Loading...
HomeMy WebLinkAbout2507 NAVARRA DR; ; 81-135; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing wilh Section 7000) of Division 3 of the Business and Profes• slons Code, and my license is in full force and ef· feet. OWNER-BUILDER DECLARATION DI hereby allirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which reQuires a permit to con• struct, alter, improve, demolish, or repair any structure, prior to its issuance also reQui the applicant for such permit to file a si d state• ment that he is licensed pursuant the provi- sions of the Contracto~ Licens aw (Chapter 9 commencing with ffi!iqliO(l 7 of Division 3 of the Business andf'rolessi Code) or that is ex- empt therefrom a' t' ·s for the alleged ex· emption. Any viola t Sec ·on 7031.5 by an ap· plicant for a permi su jects he applicant to a civil pe~.•.Y ~not re han live hundred dollars ($500). \'-. ~ L' I, as o~' tlf o the roperty, or my employees with wage\~· t~eir s le comp.ensation, will do the work, a e·structure is not intended or of• fered for sa c. 7044, Business and Profes- sions Code: e Contractor's License Law does not apply to a 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 of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner•builder will have the~urdef\oi_p'):>Vif!.9 tpat he did not build or impro~ tor .. ~~ur~\f pf sale). •· =i, as owner of the property, a e tracting with licensed contrac s to ! the project {Sec. 7044, Business Pro ions Code: The Contractor's Lrcens~ L: es t ap- ply to an owner of property: :\ho builds or rm• proves thereon, and who ~ts for such pro- jects with a contractor(s) se pursuant to the contractor's License Law). ' I am exempt under Sec _____ , B. & P.C. for this reason, ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con· sent to self-insure, or a certificate of Workers' Compensa ion Insurance, or a certified copy thereof c. 3800, Labor Code) 6gu A~Yo .. _ ------------ opy is filed with the city. C Certified copy is hereby furnished (This section need not ~e pie! he per· mit is for one h_u re~ dol~.r's ( or less). I certify that int e P8rlo of the work for which this per,nit I iss; , shall t employ an. y person in any r:i;i•~nn rs as o become subJect to the Workers' ~".IP s ion Laws of California NOTICE TO AP L~NT: If, after mak.ing this Ger· !llicate of Exem 110n, you should become subject to the Work.e~s· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revok.ed. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len• ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 "'· JOB ADDRESS AV, ST • .!DATE OF APPLICATION l ,-S-,c-,7, ,h{,A:,\f,A, Pie ,A-, eo 4 . I I ' I I I I ' I I ' I I I I I ID,K.. -/C:,-'\'..o/ OWNER OWNER'S PHONE PRIME CONTRACTOR /.Jl(.'o.x (k. (~ 1 de\·,, /l.-,,,.,,,, '\\ , IV' 1 '.., A-,, n 1.5~ -c..1,1t A.,, 7 /i::f,1 UI\ r,'17,/<-, OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ( J-.'-i,'7 /Jc.wa.tr CJ._,, I\ r. #=-/o-5 Ctv h, ... k, ti '7:x,;1..,J 6,,t1,tft1, --· f~-~(. COT BLOCK I suB·D1v1s10N I ASSE}S08'S PARCEL NO. t,,-=<., "'t,'f;' ~ ."l, ,(,,,, -, 1,7,0 ,-, ·' )'-\ ""'-~ DESCRIPTION OF WORK 1--.. ,/61\ W.J~ DESIGNER'S ADDRESS ~C1J~"i1 ( 1 '"1''fl'"f\t.r:· ,.,, l '--,1 · \,,___:.,'l, \ , ·, -1 \..l..., ~-' L -~-::,)() 17'1 1 1 ( 'k,, 1 !1/· ',j',)1',() ,, C, .. :L ~ CENSUS TRACT GP LAND USE ' ZONING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. L lCENSE PERMIT NUMBER .:)" ry • "< STATE LICENSE f/✓!.3~,/ I :z..,1_ ,, i~ -- CONTRACTOR'S ) llfZfJ.:)&or STATE LICENSE ·-'£!1.7(J' ,.,1,../81~~(:i DESIGNER'S PHONE ') "i-., :,Jr ~ •• v ~ µ,_I_ . " . I RES, UNITS ·1 P;RKING SPACE sf I NUMBER OF STORIES Nat Va.id Unless Machine Cartifi«t BLDG SQ. FT. BLOG USE occ. GP I STANDARD PLAN -1t ['?;;'~~33-I TYPE CONST l occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU EACH BUILDING SEWER ~.,f/V . OVER 100,000 BTU I EACH WATER HEATER AND/DR VENT P,,OL / BOILER/COMPRESSOR UP TO 3 HP J EACH GAS SYSTEM 1 TO 4 OUTLETS --7/.1'' BOILER/COMPRESSOR 3-15 HP = EACH GAS SYSTEM 5 OR MORE . BOILER/COMPRESSOR 16-30 HP / EACH INSTAL., ALTER. REPAIR WATER PIPE -Z..'1 VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS u o, n A " rrn,T . / 1./ 0 0 · -, . ., WATER SOFTNER RELOCATION Of EA FURNACE/HEATER BUILDING PERMIT -----I I AP_;,..- ISSUE .'t.UI 1::,::,ui:: 7, AA SIGN PERMIT/.4 ' "\J f I' . TOTAL PLUMBING 0~ v TOTAL MECHANICAL PLAN CHE~{' 7,/ 0 //,..L3r 1' • I I I CONTRACTOR -;. CONTRACTOR ALL INCLUSIVE PERMIT I I TOTAL PLUMBING I IC;<• ' QTY. ELECTRICAL PERMIT AMT. -; QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I ,...., I; rz / NEW CONST EA AMP/SWT/BKR A-• AWNING MECHANICAL I I,, . ' 1 PH .25 3 PH -PORCH MOBILE HOME I I • I EXIST BLOG EA AMPISWT/BKR SET-UP SOLAR I I I • I 1 PH .25 3 PH RAMADA, CABANA I I I • I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-f1LM ! I I OVER 200 AMPS I I I TEMP OCCUPANCY (30 DAYS) I I I ' I • Tc:cUE 2.00 C'T'Df'"T(" MnTTnN. I I I ,'?I l-' TOTAL ELECTRICAL •73 V TOTAL FEES PAYABLE I .-., CONTRACTOR I I i31 e ·"' . -r I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF it{-t)1!t1 FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER J STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM SCHOOL FEE: LESS 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. AhT'SSIGNATURE",d ~ OWNER□ CONTRACTOR □ I.APPR~ DATE -_,~--, ~ AGEr-N: n SYPHONED ~ ~ 'r"f',/,f. r ~ - 'Iii! ··- vJ SITE ADDRESS: OWNER: PERMIT NO: I-_L3~ FIEI LD INSPECTION RECORD ---INSPECTION DATE INSPECTOR INSPECTOR'S NOTES ,==== WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET ~ UNDER FLOOR PLUMBING UNDER FLOOR HEATING ~ OK TO INSTALL SUB FLOOR t-------- SLAB FLOOR ~ UNDER SLAB PLUMBING t-------- FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE ~ ' ~ FRAME .. ./ /7 ROUGH ELECTRICAL 11 ·, J t-------- ROUGH PLUMBING y ..... , 11 .. .. \ t-------- ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION t-------- INSULATION OK • PLACE WALLBOARD t-------- WALLBOARD OK• PLACE TAPE EXTEiRIOR LATH OK• PLACE STUCCO t-------- ~ Fl REPLACE DAMPER & STEEL ~ PLATE TIES/HEIGHT OF CHIMNEY t-------- OTHER t-------- TEMP POWER (POLE) t-------- SEWER GAS TEST t-------- SWIM _POOL • STEEL BONDING t-------- • PRE DECK • FENCE PREPLASTER t-------- SHOWN • FRAME ~ • PAN . FINAL INSP BY BLDG DEPT ..,,--,J t-------- OTHER DEPT'? REQ COMPLETED /, I ✓ -t-------- · E.LEC METER-PERM-TEMP ·;, 'f (JJ // ,I 1 ~ A.S METER-PERM-TEMP J I UI y·/'jll.l t-------- i I !---~ t-------- L I t-------->--- ( CERT 0~ OCCUPANCY ISSUED - INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDREss, ,2ScJ 7 4aAt--7-vVk-t?, / APR lo 1981 CITY OF C.AiRLSBAO Building Department PLANNING DEPARTMENT ZONE _________ LOT S IZE _________ LOT WIDTH. ________ _ UNITS ALLOWED ___________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED __________ PROVIDED __________ _ % COVERAGE ALLOWED _____________ PROVIDED __________ _ BUILDING HEIGHT ALLOWED __________ PROVIDED __________ _ FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ______ _ PROVIDED ______ _ ' INTRUSIONS L4NDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ENGINEERING DEPARTMENT •(Jri'~'4: R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION /c OU (s DRIVEWAY LOCATIONS ------------ GRADING PERMIT ___ EASEMENTS. _________ DRAINAGE. ____ _ LEGAL DES CRIP T ION ______ ~:c._,_,_/-"'C,'-'-=---'-/ __,7'--=Q--_=5''-""_3=----------- ADDI TI ON AL COMMEN!S ____________________________ _ . - FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ T f'\f'A'l'T(HJ