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Home My WebLink About2565 NAVARRA DR; A | B; CB061027; PermitCity of Carlsbad 1 1635 Faraday Av Carlsbad, CA 92008 04-13-2006 Miscellaneous Permit Permit No: CB061027 Building Inspection Request Line (760) 602-2725 Job Address: 2565 NAVARRA DR CBAD St: A',6 Permit Type: MISC .. •Subtype: . REPAIR . Status: ISSUED Parcel No: 2162002729 . Lot #: 0 Applied: 04/13/2006 Valuation: $0.00 - . Entered By: JMA Reference #: Plan Approved: 04/13/2006 Issued: 04/13/2006 Project Title: FAIRWAY SOUTH-UNITS A,B, - Inspect Area: TERMITE REPAIR TO BEAMS Applicant: MARIO BUTTERFIELD 6211 LAKE ARIANA AVE' 92119 .619-454-9477 / Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES! /L / Owner:,...,..,, -' NOYA DAVIbB- 2565 NAVARRA DR #A V 77 CARLSBAD CA 92009 ; PERMIT FEE V--- - :7 —\ \ (("3 $60.00 r\) ) VV\ $000 'V...'_/() ')$0.00 \ '1$60.00' S\ •7 Total Fees: $60.00 Total Payments To Date: T5T $60.00' BalanceDue:T V \ $0.00 V V . r I 1952 V V — - / 7 V NL V fl V FINA /AL Inspector: Date: ~j~Py Clearance: 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 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. V 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 fees/exactions of which you have oreviouslv been alien a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. C PERMIT APPLICATION , CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY. PLAN CHECK NO. Olol 02-? -. EST. VAL. Plan Ck. Deposit Validated By Date • a/,_I 6. Address (include Bldg/Suite I) -- Business Name (at this address) - t.On Legal Description " .. - Lot No.' Subdivision Name/Number • Unit No. Phase No: Total # of units Assessor's Parcel N •-' , Existing Use - Proposed Use Description of Work . SQ. FT. #of Stories N of Bedrooms N of Bathrooms. ... 12 CONjTACT r- q' j- -' Name - . Address City . State/Zip . Telephone N Fax N. Name . - . Address ': City State/Zip , Telehone r4AEROfj 7 z'F cr - Name Address , , - - . .. Address .- . city • State/Zip . Telephone N i% (Sec. 7031.5 Busines and Professions Code: Any City or County which requires a permit to construct, alter, improve,' demolish or repair any structure, prior to its issuance, also requires the applicant for such permit 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 than five hundred dollars .($500J). 9c-ieuys C,r.1. (fl1t4 (o\ LM A(Z4AI . 'D CA 24 Name Address . . City State/Zip Telephone ft, Mt 09-77 State License N' 7l License Class . ' City Business License ii . Ui Designer Name . Address . - City . State/Zip Telephone . State License N • . . - . - - . . I6cWQMERSO f(ONc 3 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - I have and will maintain a certificate of consent to self-insure for wrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of thework for which this permit is issued. I have and will maintain workers' compensation; as required by Section. 3700 of the Labor Code, for the performince of the work for which this permit is issued. My worker's compensatio' insurance carrier and policy number are: - ... . . .. Insurance Company - - . - Policy No. ' Expiration . D . ate__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT- IS FOR ONE . HUNDRED DOLLARS ($1001 OR LESS) . . . ' .... .- I 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 Worker's' Compensation Laws of California. - ' ' - - • - . WARNING: Failure to secure workers' compensation coverage ls'unlawful, and shall subject an employer to criminal penalties and, civil fines up to one hundred thousand dollars ($100,090). In add" n to the pens o damages as provided for In Sectlofl 3706 of the L bar c a. Inte eat and attorney's fees. GNATURE /U*1 D, - I hereby affirm that I am exempt from the Contractor's License Law for the following reason: . . . . . . I, as owner of the property or m employees with wages as their s'ole 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 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). I, as owner of the property, am exclusivly contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The 'Contractor's License Law does not apply to an owner of propey'who buildS or improves thereon, and contracts for such .projects with contractor(s) licensed pursuant to the Contractor's License Law). - . . . '. . . - • -' I am ixempt under Section • - Business and Professions Code for this reasoli: .,• - . • • - - 1. I personally plan to provide the major labor and materials for constriction of the proposed property improvement. 0 YES ONO - 2. I (have I have not) signed an application .f or a building permit for the pPosed work. . • - . . - • - - 4 3 I have contracted with the following person (firm) to provide the propo'ed construction (include name I address I phone number / contractors license number) I plan to provide portions of the work, but I have hired the following person to coordinate, supervisO and provide the major work (include name'! address I phdne - number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): '' . - .• - . . - . . -. - -' PROPERTY OWNER SIGNATURE''-' -' - . DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or 'risk management and prevention program under Sections 25505,25 . 533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES, 0 'NO - Is the applicant or future building occupant required to obtain a permit from the air Pollution control district oi air quality mnagement district? 0 YES 0 NO Is the facility to be constructed within 1000 feet of the outer boundary of a school site? 0 YES 0 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. 1jji,j j 2L± t I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(u) 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 plan's is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize represeñtativOs of the Citr of Carlsbad to enter upon the above mentioned Property 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 limitation and becom • e null and void if the building or work - - authorized by such permit Is not Co menced witpin 180 days from the te such pgunit or• the building or work authOrized by such permit is suspended or abandoned at any time after the work is corn ed for a period of iØ'ys ( . 4 Unif uilding Code). APPLICANT S SIGNATURE g /i DATE 46 -' WHITE. File Y LOW. Applicant PINK. Finance •. ' • •: City of Carlsbad Bldg Inspection Request X d For 09/29/2006 ml Permit# CB061027 Inspector Assignment: JIM Title: FAIRWAY SOUTH-UNITS A,B, - Description: TERMITE REPAIR TO BEAMS V Type: MISC Sub Type: REPAIR Phone: 6194549477 Job Address: 2565 NAVARRA DR V Suite: A Lot 0 V V V V Location: Inspector: OWNER NOYA DAVID B V V V Owner: V V Remarks: V V V V V Total Time: V Requested By: MARIO V V V Entered By: CHRISTINE V CD Description Act Comment 14 Frame/Steel/Bolting/Welding V V Comments/Notices/Hold V V :• Associated PCRs/CVs V Original PC# Inspection- History Date Description Act Insp Comments V 09/28/2006 14 Frame/Steel/Bolting/Welding CO JM 2 . ...L. - BY AWED APR 13 2006 City of CARLSSAO BUILDING DEPT hffp://www.ernpirepainting.com/QuaE'rak/scri pts/get rnage?img I d1 91252344 3/28/2006 C (c) 2-7