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Home My WebLink About2544 Navarra Dr; ; 80-306; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION C1! hereby affirm that I am exempt from the Con- tractor's license Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the apphcant for such permit to file a signed state· ment that he is licensed pursuant lo the provi- sions of the Contractor's license Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap· plicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). r:-_·1, 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 of· tered for sale {Sec. 7044, Business and Profes- sions 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 of· lered for sale. If, however, the building or improve- ment 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). -:_\,as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business e.nd Professions Code: The Contractor's License Law does not ap- ply to an owner of property •ho builds or im· proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law) l am exempt under Sec ____ , B. & P.C for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' a certified copy S' 'Copy is Nole{j with the city C"--::Certifiedcopy~ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). I certify 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 Worke!s' Compensation Laws of California. NOTICE TO APPLICANT: If. after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions .:H this permit shall be deemed revoked CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 I .~".5 fl.(../~'7/ri_ J .,_,,. ,., ..... ~L : 0 : .Yi~ ,I ✓C>, I I I I I I I tRr• ID3/ 03~LJA~O; OWNl/Af L r OWNER'S PHONE PRIME CONTJ;;_R / I I(} A / '1-f'H M..; P, -;. h Tf}"(J. A trrr, OWlfER'S MAILING ADDRESS CONTRACTOR'S ADDRESS : ,",Li</-'17ro, ~. , -, i l ,,J,/(p-1'70--'f'l-/0 -=I/·• ~ ,1 0 h (I' O .PfJ I • , . '" BLOCK l SUBDIVISION ASSESSOR'S PARCEL NO. DESIGNER/ I I I I ' ' ' ' ' ' ' / -iJ4 '-I. '/;t_ f} 0 I ••-h •1 4f'~, , . DESCRIPTION OF__Ji,.JRK iJ,',o ,,,P,,..,,.,. DESIGNER'S ADDRESS 0 I/ V '7 //A-,-,,,.. , ('V /, ()_ 9 2 Cf' 3 CENSUS TRACT GP LANO USE ZONING ~ARKING SPACE# APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. L lCENSE PERMIT NUMBER ~ 6 <f:;, '1 ~D-SO~ STATE LICENSE -Z 4 °r I 'f Z. CONTRACTOR'S .:;,"~i: -C:<'/ <. STATE LICENSE .3'-1"'1 -/I/;;; "'./~ s "> C: -(.. ( DESIGNER'S PHONE 7,9'( ~9 I'.', I RES. UNITS c,~. ft:. I NUMBER OF STORIES Not Valid Unless Machine Cartified BLDG SQ. FT. BLDG USE DCC. GP I STANDARD PLAN# lPLANIDtt l TYPE CONST 1 OCC, LOAD I llTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. OUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL, ALTER. REPAIR WATER PIPE .., -'vc14 / fA:N SIN6lf DOC Ir . ,r ,/.,) '---=-' r -- EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/□ J1:1S ' . VALUATION WATER SDFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I I Tc~nl.' -:,, (H Trrr--·, ., . "'' SIGN PERMIT I . I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I I CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT I I . I TOTAL PLUMBING I I . I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I I . I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I IQ'-'- 1 PH .25 3 PH PORCH MOBILE HOME I I . I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I . I I PH .25 3 PH RAMADA. CABANA I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I . I TEMP POLE 200 AMPS TOTAL MOBILE HOME MtCO-FILM I I I . I OVER 200 AMPS strono motion I I I I TEMP OCCUPANCY (30 DAYS) I I I I TS<;TTR ? _.nn Trcm, c: n n I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I 1910--CONTRACTOR I I I ) I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES HERESY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-D" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUE□:T□ COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. !.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CA AL SBAO AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO ✓, • EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ::tJ:;~G;At: ~ OWNER □ CONTRACTOR□ IAPPRO~ 0A1/:_ I AGENT~ BY PHONE O _. 131311 ~ ! < 0 ~ 5 i= ~ c.. V, ;;:; 0 SITE ADDRESS: OWNER: PERMIT NO; .5lf) -6(),h FIELD INSPECTION RECORD . INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING . I /11 FRAME OK• PLACE INSULATION 1-r~110~ l--1 INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER 8: STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWJM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL JNSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED '.=:LEC METER-PERM-TEMP GAS METER-PERM-TEMP ' CERT OF OCCUPANCY ISSUED -