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Home My WebLink About2322 MASTERS RD; ; CB120155; Permitf City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-25-2012 Permit No: CB120155 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2322 MASTERS RD CBAD PME 2121421300 Lot#: 0 KROOPKIN: REPLACE FURNACE & ADD A/C Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/25/2012 JMA 01/25/2012 01/25/2012 MAUZY MECHANICAL KROOPKIN MICHAEL J TRUST 11-08-00 1551 N CUYAMACA EL CAJON CA 92020 619 583 9545 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2913 POLLY LN FLOSSMOOR IL 60422 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150. 00 Total Payments To Date: $150.00 Balance Due: Inspector: f11.. ~" FINAL ~P~OVAL Date· Q ts'-1-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 permit was issued to protest imposition of these fees/exactions. lf 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 IT APPLY to any hi n I hi 1i i i h h /4'~' ~ !o,'v)';> ~ CITY OF Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 PlanCheckNo. CB 12. -l5S-- Est. Value CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit Date I 2. ,s-I -z_. SWPP SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME OCC GROUP PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □ #_ NO □ YES □ NO □ YES □ NO □ APPLICANT NAME {Secondary Contact) ADDRESS Cl1Y STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# /1 ( lU (Sec: 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License law /Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit sut>Jects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). Workers' Compensation Oeclaratlon: I hereby affirm under penalty of perjlJf'/ one of the following declarations: □ ve and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the labor Code, for the perfOfmance of the work for which this permit is issued. I have and will maintain w~!off ~A.::::!:: req~b~ ~r Code, for the _performance of the work for wh~~ ~'i'"\i~!'\"4Y wo~ers' compensation i~~nce carrie,l"d policy number are: Insurance Co._~-E ..... ~~=~:=~=<..>'---'_LJ._~Q:t\.A_..,-'-<QY'ISUl.L'-''-"=~---Polley No.-:1( (2(JJC1)~'1 Q.. __ \ Exp1rati0n Date (1 :.k."¢r l "L.. This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that· perform of the work for wl1ich this permtl 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 orkers compen atlon coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines upto one hundred thousand dollars {&100,000), in provided or in Section 3706 of abor c e, Interest and attorney's fees. 's Ucense Law r the following reason' I, as owner of the property or my emplo wrth 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 prope who buik:ls 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 sok:l within one year of completion, the owner-builder will have the burden of provirig that he did not buik:l 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 am exempt under Section _____ ,Business ar.d 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 lhe proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired tt,e following person to coordinate, supervise and provide tt,e major work (include name/ address/ 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 /phone/ type of work): ,.15 PROPERTY OWNER SIGNATURE □AGENT DATE 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? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed v.ithin 1,000 feet of the outer boundary of a school site? O 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 certify !hat I have read the application and state that the above lnfonnatlon Is conectand that the infonna~on on the plans Is accurate. I agree to comply with all City ordinances and State laws relatlng ID building construction. I hereby authorize representative of the O bad to enter UIX)n the above mentioned property tir inspection purp:)Ses. I Af..SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGM S, COSTS O EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permrt is required r excavations over '0' deep and demolltion or construction of structures over 3 stories in height. EXPIRATION: Every permit issued y the ik:ling Offcial nder the provisions of this Code shall expire by imitatDn and become null and void if the buik:ling orv.orl< authorized by such permit is not oommenced 'Mthin 180 days from the date ofsu · or if e buidir,g or authorized by such us pended or abandoned at anytime after the v.ork is commenced for a perbd of 180days (Section 100.4.4 Uniform Buik:ling Code), DATE City of Carlsbad Bldg Inspection Request For: 06/05/2012 Permit# CB120155 Title: KROOPKIN: REPLACE FURNACE & Description: ADD A/C Type: PME Sub Type: Job Address: 2322 MASTERS RD Suite: Lot: 0 Location: OWNER KROOPKIN MICHAEL J TRUST 11-08-00 Owner: KROOPKIN MICHAEL J TRUST 11-08-00 Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7609316786 Inspector: ~1 C.. Requested By: MIKE Entered By: CF 43 AirCond/Furnace Set ±f_ ----""e-:.,C~"-"S'--l!:rl,,.?,l,....,/a'-----+:f--"'Au"""----4,'-'§2"'--"=.!fbc..li,!..!.N"'------- 4'.L ,__, ______ El cle ..lo$ ~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments ~ Si::IILD {-l.o. c.,py ~ -F''\I\IIAL. ~ ~/Gs .