HomeMy WebLinkAbout2832 Fairfield Ave; ; CBR2019-2816; PermitPrint Date: 10/22/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2832 Fairfield Ave
BLDG-Residential
1674802102
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#:
Description: KORVARIK; PEPLACE WATER HEATER
WATER HEATER PERMIT
Total Fees: $98.00
Owner:
COOWNER KOVARIK PABLO P AND JANICE
2832 Fairfield
CARLSBAD 92010
Total Payments To Date: $98.00
(city of
Carlsbad
Permit No: CBR2019-2816
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Closed -Finaled
10/08/2019
10/08/2019
Inspection: 10/22/2019 3:51:SSPr
Contractor:
WALTER ANDERSON PLUMBING INC
1830 John Towers Ave
El Cajon, CA 92020-1134
800-830-1102
Balance Due: $0.00
$98.00
Please take NOTICE that approval of your project includes the "lmposition 11 of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
«~~ Building Permit Application Plan Check No.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date lswPPP
JOB ADDRESS 2832 Fairfield Ave, Carlsbad 92010 SUITEI/SPACEI/UNIT# I APN ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE l occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
REPLACE WATER HEATER
EXISTING USE I PROPOSED USE ! GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I I AIR CONDITIONING l FIRE SPRINKLERS
YESO No[] vesONoO vesONoO
APPLICANT NAME JERMAINE MAEWEATHER PROPERlYOWNER NAME JANICE KORVARIK Prlna"' Contact
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 2832 Fairfield Ave, Carlsbad 92010
CITY STATE ZIP CITY STATE ZIP San Die!lo CA 92123 CARLSBAD CA
PHONE IFAX PHONE I FAX 888-991-4377 7608280812
EMAIL EMAIL
JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ANDERSON PLUMBING HEAT AIR
ADDRESS ADDRESS 1830 JOHN TOWERS AVE
CITY STATE ZIP CITY STATE ZIP
EL CAJON CA 92020
PHONE l'AX PHONE I FAX 8005301102
EMAIL EMAIL
ISTATELIC.# STATE LIC.# I 'c20/C36 I CITY BUS UC 107 4400 493163
(Sec, 7031.5 Business and Professions 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 JChapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he is exemin 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 cIvII penalty of not more than five hundred dollars [$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / 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' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this pennit is issued.
[Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work i~r which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co INSURANCE COMPANY OF THE WEST Policy No, WSA503748400 Expiration Date 8/2018
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance of the work for which this rmit 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 worl<ers' compensation coverage is uni a ul, 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 fn Section 3706 of th abor code, interest and attorney's fees.
JE! CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason·
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, w11I 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).
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. 0Yes 0No
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 (fim,) to provide the proposed construction (include name address I phone/ contractors' license number)·
4. I plan to provide !)Jrtions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name / address I phone/ 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/ type of work):
/E! PROPERTY OWNER SIGNATURE □AGENT DATE
!
i I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Act? □ Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management d'1strict? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D 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 construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1} C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that J have read the application and state that the above infonnatlon is oorrect and that the infonnatlon oo the plans is accura1e. I agree to oomply with all City on::linances and Sta1e law.. relating to building oonstruction.
I hereby authorize rep-esentative of the City of Car1sbad to enter Up:)n the aOOve mentoned property tirinsp:!COCln purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGPJNST &\ID CITY IN CONSEQUENCE Cf THE GRANTING OF THIS PERMIT
OSHA: M OSHA permit is required for excavations over 5'0' deep and demol~ion or oonstruction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the J:f()visions of this Code shall expire by im·1Iation and recome nu! and void if the building orv.ork authorized by such permit is not oommenced w'lhin
180days from the dale of sudl permit or if the building or oork au tho · by such perm~ is suspended or abandoned at any time after the v.ork is mmmenced for a periOO of 180days (Seclk:ln 100.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2019-2816)
Permit Type: BLDG-Residential Application Date: 10/08/2019 Owner: COOWNER KOVARIK PABLO P
AND JANICE
Work Class: P/M/E Issue Date: 10/08/2019 Subdivision: CARLSBAD TCT#82-16
Status: Closed -Finaled Expiration Date: 04/20/2020 Address: 2832 Faimeld Ave
IVR Number: 22285
Carlsbad, CA 92010-7010
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
10/22/2019 10122/2019 BLDG-25 Water 108491-2019 Passed Tony Alvarado Complete
HeaterNents
BLDG-Final 108492-2019 Passed Tony Alvarado Complete
Inspection
Checklist Item COMMENTS Passed
BLOG-Plumbing Final Yes
October 22, 2019 Page 1 of 1