HomeMy WebLinkAbout2564 NAVARRA DR; 217; 86-845; Permit-. --
2 r 0 I hereby affirm that I am,i!censed under 0 1 provisions of60tar9 (commencing with
I ' Suction 7000) of Division 3 of the Business
I and Professions Code, and my license is In
L full force and effact: - "
- •) '.'.. T' - '- I hereby• affirm that I am exempt tram the Contrac- - tors-License Law for the following reason (See. 7031.5
Business and Professions Code: Any city or county which re. / quires a permit to Construct, alter. Improve, demolish, or repair any structure, prior to its issuance also requires 'he ap-
plicant br such permit to'f lie a signed statement that he is
licensed pulsuaul to the provisions of the Contractors
- Licenac Law (Chapter 0 commencing willi ,5er1in0 71100 of Division 301 the Business and Protesi11nv Code) or that is ev ,
empl thereliom and the basis for the alleged exemption.' Any
violation of Suction 7011.5 by an opplirant tar permit cub',-
Ions tireapylikailt lv a Civil penalty of not more than IN hun'
dred dollars ($500).
fl I, as owner of the properly, or my employees with wages
as their solo compensation, will do the wnrk, and the struc-
- loin is lint lirtemided In offered for axis (Gee. 7011, 8ucinvcc -' _i and Professions Code: 'The Contractor's License Law dues
not apply to an manor at property who builds or imprnves .thereon and who does such wont himself or through his own
.ernptsyees, provided that such improvements are not intend' U - - ad or offered for sale.'- If: however, the building or improve-- z must is sold within one year at completion. the owner-builder
- will have the burden at proving that he did not build or rn-.. I -
prove for the purpose of sale).
0 I, as owner of the property, am exclusively contracting
with licensed contractors In Construct the project (Sec. 7044. — Business and Professions Code: The Contractor's License -
Law dues not apply loan owner at properly who builds or irn- I. I.
- proves thereon, and who contracts fur each projects with a ' 'contractor(s) license pursuant to the Contractor's License i Law). • ,. -
'j As a hn'meowne'r I am improving my home, and iiEtoiiw.' r I -
log conditions exist: . ...........
- I- The work is being performed prior In sale. -
- 2. I have lived In my home ,for twelve mouths
- - •prior to completion of this work. .,' ' - I - 3. I have not claimed this exemption during the last three years. .
DiumesemplunderSec. 'B&P.C. for this reason
' -
fA 0 thereby affirm thid'i have a certificate of consento I
sell-insure, or a certificate of Workers' Compensation In 11 -
'. surance. or a certified copy thereof (Sec. 3000. Labor Code) .
POLICY . * -
- COMPA'NY '''
0 Copy is tiled i,ihh'the ilti
,. 0 Certified copy is hereby funished
IIJ
9116
' -'CERTIFICATE OF EXEMPTION FROM
C.) •-WORKERS' COMPENSATION INSURANCE
U) '(Thlo Section need not be completed It the permit
- --- is for one hundred dollars ($100) or less)
Ul 0 t cerlity that in the performance of the work for which I
- this permit is issued. I shalt not employ any person in any
manner so auto become subject to the Workers Compen.
- sat Ion Laws Of California.
NOTICE TO APPLICANT: If. utter making this Certificate I
- of Exemption, you should become subject to the Workers' I
Compensation provisions 01 the Labor Code, you must
forthwith cbmply with such provisions or this permit Shall
be deemed revoked,
' r
hereby affirm that there is a construction tending I
'agency for the performance of the work for which this per- I
ol '11mi1 Is issued (Sec. 3097, Civil Code), ZI
WI Lender's
L Lender's Address
-
U)
z
0
I- 4
U U 0
USE-BALL POINT-PEN ONLY& PRESS HARD- - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
- -. " --- -- - CARLSBAD BUILDING DEPARTMENT - - - -
- APPLICATION & PERMIT%
Carlsbad,,CaIifornia92008-4859
JOB ADDRESS - ' AV, ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
,VWA-ii? i- g
LOT I PARCEL NO. CONTRACTOR I I BLOC(( SUBDI VISION ASSESSOR
4
CONTRACTORS PHONE a 4 7 ZONE' ..........
-
OWNER'S NAME . PHONE OWNER'S ONE
BUILDING SO. FOOTAGE
.
I cL37 c/ J
CONTRA 'S E s STATE LICENSE NO.
OWNER'S MAILING ADDRESS - "'
.-• J , - DESIGNER DESIGNERS PHONE
ncqcAlpTInN OIWUHK
/Ei ''?fr'//' 2 ¼. DCIGNCfl6n.DORE0 - STATE LICENSE NO. '''•" ' •" ' •' -.
. 'V.---.. . . F/P FLRELEV. NO OCCGP EDU
- -- ,-•-- . -
- ... .......- . . . - .. • -- ,. 3TOfliC3 •. ._. ..-. i)Iiir,uu,L.,u/iq,bbrtcrIl: if.
'0 NO
--- - - - - . . • - - - I, PARKING SPACE RES UNITS GRADING PERMIT ISSUED , REDEVELOPMENT , -' - TYPE.... 0CC LOAD FIRE SPR -. - - AREA ' CONST , ' - -
- - - - 4, - Y O N 0 - - m' 0 ND ' ', ' - ' YO NO Nor Valid Unless Machine Certified.
QTY PLUMBING PERMIT ISSUE _77_ 1.9TY.MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP - . ' - INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT - 001-810-00-00-8220
EACH BUILDING SEWER . - ' , -. - - . - 'OVER 100,000 BTU • . SIGN PERMIT 001-810-00-00-8221
'L.F' tEACH WATER HEATER AN VENT , . . . BOILER/COMPRESSOR UP TO 3 HP - - , . - .-PLAN CHECK:. - -' .001-810-00-00-8806 . .
__. .7•.' .
- EACH GAS SYSTEM I 104 OUTLETS ' -
BOILER/COMPRESSOR 315 HP , , ' TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEMS OR MORE - - '
.
- -- METAL FIREPLACE - - V - , - - ' - ELECTRICAL 001-81600-00-8223 -
..., EACH INSTAL ..-ALTER. REPAIR WATER PIPE . VENT FAN SINGLE DUCT - ' - -- . 'MECHANICAL - 001-810-00-00-8224
EACH VACUUM BREAKER - ' - ' - - . ''.. MECH EXHAUST - HOOD/DUCTS - - - : - MOBILEH0ME - 001-810-00-00-8225
WATER SOFTNER ... . .. - ' - -- .' -- RELOCATION OF-EA FURNACE/HEATER" ' :-' SOLAR "' -. 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) ' . :' • DRYER VENT STRONG MOTION 880-519-92-33 -
TOTAL MECHANICAL
, : • - - - - V - - -. — ' ------
FIRE SPRINKLERS 001-810-00-00-8227
-- - TOTAL PLUMBING - , - . PUBLIC FACILITIES FEE' 320-810'00'00-8740 -' - --'-'-- -
BRIDGE FEE' CITY. ELECTRICAL PERMIT ISSUE - - QTY! MOBILE HOME SETUP - - (AREA
— -NEW CONST EA AMPISWTJBKR '--n., . CAR PORT -. . - - . - . -. . '.- - TIF. - - . -001-810-00-00-8835
- 1-PH . . - 3 PH ' '., - ,, AWNING • . . LICENSE TAX 001-810-00-00-8162 -
.EXIST BLDG EAAMP/SWT/BKR , . -- GARAGE, - ' : - ' MIFF - . - 880-519-92-57 - V
-
1 P I - 3PH
-
REMOOEL:ALTER PER CIRCUIT - '''-"" • , - . .
TEMPPOLE 200AMPS ,- - '• -- V - . - . . - . - ' ' ' - - - ' - ' ' - - - '_ V
- OVER 200 AMPS
-1'EMP OCCUPANCY (30 OAYS)-.- - -. ': ' - .- i ' . . -- -
CREDIT DEPOSIT ---
TOTAL ELECTRICAL
I - -
TOTAL TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT-AND DO HEREBY ..-Expiration. Every permit issued by the Building Official under the provisions otthis *'-AN OSHA PERMIT IS REQUIRED FOR'EXCAVATNS OVER
CERTIFY UNDER PENALTY, OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE shallCode expire by IimaIion1and becomednuII,San void If he building or work50" DEEP AND DEMOLITION OR CONSTRUCTION OF - h permit 13
suc
authorizedDECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT Is permit. o I he STRUCTURES OVER 3 STOR ES IN HE HT or work authorized by sucg 'Permit is suspend r I_
. ----------- TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON -a" ISSUED: abandoned at any time a fter the work is commenced for a period of 180 days
APPLICANT'S SIGNATURE * OINER CONTRACTOR 0 STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND - V APPR&aY DATE KEEP HARMLESS THE'CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND - .. - - -
-GRANTING
EXPENSES WHtC1I'MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE-OF THE
OF THIS PERMIT?' - -- V V BYPHONE 0 " i
TYPE I DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME 0 FLOOR 0 CEILING
SHEATHING 0 ROOF 0 SIEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL -
PLUMBING
,D SEWER AND BL/CO 0 PL/CO
UNDERGROUND 0 WASTE DWATER
TOP OUT 0 WASTE 0 WATER.
TUB AND SHOWER PAN
GAS TEST -
WATER HEATER 0 SOLAR WATER
ELECTRICAL
ELECTRIC UNDERGROUND El UFFER
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMPRARY
O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING
HEAT — AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/ON WHEN-ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING ZWd
SPECIAL CONDITIONS
di
FIELD INSPECTION RECORD .
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
REQ. IF INSPECTORS INSPECTION CHECKED APPROVAL DATE - -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED -
CONCRETE
POST TENSIONED - CONCRETE
FIELD WEL'9ING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY . . .
PILES CAISSONS
II I % • I
I —