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Home My WebLink About2522 NAVARRA DR; B; CB120711; Permit04-18-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92.008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB12071 I Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title.: 2522 NAVARRA DR CBAD St: B PME 2161705617 Lot #: 0 MADDOX RES- REPLACE FURNACE Status: ISSUED Applied: 04/18/2012 Entered By: LSM Plan Approved: 04/18/2012 Issued: 04/18/2012 Inspect Area: Applicant: . _- Owner:— ASI HASTINGS MADDOX HA~OLDS&SHEILAJ REVOCABLE LIVING TRUST c2 1250 GREENFIELD DR ' C(2522'NAVARRA-DBR#B/ EL CAJON, CA 92167 / CARLSBADCA 92009 619-223-9016 Plumbing Fees / / . \ 'Q $0.00 Electrical Fees / / \ $0.90 Mechanical Fees •f / $150.00 Other PME Fees - '7 $0 .00 TOTAL PERMIT FEES,"-1 ( \\ 00t\ I /1 Y,( ( I Total Fees: • $150.00 \Total Payments iTo Date:*," I I $150.00 Balance Due: I $0.00. \ lfl J 00. INCORPORATED 1952 FINAL APPROVAL— Inspector: _. ..-d"Date: %47/0 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 <<-Building Permit Application Plan Check No. 01 I f T 0 F 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717/ 2718 /2719 A r' Fax 760-602-8558 UJUII Date /i t7 i I CARLS fl D/-%D www.carlsbadca.gov JOB ADDRESS l2 UQyro. - yi+ Lt I&SUiTEA/SPACEB/UNITir1alleal APN - - - CT/PROJECT # LOT C PHASE U U OF UNITS C BEDROOMS U BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE I 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Rip Ic Jwuw EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING IFIRESPRINKLERS YES#. N01 YES DNO J YES[] NOE APPLICANT NAME (Primary Contact) TIFFANY RYAN APPLICANT NAME (Secondary Contact) ADDRESS 4870 VIEWRIDGE AVE#200 ADDRESS CITY STATE ZIP SAN DIEGO CA 92123 CITY STATE ZIP PHONE 619-590-9300 FAX 1 PHONE FAX EMAIL TRYANASlHEATlNGANDAlR.COM EMAIL PROPERTY OWNER NAME çy44 o CONTRACTOR BUS. NAME ASIHASTINGS ADDRESS OCk V& ADDRESS VIEWRIDGE AVE#200 CITY STATE ZIP o 9 SAN CITY STATE ZIP DIEGO CA 92123 PHONE (jO—U35-_21Q fl FAX PHONE FAX 619-590-9300 EMAIL EMAIL TRYANASIHEATINGANDAIR.COM ARCH/DESIGNER NAME At ADDRESS STATE UC. U - STATE UC.# CLASS I CITY BUS. LIC.0 513115 CIOC20 1 1200804 .. ._......... .. w. n,,, j ., wn,,, d WIIIIL LU IurIairucL, alter, improve, oemoiisn 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 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 ($500)). Policy No. WCPBC10902II Expiration Date 10116112 i section need not be completed tithe permit is for one hundred dollars ($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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In SectIon 3706 of the Labor code, Interest and attorney's tees. CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractrls License 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 (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 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). [J 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). [J 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 IIYes INo I (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 proposed construction (include name address! phone! contractors' license number): I plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major work (Include name/address / phone/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 I phone / type of work): 'PROPERTY OWNER SIGNATURE 1?,A-jt _()jtA_._4..—b t_#L4'\/' ENT DATE I i-i 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 sell-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. / I have and will maintain workers' compensation, as required by Section 370001 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co CASTLEPOINT FZ]AGENT DATE Is the applicant or future building occupant required to submit a business Ian, 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? DYes Lj No Is the applicant or future building occupant required to obtain a permit from the air pollution control disl,ictorair uality management district? [_-]YesDNo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYesLjNo 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 this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address IcetipthatI have ieadthe application and state thatthe above Information iscerrectand thatthe infomiallon on the plans Is airate.I ag,eetocempI wIth all Cilyordinancesand State laws relatlngto buIIdlngconaijuon I hereby authorize representative of the City of Carlsbad to enter upon lIre above mentioned properly 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 sa' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permitissued by the Building Official under the provisions of this Code shall expire bylimitation and became null and void if the building or work authorized by such permit is not commenced within l8O days from the date of such permit orif the building or work authorized bysuch permit s suspended orabandoned at any time afterthe work iscommenced bra period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE_4-,LJ ...4.1. (2'u.,,,-...---. DATE Li I i •-i I t City of Carlsbad Bldg Inspection Request For: 04/26/2012.. Perrnit# CB120711• Inspector Assignment: Title: MADDOX RES- REPLACE FURNACE. : S Description: - Type: PME Sub Type:' Phone: 7606352607 Job Address: 2522 NAVARRA DR . . . Suite: B Lot: 0 . . . Location: . . . Inspector: fr' APPLICANT ASI HASTINGS . . . .. . . . Owner: . .. . Remarks: ciaATEODE1S-2522-NOSTAROW Total'Time.. . . : Requested By: STEVE MADDOX Entered By: CHRISTINE CD Description • • Act Comments • . • • S • 43 AirCond!Furnace Set . . •• 79 • 49 final Mechanical 4ZE • Comments/Notices/Holds . . • • S • Associated PCRs/CVs/SWPPPs Origiflal PC# . . . • • •. :. Inspection I-I istory • Date Description : - Act Insp Comments • • . . • • • . • . .