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Home My WebLink About2564 NAVARRA DR; ; CB120659; Permit04-12-2012 Job Address: Permit Type: Parcel No: Reference#: PC#: Project Title: Applicant: BRINKS SERVICES City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB120659 Building Inspection Request Line (760) 602-2725 2564 NAVARRA DR CBAD PME 2162002301 LA COSTA CAYS HOA-INSTALL Lot#: 0 22 ISOLATION VALVES TO SHUT OFF 2 TO 4 UNITS AT A Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 'NALl(ER ROBERlA g, ISSUED 04/12/2012 RMA 04/12/2012 04/12/2012 7969 ENGINEER RD 92111 (760)740-0043 i2564 t~AV:A.RRA QR #101 CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: /11'.'1 · ~!. FINAL APPROVAL Date: dcn../1-z... Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit 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 1imely 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 lees/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 i n f hi h vi I N h" h h f i i h «~ • ~1/CITY OF CARLSBAD EXISTING USE APPLICANT NAME (Prlm•ry Contact) ADDRESS CITY PHONE A PROPERTY OWNER NAME ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value PROPOSED USE GARAGE (Sf) PATIOS (SF) DECKS {SF) FIREPLACE YES □#_ NOD APPLICANT NAME (Secondary Contact) ADDRESS STATE ZIP CITY STATE FAX PHONE FAX STATE ZIP FAX STATE LIC. # YES □ NO □ ZIP (Sec~ 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its iss n , also requi_es t e applicant for such per_mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Secti n 000 of Dlv1s1on 3 of the Business and Professions Code) or that he 1s 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 than five hundred dollars {$500)). ·wo1uc:11ts· COMPl!;NSA:tl!i!H . . i _" • . . . • ,, . * ~* j Ll * Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: _ Q 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. ~ I have and will maintain w 'COITIQPatioh, as required by Section 3700 of the L or Code, for the perfonnan~ of th~~ for which th~perm~ issued. My workers' oompensa~on · suran arrier and policy numberare:lnsuranceCo. Qlor q C ,. Policy No. eQ:-120/0{-SC, :.:S ExpirationDate~.,_~f._,.,,_.e-<a_=-- This section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of alifornia. WARNING: Failure to secure workers' c pe ation coverage is unlawful, ands I subject an employer to criminal penalties and civil fin ea up to one hundred thousand doll al'$ (&100,000), In ,'.'.'.'.~1/1'"':f'I'".''"' ll<><.J""OlJ""37 the Labor o , interest and attorney's fees. I hereby afflnn that I am exempt from Contractor's Ucense 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves ttiereon, arid who does such work himself or through his own employees, provided ttiat 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). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed work. 3, I have contracted with the following person (firm) to provide the proposed construction {include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and pro~ide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): __g PROPERTY OWNER SIGNATURE □AGENT DATE coMl'l.llTII THU SliCTIOlil l'OR NOlll•IIIIUl:!lllllilAI. l!UILIUlil~-"Pl!RMlt$ ONLY' -" 1s the applic.fnt or future building occupant 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 P~s1ey-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or airqllality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No 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. I certify that I have read the application and state that the above infonnation is correct and that the infonnatlon on the plans Is accurate. I ag10& bl comply with all City ordinances and Sta1B laWJ relating bl building construction. I hereby authorize representative of the City of Carlsbad to enteruJX)n the above menOOned IJl)perty br 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over5'0' deep and deroolilion orconstructKln of structures over 3 stories in he'Jhl. EXPIRATION: Every pennit issued by the B.Jitling Official u the provisions of this Cooe shall expire by !imitation and beoome nufl and vok:I lthe Wilding orv.ork authorized by such pennit is not commenced Vvithrl 180 days from the date of sud1 pennil or if the buiklin a th ed by su permit is su ncled or a nooned at any time after the v.ork is commenced t:ir a period of 180 days (Section 106.4.4 Unifonn Building Code). ,I$ APPLICANT'S SIGNAT DAT'ie • . • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602..8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. .1.) □ ASSOCIATED CB#. □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION □MAIL/FAX TO OTHER: _______________ _ □ CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 05/01/2012 Permit# CB120659 Inspector Assignment: Title: LA COSTA CAYS HOA-INSTALL Description: 22 ISOLATION VALVES TO SHUT OFF 2 TO 4 UNITS AT A TIME INSTEAD OF THE ONE EXISTING SHUT VALVE FOR "'rl Ir" IAII 1-1 r" "I Ill '"''"'~ Type: PME Sub Type: Job Address: 2564 NAVARRA DR Suite: Lot: 0 Location: OWNER WALKER ROBERTA R Owner: Remarks: a m please(isolation valves) Total Time: CD Description Act Comments Phone: 6199540206 Inspector: He. Requested By: LEE TIMS Entered By: CHRISTINE 24 Rough/Topout ~ 'PEL Sa?& ct=" ~ ~ -----------f( Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# CV120208 CLOSED H-PLUMBING W/0 PERMIT; Inspection History Date Description Act lnsp Comments