HomeMy WebLinkAbout2556 NAVARRA DR; ; 87-487; Permit"' z 0 ~ lit C ... (J ... 0
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I hereby affirm that t am exempt from the Contrac· tor's License Law for the lollowtng ,.,son (Sec 703 t 5
Business and ProftssiOns Code· Any city or county whicli re-qu1u1s a perm11 10 construe!, alter, impfove. demolish. or
repair any structure. prior to its issuance also requires !heap·
plteant for such permit lo file a signed statement 1hat he 1s
licensed pursuanl to lhe provisions of lhe Contractor·s license Law (Chapter 9 commencing with Section 7000 ot
Otv1s10n 3 ol the Business and Protess,ons Code) or that is ex-empt lherelrom and the basis for !he alleged exemption. Any
'i1olation of Sechon 7031.5 by an apphcant tor a permit sut,.
jecls the applicant to a CMI penalty of not mo,e than live hun· dred dollars (S500).
t I I. as owner ol the property. or my employees with wages
as their sole compensation, w,11 do the work, and the struc-
ture 1s not intended or oUered lor sale {Sec. 7044, Business and Profess10ns Code. The Con1ract0f's License law does
not apply to an owner of property who bmlds or improves
thereon and who does such work h1mselt or through his own employees, provkied thal such improvements are not intend·
ed Of offered lor safe. 11, however. the building or improve-
ment 1s sold within one year of comp~ion. the owner-builder
will have the burden of PfOvmg that he did not build Of im-prove tor lhe purpose ol sale).
rJ I, as owner of the property, am excluSJVefy contracting
with licensed contractors 10 construct the pro;ect (Sec. 7CM4. Business and Professions COde: The Contractor's license
Law does not appty to an owner of property who builds or kn-proves thereon, and who contracts tor each projects with a
contractor(s} license pursuant lo lhe Contractor's license Law)
D As a homeowner I am improving my home, and the lotlow· ing conditions exist:
1. The work is being performed Pfk>r to sale.
2. I have lived m my home tor twelve months
prior to completion ol this work.
3. I have not claimed lhis exemption during the last three years.
g :ht: r:~~t under Sec. ______ • e & P.C.
-------------
I hereby affirm that I have a certificate of consent to
sef\_insure. or a cerlificate of Workers· Compensation ln-
sura'loce. or a cer1i~ ~,,ot}.~;Jlif1l-Labor Code)
POLICVNO. ,:-vv, I,,,<..._
COMPANY
0 Copy is med with the cily
0 Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be compteted if the permit
is for one hundred dollars ($100) or less)
D I certify that In !he perlorm·ance 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 Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. afte< making this Certificate
or Exemption. you should become subject to the Workers·
Compensation provisions of the Labor Code. you must
lorthwith comply with such provisions Of this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency for the perfonnance ot the work for which this pef·
mil Is issued (Sec. 3097, Civil Code)
Lender's Name ____________ _
Lender'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 92009-4859 (619) 438-1161
JOB ADDRESS /II A-vA-'2eAAV.u~ z::~:s:-~ A-vc-.dtJ~ j°b~f:~oNI Bu71;G~~
VALUATION YRMIT NUMBER
;2-5'S-b
~
11i7. LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO
l"ZJi~";;AcT/lvM~'uv b
CONTRACTORS PHON~• ZONE
' 5',,nzJi"" OWNER'S NAME ~ t'f pWNER'S PHONE A-'°"~ ,/CA--L&--:rA,C° ~'3-:s,~~ CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
~'€. PL 39~5"'77 OWNER'S MAILING ADDRESS -r?~3 -
'/<i"t 71 VD"' ~ e.-t AN ~t#"C 0ii2-71s DESIGNER DESIGNER'S PHONE vViJ. VQf VJ! V.lV u~~ .. ~•t 10.1 0
I
OESCRIPTIO~F WORK ....,-£JH Cl ~A-;<'-/ C'A-!) PJ,t:>,µt; DESIGNER'S ADDRESS STATE LICENSE NO. n,(Z ~PA-,~ Pu~;b.s£s-lJ-L.oAJ~ ~ -F/P FLA ELEV. NO OCC GP EDU l~d:" ,lh ,="c.c.. CA-L-rELP~~c'-'-STORIES ,o NO h P4C...A---=,, C, PARKING SPACE I RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST p~~ /"\ 'D ND vO NO vO NO Not Valid Un~s Machine Certified ..
QTY.
-/ ~""1 Po/ZA..~ G,,9--5rjr}.
PLUMBING PERMIT -ISSUE ~5() QTY. MECHANICAL PERMIT -ISSUE /~of) SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN. DUCTS iJP TO 100,000 BTU . BUlLDING PERMIT 001·810-00-00-8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001 ·810·00·00-8221
EACH WATER HEATER AN010R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821
I EACH GAS SYSTEM I TO 4 OUTLETS, --.?ZZ!-t.~) BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00-00-8222 7rJ-,
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 ------
EACH VACUUM BREAKER ME CH EXHAUST HOOOIOUCTS MOBILEHOME 001 ·810-00-00-8225
WATER SOFTNER '~-.. :tt:·. ..._ I RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN I INSIDE! DRYER VENT STRONG MOTION 880-519·92-33
TOT,::.L MECHANICAL FIRE SPRINKLERS 001-810-00·00·8227 . -
TOTAL PLUMBING I /U -PUBLIC FACILITIES FEE 320-810-00-00-87 40
~.oo BRIDGE FEE 360-810-00-00-8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA ) .
NEW CONST EA AMP 'SWT BKR CAR PORT TIF 134-810-00-00·8835
1 PH J PH AWNING LA COSTA TIF 133-810·00-00-8835
EXIST BLOG EA AMP/SWT/BKR GARAGE FMF
1 PH J PH LICENSE TAX 001 -810·00·00·8162
REMOOEL'ALHR PER CIRCUIT MFF 880-519·92-57
TEMP POLE 700 AMPS -•., C-· . '
OVER 700 AMPS '
TEMP OCCUPANCY !JO DAYSI ' ..:;: ':-:l ~-; ~ -
CREDIT DEPOSIT ., .... .
TOTAL ELECTRICAL l TOTAL
,. ...... -~
TOTAL FEES PAY~ /0-
I HAVE CAREFULLY EXAM)NED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Exp1r•t1on. Every permit 1uued by the 8u1ldmg Otf1c111 under the provisions of ttus * AN'.~Alot:T IS AEOUIAED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code snail expire by hm1tat1on and become null and void It the building or work s· o·· p ANO OEMOllTION 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND ) FURTHER CERTIFY ANO AGREE IF A PERMIT 15 authortZed by such permit 1s not commenced within 180 days from lhe date\'>f such ST7 , -~ OVER 3 STORIES IN HEIGHT •
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILOING CON :~~~n~ '!, t~~v t~:1
~e~~h=~~r:~!hc°~~~e:le~~~~ :e~~~1~fsr:rc,~~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
A~ OWNER □ CONTRACTOR 0 APPROVE~~ 1~/:-7~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~ ;.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT --
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TYPE I DATE INSPECTOR . . \ , .. "'!' ,,,.._..
g7.,,,4n [, . . ' BUILDING ·. \. ~' I
FOUNDATION i FIELD INSPECTION RECORD
f
' REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY J REQ IF INSPECTORS
A/d7'~ / ~Af ,,,_ 1 ,,.1~ / I .-. ~ GUNITE OR GROUT ' INSPECTION CHECKED APPROVAL DATE ~•-l~t(.-bVLY I
I SUB FRAME D FLOOR □ CEILING . ' SOILS COMPLIANCE ~ A6' A'1-~IA!A .JAJ ."Y 616 $ SHEATHING D ROOF D Sh!EAR PRIOR TO
G~~ -) FOUNDATION INSP --FRAME I -I STRUCTURAL CONCRETE EXTERIOR LATH OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I
I POST TENSIONED
1 CONCRETE -
PLUMBING I FIELD \Y.f.l.DING
□ SEWER AND BUCO □ PiUCO HIGH STREN<'.iT.H
BOLTS • -UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
I -" I
GAS TEST l t:/j/n v" .,~~ ~ / PILES CAISSONS
D WATER HEATER D SOLAR 1/yATER . . .
:
ELECTRICAL I ,
' D ELECTRIC UNDERGROUND [µ UFFER
ROUGH ELECTRIC :
D ELECTRIC SERVICE D TEMPORARY ·,
D BONDING D POOL I . . \ . --~--\S -;-:, > • .. ,....._. , ... f'\
I -I ..
MECHANICAL J '~
D DUCT & PLEM., D REF. PIFIING . ,:;;, .• ,,. \ ·•. --v· ,... • .. ·--'it--. .. , ...... , __ ~
HEAT -AIR COND. SYSTEMS I -' w
I
' ----VENTILATING SYSTEMS I ~-.... ;;;, ~ .. ~ -;,,r ", -~ '----...... . -.. ~-.
j ' :..-, .. \._ -" ' tf"'7, '•. ........ ' ... .. '" "-
CALL FOR FINAL INSPE~P.ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.' '~ T" ... .. OOTT ~\OS oror 03BJ4b•f ro·o --··,:. FINAL I . . . . . \ .
PLUMBING I \ f ..• .. . <
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ELECTRICAL I . \ ; .. t, ~-:• .. ~' I ' " MECHANICAL I
I ' . .. . GAS -\ ' •. \ .
BUILDING I
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SPECIAL CONDITIONS I
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