HomeMy WebLinkAbout2607 LA GOLONDRINA ST; ; CB100633; Permit..
' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-13-2010 Mechanical Permit Permit No: CB100633
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2607 LA GOLONDRINA ST CBAD
MECH Status:
Parcel No: 21556221 00 Lot #: 0 Applied:
Valuation: $0.00
Reference #:
PC#:
Project Title: DYVIG RES REPLACE FAU AND
NC IN EXISTING LOCATIONS
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
2
0
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
DYVIG FAMILY TRUST 07-30-01
2607 LA GOLONDRINA ST
CARLSBAD CA 92009
Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due:
Inspector: ~ FINAL APPROVAL
Date: Clearance:
ISSUED
04/13/2010
KG
04/13/2010
04/13/2010
$15.00
$18.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.00
$0.00
NOTICE: Please take NOTICE that 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 Sectioo 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 coonection with this project. NOR DOES IT APPLY to any
ni TIEimilrhir h fiiinh lhlWi
J
\. «~-Building Permit Application Plan Check No. UtlotJtJJ .. ~,
~-CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
0 F 760-602-2717 / 2718 / 2719
Fax 760-602-8558 Plan Ck. Deposit CARLSBAD www.carlsbadca.gov Date m I ? / / i) 1/JA-
JOB ADDRESS 2607 La Golondrina Street
::;UITE#, -,rAl:t:.#/UNIT# IAPN ---
CT/PROJECT# ILOT# lPHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I oc:c. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected AIN(a)
Replace Furnace and A/C in existing locations
EXlffiNQ USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
sfd YES0, Ne(] YES □No □ YES□No□
CONTACT NAME {ff Oltfwent Fom AppllcantJ APPLICANT NAME Jennifer Cole
ADDRESS ADDRESS PO Box 711564
CITY STATE ZIP CITY STATE ZIP
Santee CA 92072
PHONE PHONE I"" 619-405-2648 I"" 619-330-4796
EMAIL EMAIL jennifer@permitrunner.net
PROPERTY OWNER NAME JimDyvin CONTRACTOR BUS. NAME ARS of San Deiao
ADDRESS ADDRESS
2607 La Golondrina Street 8949 Kenamar Dr#110
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 San Deiao CA 92121
PHONE PHONE I"" I"" 760-930-0103 858-805-0611 858-271-4478
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# T°LASSC2Q I CllY BUS. LIC.#122873 791820
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he is Hcensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he Is exemi;,t therefrom, and the basis for the alleged exemption. Any violation 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
Worbrs' Compensation Declaration: I hereby affirm under penalty of perjury one olthe following declarations: D I h1vt 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 'Mlrk for which this permit is issued.
[Z] I have and will maintain workers' comoensatlon, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which this oermit is issued. My workers' compensation insurance carrier and policy
numbBrare, Insurance Co Liberty Insurance Corp Pol<, No. WC7631508631018 E>pi,alion Da~ 10/1/201 0
"Pli&.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 perfonnance of the work for which this pelTTlit is issued, I shall not employ any person in any manner so as to become sub;ect to the Workers' Compensatkm Laws of
California. WARNING: Failure to secure workers' panutlon coverage 11 unlawful, and shall sub.lKf. an employer to criminal penaltles and civil fines up to one hundred thouund dollars (&100,000), In
addition to the cost of compensation, dama ded for In Section 3 e,.~bo}~e, Interest and attorney's fees •
..s CONTRACTOIISIGNATURE /) LI (.JL_.,
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).
□
□
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 Uoense 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 improvement. Oves 0No
2. I {have I have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person {firm) to provide the proposed construction (include name address I 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/ address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type ohwrk):
,.S PROPERTY OWNER SIGNATURE □AGENT DATE
City of Carlsbad Bldg Inspection Request
For: 10/04/2010
Permit# CB100633
Title: DYVIG RES REPLACE FAU AND
Description: A/C IN EXISTING LOCATIONS
Type:MECH Sub Type:
Job Address:
Suite:
Location:
2607 LA GOLONDRINA ST
Lot: 0
OWNER DYVIG FAMILY TRUST 07-30-01
Owner: DYVIG FAMILY TRUST 07-30-01
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: TP ---
1'14• Y1 y1,
Phone: 7609300103
Inspector: L
Requested By: ANN
Entered By: JANEAN
49 Final Mechanical .JJ.f!___ _________ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lnsQection Histo[Y
Date Description Act lnsp Comments
09/13/2010 43 AirCond/Furnace Set co TP MAX BKR TO BE 30AMP (40 EXISTING)
05/25/2010 44 Rough/Ducts/Dampers NR TP NO ONE HOME PER MC
05/25/2010 49 Final Mechanical NR TP