HomeMy WebLinkAbout2567 NAVARRA DR; A | B; CB061028; PermitJ
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-13-2006 Miscellaneous Permit Permit No: CB061028
Building Inspection Request Line (760) 602-2725
Job Address: 2567 NAVARRA DR CBAD St: A 6
Permit Type: MISC • Subtype: REPAIR Status: ISSUED
Parcel No: 21620027.9 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,
Owner-
"—PARK EUN S&VALERIE C
4
2567NAVARRA DR #B
CARLSBAD CA 92009
V / )
Applicant:
MARIO BUTFERFIELD
6211 LAKE ARIANA AVE
92119
619-454-9477
/ Miscelaneouá Fee #1 / PERMIT FEE ( f\J $60.00
Miscelaneous Fee #2 / -"N $0.00
Additional Fees o $0.00
TOTAL PERMIT FEES/ $60.00
- \ \
Total Fees: • $60.00 Total Payments To Date: $60.00 Balance Due: L \ $0.00 .1 Vk, 7 j j
\ /
, INCORPORATED
1952 / ç-
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FINAL PAO)
Inspector: ' Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of feW'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.
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 previously been aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
1'
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING" DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE OLY
PLAN CHECK NO. (02.
EST. VAL.
Plan Ck. Deposit
Validated By /
Date 'fi/3/06
Address (include Bldg/Suite #1 . Business Name (at this address)
C,et.ôn Cq .
Legal Description Lot No. Subdivision Name/Number - Unit No. Phase No. Total # of units
Assessor's Parcel II . Existing Use Proposed Use • -. -.
Description of Work . . SQ. FT. I/of Stories II of Bedrooms # of Bathrooms
0 1W ..................-... . - ...-.
'4 .
Name . . . Address. City •. . State/Zip Telephone Ii Fax #
UA Dne 4
1It o'., zAI h1 < O (A 4 1fl
Name . Address . City State/Zip ' Tole
4 H BLOINER " j 1-IBM
Name • . Address City * • State/Zip Telephone # ...
WOK : : . ;a allm 110%
(Sec. 7031.5 Business and Prfessions 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 w 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 I$5001).
9019-I M42s 611104 IbL,06. Ca 0,%flt4 (ó2Jt\ LAI A44A3A' *; 40 CA
Name Address City State/Zip Telephone pq State License # 771LO'. License Class City Business License N
Designer Name Address. . City • State/Zip Telephone
State License N
'a : — r
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: . 0 I have and will maintain a óertificate of consent to self-insure for workers' compensation as piovided by Section3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is - .. issued. My worker's compensation insurance carrier and policy numbir are:
Insurance Company' - - . .. .. . Policy No. Expiiàtion Date__________________
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT. IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
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' Compensation Laws of California. • '
. -
WARNING: Failure to secure workers' compensation coverige Is 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 01.damages as provided for In Section 3706 of- the Ybor c a, inte eat and attorney's fees.
SIGNATURE RA 71ortt/4 _______________________________________ DATE TO5" -
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
I, as owner of the. property or my 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).
0 I, as owner of the prâperty, 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 buildor 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 Cdde for this reason: -
I personally plan to provide the major labor and materials for construction of the proposed property improvement: 0 YES ONO
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 cnstruction (include name / address / phone number / contractors license number):-
I plan to provide portions of the work, but I have hired the following pers'on to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number):. . . • . . - -
I will provide some of the work, but have contracted (hired) the following persons to provide the work indicated (includ
of work): e name / address / phone number I type
. . - -
PROPERTY OWNER SIGNATURE . . DATE _____________________ • . .
LCO WEPT EiECT14NNOIpJIDEN77.aj BUthNGPERMlThoNLy #%- Y.
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, 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 1S MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.Wom no - -
: 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) Civil Code)., • - -
LENDER'S NAME - • ' - LENDER'S ADDRESS __- . •
CAN ATIFIAii5N
I certify that I have read theapplication and state that the above informatio isOrrect and that the information on the plans is accIrata 'I agree to comply with all
City ordinances and State laws relating to building construction.- I hereby authorize representativOs of the Citt'of Carlsbad to enter upon the above mentioned * - property for inspection purposes. I ALS04 AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 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. -
OSHA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction of structures oer 3 stories in height.
EXPIRATION; Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building Or work -. authorized by such permit is not CgFimenced wipin 180 days from the te such pgit or the building or work authorized by such permit is suspended or abandoned at any time after the work is com ed for a period of 1 s ( • - 4 Unif uilding Code). • . - -'
APPLICANT 's SIGNATURE DATE ZU /_46
WHITE. File YE LOW. Applicant PINK. Finance
D-n
City of Carlsbad Bldg Inspection Request
For 09/29/2006
Permit#'CB061028 Inspector Assignment: JM
Title FAIRWAY SOUTH-UNITS A,B,
- 4
Description TERMITE REPAIR TO BEAMS
Type: MISC Sub Type: REPAIR
Phone: 6194549477
Job Address: 2567 NAVARRA DR is
Suite: A Lot 0
Location Inspector
OWNER PARK EUN S&VALERIE.0
Owner:
Remarks
Total Time: Requested By: MARIO
Entered By: CHRISTINE
CD Description Act Comment
14 Frame/Steel/Bolting/Welding -
- '•-•.
Comments/Notices/Hold -
Associated PCRs/CVs Original PC#
- •t_ • • - - - .••
- - Inspection History • • : •
Date Description Act !nsp Comments •
09/28/2006 .14 Frame/Steel/Bolting/Welding CO JM . : • -
-•• •, - '•
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BY 6WV D
APR 13 2006
City of CARLSBAD
BUILDING DEPT
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http://www.enipirepainting.com/QualTrak/scri pts/get I mage?i mg I d=1 91 254 /28/200i,