HomeMy WebLinkAbout2505 NAVARRA DR; 316; CB122308; PermitI
m0a0M01s REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING DENâINEERING 0 BUILDING 0 FIRE '0 HEALTH '. 0 HAZMAT/APCD.
-. B Permit Application 1.uilding Plan Check No 2Ie . 3O
1635 Faraday Ave carlsbad CA 92008., Est Value
',CITY OF " ' 'Ph' 760-602-2719 Fax: 760-602-8558, . . '.
C A D I Q A F' email buidllng@carlsbadca gov, Plan Ck Deposit
', www.carlsbadca.gov " r. .. . - Date • SWPP
•'
JOB ADDRESS
' Ncacr-o,tr' ' ssu SUITE#/SPACE#/1UN •. 'r•oAPN- 4 cplip
.cr/PROJEcr# - LOT # ' ". " PHASE #, #OFUtfS #BEDROO,MS # BATHROOMS' ENANTBUSINESSNAME, ., . , .. CONSTR. TYPE DCC. GROUP
- DESCRIPTION OF-WORK: include Square Feet of Affected Area(s),' - •' . ' . . . .
I .3cer \AEod i-n
EXISTING USE, ' '. •, PROPOSED-USE - , ' GARAGE (SF) . PATIOS (SF) DECKS (SF) ,' FIREPLACE ' AIR CONDITIONING FIRE SPRINKLERS
' ., " ,
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.
YES # NOD . YES'ff NOD., YES CI NOD
AP!LIcANT'NAME (Primary •\t..Yi'r " ,
,. APPLICANT NAME (Secondary Contact)
ADORES ' . . ' 5O12,, 1N )crrciTr
ADDRESS
,
FITY
0A, CR STATE CITY . ' •.
, . STATE ZIP
PHONE ' ' FAX . ' . PHONE ' '' ' FAX
(cj2r
hMAIL 7, EM AIL
PROPERTY OWNER NAME ' . -.4 . . ' CONTRACTOR BUS. NAME CY
ADORE ' ". ' ' . .
Na --ADr 3L
to
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ADDRESS;
CITY STATE ZIP '%' TE ,.
T FAX ,H'
LA
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
(Sec. 7031.5 Business and Pofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an
- applicant for such permit to file a sited statement that he is licensed pursuant to the provisions of the Contractor's License Law jCflapter
Business and Professions Code) or at he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by
civil oenaltv of not more than five hundred dollars ($500)).
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CITY BuS.UC.#
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a, prior to its issuance, also requires the ending with Section 7000 of Division 3 of the ilicant for a permit subjects the applicant to a
Workers' Compensation Declaration: I hereby affirm underpenaItyofre4urgone of The foilowing declarations:
0 I have and will maintain a certificate 'nf consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the p'ertormance of the work for which this permit is issued. ,
01 have and will maintain wp*ers'compensatiRn, as re Wait y Sec!bn 370 of the Labor r the performa of th this permit d. My workers' compensaficm!'2;~'njcarneg d policy Ac
to Pal - W90 V9
This section need not be completed if the permit is for one hundred dollars ($100) or less..
O 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 mariner 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 employerto criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in
addition to the-cost of compensation, a ages as provided for In Section 3706 oft, Labor code,'interest and attorney's fees.
CONTRACTOR SIG NATURE [3AGENT DATE ax
Ihereby affirm that lam exempt from Contractor's License Law for the followingreasbn: '
O 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 loan 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 bOrden of proving that he did not build or improve for the purpose of sale).
(3 1, as owner of the property, am exclusively contracting With licefised contractors to construct the pmject (Sec. 7044, Business and Professions Code: The Conbradoes License Law dabs 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:
1.1 personally plan to provide the major labor and materials for cOnstruction of the proposed property improvement DYes .0 No
2i (have /have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include 'name address! phone/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 /contractors' license number):
5.1 will provide some of the work, but have conlracted'(hired) the following persons to provide the work indicated (include name/ address / phone /type of work):
.PR0PERTY OWNER SIGNATURE - - . ,,-; . - ' OAGENT ." DATE
- - , '• -, ;- •" ': - -..
-' -'• r' - -. - - -
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T1 ;
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials reglstation form or riskmanagement and prevention program under Sections 25505,25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act? DYes 1 0 No
Is the applicant or future building occupant required to obtain a pemift from the air pollution control district or air quality mànagementdislitct? (3 Yes ... 0 No - Is the facility to be constructed within 1,000 feet of the outer boundary ofaschool site? DYes 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. --
-:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) -
Lender's Name. - -. - I . -. Lender's Address
outlythati have read the application and slate thatthe above Inl6imallim Is oDnedand thatthe Information oh the plansils aiccurats. I agreeto compl~vft all C11yordinances and
O@ Ø LA•Z
Statelaws relating tobuildingcenstnuction
Ihereby'authorize rpresentativb of the Cityof Carlsbad to enter upon the above mentioned properly for inspection purposes. IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARL, SBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMif. -.
OSHA: An OSHA petmit is required far excavations over 5'O deep and demolition or construction of structures over3stories in height.
EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nut and void I the building or work authorized by such permit is not commenced wlhvi
180 days horn the date of such pemWorif ebuidingorwoilc authorized by such permit is suspended or abandoned at any tume alter lhe woik is commenced fora period off 80 days (Section 10644 Uniform Building Code)
£APPLICANT'SSIGNATURE
. .j .- - DATE:—
ClEnTIFI CATEE
Fax (760) 6024560 Email www buildunplcadsbadca pay or Mail the completed form to City of Carlsbad Building Division 1635 Faraday Avenue Carlsbad California 92008
CO# (Office Use Only)
- CONTACT NAME . •• . - OCCUPANTIIAME - .. . . . .•.- . • -
ADDRESS •.. BUILDING ADDRESS
CITY. - STATE - - ZIP CITY STATE .. - ZIP
- . - . .
• .
. - . Carlsbad - - - A -- - .
PHONE • - - - - FAX . -
• - *
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS - •- -. - • • - -, ' '. . . . •
0 PICK UP: a CONTACT (Listed above). ci OCCUPANT (Usted above) .
- - ci CONTRACTOR (On P. 1)
•
. - . - ' . . . -. . - - . - -
- . D ASSOCIATED CB 0 MAIL TO a CONTACT (Listed above) o OCCUPANT (LISted above) . . . ...... -
0 CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION,
O MAIL /FAX TO, OTHER: . -•: - . - - - . . . - . . - . . •
- . . •. - .• -
.c - -. - - - - 0 CHANGE OF USE / NO CONSTRUCTION .
'APPLICANf'S SIGNATURE - '- . . •- -, -- -- - : - DATE '. i-• - - . . - - -.
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4
- .. - -•. . . .-
cIT' OF
CARLSBAD
Community &.Economic Development www.carlsbadca.gov
February 26, 2013 Permit Number: CB122308
Issue Date: November 1, 2012
RESIDENT OF RECuRD. copy
2505 NAVARRA DR 316
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION ADDRESS: 2505 NAVARRA DR 316
PERMIT TYPE: PLUMB/MECHIELECT PERMIT PLEASE CALL FOR AN INSPECTION IF WORK IS
REPLACE A/C HEAT PUMP COMPLETE
Our records indicate that your building permit will expire by limitation of time on April 30, 2013
The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: 'EXPIRATION"
Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null
and void if the building or work authorized by such permit is not commenced within one hundred eighty calendar days
from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is
commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit
exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the
permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within
one-hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee
has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day
period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half
the amount required for a new permit for such work, and provided that no changes have been made or will be made in
the original plans and specifications for such work, and provided further that such suspension or abandonment has not
exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under
that permit when the permittee is unable to commence work within the time period required by this section for good and
satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for180 days. (must attach a letter of explanation)
Renewal permit requested.
If the project has been ôompleted and only a final inspection is needed, please call the inspection request line at 760-
6022725.
If you have any questions, please contact the Building Inspection Division at 760-602-2700
Janean Hawney
Office Specialist
Building Division
1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560