HomeMy WebLinkAbout2544 NAVARRA DR; 9; CB930770; PermitA / Wt l :
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Fl NA(APPROVAL
r,J~1?. ~ DATE ~4/4
l--~EARANCE ------r
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 920()C) (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Depart111ent
2075 Las Pal .. s Do., taclsbad, CA 92009 (619) 438-1161 ESI". VAL. __________ _
PLAN CK DEPOSIT ________ _
VAIJD.BY __________ _
DATE
A -U COmmerc1al U New Bu1ldmg U tenant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -11Jlesidential □ Apartment ~ndo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical U Plumbing
□ Mechanical D Pool □ Spa □ Retaining Wall D Solar □ Other
2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY
Address ,3 "Ff<(
Nearest Cross Street
nit o. ase o.
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
J. ~~AC~f'{~l[[~.f'1r7'~>4,er-'-%11REss ..?c)7f" C01tfe peC li.lQ(-r( ifi--r Zhr,{y,YV
CITI STATE C.,4-ZIP CODE '(.;>oo'f DAY TELEPHONE t..f-3/-f 7'(0 4. ~,40 '4§i;;,:;mR □xcrn1 mR'tii~k?s~m~ ~E~~!Rte 023~.:1_ •%~1~ ff r
CITI C~{S/3/3/C) STATE l/1-" ZIPCODE 'f.xoy DAYTELEPHONE lfJ/-(7'1-0
S. ~~ER•,f.;;.;ER otf{I( ADDRESS .}-'f'-f'f' /Vi'tV{)-11/1/r #-r
CITI CA,rJ.,stJltf) STATE 9L ZIP CODE CjJc;o 1
6. OONIMCIOR
NAME
DAY TELEPHONE
ADDRESS
CITI STATE
STATE UC.#
ZIP CODE
UCENSE CLASS
DAY TELEPHONE
CITI BUSINESS UC. #
CITI STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WulnmRS' WMPENSAIIUN
Workers' Compensation Declarat1on: I hereby alt1rm that I have a cert1tlcate of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Cert1hcate of Exempt10n: I certUY that m the performance of the work for which tills permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNEk-BOiwffi DF.COOlA.liuN
Owner-Bu1lder Declaratlon: I hereby afftrm that I am exempt from the Contracto?s Lcense Law for the foilowmg reason:
D 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 Llcense 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 Llcense 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 Llcense Law).
D I am exempt under Section ________ Business and Professions Code for this reason:
(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 pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE IRIS SECIION FOR NON-RESIDEN IIAL 801LblNG PERMil's ONLY:
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?
□YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF THE ANSWERS ARE YES, A FINAi.CERTIFiCATE OF OCCUPANCY MAY NOT Bl! ISSUED AF11!R JULY I, 1989 UNLESS THE APPIJCANT
HAS M1IT OR IS M1!1ITING TIIE REQUIIIEMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLU110N <DNTilOL D1SllUCT.
9. WNSIRUCIIUN IENDING AGENCY
I hereby athrm that there 1s a construcl1on lendmg agency for the performance of the work for which thts perrmt 1s issued (Sec 309?(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPLiCAN I CFlt I MCAfioN
I certify that I have read the apphcatJon and state that the above mformat1on is correct. I agree to comply with ail City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLF.SS THE CTIY OF CARISBAD AGAINST ALL IJABIIJ11ES, JUDGMENTS, <DSTS
AND EXPENSES WIIlCII MAY IN ANY WAY l\£XJUJE AGAINSI" SAID CTIY IN <DNSEQUENCE OF nm GRANTING OF nns PERMIT.
OSHA: An OSHA permit 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 authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifo~ yui:d~ Code).
APPU ~w-DATE: "j/ C(/ f.3
WHITE: File YEIJ..OW: Applicant PINK: Fmance
'
PERMIT# CB930770
DESCRIPTION: CHANGE
PUMP
HEATING
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/16/93
SYSTEM TO HEAT
INSPECTOR AREA TP
PLANCK# CB930770
OCC GRP
TYPE: MECH
JOB ADDRESS: 2544 NAVARRA DR
APPLICANT: AIR SUPPLY
CONTRACTOR:
OWNER:
REMARKS: RS/GREG/431-1740
SPECIAL INSTRUCT:
TOTAL TIME:
CD
49
LVL DESCRIPTION
ME Final Mechanical
------------------
------------------------------------
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619 431-1740
PHONE: ~ PHONE:
INSPECTOR
ACT COMMENTS
£ _________ _
***** INSPECTION HISTORY*****
DATE
080693
080693
DESCRIPTION
Rough/Ducts/Dampers
Rough Electric
ACT INSP
PA TP
AP TP
COMMENTS
OK TO COVER D.W.
#10 FEED TO UNIT