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Home My WebLink About2236 Janis Way; ; CBR2019-0236; Permit(city of Carlsbad Residential Permit Print Date: 03/06/2019 Permit No: CBR2019-0236 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 Flnaled: Inspector: Closed -Finaled 01/30/2019 01/30/2019 Tfraz Plan Check#: Final Inspection: 3/6/2019 12:35:50PM Project Title: Description: KUBACKI: REPLACE FAU, LIKE FOR LIKE Owner: Contractor: DALE M KUBACKI 2236 Janis Way CARLSBAD, CA 92D08 OAK ISLAND HEATING AND AIR CONDITIONING INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 1250 Pacific Oaks Pl, Ste 103 Escondido, CA 92029-2908 760-839-8383 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 IT 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 76D-602-8560 f I www.carlsbadca.gov $175.DO THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE. 0 PLANNING 0 ENGINEERING «'Ji ~ CJTY OF CARLSBAD Buikling Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Osu1L01NG □ARE □HEALTH QHAZMATIAPCO Plan Check ~~:~o I q ~ 0-< 3( 0 Est. Value Plan Ck. Deposit Date / ·· ~6-; 9 ISWPPP JOBAOORESS 2236 JANIS WAY SUITT</SPACH/"'"' I"" n1'ROJEcT • --·---,lwr • ·-····-~f "."'' • ___ 1 • ""'""' I• etr#:,,,::--· '• &1r1:,on,:, .... n 1 ,ii,.,.,...,,~suwosT>1Niirss«•NA•MJ,,--------.-, [1'con:~,sCrr~R7TY~•~•r'7 1 ,.v.'EC •• 'ii.hlf.,.:n DESCRIPTION OF WORK: lnolude Square F'tuft of Aff♦cfudArM(&J EXISTING USE I PROPOSED USE REMOVE AND REPLACE 1 FAU, LIKE FOR LIKE I GP.J1ASE ;SF; Pf.JI()$ ;SF! I DfCH.S !SF] F!REPLACE YESQ [APPLICANT NAME TOM WOOD I P.f11M --~•.5,0< ____________ ~---- PROPERTY OWNER NAME DALE KUBACKI 2236 JANIS WAY ADDRESS · ---;,·c-c-s"c,·ss _________ -~- 1250 PACIFIC OAKS PL. #103 CITY S1AT( ZIP ESCONDIDO CA 92029 PHVNC IFAX '=7c~ __ 7_6_0_83_9_·8_38_3 __ L ___ 7_6_0 8:39~8380 EMAIL IDES~~ PROFESSIONAL iADORESS I !CITY I I PHONE l ! EMAIL INFO@OAKISLANDAC.COM S!ATE ?.!P - STATE ZIP CARLSBAD CA 92008 760-720-1853 ____ , ___ ,, ____ _ CONTRACTOR BUS. NA.ME OAK ISLAND HEATING AND AIR A5Dn","·'."-,s~---------- 1250 PACIFIC OAKS PL #103 Cl1"Y ST,\TF ?!P ESCONDIDO CA 92029 ---PHONE I rAx 760 839-8383 760 839-8380 [MAil INFO@lOAKISLANDAC.COM SfArr 1.1'.' • l'lAfc.20 r•NSUS UC1212710 745400 Sec 7031.$ Bumriess nnd Prole$.$10f'lS Cod(: Any City or Cou11ty wh1c11 l<:X1\llf~> a penn,t to cormtrucl alter. improve. demolish or repair an:,: structure pr;Of to 1t.s ism.n:mce. a!so1eqrnres the dnp1>c<mt f01 such pemi1l to Ide a sq_1J1ed s~temeot ttlat ne 1s hcem;ed pur::'>u<mt to Um prov1s,nm::, of Lr1e Co'1tractor s License Law tChapte1 9 ccmmenct:ng w,th !wct1011 moo of Division 3 of tho Susine,ss ar'\d Professions Gode}or that he ise,errpt !hl)I_Ofrom. end th<'.) txistS foi tht: a:1egeo exernptlon /\n)' v1o!a\wh o! Sect100 t031 5 by any appi,c·arit for a Pt1•rn1t aub;.icts the api:,hcant lo.; c1v11 penalty of not more than f,,;e; hundreo dol!ars \$500)/ Workert' Compensation O&ciaration ! Mreby a'fm1 11'ftfo1 p&JMf of pr.1p,,1ry 011e of the lofJowmg ded.Jralions 0 I have and wm maintain a certlflc11lo of consent lo self-insure f(,r W('/4.ec rnrnpcnsD:lJ(m a, vc.,,ded by Sc;bcG 371}.'} ot Jhe L~ Code tor ttm pe1t01manee of /r-£ ;,.:ort; for wkz/1 tn,s prn'Jlll! is 1ss1ied 01 have and will maintain workei;s' comPMsation il\ reGur&J tw Stldior 37C-Oor th0 l/dJG OX½ !()I' me µerfor,n,.inu, 0! lhe w.:xh !cl whttll lits oermtis 1ss11ed w-, .v0ke~ ccr;:,cnsa!lon inswaocecivner auctpdicy n1.1rnoe1 are 'ns1.1.;rict Cc E\IEffl:STNATIONAL INSURANCE P,;:cv ~iD 7600000635141 bprnllon Oa'.': 011G1t1020 ~se~!10r !'li\Cd nd be •'.O!lipefe(! 11 meperm:!b /or one !H,rid10(1 ()()liw~ {$1GO) or:,;:,, ucertilicateof Exemption. I Ce'l:fy lhill tr\ me pei1t)'iriWCe Ol lho WO'k fer wt11ct1 !N~ perm:! :s 1ss11<XJ ! sh& no: e~poy ariy µec5or u: 1'.Pf rrnnre1 so as bb&t,<ns stqed to !~e 1r'.ioo.er~ D.:nrpensation Lal½ 01 \--Ai1l01rna WARNlNG. Failure tosec.ure workffl' compensation coverage is unlawful, and shall ,ubject an employer to crirnlna! ptnallles and civil flnn upto ooe hundred thousand dollar, (&100.000). in addition to the eost of compensaliGl'I. damagQll as providod for in Sec'°'! 3706 of theJ-abor code. internst and attorney's feet ,,8! CONTRACTORSIGNATURE /fovv,-~ E)AOENT DATE i N:r,1,y <1ffirrr tit¥ i ,'Jfie~em;i/ 1nm Commctors /;ten~e Urw fi;r 1/!f.' fufhwmg nh!~<r-0 I. as o#lei d !M PfWf.ll~/ or irr1 crrµoyee. MIi! wogcs 1s m1;1, sde ccmpens,nn:1, l't<ol do l~e wen ,1r;;.J !re strvctu;() :s riol 1:1\endec« ol'!e!ej !01 sae \Se: 7GA4 Gc$1rei.s ;ind P-1.Jlen1c11s Co&.; n1eCcn1rocta s tmmseLaw GOe$ net flPPr !o an I.M''Jef ofpl"(;:)efl)' w!in bu/ih 01' !n'4)10Vi:S rim.'{Yl ;,nj wt◊ doot s;d1 wui 111ms£1f v !fyu11gh h:s own em;.i0)'~ Or0'1l0?01ha! S(Kh 1mp-overni2n\s sie 110! ntendOOOf oi1ered k, sde !! '1CV."0'./$ tllfrt,,Aiir,s a 1rnp:w1;men! !S S!idwith:n or,c year dc1mpe~•Jr lh80'h'IB'•t:H,r)(j<,r Wil /);)',;'! th# tu:¢eri /)j p[\"N.'19 \i:al tie Jd "10! Cd.:! ex lmj)'.CVB fu !M purpc$0 Ii SJ!e) □ □ I a1, cmer cl ir.e propGrrf a,r i..'ls:~ll.l$:~a~ ,z,nfr,1c~ng "'1!!1II:ensN! r,ool1<:1dcrs lo :J1shI~i lt:o p-;;~d ;Ser l;MJ sw,,:1ess and Orvie~9flnS C:::;dr:, Iha Ccntra:lc1 s t.r.ense l u. .h.ac r,0: a!)?v 10 an &,M!t"f 1) orcperiy l'ftlo buids w m,vovit$ lh!':r'ecti arK! r.ontrncl$ fs suet·, prOj>:{1$ ·M'.h ·:cntJtlcs(:.j bci:msed p'.lcsuor: !0 ire Qwrr,ilt!Of t Lium~e '..M,) I ilm exempl ur.cter Secbo: 8\j'!Jf1i'SS tlHl Pro!ets1ons C'An !:,: 1n,1, nrnso:, 1 ! :,erson;,!:y pan !O pl'Q<;16'., !i'e maJO.-iQOO anct Inatenals lor ,:0I1\lruelmri ;;1 lh£ [:f~Xl'JJd prq::W-:ly :mon:ivernenl □Ye~ o~◊ 2 1 :hcive I Mve not) s1gred ;i:1 apµ1cn11Cn for iJ bwlctmg pe1!l:1t 'or lhe prcpoHtd v.c.f\ 3 I ~ave ,:onir;1ctNJ w!h mn fdlC':Wlnq p>.%()(l ,:f:nnl lo pro,,100 !hf! t:rnpo:,ect ,~onstruc11on ,;,ndw:te nmrw atkl>¾s I pf!C11i'.l i cori!!act:xs· hcense n::!l:bi:fl 4 1 dan 1:i r,w,,,cte pcrbo1r, cl 111e WtYk bill I t1<1tJO hred lt1e fcfO'nwg p,2rs0n to WdHifhll>J. sup2rv1v1 0nd _om,1de !rie maier ,'K)(k {1nctl.lOO naroo J address; p~or£: 1 contrac:crs 11rense numtierj ~ I sill r,rov1tm some of ht; W::'¥. but! ra,;(; cJn1rJttwJ \h1red111'se ldlov,-rn;;: persons to UGVlje ltw w::,-1,, indl<i!!OO (,rrJ11de n;imo I a1:Jmss I ohone i type ot \\'Of~) _,6S PROPERTY OWNER SIGNATURE DATE i .J ls ihe 11~1can! or future budd:ng (X;CUpan! required lo subrru! a busmess pan, acutdy hazardous mal~i;:is reg,stlilhon form or ;;sh management and prwenbon progrnm w11'.l1 Soct1on; 7550~ 25533 cr 2553-1 of lh-0 Presley-Tanner Hazardous Subshmce AccCtJ/1! Act? , Yes '"l No is tne applicant a 1uwrebuMn9ow.ipant reqwred 10 obtl>lfl a p&rn1t from !heaa pdluhor. co1otrd dis!nd r.x rn1 1uii1\y ;f\"jnngement ds!ncP 7 Yes 7 No Is the rad1tytobew:1s<ructedwi!hl11 1,000!cet of !he out& tJoundary◊f d sdmd s1t1P 7 Yes 7 Ne IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT SE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVlCES ANO THE AIR POLLUTION CONTROL O!STR!CT, ii·J:liiii·ihtiii I ·ib:iftffl!!!Mtt5MW11' ' hereby affirm 1hat thNe Isa ccn:;:ruct-on :end1og agency for the pc--f'ormar:c-c of the work tM peIm1t Is 1t:it.:ed (Se: '.3097 (1) Cw1I Code) Lender's Name Lendefs Ad:irl;!SS 111- 1 certify that I have read tile applklmon and state that the aboYeiflfollrultiOll is oomict and that the iofonnation on the plans m m;rurate. I agree to com~1Mtll all Ci1y ordlnamx,-s ant1 State laws relating to butld!ngronstruction. I h~ 3Ulha®represen!atM?(i ll1€CrtydCstmd k:ienlCJ lJIX1fl the 300\'e mef"ltcnedq~-l(f lfl!,")i)'(j\111 rxtporos ! ALSO M:flEE TO SAVE INDEMN1FY NYiS flEEP Ht..R.\!LFSS THE CITY Cf C'.AR!.SMD t-GAINST .AJ..t. UAB!LITiES JU[)(;},-l,EfITS COSTS AND EXF-'ENSESV\1-ilCH MAY lti ANY WAY t.J)'.Jtur p[Jl¾NS.; SAl[j CITY!NCOOSfQ\Jf}t_'";E OF T1--ltffiN;'Tl~-n~:-f Ti·IS n:-:·RMT OSHA An OSHAp;F'lt ,srequredla exC8;ratiom;ova: SC' dei;pandd€nlcirt01"1(i wr~ruc:..ir,n olstuct1;re::,ovi)' 3str1es ,1 hegl11 EXPIRATION fa,ery-permrt !SSU'Jd by the 8wkJ111gOffc;al urxb" lhB J)/QVGl(ITTSO! lht; c-xn shJ! r.xprP. by h::nata:nnmxi bfiCtJOO null ,no vod f lho tx;11:Jr;g (/ UY~ au!h(rc0d by :-uch !)'!l''lt. fJ /\{ft. oonmenced wih1n :;;;:::::::;1 ry !tmbu;;::;;2••"~~cr~mixi,ximuuylm1 afta ~ew,::,7™=rjl~ ;7~J ;r19oc1on 100 44 Uof<Fn ,~,kt~ Cn£i s,, ' " ·:. . .. · . PERMIT INSPECTION HISTORY REPORT (CBR2019-0236) Permit Type: BLDG-Residential Application Date: 01/30/2019 Work Class: P/M/E Issue Date: 01/30/2019 Status Closed -Finaled Expiration Data: 09/03/2019 Scheduled Date Actual Start Date ··-·--·-·•··---- 03/0612019 03/06/2019 March 06, 2019 IVR Number: 16796 Inspection Type Inspection No. BLDG-43 Air Cond./Furnace Set 085107-2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 085108-2019 Checklist Item BLOG-Mechanical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: DALE KUBACKI Subdivision: CARLSBAD TCT#81-19 UNIT#01 Address: 2236 Janis Way Carlsbad. CA 92008-2775 Primary Inspector Reinspection Complete Tim Frazee Complete Passed Yes Tim Frazee Complete Passed Yes Page 1 of 1