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Home My WebLink About2510 NAVARRA DR; 511; CB012816; PermitCity of Carlsbad fVL.1 1635 Faraday Av Carlsbad, CA 92008 08-29-2001 Plumbing Permit Permit No:CB012816, Building Inspection Request Line (760) 602-2725 .': Job ddress: 2510 NAVARRA DR CBAD St511 Permit Type: PLUM Status: ISSUED Parcel No: 2161705112 I°t Lot #: 0 Applied: 08/29/2001 Construction Type: NEW Entered By: JM Refeçence #: Plan Approved: 08/29/2001 Issued: 08/29/2001 Project Title: SHEERMAN - REPALCE WATER HEATE Inspect Area: Applicant: Owner: ARSj STE 6121 SAN 6194775445 100 NANCY RIDGE DR DIEGO CA 92121 . SHEERMAN JOHN&PAMELA E C/O KEITH REGAN 3748 MISSION AVE OCEANSIDE CA 92054 8694 08/29/01 0002 01 02 27.00 Total Fees $27.00 Total Payments To Date $0.00 Balance Due $27.00 FIumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 install/Repair Water Line 0 . $0.00 Vater Heater and/or Vent I $7.00 qas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee . $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $2700 EXPIRED PERT PETT HAS EXPIRED IN ACCORDACZ WA U..C. • 0'0 106.4.4 !TLsLc,2. SIGNATURE._A) T - PERMIT APPLICATION - I CITY OF CARLSBAD BUILDING DEPARTMENT -' 1635 Faraday Ave., Carlsbad, CA 92008 r— PROJECT INFORMATION , ___________ FOR OFFICE USE ONLY PLAN CHECK NO.Jjá(2'? EST. VAL. Plan Ck. DeposJ Validated By (I\,V\ / Date Address (include Bldg/Suite #) <Legal Descr> - . Business Name (at this address) <Lot> <Subdivision Name/No> <Unit> <Phas'e> <Total> Legal Description <Assessor No> Lot No. . Subdivision Name/Number Unit No. Phase No. Total # of units SFR <Proposed Use> - Assessors Parcel # - replace water heater Existing Use Proposed Use -. <SQ Fl> <Stories> <Bedrooms> <Bathroom> Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms TCONTACT PERSON (if different from applicant) <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address City State/Zip Telephone # Fax # TAPPLICANT TDContractor NetClerkinc . -Agent for Contractor D Owner D Agentfor Owner - 720DubuqueAve SouthSanFrCA94b80a8a3aoi777 Name . Address City . State/Zip Telephone# 4. PROPERTY OWNER Andy Sweeny . 2510 Navarra Dr #511 . Carlsbad Ca 92009 '7604021531 Name ,. Address City State/Zip Telephone# 5'CONTRACTORCOMPANY (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 applicant 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 Code] or that he is exempt therefrom, and 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 ($500]). : ARS of California Inc. 6162 Nancy Ridge Dr. #100 San Diego CA 92121 8586775455204 Name State License # 742039 <Name> Address City State/Zip Telephone# License Class B C16 C20 C36 HIC City Business License # 1030700 <Address> <City> ST <Zig> <Phone> Designer Name - Address - City State/Zip Telephone State Licence # .. S. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the Performance of the work for which this permit is issued. - V 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 workers compensation insurance carrier and policy number are: Insurance Company American Residential Policy No. WC7083869 - Expiration Date 01/01/2002 (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 thi work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. V WARNING: Failure to secure workers' compensation coverage iiunlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE , V DATE 08/28/2001 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: . V O I, as owner of the property or my employees with wages as their sole compnsation, 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 doei 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). V 0 I, as owner of the property,, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: V - V I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO I (have! have not) signed an applicant for a building permit for the proposed work. I hay?, contracted with the following person (firm) to grqvide the.proposed construction (include name / dress.J phone number / contractors license number): <Name> <twaress • <WorK ihone> • <State License> I plan to provide portions of the wQrk, but I have hired the following person tp cqordinate, supervise and provide the major work (include name / address I phone number / contractors license number):<Name> V <aaress> <Work Phone> <State License> I will prQvide some of the work, but I have contracted (hired) the following person to provide the work indicated (include name! address! pone number / type of work): <Name> <Adaress> ' <Work Phone> <Work I ype> PROPERTY OWNER SIGNATURE DATE___________________ 'COMPLETE FOR NON-RESIDENTIACBUILDINGPERMITSONLY 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 pollution control district or air quality management district? V 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of school site? V 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. . CONSTRUCTIONLENDINGAGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code). V LENDER'S NAME LENDER'S ADDRESS ' V 9. APPLICANT CERTIFICATION - ' V • V 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 City 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, JUDGEMENTS, 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 50" 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 and become null and void if the building or work authorized by such permit is not commenced within 180 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 work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). . APPLICANT'S SIGNATURE . - . - DATE 08/28/2001' - V - City of Carlsbad Bldg Inspection Request For: 09/13/2001 Permit# CB012816 Inspector Assignment: Title: SHEERMAN - REPALCE WATER HEATE Description: Type: PLUM Sub Type: Phone: 8586775455 Job Address: 2510 NAVARRA DR Suite: 511 Lot • 0 Location: Inspector: APPLICANT ARS Owner: — Remarks: Total Time: Requested By: TIFFANY Entered By:. CHRISTINE CD Description • Act Comments • 25 Water Heater/Vents Ai,( 4 ' • 29 Final Plumbing . . Associated PCRs Inspection History • • Date Description Act Insp Comments