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Home My WebLink About2534 NAVARRA DR; ; CB013457; Permit$0.00 Effiz roRRMIT WtT !J..CS City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-08-2001 Plumbing Permit Permit No:CB013457 Building Inspection Request Line (760) 602-2725 Job Address: 2534 NAVARRA DR CBAD Permit Type: PLUM Status: ISSUED Pàrcel No: . Lot #: 0 Applied: 11/08/2001. Construction Type: NEW Entered By: MDP Reference #: Plan Appro 1/ø2.0002 01 02 Issued: 11/08/200j:GP 27-00 Project Title: BACHMAN RESIDENCE . Inspect Area: GAS LINE Applicant: Owner: TNGSTONCONSTRUCTION . BACHMAN 701 POMELO DR VISTA CA 92083-6308 760 855-9583 ' Total Fees: $27.00 ,.- Total Payments To Date: \$000 Balance Due' $27.00 I I _ Plumbing Issue Fee. Fixture or Trap Building Sewer Roof Drain Install/Repair Water Water Heater and/or Gas Piping System Vacuum Breaker Other Plumbing Fee -$20.00 L..000 $000 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEE FINAL APPROVAL Inspector: 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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service feesin connection with this project NOR DOES IT APPLY to any I fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute 01 limitations has previously otherwise expirea. I FOR OFFICE USE ONLY PERMIT APPLICATION - PLAN CHECK NO CITY OF CARLSBAD BUILDINb DEPARTMENT EST VAL 1635 Faraday Aye, Carlsbad, CA 92008 Plan Ck Deposit Validated By' Date________________________________ —ATIS 17 —P Address (include Blilgi #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number ' Unit No. '"Phase, No. " Total # of. units - Assessor Parcel # Existing Use Proposed Use Name "7. - Address 7/ A#et-, j)j;. city-J'.. State/Ziiy. Telephone #q1iFax# Off NI;7b,cfPi Address , city 71P& ,,4T&ephone#fC Name Address City State/Zip Telephone # (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 pursuaflt to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions cOjr that he is exempt therefrom, and the basis for the alleged' ' exemptio ny viola n of Secti 7031.5 by any applicant for a pe mit subj cts the'applicant to a civil penalty of not morithan five hi,rred dollars ($5001): T c ffoIi .. .701. 4,.vh'.'p 1: . Name ., ' . . ,, .Address , . ,• City ;"State/Zip. I , one#, State License #? 1€,? Z, License Class , ' . City Business. License #./ . -... , Designer Name Address City State/Zip Telephone State License Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate ofi consent to self-insure for workers" c'ompBñsation as provided by Section 3700 of the Labor Code,- or..the performance of the work for which this permit is issued.''' - I have and will maintain workers' compensation, as required by Section'3700of the Labor Code, for the performance of the work for which this perriiii is issued. My worker's compensation insurance carrier and policy number are: lnsurance'Company . Policy No'. ' . '" Expiiation Date ' .. (THIS SECTION NEED NOT BE COMPLETED IF TH PERM!T IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) .0. CERTIFICATE OF EXEMPTION: I certify th in e performance of the work for which this permit is issued, lshall not employ any person in any manner so as Ito become subject to'the Workers' Compensa n s of California. WARNING: Failure to secure workers' co n ion coverage is unlawful, and shall subject an employer to-criminal pentiesInd 'civil-fines up o one" hundred 'thousand dollars ($100.0 110 0th_Stofcompensation, damages as provided for in Section 3706 of the Lapo/codp interest and attorney's fees. SIGNATURE 'DATE OWNERBUDERc),A - ' . I hereby affirm that I am exempt rom the Contractor's License Law for the following reason: O 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 aré'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 sail). 0- 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, md contracts for such projects with contractor(s) Iicened pursuant to the Contractor's License Law). ' ' ' , • o I am exempt under Section Business"an'I Professions Code for this reason 1 I personally plan to provide the major labor and materials for- construction of the proposed property improvement 0 YES ONO 2..- I (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 Iicense'.'nurnber):1 I plan to provide portions of the work, but -I have hired the following person to coordinate, supervise and provide the major v.ork (include name'/ address / 'phone number I contractors license number): - I will provide some of the work, but I have contracted (hired) the following persons to provide the wdrk indicajed (include name / address 1 phone number / iype of work): 'PROPERTY OWNER SIGNATURE • -' DATE'_________' ET'IN_FOR N WE/DiAiIJi EMItONL'T'"'T " Is-the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration'form r risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazard9us Substance Account Act? .D 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' DR.'S MEETING THE REQUIREMENTS OF-THE'OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 7o::-.vro1 - I hereby affirm that there is a construction lending agency for the performance of the work f or which this permit is issued (Sec 3097(i) Civil Code) LENDER'S.NAME . ______, LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that'the information on theplais, is accurate. 'I agree to comply. with all ' 'City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit' 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 forexcavations over 5'0 epand demolition or construction of structures over 3,storiOs in height. EXPIRATION:-Every permit issued by the building Off icial' er, e provisions of this Code shall expir1 by !imitation and become ll and old" if the building or work,, authorized by such permit is not commence,d within 180 s the date of ,such permit or if the building or work authorized by suç$'permi$s suspended or abandoned at any time after the work is commenced fo s Section 1064.4 Uniform Building c'ode). - APPLICANT'S SIGNATURE DATE,_ ov WHITE: File YELLOW:AppIicant, ,PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/09/2001 Perñiit# CB013457 Inspector Assignment: Title: BACHMAN RESIDENCE Description: GAS LINE Type: PLUM Sub Type: Phone: 6199929583 Job Address: 2534 NAVARRA DR Suite: Lot 0 Location: Inspector: APPLICANT T LANGSTON CONSTRUCTION V Owner: Remarks: Total Time: V. Requested By: THOMAS . Entered By: CHRISTINE CD Description . Act • Comments, 23 Gas/Test/Repairs 64 NO Am Associated PCRs . . Inspection History Date Description • Act Iflsp Comments