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Home My WebLink About2293 MASTERS RD; ; CB081013; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-30-2008 Mechanical Permit Permit No: CB081013 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2293 MASTERS RD CBAD MECH 2121420100 Lot#: $0.00 WEWORSKI RES-REPLACE EXIST AJC UNIT@ SAME LOCATION-NO ELECTRIC 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: TELFORD JONES INC STE 13A 400 WEWORSKI JOSEPH M&COREY D 25920 IRIS AV MORENO VALLEY CA 92551 951 486-0337 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 2293 MASTERS RD CARLSBAD CA 92008 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: FINAL L ISSUED 05/30/2008 RMA 05/30/2008 05/30/2008 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Inspector: Date: ----11111:4-""4"+-4'--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 lssued 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 '~1formalion with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030, Failure to timely follow that procedure will bar i:'ny 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 projer,t. NOR DOES IT APPLY to any f · h · I n iv n I "l · limi r · I Cit~ of Carlsbad 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718/ 2719 ' Fax: 760-602-8558 Bulldlng Permit Appllcatlon JOB ADDRESS Z.!i!.?-3 /PROJE T# EXISTING USE CONTACT NAME (If om.tent Fom Appltcant) ADDRESS CITY PHONE EMAIL PROPERTY OWNER NAME PftDPOIED USE STATE FAX ce:,.,,ee;y ,l,t..)t!fF-u-'t?~,,c/ CITY STATE (?,;1 FAX ARCH/OESIGNER NAME & ADDRESS ZIP STATE UC.# Plan Check No. Est. Value Plan Ck. Deposit Date s TENANT BUSI NESS NAME GA G (SF) PATIOS (SF) CITY 'hfL.LeY C?Z. PHONE ...%.?-.,?'a,-726 EMAIL CONTRACTOR 8US. NAME ADDRESS Z 6'"J:'.;:::::.R PHONE FAX 9>7-7"~-7 EMAIL STATE UC.# CLASS CllY BUS. LIC.# FIRE SPRINKLERS YES D NOD /...USO 7"6 WORl<ERs· COMPENSATION Worbn:' COfflPM"llon Dtclll'llllon: I hereby affirm under penalty of per}ll'f one of Ille fo/Jowlng cmclsr1/ions: D I have ■nd w1g m■lnllln ■ c1111ftc■te of coo1ent to 1elf-ln1ure for workers' compensation as provided by Section 3700 of the Labor Codfl, for the performance of the work for which this permit Is Issued. Ctl"'I have ■nd will lllllnt■ln worlters' compenutlon, as required by Section 3700 of the Labor Code, for the perlorm~oi_the work for which this permit is issued. My workers' compensation Insurance carrier and policy number n: Insurance Co. ( 57?'i1 ?c:-,,,A,.l.,v'o Polley No . .:ac/S ~ / / -r::J 7 Expiration Date .Z:--./~£ This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certlllcate of Exemption: I certify that in the perfoonance of the wOrk for which this permij Is Issued, I shalt not ellljlloy any person In any manner so as to become subject to the Workers' COmpensation Laws of California. '! : 1 1■c11re workerl' compen11t1on coverage Is unlawful, and 1hall 1ubject an employe.-to crimlnal penallln and dvll ftnn up to one hundred lhou11nd doll■n (&100,0001, In addition to 9(1 coat of compen , d1m■gn II for In $ectll)II 3706 of the Labor code, lntlrelt and attorney's fees. 6:l C I RACTOR SIONA.TUR I heraby affirm that I 11m exempt m Conlractor's LJoense Law for the fol/owing re11S011: O I, as owner of 1118 property or my employees with wages as their sole compensation, will do the work and the structure ls not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractof's License Law does not apply to an owner of property who builds or Improves thereon, and who does sooh work hlmseW or through his own employees, provided that such improvemenls are not intended or offered lo! sae. If, however, the building or Improvement Is sold w!!hln one year of completion, the owner•buHder will h8\18 the burden of proving that he did not build or Improve for the purpose of sale). □ I, as owner of the property, am exclusl¥ely contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contracto~s) licensed pursuant to the Contractor's License law}. □ t am exempl under Section ____ Business and Professions Code for this reason: t . I personally plan to provide lhe mator labor and materials for construction of the proposed property lr114)1'ovement □ Yes □ No 2. I (have / have not) signed an application for a bulldlng permit for the proposed work. 3. I have contracted with the following person (flnm) to provide lhe proposed construction (include name address / phone I conlractors' liC811se number): 4. t plan to provide ponjons of the work, but I have hired lhe following person to COOfdinale, supervise and provide the major work (Include name/ address/ phone/ conlractors' li~nse number): 5.1 will provide some of the work, but I have contracted (hired) the follOWing persons to provide the w0!1\ indicated (Include name I address I phone I type of work): .,I!$ PROPERTY OWNER SIGNATURE DATE Is lhe applicant or future bulldlng occupant required to submh a business plan, acutely hazaaous materials reglstrallon form or ~sk management and prevention program under Sections 25505, 25533 0125534 of the Presley• Tanner Hazardous Substance Account Act? □ Yes □ No ts the applicant or future building occupant required to obtain a permit from the air pollutton control district or air quality management district? □ Yes □ No Is the tacllity 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I t'8111f;'lllaU hlll'III Rllld the applicltlonand lllllethattheabow lnfllllnllllon ts comldandthatthe Information on the plans lsll0Qlra11t. I agnietocomplyYtttll al! CH.yortlllllll0eS and S'llllll! laws lllllltlng1D building OOIIS1rldon. I hereby authorize represen1atiW of !he City ct Carlsbad toenlerupcn lheabM mentklned prop1!11y ror i1Sp8C1ion purposes. I ALSO AGREE TO SAVE, INDEM'IIIFY AND KEEP HARM..ESS THE CITY Of CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Aff( WAY ACCRUE AGAINST SAID crrv IN CONSEQU£NCE OF THE GRANTING OF THIS PERt.lT. OSHA: An OSHA permit is requhd u excavations fNl!I 5'0' deep and demolitltn orronstructlon a slructuresater 3 stories in l)e;;lht EXP1RA TION: Eve!y pemit · · · Ollk:ial undef Ille provisions of lhis COde sham e,,pre by Imitation and becane nu• and void W 1he bullling or work au1horized by sud1 pemit is not comrenced \lillhil 180 dBf., flan lhe date of Ing or WOik · permit is suspended or abandoned at EIT'f tine afler lhe work is c:armenc:ed ror a period cA 180 days (Sedlon 106.4.4 Unifonn Buildi'lg COde). ,I$ APPLICANT'S SIONA •••• ···; City of Carlsbad Bldg Inspection Request For: 06/20/2008 ... · .. Permit# CB081013 Title: WEWORSKI RES-REPLACE EXIST A/C Description: UNIT@ SAME LOCATION-NO ELECTRIC Type:MECH Sub Type: Job Address: 2293 MASTERS RD Suite: Lot 0 Inspector Assignment: ~ Phone: 7606031867 Location: Inspector: OWNER WEWORSKI JOSEPH M&COREY D Owner: WEWORSKI JOSEPH M&COREY D Remarks: Total Time: CD Description Act Comment ---- Requested By: COREY Entered By: JANEAN 44 Rough/Ducts/Dampers 49 Final Mechanical ~------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments