HomeMy WebLinkAbout1812 GUEVARA RD; ; CB081838; Permit,, -•
l
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-25-2008 Miscellaneous Permit Permit No: CB081838
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1812 GUEVARA RD CBAD
MISC Subtype: OTHER Status:
Parcel No: 1562701700 Lot#: 0 Applied:
Valuation: $0.00
Reference #:
PC#:
Project Title: CONTRERAS RES -STUCCO
OVERT 111 SIDING APPROX 940 SF
Applicant:
CONTRERAS CHARLES J&MARY
1812 GUEVARA RD
CARLSBAD CA 92008
760 434 4905
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Ente,ed By:
Plan Approved:
Issued:
Inspect Area:
Owner:
CONTRERAS CHARLES J&MARY
1812 GUEVARA RD
CARLSBAD CA 92008
ISSUED
09/25/2008
LSM
09/25/2008
09125/2008
$130.00
$0.00
$0.00
$130.00
Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmpositio " 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 !lny 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
f · n vi I n iv n N T fli i in h vi I
~ City of Carlsbad Plan Check No. ~ eJ 8° i '8'3 8'
1635 Faraday Ave., Garlsbad, CA 92008
7'30-602;2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
JOB ADDRESS
?~
CT/PROJECT# # OF UNITS # BEDROOMS
Est. Value
Plan Ck. Deposit
Date &/ /)6 O 3
SUITE#/SPACE#/UNIT# APN
#BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
-
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES •#_ NOD
AIR CONDITIONING FIRE SPRINKLERS
YES • NO • YES O NO •
ZIP "t u;cJ i"
PHONE ~ {)J I.{ 2J.{ I.{ 't {f-, FAX
EMAIL
PROPER1Y OWNER NAME Clr!tA II l l\ t #llalir CONTRACTOR BUS. NAME
ADDRESS t 'is" ( lf GvJ_, \[ fA_. /L"-fl..Q . ADDRESS
ZIP CITY STATE ZIP
PHDNE l..11.,,o) lf"l_, l.( '{ 'fa{ FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. LIC.#
!'Ste. 7031.S BuUness and Professions Code: Airy City or CountY, which requim a permit to comrnict. al~ improYt\ demolish or rtP.air any structure,_ prior to its issuance, also rtquim the mlicant for such pet;mit IO file a signed statement that ht is rKtnstd _ll!nuanl IO lhe pl'O'l'isions of the Conli'acloi'', l.iceme !,aw {Chapter 9, commending wilh Seclion 1000 of D1¥ision l of tht Business and Proiessions Code} or 1ha1 he is nmtpl thertto111, and the bui, for tbe allegfd nemplion. Any l'iolalion of Section 703 I.S by any appricanl for a pennil subjects the appl1ant IO a Cffll peaalty of no1 more than five hundred dobn {$500H
WORKERS" COMPENSATION
Workarl' Compenaallon Declaration: I hereby affirm under penalty of peljury ooe of the following declarations:
LI I have and wlll maintain a certlftcata of consent to aelf-tnaure for workers' compensation 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 wlll maintain workers' compenllllon, as required by Section 3700 of the labor Code, for the performance of the work for which lhis permil is issued. My workers' compensation insurance carrier and pollcy
number are: Insurance Co. ___________________ Policy No. _____________ Explrallon Date ________ _
This section need not be completed ii the permit is for one hundred dollars ($100) or less. 0 Certfficate 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 lo become subject to the Workers' Compensation Laws of
Cslifornia. WARNING: Failure to secure workers' compenaatlon coverage is unlawful, and shall aubjed an employer to criminal penalties and cfvil flnu up to one hundred thousand dollars (&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.
KS CONTRACTOR SIGNATURE DATE
OWNER-BUILDER DECLARATION
I here~ that I am exempt from Contractor's Ucense Law for the following reason: Vi, as owner of the property or my emplayees with wages as their sole compensation, will do Iha work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
Licensa 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 Iha! he did not build or improve for the purpose of sale).
• I, as owner of Iha 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 contracto~s) licensed pursuant to the Contractor's license Law).
• I am exempt under SecHon ____ 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. • Yes D 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 (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, bul I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, but I ontracted (hired) the following persons to provide the wOfk indicated (include name I address/ phone/ type of woric;):
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matelials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Ac!? • Yes • No
Is the applicant or future buildlng occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes • 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 affirm that there is a constructton lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I ~rtlfythat I have read the appllcatton and st.ate that the abcM Information Is conect and that the lnfonnatlon on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to bulldlng construction.
I hereby au1horize representalM! a lhe Cly a Carlsbad IOenter l!lOO lhe abo,,e mentklned property far ilspeclkln purposes. I ALSO AGREE TO SAVE, l~EMNIFY AND KEEP HARMLESS 11-IE CITY OF CARLSBAD
AGAINST AU. LIABILITIES, JUDGME~S. COSTS ANO EXPENSES WHK;H MAY IN ANYWAY ACCRUE AGPJNST SAID CITY IN CONSEQUENCE OF11-IE GRANTING OF 11-IIS PERMIT.
OSH/1: AA OSHA pennl • requred far excavatklns """SU' deep and demollkln or coo~ructkln a SlrlJClures Ml 3 ~ores i1 heg,t.
EXPIRATION: Eve,y pennl ilsued lrj lhe Build' ial lllderlhe pr<Nolons a lh• Code shall e,pi'e Ir/ hilalion and become nu! and voo llhe btJ~i1g orll"'1< authorized Ir/ such pennl. na canmenced v.ihi1
1110 days m lhe dale of such penn! or ff lhe or 11"'1< authorized i,,, such pennl • suspended or ablr1da1ed at any 1iTie after lhe 11"'1< • co 111" iced far a period a 100 days (Section 106.4.4 Uniform Bui~i1g Code).
2SAPPUCANT'SSIGNATURE , ·7·1/1... f<-G------DATE i ( i l or
City of Carlsbad Bldg Inspection Request
For: 12/16/2008
Permit# CB081838
Title: CONTRERAS RES -STUCCO
Description: OVERT 111 SIDING APPROX 940 SF
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
1812 GUEVARA RD
Lot: 0
OWNER CONTRERAS CHARLES J&MARY
Owner: CONTRERAS CHARLES J&MARY
Remarks:
Total Time:
CD Description Act Comments
UJ~
Inspector Assignment: PC ---
Phone:
Inspector: ~ ~
Requested By: NA
Entered By: CHRISTINE
18 Exterior Lath/Drywall
~ PtWr1... --]if---___ -_____ --___ __-__________ -_ -_____ -_______ _
-----------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
09/26/2008 18 Exterior Lath/Drywall
Act lnsp Comments
AP PC