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
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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
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44 Rough/Ducts/Dampers A£_ ______ _ --+-----
Associated PCRs
Inspection History
Date Description Act lnsp Comments
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