HomeMy WebLinkAbout2552 NAVARRA DR; C; CB102515; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-22-2010 Mechanical Permit Permit No: CB102515
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2552 NAVARRA DR CBAD
MECH
"c..,. ..
Status:
Parcel No: 2162002612 Lot#: 0 Applied:
Valuation: $0.00
Reference #:
PC#:
Project Title: TESMER RES-REPLACE FAU & AC
SPLIT SYSTEM
Applicant:
MARK SLATTERY CONTRACTING
STE 903
7949 SILVERTON AV
SAN DIEGO 92126
619 616 1469
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
2
0
0
0
0
0
Entered By:
Plan Approved:
Owner:
TESMER ERIK
2552 NAVARRA DR #C
CARLSBAD CA 92009
Issued:
Inspect Area:
Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due:
Inspector: Clearance:
ISSUED
12/22/2010
LSM
12/22/2010
12/22/2010
$15.00
$18.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.00
$0.00
NOTICE: Please take N at approval of your project includes the "Imposition" of fees, dedications, reseNations, or other exactions hereafter collectively
referred to as '1ees/exactions.tt ou have 00 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 capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f exaction t wh· h u have revi I n iven NOTI imi r this or a t whi h h t of limi tion revi usl otherwise x ire .
~--.
C8 I O.;l/:,7 6' «1~. Building Permit Application Plan Check No.
~ CITY
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
OF 760-602-2717 I 2718 / 2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date I z_./~l 10 lswPPP
JOB ADDRESS ~·.uz. ~ SUI I E#/SPACE#/UNIT# cu IAP~ I IQ ~ =-~ f-o ~s s-:1 AJc,\J ..... ra.o .... · -
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Sq! Feet of Affected Alff(s)
I ioo .s1 ,l.')t CLW O
..P.&-(o,-,)',~1
,c,.i<V\ -:Spb-:1 -.S~J-Siem, ' 3· ·le.., f<-e ~l<.'. .~~ 3·to,-.., f'.Ao [...
'
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YESD "'° YES □No □ YES□No□
CONTACT NAME (ff Dltfetent Fom Appllcent) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
PROPERTY OWE;A NAME -CONTRACTOR BUS. NAME Sl,.::lf.,,, (_o,.s\~,k·i',, 'JP. I, I e..Mel\ 0'\"" ,.
ADDRESS I\., -e Iii-('
ADDRESS .s: I u~~ l,,J .,A,e. -~ ~ '.:l S' ~-"J /Jc,..,o.R= ~9'-l'i 9o3
Cl~ STATE ZIP CITY~ ~~ t'(:,O
STATE ZIP \< 6-) CA 92.co, -,.;> c.A 9-J-t:J.(.,
PHONE I FAX PHONE -IFAX ?~J :>OS 7' ':;?? /,,1c; · C,,1 (,. I'll. 9 0/'7 -71c; l -nr2
EMAIL EMAILS,_;,'.. -S~ c,,_ i It_ /-:y~;<. e_ (.. rJ., O ,,. (!_,~-,, 5 . ;,) c:;.i'tz .• Cc,-1,,\
ARCH/DESIGNER NAME & ADDRESS " I STATE LIC. # STATE UC.# I CL"' ]''',o ~t PIX q sss-3 '< R-C. 2.c
(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
apphcant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law /Chapter 9, commending 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 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Wortters' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wtll maintain a certlflc:ate of c:onsent to self-insure fOf workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. D I have and will maintain workers' c:ompensatlon, as required by Section 3700 of the Labor Code, for the performance of the work for which lhis pennit is issued. My workers' compensation insural'IC8 carrier and policy
number are: Insurance Co ____________________ Policy No. _____________ Expiralion Date ________ _
Uli,seclion need oot be completed if lhe permit is for one hundred dollars ($100) or less .
.l[I CertiHcate of Exemption: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Celifomia. WARNING: Failure to aec:ure workers' c:ompensatlon c:overage Is unlawful, subjec:t an employer to c:rlmlnal penalties and c:MI fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as lded for In Sec:tlon 3706 of the La r c:ode, Interest and attorney's fees .
.85 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
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 Of 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 are not intended or offered for
sale. 1f, 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 license 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 Cootractor's license Law).
J am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. 0Yes Oo
2. I (have/ have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person (fim,) to l)(OVide the proposed construction (include name address I phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide lhe work indicated (include name I address/ phone I type of worl<.):
NS PROPERTY OWNER SIGNATURE QAGENT DATE
I
!
COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY
Is the applicarit or future 'buwding occupant required to submit a business..mll!J, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Ad.? D Yes L.JNo
Is the applicant or future building occupant required to obtain a pemlit from the air pollution control district or a~lily manacJ9ment district? Dves D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo
F ANY OF THE ANSWERS ARE YES, A FINAL CERTFICA TE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POU.UTK>N CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnatlon Is conectand that the lnfonnatlon on the plans Is acairate. I agree to comply with all City onllnanoes and State laws relating ta building consbUctlon.
I heleby ai<horize rep,eser,aiw of the City of Carlsbad toenlllrupon the above ""'1tiorod property lor Inspection PlfPOS8S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is required for excavatioos OO!X 5'0' deep and demolition c, oonstruction of stn.dJ.res (N(!K 3 stories in heiglt.
EXPIRATION: Every permit issued by lhe Bulding Official Wlder the pro'o1Sions of this Code shal expire by lirmation .rid become nul .rd \00 if lhe building oc work autoorized by sudl permit is not conrnenc:8d 'Mthir1
180 days from the dale ofsudl permit or if the blik:ling or work authorized by sudl permit is suspended c, abandoned at any time afterlhe work is rommenced for a pericxl cl 180 days (Sedion 106.4.4 Unibm Building Code) .
..@S' APPLICANT'S SIGNATURE --;J-'1/ L h..,. DATE /'2.-2<.· 20,0
.-~
'· 4..
\. •~ CITY OF
CARLSBAD
DATE: ,?-..-';\(> -V)
PERMIT#: \b~<;;_\ s;-
UNSCHEDULED
BUILDING
INSPECTION
B-44
Development Services
Building Division
1635 Faraday Avenue
Carlsbad CA 92008
760-602-2700
INSPECTOR: _____ _
~
CONTACT:'(\/\, e.b,,., Q.
PHONE#: (e\9 -{p\lo-\½':J 1
JOB ADDRESS: __ )..i,..;,:S-'':s'-"2'"-c...><....:.~--'-=~=?:-IP"""'-'~'-'r,_2;...=-~-=r,__ _________ _
DESCRIPTION: __________________ _
CODE
\..,\)i.
Bldg Inspection Form
DESCRIPTION
~ le -\A .e A O r
Page 1 of 1
ACT
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Rev. 06/09