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Home My WebLink About2236 Janis Way; ; CBR2018-3052; Permit(city of Carlsbad Residential Permit Print Date: 11/13/2018 Permit No: CBR2018-3052 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2236 Janis Way BLDG-Residential 1675404300 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 11/06/2018 11/06/2018 Plan Check#: Final Inspection: 11/13/2018 9:41:SlAM Project Title: Description: KUBACKI: INSTALL WATER HEATER Owner: Contractor: DALE M KUBACKI 2236 Janis Way CARLSBAD, CA 92D08 WALTER ANDERSON PLUMBING INC WATER HEATER PERMIT Total Fees: $98.0D Total Payments To Date: $98.DO 1830 John Towers Ave El Cajon, CA 92020-1134 800-830-1102 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 1T APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired, $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $98.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING 0 ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMAT/APCD -«~ Building Permit Application Plan Check Nct("'~-...,/'5r. ,~6~o( • 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck-,D;'po$1t CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date / / / (~ I/),. ISWPPP JOB ADDRESS SUITH/SPACII/UNITf IAP,y 2236 Janis Way, Carlsbad 92008 --- CT/PROJECT# II.OT# IPH,.::,E# I# OF UNITS I# BEDROOMS #BATHRvv~ 1 • uv.NT BUSINESS NAMIE I CONSTR. TYPE I V\A,. GROUP DESCRIPTION OF WORK: Include SquaN Feet of An'ected Atn(s) install water heater EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) TDECKS (SF) FIREPLACE IAJR CONDITIONING I FIRE SPRINKLERS YES0,, Nc0 YESONo • YESON0O APPllCANT NAME JERMAINE MAEWEATHER p PROPERTY OWNER NAME dale kubacki ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2236 Janis Way, Carlsbad 92008 CITY STATE ZIP crrv STATE ZIP San DieQo CA 92123 CARLSBAD CA PHONE IFAX PHONE I FAX 888-991-4377 7607201853 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAi. CONTRACTOR BUS. NAME ANDERSON PLUMBING HEAT AIR ADDRESS ADDRESS 1830 JOHN TOWERS AVE CITY STATE ZIP CITY STATE ZIP EL CAJON CA 92020 PHONE l'AX PHONE l'AX 8005301102 EMAIL EMAIL ISTATELIC.# STATE LIC.# l0C20/C36 ICITYBUS "'1074400 493163 (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which reQu1res a permit to construct, alter, improve, demolish or repair ant structure, prior to its issuance. also requires the applicant for such per_mit 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 D1v1sion 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any apphcant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORl(ERS' COMPENSATION Workers' Compensation Declaration: / hereby afflrm under penalty of perjury one of the following declarations: D 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 perfom,ance of the work for which this pennit is issued. 0 I have and will maintain workers' compensation, as required bv Section 3700 of the LaOOr Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co INSURANCE COMPANY OF THE WEST Policy No. WSA503748400 Expiration Date 812018 ~section need not be completed if the pem,it is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance 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, damages as provided for In Section 3706 the Labor code, interest and attorney's fees. ,85 CONTRACTOR SIGNATURE ' I hereby afflrm that I am exempt from Contractor's license Law for the folkJNing 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 Ucense Law). I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major laOOr and materials for constructlon of the proposed property improvement. 0Yes 0No 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 (finn) to provide the proposed construction (include name address I phone I contracto/S' 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 I OOdress 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 I type of work): A$ PROPERTY OWNER SIGNATURE •AGENT DATE ' • COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 P-;,,sl\'ljl-Tanner Hazardous Substance Account Act? • Yes • No ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes • No ls the facility to be constructed wijthin 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 APflt.lCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there 1s a construction lending agency for the performance of the woril: this permit 1s issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I O!rtlfy that I haYe 188d the appllcation and stata that the aboYe inbmatlon Is co11'8Ctand that the lnfom,atlon on the plans Is acaJrate. I agree to oomplyMII all Cl\' oltflnancas and Stam laws l8latlng ti bllidlng construcllon. I hereby aulho!i2!! represen~M of ~e Cfy of Calsbad ID enter upon ~e ab<Ml menlioned property br i1specoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS8All AGAINSf AU. LIAflllfTIES, JUDGMENTS, cosrs AND EXPENSES WHICH MAY IN ANY WAY ACCR\JEAG,4JNST SAID CITY IN COO SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required br excavations over 50' deep and demoltio'}" ,construction of structures over 3 sbies in heght. EXPIRATION: Every permit issued by the B.Jilding Ofocial under lhe prtJ\oisions is Code shall ~ by initation and become nul and YOid if the buildilg or 't\Or1< autoorizBd by such permit is not oommenced wthin 1fl0days lorn~• dale of such perm I or if !le bui1og °'"°" aufhora!!d by such h suspended orabardlrod at 01ytime after !1e IIOlf< s oormienced ilr a p,r'oo of 100 days (Secoon 11li.4.4 Unibmi E>Ji~og Olde). \\.~-'-Cb A$ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2018-3052) Permit Type: BLDG-Residential Application Date: 11/06/2018 Owner: Work Class: P/M/E Issue Date: 11/06/2018 Subdivision: Status: Closed -Finaled Expiration Date: 05/13/2019 Address: IVR Number: 15185 Scheduled Date Actual Start Date Inspection Type Inspection No, Inspection Status Primary Inspector 11/13/2018 11/1312018 November 13, 2018 BLDG-26 Water HeaterNents 076862-2018 BLDG•Flnal Inspection Checklist Item BLDG-Building Deficiency 075863-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS DALE KUBACKI CARLSBAD TCT#81-19 UNIT#01 2236 Janis Way Carlsbad, CA 92008-2775 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1