The URL can be used to link to this page

Home My WebLink About1026 LANDS END CT; ; CB163247; Permit08-23-2016 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: CB 16324 7 Building Inspection Request Line (760) 602-2725 1026 LANDS END CT CBAD PME 2145311800 Lot#: 0 BLAZEJEWSKI, REPLACE AC 4 TON REPLACE FURNACE ATTIC 90K BTU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/23/2016 JW 08/23/2016 08/23/2016 ACTION AIR COND & HEATING-SD EDWARD BLAZEJEWSKI 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1026 LANDS END CT CARLSBAD CA 92011 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 NOTICE Aease ta<e NOTICE that~ cl yru-ptject irdudes tre "lrrpcsitiorl' cl fees, dedcaicra, reservati015, er cther exa:licra hereafter rolectvay referred to as 'feas'exmicra." Yoo rave 00 da)S fran tre-t!is pemit""" iSSL<ld to pretest irrposili01 cl trese feas'exa:licra. If yoo pretest tt-an yoo rru;t fdlo.vtre pretest procedres set fcrth in <'oJermmt Code Sedi01 E'6'.l20(a), ard filetre pretest ard a,ycther req.ired infc,n'Elja, wth tre Qty ~fer ~ng in aoxrda'"cewlh Q,1sbaj M.ndpa Code Sect013.32.030. Falu-etotirrayfdlo.vthal i:,ocacuewll t>Y a,ySLt,;ecµ,nt le,;ial ,.;10110~ f"EMew, set iSde, vcid, er an.J thair irn:ositioo. Yoo a,, herel:>,, FUmERNOTIREDthat yo.r rig1 to prctest Ire spedfiedfeas'exa:licra OCESl'Of APPLYlo1'.01erard se,,e,-QQ1ned01 fees ard ~ c:h:rg3s, ra plcnirg, zairg, gcdrg or ctha' sinila-Wicatiai p-cx:ss.sirg er service fees in o:mectioo Wth ths ptject. f\ffi. CCE.S ff Am.. Y to 2flo/ f exa::ti c:iwidi ·m1a-ths ov.Jich ectlini i h=3S ----N•• • (city of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. C /J / b 3 2 '-l 7 Est. Value Plan Ck. Deposit Date "6 lz.:~ I I I, SWPPP CT/PROJECT# 1 LOT# 1PHASE# rOFUNITS ,#BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ GROUP DESCRIPTION OF WORK: lnduf# 5qllare F .. totAffflbd Area(•) Pde.. Y +o<"l EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) ,_RREPLACE I r'R CONDITIONING \ FIRE SPRINKLERS vEsD-Ne[] vEs0No0 vEsONo[: APPLICANT NAME iJI , ,1-...1-o,. -,M"\ ... Y""\. PROPERTY OWNER NAME £d' d ~ I 0-'U \~ 1-;; ----Conta·• { Wo-<'. ADDRESS '3 ""-2-t3 ADDRESS \ () 2/o Lo.."'6 ~ £,.,I C>r V \ ,-"l-? L.o-e...,,.,_ 0r. CITY '-"STATE ZIP CITY C,.,\-s\:,~ STATE ZIP Q7.ol I We.~\ a.lee \j :\ \ 0'4i« C+ lh ?,G, 2.. c~ PHONE <l\~, 135-111, IFAX PHONE ~()':, -L.lli--5\ 5 "2.. IFAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~c..\-1 o.,.._ t,../ C ADDRESS ADDRESS '),. f '5() s. ~ fe J}.vrl. CITY STATE ZIP CITY 5 t-'\, .. .-,.,s STATE ci ZIP tt 1,otq °'" PHONE IFAX PHDNE1 (g(), 1 '17-L(('5 l.. \FAX 1 <oo -11., -o iJ 3 EMAIL EMAIL I STATE LIC. # STATE UC.# 5"<l4to5 l'~~lc."f, ICllYBUSLIC# ~llf!0O (Sec, 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter. improve, demolish or repair any structure. pnor to its 1Ssuance, also requires the appl!cant for such per_mit to file e signed statement tftat he is licensed pursuant to the provisions of the Contracto(s License law {Chapter 9. comme_nding with Section 7000 of D1v1s1on 3 of the Busmess and Professmns Code} or that he IS exem_Rt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permitsubJects the applicant to a civil penalty of not more than five hundred dollars {1500}). WORl<l!RS' COMPIINSATION Worl(ers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: D I have and will maintain a certificate of consent to self.insure for v.orkers' compensation as provided by Seciion 3700 of the Labor Coal, for the peri:irmance of the 'M>!'k for which this permit 1s issued . [!3r have and will maintain 'NOrkers' comi,tnsatlon, as required by Section 3700 of the Labor Code, for the performance of the 'M>!'k for which this permit is issued. /i/',y v.orkers' compensation insurance canipr and pofoy oumbe, .. lnsuraaa,0>'.LiS, lO, Of ..\,b, L111st: PoicyNo(,,/$\)'5:0'l.-151.{t,'5 E,"ratonDate t'l/31/1-0111 Jllis.sectioo need not be oompleted if the permit is for one hundred 00111:r.; ($100) or less. LJ Certiflcate of Exemption: I certify that in the performance of the v.ork for which this permit is issued, I shall oot employ any peroon in any manner so as to become subject to the WOl'Kers' Compensation Laws of Caifomia WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvH fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages ided r In ion 3706 of the Labor code, interest and attorney's fees . .85 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law frx lhe following reason.- □ □ □ I, as owner of the property or my empbyees with ~s as their sole oompensation, 'Mil 00 the v.orit and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code· The Contractor's LIOOnse Law cbes not apply to an owner of property who builds or improves thereon, and who cbes sud! work himself or through his own empbyees, provided that such improvements are not intended or offered for sale. If. howewr, the buildng or improvement is sold 'Mthin one year of oompletion, the owner-builder will have the burden of proving that he did not build or improve hr the purpose of sale) I, as owner of the property, am exclusively contracting with k:enood contnEtors to construct the project (Sec. 7044, Business ood 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 'Mlh contracklr(s) kensed pursuoot to the Contractor's License Law) I am exempt under Section ____ ,Business and Professions Code for this reason: 1 I personalty plan to provide the major laoor and materials for construction of the proposed property improvement. Des Qo 2. I (have/ have oot) sigied an appication for a building permit for the proposed v.ork 3. ! have contra::ted 'Mth the following person (firm) to provide the proposed construction (include name adctess /phone/ controctors' license number} 4 I plai to proviCB portions of the 'M:lrk, but I have hired the folbwing person to coordnae, supeMse and provide the major work ~nclude name/ ad<ress /phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the folklwing persons to provide the \\Olk indicated (include name I adaess /phone/ type of v.ork) 11·1:·:1d?!ffflfiltft11111"11lf·pifflil"l:Pill1!'11ilfl;JZ·f'IP?'IP:'J5Pd1i1:':llfffl'f:'1! - Is the apphcant or future buiking occupant required k:l submit a business pla,, oo.rtely haza"dous materials registration fonn or risk ma,agement a,d prevention program unOOI" Seciions 25505, 25533 or 25534 of the Presley.Tanner Hazardous Substance Account Act? □ Yes D No Is the applicant or f\Jture building cx:cupant required to obtain a pennit from the air pollution control cis1rict or fir quality management dis1rict? n Yes □ No Is the fa::i~ty to be constructed within 1,000 feet of 1he outer boundfwy of a school site? □ Yes □ No IF ANY 01-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 ANO THE AIR POLLUTION CON1ROL DISTRICT. CONSTRUCTION LENDING AGENCY . I hereby affirm that there is a construction looding agency for the performance of the work this perm! is issued (Sec 'XJJ? (i) Civtl Code) Lender's Nane Lenc:Er's Adcress "A I" ,.'LI CANT C ER T t FICA T-1 0 N ---------; lceitlfyllatllwno,eadlheappli<alooand-lhatthe-inlmnalonls ...... and ... lhe-oolheplansls--.l-1D....,tywlillallaty-andSblle_rel_lDlxildl!WCOIIIIUdloo. I hereby a,thooze representative of lhe Cly cf Ca!stoo loe,ler-lhe-e rnertoredpropatyfor i,-,rn puposes. I ALf/J AGREE TO SAVF., INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, CCSTS AND EXPENSES W,ICH MAY IN ANY WAY ACCRUE AGAINST 5'\JD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA M OSHA. perml is re:µred fer exawations <:Net 5'0' daep and demditioo ct oonstrud:ion cf stn..ctLJeS OveI 3 stores in tegtt EXPIRATION: EveJY perm~ issllad by the Buik::ling Official u the fl"()visiorn of this Cocle shall e)(j'.)re by imita:bn 800 tHxme nuN ard vcid if the b.Jik:irg cr wak atJhaiz:e:::l D/ such i;ermt is net oonmence:l 'Mthin 1 00 days from the dale cf sudl permrt cr I lhe bu!clng su:h permrt • ~ or arard"1e:J at any tune all.-lhe OO!k • cxmrrerred for a pe!ioo cf 100 days (Serlrn 100.4. 4 Un-Buiklng Cooe) AS APPLICANT'S SIGNATURE DATE () / 2 3 f b Pcrrni~ Typo: BLDG-Commercial Application Date: 08/23/2016 Owner: EDWARD BLAZEJEWSKI Work Class: P/M/E Issue Date: 08/23/2016 Subdivision: Status: Closed -Finaled Expiration Date: 11/13/2017 Address: 1026 Lands End Ct Carlsbad, CA 92009 IVR Number: 716644 Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Reinspection Complete ·--~·~~.,. .. , ________ -··-.-----· 12/14/2016 12/14/2016 BLOG-43 Air 005396-2016 Failed Jonathan West Reinspection Complete Cond./Furnace Set Checklist !tern COMMENTS Passed BLDG-Building Deficiency Reschedule Inspection No 05/15/2017 05/15/2017 BLDG-43 Air 023311-2017 Passed Peter Dreibelbis Complete Cond./Fumace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency No one home No 05/17/2017 12/14/2016 BLDG-Final 005397-2016 Passed Peter Dreibelbis Complete Inspection Checklist Item COMMENTS Passed BLOG-Mechanical Final Reschedule Inspection Yes May 17, 2017 Page 1 of 1