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HomeMy WebLinkAbout2564 NAVARRA DR; 112; 86-891; PermitUSE BALL- POINT PEN ONLY &PRESS HARD' - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - I 2 r' 0 I heriby affirm that I am licensed under I U ' provisions of Chapter 9 (commencing with I .,.Section 7000) of DivIsion 3 of the Business and Professions Code, and my license is In I,-Z'full.force and effect. - - I hereby affirm Iht I am xeipt'f rem' the Centric—I tw' License Law lot thololluwing reason (Soc. 7071.5 - 0s3isc3 and Professions Code: Any city or county which re- quires'a permit to construct, alter, improve, demolish, or I rcoeir any struCture, prier t its iccuanco alco require! IhP ap-plicant for such permit to tile a signed statement that he is licensed such Is the provisions of the Contractors I - Lii.win L8n (Chapter 0 commencing with Cecliun 7000 of - Division 301 the Business and Professions Code) or that is ex-empt therefrom and the basin for the alleged evemptinn Any violation 01 Section 1031.5 by an applicantlor a permit sub-i,:'13 the applicant is a-civil penalty of not more than I (nO hun— dred dollars ($500). - ri i. as owner 01 the property: or my employees with wages as their sole compensation will do the work. and the strur. tui I - n ret lntcedcd or offered for sale (Sec. 7044 Bu5innce d £oteasiuns Code: The Contractor's License 1,5w done 3 urn apply to an owner of property who builds or improves I thc con and who does such worlu himself or through Idc nwn ;.110 - - employees, provided that such improvements are net intend. us ed or etlered for sale. It, however, the building er,improve- I Z mont is sold within one year of completion, the owner-builder -will have the burden 01 proving that he did not build or im- prove for the purpose of sale). 0 I, as owner of the property."am ex'ai'iely conlrati'g with licensed contractors to construct the project (Soc. 7044. I - Business and Professions Code: The Contractor's License Law dues not apply to an owner of property who builds or !in- r proves thereon, and who contracts for each projects with a I Cd) contractor(s) license pursuant to the Contracler's License Law).'-1 lJ As a homeowner lam improving my home, and the follw "log Conditions exist:cc The work is being performed prior 10 sale. - I have lived in my i home br twelve months - prior to completion of this work. UI 3. - I have not Claimed this exemption during the I O - last three years. 0 lam exempt coder Sec. for this reason 0 'I hereby affirm that I have a certificate Of Consent to self-insure. or a certificate of Workers' Compensation In. surance.or 5 Certified copy thereof (Sec. 3800. Labor Code). I"# .POLICY NO.- ' .1 1 COMPANY 11— " 0 Copy is filed with the city 0 CertifIed copy is hereby furnished - ' on.. — .---------- 'I -'• 5 1! ..h' * CERTIFICATE OF EXEMPTION FROM O ' ., WORKERS' COMPENSATION INSURANCE I Cd) "(This section need not be completed lithe permit ' is for one hundred dollars ($100) or less) - Ul - " 0 I certifjthat In the ,formunce 01 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' Compen' I sation Laws of California. -' - , , NOTICE TO APPUCANT: It, aIIr making this Certificate - of Eoemptlon, you should become subject to the Workers'; 1 ,Compensation provisions 01 the Labor Code, you must forthwith Comply with such provisions or this permit shall I be deemed revoked. [" 0 I hereby affirm that there Is a construction tending or,I .: 'agency for the performance of the work for which this per. ul 01 - mit is issued (Sec. 3097, Civil Code) - - LU Lender's Name L Lender's Address________________________________ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT —r '. Carlsbad, California 92008-4859 • . • * - - - -. - -• - • -- -- . ,IOR ADDRESS AV, ST.RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION . PERMIT NUMBER 46 LOT I BLOCK 'J SUBDIVISION I ASSOR PARCEbNO. CONTRACTOR CONTRACTORS PHONEC ZONE OWNER'S NAME •. ' V . OWPI(fl'E PItOMP BuiLD!'4 SI'S FflOTAGE Ec/,v /,/ ' V CONTnACTORS APDRE7 SlAtE LIL.ENSE No. , e OWNER'S MAILING ADDRESS - . . O5cIGMFR ... ........ DESIGNER'S PHONE -' flFSrRIPTlQN OF WQ i m tt/ ' 1/A (S iQdo.t4J Dkivlbmniul'SMC)0flt03 -. . STATE - - -- - - ---V. . - - LICENSE NO. ________________- • ..... ., ______-V rip - FIR FIFV. , UP CDU - • UCIL au i/29/6RT ii. . ni'i RIES vflNO' 0 PARKING SPACE- RES UNITS - GRADING PERMIT ISSUED REDEVELOPMENT ', - JTVPE\ - 'co — - -. • - •- - - -- - - - 'sO'N ___vOND' AREA -frCONS !'..? - v0ND. _FIRE SPR Nor Valid qnlees Machine cerilied.• QTY - PLUMBING PERMIT ISSUE QTY. MECHANICAL PERMIT ISSUE j 3--- J('ã' __SUMMARY/ACCOUNT_NUMBER - - EACH FIXTURE __TRAP -. . i INSTALLFURN.DUCTSUPTO100.000BTU _ - ,.BUILDINGPERMIT 001-810-00-00-8220 /0 EACHBUILDINGSEWER -., __P ' , r OVER100,000BTU ¼i) ""' - ._ SIGN PERMIT 001'810'O0'0O'8221 77 -_-_..__ EACHWATERHEATERAND/ORVENT -. _- BOILER/COMPRESSORUPTO3HP -- - " PLAN CHECK . - - 001-810-00-00-8806 -7'_- - EACH GAS SYSTEM ITO4OUTLETS. —. BOILER/COMPRESSOR 3.15HP . TOTAL PLUMBING 001'810'00'0O-8222 V - EACH GAS SYSTEM5OR MORE -- _' . . METAL FIREPLACE --- ELECTRICAL 001-810-00-00-8223 -- -- EACH INSTAL.. ALTER, REPAIR WATER PIPE .-.- - VENT FAN SINGLE DUCT MECHANICAL-----001-810-00-00-8224 - EACHVACUUMBREAKER - ___'- '. __, k MECHEXHAUSI -H000FOUCTS -I , MOBILEHOME 001-810'00'0O'8225 V - WATERSOFTNER-__----- _--V -,. . RELOCATIONOFEAFURNACE/HEATER • ':- SOLAR'-- O01-81Ô'O0'00-8226 - - EACHROOFDRAIN(INSIDE) ___--- . . DRYERVENT -' . ----•- .STRONGMOTION -880'519-92-33 ft TOTAL MECHANICAL • I - _-- _--r - - ' ' - - FIRE SPRINKLERS 001-810-00-00-8227 TOTAL PLUMBING - - V --PUBLIC FACILITIES FEE -320-810-O0-00'8740 ---V--- OTY, ..ELECTRICAL PERMIT. ISSUE - - ' Q V MOBILEHOMESETUP- _ - -' BRIDGE FEE' 'PARK-IN-LIEU(AREA ) _-V NEWCONSTEAAMPISWTIBKR'' __ , V - - CAR PORT - ' -' "':" _- —TIF __V -, _001'810-00-00'8835' -- - -. -)-PH ----I -- _3PH •a 'j_-, - - AWNING '. LICENSE TAX 001-810'00'00'8162 - - - - - -EXIST SLOG .EAAMP/SWT/BKR—..-...-- _' - - GARAGE ,-- . MFF 880'519'92-57 - ,1PH •.,V,.2 3PHV , _-- _-'' -•--••--•- -- 'V * — REMODEL:ALTERPERCIRCUIT -- TEMPPOLE200AMPS ----. -, - i.. OVER200AMPS•' _ ' V , -• ...: __.,. _- ___.,,_- -- 1'EMPOCCUPANCY(30DAYS) ____•V _, • - ----'- - '', . , ' - - - - - - - V V -V _, - • . - ' -: - 'CREDIT DEPOSIT — TOTAL ELECTRICAL. ____ TOTAL --_I - 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 ot this ' * AN 0514* PET IS REQUIRED FOR EXCAVATONS OVER CERTIFY I UNDER PENALTY OF . PERJURY THAT, ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void If the building or work 5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF b such permit is not commenced within 180 0r,"1us en of cpded DECLAHA1 IONS ARE TRuE:AwDCoRREcT AND I FURTHER CERTIFY AND AGRFF IF A PERMIT IS permit, -or i/the building or work authorized by such peit authorized us ethe or , STRUCTURES OVER 3 STORIES IN HEIGHT __-V ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is commenced STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . - KEEP HARMLESSJHE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANT * -EXPENSES WHICH !MAY IN GRANTINGOFTHISPERMIT_ WAYACCRUE AGAINST SAIDCITYINCONSEOUENCEOFTHE BYPHONE 0 for a period 01180 dave V•- APPROVED BY V ' • , V OWNER CONTRACTOR 0 - - . - DATE ' TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME 0 FLOOR 0 CEILING SHEATHING 0 ROOF 0 SA, EAR FRAME. EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING O SEWER AND BL/CO 0 AL/CO UNDERGROUND 0 WASTE DWATER TOP OUT 0 WASTE 0 VATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR W1ATER ELECTRICAL ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC ELECTRIC SERVICE. 0 TEMPORARY O BONDING 0 POOL 1 I. MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS . . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITFMq ARfl%Ic I4Oi11 P-FN APPRt1VFfl FINAL PLUMBING . ELECTRICAL MECHANICAL GAS V BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPEC TION REQ. IF INSPECTORS D . CHECKED APPROVAL ATE - - SOILS COMPLIANCE PRIOR TO FOUNDATION INSP - STRUCTURAL CONCRETE OVER 2000 PSI . PRESTRESSED CONCRETE ,.- POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS -AflT0 PflT \t4! --:• .- -- .. _____ _____________________________________________________