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HomeMy WebLinkAbout2569 NAVARRA DR; A-D; CB061029; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-13-2006 Miscellaneous Permit Permit No: CB061029 - Building Inspection Request Line (760) 602-2725 Job Address: 2569 NAVARRA DR CBAD St: A P Permit Type: MISC Subtype: REPAIR Status: ISSUED Parcel No: 2162002723 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,C,D - Inspect Area: TERMITE REPAIR TO BEAMS Applicant: Owner:.. . MARIO BUTTERFIELD -' 6211 LAKE ARIANA AVE , * A1RCT 92119 --ji) CARLSBAD CA 92009-- 619-454-9477 Miscelaneous Fee #1 PERMIT-FEE r ('0 $60.00 Miscelaneous Fee #2 Additional Fees $0.00 / S\ ) / . - TOTAL PERMIT FEES'/ / -. \ C ' $60.00 Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due:_. $0.00 I ,• ', . I. -'- /}( r T- N INCORPORATED / '- / . J952 pp FINAL AJ9y4' Inspector: V L' Date: 7,1( Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, 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 given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PERMIT APPLICATION.,, PLAN CHECK NO O( 029 CITY OF 'CARLSBAD BUILDING DEPARTMENT EST. VAL. 1635 Faraday Ave., Carlsbad, CA 92008 - Plan Ck. Deposit Validated By 'J - Date orr,. c. g z4o9 8 Address - Address (include Bldg/Suite #1 Business Name (at this address) CDiT4qt.c Legal Description . Lot No. Subdivision Name/Number Unit No. - Phase No. -. Total # of units Assessor's Parcel I . Existing Use - ,- . , - - •' Proposed Use Name AddrSss - - City -. . State/Zip - Telephone #. - Fax 1/ - Name Address'—slit' —i17 'TI ,•• - Name Address City State/Zip • Telephone I - ic 2- 1rflç' :y (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 ' • L I.JI I bI.4 - _____ - ' IV I - Name Address City State/Zip TelaPhone (,M I4,54_..kJ.Tl State License I "71'1_gg' License Class - P! . City Business License # Designer Name I - • Address City State/Zip Telephone State License I ' .. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: • 0 I have and will maintain a dertificate 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 thiè permit is issued. 0 I have and will haintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit iè issued. My worker's compensation insurance carrier and policy number are: . r • Insurance Company -• Policy No. - __- ___- Expiration Date_________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 01001 OR LESS) . CERTIFICATE OF EXEMPTION: I c'ertify that in the performance of the work for which this permit is issued, 'l 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 coverage 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 c pens ,pØ damages as provided for in Section 3706 of the ?bar cicIe, Intyest and attorney's fees. - SIGNATURE DATE RA _. .1 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 wges as their iole 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). - 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 buiIds'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 ONO I (have I have not) signed an application for a building permit for the proposed work. .. I have contracted with the following parson (firm) to provide tIe proposed construction (include name /'address I phone number contractors license number): 4. 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, / contractors license number): .• . -'. - - S. I will provide some of the work, but I have contracted (hired) the following persSis to provide the work indicated (include name / address/ phone number I type of work): PROPERTY OWNER SIGNATURE .-. _. DATE ' Is the applicant or future building occupant required to submit a business plan, acutely hazardoul materials registration ,form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-TannerHazardolis 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 thi 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 gg I hereby affirm that there is a construction Iendirg agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME .' • • LENDER'S ADDRESS . CAERTIFAtjb L tr -. I certify that I have read the application and state that the above information is correct and that the information on the plars Is accurate: I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citr 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 Code shall expire by limitation and become null and void if the building or work - authorized by such permit is -not cojnmenced witiin 180 days from the te such pgrmit or; the building or work authorized by such permit is suspended or abandoned at any time after the work is corn ed for a period of 1 s ( . 4 Unif uilding Code). . ' - - • • - - - APPLICANT'S SIGNATURE . 1936q. . . DATE'— WHITE: •g/ii_/_4 _ -_ - File Y LOW. Applicant PINK. Finance • - • • I, .- City of Carlsbad Bldg Inspection Request For: 09/29/2006 Permit# CB061029 Inspector Assignment JIM Title: FAIRWAY SOUTH-UNITS A,B,C,D - - Description TERMITE REPAIR TO BEAMS Type: MISC Sub Type: REPAIR - - •Phone: 6194549477 Job Address: 2569 NAVARRA DR Suite: A Lot 0 Location: - -Inspector: OWNER GIBB KATHY. J : Owner Remarks: Total Time Requested By MARIO • Entered By: CHRISTINE 0 CD Description Act Cómriient 14 Frame!Steel/Bolting!Welding Comments/Notices/Hold Associated PCRs/CVs Original PC# - Inspection History Date Description • Act lnsp Comments .• • 09/28/2006 14 Frame/Steel/BoitinglWeidiflg CO JM - 0 / 0 - 0 APPROVED BYJrf APR 13 2006 City of CARLSBAD BUILDING DEPT http://www.ernpirepainting.com/QualTrakIsc.ri pts'get image?img id= 1 91 52-44 3/28/2006