HomeMy WebLinkAbout2573 NAVARRA DR; A-E; CB061030; PermitOwner:
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CARLSBAD CA 92009.,
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City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
O4-13-2006 Miscellaneous Permit Permit NCB061030
Building Inspection Request Line (760) 602-2725
Job Address: 2573 NAVARRA DR CBAD St: A
Permit Type: MISC Subtype: REPAIR
Parcel No: 2162002718 Lot #: 0
Valuation: $000
Reference #:
Project Title: FAIRWAY SOUTH-UNITS A,B,C,D,E
TERMITE REPAIR TO BEAMS
Applicant:
MARIO BUTFERFIELD
6211 LAKE ARIANA AVE
92119
619-454-9477
Status: ISSUED
Applied: 04/13/2006
Entered By: JMA
Plan Approved: 04/13/2006
Issued: 04/13/2006
Inspect Area:
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Miscelaneous Fee #1 / PERMIT FEE \' $60.00
Miscelaneous Fee #2 / Ik Q,- J1, $0.00
Additional Fees / \\ i'i,.. - -\
TOTAL PERMIT FEES
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$6000\ //
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Total Fees: $60.00 Total Payments To Date: :' $60.00' Balance Due: $0.00
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FINAL WZV",L
Inspector: Date: ___ 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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING PIEPARTIVIENT
1635 Faraday Ave., Carlsbad, CA 92008,
FOR OFFICE ,USE ÔLY
PLAN CHECK N0.0 ['0 ,36
EST. VAL.
Plan Ck. Deposit
Validated By
Date V/13 /
Legal Description , - Lot No. Subdivision Name/Number Unit No. rnase No. i orai ff OT units
Assessor's Parcel # - - Existing Use - • - ' .., -- - Proposed Use
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Name ' Address City ,. State/Zip Telephone # Fax 1/
Name - Address City ' -
Name ' . Address - City .. , State/Zip Telephone #'
LCAACTOfl L £
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or rep'air 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
rflc-iELs ovW C. O6. (flWt.S 2\ LM A(U3 - 4D CM '4% Name ' Address City State/Zip Telephone qy4..q7" State License # 77171 k3f - License Class City Businss License # - -
Designer Name Address - - city' State/Zip Jelephone -
State License #
WO'AKERS;oMPEN!ATIONZtrL.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: - -. -
0 I have and will maintain a dertifica4 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 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 number are:
- 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 certify that in the performSnce 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 ($100,090), In A~dfn to the c pens ...pi damages as provided for In Section 3706 of the Labor ciIe, intjest and attorneys fees.
SIGNATURE/t4,*2 9 DATE 4(('3JO
,
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 soIe 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 Lavv 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 buiIdsor improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the COntractor's License Law) 0 I am 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 -[3NO
1 (have / have nat) 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! address / phone number! contractors 'license number):'
I plan to provide portions of the v0rk, but I have hired the following person to coordinate, supervisO and provide the major work (include name I address I phone . number / contractori license number):
I will provide some of the work: but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):
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PROPERTY OWNER SIGNATURE ' - - DATE %01_0 4405OWWRI)CO&A jJ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk minagement and prevention
,program iinder Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?- 0 XES 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 boLindary 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.. - L8IA CY UIC 3 s , -
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).
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LENDER'S NAME - .. •' LENDER'S ADDRESS - • . - -'
AERTIFIATIb1$t *Z c U.
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 Cite 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 INCONSEQUENCE 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 co menced wipin 180 days from the~tesuch pgtmit or' the building or work authorized by such permit is suspendedor abandoned at any time after the work is corn ed for a period of 1 s (4 Unif uilding Code). . 1 11 APPLICANT'S SIGNATURE - I -' -.
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DATE g/u / 46
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WHITE File V LOW Applicant. PINK Finance
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RN City of Carlsbad Bldg Inspection Request
For 09/29/2006
Perrnit# C8061030
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Inspector Assignment: JIM
Title: FAIRWAY SOUTH-UNITS A,B,C,D,E . .. :
Description TERMITE REPAIR TO BEAMS
Type: MISC. Sub Type: REPAIR .
Phone: 6194549477
Job Address: 2573 NAVARRA DR
Suite: A Lot 0
Location: .: Inspector:
APPLICANT MARIO BUUERFIELD
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#
Inspection History
Date Description Act lnsp Comments
09/28/2006 14 Frame/Steel/Bolting/Welding CO JM - . .
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APPROVED
BY cjv
APR 13 2006
City of OARLSBAD
BUILDING DEPT.
http:/iwww.empirepainting.com/Qual Trak/scri ptslgct i mae?inig I d I 2? 344 3/28/2006