HomeMy WebLinkAbout2523 NAVARRA DR; ; CB060531; Permit02-28-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB060531
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2523 NAVARRA DR CBAD St: TP
ELEC
0000000000 Lot #:
MATCH PLAY CONDOS TEMP POWER
Status: ISSUED
Applied: 02/28/2006
Entered By: SB
Plan Approved: 02/28/2006
Issued: 02/28/2006
Inspect Area:
Applicant:
NATIONAL CONSTRUCTION
Owner:
14551 ANDELDR 92335
909 574-1400
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
0
0
0
0
$10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $20.00
Total Fees:$20.00 Total Payments To Date:$20.00 Balance Due:$0.00
Inspector
FINAL APPROVAL
Date: 3'*i-O<-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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. .
PERMIT APPLICATION
V
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO
EST. VAL.
Plan Ck.
Validated By
Date n '.
Address (include Bldg/Suite #)Business Name (at this addres
Legal Description~Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel #Existing Use Proposed Use
7ription of Work
CONTACT PERSON (f
SQ. FT.#of Stories # of Bedrooms # of Bathrooms
Name ' " Address / City
3. APPLICANT D Contractor S'Agent for Contractor D Owner Q Agent for Owner
State/Zip Telephone #Fax*
Name
4. PROPERTY/JWNE
Address State/Zip Telephone #
City State/Zip Telephone #Niffne '
5. CONTRACTOR - COMPANY NAME
(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 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
emBtion./Any violation of,Section 7031. 5J»y any appljaiSnt for a permit subjects the appljcanttP a civiUpsnalty, of not more^thaivfjye hundred dollars ($500))./yrr/
Name
State License #
Address
License Class
City State/Zip . Telephone #'
City Business License # /'? / & XfcaJ
City State/Zip TelephoneDesigner Name
State License #
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
^2L ' 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 ~T7^?. ^^J&t-'Z^ Policy Uo//^32s&<//^%3£?/?£>&Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
C] 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*re cost Decompensation, damaggs asjjipvjjJetHSfin Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE C_— ^ •£ ^^^"^^•"^^^^^_^ DATE
7, OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following reason:
l~l 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, hovyaver, 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 thejxjfpose of sale).
l~l I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (SepXTO44, 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).
f~l I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the propeSed property improvement, d YES C]NO
2. I (have / have not) signed an application for a building permit for the proposed-^ork.
3. I have contracted with the following person (firm) to provide the prqpased construction (include name / address / phone number / contractors license number):
s
4. I plan to provide portions of the work, but I have hired the fptf&wing person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number): ^r ___
5. I will provide some of the work, but I have contra^«Ea (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):
DATEPROPERTY OWNER SIGNATURE ^
COMPLETE THIS SECTION FOR /VO/V-/?£S/D£/VrMi BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazjtdtrtis materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Suhstafice Account Act? l~l YES l~l NO
Is the applicant or future building occupant required to obtain a permit from tha'Sir pollution control district or air quality management district? l~1 YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer bounjjary"bf a school site? d YES
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATEjafOCCUPANCY 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the^jefformance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ^^ LENDER'S ADDRESS
9. APPLICANT CERTIFICATION
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 City 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 the biMSmg 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 commenp^a within 180^6^ from the date ofjpch perrgijicr if thejjuildincj^jjSi'fk" authorized by such permit is suspended or abandoned
at any time after the work is commences for a perio
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/27/2006
Permit* CB060531
Title: MATCH PLAY CONDOS TEMP POWER
Description:
Inspector Assignment: PD
Type: ELEC Sub Type:
Job Address: 2523 NAVARRA DR
Suite: TP Lot 0
Location:
APPLICANT NATIONAL CONSTRUCTION
Owner:
Remarks:
Phone: 9095741400
Inspector
Total Time:
CD Description Act/, Comment
32 Const. Service/Agricultural
Requested By: DIANNA
Entered By: CHRISTINE
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
03/02/2006 32 Const. Service/Agricultural NR PD NOT INSTALLED / CALLED DIANNA
ZTB