HomeMy WebLinkAbout2544 NAVARRA DR; ; 87-649; Permit"' z 0 ;: .. a: "' ~ <.> "' 0
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0 I he!'eby affirm tha1 I am licensed under
provlalona of Chapter 9 (commencing with
Section 7(K)O) of Division 3 of the Business
and Profeaalons Code, and my license 1s in
full force and effect
I hereby a!tirm That I am exemp1 trom the Conlrac
lor s License law tor Ille 1011ow,ng reason (Sec 703 t 5
Business and Proless1ons Code Any c,ty or coun!y wh,cr. re Qu11es a rterm,r to constiucl al1er. ,mprove demol,sh or
repair any siruclure onor !o ,ts ,ssuance also requires !heap
ol,cant 10, such oerm1t to t,1e ,i s,9netl statement thal he ,s
1,censed pursu,ml to The prov1s1ons of lhe Loniractor s
Uc?nse Law IChap1er 9 commenc,ng with Secr,on 1000 of
□,v,s,on 3 ol the Busmess and Professions Code; or thal ,sex empl rhe,elrom and the bas,s 1or lhe allegeo e,empt,on Any
violation ol Sechon 7031 5 by an appl1canl for a perm,t >ub
1ecls the applicant 10 a c1v,1 penalty of not more than Jive hu,
d•ed dollars 1$500•
I as owner ol me property. Of my employees with wages
as 1ne1r sole wmpensatIon. w,II do the work and !he siruc
iure ,s no! rntended or oflered tor sale (Sec 7044 Business
and Professions Cade The Conlfac10, s License Low dOlls
nol apply 10 an owner of property who builds o, ,mproves
thereon and wlm dOlls such work h,msell or th•ough hrs own
employees. provided !hal sucn improvements are not In1end
ed Of offered tor sale 11 Mwever. lhe bu1I01ng or improve
ment ,s sold w1thm one year of completion. the ownef·bu,lder wII1 have the burden of proving thal he dad not build or ,m
orove lo, lhe purpose of saleJ
I, as owner of the property. am exclusively con1rac11ng
w•lh licensed contractors to construct lhe pro1ec1 !Sec 7044
Business and Professions CDOe The Conrractor's L•cense
Law does nor apo•y to an owner ol property who builds or Im
proves thereon and who rnntracts for each pro1ects w,111 a
contrac1orrsl license pursuanT to the Contractors llcens~ law)
As a homeowner I am Improvong my home and the lollow mg cond,t1ons ex,st
1 The work Is being performed p,Ior 10 sale
2 I have l,ved In my home lor twelve mon!hs
proor to completion of lh1s work
I have not claimed this exemption during the 'ast three years
lame~emptunderSec _____ _ B&PC 1or this reason ____________ _
I hefeb; allirm that I ~ave a cert,f,cate ot consenl to
sell ,nsu,e. or a certt1Icate of Workers Compensat,on In
surance or a cemhed copy 1hereof 1Sec :1800 labor Code!
POLICY NO
COMPANY
Copy ,s +,led with lhe cI1y
Cert,f,ed copy ,s hereby turn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th,s section need ~ot tie compleled ,f !he permit
,s lo• one hundred do11a,s 1S100I or lpss)
__ I cert>fy tha1 In the performance of 1he work ror wh,ch
Th•s perm,t ,s issued. I shall not employ any person ,n any
manner so as to become subiect to the wor~ers Com pen
sa1Ion Laws of Cal,forn,a
NOTICE TO APPLICANT 11. alter making this Cert,r,cate
or Exemp1,o~ you should become sub1ec1 to the workers
Compensation prov,s,ons of the Labor Code you must
lorthw,th comply w,th such prov,s,ons or 1h15 perm,\ shall
be deemed ,evoked
I hereby afform 1hat there Is a construc1,on Iend,r,g
age~cy for the perfor<nance of the work lor v,,C,,ch this per
rn,t ,s issued (Sec 3097 Civ,I Code:
Lenders Name
Le·1der s Address
USE BALL POINT PEN ONLY & PRESS 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 ,1 ;t;• .l-1;•~ ~,.,(f,0 ,i))l. AV~;;, C::T~A:~RO~it-,! .;_~o9 • 0;;_7;,7P.rN BUSINESS LICENSE# VALUATION ~/i"-MITNU.,BER
LOT BLOCK 1sueo1v1s1O,., I ~S.SES~A.PAACELNO ' CONTRACTQR , , CONIRACTORSPHONE• ZONE lLfQ7 -. . nu 1• I.::• ""' ' ~ -' 7
OWNEA"S NAME I OWll,jER'S PHONE l-,l,:~1,JJl!lc;;,,!!JL"',-:,l. r,~·•i~-·~~ ,,.., ...,~,-.._·111:: ~=-<•-----ih=;:;,';',:,:c;-;;;:,"';;;,:---l----------+-:::===;.,-a:b==-1 l 4 ~·t~c....,,,, ·:;z;;.:~-Zb~,,$• f O .,, q'lz.,. i➔stt CONTRACTOR'S ADO RESS STATE LICENSE NO. BUILDING so. FOOTAGE
OWNER'S MAI LING AOOl!IESS • 1-,=:-c-,:-:,-------------_;_ ------f-::,,:::,=;:;;,;;:;;'';::'C:::Ca"--t-----------L-----------j
:.,if ,..,J,-, -~.1-:--... .,.,, -~H ,_,_ ;-,,. ,,.,,.,, . --OESIGNEA DESIGNER'S PHONE 'O~~ OB/"-A1 ·1 "'. ,. -.. ,,.,:3,;.,,.;·:fll-/>'¥•'-J'r/4_.pn. \J"VI.'""" \,,;:,ol H ...,..,.__,., . . . v.~.•,, w, v.\., s1d:lor'a,t. J:,.,,,
bE~m►-Ttf?~.~.K°~ % "" '"-,-----..-=.i~'~;;·;:;;;;;~ ___ _J -:""· ----•---[l L~-1'"'""(,.;;;:_ "ii.. tr"L ~ . ,,~ ~ .. !iii DESIGNER'S AOOAESS ----STATt UGENSE NO.
. " . .
F p FLR ELEV NO ace GP EDU
STORIES 4 ,CJ '-0 ---
I
CENSUSTRACT IPAPK1r-..GSPACE: A~SUNITS GRADINGPERMITISSUEO IREDEVELOPMENT TYPE DCCLOAD FIRESPF!
AREA CONST
t O ~ 0 , 0 "'0 YO N □ Not V,1t,d Unless M~clllne Certdied
QTY PLUMBING PERMIT -ISSUE 7 .-?>' QTY MECHANICAL PERMIT -ISSUE /,:;-~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN OUCTS i.JP TO 100 000 BTU trn,~v"rn n:.Ri','11 1 uu1-0l•J vu-UU-8UO /~ -
EACH BUILOING SEWER OVER 100.000 BTU SIGN PERMIT 001-8 1 0-00-00-8221 '
EACH WATER HEATER ANLJ UR VENT BO!LER.:COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891
EACH GAS SYSTEM I TO 4 OUTtfTS 80ILER-COMPRESSOR 115 HP TOTAL PLUMBING oo:-810-00-00-8222
EACH GAS SYSTEM 'J OR MO Rt MtTAL FIREPLACE ELECTRICAL 001-810-00-00-8223
EACH INST Al ALHR, REPAIR WATER PIPE .J... l VENT ~AN SINGLE DUCT MECHANICAL D0l-810-00-00-8224
EACH VACUUM BREAKER .J...>.. '-' MECH EXHAUST HOOU DUCTS MOBILEHOME 001-810-00-0D-8225
WATER SOFTNER L'\__.' ()... . .::'!I ~ RELOCATION OF EA FURNACE HEATER SOLAR 001-810-00·00-8226
FACH f-l(JUF 1R:-\, 'JSIn'., -7 c:;::_.__, ~'Ji~ DRYER VENT STRONG MOTION 880·519-92-33
; ~ y .-' -~ TOTJ..L MECHANICAL FIRE SPRI\J;<,LERS ooi.s10-oo-:J0·8227 f--'---,-------~lr---,:'l',---..1!4',C-IJ
TU!Al PlUMHINL, :'VI 0,: -~ -~· PUBLIC FACILITIES FEE 320-810-00-00-8740
01 ·, ,t,,J;J# BRIDGE FEE 360-810-00·00-8740 QTY ELECTRICAL PERMIT UE _', QTY MOBILE HOME SETUP • PARK·IN-LIEU !AREA 1
NEW CONST t.A AMP SWJ HKR , ,,~-CAR PORT TIF 312-810-00-00-8835
1 PH ; PH ~ -Q_-<.": AWNING LA COSTA TIF 311-810-00-00-8835
fXISl!:l!OGEAAMPSW!RKR -,-7 GARAGE FMF
1 PH 1 PH ·" . LICENSE TAX 001-S'J·["J-20-S'fi2
REMODEL Al TtR PER [IR[UIT . MFF 880-519-92·57
!lMPPOLE !OOAMPS
OVER JOU AMPS
TEMP OCCUPANCY '30 UAYS/ -
CREDIT DEPOSIT
Jill AL Eltl,JRl[.A! TWA: TOTAL FEEs PAYABLE I /Q~o
I .HAVE CAREFULLY EXAM/NED THE COMPLETED ··APPUCAT10N AND PERMIT'" AND DO HEREBY Expiration. EV9fYper_m1_li8SUedbythe8u1ldmgO!f!oaJundertl)eprov1s1onsofttns * ~OSHA PEIW.'l .IS AE0UtRED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 'Code shall ellpire by hm_itation and become null 8nd void 11 the burldmg or work 5· 0 .. DEEP ANO DEMOUTK>N OR CONSTRUCTION OF authorized by such permit 11 not commenced within 160 days from the dale of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT t& permit. or if the building or work aulhonzed by such permit 15 '""pended or STAUCTUFlf:S OYER 3 STORtES IN HUGHT
ISSUED· ·To COMPLY WITH ALL CHY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-L~•~-':;"do~o~od':;'ot~•~a.~1~,m~•::"oft~•~'~lhe:"-~•go,~k~•~•Eoo~m°"'m~en~,~•~d~lgo~, ''--')-~-,~,~~.=;C,,80!L9;d""''---;::1r":~~~~~----------~':":':-"-----'f
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAYE INDEMNIFY AND~p CANT'S SIG~ATUR • , 1.,.-0 APPRO~ I DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ti OWNER..,.. CONTRACTOR ~ ; _ -;>L,.y ¼~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHO [] --4---" -Q // 'J"'"'7
GRANTING oF THIS PERMlT ..;;;..;::;,:~;,,; __ ., NE \ I ~r~~ u /
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TYPE DATE INSPECTOR
BUILDING I
g,7 ..,~ '-f9
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY I
GUNITE OR GROUT
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE,. I -~ , • J ,., ;i,Y -n, f t'";l Kirrl!I -,., ,u Jtrr ;-,-~ ,\ CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ S~EAR
FRAME I I}
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH 11@/r-,1>t I I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I , I I PRES TRESSED
INTERIOR LATH & DRYWALL CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BUCO LPL/CO r--------rll(:;H STRENGTH
UNDERGROUND □ WASTE DIWATER BOLTS
.-op OUT □ WASTE D WATER SPECIAL MASONRY
-
, UB AND SHOWER PAN
GAS TEST , PILES CAISSON:-
□ WATER HEATER □ SOLAR W~TER ·----r-------C-------
r -
ELECTRICAL
□ ELECTRIC UNDERGROUND □: UFFER
ROUGH ELECTRIC 1 -~
□ ELECTRIC SERVICE D TEMPG>RARY -__ ,___ ______ -.,__ _____
□ BONDING □ POOL
MECHANICAL ---
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS '
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOv_E HA VE BEEN APPROVED
FINAL I
'
PLUMBING I
ELECTRICAL I
MECHANICAL I
GAS I /) ..
BUILDING /4' e -..s,-,_,,c.,c.,c. ' ///;1..3/,-, /
SPECIAL CONDITIONS '
'
~----•