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Home My WebLink About2556 NAVARRA DR; F; CB122112; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-16-2012 Permit No: CB122112 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2556 NAVARRA DR CBAD St: F PME Status: Parcel No: 216200260 :lo Lot #: 0 Applied: Reference #: PC#: Project Title: NAKAMURA:REPLACEFAU Applicant: OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: SAl<l',GUCtll RAl~DALL L&KAREl<J ~ -7158 AMBERVVOUD LN WIGI ILAND CA 92346 ISSUED 10/16/2012 JMA 10/16/2012 10/16/2012 $0,00 $0,00 $154,00 $0,00 $154,00 Total Fees: $154,00 Total Payments To Date: $154,00 Balance Due: FINAL APPROVAL Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit 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 infonnation 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 . h h I I i ii i h I' THE F~LLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING □ENGINEERING □BUILDING □ARE □HEALTH 0HAZMAT/APCD ~~~ ~ CITY OF CARLSBAD JOB ADDRESS 25SG CT/PROj # Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov UITE#/SPACE#/UNIT# DESCRIPTION OF WORK: Include Square Feet of Atrectecf Atea(s) Plan Check No. C z.. -ZJ l z._ Est. Value Plan Ck. Deposit SWPP ROUP EXlSTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NOD APPUCANT NAME (Second•')' Contact) ADDRESS CITY STATE ZIP PHONE FAX -Ks80 ARCH/DESIGNER NAME & ADDRESS STATE UC.# CHY BUS. UC.# 00 )-t')....7/0 {Sec, 7031.5 Business ,\Ind Profes~ions Code: Any City or Cqunty which requires a permit to C!)nstru~, alter, Improve, demolish or repair any structure, prior to ltS issuance, also re_q1,1tres the apphcant for such permit to file a signed statement that he Is licensed pursuant to the provisions ofme Contractor's License Law (Chapter 9, commending with Section 7000 of OtvIslon 3 of the Business and Professions Code} or that he is exem.12t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the appUcant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Wor1ters' Compensation Declaration: / hereby 8/ffrm under penalty of petjtxyone of the frJ/owlng declnlions: □ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work forwtilch this permit is issued. fl-1 have and wlll maintain worti:ers' c:ompen~on, as required by Section 3700 of the Labor Code, for the performance of the Y«lrk for which this permit is issued. My Y«lrkers' compensation insurance carrier and policy oombe,a,e: Insurance Co. e\Jefl.t.Jr Aiftt?Cf,-.,~ l Paley No. Jl,,(j0q(K) (i, 3 '5V :+( E><piration Da~ J-/ -I ? This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certlflc:ate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not emplay any person in any manner so as to become subject to the Workers' Compensation laws of Galifomia. WARNING: Failure to secure orbrs' c:ompensatlon coverage is unlawful, and shall subjec:t an employer to c:rlminal penalties and c:lvll fines up to one hundred thousand dollars (&100,000), in addition to the c:ost of compensation, da 11rovided for In Section 3706 of the Labor code, interest and attorney's fees. 45 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the fo/tow/ng reason: □ I, as owner of the property or my employees 'Mth wages as their sole compensation, wlll do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does oot apply to an owner of property who builds or Improves thereon, and who does such work hlmself or through his own employees, provided that such improvements n not Intended or offered for sa!e. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the bl.rden of proving that he did not bulld or Improve for the purpose of sale). □ !, as owner of the property, am exclll$ively contracting with licensed contractors to coostructthe project (SQc. 7044, BU61ness and Profession& Code: The Controol.01"11 Ucen:se Law doeli not apply to em owner of property who builds or improves thereon, and contracts for such JX'l)jecls with contractor(s) licensed pursuant to the Contractor's License Law), □ I am exempt under Section ____ Business and Professions Code for this reason: 1. t personally plan to provide the ma,or labor and materials for construction of the proposed property improvement □ Yes □ No 2. I (have/ have not) signed an appl!catlon for a building permit for the proposed wotk. 3. I have contracted with the following person (firm) to r,rovide the proposed construc11on (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the 'Mlrk, but I have hired the following pe,son to coordinate, supervise and provide the major work Onclude name I address I phone I contractol's' license number): 5. I will provide some of the work, but I have contrecied {hired) the foUowing persons to provide the work lndk:ated Qnclude name / address / phone / type Of 'Mlrk): 45 PROPERTY OWNER SIGNATURE CIAGENT DATE • COMPLETE TH•s SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention progran under Sections 25505, 25533 or 25534 of the Presley-T aMer Hazardous Substance Account Act? □ Yes □ No Is the a~icant or future building occupant required lo obtain a permit from the air pollution control district or air quallty management district? 0. Yes □ No Is the facility to be constructed within 1,000 feet oflhe outer boundary of a school sile? C, Yes □ No IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICAlE OF OCCUPANCY MAY NOT SE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OfFICE OF EMERGENCY SERV1CES AND lHE AIR POLLUTION CONTROL DISTRtCT. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a constructioo lending agency for the perfonnance 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 abow infonnation Is correct and that the lnfoonation on the plans Is ao::urate. I &gl88 to complyMth all City ordinances and State laY.s rllatlngto bulking construction. I hereby au1horize re_,_ of the City of Garlsbad ID eoler upon the alxM! mentioned popeey Ir inspeclon purposes. I ALSO AGREE TO SA~ INDEMNIFY NlD KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILJTIES, JUDGMENTS, COSTSNlD EXPENSES WHICH MAY IN l>N{ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: All OSHA pennH is requirad for er.cavations over 5'0' deep and deroolltion or constructbn of structures over 3 sbies h height. EXPIRATION: Ever/ permit osued by lhe 0Ji~ing under the pro,isklns of 1ho Code shal expre by Imitation and become nul and wid I the buidilg "\\Olk au1horized by such permit • not oommenred '"1hil 100 days from lhe dale of such permit or I 1he bu oc au1horized by such permit • suspended or --at any lire after 1he ..,~ • CXlfflmenced Ir a pe!iJd of 100 days (Seclilll 1re.4.4 lJnillml 0JIJi1g Code). A$ APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email W'Njl.buiklng@carlsbadca.gov or Mall Ille completed form to City of ca~sbad, Building Division 1635 Faraday Avenue, Garlsbad, Calilomia 92008. CO#: (Office use DnlY) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. LIC. No. DELIVERY OPTlONS □ PICK UP: □ CONTACT (Usted above) □ OCCUPANT (Usted aboVe) o CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: ______________ _ ..15' APPLICANT'S SIONA TURE o ASSOCIATEDCB#•------------ □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP I Inspection List Permit#: CB122112 Type: PME Date Inspection Item 10/19/2012 43 AirCond/Furnace Set 10/19/2012 43 AirCond/Furnace Set 10/19/2012 49 Final Mechanical 10/19/2012 49 Final Mechanical Inspector MC MC NAKAMURA:REPLACEFAU Act Comments RI AM PLS 8-10 AP NEWFAU&AC RI Fl NEWT-STAT Monday, October 22, 2012 Page 1 of 1