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Home My WebLink About2850 LUCIERNAGA ST; ; CB112396; Permit11-09-2011 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: CB112396 Building Inspection Request Line (760) 602-2725 2850 LUCIERNAGA ST CBAD PME 2153302509 Lot#: 0 ROSENBERGER RES-REPLACE WTR GTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/09/2011 LSM 11/09/2011 11/09/2011 CALIFORNIA DELTA MECHANICAL 'SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 • Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $150.00 Total Payments To Date: Inspector: Date: $150.00 $0.00 $0.00 $0.00 $150.00 $150.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" 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 brth 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 wi!! 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 x i n I w . h v , vi I i n N Tl r h' r f 1i i h h City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2850 Luciernaga street Plan Check No. De> 11 Est. Value Plan Ck. Deposit Date l t I SUITE#/SPACE#/UNIT# APN CT/PROJECT# LOT# PHASE# # OF UNITS #8EDR~0~0"MOS--h-#"BA~T~H"RONO"MKS~~,=ENANT~,-us~1-,,~,~,-N-AM_E,_ ___ _ I CONSTR. TYPE Lo_c_c_. G_R_o_u, DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) Replace existing like for alike water heater EXISTING USE lPR0P0SED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) I FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS YESD No□ YES □No □ YES□No□ CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 East Baseline rd# 155 6052 E Baseline rd# 155 -------CITY . STATE ZIP CITY STATE ZIP AZ. 85206 Mesa AZ. 85206 Mesa ---- PHONE lFAX 480-898-0007 1-480-218-5645 PHONE 858-361-6495 I FAX 1-858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap@deltamechanical.com PROPERTY OWNER NAME Erick Rosenberger CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2850 Lucierna!la street 6056 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ. 85206 PHONE I FAX PHONE IFAX 858-525-3565 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC, # STATE LIC.# I CLASS ICITYBUS.LIC1214281 811114 c36 (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 re(luires the ap_ P_ \tcant 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 exemption. A':ly v1olation of Section 7031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500}). Workers' Compensation Deel a ration: I hereby affirm under penaffy of perjury one of the following declarations: [Z] 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 - 0 I have 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 workers' compensation insurance carrier and policy number are: Insurance Co Policy No 1697823 Expiration Date amt12012 ~section need not be completed if the permt is for one hundred dollars {$100) or less llJ 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 crlminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the La r ode, Interest and attorney's fees. 25 CONTRACTOR SIGNATURE 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) □ □ □ 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). 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 permit for the proposed work. 3. I have contracted with the following person (flrm) to provide the proposed construction (include name address I phone/ 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 the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone / type of work): 25 PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a businessa, acutely hazardous materials registration form 'Jr risk management and prevention program under Sections 25505, 25533 or 25534 of the ::iresley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management distrk;t? []res D No s the facility to be constructed within 1,000 feet of the outer boundary of a school s~e? Oves LJNo F 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 SMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. certify that I have read the application and state that the above infomiation is correct and that the infonnation on the plans is accurate. I agreetocomplywtth all City ordinances and State I, ws relatlngto building construction. hereby authorize representative of the City of Ca1sb00 to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GA INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pemlt is required for excavabons Oler 5'0' deep aid demolition or constructioo of structures Over 3 stories in height. :XPIR/\ TION: Every permit issued by the Buiking Official under the pl'CMSions of this Ccx:le sh.ii expire by lirritalion aid become null and void if the buiking or v.ork authorized by such permit is not commenced 'Mthin 80 days from the date_of such pennit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is oornmenced for a period of 180 days (Secoon 106.4.4 Uniform Building Code). NS APPLICANT'S SIGNATURE DATE/' ll ~/ ti . . City of Carlsbad Bldg Inspection Request . For 11/21/2011 Permit# CB112396 Title: ROSENBERGER RES-REPLACE WTR Description: GTR Type:PME Sub Type: Job Address: Suite: 2850 LUCIERNAGA ST Lot: 0 Location: \A.PPLICANT CALIFORNIA DELTA MECHANICAL Owner: MCDONALD IAN Remarks: PM PLEASE Total Time: CD Description Act Comments - Inspector Assignment: ~ Phone: 8585253565 Inspector: ---- Requested By: ERIC Entered By: LETICIA 29 Final Plumbing ll-------------------~ iv rt ~V-. --. I '"),( Comments/Noticel/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments