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Home My WebLink About2778 CARLSBAD BLVD; # 209; CBR2022-4680; PermitBuilding Permit Finaled Residential Permit Print Date: 03/23/2024 Job Address: 2778 CARLSBAD BLVD, # 209, CARLSBAD, CA 92008-2269 Permit Type: BLDG-Residential Work Class: P/M/E Parcel#: Valuation: Occupancy Group: #of Dwelling Units: 2031722511 Track#: $7,500.00 Lot#: Project#: Plan#: Bedrooms: Construction Type: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: Description: REPLACE FURNACE (E-REVIEW) Applicant: ARCHON ENERGY SOLUTIONS JAMIE MEDLIN 46 UNION WAY VACAVILLE, CA 95687-4140 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS Orig. Plan Check#: Plan Check#: Total Fees: $208.00 Total Payments To Date: $208.00 Permit No: Status: (city of Carlsbad CBR2022-4680 Closed -Finaled Applied: 12/16/2022 Issued: 12/22/2022 Finaled Close Out: 03/23/2024 Final Inspection: 07/11/2023 INSPECTOR: Renfro, Chris Contractor: SAME DAY HEATING AND AIR CONDITIONING LLC 9771 CLAIREMONT MESA BLVD, # STE E SAN DIEGO, CA 92124-1300 (619) 503-3355 Balance Due: AMOUNT $208.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address2778 Carlsbad Boulevard, 209 Carlsbad 92008 Suite: _____ APN: __________ _ CT /Project #: ____ ...... _______________ Lot #: ____ Year Built: ___ _,/....._ ____ _ Fire Sprinklers: O YES Electrical Panel Upgrade: 0 YESJ NO BRIEF DESCRIPTION OF WORK: Replace Furnace 80%AFUE VALUATION $ 5921 .00 0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? O v O N New Fireplace? O v O N, if yes how many? __ D Remodel: SF of affected area -----Is the area a conversion or change of use ? O v O N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------ o solar: ___ KW, ___ Modules, Mounted:O Roof O Ground, Tilt: 0 vO N, RMA: O v O N, Battery:O v O N, Panel Upgrade: O v O N D Re roof: __________________________________ _ Iii Plumbing/Mechanical/Electrical Only: _R_e_p_la_ce_F_u_rn_a_c_e_8_0_%_A_F_U_E _______________ _ D Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT 0 PROPERTY OWNERS AUTHORIZED AGENT APPLICANT Ii Name: Jack Brewer Name: Rafael Martinez -Archon Energy Solutions (contractor agent) -----------------Address:2778 Carlsbad Boulevard, 209 Carlsbad 92008 Address: 46 Union Way City:Carlsbad State: CA Zip:92008 City: Vacaville State: CA Zip:_9_56_8_7 __ _ Phone: (714) 262-6897 Phone: 888-600-1614 Email:Permits@archonenergy.com Email: rafael@archonenergy.com DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT 0 Name:. ________________ _ Address:. _______________ _ City: _______ State: ___ .Zip: ___ _ Phone: ________________ _ Email:. ________________ _ Architect State License: __________ _ Name: Same Day Heating & Air Conditioning LLC Address: 9771 Clairemont Mesa ste E City: San Diego State: CA Zip:_9_2_12_4 ____ _ Phone:(707) 396-0960 Email:aharker@samedaysd.com State License/class: 1059444 / C20 Bus. License: ----- 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 08/20 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No. __________________________________________ _ Ii I have and will maintain worker's compensation, as required by 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 Company Name: TRANSVERSE INSURANCE COMPANY Policy No.FORWC0000000401 Expiration Date: _0_1/_0_7/_2_0_23 ___________ _ 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 to become subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ______________ /;,)-~~---,•\-/""{+1\--f,__ ___ Lender's Address: ______________________ _ CONTRACTOR PRINT /SIGN: ____ .,__/"-_______________ DATE: _12_11_61_22 ____ _ (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 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). D 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). D I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: D "Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached. D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf. Proof of identification attached. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER PRINT/SIGN: ____________________ DATE: _____ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stow height. APPLICANT PRINT /SIGN: ___ 1< __ ;_~_\ ________________ DATE: 12115122 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 08/20 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2022-4680) Permit Type: BLDG-Residential Application Date: 12/16/2022 Owner: Work Class: P/M/E Issue Date: Status: Closed -Finaled Expiration Date: IVR Number: Scheduled Actual Inspection Type Inspection No. Date Start Date 07/11/2023 07/11/2023 BLDG-43 Air 216901-2023 Tuesday, July 11, 2023 Cond./Furnace Set Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final Inspection 216900-2023 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS 12/22/2022 Subdivision: 01/08/2024 Address: 2778 CARLSBAD BLVD, # 209 45316 CARLSBAD, CA 92008-2269 Inspection Primary Inspector Status Passed Chris Renfro Passed Chris Renfro Reinspection Inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1