The URL can be used to link to this page

Home My WebLink About2567 NAVARRA DR; B; CB051715; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-16-2005 Plumbing Permit Permit No:CB051715 -. Building Inspection Request Line (760) 602-2725 Job Address: 2567 NAVARRA DR CBAD St: B - Permit Type: PLUM Status: ISSUED Parcel No: 2162002727 Lot #: 0 Applied: 05/16/2005 Construction Type: NEW Entered By: KG Reference #: Plan Approved: 05/16/2005 Issued: 05/16/2005 Project Title: NOOSHEEN RES INSTALL 40 GAL H2 Inspect Area: HEATER Applicant: Owner:__ CALIFORNIA DELTA MECHANICAL —ALAVERDINOOSHEEN SUITE #27 -' 2567. NAVARRA DR 12440 OAK KNOLL RD 92064 CARLSBADCA. 92009 866-898-0008 1 ' '.:::: \ / o N/-) :. / ( )1\) ,-' \ Plumbing Issue Fee / \\....) $20.00 Fixture or Trap 0 $0.00 Building Sewer 62 $0.00 Roof Drain /. / 0 $0.00 Install/Repair Water Line / 0 ' It V \f' $0.00 Water Heater and/or Vent / 1 \ —$7.00 Gas Piping Vacuum ste Breaker / : Other Plumbing Fees $0.00 Master Drainage Fee .00 SewerFee CC $$~00. 0 0 Additional Fees $0.00 TOTAL PERMIT FEES (ri$27OO) \(- IrHRPORATED / c- / Total Fees: $27.00 (TotaIPayments To Date: 952 $0.00 Balance Due: / $27.00 \ / 0 8334 05/16/05 0002 01 02 cop 1/ FINAL APPROVAL - Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the Impositiorf of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feesIexactions. 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. 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 tees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have oreviouslv been civen a NOTICE similar to this. or as to which the statuteofiimitations has oreviouslv otherwise exoimd. 5 27.00 _M165 FOR OFFICE USE O<—, i a PLANCHECKNcC,tZ'' 'I J PERMIT APPLICATION EST. VAL. Plan Ck. Deposit CITY OF CARLSBAD BUILDING DEPARTMENT Validated By 1635 Faraday Ave., Carlsbad CA 92008 Date ("', 6 "..-IwO ——'jY ~6`1 le I.x Address (include Bldg/Suite #) ' Business Name (at'this addredfi Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Descnptio of Work SQ. FT. # of Stories # of Bedroogis Sf of Bathrooms kt 1011~eliriehi__Ifra, 4~i A 0 ?S Al f J II 11f '71,&L4 óL 2 R" Name ' Address - / ' - City State/Zip Telepho Sf-' Fax Sf c74 Jr city a z1'Za4O- Na f AclffeCS 4 RbPdT1OWNERJ t r, State/Zip " 5:J91 r f2' , - I" Name - Address' ' City —stateolf Tetephone# L $iNTRACTOR' EOMPAN' NML ,r 0 'U .I) L? 0 (Sec. 7031.5 Business 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 anypplicnt fop permit subjects the applic,nt to ll penalty of not more thp five hundreddollars [0O]). ., V , ... .-1(n J'f 4AO Address State/Zip State - License Class - City Business License Sf Designer Name State License # ..t:' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for whii thispermit is issued. My worker's compensation iiaurnce carrier a,çid policy number are: I I Insurance company3jat (t&f) ,J4J Policy No. f? 2.. 'Z) Expiration Date 7 I (1 C).. (THIS SECTION NEEDNOT BE COMPETED IF ThPERMIT IS FOR ONE HUNDRED DOL RS ($100] OR LESS) O 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 Workers' Comp#ftalion Laws of ffmia. WARNING: Failure to secure woute o a atlo ov ra unla I. and shall subject an employer to criminal penalties and civil fines up to onhundre thousand dollara($100,000), In addition to the c ,t of sati • a are p vided for in Section 3706 of the Labor Code. Interest and attorney's fees. SIGNATURE -, DATE____ Cl ______________ 1 OWNER BUILDER DECIA N " ,- I hereby affirm that I am exempt m ctor's can Law for the following reason: CI I, as owner of the pr it r m employees ith wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Li rise 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 im ovements 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). o I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name! address! phone number! contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address! phone number / !ontractors 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 WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505,25533 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 or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 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. 8 CONSTRUCT1ONLENDGAGENCY - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) divif 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 plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City 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, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS,PERMIT. OSHA: An OSHA permit is required for excavations of 5!(r deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official ujoerthe\rovisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 1 days from th ate of su rmit or if the building or work authorized by such permit is suspended or abanoned at any time after the work is commenced fare period of 180 a ( io 1 . . Building Code). / APPLICANT'S SIGNATURE ____________________________________________ DATE X 'i A ~~ /- f N WHITE: File YELLOW: Applicant PINK: Finance For 'City of Carlsbad Bldg Inspection Request 08/30/2005 Permit# CB051715 Inspector Assignment: Title: NOOSHEEN RES INSTALL 40 GAL H2 ' Description: HEATER . Type: PLUM Sub Type: ' Phone: 7606352920 Job Address: 2567 NAVARRA DR Suite: B Lot 0 . .. Location: Inspector: ' S APPLICANT CALIFORNIA DELTA MECHANICAL Owner: Remarks: WILL BE HOME ALL DAY WAITING FOR INSPTR S Total Time: Requested By: N!JSCHENE Entered By: CHRISTINE CD Description Act Comment . S 25 Water Heat N, nts ' Associated PCRs/CVs .. . Inspection History Date Description Act Insp Comments . ' . ';. .. ç7k