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HomeMy WebLinkAbout2517 NAVARRA DR; ; CB994380; PermitCity of Carlsbad 11/24/1999 Miscellaneous Permit Permit No:CB994380 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 2517 NAVARRA DR CBAD St: 02C MISC Subtype: 2161705201 Lot#: $0.00 INSTALL PELLET STOVE OTHER 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/24/1999 GMF 11/24/1999 11/24/1999 KRATKA,PAUL 6531 ll/24/99 0001 01 2517 NAVARRA DR #2C CARLSBAD CA 92009 760-930-8039 Total Fees: $45.00 Miscelaneous Fee #1 Miscelaneous Fee #2 }:~ ,:~•::~: TOTAL PERMIT FEES O'. ,; •,i-, ., • 'Iii " ' .. -~•-~A Inspector. " ( ) \. I C-PRl1T $45.00 FINAL APPROVAL Date: IZ-1-"J'i Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositjon" 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 feesfexactions. 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 any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing orseivice fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 45-00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. Ll',"t't4)W CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Validate Date._..:...,:~=---------- Address (include Bldg/Suite #) . 1 ,JI:-/} / bat[ C A. Business Name tat this address) ;;{'513: Na..VA..rr(). Dr111t olC-1 l.:./lr s... , 11 °IW05 . Legal Descrjftion Lot No. Subd1v1s1on Name/Number _ Unit No. Phase No. Total # of units us J_(., nr /;Ii( 13 · 31 bo13 j, ~ 00] 17K u.,t/sb',d Tel It i3 ()C Assassor's Parcel # ~dating Use Proposed Use I j,Jfe-J1o-SJ..II . # of Bathrooms Name Address City State/Zip Telephone# dt!b Name •!OJ • • l: ' ~ Name ~~~!§!I o./a Ta Ir. City fiilfflilil~~~~~~~/~~Jr1:t?~:i1';2'·~:;;~~ ::.~-~, Fax# {Sec. 7031.6 Business and Professions Code: Any City or County which requiru a permit to construct. alter, improve, de":'~lish or repair any stru<=1;ure,_ prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contract~r s L1cense 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 I $5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ~l!ii'IWllffK&lill~iC'6'f.1~0~!1"51!!!!-!!lJ~~1\l!iirW.1!,'J;l!;~~;,,"8:k""":" c'~'''''l½c·c•·•,· · · Workers' Compensation Declaration: I hereby affirm under peneltv of perjury one of the following declarations: D 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. D 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) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workera' conipenaatlon coverage ii unlawful, ·and than subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100,000), In addftion to the cost of compensatlon, damage• as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE;;;~:;;;:;;:;;;.:,;;;;;;;::;;;:;;;;;;;;;;;;;;;;;;;;;:;;;;.;;;:;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;,;;;;;;;;;,;;;;;;;;;:;;;;;,;:;, DATE ________ _ 'lf~~i~lfff.JU~"~~l'A-l~&~~;:;;~f~~:fr:~%~:V-m~':ifft?~J'~~;,~:;'_t:::-:,~-1:",::~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: "'15( 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 ~c. 7044, Business and Professions Code: The Contractor'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). D 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 connactorts) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Coda tor this reason: 1 . I personally plan to provide the major labor end materials for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction !include name / address / phone number I contractors license number]: 4. I plan to provide portions of the work, but I have hired the f,illnwin~ r-"'·"'~~ t~ :c::r~::~s?e. ~--•p::~·.-!~l' ii:~d ;:m:·,:C:: t!'::; :-:-:.:;j.:~ w~.,k (i:iciucle nama ; aodress / phorie number/ contractors license number):. ________________________________________________ _ 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated !include name / address / phone number f type of work): _________ --/-hr:--:---,.r----.i---:r':::._ _________________ 07-i--,-------------- PROPERTY OWNER SIGNATURE '.Cill.1Pl.'ffl:!li11silieffll(/El)l!;/li Is the applicant or future building occupant required to aubmit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET DR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. t;,~WOl:i~fflU:trti8f~;~~~Jt~~~f~-:,;;t,;:1:!:~'.;fY'.;;;r1:;;.:;;:,;'.;;,,,:;:h::.-:1:;:.::··_·-:,; '•·:;.,.,_ - I hereby affirm that there is a construction lendif fll'"cy for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ~ LENDER'S ADDRESS, _______________________ _ l$~~r,~~-ANt.~c1ATION~}~il,k?~Jl~4'-~lf,i;;"'H~,A~~~~~~Jl~f\~./i~l:.;:i;•~,-~~1]1t~t-~·r~:z:~;:;1t:;r•,;'" I certify that I have read the application and state that the above information Is correct and that the inforn,ation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. 1 hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purpc,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 ;,rovlsions of this Code shalt expire by limitation and become null and void it the building or work authorized by such permit is not commenced within 365 days tr the data of such permit or it the building or work authorized by such permit is suspended or abandoned at any time after th for a period 180 days (Sectron 106.4 4 Umform Budding Code) } APPLICANT'S SIGNATURE --!A,U:Wll.<'..l.<l..4,4A.,l!!~-,,c.-----------DATE _,/,,/ /f'<";'--'3'-I---~-'--~+------ { j -f YELLOW Apphcant PINK: Finance City of Carlsbad Inspection Request For: 12/2/1999 Permit# CB994380 Title: INSTALL PELLET STOVE Description: Type:MISC Sub Type: OTHER Job Address: 2517 NAVARRA DR Suite: 02C Lot 0 Location: APPLICANT KRATKA, PAUL Owner: RHODES T L&EDITH M TRUST 05-27-9 Remarks: INSP BETWEEN 11 AND 1 PM Total Time: CD Description Act Comments Inspector Assignment:~ Phone: 7604362360 Inspector: ~ I (7' \ \\ 41 · Requested By: PAUL Entered By: BARBARA I s-t-/..ttJr ~cs...Ji..t. 44 Rough/Ducts/Dampers A£_ ______ _ --+----- Associated PCRs Inspection History Date Description Act lnsp Comments ' I 'v,JCOV f)r'if'\7 V -:;:; ' C4/ t1 s , 'V\t ~ -:, -z.., 4 cJC\ V?J WA \t N --t::.. 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