of the wo or whi this permit i 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 erage uni aw d shall s bject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addltlontothecostofcompansatlon,damagesasprovldedfor Section 060 rA_ ,So, I \.r ./!S CONTRACTOR SIGNATURE VI I hereby affirm that I am exempt from Contractor's Ucense Law □ □ □ I, as owner of the property or my employees with wages their sole compensabon, will do the worl( 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 builds or improves thereon, arid 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 sol ·thin one year of completion, the awrier-builder will have the burden of proving that he did not bui!d or improve for the purpose of sale). I, as owner of the property, am exciusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professioris 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). 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. 0Yes 0No 2, I (have/ have not) signed an application for a building for the proposed work 3. I have coritracted with the foliowing person (firm) top i 4, I plan to provide portions of the work, but I have hi th 5. I will provide some of the work, but I have contr d ( the proposed construction (include name address I phone/ contractors' license number)· llowing person to coordinate, supervise and provide the major worl( (include name I address I phone I contractors' license number): ) the following persons to provide the worl( indicated (include name/ address I phone I type of work): NS PROPERTY OWNER SIGNATURE DATE I ' 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant orfllture buik:ling 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. I certify that I have read the application and s1ate that the abCNe lnfonnallon Is conectand that the infonnatlon on the plans is accurate. I agree to oomplywith all City ordinances and State laws relating to building construction. I hereby authorize rer,resentalive of the City of Carlsbad to enter upon the ntioned property 'br ins~n purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB.AD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES AY IN AN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: ki OSHA permit is required forexcava~ons over 5'0' deep and nor of structures over 3 stories in he{lht. EXPIRATION: Every pennit issued by the Building Offcial under the ·so so IS Code sh al xpire by limitation and berome null and 'A'.>id ,f the building or 'MJfk authorized by such pennit is notrommenced 'Mthin 180 days from the date of sl.x:h permit or if the building orw:irk auth zed pennlt is sus ded or abandoned at any time after the w:irk is commenced for a period of 100days (Section 106.4.4 Unifonn Building Code) _,6$ APPLICANT'S SIGNATURE DATE q,)1·, 14 • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS crrt STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LlC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT {Listed above) MAIL/ FAX TOOTllER: _______________ _ .L APPLICANT'S SIGNATURE ASSOCIATED CB#'------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP . , . Inspection List Permit#: CB142538 Date Inspection Item 03/10/2015 49 Final Mechanical 03/10/2015 49 Final Mechanical 10/17/2014 61 Footing Wednesday, March 11, 2015 Type: PME Inspector Act MC MC RI Fl co ATTWOOD RES-REPLACE ALL DUCT WORK Comments Page 1 of 1