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.
-