HomeMy WebLinkAbout2569 NAVARRA DR; B; CB072002; PermitCity of Carlsbad.
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1635 Faraday Av Carlsbad, 6. 08
07-30-2007 Plumbing Permit Permit No: CB072002
Building Inspection Request Line (760) 602-2725
Job Address: 2569NAVARRA DR CBAD St: B
Permit Type: PLUM Status: ISSUED
Parcel No: 216200272 Lot #: 0 Applied: 07/30/2007
Construction Type: NEW Entered By: KG
Reference #: Plan Approved: 07/30/2007
Issued: 07/30/2007
Project Title: 89FRES REPLACE WTR HTR Inspect Area:
Applicant: Owner:
ALL STAR WATER HEATERS & PLUMBING -...
7' fA AIR-CT ,
17886 LAKESHORE DR 92530 CARLSBAD CA 92009
1-800-727-0977
/ c (. " \ Plumbing Issue Fee ' .-
- ..- --. "-.)i-tj \ $20.00
Fixture or Trap / z 'o_ ... N. \ $0.00
Building Sewer / -' '\•. // 0 /1
-.
$0.00
Roof Drain / ,' 0 1 y' \ \jf $0.00
Install/Repair Water Line / 0 .' --, $0.00
Water Heater and/or. Vent ..,, d - - - -••--, -< \ 'Th $7.00
Gas Piping System ),,/so.00
Vacuum Breaker I - I 0 . - I _.$o.00
Other Plumbing Feds / — -$0.00
i '... :- . / It •"-• Master Drainage Fee .7 J Sewer Fee - '.-. - -- 1 $0.00
Additional Fees $0.00 /
TOTAL PERMIT FEES
\• /.. t '- - -
$27
Total Fees: $27:00 Total Payments To Date 2 $27.00(Balance Due
,
/ $0.00:
LD P ERN" T
PEW.,. IT HAS EXPIRED IN ACCORDANCE WIT,
- - ' -AEU- 1ON i0.4.4 AS AMENDED BY C.M.C.144 0,
DA4. -SlCNiThRE..44..
FINAL APPROVAL
Inspector: Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the'Imp'osition" of fees, dedications, reservations, or other exactions hereaftercollectively
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 thespecified 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
'I
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
FOR OFFICE USE ONLY
PLAN CHECK No1)7,,2-O6?
EST. VAL.
Plan Ck. Deposit -
Validated By
Date '7 -30-0 -7
Address (include Bldg/Suite U)
:-
Business Name (at thisa
Legal Description Lot No. Subdivision Name/Number Unit No. . Phase No. Total U of Units
Asses5or's Parcel U - 1 Existing Use . - Proposed Use r i...
of Work 0 of bedrooms U of Bathrooms
Name Address City \ . . State/Zip Telephone U Fax U
Name Telephone#
(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 thathe Ii 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 subject4 the applicant to a civil penalty of not more thanJjve hupdred dollars ($500J).
4(Iiw_WcJe,-3e3c'.g2 5-( _nttp
Name Address . . City State/Zip Telephone #
State License U 6 /2.8'V License Class c..3_( _' City Business License #
Designer Name Address City State/Zip Telephone U -
State License #
Workers' Compensation Declaration I hereby affirm under penalty of perjuiy one of-the following declarations:
0 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.
I have and will maintain worker's compensation, as required by Section 3700 of the labor Code.lor the performance of the work for which this permit is issued. My
worker's compensation insurance carrier and poIicy number are: .
Insurance Company 5t _I-iJ's A. Policy No. l'11_'1/0 (5 Expiration Date _2-0
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 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 thj'ost of mpenjatIon, damages are provided for In SUctIon 3706 of the Labor Code, Interest and a'ttorney's fees.
SIGNATURE . :.'e- . DATE
I hereby affirm that I am exempt from the Contractor's License Law for the foIlowing.reason:
O I as owner of the property or my employees with 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 License Law does not apply to an owner ofproperty 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).
O I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The contractors
License Law does not apply to an owner of properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors
License Law).
o lam exempt under Section Business and ProfessIons Code for this reason:.
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO
2 I (have/have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / 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 I phone number I
/ontractors 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 / address I 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
dom
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? C) 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 C) 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 Co6TRUC11ON
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(I) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9..--, 290
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 5'0 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 aulhor;zec
by such permit is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after
the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE - DATE 2 c,'.0 '2..
WHITE: File YELLOW: Applicant PINK: Finance