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Home My WebLink About2573 NAVARRA DR; B; CB971707; Permit13 U I L D I. N G P E R H I T Permit No: CB971707 06/20/97 16:00 Project No: A9702174 Page 1 of 1 Development No: Job Address: 2573 NAVARRA DR Suite: B Permit Type: MECHANICAL Parcel No: 216-200-27-AA(i Lot#: 6188 06/20/97 0001 01 02 Valuation: 0 Construction 71T NEW 4200 Occupancy Goup: Ref erence#: Status: ISSUED Description: INSTALL 3 TON AC/30 AMP CIR -Applied: .06/20/97 Apr/Issue: 06/20/97 Entered By: JM Appl/Ownr :.COASTAL AIR MECHANICAL 619 484-8340 12860 WARHORSE SAN DIEGO, CA 92129 *kk Fees Required *** Fees Collected & Credit Fees: 42 .0 Adjustments: ç.a /\,Cc?t.s: .00. Total Fees; r.ci 5: . . .00 r7 p It : 42.00 Fee description /1. it !Ext fee Data Install Furn/pLIC-tv. li.. A, 9.00 Other `Zz~) 18.00 ELEC MECHANICAL'TOTA 42.00 INCORPORATED 19.52 . AL APPROVAL • * DATE LARAFCE'______________ 1.AANCE - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMII APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO.7/7ó 7 EST. VAL. Plan Cit. Deposit.,./ (c / Validated 7e Date /ilk , i 1 PROJECT : 0) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total 0 of units Assessor's Parcel S Existing Use Proposed Use Description of Work / 7 SQ. FT. Sot Stories S of Bedrooms S of Bathrooms ,n 3 ?i/• /c / ., 2 CONTACT PERSON (If different from ipphcentr "r r r Name Address City State/Zip Telephone S Fax S rat-70 Fikii,....................................................................................................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name City us Name f. Address City . StatelZlp Telephone I S CONTRACTOR COMPANf NAME '" - (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 Codel 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 subjects the applicant to a civil penalty of not more then five hu drad doll rs 1*5001). 4,4 iijei,W/tii- l2O fL24th/é T 3. (4 9129 b/p- Name Address City State State License S el'lllevl License Class . (1 City Business License Designer Name Address City State/Zip Telephone State License S S. WORKERS' COMPENSATION• ..• ....T E. 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 foi 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 ther 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 1*1001 OR LESS) I:w'CERT,FICATE 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 wàrkers' Mthst n coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (*100,000 In a of compensation, damages u provided for In Section 3700 of the Labor pIe, l4rest and attorney's fees. SIGNATURE /1 DATE_________________ 7 OWNER BUILDER DECLA TION - - .., , ..( 'S. gu 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 sole 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). O I, as owner of the property, em 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 builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 . lam 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 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 / contractors license number): - 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 type of work): PROPERTY OWNER SIGNATURE . DATE•_____________________ COMPLETE THIS SECTION FOR NON-RESIDEN7AL BUILDING RM)TOHLY t 7f t'ir 9' 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 bt.ildlng 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 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ' CONSTRUCTION LENDING AGEPIC'V ' ' " r' I hereby affirm that there is. construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9 APPUCANT CERTIFICATION ' '"=rwnwn, mm V "A1. t' I certify that I have reed the application and state that the above information Is correct and that the Information on the plans is accurate. I agree to comply with eli 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 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 un r the p slons V this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commen ad within 365 da rom the do a of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work is c men6bd for a pa' d of 1 0 eva (Section 108.4.4 Uniform Building Code). APPLiCANT'S SIGNATURE . . . . . DATE h,.,,I-..... DIMV. CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB971707 FOR 0]./27/98 INSPECTOR AREA NF, DESCRIPTION: INSTALL 3 TON AC/30 AMP CIR PLANCK# CB971707 - occGRP TYPE: MECH CONSTR. TYPE NEW JOB ADDRESS: 2573 NAVARRA DR STE: B LOT: - APPLICANT: COASTAL AIR MECHANICAL PHONE: 619 484-8340 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/PAMELA! INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS' Ala 43 ME AirCond/Furnace Set • ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 091797 Service Change/Upgrade NS NF INSPECTED ON 9/16 091697 Service Change/Upgrade CO NF SEE NOTICE