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Home My WebLink About2522 NAVARRA DR; B; CB050173; PermitApplicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Owner: --MADDOX H 'STEPHEN 2522 NAVARRADR#B CARLSBAD CA 92009 ) m Plumbing Issue Fee / Fixture or Trap / ' Building Sewer 0-7 - Roof Drain / cLZ _.. / 0 . Install/Repair Water Line 1 / 0 I ' Water Heater and/or Vent -... / 1 - ," -•-•-,- " - '-.-..-------.--.-.--.-.,-.--- ..- - Gas Piping System Vacuum Breaker Other Plumbing Fees I '- ( ç Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES\ 7 Jr i •,/( (Th \ $20.00 gg \ () $0.00 $0.00 --7 \ '$O.00 '• c:" $0.00 • \ —$O.O0 I $0.00 I $0.00 7) I $27.00 City of Carlsbad ) 1635 Faraday Av Carlsbad, CA 92008 01-18-2005 Plumbing Permit Permit No: CB050173 Building Inspection Request Line (760) 602-2725 Job Address: 2522 NAVARRA DR CBAD St: B Permit Type: PLUM Status: ISSUED Parcel No: 2161705617 Lot #: 0 Applied: 01/18/2005 Construction Type: NEW- - Entered By: KG- Reference #: Plan Approved: Issued: Project Title: MADDOX RES REPLACE H20 HEATER - Inspect Area: N INCORPORATED •Y / Total Fees: $27.00 Total Payments To Date: 2 $0.00 Balance Due:,' $27.00 \ Lr 9965 01/19/05 00o .0i COP Insoector: - FINAI.. APPROVAL Date: \'"" 'OE3 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 light 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 02 27-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. b60 C) CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL.' 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck Deposit 0. • Validated By lei10 Date________________________________ ii 2sz2IT MUM ivarraOi. Address (include Bldg/Suite #) Business Name (at this address) Legal Description - Lot No. Subdivision Name/Number b- cae Unit No. Phase No. Total # of units Assessor's Parcel # • , Existing Use - Proposed Use LOfdgA hOOttA ipaCvv\€'E • Description of Work • SQ. FT. #of Stories . # of Bedrooms # of Bathrooms I -I 1% J I ) (LI JJ 1) L*1 r nA.' . I . (.4fd' V % s LIt) L-"t Name) . Address - 1 City U State/Zip Telephone II 38 1 Name Address i * City' • • State/Zip .Telephone # (5 MOB I RR?OMPALAMJ'HOME (Sec. 7031.5 Business and Professions Code: Any City or County which requires 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, 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 ex(j. .5 by applicant p ntpernLie t aPPlicja civil ,Fattv 7 not mgre thaundo1$t5001). Name V Address City • • Sip Telephone# State License # lt..D'ID\'2,t7 " License Class' 'iL.o • City Business License,, 12 Designer Name • • Address • ' •• , "City • • State/Zip - Telephone State License # - • .. .•• • PER rifil ®R TOMIN .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 iorkers' compensation as provided by Section 3700 of the Labàr Code, for the performance the work -for which this permit is issued. • • • • • I have and will maintain workers' compensation, asrequired by Section 3700 of the Labor Code, for the performance of the -work for which this permit is sued. My - -• iarr' r and policy number are: Insurance • PolicyNo.11'2" Expiration Date '1-4 oa (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 ORLESS) - 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' compensatIon coverage !s Unl~ . Islell subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). in add itlo act of c nsatio ,rovIded for in Section 3706 of the Labor code Inter • and attorney's fees. SIGNATURE -' DA1f JAN °°2JU3 • IN NOW L •:ME rg I hereby affirm that I am exempt from the Contractor s Licen Law for the following 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 (Soc. 7044, Business and Professions Code: The Contractor's Licnse 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).' - • - I, as owner of the property, em exclusively contracting with licensed centractors 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). - - - 4 • .• • • - • - - 0 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 imjrovement. 0 YES ONO - I (have / have not) signed an application fora building permit for the proposed work:' • . ' , I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): • 1 plan to provide portions of the work, but Ihave hired the following person to coordinate, supervise and provide the major work (includename / address / phone number I contractors license number): • - - - '' 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 - . - - DATE 01 on-mg mg. OMAN, MINE 0 600, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and 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 0 NO: , • • - - IF ANY OF THE ANSWERS ARE YES, AFINAL 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. . • • Lö GINph ]L ME L ___ D AR I hereby-affirm that there is a construction lendingagency for th performance of the workfor which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS - - - ffifflffN 2t OWN 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,i 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 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 te 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 commen,ced within 180 days from the date ofu permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for no 180 daygWection 1W.4.4 Uniform Building Code). • -. APPLICANT'S SIGNATURE - -. DATE - JAN 182005 - -- • WHITE: Fil YELLOW Applicant PINK: Finance - --' * - City of Carlsbad Bldg Inspection Request L U-0 For: 01/28/2005 Permit# CB050173 Inspector Assignment: Title: MADDOX RES REPLACE H20 HEATER Description: Type: PLUM Sub Type: Phone: 7603315025 Job Address: 2522. NAVARRA DR Suite: B Lot 0 Location: Inspector: APPLICANT A&J FOSTER, INC. Owner: Remark PLASE -635-2607 HOME 0 Z. OO(f Total Time: Requested By: STEVE Entered By: CHRISTINE CD Description Act Comment 25 Water HeaterNents Associated PCRs/CVs Inspection History Date Description Act Insp Comments 1 7 gtf& I