HomeMy WebLinkAbout2561 NAVARRA DR; A; CB061025; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB061025
Building Inspection Request Line (760) 602-2725
2561 NAVARRA DR CAD St: A.,
MISC - - Subtype: REPAIR
2162002736 Lot #: 0
$0.00
FAIRWAY SOUTH-UNITS A,B,C -
TERMITE REPAIR TO BEAMS
Status: ISSUED
Applied: 04/13/2006
Entered By: JMA
Plan Aproved: 04/13/2006,
Issued: 04/13/2006
Inspect Area:
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Owner—
ST 08-23-93 -
AVARR
-fl GARESBAD /
PERMIT FEE . $60.00
- I uviueuriuu re n- - $0.00 ::z: FEES/
7/
Total Fees: I $60.00 ,Total Payments-To Date: $60.000' Balance Due: $0.00
. /fl
— Inspector: " Clearance: .
NOTICE: Please take NOTICE that approval of your project includes the "Impositiorf of fees, dedications, reservations, or other exactions hereafter collectively
referred to as fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. It 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 tight 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
Applicant:
MARIO BUUERFIELD
6211 LAKE ARIANA AVE
92119
619-454-9477
Miscelaneous Fee #1
----- Jif•
FOR OFFICE USE.OqLyr
PERMIT APPLICATION PLAN CHECK NO USO( 102.
RST. VA CiTY'OF CARLSBAD BUILDING DEPARTMENT "
1635 Faraday Ave., Carlsbad, CA 92008 - • Plan Ck. Deposit ________________
Validated By
Date_____________________
0.
CM Address (include Bldg/Suite #) . . . . 0 Business Name (at this address) - CAnann
Legal Description - ' Lot No. Subdivision Name/Number Unit No. Phase No Total # of units
Assessors Parcel # Existing Use . ' Proposed Use '
Description ofWork . . . SQ. FT .' #of Stories # of Bedrooms # of Bathrooms'
5OL.'rr"' ........................'.'.....
Name . Address , . ' ' City State/Zip Telephone # Fax #.,'
t1...&t ii~ till Name - v''', Address - -- - City - . State/Zip Telephone
Name . Address . .' City , , State/Zip . Telephone # , AMEJ
(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 .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 7031.5 by any applicant for a permit subjects the applicant to a civil- of not more than five hundred dollarslS500J). 9i1c-iEw C2sm4. 'Ci. ( A(U3A . -40 C Name ' Address City State/Zip. Telephone t&14 State License # r.ii 96f License .Class ' - , City Business License # .
Designer Name ' ' . ' ' Address, ' ' City' ' , State/Zip , Telephone' .
State License # ' ' ' ' . ' ', . ' ' ' • '' ' ' . MKOP
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
,' 0 I have and will maintain a Eertificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
' of the work for which this permit is issued. • • ••
0 .1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit i
s
issued. My, worker's compensatiOn insurance carrier and policy number are: • ' , • . ' . '..• ' ,, Insurance Company Policy No. Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT. IS FOR ONE HUNDRED DOLLARS 1$10'0109 LESS) . •. , . '
CERTIFICATE OF EXEMPTION: I áertify.that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Lawso f California. • ,
,
' ' ' , '. ' • : .' • WARNiNG: failure to secure workers" compensation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up ioone hundred
thousand doll
m.ad t pe as provided for in Section 3706 o
~SIGNATURE 'A Ae-7 DATE 471 v105
T 2 ,.$ 2'' '--' I hereby affirm that I am exempt from the Contractor's License Law for the following reason
I as owner of the property or,my employees with wagis 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. License Lew does not apply to an owner, of property who builds or improves thereon, and who do
e
s
such w Ork himself or through his own employees, provided that such improviments are not intended or offered for sale. 'If, however, the building or improvemOnt is
, sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve far the purpose of sale).
I; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professio'ns 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 Contractor's License Law).. ' , '
.
• . ' ' ' ' •, " . ' ' 0 I em exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES ONO 2., -...1 (have / have, not) signed an application for a building permit for the proposed work.
', ' -'. ' ' ' ' - '' . • ' - 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
Iplari to provide portions'of the work, but l'have hiked the following person to coordinate, supervise and provide the major work (include name / address! phone number / contractors license number):
•' • . . -
I will provide some of the work, but I have contracted (hired) the following persons to provide the'wOrk indicated (include' name / address / phone number / type -' -' of work): , ' ' • ' ' • • , ' ' ' - ' , • ' . ' - ' '
PROPERTY OWNER SIGNATURE ' ' ., ' ' ' ' ' DATE
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? 0 YES 0 NO
IC the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0 YES 0 NO Is the facility to be constructed within 1.000 feet of'the outer boundary of a school site? 0 YES 0 . NO • . ' ' IF ANY OF THE ANSWERS ARE YES; A FINAL CERTIFICATE 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 POLLUTION CONTROL DISTRICT.
I hereby, affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30
,97(i) Civil Code).', LENDER'S NAME .'",______,' 'LENDER'S ADDRESS'
I certify that I have read the application and state that the above 'information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building constructiOn. I hereby authorize representatives of the City of Carlsbad to enter upon the above mention
e
d
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND 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 GRANTING OF THIS PERMI
T
.
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 enced wilpin 180 days from the to such pgunit,or' the'building or work authorized by such permit is suspended or abandoned at any time after the work is cornc
m
ed for a period of 1 ys ( • . 4 Uni!pfouilding Code).
APPLICANT'S SIGNATURE ' . .
' ' DATE
WHITE: File YE LOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 09129/2006
Permit# CB061025 Inspector Assignment: JIM
Title: FAIRWAY SOUTH-UNITS A,B,C -
Description:. TERMITE REPAIR TO BEAMS
Type: MISC Sub Type: REPAIR
Phone: 6194549477
Job Address: 2561 NAVARRA DR
Suite: A Lot 0
Location: Inspector:
APPLICANT MARIO BUTTERFIELD
Owner:
Remarks:
Total Time: Requested By: MARIO
Entered By: CHRISTINE
CD Description Act Comment
14 FramelSteel!BoltinglWelding :
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
09/28/2006 14 Frame/Steel/Bolting/Welding CO JM
çj\
APPROVED
BY_________________
APR132006
City of CARLSBAD
BUILDING DEPT.
http://www. empi repainting.com/Qual Traidscri pts/get I rnage?img I d= 191252344 3'28/2006