HomeMy WebLinkAbout1814 GUEVARA RD; ; CB110497; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-09-2011 Plumbing Permit Permit No: CB110497
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1814 GUEVARA RD CBAD
PLUM Status:
Parcel No: 1562701800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: TERRY RES-REPLACE WTR HTR Inspect Area:
Applicant:
CALIFORNIA DELTA MECHANICAL
SUITE# 27
12440 OAK KNOLL RD 92064
866-898-0008
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
0
0
0
0
1
0
0
Owner:
SMITH JOE N lll&TERRY ALICIA G
1814 GUEVARA RD
CARLSBAD CA 92008
ISSUED
03/09/2011
LSM
03109/2011
03/09/2011
$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
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector:
FINAL A
Date: 5
VAL
Z<> II Clearance:
$0.00
NOTICE: Please take NOTICE Iha.I approval of your project includes the ~Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 00 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 wi!I 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
f in fwhlh hv rvi ilr hi r flimi r i I hi
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS 1814 Guevara Rd
CT /PROJECT # # OF UNITS # BEDROOMS
JL•~ ~ . -PHASE#
oES=c~R~l~PT~l~O~N~O~F~W~O~R~K~,-,nclude Square Feet of An•.-... ~.-..,-•-•<-•)~---~---
Plan Check No. (18 ( I 01..{9 I
Est. Value
Plan Ck. Deposit
Date 6'1 I I
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME I CONSTR TYPE I OCCGR~UP
Replace existing like for alike water heater
EXISTING USE I PROPOSED USE 'GARAGE {SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS v,so NO• v,s •No• YES•No•
CONTACT NAME (If D/ffenmt Fom Applicant) C l'f , D It M h , I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. ------------------~----ADDRESS ADDRESS 6052 e. baseline road suite# 155 6052 E. Baseline road suite# 155 ----CITY STATE ZIP CITY STATE ZIP
Mesa AZ 85206 Mesa AZ 85206
PHONE IFAX PHONE YAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-410-1499 --EMAIL EMAIL
california@deltamechanical.com galiapavlovabg@yahoo.com
PROPERTY OWNER NAME Alicia Terry CONTRACTOR BUS. NAME California Delta Mechanical Inc.
ADDRESS ADDRESS
1814 Guevara rd 6052 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008 Mesa AZ 85206
PHONE I FAX PHONE IFAX 760-434-9385 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADORES~ I STATE LIC. # STATE LIC.# [CLASS ICITYBUS LIC1214281 811114 c-36
(Sec: 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the apphcant for such permit to file a si~ned 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 1031.5 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:
[Z] 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. 0 I have and wlll 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 Policy No. 1697823 Expiration Date a,,01121111
This section need not be completed if the permit is for one hundred dollars ($100) or less [Z] Certificate of Exemption: I certify that in the performance of the work for which thi~ 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, damages as provided for in Se ·on 3706 of the Labor code, interest and attorney's fees.
RS CONTRACTOR SIGNATURE £
/ hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 appl_• · ,o 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) • •
I, as owner of the property, am exclusively contra:ting with licensed contra:tors 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. OYes ONo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contra:ted with the following person (firm) to provide the proposed construction (include name address I phone I contra:tors' 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 I address/ 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 I phone / type of work)·
RS PROPERTY OWNER SIGNATURE DATE
s the applicant or future building occupant required to submit a business.,llW!l, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Jresley•Tanner Hazardous Substance Account Act? D Yes LJNo
s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? Dves D No
s the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo
F 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
:MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
certify that I have read the application and 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.
hereby authorize representalive of the City of Ca1sba:l to enter upon the above mentioned prqierty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
\GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
)SHA: Ari OSHA pemil is required for excavations <Ner 5'0' deep crid demolition or coostruction of strudures CNer 3 &ories in height.
:XPIRA TION: Every pemil: issued by the Building Official under the provisions of this Ccxle shall expire by tillltation aid become null crid void if the btilding or work authorized by such perm~ is not commenced within
80 days from the date of such pemit or if the building or work a.ithaized by such · is suspended or ooandooed at any time after the work is commenced for a period of 180 days (Secooo 100.4.4 Uniform Building Code).
kf APPLICANT'S SIGNATURE DATE 3 /t;' /;
City of Carlsbad Bldg Inspection Request
For 05/02/2011
Permit# CB110497
Title: TERRY RES-REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1814 GUEVARA RD
Lot: 0
APPLICANT CALIFORNIA DEL TA MECHANICAL
Owner: SMITH JOE N lll&TERRY ALICIA G
Remarks:
Total Time:
Phone: 7604349385
Inspector: ----
Requested By: ALICIA TERRY
CD Description
25 Water HeaterNents
¥~ Co~ J!d Sy CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments