Loading...
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. Page 1 of 1