HomeMy WebLinkAbout2575 NAVARRA DR; A-C; CB061031; Permit. City of Carlsbad
I . 1635 Faraday Av Carlsbad, CA 92008
04-13-2006 Miscellaneous Permit Permit No: CB061031
- Building Inspection Request Line (760) 602-2725
Job Address: 2575 NAVARRA DR CBAD St: A -C
Permit Type: MISC - Subtype: REPAIR Status: ISSUED
Parcel No: 2162002715 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 - Inspect Area:
TERMITE REPAIR TO BEAMS
Applicant:
MARIO BU1TERFIELD
6211 LAKE ARIANA AVE
92119
619-454-9477
Owner:
AMENANN&M
RIS
BEtFORD iT7718
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PERMIT FEE ''-) $60.00
/ ( ( ~~O) 0 1 \ "? $60.00
Total Fees: $60.00 Total Payments To Date:. $60.00 BaIancé;Duei - \ $0.00 I ; I - '
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1 INCOFtPORATED / '\) 1952
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FINAL
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Inspector: Date: Zj' Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fs, dédicatiois, reservations, or other exactions hereafter collectively
referred to as fees/exactions. You have 90 days from the dati 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. •.. -
L 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.
Miscelaneous Fee #1 /
Miscelaneous Fee #2 J r
Additional Fees /
TOTAL PERMIT FEES . IJTz.:)
Address finclude Bldg/Suite #)
PERMIT APPLICATION
I - -
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Cárlsbäd,CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. 43 t 31
EST. VAL. , .,-
Plan Ck. Deposit
Validated By J VV"ec
Date fI 3 /6
Business Name (at this address)
Legal Description - - Lot No. Subdivision Name/Number • Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. #of Stories - # of Bedrooms . # of Bathrooms a _...,.....' - - - - - ea
Name - - - Address , City State/Zip ' Telephone N Fax N
Name , - Address City State/Zip Telephone # - -
ctOR0MP NAMEt
(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 Coda] or that he is exempt therefrom and the basis for the alleged
Sate License N 711 t?g License Class , City Business License ii
Designer Name '. ' Address City. State/Zip Telephone .
- State License N
iSATiONt . tt 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 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 poliby number are:
Insurance Company - '' Policy No. " ' ' Expiration Date__________________
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (*1001 OR LESS)
JA 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: Fail6ni 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 pens ,,p damages as provided for In Section 3706 of the Labor cIe, lnyest and attorney's fees.
SIGNATURE L/liV2t1. ia , O# ' DATE I4! I. I 0 ç
I heieby 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 'dole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's LicOnse 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, Businssè 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) .- ,' ,•
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 person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
I plan to provide portions of the work, but I have hired the following person to coordinate, iupervisd and provide the major work (include name / address I phone number / contractors license number):
I will provide some of the work, but I have contracted (hired) the follwing persons to provide the work indicated (include name I address / phone number I type of work):
PROPERTY OWNER SIGNATURE DATE
01 Is the appliCant or future building occupant required to submit-a business plan, acutely hazardous materials registration form or risk management and prevention
program underSections 25505 25533 or 25534 of the Presley.Tan,ieiHazardoüs Substance Account Act? 0 YES (3 NO -
Is the applicant or future building occupant requlred'toobtain a permit from the air pollution control districtor 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.
Vint a2avEr!4q; R, 01E-0501 37FR*1211
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
-
- LENDER'S NAME . - - LENDER'S ADDRESS -
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 IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'O deep md emlition or construction of structures over 3 stories in height. - EXPIRATION: Every permit issued by the building Official under theprovisions of this Code shall expireby limitation and become null and void if the building or work
- authorized by such permit is not co menced wit?in 180 days from the
-
te such pgrmit 0r 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 I s ( - 4 Unit uilding Code). 1 A APPLICANT'S SIGNATURE
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DATE q/u/
- - WHITE. File Y LOW. Applicant PINK. Finance
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City of Carlsbad Bldg Inspection Request
For: 09/29/2006
Permit# CB061031 Inspector Assignment: JIM
Title: FAIRWAY SOUTH UNITS A,B,C-
Descriptioi: TERMITE REPAIR TO BEAMS
Type: MISC Sub Type: REPAIR • Phone: 6194549477
Job Address: 2575 NAVARRA DR
Suite: A •Lot 0
*
Location: Inspector:
OWNER DAUMEN JEANNE M -
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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htt1) :IIwww.enipi repal nting.com/QualTraklscri 3/28/2006