HomeMy WebLinkAbout2533 NAVARRA DR; ; 87-1010; Permit., z 0 .: < a: ~ 0 .. C
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O I hef"eby affirm that ! am licensed under
provisions ol Chapter 9 (commencing with ,
Section 7000) of Division J of the Business
and Profeaalona Code, and my license 1s in
lull force and ellect
I hereby a1f,rm lhat I am exempt from !he Con1,ac
!or's L,cense Law tor the lollow,ng reason (Sec 7031 S Business anct Proless,ons Code Any city or county wh,cr; re
qurres a perm,! lo construct. alter. ,mprove demolish or
repa,r any structure. prior to ,ts issuance also requires !heap
pl,cant for such permrt to 1rle a s,9ned sta1emen1 That he ,s 1,cense!l pu,suan1 to !tie prov,srons ol 1he conr,acior,
License Law {Chapter 9 commencmg with Se~t,on 7000 o:
Drv1s1on 3 of !he Business and Prolessrons Code; or lhal ,s e,
empt lherelrom and IM tlas,s 1or the alleged exemp1,on Any
,iolat1on 01 Section 7031 5 bY an appI,can1 1or a permit sub
rects lhe applicant to a cIvI1 penaltyot nor more than live hun
dred M11¥s ($500)
I as owner of lhe property or my employees w,10 wages
as their sore compensation wI1I do the work and the struc
ture 1s not intended or ottered 1or sale (Sec 7044. Business
and Pro!ess1on~ Code The Contractor's License Law does
nol apply 10 an owner 01 property who llu1lds or rmproves
!hereon and who does such work h,mself or through his own
employees, provided lhat such improvements are not 1nlend ed or offered tor sale 11. however The 1lu1id1ng o, ,mprove-
ment ,s sold wrth1n one year ol completion. lhe owner-tiu,lder
w1I.' have the burden of prm,Ing thal he did not build or Im
prove for lhe purpose ot sale/
I as owner of the property am exclusively contracting
with licensed contractors 10 construct the pro1ect (Sec 7044
Busrness and Profess,ons COde The Con1,actor s License
Law does not apply to an owner ol properly who builds or Im proves thereon and who con1racts lor each pro1ects with a conrractor(s) license pursuant to the Contraclor s I ,cense Law I
1 As a homeowner I am ImprovIng my home. and the follow Ing cond1t1ons exist
1 The work ,s being performed pnor to sale 2 I have lrved ,n my home for twelve month<;
pr,or ro completion o1 th,s work
I have nol claimed this exemption d,mn~ the
last three years
ldmexemp!underSec _____ _ B & PC for mis reason ____________ _
_ I hereby affirm that I have a cen1ficate of consent lo
self-insure or a certificate ot Workers Compensation In
surance or a ce,t1l1ed copy thereol 1Sec 3800 Labor Codel
POLICY NO
COMPANY
Copy Is filed with the city
_ CertI•Ied copy Is he<eby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s section neeo not be completed if the permit
Is for one hundred do,rars 1S100) or l~ssl
I ce,tily that In the performance of the work for which
this permit 1s issued I snail not employ any person In any
manner so as to become Sub1ect to 1he Workers Com pen
saloon Laws ot Cal,lornra
NOTICE TO APPLICANT If, after making this Cert1f1cate
of Exemption. you should become sub1ect to the Workers
Compensation provrsIons of the Labor Code. you must
ro,1hw1th comply with such pro\tis1ons or this permit shall
be deemed revoked
L I hernby affirm that there Is a construc1,on lending t
agency tor the performance ol 1he won< for whrch !his per
m1\ ,s issued 1Sec 3097. Civil Godel
Lenders NaCT1e
Lender s Address
USE BAU POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB Aoof'IEss AV. ST.RO. THOMAS BROS NO. OA TE OF APPUCA TION BUSINESS uco,,se # VALUATION PERMIT NUMBER
_ ,.?-'t; 33 -· kU 11--1:1 fl-v' f 4 ):J-·/o·S7 I (:;9.b9 ?! 1 -/o/D LOT 81;.bC'K ~ I suao,\:'r~t6N J ~SSESSOR PARCEL NO .. ftOtTfCOR S-e,t1't)/ U7 CONTFIACTORS_PHON,E • ZONE
. Co 7:J-Cf -II 7 '1i OWN~A"S;'.NAME
Mittvf1~~+ -co. I 1LJ j":J!f5o Ac.:~e. CONTRACTOR'S ADORE'SS STAfE LICENSE NO. BUILDING SQ FOOTAGE
d'1179. STA-fe. St--. -;J-?>4o3 / -OWNER'S'MA"1liNG Jt,QDR~SS ' ·--. --•.
I •' /?0,:~ i ~tf~• -8SCDY'-/J11)() . Cf ;:}o;;,-,S DESIGNER . DESIGN£A'S P~ONsf
-
µt~lltt~~Qh~\-. r-', . .J,\' .,;, -':'.""""'""''i~•~s-•1,=••:-, "' • . · ---~ •-• ,. .,,,, .OE~.IGNEFl'S Al)08,ESS . STATE u,..-E.NO-
'; -'~ ~--"\l.iP ri:-de, .. ·. 0030 .12t1.0-0101 02.Pl-:::?i;/ j_(; ~ . ... u NO . FLA ELEV OCC GP EDU :i I . STORIES ,. . . . • ' y[J "□ --! CENSUS TRACT ! PAF>K:1NG SPA.Cf RES ur,..1TS ! GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPfl AREA CONST ,o ~ D 'r::J ,□ YO NO Not Valid Unless Machme Cert1f1ed
QTY PLUMBING PERMIT· ISSUE 7s-o _,,__. QTY MECHANICAL PERMIT -ISSUE I .5""!:::. SUMMARY/ACCOUNT NUMBER
EA[H f-lXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU uu1•_UIN\J ~·tRl','ll1 lJlJl-01 U-lJlJ-UU-8ccu
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 00 t-810-00-00-8221
EACH WATER HEATER ANO OR VENT BOILER-COMPRESSOR UP TO 3 f-!P PLAN CHECK 001-810-00-00-8891
EACH GAS SYSTEM 1 TO 4 UUI I [TS . 801LER:COMPRESSOR 3 15 f-!P TOTAL PLUMBING oo·, -810-00-00-8222 /o -
EACH GAS SYSTEM 5 OR MORF . METAL FIRF:PLAU ELECTRICAL 001-810-00-00-8223
EAL:f-1 INST AL Al TEA, RE.PAIR WATER PIPE VENT FAN SINGl E DUCT MECHANICAL 00 1-81 0-00-00 ·82 24
EACH VACUUM BREAKER MECH EXHAUST HODO O UCTS MOBILE HOME 001-81 0-00-00-8225
WATER SOf-TNER RELOCAT!ON OF EA FURNACE.HEATER SOLAR 001-810-00-00-8226
FACH ROU" [")RA:f..J i.\S DI 1 DRYER VENT STRONG MOTION 880-519-92-33
I ~ .
"'""' a .;;,. -5" TQT..:;l MECHANICAL FIRE SPRINi<:LERS 001-Si0-'.)0-DD-8227
V TUIA( Pll~BINL I /0 l'\l'I PUBLIC FACILITIES FEE 320-8 1 0 -DO ·00-8 7 40 s~ BRIDGE FEE 360·810-00-00·8740
QTY ELECTRICAL PERMIT· ISSUE QTY MOBILE HOME SETUP PARK-IN-LIEU (AHEA I
NEW CONST EA AMP SWJ tlKR CAR PORT TiF 312-810-00·00-8835
I PH I PH AWNING LA COSTA TIF 311-810-00·00-8835
fXISl lJLnG ~A AMP·SVVT BKR GARAGE c;. Fifi"' T -~-/\ ... I{. I )
I PH 1 PH , . Liv._, 1v<-M 00, ·Sl 0-00-00-81 C2
REMOOH Al TtR PfR C1'1Cu1I Mff ,-, 880·519-92-57
TEMP POL£ /00 AMPS . L._,L_:.J 1 "±_ l~vr
OVlR llJU AMPS
TEMP UCCUPANCY '30 DAYSI City 01 -·
,-rnTsPRO• )tKV•-
TOTAl flti,TRII.Al I TO!A1 TOTAL FEES PAYABLE I ,..---(0
• a ' , ·• ElqStration.' &eryparmit iHI.Utd ~uilding Off1c1a1 under' the prov,s,oflsOtthis 'Ir AN 06ttA, f"tfWff 1$ REQUfflEO FOfl OCAVATIONS OVER I HAVE CAREFULLY EXAM¼NED THE COMPLETED '"APPUCATION AND PtnMlr ANO DO HEREBY
CERHFY i.lNDE.A PENALTY OF" PERJURY THAT ALL tNFORf.fATJON HEREON INCLUDING THE COde shall upir♦ by lfmltat,on ome nut1·anct'~Old If the bliitding or work 5· 0'" DEEP ANO DEMOt..m0H 0A CONSTRUCTION o,
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERM1T IS authorized by such~~o:~~1with1n 180 days from the date of such STRUCTURES OVER 3 STORIES tN HEIGHT permit. or 1f the bu11di or w a rued-"!_ such perm,! 1s suspended or ISSUED: TO COMPLY.WITH ALL CITY. COLJN,1.Y AND STATE LAWS GOVERNING BUILDING CON-abandOned at ani; f er the or comm of 180 da\n STRUCTJON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND >PPLICANT~;7 3/-/ OWNER □ CONTRACTOR,,. ~·~ DA:¼ KEEP HARMLESS THE CJTY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY !N ANY WAY' ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE I I lt/2'? GRANTING OF THIS PERMIT. BY PHONE fJ
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• TYPE I DATE INSPECTOR
BUILDING -
I
<;$7-10 JU --.
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR·s NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING
SHEATHING D ROOF D St-lEAR
SOILS COMPL:ANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION .
I
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED .
I CONCRETE
PLUMBING ' • FIELD WELDING
D SEWER AND BL/CO CJ PL/CO
UNDERGROUND D WASTE □,WATER
HIGH STRENGTH
BOL Ts
TOP OUT D WASTE D WATER SPEC1AL MASONRY
TUB AND SHOWER PAN l /J
GAS TEST I •• ,r. ,7,.,. ~ PILES CAISSOr-.i!:::'
D WATER HEATER D SOLAR WATER
I --
ELECTRICAL ' I
D ELECTRIC UNDERGROUND d UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY --
D BONDING D POOL I .
I
MECHANICAL ' I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS I
I .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE_BEEN_J\PPROVED.
FINAL • ' PLUMBING I
ELECTRICAL I
MECHANICAL ' /]
GAS j P7, /;,,-} r7 -
BUILDING I
.
SPECIAL CONDITIONS ' ' I