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Home My WebLink About2216 JANIS WAY; ; CB122646; Permit• 12-11-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: PRO AIR CITY WIDE STE 502 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB122646 Building Inspection Request Line (760) 602-2725 2216 JANIS WY CBAD PME 1675404100 Lot#: 0 DAIGH RES -REPLACE FURNACE SAME SIZE & LOCATION. Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/11/2012 SKS 12/11/2012 12/11/2012 DAIGH REVOCABLE LIVING TRUST 12-03-01 2514 JAMACHA RD EL CAJON CA 92019 858 277-3048 2216 JANIS WAY CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINAL APPROVAL Date I✓ 9 ✓13 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 dale 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 hvr TIEimi 'h fimii ril / THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING «,J ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 Ph: 760-602-27:1.9 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov □BUILDING □ARE □HEALTH OHAZMAT/APCD Plan Check No. Est. Value Plan Ck. Deposit SWPP X JOB ADDRESS CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1LeJ0~~, Af ~,f--C-e EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF} DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NO □ ,. APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact} ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL us. NAME Pit.o ) fl. c 11"J'w10E ADDRESS CITY STATE ZIP -,)--7 7 ~ ~tf'-/ f FAX 5 IJ C 6<-i7 IJAi:-< ,-.,e-1' STATE UC.# STATE UC.# 2...-( CLASS (Sec, 7031.5 Business and Professions Code: Any Crty 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 per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 70_00 of Division 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit sub;ects the applicant to a c1v1I penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a cartificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfolTilance of the work for which this permit is issued. □ 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. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. rtlflcate of Exemption: I certify lhat 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 pen a Illes 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 Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE □AGENT DATE 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 ProfesslOns 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 btiilding 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). O 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. □ Yes □ No 2, I (have/ 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, supeivise and provide the major work (include name I 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/ address I phone /type of work): .~PROPE~TYOWNERSIGNAT~ZJi.i(... □AGENT 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 IS MEETING THE REQUIREMENTS OF THE OfFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, I oortify that I have read the application and state that the above information Is correct and that the infonnatlon on the plans is accurate. I agree to comply~ all City ordinances and State laws relating to building construction. I hereby authorize representabve of the City of CarlsbOO to enter Ul,X)n the aOOve mentioned property for ins~n purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. OSHA: kl OSHA pennit is required for excavations over S'O' deep and demolition or construction of structures OLier 3 stories in heght. EXPIRATION: Every permit issued by the Buik::ling Official under the provisbns of this Code shall expire by !imitation and berome null and void W the buik::ling OT ....ork authorized by sudl permit is not mmmenced within 180 days from !he date of such permit or if building orw:irk authorized such permit is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building C.ode) _65 APPLICANT'S SIGNATURE DATE I -11-1 )- 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 www.building@carlsbadca.gov or Mail the completed fom, to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS, LIC. No. DELIVERY OPTIONS □ PICK UP: u CONTACT {Listed above) o OCCUPANT (Listed above) r·1 CONTRACTOR (On Pg . .1) o ASSOCIATEDCB#'-------------□ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) n CONTRACTOR (On Pg . .1) □ NO CHANGE IN USE/ NO CONSTRUCTION □ MAIL/FAXTOOTHER: □ CHANGE OF USE/ NO CONSTRUCTION ,NS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB122646 Type: PME Date Inspection Item 01/08/2013 43 AirCond/Furnace Set 01/08/2013 43 AirCond/Furnace Set 01/08/2013 49 Final Mechanical 01/08/2013 49 Final Mechanical Tuesday, January 08. 2013 Inspector PB PB Act RI AP RI AP DAIGH RES -REPLACE FURNACE SAME SIZE & LOCATION. Comments 2-4 pis Page 1 of 1