The URL can be used to link to this page

Home My WebLink About2563 NAVARRA DR; E; CB050375; PermitCity of Carlsbad. 1635 Faraday Av Carlsbad, CA 92008 02-08-2005 Mechanical Permit Permit No: C13050375 Building Inspection Request Line (760) 602-2725 Job Address: 2563 NAVARRA DR CBAD St: E Permit Type: MECH Parcel No: 2162002731 Lot #: 0 Valuation: $0.00 Reference #: Project Title: BULLIS RES NEW H20 HEATER AND - NEW FURNACE •t RIDGE DR CA 92121, 858-677-5455 Status: ISSUED Applied: 02/08/2005 Entered By: SB Plan Approved: 02/08/2005 Issued: 02/08/2005 Inspect Area: •' Owñer:.. —' BULLIS JEANNETTE A REVOCABLE LIVING TRUST 2563 NAVARRA DR #E - CARLSBAD CA 92009 / Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fe Exhaust Fan Fee / Installation/Relocation Vent Fee HoodFee / -'D Boiler/Compressor to 1 5Hft Fee — Other I Additional Fees TOTAL PERMIT FEES \4.\-•ij T- csrcc' 1500 $9.00 N C $000 \ ___jg $0.00 $0.00 Ec $27.00 id000 -$51.0O / N /1 , Total Fees: \$51.00 TotalPayments ToDate: j-$0.00BaIance Due: I $51.00 ",—f$0.00 / / •. 4!. INCORPORATED 1952 - >'! 1335 02/08/05 000201 FINA (.'"' FfROV Inspector: j 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 lees/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 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.nsIxactions of which you have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION ' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY - PLAN CHECK 1\10606 EST. VAL. Plan Ck. Deposit Validated By________________________ Date Address (include Bldg/Suite WI Business Name (at this address) Legal Description Lot N divi I N r Unit No. Phase No. Total I of units Exist[ Asses Pa el '-.-f)(.dI'1 C Proposed Use Descriptio&I( Q. FT. tot Stories I of Bedrooms I of Bathrooms Telephone I Fax N Name Address City State/Zip .............................. ontroo c (cii £CbA 1, LW .L24- IJ7'77 - Name • Address '..) City State/Zip Telephone I 2P!3r5i 74 Iq2-22j4 Name f Address City S.taute/Zip Telephone N 5 CONTRACTOR CblANYrNAME irt raff -iip' (Sec. 7031.5 Business and Professions Coda: 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 iChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exe)Vpi9nJ..Any violation of Section 7031.5 by any applicpptjor a permit subjects the applicant to Qcivii penalty of not more than five hunjlred dollars it5001l. '1 ' I Ig, 2 kt%. Tv'e \O.) ) C* /4w-' t C1 7 - L4ç 'Jame AddrwA a City State/Zip Telephone II State License #7ct I License Class C lo (T3'k' City Business License If )esigner Name Address City State/Zip. Telephone itate License I -:........- Norkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 3 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 perforniance if the work for which this permit is issued. - I 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 is sued. My worker's compensation insurance carrier and policy number are: / isurance Company rnt44 40A . Policy No. . 01 . Expiration Date THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$ 1001 OR LESS) 3 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any mariner so as become subject to Workers' Compensation Laws of California. /ARNING: Fallur o sec to workers' compensatl c erage Is unlawful, and shell subject an employer to criminal p of log and civil lItres up to one hundred rousand dollars I 0 I, In addition th the col 0 a stion. clemages as provided for In Section 3700 of the Le attorney's fees. IGNATURE DATE OWNER BUILDER DECLARATIOt4 r r1 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 wages as their sole compensation, will do the work and the structure is not intended or offered for sale ;oc. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves tlieieon. and who mines ich work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvenmp.mit is )Id 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: limo ontractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractom(sl iim:emiserl irsuant to the Contractor's License Law). - 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 ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license nummihem): 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 / phnnn imber I 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 I address I phone mmiirmmher / type work): . IOPERTY OWNER SIGNATURE DATE )rV1P1ETE THIS SECTION FOR PcL' tire applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and pmevamilinmm ,gram under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 No 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 the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING TIlE DUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDINGAEN- _' m It - treby, affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 30970) Civil Code). rIDER'S NAME . LENDER'S ADDRESS APPLICANT CERTIFICATION r " L TIr/ir1 PAM 11 M J'l SliL I wily '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 v ordinances and State laws relating to building construction. I hereby authorize representatives of the CItI' of Carlsbad to enter upon the above mr,emutinmimd potty for inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIAIIILI1IES. OGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. hA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction of structures over 3 stories in height. PIRATION: Every permit issued Ihe ullding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work horized by such permit Is not ence wilhln 180 days from the of uch permil or IF the building or work authorized by su9h per 11 Is susperidtsd or et,mmmlc'mmmrl my time ether the work is corn ce for a perio of 180 days (Se6n 1 6 4. nlform BuIlding Code). / / 'LICANT'S SIGNATURE (\ iO A') J.d,,.....,. / I I A aA rIAT City of Carlsbad Bldg Inspection Request For 02/11/2005 Permit# CB050375 Inspector Assignment Title: BULLIS RES NEW H20 HEATER AND Description: NEW FURNACE - Type: MECH Sub Type: 1 Phone: 7609422261 Job Address: 2563 NAVARRA DR Suite: E Lot 0 Location: r - Inspector: APPLICANT ARS Owner: Remarks:AMPLEASE Total Time: * • Requested By: JANET Entered By: JANEAN CD Descrition Act. Comment - - 25 Water HeaterNents i4f) • • 43 AirCond/Furnace Set - • • • • 4 Associated PCRs/CVs * - Inspection History • * Date Description Act Insp Comments