HomeMy WebLinkAbout2406 LA PLANCHA LN; ; CB163402; Permit09-01-2016
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: CB163402
Building Inspection Request Line (760) 602-2725
2406 LA PLANCHA LN CBAD
PME
2550911900
GEARHART: RELACE FAU & A/C
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/01/2016
SLE
09/01/2016
09/01/2016
WEST COAST APPLIANCE SERVICES INC
DBA WEST COAST SOLAR
GEARHART FRANKLIN&JANE REVOCABLE TRUST 04-10-12
1282 FAYETTE ST
EL CAJON CA 92020
619-557-0446
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2406 LA PLANCHA LN
CARLSBAD CA 92009
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: fJII -~ Date: z:> Clearance:
$0.00
NOTICE Aeaseta<e NOTICE that~ d)U.l' !"ied ird.-tre "l"l)Cllition" dfe,,s, de:lcations, reservations, orctta-exa,ions hratter cxJledively
rderred to as 1-exa:1ions.'' You hMl 00 da-,s troo, Ire-tt-is ~t""" issued to J>desl irrµ:,;ition ct these f-exa::tirns. If )<JU p,ctest tt-em, )<JU rrust
fdlONtre p,ctest procectres set forth in ClMmralt Code Section 60J20(a), a-d filetre p,ctest a-d '"1)1ctt-er r,q.ired infoormon wlh Ire OtyMragerfor
prooassing in occada"cewlh Ca1sba:I M.ridi:a Code Section 3.32.030. FalLretotirrayfdlONtiu ~wll i:El' '"1)1Sli:6ecµant legal oction to attoct<,
review, set sside, vdd, O" (ITlJ tt-eir ilTfXSition.
You ae rerett,, F\RTl-ER NOTIRED that )U.I' rig-I to p,ctest Ire specified f-exa,ions IXES NOf APA. Y tomter aid...,... a:rrection fees aid capa:;ty
cra,gas, nor iJa-ling, zr:ring, ga:lng or ctrer silTila-,wication prooassing or sen.ice fees in oonnedion wlh tt-is !"iect. NCR DCES IT APA. Y to '"1Y
I wi 'ousi been ·venaNOTI ·1 towichtre Lt
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No. ~ \ \...o :;z_ L.JQ 2.
Est. Value
Plan Ck. Deposit Fax 760-602-8558
www.carlsbadca.gov
1------------~-------· 1
Date9-l-lln I I
JOB ADDRESS 2406 LA PLANCHA LN
SUITE# /SPACE# /UNIT# l'PN 255 091 190
CT ;pfi()~[:~----. .. --T # ---. ---_[ASE# -_[ OF UNITS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
# BATHROOMS
2
[ENANT BUSINESS NAME
REPLACEMENT OF FAU & A/C
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) "lDECKS (SF) FIREPLACE
YES[}t IA!R CONDITIONING !FIRE SPRINKLERS
NcQ YESl2]No□ YES□No□
CONTACT NAME (If Different Fom Applfcantj APPLICANT NAME SYNDIE PICH ADDR~,~ss------------------'-'---"-'-'--'-'------+A~O~O~R~,s~s---·-·----------------------------
1256 FAYETTE ST -----------
CITY ST ZIP STATE ZIP
EL CAJON CA 92020
PHONE PHONE
619-557-0446 619-448-3708
EMAIL EMAIL
westcoastheatcool@.gmail.com
PROPERTY OWNER NAME FRANK GEARHART ---------------1-----·
CONTRACTOR BUS. NAME WEST COAST APPLIANCE SERVICE INC, ---------------------------------------
ADDRESS
2406 LA PLANCHA LN
ADDRESS 1256 FAYETTE ST
CITY STATE ZIP
CARLSBAD CA 92009
CITY STATE ZIP
EL CAJON CA 92020
PHONE PHONE
760-436-7181 619-557-0446 619-448-3708
EMAIL EMAIL
westcoastheatcool@,gmail.com
~fl/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# 810930 lcc10, C20 lc,r;sus uc1211147
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the
applicant for such permit to file a s1@ed statement that he Is licensed pursuant to the provisions of the Contractor's License Law ICl1apter 9, comme_ndmg with Section 7000 of DIvIsIon 3 ol thr. Business and Professions Code} or that he Is exemP.t therefrom. and the basis for the alleged exemption. Any vIolatIon of Section 7031.5 by any applicant tor a penrnt subJects the applicant to a
c1v1! penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following 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.
[Z] I have and will 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 earlier and policy
number are: Insurance Co GRANITE STATE Policy No. wc.oo1-0~09&6 Expiration Date o2.11
~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 workers' compensation coverage is unlawfu a d shaU subject an employer to criminal penalties and civil fines up to one hundred thousand dollal'! (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of th a or code, interest and attorney's fees.
_g CONTRACTOR SIGNATURE
I hereby afflrm 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 sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property v.tio 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 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 e~empt 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. OYes ONo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted wilh !he following person (firm) to provide the proposed construction (include name address I phone I contractors' license number)
4. l plan to provide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of lhe wor1(, but I have contracted (hired) the following persons to provide the work indicated (Include name I address/ phone I type of work)
NS PROPERTY O'NNER SIGNATURE □AGENT DATE I
---. J
/ ,;
Is the applicant or future building occupant required to submit a business.!!!fil!, acutely hazardous materials registration form or risk management and prevent on program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes LJNo
1 Is the applicant or tutu re building occupant required to obtain a permit from the air pollution control district or a~ality management district? 0Yes D No
I Is the fac1lity to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo
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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above infonnation is conect: and that the infonnation on the plans is accurate. I agree to comply d all City on:linam:es and State laws relating to building construction.
I hereby authorize representative of the Oty ct Carlsbad to enterup::in the OOOve mentklned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES VvHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perm~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buikling Official under the provisions of this Cede sh xpire by limitation and become null and void if the building or work authonzed by such perm~ is not commenced within
180 days from the date cr such permit or if the building or work aulhOOzed by such permit is sus ded or abandoned at any ti ire aft.er the wol'K is commenced for a pericd of 180 days (Section 106.4.4 UnifOITTt Building Code).
Jl5 APPLICANT'S SIGNATURE DATE CJ/,/, le ...
Inspection List
Permit#: CB163402 Type: PME
Date Inspection Item
09/28/2016 43 AirCond/Furnace Set
09/28/2016 43 AirCond/Furnace Set
09/28/2016 49 Final Mechanical
09/28/2016 49 Final Mechanical
Thursday, September 29, 2016
Inspector
MC
MC
GEARHART: RELACE FAU & A/C
Act Comments
RI
AP
RI
Fl
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