HomeMy WebLinkAbout2528 NAVARRA DR; D; CB042662; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-08-20011 Plumbing Permit Permit No: C13042662
Building Inspection Request Line (760) 602-2725
Job Address: 2528 NAVARRA DR CBAD St: D
Permit Type: PLUM Status: ISSUED
Parcel No: 2161705609 ID Lot #: 0 Applied: 07/07/2004
Construction Type: NEW Entered By: FM
Reference #: Plan Approved: 07/08/2004
Issued: 07/08/2004
Project Title: HYSELL RES-REPLACE H20 HEATER Inspect Area:
Applicant: Owner: 6151 07/08/04 0002 01 0 A&J FOSTER, INC. . HYSELL PATRICK A&CARMEN COP 27-00 STEB
13706 HWY 8 BUS 2528 NAVARRA DR #B
EL CAJON CA 92021 - CARLSBAD CA 92009
619-390-4477 / 2
/ . .•- '-.
/ If \, \\) // - •
Plumbing Issue Fee / \ 'Jj < ( ' ) $20.00
Fixture or Trap I ' .-' -z-- 0 $0.00 • -
Building Sewer / (\ 7 'N\ "$0.00
Roof Drain / $0.00
Install/Repair Water Line '"-' ,/ 0 \ \'-j $0.00 \ Water Heater and/orVent -- • 1 —$7.00
Gas Piping System ./ '-.J / 0— - ' \ $o.oO
Vacuum Breaker I C '- " -O \ ) $000
Other Plumbing Fees 1 $0.60,
Master Drainage Fe
SewerFee ,A JJI 'g .00
Additional Fees
c / $0.00
TOTAL PERMIT FEES
/
$27.00
\ \ I. / •-
/Balance Total Fees: $27.00 Total Payments ToDate:,oRpTE$0.00 Due: / $27.00
'•4 L, V P11 \ /
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- •- / I' • (\ \ ) / •
1
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• FINAL PPROVAL
.
DATE CLEARANCE
SIGNATURE
FOR OFFICE USE ONLY
PLAN CHECK NO.__________ 0 to 2—
EST. VAL.- •'.
P.1 an Ck. Deposit
Validated By_______________________
Date
PERMIT APPLICATION '
•
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Aye, Carlsbad, CA 92008 -
.*ys,sJnc do Bid r ç ç . BUsinsS:Nane (at this
_70 I
Le9DescriPtiof Lot No.
-
Subdivision Name/Number,
address)
Unit No. Phase No. Total # of units
ssessur a rercei ir txistin use ,•' Proposed Use ecre LAX€X' .-- ..
Descriptio of Work SQ.FT #of Stories # of Bedrooms # of Bathrooms
Fax
Name
Name Address City State/Zip Telephone #
is I
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolishor 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 Codel or that he Is exempt therefrom, and the basis for the alleged
empdon. olanof Section 7031.5 by any aPPlica for 3mft sub* hplicantt6 IPenaftvof not more anf ehundrddolarsl~
,
10).
i 1-01 Name . Address — - City.' • State zip Tale one
State License ii Z.O License Class C1 t- Q City Business License # l 2.
Designer Name Address City 4 State/Zip Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the followingdeclaratlons:
I have and will maintain a certificate of consent to self.insure for workers' compensation 8s'Provided by Section 3700 of the Labor Code, for the performance
of je work for which this permit is issued.
I have and will maintain workers' compensation, asrequired by Section 3700 of the Labw Code. -for the performance of the work for which this permit is
issued. My worker's coltipensation insure
Insurance Company
r1ie policy number are:
PoIicYNi1 7—c?_f Expiration Date,
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$ 1061 oH LESS)
CERTIFICATE OF EXEMPTION:. I certify7. 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' CompensationLaws of California
WARNING: Failure to se ~pi wor an ntiTlAverage nI d shall subject an employer
thousand dos ($10O90 . . jo espvWeforSec
to criminal penalties and civil fines 'up to one hundred
in 3706 of the L*or code. Interest
DATE
,j fl attorney's fees.
SIGNATURE Olt
I hereby affirm that I am exempt from the Contradtor's License Law for the following reason: . .' -
I, as owner of the property, or my employ eL 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).
.1, 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 E1nd materials for construction of the proposed property improvement. 0 YES ONO
I (have / have not) signed an application for a building permit for the proposed work; 1.
I have contracted with the following persorJ (firm) to provide the proposed construction (include name I address I phone number- I 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 I 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 I address / phone number / type
of work): I -
PROPERTY OWNER SIGNATURE DATE
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 Adcbu6t 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, A'FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THEAPPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCk SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a constructiOn lendind agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
LENDER'S NAME . I ' - LENDER'S ADDRESS
sUAWLL l J ___
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 agrde to comply with all
City ordinances and State laws relating t,,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 fortexcavatkns over 5'0" deep and demolition or construction of structures over 3 Stories in height. -
EXPIRATION: Every permit issued by the buildingI 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 commenced within a s from the date of s h mit or If the building or work authorized by such permit is susIended or abandoned
at any time after the work is
APPLICANT'S SIGNATUR
E commenced for a o d s n 106 nlfo Bulldlngpode)
DATE
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. WHITE: File ELLOW: Applicant PINK: Finance ' . -
City of Carlsbad Bldg Inspection Request.
For: 07/22/2004
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Permit# CB042662 Inspector Assignment:
Title: HYSELL RES-REPLACE H20 HEATER
Description: .
Type:* PLUM . Sub Type: .
- Phone: 7604364053
Job Address: 2528 NAVARRA DR
Suite: D Lot 0
Location: . . Inspector:
APPLICANT A&J FOSTER, INC.
Owner: .
Remarks: . .
.
Total Time: Requested By: FRANK
Entered By: CHRISTINE
CD Description . pt Comment .
25.Water Heater/Vents
Associated PCRs/CVs ...
Inspection History .
Date Description Act Insp Comments