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Home My WebLink About2612 JACARANDA AVE; ; CB153047; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 09-17-2015 Permit No: CB153047 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2612 JACARANDA AV CBAD PME Status: Parcel No: 2551132300 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: ATLAS HVAC, INC 16016 BABCOCK ST #29 SAN DIEGO 92127 619-917-2003 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees BOLAND: REPLACE FURNACE & A/C DUCTWORK TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: WALTERS MICHAEL J 2612 JACARANDA AVE CARLSBAD CA 92009 ISSUED 09/17/2015 SLE 09/17/2015 09/17/2015 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: $0.00 NOTICE; Rease -NITTil'Ml'IlarMl ci )OJ prtjed ird~ tte ""lrrµ,sili 'ci fees, dedcaticrs, -= ex dl"er ~crs -roledvay r,tem,d to as "fees'~=" Yoo hM> 9'.l da),; mm tte dale ths ~t w,s issued to p,-ctest irrµ,sitia, ci ttese -~= If yoo p,'dest tluT\ yoo rru;t fcJlo,,tl-e p,-ctest proa,d.res set forth in 0:>.<mre"lt Code SectiCJ18&J20(a). a--dfilette p,-ctest a--d a,ydl-er req.jred infoorationwthtteatyfv'a-agerfcr proa,ssing in a:xxroa-cewth Ga1sboo M.lidpa Code Sectioo 3.32.030. Falu-etotirrelyfdlo,,thel ~wll ba' a,ysubsecµrt lega a::tiooto atta:J<. rEMew, set ~de. vdd, er aru trer ini:x:stioo. Yoo are 1-eret7f F\.RT1-ER NOTIRED tt-at )OJ rig-I to p,-ctest tte specified fees'~a,s DCES Nor l'l'PI. Y to 11,0\er a--d ,,,,.,, CXJITI3dia, fees ard Ci'l)OCity dB-gos, ncx pla-ring, m-irg ga:lng ex dl"er sinila-'l)piicatia, proa,ssing ex seoAce fees in CXJITI3dioo wth ths prtjed. r-rn DCES IT l'l'PI. Y to a,y \Ml 'nil tli as wi Ii . THE FOLL({WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE, □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD .~ Building Permit Application Plan Check No.c,6 l5 304 -=f- <<•:: 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Datet.-{--\ 7-In ISWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# tPN 2612 JACARANDA AVE --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I II BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace Furnace and AC EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESO, I AIR CONDITIONING I FIRE SPRINKLERS No□ YES □No □ YES□No□ APPLICANT NAME (Primary Contact) Atlas HVAC APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole ADDRESS ADDRESS 16016 BABCOCK STREET #29 9880 Magnolia Ave #119 CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92127 Santee CA 92071 PHONE PHONE (877) 452-8527 I FAX 619-405-2648 l'AX 619-330-4796 EMAIL EMAIL jennifer@permitrunner.net PROPERTY OWNER NAME Boland William CONTRACTOR BUS. NAME Atlas HVAC ADDRESS ADDRESS 2612 JACARANDA AVE 16016 BABCOCK STREET #29 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 SAN DIEGO CA 92127 PHONE I FAX PHONE IFAX (760) 415-8502 (877) 452-8527 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I CLASS l'Ti'J'CR77 955327 C20 (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_c_onstruct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of Div1s1on 3 of the B_usmess and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaratlon: / hereby affirm under penalty of perjury one of the following declarations: 0 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, D I have and will maintain workers' compensation, as required bv Sectkm 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. Excempt Policy No ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less D 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 lo become subject lo the Workers' Compensation laws of California. WARNING: Failure to secure work.en' compensation cove e 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, damages as rovided for i on 3706 of the Labor code, interest and attorney's fees. ~ 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 compensaUon, 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 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 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 and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property impro~ement. 0Yes 0No 2. I (have I 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 pro~ide some of the work, but I ha~e contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work) ~ PROPERTY OWNER SIGNATURE □AGENT DATE • Inspection List Permit#: CB153047 Type: PME Date __ _Inspection Item _____ _ 10/08/2015 43 AirCond/Furnace Set 10/08/2015 49 Final Mechanical 10/07/2015 43 AirCond/Furnace Set 10/07/2015 43 AirCond/Furnace Set 10/07/2015 49 Final Mechanical Tuesday, October 13, 2015 Inspector Act PY AP PY AP RI PY co RI BOLAND: REPLACE FURNACE & A/C DUCTWORK Comments Page 1 of 1