HomeMy WebLinkAbout1814 GUEVARA RD; ; CB021932; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-27-2002 Plumbing Permit Permit No: CB021932
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
Building Inspection Request Line (760) 602-2725
1814 GUEVARA RD CBAD
PLUM
1562701800 Lot #: O
Construction Type: NEW
ALICIA RESIDENCE
WATER HEATER REPLACEMENT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
SMITH JOE N lll&TERRY ALICIA G
1814 GUEVARA RD
CARLSBAD CA 92008
ISSUED
06/27/2002
MDP
06/27/2002
06/27/2002
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Inspector:
0
0
0
0
1
0
0
Clearance:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
$27.00
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 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
PERl\'hT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROjECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK No.C/'2Q:l_ 17 ( ~
EST. VAL. __________ _
Plan Ck. Deposit _________ _
Validated By __________ _
Date _______________ _
J 8] 4 GUEVARA RD
Address (include Bldg/Suite Ill Business Name (at this address)
Legal Description • Lot No1 Subdivision Name/Number
SFR
Assessor's Parcel II Existing Uso
Description of Work SQ. FT. #of Stories
wa~er Heater Reolace.ment 2. CC>NfACT PERSON (If dllfe~nt from appllcantJ
TERRY, ALICIA 1814 GUEVARA RD Carlsbad
Name Address City
3. APPLICANT -xO Contr8otor O Agent' for Contractor· 0 Owner • 0 Agent for Owner '
Arlen Foster/Cara) Faster 13706-B Hwy.8 Bus. El cajon ,
Name Address City
4 . PROPERTY OWNER
~RRY, ALICIA 1814 GUEVARA RD Carlsbad
ame Address City
6. CONTRACTOR -COMPANY NAME
Unit No. Phase No. Total II of units
Proposed Use
II of Bedrooms II of Bathrooms
CA. 92008 NONE GIVEN
State/Zip Telephone II Fax II
ca. 92021 (619)390-4477
State/Zir Telephone II
Ca . 92008 NONE GIVEN
State/Zip Telephone II
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a porrnit to construct, alter, improve, demolish or repair ~ny structure, ptior 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 7000 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than l ive hundred dollars 1$5001).
92021 619)390-4477
City State/Zip Telephone /I
State License 11...._6~3-D~J~2~D-----License Class _C=--...,3=--=6 ______ _ City Business License II 1 210836
Designer Name
State License 11 _ __,~ia;~IJ'/-tA~.------
6. WORKERS' COMPENSATION
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
0 I have and will maintain a certificate of consent to solf-insuro for workers' compensation as provided by Section 3700 of the Labor Code, lor the performa11co f of the work for which this permit Is issued .
. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for tho performance of the work for which this pe,mit is
I {\;sued. My worker's compensation insurance carrier and policy number are:
: Insurance Company State Comp Tns Policy No.467-01 0000713 E · · 04-01-02 xp1rat1on Dato _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
O 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 sons
to become subject to the Workers' Compensation Laws of California.
Is unlawful, nnd shall subject on employer l o criminal penalties end civil fines up to 0110 hundred
·_::_;;;,::""~'1:,:lit:'_.""'-''"".,.':.t: damages ns provided for (11 Section 3706 of the Labor code, Interest end attorney's lees.
~'.GN::::·-fi--e-u-,L-D-E~R==D;_E_C_LA_R_A_T_1o_N __ ___,:____,,~-'--'--------------DATE JUN 2 7 2002
I hereby affirm that I am exempt from the Contra tor's License Law for the following reason:
0 I, as owner of the property or rny employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Soc. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly 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, es 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 docs 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).
0 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. 0 YES ONO
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 I address / phone number / 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 / phone
number/ 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/ address/ phone number / typo of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _
COMP,LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONL y·
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 Hazardous Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from tho air pollution control district or air quality management district 7 0 YES O NO
Is the facility to bo constructed within 1,000 feet of the outer boundary of a school site7 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8 . CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Codel.
LENDER'S NAME NJNE LENDER'S ADDRESS __________________________ _
9 . ;ji.ppLJCANT CERTIFICATION-
I certify that ( have reed tho application end state that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter ur,on the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LI/\BILITIES.
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limilalion and become null and void If lhe building or work
authorized by such permil is no! commenced · · 180 daw.s fro the d uch permit or if the building or work aulhorized by such permit is s11~pended or ;:ibandoned
RI any lime after (he work is commenced a p '::.J 80 ~ (Secllo 1 nlform Building Code).
A PPLICANT'S SIGNATURE __ _....,::;__~_':__""_ .... _"':_-_':_ _____ ,c. _____________ D/\TE .;) I 2 7 ?Of:.?. ___ _
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/27/2002
Permit# CB021932
Title: ALICIA RESIDENCE
Description: WATER HEATER REPLACEMENT
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1814 GUEVARA RD
Lot
APPLICANT A&J FOSTER, INC.
0
Owner: SMITH JOE N lll&TERRY ALICIA G
Remarks:
Total Time:
Act Comments
Inspector Assignment:
Phone: 7604349385
Inspector: ~
L
Requested By: ALICIA
Entered By: CHRISTINE
CD Description
25 Water HeaterNents B_ _______ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments