HomeMy WebLinkAbout167 MAPLE AVE; ; CB091783; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ,
10-27-2009 Mechanical Permit Permit No: CB091783
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
167 MAPLE AV CBAD
MECH Status:
Parcel No: 2042332000 Lot#: 0 Applied:
Valuation: $0.00
Reference #:
PC#:
Project Title: SILVA RES-REPLACE FAU-SAME
LOCATION
Applicant:
ARS
STEA
9895 OLSON DR
SAN DIEGO CA 92121
858 457 6557
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
1
0
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
SILVA TODD L&JENNIFER L
1129 34TH AVE
SACRAMENTO CA 95822
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due:
Inspector: Clearance:
ISSUED
10/26/2009
RMA
10/27/2009
1012712009
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
$0.00
NOTICE: Please take NOTICE at 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. 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
inf ih hv rvi I ivn N Tl imilr hi r whihh fli i insh I he i
Cit~ of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
' 760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
167 Maple Ave
CT/PROJECT# I PHASE# I# OF UNITS I# BEDROOMS
DESCRIPTION OF WORK:
Replace Furnace in existing location
Plan Check No. (1).P()q It~
Est. Value
Plan Ck. Deposit
Date /'D /.2}"") /D4
SUITE#/SPACE#/UNIT#
# BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
EXISTING USE I PROPOSED USE 'GARAGE (SF) PATIOS(Sf) IDECKS(SF) FIREPLACE IAIR CONDITIONING !FIRE SPRINKLERS
YES □ #_NO □ YES □ NOD YES O NOD
CONTACT NAME (If Dttreront Fom Applicant) APPLICANT NAME Jennifer Cole
ADDRESS ADDRESS
P.O. Box 711564
CITY STATE ZIP CITY STATE ZIP
Ca 92072 Santee
PHONE )FAX PHONE 619-405-2648 I FAX 619-330-4 796
EMAIL EMAIL
oermitrunnertalcox.net
PROPERTY OWNER NAME Todd Silva CONTRACTOR"""· NAM• American Residential Service
ADDRESS 167 Maple Ave ADDRESS 8949 Kenamar Drive # 11 O
CITY Carlsbad STATE CA ZIP 92008 CITY San Diego STATECA ZIP 92121
PHONE 760-729-6003 )FAX PHONE 858-677-5445 )
FAX
858-735-3250
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.#
791820
I: 7031.5 hSlllffl ud Prqffworu Code: lisJy City, or ,CoPnlJ. wh1dt flQUll!J a ptmlll )0 CO~(t, .altt~ l[lpl'Off, ~rsh or ... r. any structl_~/_ j>!'IOI' to us muance, alS!) ftCIUlm tlie aoallWt for Slldl ~II IO file a SI med .men, lhat lie IS sed.111rsuant IO tbt pronsiOIIS of tile Coauaqors Lic:nse Law {Chpler ,, commend11g will!~ 1000 cl Dlffilon l of the 81151nm and Prt1JHS1011s Code} or lhat he 1s eumpt theremim. and tlit basis lo, 1ft alltgtd i'umplMII. Any •iobtiom of oa 7011.5 ii)' UJ applicallt lo, a permit whJt(IS tlit applicant to a ffiil penall}' ol llOI more tw Im bundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Dtclaratlon: I hereby afllrm under penalty of perjury one of the following decJaratlons:
□ I have and wUI maintain a certificate of consent to seff.lnsul'I fol'Vo(llters' compensation as provided by Section 3700 of the Labor Code, for lhe performance of the M>rk for which this permit is issued.
01 have and will maintain w~rs• compensation, as required by Section 3700 of the Labor Code, for lhe perlonnilfl~oltbeW !P'N.b. ~.PVi,t lj i,Sfued. My workers' compensation insurance carrier and policy
nurnbe,an>:lnsuranceCo, L1bertv Insurance Corp PolcyNo._V~Vl;='f..,tM=1-=:o=u1:1'-'t=M-'-"l~U·1_,oc__ &P,rationDate_1.L0.,,./1.uLc.1uO.,_ ___ _
This section need not be completed if the permit ls for one hundred dollars ($100) or less.
□ Celtlllcate of Exemption: I certify that in the perfonnance 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
Galifomia. WARNING: FaUul'I to secul'I w 'compensation coverage is unlawful, and shall subject an employer to crlminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages a provided fOr In Section 3 e, Interest and attorney"s fees.
~ CONTRACTOR SIGNATURE
I, as OWJl8(0f 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 Iha! 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).
LI I, as owner of the property, am exclusively contracting with licensed contractors to construct the projeel {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or Improves !hereon, and contracts for such projects with contractor(s) lleensed pursuant to the Contractor's License Law).
O I am exempt under Section ---~usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes O 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 (flnn) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. r plan to provide portions of lhe M>rk, but I have hired the following person to coordinate, supervise and provide the ma)or work (include name I address/ phone/ contractors' license number):
5. I will provide some of the M>rk, but I have contracted {hired) the following persons to provide the work Indicated {Include name I address / phone / type of work):
8$ PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regisbalion form or risk management and prevention program under Sections 25505, 25533 or 25534 oflhe
Presley-Tanner Hazardous Substance Account Act? D Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management cf1strict? □ Yes D No
Is the facility to be constructe<f within 1,000 feel of the outer boundary of a school site? 0 Yes O 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.
CONSTRUCTION LENDING AGENCY
I hereby allinn that there ,s a construction lending agency fo< the perfonnance of the work th,s permil is issued (Sec. 3097 (1) Cisl Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certlftthat I have read the application and state that the above Information Is correct and thatthe Information on the plans Is acairata. I agree to comply MUI all Cit¥ ordinances and state laws relating to building construction.
I heleby aulhorizo n,presen-oflhe O\y of Carlsbal ~ enler upoo lhe at,o,.,,-propertyi>'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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA'. An OSHA permit is reqLired tr excavatms over fifJ deep and demolition Cl( oonsb'uclion of structures over 3 stories in height.
EXPlRA TION: Ewy permit issued by the Building Offid under the PfO'v'i:SK>ns of this Code shall expire by ~mitatioo and becane ooll and ~ if the building or work authoozed by such permit is not oom1Tl8"1Ced 'Mthin
180 days from the date of such permit or if the txJilding work aJthorized by such T.~t is or aboodoned at any time after the work is oommenced for a period of 180 ~ (SEdion 106.4.4 Unifcrm Bli1k:ling Code).
8SAPPLICANT'SSIGNATURE '( 0 4 DATE /,:J-&--C
Inspection List
Permit#: CB091783 Type: MECH
Date Inspection Item
11/23/2009 44 Rough/Ducts/Dampers
11/23/2009 49 Final Mechanical
11/20/2009 44 Rough/Ducts/Dampers
11/20/2009 44 Rough/Ducts/Dampers
11/02/2009 43 AirCond/Furnace Set
Tuesday, November 24, 2009
Inspector
PY
PY
MC
PY
Act
AP
AP
RI
CA
NR
SILVA RES-REPLACE FAU-SAME
LOCATION
Comments
cb091790 ALREADY FINALED
1106 EG, PER HO P.C.
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