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HomeMy WebLinkAbout1769 GUEVARA RD; ; CB072609; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-10-2007 Mechanical Permit Permit No: CB072609 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1769 GUEVARA RD CBAD MECH 1562702600 Lot #: $0.00 GAUL RESIDENCE RELOCATE FAU TO ATTIC & ADD A/C, ELEC 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/10/2007 MDP 10/10/2007 10/10/2007 GAUL FREDERICK J&ARNOLD KRISTI L GAUL FREDERICK J&ARNOLD KRISTI L 1769 GUEVARA RD CARLSBAD CA 92008 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 2 0 0 0 0 0 1769 GUEVARA RD CARLSBAD CA 92008 Total Fees $53.00 Total Payments To Date: $53.00 Balance Due: Inspector: Clearance: $15.00 $18.00 $0.00 $0,00 $0.00 $0.00 $0.00 $20.00 $0.00 $53,00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposi 10n" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pemiit 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 le s/ xactions f whi h hav r vio I b en iv n N Tl E similar his r s whi h imi i n h r viou I h rwi City of Carlsbad 1635 Faraday Ave., Garlsbad, CA 92008 760--602-2717 / 2718; 2719 Fax: 760-602-8558 Building Permit Application SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date APN JOB ~DR~SS / 7_ {. CT/PROJECT# 0 ~ --e.t/ c.u"= /--SJ._ LOT# PHASE# ~ --·c••o;,~U~N~l~Ts~~.~,~,~O~RO~O~M~S~-+~,~,7AT~H~R~O~O~M~S-~T~,~,~,=NrffiJs1NESS7N~AM,,,!E---------~,~o~,~,r~R~_~TY~,~,~~o~,~,~-G~R~o~u~,- DESCRIPTION OF WORK: (a,_ l .,D EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS YES • NO • CONTACT NAME (ff D/,re,ent Fom App/leant) APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL /1, ZIP 7~ 3 STATE LIC. # STATE UC.# CLASS CITY BUS. UC.# /Sec. 7031.5 8u1ine11 and Prolt11iom Code: Any City or Countr. which requires a permit to construct. alter/ improve, demolish or reP.air a"Y structure, prior Ill in i11uance, also requires the applicant for such permit to file a signed 1ta1ement that he is ticensed _Jlur:mant to the provi1ions of the Contractor's licen1e law {Chapter 9. commending with Secrion 000 of Divi1ion 3 of the Businm and Proiessions Code} or that he is exempt then!from, and the basis for the alleged eiemprion. Any violarion of Secrion 7031.5 by any applicant for a permit subjecu the applim1 to a civil penalty of not more than five hundred dollars {S500}). ; WORK;IIRS' COMf'IINSATION Workers' Compensation Declaratron: I hereby affirm under penalty of perjury one of the following declarations: • 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 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 carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ _ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. Ji$ CONTRACTOR SIGNATURE DATE I 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 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) D 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 D Yes D 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 I 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 I address/ phone I contractors' license number): tracted (hired • 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes • No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. I certify that I haw read the application and state that the above lnfonnation lsconectand that the lnfonnation on the plans ls accurate. I agree to comply with all City ordinances and State la~ relating to building construction. bhereby authOfize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations c,.,,er S'0' deep and demolition Of construction of structures over 3 stories in height. EXPIRATION: Every permit is.sued by the Bui!di Official under the provisions of this Code shall expire by limitation and become null and void if the building Of wm authorized by such permit is not commenced y,.fthin 180 days from the date of such permit or if ing or ~ by pe,mit is suspended or abandoned at any time after the \Wik is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ,1$ APPLICANT'S SIGNATURE DATE -lo-. City of Carlsbad Bldg Inspection Request For 10/19/2007 Permit# CB072609 Title: GAUL RESIDENCE Description: RELOCATE FAU TO ATTIC & ADD A/C, ELEC Type:MECH Sub Type: Job Address: 1769 GUEVARA RD Suite: Lot: 0 Location: OWNER GAUL FREDERICK J&ARNOLD KRISTI L Owner: GAUL FREDERICK J&ARNOLD KRISTI L Remarks: Total Time: ----- Act Comments Inspector Assignment: Phone: 7607290544 Inspector: Requested By: FRED GULL Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set _E:£ _____ _ ·----------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments