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HomeMy WebLinkAbout2506 NAVARRA DR; 623; CB043409; Permit11 I 08-31-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Pethiit No: CB043409 Building Inspection Request Line (760) 602-2725 2506 NAVARRA DR CBAD St: 623 PLUM 21617051i Lot #: 0 Construction Type: NEW COTE RES- REPLACE WATER HEATER - - : Status: ISSUED , Applied: 08/31/2004 Entered By: KMT Plan Approved: 08/31/2004 Issued: 08/31/2004 Inspect Area: Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Owner: - W S R REVOCABLE TRUST 03-11-98 2506 NAVARRA DR #611 CARLSBAD CA 92009 Plumbing Issue Fee / ,-" $20.00 Fixture or Trap J 0 '-' $0.00 Building Sewer / '0.. .' N ' 2..•-. $0.00¼ Roof Drain o,/y, \ 'i.-\ Install/Repair Water Line / 7 0 . \ Water Heater and/orNent I -'-$7.00 \ Gas Piping System f '''-.) / .0 T'2-' \$0.00 Vacuum Breaker / $0.00 Other Plumbing Fe -- ( - Master Drainage Fe SewerFee (\ Additional Fees .,. / ç i $0.00 / TOTAL PERMIT FEE '\ \... -?i / $27.00 Total Fees: $27.00 / lPaym'rits To Dat O RATED $0.00 ,, /alance Due: $27.00 5-. LI /r 0221 09/01/64'0002 01 02 COP 27.00 EXPED PERMiT PERMIT WS 'XRED IN ACCORDANCE WITH U.B,C SECTION 10.4.4 DATE FOR OFFICE USE ONLY a PERMIT APPLICATION CITY OF A 1635 Faraday'Ave., g 8 BUILD ad, CA ING PLAN CHECK NO.___________ EST: VAL. Plan Ck. Deposit Validated By________________________ Date Address Legal Description Lot No. Subdivision Name/Number '. Unit No. 'Phase No. Total # of units co As ssor's Parcel # ' -. Existing Use , ' Proposed Use ME . DescriptioN of Work SO. FT.I/of Stories # of Bedrooms # of Bathrooms Address - City $tateiZip 16-0 7(1.' (c cfl ,.• Address , City gatelzili Name ' Address - City , . State/Zip , " Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, lmprove,'demolishor repair any structure, prior to Its issuance, also requires the applicant :f or 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 Codel 'or that he is exempt therefrom, and the basis for the alleged empdon. olonof Section 7031.5 bv nvaPPlicafor3mit suctplicant toe cjvil penalty of Name Address ' City. State/Zip . ele—dhone # State License # 'ZO License Class c.1'(D City Business License # 1 Designer Name . Address'City State/Zip ' Telephone State License # ________________________ ,. '• I&NOM IN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - - I have and will maintain a certificate of consent to seif.insure for workers' compensation as provided by Section 3700 6f the Labor Code, for the performance , of t e work *for which this permit is issued. f 9 49 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 Insurance Company policy number are Policy No j1 '7(o_()f Expiration Date L1/C, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR'LESS) CERTIFICATE OF EXEMPTION:. I certify that in the performane of the work for which this prrnit is issued, I shall not employ any person in any manner so as to become subject to the Workers' CompensationLaws.of California. WARNING: Failure to secure workers' ensntion coverage u wful, and shall subjectan.mpIoyer to criminal penalties' and civil fines up to one hundred thousand dollars ($100,000), in ion a c st mpensa • da gee as provided for In Section 3706 of th r. cod . Interest and attorney's fees. SIGNATURE i DATE_' d_.( I heieby affirm that I am exempt from the Contractor's LieSnse Law for the following reason: I, as owner of the property or my emploeLs 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 ;thereofl, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Licene Law). ' . - . . . ...• I am exempt under Section ' Business and Professions Code for this reason: I personally plan to provide, the major labor a1nd materials for construction of the proposed property improvement. 0 YES ONO I (have! have not) signed an application for a building permit for the proposed work: ' t•,. I have contracted with the following person! (firm) to provide the proposed construction (include name ! address / phone number contractors license number): • I plan to proFide portions of the work, but I iave hired the following person to coordinate, supervise and provide the major work (include name I address I phone number! contractors license number): I will provide some 'of the 'work, but I have contracted (hired) the following persons to providi the work indicated (include name / address I phone number / type of work): ' ' ' ' - PROPERTY OWNER SIGNATURE .I DATE 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air'pollutlOn control district or air quality management district? 0 YES 0 NO Is the facility to be constructed 'i,ithin 1,000 feel of the outer boundary of a school site? 0 YES'- 0 NO ' IF ANY OF THE ANSWERS ARE YES, AFINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED -UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENC* SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lendingagency for the performance of the work for ,hich this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME .' ': LENDER'S ADDRESS 9 LIJFI1 U I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cite 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 INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or constrUction of structures over 3 stories in height. EXPIRATFON: 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 wIthIqJA4a $ from the late of h rmlt or If the building or work authorized by suc permit Is suspended or abandoned at anytime after the work is commenced Building Code) DATE 2" APPLICANT'S SIGNATURE -;P07sCK~ -% -: File E WHITE: LLOW: Applicant PINK: Finance . S •. ' .1 ., 'I:, II47 Cr! City of Carlsbad Bldg Inspection Request For: 10/19/2004 Permit# CB043409 Inspector Assignment: Title: COTE RES- REPLACE WATER Description: HEATER Type: PLUM Sub Type: Phone: 6195205129 Job Address: 2506 NAVARRA DR Suite: 623 Lot 0 Location: - Inspector: APPLICANT A&J FOSTER, INC. Owner: Remarks: Total Time: Requested By: DAMIEN Entered By: CHRISTINE CD Description Act Coniment. 14 Frame/Steel/BoltinglWéldiAg NuT LUP7 Hol (!) 24 Rough/Topout oe 34 Rough Electric 44 Rough/Ducts/Dampers 5 Associated PCRs/CVs Inspection History Date Description Act Insp Comments - S o - CM C'n Ifl O 5, 1 - S - -