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Home My WebLink About2564 NAVARRA DR; 217; CB030410; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-01-2006 Plumbing Permit Permit No: CB030410 C— Building Inspection Request Line (760) 602-2725 Job Address: 2564 NAVARRA DR CBAD St: 217 Permit Type: PLUM -Status: ISSUED Parcel No: 2162002334 - Lot #: 0 Applied: 02/11/2003 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 02/11/2003 - Issued: 02/11/2003 Project Title: KLOS RES-GAS TO NEW STOVE & Inspect Area: ELECT TO NEW OVEN & MICROWAVE . Applicant: .Owner: KIMBERLY KLOS - KIMBERLY KLOS- 760 634-2726 I 'V,) V , • '--N Plumbing Issue Fee I . . ' $20.00 Fixture or Trap':0.; Building Sewer - . ' 0 . ' . ,.-' <'''-, "i_' $0.00 \. - -" $0.00 _---) Roof Drain / . / . 0 $0.00, Install/Repair Water Line ' 0 ". :' $0.00 Water Heater and/or Vent ' '- .-. - - - ._., -' "- ,- $0.00 \ Gas Piping System / -1 -'- -- —... ,-'-- )-" .s /$7.00 Vacuum Breaker ". 0-,, $0.00 Other Plumbing Fees $4350 - ;•'_%__ c Master Drainage Fee 1 Sewer Fee Additional Fees j:'- -j if t • . - -,. • $0.00 $0.00 . __••5_" II TOTAL PERMIT PERMIT FEES, ., . . _•, \, $70.50/ ._•'. 5' / Total Fees: $70.50 Totál'Payments To Date: V'Y $7050 Balance Due: .' $0.00 ( .' •,.. - - I -\ -' ', '5 •, ,,,\ / S S FINALkP,P W L I~W Insoector: Date: Clearance: _________ NOTICE: Please take NOTICE that approval of your project includes the ulmpositiorr 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 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 • •' FOR OFFICEUSE ONLY , 2 'PERMIT APPLICATION PLAN CHECK No1IJD CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL 1635 Faraday Ave., Carlsbad, CA 92008 • Plan Ck. Deposit Validated By ' L - Date MOR 2A 10 Address (include Bldg/Suite M. . . Business Name (at this address) ' - 1 • ••• ; . -. . ,. I Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units '1 .•-,.' ... -,. •. Assessors Parcel # .. -' Existing Use - - Proposed Use 3 -.• ,' I - . i -- . Des iption of Work , - ' SQ. FT. . óf Stories # of Bedroo s . of B throom C 6—us In Lim Name Address 4 City State/Zip Telephone # Fax # .l. • '..- • . - 3 Name--Address City State/Zip Telephone # PRbPFWWN - Nm6' •' - Address; • . - City - ' State/Zip Telephone # - (Sec. 731.5 Business and Professions Code: Any City or County which requires-a permit to construct,'alter, improve, demolish or repairany siructure, prior to its .1 issuance, also requires the applicant for such icermit 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 thanfjve-hundred dollars I$5001). -' : . . • - :- • Name • - • Address -. -. . City -. • • State/Zip Telephone # - •, State License # ' ' • ' .'License Class •t •' City BUsines&License # - 4:.. ' . Designer Name ' Address City State/Zip,, - Telephone •. . :".-'-.• . .• .-• .•- •• * •- V. State License # - '• Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - 0 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 performance of the work for which this permit is issued - 0 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 issued My worker's compensation insurance carrier and policy number are Insurance Company • ' ' • - - Policy No.' - - •- Expiration Dte _• - • (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) o -CERTIFICATE OF EXEMPTION: I certify that-in the performance of the work for which 'this permit is issued, I shall not employ anypers'on iii any manner so '. -- to become subject to the Workers' Compensation Laws of California. - : - ' • • ,. 'WARNING: • Failure to secure workers' compensation Coeraga Is unlwful, and shall subject an employer to crimInal penaltiel and civil fimii up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for'In Section 3706 of the Labor code, Iflterest and attorney's fees. SIGNATURE. • -. - - - - -. - - - . DATE - - - - - - • t - - . ' - - - -, - - I heieby affirm that I am exempt from the Contractor's License Law for the following reason: • - - - -' •. - ' - 0. 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 - - (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of poperty who builds or ir'iprdves 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) A- ,l, as owner of the property, em exclusively contracting with licensed contactors to construct the project (Sec. 7044, Business and Professions Code: The - Contrsctor s License Law does not apply to an owner of property who builds or improvas thereon and contracts for such projects with contractor(s) licensed pursuant to the cont'ractor's. License Law) 4 '0 I am exempt under Section - - - Business sand Professions Code for this reason: - - - -- I - • •• - t - - - I - - - - - -- j* P• - -- 1 I per onally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES 10 2 I (hay / have not) signed an application for a building permit for the roposed work 3 I have contracted with thii following ponm) to construction (include name / address / phone number / contractors license number) 4. I plan to pro'iidO portions of the work, buti have hired the following ersonto coordinate, supervise and provide the major wrk (include name / address 'phone number / contractors license number): - 5. I will provid soe of the work, but I ha e contrac ed(hire the foil i persons to provide the work indicated (include na e/ address / phone number / type CS - -- -- . ROPRTY OWNER SlaNAT 7 -ATE//--- -. -. Is the applicant or future building oc upant required to submit a business plan, acutely hazardous materials registration form 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 thii applicant- or-future building occupant required t obtain.e permit from the air Oollution 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 a school site? 04 YES 0 NO 1 IF ANY OF THE ANSWERS ARE YES, A FINAL 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:. IN EN' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) - LENDER'S NAME •-• _-' _-' _• - LENDER'S ADDRESS -- _--' _- -•*- _- __' I certify 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 City OrdinanceC and State laws relating to building construction. I hereby authorize representatives of the Cite' of Carlsbad to enter upon the above mentioned! - p?operty for inspection purposes.,` I ALSO 'AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF- CARLSBAD AGAINST ALL LIABILITIES,, - - JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST.SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. • - - , OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height • - - EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by lfrnitation and bec&ne null and void if the building or work t is suspended or abandoned authorized by such permit is not commenc within 1 days from the da of such permit or if the building or work authorized by suc74/ at any time after the work is om or pen 180 ays ( n 106.4.4 Uniform Building Code). - - * )(APPLICANT S SIGNAl ATE c';;i;;I_:? WHIT ile YELLOW ApplicantPlNK Finance J -. - L - - - -. I 4' - - - *• I City of Carlsbad Bldg Inspection Request For 09/05/2006 Permit# CB030410 Inspector Assignment Title:,KILOS RES-GAS TO NEW STOVE & Description ELECT TO NEW OVEN & MICROWAVE Type: PLUM Sub Type: Phone: Job Address: 2564 NAVARRA DR Suite:. 217 - Lot 0 Location: .. Inspector: OWNER KIMBERLY KILOS - Owner:. . Remarks NO TYPE LEFT • Total Time: . . Requested By: KIMBERLY . .. - Entered By: JANEAN CD Description - Act ,Comment . 24 Roug opout - - • • - o - . ., -. • menth/Noti es/Hold Associated PCRs/CVs Original PC# • • - S Inspection History • - Date Description - Act insp Comments • S . S S •- -. • - 10 : ./ . S • - • •- '-S S • S • .9