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HomeMy WebLinkAbout2565 NAVARRA DR; A | B; 80-953-E; PermitI CITY OF CARLSBAD—BUILDING DEPARTMENT LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provi- 1 LL POINT PEN ONLY S/ 4 APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and of- fact. JOB ADDRESS AV.ST. DATE OF PLl ATION BUS. LICENSE - PERMIT NUMBER I OWNER-BUILDER DECLARATION Eli he affirm that I am exempt from the Con- OWNER S OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE 3 i"ii_.L3 V6%3 £' tractor's License Law for the following reason (Sec. 7031.5,Buslness and Professions Code), Any city or county which requires a permit to con- struct, alter, Improve, demolish, or repair any . __________________________________________ OWNER'S MAILING ADDRESS CONT OR'S ADDRESS CT 740 - -e Ei-c7-1A -r (__2. 'i-z2-- ZdE1vZ._Z , CON RACTOR'S ___________________ - LOT BLOCK . SUBDIVISION - I ASSESSOR'S PARCEL NO. , DESIGNER . _________________ STATE LICENSE structure, prior to its Issuance also requires the applicant for such permit to file a signed state ment that he Is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter9 commencing with Section 7000 of Division 3 of DESCRIPTION OF wORKII 7C , .4L4.t4 DESIGNER'S ADDRESS - - - -. DESIGNER'S PHONE the Business and Professions Code) or that is cx- (j empt therefrom and the basis for the alleged ex- emption. Any violation of Section 70315 by an ap- plicant for a permit Subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - - Not Valid Unless Ma 45B,3' 'i CENSUS TRACT . GP LAND USE/ I I ZONING RES. UNITS 0CC. GP I STANDARD PLAN N PLAN ID N I TY2T '0CC. LOAD PARKING SPAC -- NUMBER OF STORIES BLDG SQ. FT b7 -_" I BLDG USE I - 0.1 - - El 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 of- - QTY ________________________________________________ PLUMBING PERMIT fered for sate (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does AMT. QTY. MECHANICAL PERMIT AMT. - not apply to an owner of property who builds or EACH FIXTURE TRAP Improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- - OVER 100000 BTU 3j.. ' INSTALLFURN.DUCTSUPTO100,000BTU . -. EACH _BUILDING _SEWER fered for sale. If, however, the building or Improve- ment 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). 44 BOILER/COMPRESSOR UPTO 3 HP f1f6erIW-n€SS8fl1O-9$1fP 4L- - BOILER/COMPRESSOR 3.15 HP - - / 50 /J040 EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS - EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE Dl, as owner of the property, amxclUsively con- tracting with licensed contracto t nstruct & , VENT FAN SINGLE DUCT - , . - MECH EXHAUST - HOOD/DUCTS . . - EACH LAWN SPRINKLER SYSTEM Code: The Contractor's License LaTi dos not ap- - WATER SOFTNER . the project (Sec. 7044, Business e.$d PiWessions RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT '9 jr ply to an owner of property .hdI4lJs or im. proves thereon, and who contra cts'such ilk? jecta with a Contractor(s) iicense'pur nt contractor's License Law. I am exempt under Sec. , B. for this reason_______________________________ Date _________ Owner _________ t¼.-t° - . SIGN PERMIT __________________ U!' TOTAL PLUMBING - . - - CONTRACTOR ,,_J' 00'- TOTAL MECHANICAL CONTRACTOR "" PLAN CHECK /PLS) O1C- _______ I '7IJ LU U) ALL INCLUSIVE PERMIT I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT . AMT. TOTAL PLUMBING ELECTRICAL - 4J r'2.. +- NEW CONST EA AMP/SWT/BKR / bO AWNING WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- - - I PH .25 3 PH . - PORCH . . MECHANICAL MOBILE HOME - EXIST BLDG EA AMP/SWT/BKR Compensation Insurance, or a certified copy , SET-UP . SOLAR sent to self-insure, or a certificate of Workers' 1 PH .25 3 PH RAMADA, CABANA . j171l4 ,?f.2iiii I I I thereof (Sec. 3800, Labor Code). POLICY NO.________________________ COMPANY ______________________ - - REMODEL/ALTER PER CIRCUIT ________________________________ . FENCE OVER 6' TEMP POLE 200 AMPS - TOTAL MOBILE HOME - M IC 0-F I L - I OCopy Is filed with the city. ' OCertIf led copy is hereby furnished. - - - OVER . 200 AMPS - _____ t''- j'C - TEMP OCCUPANCY (30 DAYS) CERTIFICATE OF EXEMPTION FROM - WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per-mit TOTAL ELECTRICAL CONTRACTOR -__.O TT - . . TOTAL FEES PAYABLE . lI.44if34 __ is for one hundred dollars ($100) or less). I certify that In the performance of the work for which this p4rmIt is Issued, I shall not employ any - - person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: if, after making this Cer- tificate of Exomption, you should become subject to the Workers' Compensation provisions of the I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5 -0' DEEP EMO TION OR CONSTRUCTION OF STRUCTU Labor Code, you must forthwith comply with such COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER -- z9 provisions or this permit shall be deemed revoked. SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CA A LSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND CONSTRUCTION LENDING AGENCY EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST OF THE GRANTING OF THIS PERMIT. SAID CITY IN CONSEQUENCE F#koVED BY I hereby affirm that there Is a construction len- APPLICANT'S SIGNATURE' owNEno CONTRACTORC 7 AGENT 0 BY PHONED SITE q. ADDRESS: OWNER: - pEFMirNO: : FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR ,• FOUNDATION. FORMS .SET BACK sTOILET UNDER FLOOR PLUMBING - UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR S ' UNDER SLAB PLUMBING FOOTING . FORMS . SETBACK .TOILET OK TO POUR CONCRETE FRAME t t ROUGH ELECTRICAL .-. - ROUGH PLUMBING ROUGH HEATING/.VENTILATING FRAME OK.PLACE IN - - INSULATION OK • PLACE WALLBOARD WALLBOARD OK. PLACE TAPE - EXTERIOR LATH OK. PLACE STUCCO ____________________________________________________________________________________________ - ' --. .: FJEPLAtE' AiPER4ST1EEL - PLATE TJES/HEIGHT OF CHIMNEY OTAER - - - ' • TEM POWER (POLE) SEWER GAS TEST SWIMPOOL • STEEL BONDING PRE DECK - . • FENCE PREPLASTER SH6WN • FRAME I - •PAN - FINAL INSP BY BLDG DEPT OTHER OEPf'SREQ COMPLETED ELECMETER—PERM--TEMP - GAS METER—PERM—TEMP - - - 4.0 [ERTOF'OCCUPANCY ISSUED VALIDATION City pfCwrIsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPARTMENT 1200 ELM 438-5525 Address where Business be will conducted 2565 A B Navarra Buildin g Permit No. •,,-80 -953E Name of Occupant . . Business Phone 729-4999 Address of Home Office of . Occupant if different from above 2850 Pio Pico , Suite I • Carlsbad Home Office Phone 729-4992 Owner of Building FAIRWAY SOUTH. Address 2850 Plo Pico, Ste.I Phone 729-4992 Type of Business 2 unit condo Describe exact use of all portions of each building and lot residential condominium Previouè use of Building none Type of flammable or explosive liquids to be used, if any none I certify that I have read the statements contained in this application; that they are true and correct, and that I make this statement under penalty of perjury. Dated thi ______________ in the City of Carlsbad, State of California . . ..- . 'ignaturo ____ ENTERPRISES, INC. . Cenetal Pa signature or pplicant GEORGE KRIKORIAN, Presidning Official I_. FOR DEPARTMENTAL USE ONLY Use Zone ,! /14 Occupancy Group I? I Type of Construction At Planning Departrent Date 1/ Addoc.Approved /2\ Disapproved .. By -- -. anni Engineering 2.-. Department Date 0 C) Approved Disapproved By - Fire . . -J Prevention Date Q.- -.2.. Approved çj4i.I . Disapproved By Department . Date -q... Health ?-82-.. Disapproved By Building . .. .. Department Date /5/F Approve ,-.--- Disapproved By - . 'S-. - White - Building Dept. Yellow - Applicant Pink - Finance Gold - Fire Dept. -