HomeMy WebLinkAbout1038 BUENA VISTA WAY; ; CB021616; PermitJob Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB021616
1038 BUENA VISTA WY CBAD
PLUM Status: ISSUED
1551601700 Lot#: 0 Applied: 05/29/2002
Plan Approved: 05/29/2002 Issued: 05/29/2002
Construction Type: NEW Entered By: MDP
GOMEZ RES-NEW WATER HEATER & Inspect Area: RF
INSTALL GAS SERVICE
Applicant: GOMEZ GERARDO&ABIGAIL
1038 BUENA VISTA WAY
CARLSBAD CA 92008
1038 BUENA VISTA WAY
CARLSBAD CA 92008
CGf"
!:I Total Fees: $34.00 Total Payments To Date: $27.00 Balance Due: $7.00
Plumbing Issue Fee
Fixture or Trap
\ Building Sewer
Roof Drain
i Install/Repair Water Line
Water Heater andor Vent
Gas Piping System Vacuum Breaker Other Plumbing Fees
Master Drainage Fee
1 Sewer Fee
+ Additional Fees
I TOTAL PERMIT FEES
$20.00
$0.00
$0.00
$0.00 $0.00
$7.00
$7.00
$0.00 $0.00
$0.00
$0.00
$0.00
$34.00
FINAL APPROVAL
Date: (-IOC 63 Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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.
Plan Ck. Deposit CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
-
Total # of units Phase No. Legal Description Lot No. Subdivision NamelNumber Unit No.
Assessor's Parcel # Existing Use Proposed Use
SQ. FT. #of Stories # of Bedrooms
prOpJU2.
# of Bathrooms
issuance, also requires the applicant 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 the Business and Professions Code1 or that he is exempt therefrom, and the basis for the alleged
ion of Section 7031.5 by any applicant f a per it subj cts the applicant to a civil penalty of not more than five hundred dollars 1$5001). //IC, fl& -/A 7 29-JC Py Name Address City Statelzip I Telephone #
State License # 34 99 Yb License Class - C- 34 City Business License #
Designer Name Address City StatelZip Telephone
476.q f!!#-ch!aad
have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$lOOl OR LESS)
0 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 en employer to criminal penalties and civil fines up to one hundred
thousand dollar$ ($100.000). in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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).
0 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(s1 licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
4.
number / contractors license number):
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
1 lhave I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number):
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 / phone
Business and Professions Code for this reason:
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
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.
0 YES 0 NO
0 YES 0 NO
LENDER'S NAME LENDER'S ADDRESS
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit) 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 EXPENS
OSHA: An OSHA permit is required
EXPIRATION: Every permit iss
at any time after the work is co
APPLICANT'S SIGNATURE DATE
MAY IN ANY WAY ACC
tions over 5'0" deep and
INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
or construction of structures over 3 stories in height.
lding Official under the f this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not ithin 180 days from th ch permit or if the building or work
rrn Building Code).
WHITEW YELLOW: Applicant PINK: Finance I /
City of Carlsbad Bldg Inspection Request
For: 03/06/2003
Permit# CB021616 Inspector Assignment: PD
Title: GOMEZ RES-NEW WATER HEATER &
Description: INSTALL GAS SERVICE
Type: PLUM Sub Type:
1038 BUENA VISTA WY Job Address:
Location:
Suite: Lot 0
APPLICANT GOMEZ GERARDO&ABIGAIL
Owner: GOMEZ GERARDO&ABIGAIL
Remarks: NO RESPONSE TO EXP LETTER
Total Time:
CD
29
Description
Final Plumbing
Phone:
Inspector:
Requested By: CHRISTINE
Entered By: CHRISTINE
Associated PCRs/CVs
InsDection History
Date Description Act lnsp Comments
06/26/2002 23 GawTesffRepairs AP PD NOTFINAL
06/25/2002 23 GadTesffRepairs CO RF 21N GAS TO GARAGE ?