HomeMy WebLinkAbout2567 NAVARRA DR; A | B; 80-953-K; PermitI (®R CITY OF CARLSBAD—BUILDING DEPARTMENT
APPt IrATIAM L PDkAIT I APPLICANT TO FILL IN INFOR LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi- 4S B.ALL POINT PEN ONLY 1200 ELiA AVENUE (714) 438-5525 MATION WITHIN RED LINES.
sions of Chapter 9 (commencing with Section
- 7000) of Division 3 of the Business and Pro!es- Nfl....,,., . I JOB ADDRESS. AV ST. bDATE OF aPPLICATION BUS. LICENSE PERMIT NUMBER stone Code, and my license lain lull force and ef-
-. fect. I I I I1\14i
OWNER-BUILDER DECLARATION OWNER /
Di hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031 5,Business and Professions Code), Any
i
city or county which requires a permit to con-
OWNER'S MAILING ADD
S struct, alter, improve, demolish, or repair any
SUBDIVISION structure prior to its issuance also requires the
applicant for such permit to file a signed state-
nESCR.PLT.ON
I I ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by snap-
pitcant for a permit subjects the applicant to a CENSUS TRACT GP LAND USE
civil penalty of not more than ilvehundred dollars
($500)-
BLDG 5 FT.
'.-d1 g-_--
BLDG USE
Dl, 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-
(Ilv, PLUMBING PERMIT farad for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
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- 'EACH BUILDING SEWER
fared for sale. If, however, the building or improve-
ment is sold within one year of completion, the - 'EACH WATER HEATER AND/OR VENT
SYSTEM 1 TO 4 OUTLETS owner-builder will have the burden of proving that -'Z.-CACH GAS he did not build or improve for the purpose of
sale). .
-
- EACH GAS SYSTEM 5 OR MORE
-
EACH INSTAL, ALTER, REPAIR WATER PIPE Dl, as owner of the property, am eciiW'y con-
tracting with licensed contractor to Tstruct EACH LAWN SPRINKLER SYSTEM the project (Sec. 7044, Business anYd Pro'essions1
Code: The Contractor's License Laki&e& notf -
- WATER SOFTNER
ply to an owner of property t'hp tJds gjjV proves thereon, and who fdç
,
ucIb
jects with a contractor(s) I pura t the
-
TOTAL PLUMBING
contractor's License Law).
I am exempt under 8.& '.C. : CONTRACTOR
for this reason
Date ______________ Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, or a certificate of Workers'
Compensation insurance, or a certified copy
thereof (Sec. 3800, Labor Code). -
POLICY NO.__________________________ COMPANY
DCopy Is filed with the city.
0 CertifIed copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit is for one hundred dollars ($100) or less).
I certify that in the performance of the work for
which this permit is Issued, I shall not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws of California,
NOTICE IrO APPLICANT: If, after making this Cer-
tificate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, YOU must forthwith comply with such
provisions or Ws permit shall be deemed revoked,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction len-
dma aoencv for the aerformance of the work for
k I I I I I I I I I I RD 57
AFS 3K OWNER'S PHONE P CONTRACTOR STATE LICENSE
CONTR OR'S ADDRESS CO TRACTOR'S f"S'' oIg:aio9,8IIIo9II .T
- -
STATE LICENSE
DESIGNER'S PHONE
ESSOR S PARCEL NO. DESIGNER '
DESIGNER'S ADDRESS -
ZONING . RES. UNITS -PARKIN CE1 - NUMBER OF STORIES
- Not Valid Unless Machine Certified -
0CC. GP STANDARD PLAN 0 PLAN ID 4 TYPE CNST
o-'7S:T3 -I'
0CC. LOAD
.1
AMT. Dlv.' MECHANICAL PERMIT AMT. -. -
INSTALL FURN. DUCTS UP TO 100,000 BTU
0 - OVER 100,000 BTU
44 - BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP .
dh
- •. - - .
LU
- IBM- "aft i$-30 HP '
VENT FAN SINGLE DUCT :0-
MECH EXHAUST -
- - RELOCATION OF EA FURNACE/HEATER RELOCATION . BUILDING PERMIT (94' (9 4 d SIGN PERMIT - -- i V. i 15
TOTAL MECHANICAL - PLAN CHECK /9)'?) I ./I £i1?_L in ALL INCLUSIVE PERMIT -. . I L.... I 24' CONTRACTOR
AMT.
.
HOME PERMIT
I
AMT.
TOTAL PLUMBING
ELECTRICAL QTY.I -
ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR fQ - - MVVIlIi1U. ,MECHANICAL If
I PH .25 3 PH - PORCH . MOBILE HOME
EXIST BLDG EA AMP/SWT/BKR .
QTY..
•
OBILE
SET-UP . SOLAR
1 PH .25 3 PH , RAMADA, CABANA I • I
REMODEL/ALTER PER CIRCUIT , FENCE OVER 6' ' ,
TEMP POLE 200 AMPS , -
TOTAL MOBILE HOME - /7 MLCO-FILM I i
OVER 200 AMPS . - I
OCCUPANCY (30 DAYS)
.0 ____________________________________ ____________ ____________________________________ I • I I - I
TOTAL EL'ECTRICAL TOTAL FEES PAYABLE
I • CONTRACTOR '
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO 'AN OSHA PER IS REQUIRED FOR EXCAVATIONS 04100-6
HEREBY CERTIFY THAT ALL INFORMATION HEREON is TRUE AND CORRECT AND I 5'-O" DEEP DDE OLITION OR CONS
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, - COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS 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, APPLICANT'S SIGNATURE' OWNERD CONTRACTOR PP ED BY
AGENT 0 BY PHONE
SITE
ADDRESS - OWNER PERITNO
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
- UNDER SLAB PLUMBING
FOOTING . FORMS . SETBACK .TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL •
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK.PLACE INSULATION
INSULATION OK • Pt.ACE WALLBOARD
S WALLBOARD QK .PLACE TAPE • _______ - -
EXTERIOR LATH OK. PLACE STUCCO
FIREPLACE
DAMPER-&STEEL
PLATE TIES/HEIGHT OF CHIMNEY
5
OTHER '-
TEMP POWER (POLE)
SEWER
GAS TEST
Swim POOL. STEEL BONDING
- 5 PRE DECK
.. •. FENCE PREPLASTER
S11SwN , FRAME --- -' --
PAN
FINAL INSPBYBLDGDEPT
OTHERDEPtS RQ COMPLETED
ELECMEtEI—PERM—TEMP
GAS METER—PERM—TEMP
- - CERT OF CCC UPANY ISSUED - -
I ' • -
VALIDATION
Cty of Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438.5525
Address where Business
will be conducted 2567 A B . Navarra .
Buildino
Permito. 80-953K
Name of Occupant . -
Business 729-4992 Phone
Address of Home Office of
Occupant if different from above 2850 Pio Pico, Suite I, Carlsbad Home Office
Phone 729-2992
Owner of Building ' PA I RWAY SOUTH Address 2850 Plo Pi co, St ePhon 729-4992
Type of Business 2 unit condo
Describe exact use of all portions of each building and lot residential Condo
Previous use of Building new
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 this 19 In the City of Carlsbad, State of Cal
Signat mncignaturh1e1 FA
Appli I9r ( ri'e Krikorian. Pres Building Official
t.) We ~r
M4:
se Zone (j
FOR DEPARTMENTAL USE ONLY
Occupancy Group Type of Construction JZ' Al
lanning epartment
[Fire
Date Approved Disapproved By
ngineering
epartment Date
- 1 "proved Disapproved By
revention Date . Approved Disapproved By
Health
Department Date Approved Disapproved By
Department Date /1/12 Building /kz_ Approve... DisaPProved By
White - Building Dept. Yellow - Applicant Pink - Finance Gold - Fire Dept.