HomeMy WebLinkAbout2507 NAVARRA DR; 107; CB030352; PermitCity of Carlsbad V
1635 Faraday Av Carlsbad, CA 92008
02-04-2003 Electrical Permit Permit No: CB030352
Building inspection Request Line (760) 602-2725
Job Address: 2507 NAVARRA DR CBAD St: 107
Permit Type:' ELEC Status: ISSUED
Parcel No: 2161705307 Lot #: 0 Applied: 02/04/2003
Entered By: GB V
Reference #: Plan Approved: 02/04/2003
Issued: 02/04/2003
Project Title: CHAUDHURI RES/WATER & ELEC Inspect 0/04/03 0002 01 02
FOR INSTALLED WASHER & DRYER CGP
Applicant: . -Owner:--------.... V JAI CHAUDHURI HAAKE JANET S
STE 107
2507 NAVARRA DR - .- 39725 HIGHBURY DR
CARLSBAD CA 92009 (C' MURRIETACA 92563 "\ V
6353882
Electric Issue Fee _._, cs1\$10.60 V
Single Phase per AMP / '' / O? 'N \./,.-' $0.00 V
Three Phase per AMP / / 0
1.
\ ( 0$0.00
Three Phase 480 Per AMP 7 0 \ \J$O.00
Remodel/Alteration pr 0 AMP - $0.Q0
10.00 Remodel
Fee thE' $0.00
Test
Other Electrical Fees (—$27.00
Additional Fees
.1 M
110.00
TOTAL PERMIT FEES $47.00
Total Fees: $47.00 V Total Payments To Date: Balance Due: $47.00/,($0400 1 /
N' iNCORPORATED
1952
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E x P gR En o PERMg T
PERMiT HAS EXPIRED IN ACCORDANCE WITH U.B.C.
V * SECTION 1064.4 - V
DATE SIGNATUM
47 -00
.. CPO 3,
FOR OFFICE USE ONLY
PERMIT APPLICATION
, PLAN CHECK Noy332
CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL
1635 Faraday Ave., Carlsbad, CA 92008 Plan C. Deposit
Validated By ..
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Address (include Bldg/Suite . . Business Name (at this address) r . . . 5V1 vAL(2-r --V •
Legal Description Lot No. Subdivision Name/Number Unit No. ' Phase No. Total #Of Units'
Assessor's Parcel # ,. ' .' Existing Use - , . , Proposed Use
Descri ti n of Work
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- i SQ. FT. #of Stories : # of Bedrooms # of Bathrooms
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Name . Address .,.' City State/Zip Telephone # • Fax #'
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Name Address • City . State/zip . Telephone #
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Name . Address . ,City • State/Zip -Telephone #
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(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the epplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of thi Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption Any violation of Section 701.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars ($5001)
• , • I-,,
Name - . : Address =-,•', ' City• . ' State/Zip TelephOne #
State License #- • . Licene Class . City Business License # • . p
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Designer Name . Address - • '.- ,City ' • State/Zip Telephone ,
State License #ip -
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
b , I have and will' r1aintain a certificate of consent to self-insure for workers' com'pensatión as' provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit, is issued. - , • • '' . • • . .'
. -• . •.
. 0 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 • • -
issued My worker's compensation insurance carrier and policy number are
Insurance Company -- __, - Policy No. __• _• Expiration Date • ' ,
-- • (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) - ' -- - - • —
0 CERTIFICATE OF EXEMPTION: I certify that in the performance-of the work for which this permit is issuOd, I shall not emploc any person in any manner so as
to become subject to the Workers' Compensation Laws of, California. - ' , •' -. . ' - • , - -
WARNING: • Failure to secure workers' ompensatIon 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 ol compensation, damages as provided for In SetIon 3706 of the,Lebor code. Interest and attorney's fees
SIGNATURE - - • • -' - '. • - - DATE • - -• -
/ I hereby affirm that lam exempt from the Contractor's License Law for the following reason: • *a ,
• 4 . , -' - - • ' - 0- I, as owner of the property or my imployess 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 Licdnse 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. 41f, however, the building' óè 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)
as owner of the property, am exclusively contracting with licensed contrators to construct the project (Sec. 7044, Business' and Professions Code The - -
7ritractor's License Law does not aPply to an owner of property who builds or improves theeon, and contracts for ,such projects with contractor(s) licensed, --
4 '. puivajn to the of License Law). - , - - - • • - -
o I am exempt under Section - Business and Professions Code for this reason: - - - - : -• - -
' • - - • - • • • i' ¼,; =
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I personally plan to provide the major labOr and materials for construction of the proposed property improvemeit. 0 YES ONO - • - -
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2. I (have / have not) signed an application for a building permit for the proposed, work. • • -
a
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-3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordiiate, supervise' and provide the major work (include name / address / phone -
' number / contractors license number): - • - • • • • - 1 - - - -
' 5. 1. 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
of work): • - - - • - - •' ' - - -, a
—>41iOPERTY OWNER SIGNATUREII_--.- DATE 2.fo Lfo -.
RUETE
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' - t" - - ,'•••-, -
•
•
- , •' ".
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
-• - Js the facuhty to be constructed within 1,000 feet of the outer boundary of a schooisite7 0' YES 0 NO
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• a
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. -
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EiONSTRIftTION LENDlNG ____14
I hereby affirm that there is 'a construction lending agercy for the performance of the work for which this permit is issued (Sic. 3097(i) Civil Code). - - • -= -'-a - ' ' • • IL
LENDER'S NAME •- LENDER'S ADDRESS- _-'••-' __-
- I certify that I have read the applicatiân and state that the above information is coret 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 Citc 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 excavations 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 provisionsofthis Code shall expire by limitation and become null and void' if the building or work
-- authorized by-such permit is not commenced within 180 days from , suc rniit or if the building or work authorized by such permit is suspended orabandoned , • -
at any time after the work is co - , - 'e' Section '. niform Building COde). - - ' • • a
—('APPLICANT S SIGNATURE -a" ______ DATE 02_/o7J6Z
- • i WHITE. File YELLOW. Applicant PINK. Finance -
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