HomeMy WebLinkAbout2552 NAVARRA DR; ; 87-70; Permit,,. z 0 ;:: C a: C ..J
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·hereby affirm that I am licensed under p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s In
full force and effect. C .3tq
lie N,0~ 7 Class
I hereby au.rm that I am exempt from the Cofllrac-
tor 's Utense Law !Of the lollowmg reason {Sec. 7031 5 Business and ProlessIons Code Any city or county wh-ch re-quires a permit to construct. alter. improve. demohsh. ot
repair any structure. prior to I1s issuance also requires !heap· plicant for such permn 10 hie a s,qned statement Iha, he 1s
licensed pursuant 10 the provlS1ons of the ContraClOf s UCense Law (Chapter 9 commencmg with Section 7000 of
Division 3 of the Business and Profess1011s COde) or Iha! 1s ex.-empl therefrom and the basis for the alleged exemp11on Any
vtetlatmn ot Sectx>n 7031.5 by an applicant fDI' a perm,1 sub-
Jetls !he appkcanl to a c1v1I penalty of not more than !Iva hun -
dr..S dollars ($'i001
I, as aNner of lhe property, Of my employees w11h wages
as their safe compensauon, will do the work. and the siruc·
lure 1s not inlenoed or olfered for sate 1sec 704◄. Business
and Professrons Code The Conlractot' s license law does not apply 10 an owner 01 property who bu+k:ls or im11roves !hereon and who does such w0tk himself or lhrough his own
employees. provided lhat such improvemenls are not intend· ed Of oUered lor sale If, howe-.ier. !he building Of Improve·
ment 1s SOid w11h1n one year ol comptellon. the owner-builder will tiave the burden at proving that he did no! build or im· prove fo, 11\e purpose o1 sale)
D I, as owner ol the properly, am e,i:clusively contracting
w11h hcenseo contractors 10 construct the proiect (Sec 7044 Business and Proless1ons COde The Con1ractor·s License
Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts !Of each prOftCIS with a
contract01(s) hcense pursuant to lhe Contraclor's license Law)
□ As a homeowner I am improving my home. and the lollow mg cond11Jons exist
1 The work 1s betng performed pnor 10 sale.
2 I have lived 1n my home lor twelve monlhs prlOf to completion o1 lhts work 3 I have no! clatmed this exemp11on during the last three years
0 lamexemplunderSec ______ B&PC
tor this reason ------:;r----------
"hereby affirm lhal I have a cert1hca1e of consenl to
:ri-1-tnsure. Of a certificate ol Workers· Compensation In•
~~~ ~ance. or a cez copy !hereof tSec. 3800. LabOr Code)
POLICY NQ Jtj; y-..;,y -----
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~PY IS Wed Wtlh the City
0 Certified copy 1s hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(Th1s sec1ton need not be completed 1f the permit ,s for one hundred dollars t$100) or less)
0 I cently that in the perlormance ol the work tor wh1Ch
1h1s permit ,s ,ssued, I shall not employ any person in any
manner so as to become sub1ect to the Workers· Compen-
sation Laws ol Calllorma
NOTICE TO APPLICANT· If, after making this Cert1t1cate
of Exemption. yoo should become subject to the WOfkers'
Compensation p,ov,sions of !he Labor COde. you must
forthwith comply w1lh such provisions or this permit shall
be deemed revoked
:J I l"lereby affirm that ltlere iS a construction '&ndiog
agency for the performance ol the work forv. hich this per
mit 1s issued (Sec. 3097, Civil Code}
Lender"s Name _
Lenders Address _ _
USE BALL POINT PEN ONLY & PRESS HARD ------.. ---APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 , , ~ =->
J08 ADDRESS AV ST AD NEAREST CROSS ST 1°7/;)11!?1 -7
8
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VALUATION PERMIT NUM8ER
;255.,2 t/AvA R Q. Ps C)o, 10 LOT BLOCK j suao,v,s10"' I ASSESSOR PARCEL NO. CONTRACTOR CO"iTRACTORS PHONE • ZONE '.I I /.. _j.,,-, t') ; I,., IS' rr}_jjo Pl11mb/nn .~t,-/~00 OW"iER'S 'IAME ~ f< I=~ k)~ ~5:~:;_3 LA rnBTA 93,~~·s ~~-Ci(:>. f=)/. LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE
I q_9. .z/s--q 7 OW"iE R"S MA L NG AOOA ESS
l~rnc:.. r~.tl:"-> h3rl , r, A 7~.rXJ~ OESIG,..ER -------DESIGNER'S PHONE -/ OESCR•PTIO"' OF WORK
0[~ LI~
/Jy:f)IEK'e__ wa-rer rea--+er--F. p FLA ELEV. NO OCC GP EDU
STORIES 0027 02/02 0101 02BldPllt 10.c vO "'O --
CE"iSUS TAACl I GP LA.NO USE f PARKING SPACE l RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIAESPR AREA CONST
y D ND ,o NO vO NO Not Valid Unl~s Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7SD QTY. MECHANICAL PERMIT -ISSUE ~~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100 000 BTU BUILDING PERMIT 00 H 10-00·00-8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221 ----
EACH WATER HEATER ANO OR VENT o>--Sr BOILER /COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00·00-8806
EACH GAS SYSTEM I TO 4 OUTLETS -t-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 /r),OO
~
' EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00·8223
I EACH INSTAL. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 I --
I EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-8225
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I
I EACH ROOF DRAIN !INSIDE! SOLAR _QQl810-00·00-8226
I cj TOTt;L MECHANICAL STRONG MOTION 880-519-92-33
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I TOTAL PLUMBING I a, FIRE SPRINKLERS 001-810-00-00-8227
I -PUBLIC FACILITIES FEE 332-810-00-00-8930 ~ I QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE
I
I NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE -DISTRICT -I
I I PH 3 PH STORAGE TANKS ~. \ . Carlsbad
I EXIST BLOG EA AMP SWT BKR ROCK STORAGE ~ Encinitas ...
I 1 PH 3 PH PUMP -· " San Dleguito ,r.. ' . -''-· ....
I PER CIRCUIT ...... ' I REMODEL AL HR PLAN CHECK FEE ... ., Saa.Marcos •· • ., ~. '" .., "
I TEMP POLE 200 AMPS
I ' -LICENSE TAX ~
OVER 200 AMPS 001·810-00-00-8162 -I
I TEMP OCCUPANCY 130 DAYSI . ____ . MFF 880-519-92-57
' .
I -CREDIT DEPOSIT
I I I TOTALELELTHILAI TOTAi SOLAR --; -.. ' I . TOTAL FEES PAYABLE IQ .OD I
: , """'"''"' ,, ""' "" •He '°"'""''" ""'°"'0" '''°"""" · ,Q '"1" ,~,, ~;•'"""~"'"" ,,,,,.,, rn,o" _,.,,,. ="=••"-I 1' AN OSHA PEFM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIF• l.d)ER PENALTY Of PERJURY TttA' AL_ NFOAMAT'0:1 1-!EREUN • e•r e by ·~,taHon_ao:i beCOf"1e ouU ,~o vo,o ti Th,. t,u,10,n9 O! we•• 5' o· DEEP AND DEMOLITION Ofl C~STRUCTION OF I . -"I · . . · .• _ · ,.. ... . • .-,r,zfld b)' s1 c:Ji permtt ,s "l( ~ •:· '"'"lnced i.r.·1th1n 1so days-l"0,'1 !he dale at suer-. ) ,-DECLARATIONS ARE TRUE AND(eORRECT MJD I FURTHERCHH ,y At,) AuRE ,v, , • 1>u,10,ni ~• , , • •,lhor•zed by ,uch pe,,nit ,s susl>f'n~• STRUCT\JR£S 01,'►R J STORIES IN HEIGHT
'""" m "°"'" w·,,, "' c••• coon•,,., s•m ,Mc,"°"""'"', " , "' ~• "'"'" ""~ ,~••ec~ ,,, , ,.,,oo o, "'" . I STRUCT:ON WHE:' HER SPECI~ cD HfRc'N ;)R NOT Al.SO AGRl:F: TO SA\IE ,t> )l ., ~~-. ' ' • ---APPROVED B/J ~ 1°2/L/n I KEEP HAm,•LESS THE C1TY OF C ARl 5BAD AGA '1ST ALL LIABIL TIES. JlJDGME• -~ -~. , TS SIG~ ~ JW~t ' -'
I r,)(PENSES WHIO•i 'AAY IN At~Y 1'/AY ACCRUE AGAINST SAID C1TY "l CONSEuv IC _ OF . H /J@~ P c
I GRAt,fTING OF THiS PERM'T 1 1 "-
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TYPE DATE INSPECTOR
BUILDING -......... I
FOUNDATION 1'...
REINFORCED STEEL I " I
MASONRY I / , '
GUNITE OR GROUT I
re CEl~ING L SUB FRAME □ FLOOR
SHEATHING C ROOF C SHEAR
FRAME I
EXTERIOR LATH I
l
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
=::: SEWER AND BL/CO C Pl;./CO
UNDERGROUND D WASTE D WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN 1
GAS TEST I
□ WATER HEATER □ SOLAR WATER
ELECTRICAL I
□ ELECTRIC UNDERGROUND C 1 UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE C TEM PQRARY '----+------t---------+
□ BONDING □ POOL 1
MECHANICAL
D DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS 1
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED .. , -
FINAL I
PLUMBING I
ELECTRICAL I
I
MECHANICAL I
GAS I
BUILDING I
SPECIAL CONDITIONS I
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
PCJST TE~~~·.1:J~E~
CONCi'1ETE
FIL i) 'NEL [)ING
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BOLTS -------+---+-------+------I
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