HomeMy WebLinkAbout2569 NAVARRA DR; A-C; 80-953-I; Permitc )CITv OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT -
US BA L INT/PEN ONLY 1200 ELM AVENUE (714) 438-5525 1.
JOB IAODR&SS AV.ST.
L(Al PtA- c'JR., i i i
RD IDATE OF APPL ATiON ////t. BUS. LICENSE
'IM -ye \
PERMIT NUMBER
- OWN R r OWNER'S PHONE PR CONTRACTOR
('ci (Zl L iii: -
STATE LICENSE 3zz
OWNER'S MAILI CONTR R'S ADDRESS NG ç ,, .
In
%TORCTOR's
L31/1
-
i/OV8I9 172 8l5.P
PHONE
OF STORIES
LOT
.
. BLOCK SUBDIVISION ASSESSOR'S PARCEL NO, - DESIGNER
ill 111111 II - .
DESCRuPTIONOD
- . DESIGNER'S ADDRESS - DESIGNER'S
STATE LICENSE
-•
CENSUS TRACT . OP LAND USE ZONING RES. UNITS PARKING SPACE NUMBER
0N57 BLDG 0 FT.
l.
BLDG USE
-
0CC. GP STANDARD PLAN # PLANIDS ITYPEC OCC. LOAD
-
'
QTY. PLUMBING PERMIT . AMT. QT MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP
' INSTALL FURN DUCTS UP TO 100,000 BTU . EACH BUILDING SEWER - , OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 T04 OUTLETS BOILER/COMPRESSOR 3-15 HP -
EACH GAS SYSTEM 5 OR MORE 1CZLMP
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH LAWN SPRINKLER SYSTEM . MECH EXHAUST - HOOD/DUCTS
WATER SOFTNER ' RELOCATION OF EA FURNACE/HEATER . BUILDING PERMIT : SIGN PERMIT . I • I ' I . I
TOTAL PLUMBING
CONTRACTOR .
. TOTAL MECHANICAL. --
CONTRACTOR
PLAN CHECK 37,11,ç I .r247.iIe,
-
QTY ELECTRICAL PERMIT AMT. CITY. MOBILE HOME PERMIT .AMT.
ALL INCLUSIVE PERMIT
- TOTAL PLUMBING i:,:-,:
ELECTRICAL
NEW CONST EA AMP/SWT/BKR (!bO fjJp. .' AWNING . ' MECHANICAL
I PH .25 3 PH . PORCH - MOBILE HOME - I I • I
EXIST B LOG EAAMP/SWT/BKR . SET-UP . - . . SOLAR -
1 PH .25 3 PH - , -
REMODEL/ALTER PER CIRCUIT - FENCE OVER 6'
RAMADA, CABANA
TEMPPOLE 200AMPS '7. " TOTALMOBILE HOME . .,- lCO-FIL -
OVER 200 AMPS - -fiE.b1r r-
- TEMP OCCUPANCY (30DAYS)
CJd _______________________ ________ - - I ' I I • I
TOTAL ELECTRICAL TOTAL FEES PAYABLE I , CONTRACTOR
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT. AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
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,
&tf—e
AN OSHA&MIT Is REQUIRED FOR EXCAVATIONS OVER
- 5'-O" DEF AND DEiOLlTlON OB.CONSTRUCTION OF - - STR UCf
lltk\
1 APPLICANT'S SIGNATURE*OWNER[]CONTRACTO
RD AGENT 0 BY PHONE
JAP fl i
c\&__.,_%.-aum- jlD/q/
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
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
city or county which requires a permit to con-struct, alter, Improve, demolish, or repair any structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
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-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
tJ 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 of-fered 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
Improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not Intended or of-
fered for sale, if, however, the building or improve-
ment 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).
Di, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions Code: The Contractor's Licen
luant
es not ap- ply to an owner of property hds or im-
proves thereon, and who cont ctssuch pro-
jects with a contractor(s) licen to the
contractor's License Law).
I am exempt under Sec. ,
for this reason --
Date ______________Vwner
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. DCertified 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 tha.'4i 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 AF4LiCANT: 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 this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction len-
ding agencyfor the performance of the work for
...kl.,I. •kl, ..._,. I..
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES,
SITE
ADDRESS r OWNER ' PEF1IT MO
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'NOTES.
WOOD FLOOR -
- - FOUNDATION. FORMS . SET BACK .TOILET
UNDER FLOOR PLUMBING -
UNDER FLOOR HEATING
- - - OK TO INSTALL SUB FLOOR
- \• _
.- _••_-,-
-. - 4 I
SLAB FLOOR
_______ ____________
,•
UNDER SLAB PLUMBING
FOOTING . FORMS . SETBACK .TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL .
\--I ROUGH PLUMBING
ROUGH HEATING/.VENTILATING
FRAME OK.PLACE INSULATION
INSULATION OK 'PLACE WALLBOARD -
WALLBOARD 015 PLACE TAPE -
EXTERIOR LATH OK. PLACE STUCCO -
FIREPLACE
DAMPER STEEL
____________________________________________________________________________________ PLATE TIES/HEIGHT OF CHIMNEY •
OTHER
-- ' TEMP POWE4POLE)
SEWER
GAS TEST
________________________________________________________________________________________ SWIM POOL. STEEL BONDING. • - -.
PRE DECK -
FENCE PREPLASTER
- SHOWN-'.* -'FRAME __f - '- •.-'
'PAN -
FINAL INSP BY BLDG DEPT
oTHEFpEPT's REQ COMPLETED
ELEC METERPERM-TEMP - - -
GAS METER-PERM-TEMP -
- -: - CERT OF OCCUPANCY ISSUED
4 -
VALIDATION
City of Carlsbad
APPLUATIO'N FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438.5525
Address where Business
will be conducted 2569 A B C D B Navarra Buildina n Permit ho. 80 -9531
Name of Occupant .
Business
Phone 729L4992
Address of Home Office of 2850 Plo Pico, Suite I, Carlsbad Occupant if different from above Home Office 7294992 Phone
Owner of Building FAIRWAY SOUTH, A Limited PartnershLress 2850 Plo Pico, Ste I. Phone 729L4992
Type of Business 5 unit condo.
Describe exact use of all portions of each building and lot residential condominium
Previous use of Building none
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 California
Irature of pplican c nLrril (' 9.4fa1l ypg
Use Zone
FOR DEPARTMENTAL USE ONLY
/'Y%... Occupancy Group /, Type of Construction 4/
Planning
Department Date /1 jk cUpproved Disapproved By
Engineering
Department Date Disapproved By
Fire
Prevention Date '9-2. - Pa Approved Disapproved By
Health Department Date - 1 fA Disapproved By
Building Department Date //'2 ________
_. d11 DIsapproved By >'
White - Building Dept. Yellow - Applicant Pink - Finance Gold - Fire Dept.