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HomeMy WebLinkAbout2132 VUELTA CT; ; CB111766; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-17-2012 Mechanical Permit Permit No: CB111766 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 2132 VUELTA CT CBAD MECH 2164921200 $0.00 Status: Lot #: 0 Applied: Entered By: Plan Approved: Issued: Project Title: WOZNAK REPLACE FURNACE & MOVE Inspect Area: FROM CLOSET TO ATTIC--WITH GAS & ELECT Applicant: JOHN STEVENSON PLUMBING STE A108 6351 CORTE DEL ABETO CARLSBAD CA 92011 760 918-04456 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 TOT AL PERMIT FEES 1 0 0 0 0 0 Owner: JOHN AND RACHEL WOZNAK 2132VUELTACT CARLSBAD CA 92009 Total Fees: $71.00 Total Payments To Date: $71.00 Balance Due: ISSUED 08/15/2011 KG 08/15/2011 08/15/2011 TP $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $47.00 $0.00 $71.00 Inspector: Clearance: _____ _ $0.00 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 f x i n f whi h h v r vi I n iv n N Tl i ·1 r hi r whi h h limi i n h I h i «~~ ¥ CITY OF CARLSBAD EXISTING USE ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 PROPOSED USE Fax: 760-602-8558 www.carlsbadca.gov GARAGE (SF) SUITE#/SPACE#/UNIT# PATIOS (SF) Est. Value Plan Ck. Deposit YES D # __ NO D APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX FAX STATE LIC. # CLASS SWPP AIR CONDITIONING YES D NOD ZIP CITY BUS. LIC.# FIRE SPRINKLERS YES D NO D r oe:J.o3:7 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair an~ 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declaraUons: 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 of the work for which this permit is issued. t cfl I have and will maintain work~' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio ns ance carrier and policy F number are: Insurance Co. ~ 0'2.t? Policy No. 7£,C:>DCC:I:;;> (oy~[ / I Expiration Date--'1+4 ~.....,L..4--- This section need not be compieted if the permit is for 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, d as provided for i Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNA AGENT \ \ I hereby affirm that I am exempt from Contractor's Ucense 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 Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseff 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 Contracto(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. □ Yes □ No 2. I (have I 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 address / 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/ phone/ 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 /phone / type of work): ,,IS PROPERTY OWNER SIGNATURE □AGENT DATE ., ... 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 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 tS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above information is correct. and that the information on the plans is acctJrate. I agree to comply with all City ordinances and State laws relating to building oons1ruction. I hereby authorize representative of the City of Carlsbad kl enter upon the above mentoned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1Y ~ CARLSBAD AG\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN CONSEQUENCE~ THE GRANTING OF THIS PERMIT. OSHA: An OSHA permn is required for excavations O\'er 5'0' deep and demolnion or construction of structures O\'er 3 stories ii height. EXPIRATION: Every permit issued by the Buikling Offrial under the provisions of this Code shall expire by imitation and become nul and void ij the buikling or v.oi11 authorized by such pennn is not commenced wthin 180 days from the date of such permit or if the buiding orv.oi11 authorized by such permn is suspended or abandoned at anytime after the v.oi1I is commenced for a per'od of 180days (Secti:Jn 100.4.4 Uniform Building Code). ... City of Carlsbad Bldg Inspection Request For: 01/13/2012 Permit# CB111766 Inspector Assignment: TP --- Title: WOZNAK REPLACE FURNACE & MOVE Description: FROM CLOSET TO ATTIC--WITH GAS & ELECT Type: MECH Sub Type: Job Address: Suite: 2132 VUELTA CT Lot: 0 OWNER JOHN AND RACHEL WOZNAK Owner: WOZNIAK JOHN&RACHEL Remarks: AM PLEASE (HOME 760-274-6074) - Total Time: CD Description Act Comments Phone: 6193796160 Requested By: JOHN Entered By: CHRISTINE 43 49 AirCond/Furnace Set Final Mechanical fd_,____ __ _ ---------------------------------------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns12ection Histo[Y Date Description Act lnsp Comments 08/30/2011 23 GasfTest/Repairs AP TP 08/30/2011 34 Rough Electric co TP NEED SWITCH FOR ATTIC LIGHT 08/30/2011 43 AirCond/Furnace Set AP TP ,