HomeMy WebLinkAbout2526 NAVARRA DR; ; 86-613; PermitUSE BALL-POINT PEN ON[Y& PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
2 1. ,D I hereby affirm that I am licensed under i I provisions of Chapter 9 (commencing with I ,,S.ctlon 7000) of Division 3 of the Business
- and Professions Code, and my license is in L full force and effect.............
-.A!'df¼ - I
- - ,.' I hereby affirm that I am exempt from the Contrac I torn License Law for the following reason (Sec. 7031 5 BUbillibb dlxi Puufessjwis Crab. Any Lily ur Gounty.wtltLlr re-quires a permit to Construct, alter, improve, demolish, or
repair any Structure, prior to its issuance also requires the ap-
1T pi.iu, ,pv Cecil 00(m.11 10!'v3 signed c1355mvn.t !ha'. hy it -.
licensed pursuant to the provisions of the Contractors License Law (Chapter 9 commencing with Section 7050 of - 0iviiun 3u1 the Business and Prufussians Code) or-that is on-empl therefrom and the basis for the alleged exemption. Any
Violation of Section 7031.5 by an applicant tsr a permit sub',
locts the applicant to a Civil penalty of not more than live hunt died dollars ($500).
It I. as owner 01 the prnperty, or my eiiptoyues with i5g&s I
15 as their sole compensation, Will du the work, and the struc' I tare is not intended or offered for safe (Sec. 7044.-Business-and Professions Code: • The Contractor's License Law does not apply to an owner of property who builds or improvss.. I m - thereon and who does such work himself or threhigh his own
it employees, provided that s'ach improvements are not intend- ha ed or offered for sale.-, 11. however, the building or improve- Z mont is sold within one year of completion. the owner-builder
will have the burden 01 proving that he did not build or rn- - prove turitle purpose of sale).
0.1. as owner of the properly, am exclusively contraàtin with licensed contractors to construct the project (Sec. 7044. I
- Business and Professions Code: The Contractor's License I - Law does not apply to an owner of property who builds or im- 'b proves thereon, and who contracts for each projects with a I 41011- contractor(s) license pursuant to the Contractor's License Law
0 As a homeowner tam improving my home, and the follow- ing conditions exist:
IC
. . - - - -. 1." The work is being performed prior to safe. . 2. I have lived in my home for twelve months prior to completion 01 this work..., - - -
lea 3. I have not claimed this exemption daring the O last three years.
- '0 lam exempt underSee. ' C '.S&P.C. 11
- for this reason - -.
-C
.......-
-q
20 - thereby affirm that I have a certificate 01 consent to * - self-insure. or u certificate 01 Workers' Compensation In.
serance. or a cerlitied copy thereof (Sec. 3800. Labor Code) I
POLICY NO. - -. - - -
COMPANY-'
0 Copy is tiled with the city"
0 Cnrl tied copy s hereby furnished -
uJ
f.t.CERTuFuCATE OF EXEMPTION FROM
C) - - - WORKERS' COMPENSATION INSURANCE I
Ifl 4 '(ThIs section need not be completed It the permit
-- is for one hundred dollars (StOO) or leas)"
,.D I certify that in the performance of the work for which — this permit is Issued. I shall not employ any person in any 0 . manner so auto become subject to the Workers' Compen. I
'-.sation Laws of California.
NOTICE TO APPLICANT: If, after making this Certificate I
of Exemption. you should become subject 50 the Workers'
Compensation provisions of the Labor Code, you must 11
- . forthwith comply with such provisions or this permit shall
be deemed revoked. 1 ,''
-
- - *
0 1 hereby affirm that there is a construction lending I
toe the psrtormannu at the work for which this per. I 01. -. mis Is issued (Sec. 3097. CivilCode) I- zi heal
._
Lender's Name - - L Lender's Address _-
- - — CARLSBAD BUILDING DEPARTMENT - APPLICATION L PERMIT ' ' 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 619) 438-1161 •.. . - - -. -
JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. DATE 0 APPLICATION BUSINESS LICENSE # V U TION PERMIT NUMBER
1//z frt LOT BLOCK SUBDIVISi N ASSESSOR PARCEL NO. - •COh$AACTOR CONTRACTORS PHONE C ZONE I
NkN N/M ,.•.. - - I)WNFR'S PHI'INF - - .• '
. ' BUlLDINS). fOQIAGE CONTRXCfbFiS STATE LICENSE NO. LA Cr-4i.Ri.LJ/ • 7_77 L t45i ,i
OWNER'S MAILING ADDRESS - L AAA IS A 4. -,
- -- . I, 2 'a c - AJ4 4 . -. - - DESI NER' PHONE
- -- - - _DESIGNER 4,%l._ (P 131 - . OESCRTION OF WCIR - ,.
— - DESIG ER' ADDRESS STATE LICENSE NO. . .•• — . . - , .0 -
- -
- -
—.
.- -. . FRELEV. - NO
- , • . ' — . .. .1 . . '. . • . STORIES . . ,._. . -' • :'
vo _o ..- UUUf UUi ii/+/btt11I'
. . . PARKING SPAcE. _.RES UNITS GRADING PERMIT ISSUED..d REDEVELOPMENT - -- . -TYPE -, 0CC LOAD FIRE SPA
-..-
_71 -_-_
I
[
Y 0 N D -
AREA
Y01 NO
CONST
vOND Not Valid Unless Machine Certified
- -
QTY. I 1 PLUMBING PERMIt--ISSUE -_ — TV
1 + •. MECHANICAL PERMIT -ISSUE -- - ,
__
- _.. -
. - SUMMARY/ACCOUNT.NUMBER, __
EACH FIXTURE TRAP ..'..-._- .4 - —
INSTALL FURN. DUCTS UPTO100,000 BTU , - BUILDING PERMIT 001-810'00'00'8220 I'-3_—
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221
*' EACHWATERHEATERAND/ORVENT I ..,,4 BOILER/COMPRESSOR UP TO 3 HP ' .. _•., PLAN CHECK . - 00181000'00'8821 • - .4
6
EACH GAS SYSTEM 1TO4 OUTLETS I 7. BOILER/COMPRESSOR 3.15 HP . :TOTAL PLUMBING _001'810'00'00'8222 ins---
'EACH GAS SYSTEM 5OR MORE II-'---- --: METAL FIREPLACE' 1 - '.- 'ELECTRI _• _-'001'810-00-00'8223
EACH INSTAL.. ALTER. REPAIR WATER PIPE I
2o'/: MECH EXH --'HOODIOUCTS -- ' ,
.• _-
"SAME _810-00-0O'8225
_'810-00-00-8224 - •---..-
EACH VACUUM BREAKER ' _- _I tl!I
-WATER SOFTNER _--•.--L -
VENT FAN SINGLE I -' ---.-.
,.,LREL0CA_IONOFE-AFURNACEIHEATER - "' . - LAR _001-810-00-00-8226 -
EACHROOFDRAIN(INSIDE) __' DRYER VENT - .. S'rION 880-519-92-33 -
-
- -
TOTAL MECHANICAL r
.' . .
.
-
I
-SPRINKLERS Oq0-O0-8227,
TOTAL PLUMBING _ PUBLICFACILITIES,&y0-OO-O0-8740 '- -
QTY ELECTRICAL PERMIT ISSUE ' 5_ QTY s19% 000' FEE ' 10 FEE'360-810-00-00-8740
*IffEU AREA
TIF - 134-810-00-00-8835 - NEW CONST EA AMP.SWT'BKR - . . -- - - -
CAR PORT - - ' -_rj -
- 3PH. -- ' - 's- - AWNING - . LACOSTATIF - 133'810-00-00'8835 -
EXISTBLOGEAAMPISWT/BKR -.. -, -. • GARAGE - -- . - -FMF ' ' - - -• - •
lH - - - 3PH ,,. .- ,' - j_. .- . - LICENSETAX. ._001-810-00-00-8162 __._ - _.,...-. •. .
REMODEL:ALTER4 PER CIRCUIT ' ' •/7.— : . MFF - ' 880-519-92-57 - - -
TEMPPOLE 200'AMPS - , ' ' -. . - - - -'
-
,. ,- -- ' ,-n' - ''' '
-
•
- - ' -
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) . -- -. It - . . - - - -• ' c-:.'- _______________
CREDIT,DEPOSIT '. __.JA
TOTAL ELECTRICAL TOTAL_*-wo~
--
TOTfLIEES PAYABLE _
'' —
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Eu afion. verypermit issued by the Building Official under the provisions ofthis * AN OSHA p€:r IS REQUIRED FOR EXCAVATIONS OVER C limitation and become null and void If the building or work_5' - CERTIFY UNDER IPENArY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE fhonzed SUcy is not commenced within 180 days DECLARATIONS TRU AND COHHEC I AND FUHI HER (EHtII2 V AI4D AGREE IF A PERMIT i 'th ARE I permi t. o uttd a or work, authorized by such pe
it the date of such STRUCTURES
0" DEEP AND DEMOLITION OR CONSTRUCTION OF
OVER 3 STORIES HEIGHT rmit is ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON.
TU
suspended i sbando_dat_flytim_slier the x4r iscommenced for a period
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AN [-j APPRO
of180days.
BY D
GRANTING OF THIS PERMIT.
WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF T E BY PHONE 173
-
- •r-5 . -
:.
TYPE DATE INSPECTOR
BUILDING I
FOUNDATION
REINFORCED STEEL •
MASONRY I
GUNITE OR GROUT
SUB FRAME 0 FLOOR 0 CEILING
SHEATHING 0 ROOF 0 S}IEAR
FRAME
EXTERIOR LATH
Ji-
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO 0 FL/CO
UNDERGROUND DWASTE Cl WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
WATER HEATER 0 SOLAR WATER -
ELECTRICAL
ELECTRIC UNDERGROUND. 0 UFFER
ROUGH ELECTRIC ELECTRIC SERVICE 0 TEMPRARY -
O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING
HEAT — AIR COND. SYSTEMS
VENTILATING SYSTEMS .•) -
'ELD INSPECTION RECORD
EQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION cx'o
INSPECTOR'S5 DATE • f
SOILS COMPLIANCE
FOUNDATION INSP
STRUCTURAIf.CONCRETE P OVER 2000 PSI
FIELD WELDING Tf
- HIGH. STRENGTH % - 11A
SPECIAL MAS
TS
&JRY
i
-i •
:.'
"HEE:
___-
y S S
-
-
CALL FOR FINAL INSPECtION WHEN ALL APPROPRIATE • ______ _____
\çr . . \
ITEMS ABOVE HAWEBEENA-PPROYEDJc-: --.- -
FINAL
PLUMBING -'
ELECTRICAL - - -I-.
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
-\- --- t' --: -- S
- - T -
-S •
\ 5.\ç•;---; 5,..,
City of Carlsbad MISCELLANEOUS
1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525 RECEIPT
Job 2 &4''i D'Z Address jfA.(t 4
MISCELLANEOUS FEE RECEIPT
0 PLAN CHECK FEE 001-810-00-00-8821
0 VALUATION 9'5/
Tel.
Owner
34
mailing Za(o AJ4v4/a/4 •-::rZ
-
city c
.,4-
C.4z/sco._'7z? Zip _( _L _SS-337 -
Cont tOr -rsArt c\_I__
0 Address .
0 City Zip Tel. -
State Lic.
S. Ctassit.
City
Lic. No.
1-0
LEGAL DESCRIPTION o ü1iii7 iij tiñt,R- Tt.
ASSESSORS PARCEL NO.
DESCRIPTION OF WORK 0
.
PLAN ID NO.
El
______________ 0 • ____
- TOTAL FEE $ J'' .-
CONTACT PERSON \%h(/ J WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE
- FORFEITEDTO THE CITY. -
COMMENTS:________________________________________________
-
Z 2' i4UAj4h.44 '-C FT
ADDRESS
V
ZIP PHONEY? S; 3 - a 13 -;1
Sigiature of AppIi' I_2L Date
N
White - Applicant Yellow - File Pink - (1) Finance (2) Data Process Gold - Assessor
FEES REQUIRED
PARK—IN—LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: I
TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: I
FACILITIES MCMI. FEE: BRIDGE & THOROUGHFARE FEE:
SEWER FEE (CONNECTION): SEWER LATERAL: I
ADDITIONAL COMMENTS:
a,
OK TO ISSUE
DPD2:DPD6: 1
LI p
PLAN '
PLANNING -
ZONE: TYPE OF PROJECT AND USE
SCHOOL DISTRICT: SAN DIEGUITO ENCINITAS CARLSBAD )( SAN MARCOS
SETBACKS: FRONT SIDE REAR 6Z
DISCRETIONARY ACTIONS:IL) )p.
REDEVELOPMENT PERMIT REQUIRED:______________________________________________
LANDSCAPE PLAN COMMENTS: fI/f
ENVIRONMENTAL REQUIRED: -
COASTAL PERMIT REQUIRED: YES NO
ADDITIONAL COMMENTS:
a
OK TO ISSUE: DATE: III1OI'1
ENGINEERING
LEGAL
LEGAL DESCRIPTION VERIFIED?______________
EASEMENTS:
APN CHECKED? I
RIGHT—OF—WAY:
EDU'S: DRAINAGE: I
IMPROVEMENTS:
FIELD CHECK DATE & INITIALS:________________
PERMITS REQUIRED
GRADING:
GRADING COMPLETION CERTIFIED:________________
DRIVEWAY: INDUSTRIAL WASTE: I
Aids dtYDi •i;-- t4t
e 0
L £ • L (Ale ^-Y
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DHS: EHP-886 (4/84)
COUNTY OF SAN DIEGO
DEPARTMENT OF HEALTH SERVICES
Division of Environmental Health Protection
1700 Pacific Hwy., San Diego, CA. 92101
( (619) 236-2243
u. C T PLAN CORRECTIONSHEET
OWNER: F-e 4 _____________
PLAN CHECK
PAGE OF I
DATE: I I i --~ /,l,;? ________________
ADDRESS: -- PHONE:
I
(y)) CONTRACTOR: i2ifLfr-_/P(rtc PHONE: