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Home My WebLink About2404 LA PLANCHA LN; ; CB150790; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-16-2015 Permit No: CB 150790 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2404 LA PLANCHA LN CBAD PME 2550911800 BUTLER: REPLACE FURNACE LIKE FOR LIKE ACTION AIR COND & HEATING-SD 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: BUTLER JEFFRY G&JANELLE L 2404 LA PLANCHA LN CARLSBAD CA 92009 ISSUED 03/16/2015 JMA 03/16/2015 03/16/2015 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: f'.l'.1· ~ Date: t> 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 pemiit 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 f exa ·ons of hich hav revi I been iven N Tl simil r to thi r as which t es te of limitati ns reviou I therwise x ire . -------·----·•·-----· THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING D ENGINEERING □BUILDING 0FIRE □HEALTH D HAZMAT/APCD <<i~: Building Permit Application Plan Check No. /'B ( J. 0 7 CJD 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Qeposlt CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date alf bit~ !SWPPP JOB ADDRESS SUITEI/SPACEI/UNIT• IAPN 2404 La Plancha Ln --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) remove and replace existing furnace(like for like) EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS heat heat YES[), "'° YES □No □ YEs□No□ APPLICANT NAME (Primary Contact) Jeffry Butler APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 2404 La Plancha Ln CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 PHONE IFAX PHONE I FAX 760-634-6813 EMAIL EMAIL PROPERTY OWNER NAME Jeffry Butler CONTRACTOR BUS. NAME Action Air Conditionina Heatin Solar ADDRESS ADDRESS 2404 La Plancha Ln 2750 S Santa Fe Ave CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 San Marcos CA 92069 PHONE PHONE 760-634-6813 I FAX 760-727-4152 IFAX 760-727-0213 EMAIL EMAIL comfort@actionac.net ARCH/DESIGNER NAME & ADDRESS l STATE LIC. # STATE LIC.# I CLASS ii CITY BUS. LIC.# 509805 c-20. c-4i 419800 (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also re_quIres 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 01v1sion 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COII/IPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjuf'/ one of the fol/owing 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 performance of the work for which this permit is issued. 0 I have and wlll maintain workers' compensation, 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 policy number are: Insurance Co insurance company of the west Policy No. WSO 5028465 Expiration Date 12/31/2015 ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance 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 work ' mpensatlon 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, dam a as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,85 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following 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 sare (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 lo 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 and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 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 I contractors' 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 address 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/ phone/ type of work)· ,85 PROPERTY OWNER SIGNATURE (2]AGENT DATE COMPLETE THIS SECTIOl'II fOI! NON•l!liSIDENTIAL BUlf.;DING PERMITS ONl.Y Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program un.der Sec~ons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes O No Is the facility 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. I hereby affirm that there 1s a coostruction lending agency for the pertormance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcation and state that the above lnfonnatlon Is correct.and that the infonnatlon on the plans is accurate. I agree to comply with all Ciw ordinances and Stale IB'm ielatlng to building oonstruct1on. I hereby authorize representatve of the City of Ca~sbad to enter UJXJn the above menOOned property br ins~tion pul'JX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST 5'110 CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA perrn1l is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pern,it issued by the Building 'al under the provisions of this Code shall expire by limitatbn and become null and void ~ the building orv.or\c. authorized by such permit is not oommenced w"thin 180days from the date of such pennit or if the · ing orv.or\c. authorized by such pern,rt is suspended or abandoned at any time after the w:irk is oommer.ced for a period of 180days (Secoon 106.4.4 Unifoon Building Code). -@S°APPLICANT'SSIGNATURE ~ '{_..,-t.-,___ DATE 3-( 1-ior 5- . . . Inspection List Permit#: CB150790 Type: PME Date Inspection Item 09/08/2015 43 AirCond/Furnace Set 09/08/2015 43 AirCond/Furnace Set 09/08/2015 49 Final Mechanical 09/08/2015 49 Final Mechanical Tuesday, September 08, 2015 Inspector Act MC MC RI AP RI Fl BUTLER:REPLACEFURNACE LIKE FOR LIKE Comments Page 1 of 1