HomeMy WebLinkAbout2567 NAVARRA DR; ; 83-559; Permit'APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
.—CARLSBAD'BUILDING-DEPARTMENT' ' APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008.1989 (619) 438.5525
.106 ADDRESS ' AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE at VALUATION PERMIT NUMBER
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LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. - CONTRACTOR . ' CONTRACTORS PHONE *
OWNER'S NAME I OWNER'S PHONE
PLAN I.D. # BLDG USE CODE . ' ' CONTRACTOR'S ADDRESS LICENSE NO.
LLI i-c 4_ I
UWNEU la MakILINI., AUUHSS • ' -' . - ' .• - . ' ' , ' ' " '•
STANDARD PLAN at BUILDING SO. FOOTAGE ' " " DESIGNER , LICENSE # "7 £- AV',4 fr - - - - - - DESCflIPTiON OF WORK
.-'.-'.-.. ' - - ''-s — DESIGNER'S ADDRESS - DESIGNER'S PHONE
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—_. ' A---- ' •- F/P .FLR ELEV. ' - STORIES I NO. OCCGP EDU
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j.00
VOND OeOO
- - '. '.' . CENSUS TRACT' *GP LAND USE PARKING SPACE RES UNITS ' ' GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD 'FIRE SPA
' AREA -- , CONST..'
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.. Y O N o• ' -
, y NO
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. . YO NO Not Valid Unless Machine Certified.
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QTY PL UMBING PERMIT ISSUE ,ç 7 QTY MECHANICAL PERMIT ISSUE 30O SUMMARY/ACCOUNT NUMBER
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EACH FIXTURE TRAP , - INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01'00-00'8220
Law). EACH BUILDING SEWER ,' I . . - . .. ' - OVER 100,000 BTU ' '' '' . -.SIGN PERMIT- - '---'- 01'00'00'8221 -
EACH WATER HEATER AII1Ô /OR VENT - , BOILER/COMPRESSOR OP TO 3 HP ' PLAN CHECK 01-00-00'8806
EACH GAS SYSTEM iTO 4 OUTLETS, 42 BOILER/COMPRESSOR 3-15 HP . TOTAL PLUMBING 01-00-00-8222
- EACH GAS SYSTEM 5 OR MORE- - ._. .: . METAL FIREPLACE . - - - , • - - ELECTRICAL - 01'00'00'8223'
EACH INSTAL.. ALTER, REPAIR WATER PIPE
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. VENT FAN SINGLE DUCT, - • , - • MECHANICAL 01'00'00-8224 - - -
- EACH VACUUM BREAKER - " - , MECH EXHAUSI -HOOD/DUCTS -- . - . MOBILEHOME 01'00'00'8225
WATER SOFTNER - - , - , RELOCATION OF EA FURNACE/HEATER- . ..--- MOBILEHOME PARK INSP -•'.---'-- . -• ---' -' - -
— EACH ROOF DRAIN (INSIDE) ' " - ' -- - , ' SOLAR 01'00'00-8226 -
---------'- . - - . TOTAL-MECHANICAL ' ,
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-.
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- 'STRONG MOTION - 80'92'33'0519 -
- ___________________ -TOTAL PLUMBING - - ' ' ! FIRE SPRINKLERS - ' ' 01'00-00'8227 - —
PUBLIC FACILITIES FEE
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QTY. -
32'00-00'8933
QTY. ELECTRICAL PERMIT
- ISSUE ' SOLAR - ISSUE -
- COMPANY, , • ,,'. • _____________________________ BRIDGE FEE
Z - . -- - NEW CONST EA AMP/SWT!BKR - . COLLECTORS - - , - . SCHOOL FEE- DISTRICT
— I PH .-3 PH - : . , STORAGE TANKS . . Carlsbad 80-92-21-0519
— EXIST BLDG EA AMP/SWT/BKR i ' - ' - '- ROCK STORAGE - • ' • Encinitas ' ' 80-92-22-0519 - -
- It. (This section need not be completed it the permit • 1 PH - 3 PH PUMP - San D)eguilo 80'92'23'0519 -
REMODEL:ALTER' PER CIRCUIT -' - . - . PLAN CHECK FEE -, ' - - - - San Marcos - - 80'92-24'0519
- TEMP POLE 200 AMPSL - - - ' ' '• ' - . . - - •'- - - - - -• -'- . - -
. .OVER 200 AMPS ' - - - . LICENSE TAX O1'OO-OO'8162 -
TEMP OCCUPANCY (30 DAYS)______________
- - i . , ' . -. - r .. . , I CREDIT DEPOSIT.. - . - - • -
TOTAL ELECTRICAL
I -
I TOTAL SOLAR TOTAL FEES PAYABLE J
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions ofthis AN OSHA PERMIT IS REOUIRED FOR EXCAVATIONS OVER
- CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. It the building or work 5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF atithorized hy such pa ch DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit' or ió ?iawC riz rri' :u:n:r STRUCTURBS OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON. abandoned,M tim er Ork is corn or a at' d of 180 days-
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND APPLISTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AN T'S AT ' ' OWNER CONTRACTOR APPROVED BY
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EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
- FA
USE BALL POINT PEN ONLY & PRESS HARD
- -.'-,--- --- :- -•-•'
0 I hereby affirm that i'5rn licensed under -: 0[. provialona of Chapter19 (commencing with
. Section 7000) of Division 3 of the Business
md Professions Code, and my license is In I
full force and effect, r z Lic. No _______________ Class -_-
t:' 0 -'' •" - •1 - .C)''i '- - iJ hereby affirm that I am exempt from the Cent,ac-, I - - tors License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re'
- . quires a permit to construct.' alter, improve, demolish, or
-'r repair any otruct urn, prior to its issuance also requires ff10 3
- pIIcaull let such perelit to tile a signed statement toot he is
Ij000sod • pursuant to ff0- provisions of the Guntructer's' I License Law (Chapter 9 commencing with Section 7000 of
,, fliviinn.3 01.tlrn P.vrivors and Protections India) or fh51 ic ex-
empi therefrom and the basis tnr'the alleged exemptinn Any
violation Of beetles 1031.5 by an applicant tofa permit Sub'1'
jccla the applicant Ion CMI penalty of not more then hoc hen
dred dollars ($500). - - --
Ic
•. ' '
',,,IJ 1. as owner of the-property, or my employees with wages I
. ,- as their sole compensation. will do the worh, and the strec- I
lure is not intended or attcrcd her sale (cc. 7044, Business i ' -- and Professions Code: The Contractor's License Law does - not apply to an owner of properly who builds or improves I
80 ._ thereuri uinJ wliU iue ut,h welli Illirisell UI ltiuuugtu his own I ernptoynvc provided that tuSh hmprvvomvntc am not intend- . W '-' ed or uttered for sale. If, however, the building or impreve, Z • mont is sold within one yoar of completion, the owner-builder I will have the burden of proving that he did not build or Ott- i 0 prove for the purpose 01 saIe) .- - - -
El I, as owner of the properly, am exclusively Conlracling
With licen
se
d contractors to Construct the project (Sec. 7044;
'Business and Professions Code: The Contractor's License I Law dues not apply loan owner of property who builds or imP' ,
proven thereon, and who contracts for each projects with a cool racIer(s) license pursuant to the Contractor's License I
0 Asa homeowner lam improving my home, and the follow' I 4 lug conditions exist: 'for -
.. ' 1. The work is being perform prior to sate. - I
- 2. I have lived in my home for twelve months
q, prior to completion of this work. - w - 3, I have not claimed this exemption during the O last three yearn.
0 tam exempt under Sec.'__________________ . B & P.C. I,
.., for this reason - - - ' ' -- I
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.', '_.74 . -- . [3'1 hereby affirm that Ihane a certificate of consent
to ,sell-insure. or a certuticafe of Workers'
Compensation Insurance, or a certified copy thereof I
(Sec. 3800. Labor Code),- - . ' . -
Z ' -POLICY NO..
- - s"•" .1 41
Q Copy is filed with the city. -
1&1 0 Cerlstied Copy is hereby furnished,
• - '! CERTIFICATI OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
Ife '
is for one hundred dollars 151001 or tess)
• I certify 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 TO APPLICANT -11. alter making this Cert'i
- fixate Of Exemption; you Should become OUbICCI in - the Workers Compensation provisions 01 the Labor
'Code, you, must forthwith 'comply with such
.. ' provisions or this permit shall be deemed revoked
-
F '-Dl' heeby ahIirn that there is a construction
I - - lending agency 'or the ponloimanso 01 the wol ii
whiCh this permit is issued (Sec 3097. Civil Code)
zI ---- •- -- *. • ' -. • - - •-'- I tail Lender'sName_________________________
L ' Lender's Address
TYPE DATE INSPECTOR
BUILDING
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY REQUIRED SPECIAL INSPECTIONS - INSPECTOR'S NOTES
GUNITE OR GROUT INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE.
FLOOR & CEILING SUB FRAME
SHEATHING 0 ROOF 0 SHEAR
SOILS COMPLIANCE
PRIOR TO
FRAME FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE -
i OVER 2000 PSI
INSULATION ATIflM . I PRESTRESSED I
INTERIOR LATH & DRYWALL I CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING --
SEWER AND BL/CO DIPUCO HIGH STRENGTH
UNDERGROUND 0 WASTE 0 ATER BOLTS
TOP OUT 0 WASTE 0 W1TER
SPECIAL MASONRY
TUB AND SHOWER PAN . .
GAS TEST PILES CAISSONS
O WATER HEATER 0 SOLAR WAXER
ELECTRICAL
ELECTRIC UNDERGROUND 0 UFFER 92
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMPO}ARY i \P1 O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING V W -
. : - ______ ______ C, • .. 1
SYSTEMS 9VENTILATING
/ ___ _____ .
CALL FOR FOR FINAL INSPECTION WHEN
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ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED .
FINAL
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PLUMBING 12 , . .. .
ELECTRICAL - QJ,/1/ I .
r.
.,
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MECHANICAL I
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GAS
BUILDING
SPECIAL SPECIAL CONDITIONS