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HomeMy WebLinkAbout2256 JANIS WAY; ; CB112672; Permit12-20-2011 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: CB112672 Building Inspection Request Line (760) 602-2725 2256 JANIS WY CBAD PME 1675404500 Lot#: WENTZEL RES-REPLACE FAU-SAME LOCATION 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/20/2011 RMA 12/20/2011 12/20/2011 ACTION AIR COND.& HEATING:S.D. WENTZEL LARRY L 2750 S SANTA FE SAN MARCOS CA 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2256 JANIS WAY CARLSBAD CA 92008 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date:, S-· II· (Z 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 date this pennit 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. NOA DOES !T APPLY to any f x i n f r h" h f limi · n h h rwi .. Plan Check No. Qr { 2~ 7f' Building Permit Application ..., . 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 r Plan Ck. Dcwosltr Fax 760-602-8558 www.carlsbadca.gov \. f Ir--Date / ~ , )/9/ ! / lswPPP JOB ADDRESS 2256 Janis Way, Carlsbad, CA 92008 SUl1r..#/:,P,..,.,~#/ v, .. ,# l;\PN --- {.;l/t'NOJEo.;1 # LOT# I PHASE# I# OF UNITS I# BEDROOMS #BA1nROOMS l TENANT BUSh~ESS NAME 1 CONSTR. TYPE I acc. GROUP PESCRlr ,,ON of nvRK: Inc ude _..,ua,e Feet of Affected Area(s) Change-Out Furnace (FAU) same location EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS Single Family Resid. Same YESQ NcCJ VES □No □ VES□No□ APPLICANT NAME (Primary Contact} Larry Wentzel APPLICANT NAME(Seoondary Contaot) Glenn Ostmark ADDRESS ADDRESS 22S6 Janis Way 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 San Marcos CA 92069 PHONE PHONE 760-230-6383 I FAX 760-727-4152 rAX 760-727-0213 EMAIL EMAIL comfort@adionac.net PROPERTY OWNER NAME Larry Wentzel CONTRACTOR BUS. NAME Action AC. Heatina & Solar ADDRESS ADDRESS 2256 Janis Way 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 San Marcos CA 92069 PHONE PHONE 760-230-6383 I"" 760-727-4152 (AX 760-727-0213 EMAIL EMAIL comfort@actlonac.net ARCH/DESIGNER NAME & ADDRESS !STATE UC.# STATE LIC.# l°c-20 I CITY., ... LIC:.i, 9800 509805 (Sec. 7031.5 Busmess and Profess10ns Code: Any City or County which requires a permit to construct. alter. improve. demolish or repair any structure. pnor 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 703~5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). -" WORKER$' COMPENSATION ~ ¥ * ' j * Workers' Compensation ~laratlon: I hereby sfflm, under penalty of perjury one of the following declarations: 0 I have and wlll maintain a certfflcate of consent to Hlf-inaure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work fa wl'tch this permit is issued @ I have and wlll maintain workers' comP8nsatlon, as reQuired bV Section 3700 of the labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and pol~ number are: Insurance Co caHfornla Contractors Network Poley No 4503~093 Expiration Date 12/31/2012 ~ section need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensahon Laws of California. WARNING: Failure to secure workers' naatlon coverage is unlawful, and shall subject an employer to criminal penalties and dvll fines up to one hundred thousand dollars {&100,000), In ~n 3706 of the Labor code, interest and attorney's fees. I hereby affim, that I am exempt from Contractor's Ucense Lew for the following reason: 0 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 do&S not apply to an owner of property who builds Of 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 License law). I em exempt under Section ____ Business and Professions Code for this reason: 1. 1 personally plan to provide the m*r labor and materials for construction of the proposed property improvement Oves Do 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 wont but I have hired the foUowing person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the wont, but 1 have contracted (hired) the following persons to provide the work indicated {include name/ address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE I ,, ,c ' ¥ 1 ,-,, ~ 1 -, 1 --\,"' ~ ~ 1-' ~ ¥' " ~ ~ , ~~ C.Ocllfi>LETII' TRIS $:ltC'UON FOIi I\ICl'llt-ll'l!SIDl!NTFAL BUILDlNG PUUtu:s <INLY Is the applicant or future building occupant required to submit a busines~. acutely hazardous materials registration foon or risk management and prevention program under Sections 25505, 25533 or25534 of lhe Presley.Tanner Hazardous Substance Account Act? 0 Yes UNo Is the 3ppicart orfulure building occupant required to obtain a permit from the air pollution control district or a~ality management district? []ves ONo Is the facility to be constructed wilhm 1,000 feet of the outer bounda,y of a school site? Oves UNo IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE 0FACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state thatthe above information is conect and that the Information on the plans Is accwale. I~ to comply with an City ordinances Md State laws relating to buldlngconstndon. l hereby authorize representative of lhe City of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY ~ CARL.SB.a0: AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for exc:avaoons over 5'0' deep and demolition or construction rl structures OV8f 3 stories in height EXPIRATION: Every penn~ issued by the Building Official under sions of this Code shal expire by !imitation aod becoole m.d aOO void if the building or work authorized by such permit is not oommenced v.itin 180 days from the date of sudl permit or if the building or '9.~ih<J~ by such pennil is suspended or abarv:med at any line after the work is oommenced for a period of 180 days (Sedion 106.4.4 Unibm Bltilg Code). EAPPUCA DATE City of Carlsbad Bldg Inspection Request For: 05/10/2012 Permit# CB112672 Title: WENTZEL RES-REPLACE FAU-SAME Description: LOCATION Type:PME Sub Type: Job Address: 2256 JANIS WY Suite: Lot 0 Location: APPLICANT ACTION AIR COND.& HEATING-S.D. Owner: WENTZEL LARRY L Remarks: AM PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 7347179288 lnspector:tl ;:{- Requested By: MEG Entered By: CHRISTINE 43 AirCond/Furnace Set 1lf-Ee ,J '4-(_, ----------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments