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Home My WebLink About2520 NAVARRA DR; A; CB030799; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-19-2003 Plumbing Permit Permit No: CB030799 Building Inspection Request Line (760) 602-2725 Job Address: 1 2520 NAVARRA DR CBAD St: A Permit Type: PLUM Status: ISSUED Parcel No: 21617056c Lot #: 0 Applied: 03/18/2003 Construction Type: NEW Entered By: SB Reference #: Plan Approved: Issued: Project Title: FITZPATRICK RES NEW H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390.4477 2NAVAtNAL,RB'>N.. ..GAP668AD-CA4120O9-\ 0711 03 19/03 0002 01 02 COP 27.00 Plumbing Issue Fee $20.00 so.00\ - FixturéorTrap . Building Sewer. Roof Drain Install/Repair Water Line I / /7 Water Heater and/or Vent Gas Piping System Vacuum Breaker / Other Plumbing Fees Master Drainage Fe Sewer Fee Additional Fees TOTAL PERMIT FEES \ i $27.00 Total Fees: $27.00 fTotál;Payments'To Date: °T '$0.00/" Balance Due: / $27.00 -•.' 5: c_\ / / . / N'7 IRED,PERMrT PEPMiiWS EXPIRED IN ACCORDANCE WITH U.9.10 SEc DATE SIGNATUREgJ FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" 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 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 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 \'0.00 11 \ $7.O0 0 $0.00 4? $0.00 $0.00 PERMIT APPLICATION . : ___ CITY OF CARLSBAD BUILDING DEPARTMENT. 1635 Faraday Ave., Carlsbad, CA 92008 '4 - FOR OFFICE USE ONLY PLAN CHECK NO 03 P'f.. EST. VAL. V Plan Ck. Deposit Validated By V V * pate V biCTxN?AMATlONTvr J I 2520 Navarra Dr #A Address (include Bldg/Suite #) V • V : Business Name (at this address) V - • V V - Legal Description. - Lot No. ...Subdivision Name/Number Unit No. Phase No. V Total # of units V • SFR • V Assessor's Parcel # . Existing Use - - V Proposed Use 216-170-56-01 Description of Work - V - V SQ. FT. . #of Stories • # of Bedrooms V - - # of Bathrooms Name V Address _- - City - State/Zip Telephone # -. Fax # 7 rq- V1én FosterACarol Foster 13706.11 HwyR Rus. Ri c.jnn; -r.-a 92171171 (1)g0_4477 Name •.V V - Address - V City V V State/Zip Telephone # -- - dEnQR: . 1:ii FittpM-rir'k ii,y. V.'2'52p 1avara Dr #A Caris,bad Ca 92O9 7fl. 13 0705 Name -.. Address Vtate/ ip Te'Tep one # çorTd WNgILT (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 ih'e 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 applicantfora permit subjects the applicint to a civil penalty of not more than five hundred dollars ($50011. Ne& J Footer Piiñg 5 6-DHWy.8 Bus. El • st 1 '(G14477 .. V State License # - F-4012fl - License,Clas 'C36 City Business License # - 1210836 ., •V •VV - - - • V Designer Name r - Address. - - - -. city State/Zip Telephone -' State License # - - - - - - V'• -. - - - V -- - - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: V I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Câde, fdr the performance of the work for which this permit is issued. . I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for ,hich this permit is 4sued; My worker's compensation insurance carrier and policy number are:• Insurance Company State comp mo " Policy No 467-01 0000713 Expiration Date 04-01-03 (THIS SECTION NEED NOT BE COMLETED P IF THE PERMIT IS FOR ONE HUNDRED DOLLARSl$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. • V - V - • - -. - V - - WARNING: Failure to secure lompensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.0 , in dd to t e f corn - - on, damages as provided for in Section 3706 of the LabbT)coe,Jpterest and attorney's fees. - - SIGNATURE -. V V -. V ___-V _ - DATE -7/1_- _•_- - V Ihereby affirm that I am exempt from the Contracto?S License Law for the following reason: - • - V 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 sal (Sec. 7044, Business and Professions Code: The Contractor's License, Lowdoes 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). - 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 Contractor's License Law). I am exempt under Section • Business and Professions Code for this reason: I personally plan to provide, the major labor and materials for construction of the proposed property improvement. 0 YES ONO - - ((have / have not) signed an application for a building permit for the proposed work; I have contracted with the following person (firm) to provide the pràposód coistruction (include name I address / phone number / contractors license number): 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 I address'/ phone number /-contractors license number): V ' • - - - - - I will provide some of the work, but I have contracted (hired) the,following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE --,-• __-V - DATE - 'V ' '•• J Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management aid 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? 0 YES 0 NO - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? - 0 YES V (:I NO ' • - ' ' V - ' - V - 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. - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). V LENDER'S NAME NONE_- LENDER'S ADDRESS __---- HIM 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 Citt/ 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. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WA'( 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 structlres over 3'stories in height. , - V 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 commenc -'within V rorn the dá of suce it or if the building or work authorized by such permit is suspended or abandonOd - - at any time after the work Is commenced r- a o of ay (Sj6 1-06.4. nifor Building Code). - • ' - - : 'APPLICANT'S SIGNATURE -- -- - -, V - DATE 'WHITE!. Fj-e ALLOW: Applicant •. PINK: Finance