Loading...
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.