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HomeMy WebLinkAbout2532 NAVARRA DR; B; CB043389; PermitCity of Carlsbad 1635 FiradayAv' Carlsbd,CA 92008 08.:302O04 Plumbing Permit Permit No: CB043389 Building Inspection Request Line (760) 602-2725 2532 NAVARRA DR CBAD St: B PLUM 2161705611 . Lot #: Construction Type: STRONG RES.- REPLACE WATER HEATER . ..•• ••• 1 .. . * . S.4j • 7 -' Owner: _ —STRONG DOUGLAS H&KARLAN 2532 NAVARRADR CARLSBAD CA 92009 -. .-\r Plumbing Issue Fee / ' - ,•i / ç c, -.' $20.00 Fixture or Trap / '- ..-' ...-. 0 ''r:\ ) •$0.00 Building Sewer / •• • ' .. so.00., Roof Drain / • 01'.-?.. . • : -.' $o.00 Install/Repair Water Line 7 07 % \ \f $0.00 Water Heater and/or Vent / '- . •' I -.- $7.00 Gas Piping System - = \ '. $0.00 Vacuum Breaker Cj — 1 o —: -. . 00 Other Plumbing Fees -' ,.'• -' $0.00 - Master Drainage Fee I f ' - J ," • '$0.00 SewerFee . I '----' 'Li? --c•- '$0.00 Additional Fees c.. .(/(. . F-iy 'i (__7/ $0.00 TOTAL PERMIT FEES $2700 / '' • / Total Fees: $27.00 Total Payments ToDate:,ORATEl$O.00 2 /Balance Due: / $27.00 ', Ot 9904 08/30/04• 02 27-00 FINAL APPROVAL Insoector: •77 _____________ Date: _____________ 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 connecbon with this project NOR DOES IT APPLY to any Job Address Permit Type: Parcel No: Reference #: Project Title: Status: ISSUED 0 Applied: 08/30/2004 NEW. Entered By: KMT . - Plan Approved: 08/30/2004 lisued: ' 08/30/2004 Inspect Area: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121. 858-677-5455 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT ' 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.COL/338l EST. VAL. Plan Ck. Deposit1 Validated By__________________________ Date_________________________________ Address (include B dg/Suite #) •--. Lega! Description Lot ssessor's Parcel I - I - A Existing Use Business Name (at this address) n Na0e/Number , Unit No. Phase No. Total // of units Proposed Use J. ri. if Or ojories ff or uscrooms /i of Bathrooms 2. CQN Name Address City State/Zip Telephone # Fax # 3' APPLICf NT fontractor t-gent -j Address - 0 City Li State/Zip Telephone Address City State/Zip - Telephone # 5. C (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anyructure'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 ox m on. Any violation of Section 731.5 )y any applic t f r a permi subje t the applicant to a civil penalty of not mor than five hun red dollar 1$5001L (iJ A,a',ij Fa bMo ci cA /tg5so7m'5 Telephone # 5 OF State/zl :: License # ( j AdLicense re Class c_.c C 3ca City Business License # I or Designer Name ,. Address - City .• State/Zip Telephone State License # 6 WORKERS COMPENSATION 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 workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for. which this permit is issued. . -. -thave and w111 maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thi permit is Insurance Com censatojn 'surance number are: Policy 3d 1v?3 £ I Expiration Date I/i (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shell not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal pe9aItIes an civil ines up to one hundred thousand dollars 1$,1140,00 p addition t ost of compensation, damages as provided for In Section 3706 of the eb r coda, $ at nd attorney's fees. SIGNATURE __( VL -L— DATE 27/ .7,. . .QWNER-BLJ!L I hereby affirm that I am exempt from the Contractor's 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). 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). 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. 0 YES ONO 1 (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 number / 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 / address / phone nLumber / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the workindicated (include name / address I phone number / type of work): PROPERTY OWNER SIGNATURE _________________________ DATE COMPLETE THIS SECTION FOR NONRESiDENTIAL B!JjCDIN PRMIISPNLY...J l.L - 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, 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. 8 CONSTRUCTION LENDING AGENCY, x -0 Ni-in, - I hereby affirm that there is a construction lending agency forthe performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME ' LENDER'S ADDRESS________________________________________________________ 9 APPLICANTCERTIFICATION .-- - w/,__,_j "l TWI • I • . 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 Cit%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 permii 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 building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorizedby such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by suc permit is suspende1 or abandoned at any Iiriie after the work is commenc for a periof 180 days (Section 106.4.4 Uniform Building Code). •1 APPLICANT'S SIGNATURE '(jL1,CUj__._..__- DATE WHITE: File (j,A.OW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 09/20/2004 Permit# CB043389 Inspector Assignment: Title: STRONG RES REPLACE WATER Description: HEATER Type: PLUM Sub Type: Job Address: 2532 NAVARRA DR Phone: 85867754 5 Suite: B Lot 0 Location: Inspector: OWNER STRONG DOUGLAS H&KARLAN Owner: Remarks: Total Time: Requested By: YOLANDA Entered By: ROBIN CD Description Act Comment 25 Water Heater/Vents Associated PCRs/CVs Inspection History Date Description Act Insp Comments