HomeMy WebLinkAbout2567 NAVARRA DR; A; CB971024; Permitc ç4 /an,OoI
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B U IL P I N G P E R MI T Permit No: CB971024
64/28/93 15:05 Project No: A9701319
Page 1 of 1 Development No:
Job Address: 2567 NAVARRA DR Suite- -A :
Permit Tyè: PLUMBING -4i42 Parcel No: 216-200-27- ,Lot#: 05/07/97 0001 01 02
Valuation 0 Construction Type 'NEW 27-00
Occupancy Group:. Ref erence#v . Status: ISSUED
Description: WATER HEATER REPLACEMENT Applied: 04/28/97
: - . Apr/Issue: 04/28/97
•Entered BY: JM
Appl/Ownr : HUNT, CRAIG • 760 436-1381
2567 NAVARRA DRIVE #A . .
CARLSBAD,CA 92009. • •
Fees Required*.* q'Collected & Credits
Fees: 27.00 t2 f\ *
Adjustments: .0 . : .00
Total Fees: 27 0 Totay4n: • - • .00
Ba1ancjL: 27.00
Fee description .6 Ext fee Data
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Enter "Y' for Plumbin iue eë > • 20.00 1
Each Water Heater an'/ __________
t 7.00
p PLUMBING.TOTAL •• •.• 27.00
INCORPORATED
1952
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FINAL APPROVAL •
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CLEARANCE
CITY OF CARLSBAD - •.
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619)438-1161
FOR OFFICE USE ONLY
PLAN CHECK No.g 7
EST. VAL.
Plan Ck. Deposit
Validated By. 124—
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" F 2567-A Navarra Dr.
Address (include Bldg/Suite I) - Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total If of unite SFR
Assessor's Parcel # Existing Use Proposed Use
Description of Work SO. FT. #of Stories I of Bedrooms I of Bathrooms WATER HEATER REPLACEMENT.
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Name Address City State/Zip Telephone I Fax I
SHELLY JOHNSON/KRISTI'
name Address city stateizip Telephone I jYj
Hunt, Craig 2567-A Navarra Dr. CARLSBAD CA. 92009 4ib-1iiI Name Address City state/Zip Telephone I W-5 30-610 M-00WE 1z ggg Jig, ligpi Ill 1111 1111 ~ 11;
(Sec. 7031.5 Business and Professions Coda: 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 Coda) or that he Is exempt therefrom, and the basis for th
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exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more t five hundje dqllgi,$ 500)). A & J FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92u21 i'u-''iii Name Address City StateIZI120035elephone P
State License # 630120 License Class C-.0 City Business License I
Designer Name Address City State/Zip Telephone State License I N/A
O WORKERS cOMPENSATI0N J 1hWE CC ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 performanc
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of the work for which this permit Is issued.
X Q 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 perm
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issued. My worker's compensation insurance carrier and policy number are:
97 Insurance Company FARMER INSURANCE Policy No. N20075651 Expiration 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 ahali 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 coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for in Section 3708 of the Laboj code, Interest and attorney's fees.
SIGNATURE• . . DATE 7 ' BUILDER DECLARATION i 1j'-- jf7 I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, 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 offered for sal
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(Soc. 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
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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).
I. as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Cod
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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) licen
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pursuant to the Contractor's License Law).
0 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. E] YES IJNo
I (have I 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 I address I phone number I 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 I address I phone number I contractors license number):
S. i will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work):
PROPERTY OWNER SIGNATURE DATE
COMPLE7THISSECT1ONFOR NOA.RESJDENJ7A4 3JZ Jii $hL 'ii 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 IS MEETING
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REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8 ' CONSTRUCTION LENDINGAGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil 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.
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 over 3 stories In height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Coda shall expire by limitation and become null and void if the building or
work authorized by such permit is at commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time of h work is commenc r a period of 18Oys (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE f)AlQ&c ..Q4J AflOJ(j DATE q1
WHITE: File YELLOW: Applicant PINK: Finance
CTYOFCARLSBAD
INSPECTION REQUEST
PERNIT# CB97 1024 FOR 05/16/97 INSPECTOR AREA DC
DESCRIPTION: WATER HEATER REPLACEMENT PLANCK#CB971024
OCCGRP
TYPE: PLUM CONSTR. TYPE NEW
JOB ADDRESS: 2567 NAVARRADR STE: A
APPLICANT: HUNT, CRAIG, PHONE: 760 436-1381
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: RS/CRAIG/436-1381 INSPECTOR
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
25 PL Water Heater/Vents
*****.INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
051397 Water Heater/Vents CO DC LEAKED T&P