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!
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