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Home My WebLink About2517 NAVARRA DR; ; CB950910; PermitB U I L D I N G 07/06/95 15:26 Page 1 of 1~6"/7 Job Address: ~ NAVARRA DR Permit Type : PLUMBING Parcel No: Valuation: o Construction Type: VN P E R M I T Suite: Lot#: Permit No: CB950910 Project No: A9501293 Development No: Occupancy Group: Reference#: Statu s: ISSUED Applied: 07/06/95 Apr/Issue: 07/06/95 Entered By: MDP Description: GAS REPAIR FOR POOL AND LAUN, Appl/Ownr : PLOTKE PLUMBING P .O. 231186 ENCINITAS, CA. 92024 619 632-0461 *** Fees Required *** *** Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description 27 .00 .00 27 .00 -------------------------------------------- Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 .00 27.00 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Plumbing Issue Fee Gas Piping System * PLUMBING TOTAL CITY OF CARLSBAD 7.00 20.00 Y 7.00 27.00 2622 07/06/95 0001 01 02 C-PRMT 27-00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. 'f ('-lO City of Carlsbad Building Department 2075 Las Paliaas Dr., Carlsbad, CA 92009 (619) 438-1161 ESf.VAL. __________ _ I. PmtMI I IYPE PUN CK DEPOSIT _______ _ VAUD. BY ___________ _ DATE From Llst 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net LoSS/Gain of Dwelling Units 2. PROJECf INFORMATION FOR OFFICE USE ONLY Address / 57 ) N:::,\ \/ (,I )r1~(), W Bu1ldmg or Suite No. Nearest Cross Street LEGAL DESCRlPTION Lot No. Subchvtsion Name/Number 0mt No. Phase No. □ 2 Energy Gales D 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope DESCRIPTION OF WORK ~ line. -b;C(,':>h,"'G1 h:--15 )cvh t ::"7Db )t-\'l\.:Ytv,/,u::d p5 SQ. Ff. # CJ\, STORIES '°# OF BEDROOMS # OF BATI!ROOMS 3. WN IACI PERSON (1[ duferenl from apphcanr) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI ijWNIRACIOR OAGENJ FOHCONIRACIOR DOWNER UAGENI FOR OWNER NAME (last name fir.;t) p I ot-he p vinh~DRESS Po ~.,);_;;il 18 '° CITY~ • STATE ZIP--tom?l2-U7 DAY TELEPHONE C NAME (last name first) CITY STATE ZIP CODE ADDRESS DAY TELEPHONE NAME (last name first) CITY STATE ZIP CODE ADDRESS DAY TELEPHONE STATE LIC. # ?28 }q \ LICENSE Cl.ASS 0 :3 (o CITY BUSINESS LIC. # ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WURl(EltS: WMFENsAJION Workers' Compensauon Declaration: l hereby afhrm that l have a cert1hcate of consent to self-msure issued t>y the uirector ot lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). xempt10 per ormance so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNrut-B0lIDffi DECLAltA'MN Owner-Builder Declaration: I hereby athrm that I am exempt from the Contractor's License Law for the to!lowmg reason: □ I, as owner of the property or my employees 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 Llcense 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.). □ 1, 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 Contractor's Llcense Law). □ I am exempt under Section ________ Business and Professions Code for this reason: (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, commencing 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLEIE 'IHIS SECtJON FOR NON-RESIDEN'llAL BUILDING PERMIIS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TI!EANSWERS ARE YES, A FINAL CERTIFICATE OF oa:;upANCY MAY NOT BE ey,uED AFrnRJULY 1, 1989 UNLESS TilE APPLICANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLI.IJTION OJNTROL DISI1UCT. 9. OONSIRUCIIUN tENDmG AGENCr I hereby affirm that there is a construcnon Jendmg agency for the pefiormance of the work for which this permit 1s issued (Sec 3097(i} CIVll Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI Cfil{ltFICAIION l certify that I have read the apphcanon and state that the a&ive mformat1on 1s correct. J 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 nm Cl1Y OF CARLSBAD AGAINST ALL IJABILI11ES, JUDGMENTS, CXJSfS AND EXPENSES wmrn MAY IN ANY WAY A(x:J\\JE AGAINST SAID Cl1Y IN mNSEQUENCE OF TilE GRANTING OF TIIlS PERMIT. OSHA: An OSHA pennit 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 provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is t commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or a a ed at an tiihe after e work is ommenced for a period of 180 days (Section 303(d) Uniform Build' g . APPLICANT'S SIGNATURE DATE:'-'+'..+-.,_.'-- Applicant PINK: Finance PERMIT# CB950910 DESCRIPTION: GAS REPAIR TYPE: PLUM '2.511 CITY OF CARLSBAD INSPECTION REQUEST FOR 07/12/95 FOR POOL AND LAUN. JOB ADDRESS: ~ NAVARRA DR APPLICANT: PLOTKE PLUMBING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB950910 OCC GRP CONSTR. TYPE VN STE: LOT: 619 632-0461 REMARKS: MW/CLARA/632-0461 SPECIAL INSTRUCT: INSPECTOR _ _..,..f,!;,~7-_______ _ ff TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs &7 COMMENTS ------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS