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Home My WebLink About2563 NAVARRA DR; C; CB033034; Permit—Owner: ---_- B1NNETrEA REVOCABLE LIVING TRUST 256 CARLSBADCA 92009 04 0 0 0 \ LOO $O.00• .C$OOO \) f $0.00 --. $0.00 '\ $7.00 \ .) $0.00 L/$0.00 $0.00 $0.00 $0.00 $27.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-05-2003 Plumbing Permit Permit No: CB033034 Building Inspection Request Line (760) 602-2725 Job Address: 2563 NAVARRA DR CBAD St: C Permit Type: PLUM Status: ISSUED Parcel No: 216200273$ Lot#: 0 Applied: 11/05/2003 Construction Type: NEW Entered By: SB Reference #: Plan Approved: 11/05/2003 Issued: 11/05/2003 Project Title: BOTYINNICK RES NEW H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B• 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line fL. Water Heater and/or Vent Gas Piping Systerh/ Vacuum Breaker / Other Plumbing Fees Master Drainage Fe Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees $27.00 (iaI Payments To INnCIPPORATE109,Blnce Due $2700 952 7 ç IRED.VERIT -AS EXPIRED SEGir.:fiU6.4K COP DATE( r-.\ SIGNAT1.11RE .1 FINAL APPROVAL Date: Clearance: 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 permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the pretest 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 02 27-00. C PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 FaradayAve., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK N0.03.3V. EST. VAL._____________________ Plan Ck. Deposit .' Validated By Address (include Bldg/Suite 1/) Business Name (at this address) Legal Description . Lot No. Subdivision Name/Number Unit No. '• Phase No. Total # of units MFR '- - Assessors Parcel # - -. Existing Use - Proposed Use Description of Work . SQ. FT. #of Stories # of Bedrooms • # of Bathrooms .Wiôrif 0 ArienF.'str,i('aro1 Foster 1370- Mwy8 R11 '1 Ca ion ' C. 2071 (61'9) _190-4477 Name ' Address City State/Zip Telephone # mp.-. :." .--.................' 1' N6V1, Elliot Na4arra BE. #C Ccnioçid Ca.. te/. .7437O '5 CONTRACTOR COMPANj1AME ':. ' ., I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demlish 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 penalty of not more than five hundred dollars l$5001). r4n J FOSLeL Pluiubiny -B Hwy.8 Bus. El CctdW i. C... stt1 .(6Q,4477 State' Licerse # 630120 License Class c-'36 City Business License # 1210836 Designer Name Address , City State/Zip Telephone State License # UT Lt Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: . I have and will maintain a certificate of conSint to self-insure for workers' comp'ensation as provided by Section 3700 of the Labàr Code, for the performance of the work for which this permit is issued. .. ' I have and will maintain workers' compensation, asrequired by Section 3700 of the Labor Codfor the performance of the work for which this permit is, sued. My worker's compensation insurance carrier and policy number are: Insurance Company sit c L : Policy.No.46701 0000713 Expiration Date _'04-01-04-- (THIS SECTION NEED ND'TBE COMPLWEb1F' PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: I certif.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 Laws of California. . . - • WARNING: Failure to secure workers' compe'ns'ationpviiiiiage is unlawful, and shall subject an employer to criminal, penalties and civil fines up to one hundred thousand dollars ($100.0 ,Zinitio to cost oFopMrtlon, damages as provided for in Section 3706 of the Labor colt I rest and attorney's fees. -. SIGNATURE - . DATE• I .I 1 ' I heieby affirm that I am exempt from the Contg4btor's License Law for the following reason: I, as owner of the property or my empIoyes with wages 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 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. If, 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 Contractor's License Law). - o I am exempt under Section _______________ Business and Professions Code for this reason: - I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES -DN0 " I (have / have not) signed en application fora building permit for the proposed work: I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license ,iumber): .1 plan to proiide portions of the work, but I have hired the following person to coordinate, supervise'and provide the major work (Include name I 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 I phone num1er /type of work): PROPERTY OWNER SIGNATURE - DATE VIT Is the applicant, or future building occupant required to submit a business plan, acutely hazardous materials registration fom or 'risk management and prevention program under Sections 25505; 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is 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 e school site?' 0 YES 0 NO - - ' 'I ' • - IF ANY OF THE ANSWERS ARE YES, AFINAL 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 constructibn lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS - I certify that I have read the applicatior City ordinances and State laws reletin property for inspection purposes. I ' JUDGMENTS, COSTS AND EXPENSES OSHA:. An OSHA permit is required foi EXPIRATION: Every permit issued by authorized by such permit Is not comme at any time after the work is commence APPLICANT'S SIGNATURE nd state that the above inforh-,ation is correct and that the Information on the plans is accurate. I agree to comply with all to building construction. I hereby authorize representatives of the Cit%' of Carlsbad.to enter upon the'above-mentioned LSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, IHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. xcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. building Official under the provisions of this Code shall expire by limitation and become null and oidif the building or work ed within 180 days from the date of such permit or If the building or work authorized by uch permit Is suspended or abandoned of 180 (Secti .4.4 Uniform Building Code). - DATE n )) WHITE: e YELLOW: Applicant PINK: Finance a. ' -