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2502 Navarra Dr; 221; CBR2020-0425; Permit
PERMIT REPORT Print Date: 03/05/2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2502 Navarra Dr, 221 BLDG-Residential 2161704931 $ 0.00 Residential Permit Work Class: P/M/E Lot#: Reference #: Construction Type Bathrooms: Orig. Plan Check #: Plan Check #: Description: CHANDLER: REPLACE A/C, LIKE FOR LIKE FEE Owner: Trust KADANSKY KENNETH G TRUST 2004 Subida Ter Carlsbad, CA 92009 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $ 175.00 Total Payments To Date : $ 175.00 (city of Carlsbad Permit No: CBR2020-0425 Status: Closed -Finaled Applied: 02/24/2020 Issued: 02/24/2020 PermitFinal 03/03/2020 Close Out: Inspector: CRenf Final Inspection: 03/03/2020 Contractor: EXCEL AIR CORPORATION 530 Opper St, Ste B Escondido, CA 92029-1034 760-741-5550 AMOUNT $175.00 Balance Due: $0.00 Please take NOTICE that approval of your project includes the "Imposition" 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 ~ees 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. Buildin Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 Ccicyor Carlsbad RESIDE~TIAL BUILDING PERMIT APPLICATION B-1 Plan Checkl6R,a4WO • CI--J;;zs"' Est. Value PC Deposit c9J != Date /?l/~ ' Job Address ;2 S"Q;). NAU'AJUlA P4 .u, ;l.; I Suite: ___ APN: _______ _ CTf Project#: ________ Lot#: ___ Fire Sprinklers: yes le!§} Air Conditioning: /!!JI no 0 Addition/New: _____ Living SF, Deck SF, ___ Patio SF, ___ ,Garage SF Is this to create an Accessory Dwelling Unit? Yes I No New Fireplace? Yes/ No, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? __________ _ D Solar: ___ KW, __ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes I No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ___________________________ _ ~umblng/Mechanical/Elec:trlcal Only: ----H:~Vfl'-'-'=C....._ _____________ _ D Other: -------------------------------- APPLICANT (PRIMARY CONTACT) Name: Exe~ A-1lL '71Y?(? Address: S:3o O{l(JW?. s:;:: SU.: g City: ~p,1>0 State: GA Zlp:"t~029'. Phone: 7 G,o • 7 Cf/ -~~~SJ Email: ¥ff< I I e t,< Ctt.Jt-<ie,0,4. q:,,c., PROPERTY OWNER Name: 1h,c, ; ~f/A,,t_si,gt. Address: :) 5?:>olJJAVttiAA y,e.. :if e~{ City: Cfl:4.,SBAO State: Cl+ Zip: ., .2,?q °' Phone: S">D-10(p-2-71( Email: J?o'::"1'= ffl'l,./(XES~ ;looae ~-Corn DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: _______________ Name: f?,{e.e-L e:, L. ~A(¼?obc!:CLd....l Address: Address: O'i> Q.(le fu. s .,-; -It& City: ______ State:, _ __,Zlp: ____ Oty: CCfi'r©• 0 o State: ,tt Zip: 7 ~ '.7 Phone: Phone: 7C«0' -'71//-S-~o Email: Email: j.tf::L.(.. 1 \? e,c. C€1,. A;;I &CA· Co r"-\ Architect State License: State License: 'i'Y?:SI cf Bus. License: B (.. O~/):I "'9~ ~ (Se.c. 7031.5 Business. and Professions Code: Any City or County which requires a permit to construct, alter, improve; demoltsh or repair any struaure, prior to ltS Issuance, also requttes the apptk:ant for such permit to flle a sl&ned statement that he/she ls Uc:ensed pursuant to the provisions of the Contractor's Uc:ense Law (Chapter 9, commending with section 7000 of DMsion 3 of the Business and Profession, COde} or that he/she Is exempt therefrom, and the basts for the •I~ ••emption, Airy violation of Section 7031.S by any applicant for a permtt subi,cts the BP!>licant to a civil penalty of not mon, than five hund...S dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: 8uilding@carlsbadca.gov B-1 Page 1 of2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: . I hearby affirm under penalty of perJUf'/ gm: of the following dee/orations: Cl I havund wUI maintain a certiflcote of consent to self-lnsure for worl<er, compensation provided by Se<tlon 3700 of the I.abet C<>de, for the perlormante of the wori< which this permit is Issued. ~ave and will maintain worf«!l's compenmlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit IS l,sued. My worl<ert' compensation '".:/Z.ric:~d policy number are: Insurance wt•ne: IN§ vr.y,,NC2 CD-A?' :ntE w f: i> r: Polley No. WS'])Sp :-J IJ E1111lratlon Date: '1-0 0 Certtftcate of Exemption: t certffy that in tbe performance of the work for which th1S pennlt is issued, I shall not employ any 1>ersoo In a11Y manner so as to be come subject to lhewori<ert' compe_,,satJon Laws of Cal!fomla, WARNING:-toNC,..._,_..,...,.,_..,......,... is unlawlul,and-lublo<t., employer to crlm ..... Pllllll!u and clvll-""to $100.0IIO.OO, In -tho to Ille -of co1npo1 I I tbo,--• p,ovlded far In Soctlon 3106 of Ille Labor Code, ,_ ..... __,.,..... @· CONTRACTOR SIGNATURE: --+-......,.---",...'----------□AGENT DATE: :;2. /:i 1 / _;)_o ~ . ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt trr,m Contractor's License Law for the following reason: Cl I, as._ o1 lhe property or my employees with-•• their -compensetlon, wlH do the worlc and the structure ls not Intended or offered for ,ale ($et. 7044, Busin.,s and Professions Code: 1'lle COntActors ucense I.aw does not apply to an owner of property who builds or tmp,oves thereon, 1nd who does such worlc himself or throush his own employees, PfO\llded that sud! Improvements are not intended o, offered for sale. ~. however, the buildlns or l'""'°""""'nt 1$ sold within one year of completion, the owner-buJlder WIii have the burden of proving that he dtd not build or improve for tbe purpose of sale). Cl 1, •• owner of the property, am exduslve!y contractlns with licensed contrecto,s to construct the project ($et. 7044, Business and ProfeSSlclns COde: 1'lle Contractor's License Law does not apply to •n owner of property who builds or improves thereon1 and contracts for such projects with contractol'(s) lieensed pursuant tx> the Contractor's Uc:ense I.aw). r:I I am exempt under section ______ ,Business and Professions Code forthts reason: 1. I penonal!y plan to provide the major lalJor and materials for construction of the proposed property Improvement Cl Yes Cl No 2. I (have/ have not) signed an appt1C8tlon for a buildlns permit for the p...,_d work, 3. I have contracted with the followlng person (flnn) to provlde the proposed construction (Include name oddress /phone/ controctors' license number): 4. I pion to provide portions of the wort<, but I have hired the followlns person to coordinate, supervise and provlde the m,Jor worlc (lndude name/ address/ phone/ contractors' Ucense number}; S. I wHI provide some of the wort<, but I have contracted (hired) the foHowlng persons to pnwlde the work Indicated {Include ntme / add,e,s /phone/ type Of work): OWNER SIGNATURE: ________________ □AGENT DATE: ____ _ CONSTRUCTION LENDING AGENCY. IF ANY: 1 hereby affirm thtt there Is a construction lending agency for the perlormanceof the wori< this permit Is lsSued (Sec, 3097 (I) CMI COde). _,_, _________________ -·--·----------------- ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant requtred to submit a business plan, acutely hazardous materials registration form or risk manaaement and pre:vention progrom under Sections 25505, 25533 or 255114 of the Pm~ Tonner Hazatdous substance Account Act? Cl Yes Cl No Is the oppl!Qnt or future building oceupont required to obtain a permit from the air pollution control dlstrltt o, air quality m,n ... ment district? Cl Yes Cl No Is the 1-dnty to be construc;ted within 1,000 feet of the outer boundary of a school site? 0 Ves CJ NQ IF M'I OF 1l!E -ME \'ES, A FINAi. CIIITll'ICA11! OF OCCUPANCY MAY Nor BE ISSUED UNI.ESS 1l!E APPLICANT HAS MET 011ISMEmN61111! REQUIREMENTS Of 1l!E OFl'ICE OF EMERGl!NCY SEllV1CB AND 1l!E AIR Plll.W110N CON11IOL lllSIIIICT. APPLICANT CERTIFICATION: I certify that I have read the appllcation and stlte that the a:bove Information ts correct and that the Information on the plans is accurate. I qree to comptywtth aft City o,dlna.-and State lows relating tx> building amstructlon. I he~ authorize --of theOtyof Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TOSA\/E, INOEMNIFV ANO KEEP HARMLESS M OTY Of CARISBADAGAINST AU. UA811J11ES, JUDGM£N15, CXl5lS AND EXP£NSe$ WHICH MAY IN llNY WAY ACCRUE AGAINSTSAID OTYIN CONSEQUENCE OF THE GRANTING OFTHlS PERMIT.OSHA: MOSHA permit Is required for emvations...,rS'O' deep and demolltion orconstruo:.tiOO of 5lruCIUreS ave,3 ""'1es In hel!ht. EXPIRATION: Eve,v pennlt-bythe Building Official undertheprovl~ons of this Code shall e,pioe byll-and beoome null and \/Old dthe ..-,gar worlcauthorlzed byiuchpenn1t~o1otc:ommencedwlthlnl80daysm,mthe-ofsudlpenn1torWthebuildlngorworl<authomedbysuchpenn1tlsSIJSlllft(ledorabandonedatanytlme alter thewori< IScommencedror a period of 180days (Sog!gn 106AA Undomi llulldlnsCode). APPLICANT SIGNATURE: -----1?5)..-L1'-"'-"!...-<"------------DATE: -"-;;2_~,/4'-";,c.......f /c,._a--_b __ 1635 Faraday Ave carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602·8558 Page2of2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2020-0425) Permit Type: BLDG-Residential Application Date: 02/24/2020 Owner: Work Class: P/M/E Issue Date: 02/24/2020 Subdivision: Status: Closed -Finaled Expiration Date: 08/31/2020 Address: IVR Number: 24974 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 03/03/2020 03/03/2020 BLDG-43 Air Cond./Furnace Set 121172-2020 March 03, 2020 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 121171-2020 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS Trust KADANSKY KENNETH G TRUST CARLSBAD TCT#72-33 2502 Navarra Dr, 221 Carlsbad, CA 92009-7008 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Incomplete Complete Page 1 of 1