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HomeMy WebLinkAbout2503 NAVARRA DR; 106; CB982358; PermitON ófCarIbad '. MISCELLANEOUS Permit No: CB982358 Job Address: 2503 NAVARRA DR .4.310 Status: WITHDRAW Permit Type: MISC Applied: 7/24/1998 Parcel No: 21617O490I Lot #: Apprved: Reference No: • Issued: PC #: ,• Inspect Area: , ( Project Title: REMOVE CLOSET,ADb LADDER TO LAUNDRY Applicant: • • Owner:. STEVENSON, JOHN • HADLEY TODD • 1635 6TH .•. SAN DIEGO CA • 619-234-7331 er • 100136104228 I Is!' MISCELLANEOUS TOTAL IF $34.00 • 100136104228 p MISCELLANEOUS TOTAL $34.00 I • • • 100136104228 MIScELLANEOUS TOTAL 100136104228 MISCELLANEOUS TOTAL II $34.00 •• 00136104228 l [ MISCELLANEOUS TOTAL $34.00 016104228. ] I*MISCELLANEOUSTOTAL JI. $34.00] . / Fees: [ $34.00 I Additional Fees: L_:J Total Fees: $34.001 BaInce: L:_J V1101 - .. FOR OFFICE USE. ONLY, PERMIT APPLICATION , •.. ... . PLANCHECK. NO._________ CITY OF CARLSBADBUILDING DEPARTMENT EST. VAL.. 2075 Las Palms Dr, Carlsbad CA 92009 Plan CL Deposit ,J (760) 438-1161 :'lid ted By / 17 2'O IA 059-7-1 Address (include BId/Suite #) Business Name (at this address) - Legal Description - Lot No. Subdivision Name/Number . U3O7/1aN ptaF#0units' LAA 34.. Assessor's Parcel ,# . Existing Use Proposed Use - Description of•Work . . . . . . SQ. FT. -. #of Stàrie.-. # of Bedrooms "# of Bathrooms a-biaT._4 ,,c, P(2-'T° LMor-t5 4_GkcTh _4 _121 'li.tol_?3.4,i3?l :Name Address . •. . . . City . State/Zip - "Telephone # ' — Fax # IOrjioL A§-:ifit DP(_gei fo'Qij - , iJco .17.L 131 Name Address ............. City - State/Zip - TSlephone # ERT_T . .. T__vv______JL .tt?ti - - sar - V 000V ,srttftttixt--- . ---- --- t'r'1L 44t'AMVS .2503 QAV&R.A Qr2 Name . Address City State/Zip . Telephone# V __V_VV •0VV00VV . 0'0'V ••0'V' VV 'V* __.o.. i'V.*JONTRA att. . VyVta V VV J':.t'. V V (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve,'demolish or repair any truéture, prior to its- issuance, also requires the applicarct 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 dodo] orthat he is exempt therefro mand 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 five hundred dollars ($5001) Name Address V VV City .- 'V Staté/Zip Telephone '# State License # V___, ___V, Licênse.Class V City Busiress License Designer Name V , , V Add 55S V V -, City,,,.. .: State/Zip j, Telephone V StateLicense# VV• __f , V V' 'Vf -:'-- ........V' VVVVV _0VV_.0 . V Workers' Compensation Declaration: I hereby affirm under penalty of perjury-one of the following declarations: . . 0 I. have and will maintain a certificate,of consdntto.self-insure for workers' .compération.as proided by Section 3700 of the Labor Code, for the performance ' of the work for which this permit is issued. V •- . V V 0 I have zand will maintain-workers' compensation, -asrequiredby Section 1700 of the Labor Code, for the performance of the work for which, this' permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date__________________ (THIS SECTION NEED NOT LBE 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 shallnot ei,iploy any p5rson-ir any manner so as to beco me subject to the Workers Compensation Laws of California 44 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 Section 3706 of the Labor code Interest and attorneys fees SIGNATURE DATE NER& I'D ER DECLARATION_ ~U hereby affirm that I am exempt from the Contractor's License Law for the following reason: Z 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 pioject (Sea. 7044, Buiiies' 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). 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 DNO r 2 I (have / have not)signed an apphcàtioh for a biIdiig permit for the proposed work. I have contracted with,the following person (firm) to provide the proposed construction (include name / address /'phone number'/- contractors license number): I plan to provide portions of the work, bt I have hired the following persOn to oOrdinate, supervise a'nd provide the major or (include name I address! phone number / contractors license number): 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 /type ofwork): -.... V PROPERTYOWNERSIGNATURE 'V . ______. _. __. ____-- _V..-DATE - L-TH rPLETErs SE Rfill Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program uiider Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?-' 0 "YES0 0 NO- - - Is the applicant or future building occupant required to obtain a permit from the air pollution contrl district or .,air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary, of a school site? 0 YES 0 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. . I8J.CONSTRUcTIONLENDINGAGENCYVV'V LT 1.31 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 Code). LENDER'S NAME - V - LENDER'S ADDRESS I'certify that I have read the application-arid state that the above information is correct and that thi inforriation on the plans is accurat"l agree to comply with all - City ordinances and State laws relating to, building construction. I hereby authorize representatives of the Citi 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 permit is required for excavtations 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 limitation an'dbecome null and void if the building or - work authorized by such permit is not commenced within 365 days from the date of such permit or, if, the building or work authorized by such permit is suspended Or abandoned at any time after the ork is commenced r a pe i d of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT S SIGNATURE Z44L4xi a4:;&L -fir! A DATE - ': - WHITE: No: ' YELLOW: Applicant PINK: FinanOe