The URL can be used to link to this page

Home My WebLink About1810 GUEVARA RD; ; CB120497; Permit( ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-21-2012 Permit No: CB120497 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1810 GUEVARA RD CBAD PME 1562701600 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: MORENO RES-REPAIR ELECTRIC Inspect Area: ONLY DUE TO FIRE DAMAGE IN KITCHEN & GARAGE AREA Applicant: BRUNO GARDINER CONSTR PO BOX 687 CARLSBAD CARLSBAD CA 92018 760-729-8786 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: MORENO FAMILY TRUST 07-26-00 1810 GUEVARA RD CARLSBAD CA 92008 ISSUED 03/21/2012 RMA 03/21/2012 03/21/2012 $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPf3.0VAL Date 'J · .,2_fj · / :J.-. Clearance: 3,-z.-i-~z.. $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.~ Ym• 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 tees/e>.actions 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 f ti hvrevi ih flimiinh «1~ ¥ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave .• carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov F UNITS # BEDROOMS # BATHROOMS Plan Check No. Est. Value SWPP CONSTR. TYPE OCC. GROUP GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES • #_ NO • YES O NO • YES • NOD APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX M IL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# (Sec. 7031.5 Business and P_rofessions 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 licensed pursuant to the provisions of the Contractor'.s License Law )Chapter 9, commending with Section 70_00 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensaUon as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D 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 earner and policy number are: Insurance Co. _____________________ ~ Policy No, ______________ Expiration Date _________ _ ~ection need not be completed if the permit is for one hundred dollars {$100) or less. ~ 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 uni ful, 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, damag s provided for In 3706 e Labor code, interest and attorney's fees. _AS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: • I, as owner of lhe 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 Professklns Code: The Contractor's License Law does not apply to an 0W11er of property who builds or improves thereon, and who does such work himselt' 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 License 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. er(,, •No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' lk:ense 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 I 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/ phone I type of work): ~ PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardolls Sllbstance Account Act? • Yes • No Is the applicant or future bllilding occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is lhe facility to be constructed within 1,000 feet 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. I certify that I have read the application and state that the above infonnation Is coll'eCtand that the infonnation on the plans is accurate. I agree to comply with all Cizy oldinances and State laws relating to building construction. I hereby au1horize representative of the Qty of Carlsbad to enter llpon the alxlve mentior.ed l)'Operty br inspection JJJrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LWJILJTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: AA OSHA pem,tt is reqllired for excava~ons over 5'0' deep and demolition orconstnJctkJn of structures over 3 stories in height. EXPIRA.TION: Every permit isslled by the Buik:ling Official under the provisions ofth' Code shall expi by limfatk:ln and become nllll and vok:I Wthe OOilding or w:irk authorized by Sllch permit is not commenced IM!hfl 180 days from the date of such permit or if the orw:irk authorized bys rmtt is susl)El or abandoned at any time after the w:irk is commenced bra pericxl of 180days (Section 106.4.4 Uniform Buik:ling c.ode}. ~ APPLICANT'S SIGNATURE DATE 3-Z./-/L STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPllONS O PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1.) • ASSOCIATED CB#-------0 MAIL TO: o CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSmUCTION •MAIL/FAX TO OTHER: _______________ _ o CHANGE OF USE/ NO CONSmUCTION ,15 APPLICANT'S SIGNATURE DATE m City of Carlsbad Bldg Inspection Request . For: 03/27/2012 . Permit# CB120497 Inspector Assignment: Title: MORENO RES-REPAIR ELECTRIC Description: ONLY DUE TO FIRE DAMAGE IN KITCHEN & GARAGE AREA Type:PME Sub Type: Job Address: Suite: Location: 1810 GUEVARA RD Lot: 0 OWNER MORENO FAMILY TRUST 07-26-00 Owner: MORENO FAMILY TRUST 07-26-00 Remarks: AM PLEASE Total Time: CD Description Act Comments Phone: 7604209936 lnspecto(};t- Requested By: BRUNO Entered By: JANEAN 34 Rough Electric 39 Final Electrical fr------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments ·,1 STATEMENT -PROPOSAL QTY MATERIAL AMOUNT 4re: ,...,"7""'1 1--A ,C' f /4' 69L -/\ -1-_/) ., V.R.5 TO~ ..&A·~ 'Z <:u:::/) fi.-C/,:::,,<; S,7.A1/J'~ -~, V ~..,.,-,-,'1/~ Llu,F &,i7.;.,y_,../, ., .dLL , 'Jd//CT7&.d ,4,,iX-£.5' Tl'J P.~ ,-u .,,~, AFT.l'"R , .c-/ ,,._-,,,. ?Xt' ~"9 t. / ,,,✓.__ <' .P£r'Rd N / c:: /'.,6< 1.,, ~r.-~ I) WAIVER OF 3 DAY RESCISSION RIGHT: I HEREBY EXPRESSLY WAIVE THE RIGHT TO CANCEL THIS TRANSACTION WITHIN (3) BUSINESS DAYS AND DIRECT CONTRACTOR TO PROCEED ON THIS WORK IMMEDIATELY Sif"""'' Date· White-Contractor copy . 'C'UIH6~~ '7o.f4t Elut,ue Se,wae -P.O. Box 687 CARLSBAD, CA 92018 Phone (760) 729-8786 Cell (760) 420-9936 Lie.# 284719 4NEN7 .FCJ/?), JOB PHONE DATE OF ORDER PHONE TERMS'. ftn.l. PAYMENT DUE UPON COMPLETION OF WORK. MATERIAL ADVANCE PAYMENT MAY BE REQUIRED A. I Clfi9:VE,Q rt REST/?/~,1:::."L} ~E,Q ,C,,9,64£ 4:'&A"&-ICD17&'~ I : ' WORK ORDERED BY 6 ,/,1/411/ Yellow-Customer copy Pink-Proposal copy TOTAL MATERIAL TOTAL LABOR THANK YOU! PAY THIS AMOUNT