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HomeMy WebLinkAbout2510 NAVARRA DR; 502; CB121549; Permit08-16-2012 City of Carlsbad 1635 Faraday Av . Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121549 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2510 NAVARRA DR CBADSt: 502 PME 2161705114 Lot #: 0 GREER RES- REPLACE HEAT PUMP Status: ISSUED Applied: 08/16/2012 Entered By: LSM Plan Approved: 08/16/2012 Issued: 08/16/2012 Inspect Area: Applicant: EXCEL AIR CORP 361 NATALIE WY 92028 760-723-9294 Plumbing Fees / 7/ "'çZ WOO Electrical Fees / / \ $0.00 Mechanical Fees / . / . \ -,-$150 00 Other PME Fees I " I \ '\ 7 $0.00 TOTAL PERMIT FES'I/c5000 iL1iH Total Fees: I $1500.0 TotalRaymentsiTo Date: I $150.00 Balance Due: I $0.00 N \7II:OO1RAThD / I 1952 OW TFINAL APPROVAL— Inspector: 1' Date: 09/U/12_ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmposition of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar anysubsequent legal action to attack, review, set aside, void, or annul their imposition. You are herebyFURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any Building Permit Application Plan Check No'..0 ! (t4 1635 Faraday Ave., Carlsbad, CA 92008, Est. Value ' CITY OF ' 760602-2717/2718/27i9' C A D I P A r Fax MO-602-8558 'Plan .0k., Deposit SLJIJrLJ • ww*.càrlsbadca.ov . ' Date f .simp JOB ADDRESS '- - SUITE#/ ACE#/UNIT# ',- . APN , •.- 2o0 . •--.:'- - .'-.'- - .T/PROJ C . LOT #* ASE C .j C OP UNITS C BEDROOMS. C BATHROOMS TENANT BUSINESS NAME . CONSTR. TYPE 0CC. GROUP' ..,. . . ' . .' . '- -, -. :- , . ' ' -' '. ' . , DESCRIPTION OF WORK: include S uare Feet of Affected Area(s) • . 'Lçc& \Rckk cL - EXISTING USE . i PROPOSED USE c , GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS 4 -'- YES D,#. NOD iES DNOO 'YES 13 NOD APPLICANT NAME Primary Contact) ' . APPLIC ME (Second o"Act) . - • -, .' ' ADDREM j C' ADDRESS 'SO?rs- " ... 0 /4re -'- CI ' • STAT . ZIP •- CITY ' STATE • ZIP- ONE .. FAX (- 55 ' ---. ".. ., . . • . ,'• '.: TItAIL ' . ' . . . EMAIL . .' . • . PROPERTY OWNER NAME ' - '. CONTRAIOR BUS.NAME ' "I ": .' - ' '' ' . - (o 'e-' • ' ADDRESS . - .''•. . DDRS __ 3O CITY . •. , , STATE. ZIP CITY . STATE ZIP - - ' • PHONE ' , •' FAX ' ' iUONE -', - FAX ., * . :r- EMAIL EMAIL: ARCH/DESIGNER NAME &ADDRESS , - •. . .1STATELIC.# ,STWATELIC . CLASS cl (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, dem lish orrepair any Structure, prior to its issuance,.also requires th app!icant 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. Any4violation 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)). 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 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 ssuedMrkerscompensationmsrance caiand policy Cr for the LI is number arei insurance This section need hot be completed if the permit is for one hundred-dollars ($100) or less. 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 manner so as to become subject to the Workers Compensation Laws of California. WARNING: Failure to secure workers' nsation coverage us Unlawful and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in addition to the cost of compensatIon, damage pr ided for in Sect, 370 eL or code, interest md attorney's fees ,, ' ' . . - •• CONTRACTOR SIGNATURE DAGENT DATEJA. 0) \ (4 7D E"— a I I hereby affirm that lam exempt from Contractors License Law foith'e followinreaso,: 0 las owner of the property or myemployees with wages as their sole compensation, will do the work and the structure is not intended &offèred for sale (Sec. 7044, Business and Professions Code: The Contractdr'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) O 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 thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law) - 0 I am exempt under Section - - - Business and Professions Code for this reason: El personally plan to provide the norlabor'and materials for construction of the proposed property improvemenL Yes ONO . . - 2.1 (have! have not) signed an application for a building permit for the proposed work. - - .• -. . ' ' - • 4 3.1 have contracted with the following person (firm) to provide the proposed conslrudion (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! address! phone! contractors license number) - -. 5.1 will provide some of the work, bil have contracted (hired) the following persons to provide the work indicaled (include name! address !phone !type of work): - • - . - -. - - r. M'PROPERTY OWNER SIGNATURE DAGENT DATE - - V ' _f_. , . •V V_, ': Is the applicant or future building occupant required to submit a business ,plan, acutely hazardous materials registration form or nsk management and prev program under Sechons 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? , - OYe 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? 0 Yes 0 No Is the facility to be constructed within 1,000 foet of the outer boundary of a school 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. )(Z) ç? I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (u) Civil Code) Lenders Name Lenders Address - - - IcertifythatI havemad the applicabon and state thatthe above InfOrmation isconectand thattheinfomiation on the plansis accurate. l agree tocomplywithall Cityolthnancesand State lava ielatingto building construction. I hereby VauthoflzeieJrentafrveof the City of Cadsbád to enter upon the above mentioned pràpedy for inspection purposes. ILSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS ThE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINSTSAID C11Y INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required fot excavations over 5'O' deep and demolition or odnstnidion of structures iNer3stories in heht EXPIRATION: Every permit issued by the Building Offialqpderthepróvisionsofthis Code shall expire by Imitation and become null and void if the building or work authodzed by such permit is not commenced within 180 days from the date of such peimitorifthe bull iflotc authdrlzed by suct permit is ded or abandoned at any time alter the work iscommenced forapeod of 180 days(Section.106.4.4 Uniform Bullding Code).' M'APPUCANT S SIGNATURE ,E!I_.______-- DATE :27:, Cornplte t follow ing ONLY if a CertifJcae of Occupancy will be requested atfinàIinpection. al P rojects O n l y ) Fax (760) 602-8560 Email www buiIdina(codsbadca aov or Mail the co'm'pleted form to City ofCarIsb ad, Building Division 1635 Faraday Avenue'C L odsb ad; California 92008 1 _____________________________ CO# (Office Use Only) '. tr CONTACT NAME -, . OCCUPANT NAME '- V ADDRESS , V -. V VV V ' - BUILDING ADDRESS. V $ V * V CITY . .• STATE ' ZIP CITY V V V V. STATE , - - ' ', ZIP Carlsbad CA PHONE V• V FAX .' V :V V • EMAIL'. V '. V V.. - OCCUPANT'S BUS. LIC., No.. V V V DELIVERY OPTIONS 0 PICK UP ci CONTACT (Listed above) ci OCCUPANT (Listed above) - ci CONTRACTOR (On Pg:i) ci ASSOCIATED CB#_ 0 MAIL'VTO: o CONTACT (Listed above) 0 OCCUPANT (Listed above) a CONTRACTOR (On g 1) o NO CHANGE IN USE / NO CONSTRUCTION.' 0 MAIL!. FAX TO OTHER: o'CHANGEOF USE/ NOCONSTRUCTION - ' ' V ., 'V. , , V ••V V V V , r,'. V •V ' V ' ' ' •V ' V ..'APPLICANT S SIGNATURE DATE V V, V V V 'V V - ' V , , 'V •V'V , VVV tVV Inspection List Permit#: CBI2I549 Type: PME GREER RES- REPLACE HEAT PUMP Date Inspection Item Inspector Act Comments 09/10/2012 43 AirCond/Furnace Set - -. RI HVAC V V V V 09/10/2012 43 AirCond/Furnace Set MC V V V AP V 09/10/2012 43 AirCond/Furnace Set MC V AP V 09/10/2012 49 V Final Mechanical V V MC Fl V V V V 09110/201249 Final Mechanical MC V V V Fl V