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HomeMy WebLinkAbout2717 ATHENS AVE; ; CB092160; Permit12-21-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB092160 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2717 ATHENS AV CBAD MECH 1673923800 Lot#: $0.00 LLANO RES REPLACE FURNACE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/21/2009 KG 12/21/2009 12/21/2009 Applicant: ARS STEA 9895 OLSON DR SAN DIEGO CA 92121 858 457 6557 Owner: LLANO GERMAN&FERNANDEZ CLARA I TRUST 1330 KEYSTONE WAY #A VISTA CA 92081 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 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees:$24.00 Total Payments To Date:$24.00 Balance Due:$0.00 J_ Inspector: FINAL APBftO(/AL Date: I %Clearance: NOTICE: Please take NOTICE ttrat 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carisbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS 2717 Athens Ave SUITE#/SPACE#/UNIT# CT/PROJECT*PHASE * # OF UNITS # BEDROOMS * BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Ana(s) Replace Furnace in Existing Locations EXISTING USE sfd PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE N0| | AIR CONDITIONING YES | JNOJ | FIRE SPRINKLERS CONTACT NAME (If Different Fom Applicant)APPLICANT NAME Jennifer Cole ADDRESS ADDRESS PO Box 711564 CITY STATE ZIP CITY Santee STATE CA ZIP 92072 PHONE FAX PHONE 619-405-2648 FAX 619-330-4796 EMAIL EMAIL jennifer@permitrunner.net PROPERTY OWNER NAME Dan Llano CONTRACTOR BUS. NAME ARS of San Deigo ADDRESS 1330 Keystone Way #A ADDRESS 8949 KenamarDr #110 CITY Vista STATE CA ZIP 92081 CITY San Deigo STATE CA ZIP 92121 PHONE 760-846-6434 FAX PHONE 858-805-0611 FAX 858-271-4478 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 791820 C20 CITY BUS. LIC.# 122873 (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 theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: LJ 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. L£j I have and will maintain workers' 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 Co Uberty insurance Corp Policy No. WC7631M»631018 Expiration Date wlmw This section need not be completed if the permit is for one hundred dollars ($100) or less. | I Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensation .damSgests provided for in SectTonlffO&ofthe Labor code, interest and attorney's fees. JS$ CONTRACTOR SIGNATURE/ j(J^ ^Iptt ~Y}d<~ CJ C J? 0AGENT DATE /£ -&/—£ H / hereby affirm that I am exempt from Contractor's License Law for the following reason: | | l, 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). ri 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). | | l am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I JYes I JNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE []AGENT DATE COMPLETE THIS SECTION FOR NON BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a businessman, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I I Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? LjYes l"~lNo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CjYes \\tto EMERGENCY SERVICES AND THE MR POLLUTION CONTROL DISTRICT. 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 Lender's Address OSHA: An OSHApemift is required for eravatasov^^ EXPIRATION: Every permit issued by the Building Official under the prowstons of this Code snail expretylimitatiw arid b 180 da>s from trie date of such pemit w if the buMra ^APPLICANT'S SIGNATURE/^ lUc/fl,DATE Id-3-/-£><? L/ City of Carlsbad Bldg Inspection Request For: 01/07/2010 Permit* CB092160 Title: LLANO RES REPLACE FURNACE Description: Type: MECH Sub Type: Job Address: 2717 ATHENS AV Suite: Lot: 0 Location: APPLICANT ARS Owner: LLANO GERMAN&FERNANDEZ CLARA I TRUST Remarks: Inspector Assignment: Phone: 7607301665 Inspector: Total Time:Requested By: CHRISTI GREEN Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Dec 20 2003 11:11RM SoCal Permit Services 619-330-4796 p.5 BEST COPY ACORD. CERTIFICATE OF UABILITY INSURANCE \vooss ICARIH ^ MHMflO A3BKNM 9KSK8*"*™ BBF MO 300 'd HV DO'-Ql NOW 6002-20-93J