HomeMy WebLinkAbout2577 NAVARRA DR; A-D; CB061032; PermitA-1.13-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB061032
Building Inspection Request Line (760) 602-2725
Job Address: 2577 NAVARRA DR CBAD St: A -P
Permit Type: MISC Subtype: REPAIR Status: ISSUED
Parcel No: 2162002711 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 -
92119 . HININGFeN4EAC—H-GA-92648-._.
619-454-9477
Miscelaneous Fee #1 / PERMIT FEE 'J $60.00
Miscelaneous Fee #2 $0.00
Additional Fees ,$0.00
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/•/ . '\ \..) --' TOTAL PERMIT FEES' / . . a ' \ $60.00
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Total Fees: $60.00 ,Total Payments To Date: $60.00 Balance Due: - $0.00 if
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1NCOIP0RATED
! I ' 1952
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—1 FINALAP1PRO)1L
Inspector: L/I4 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 p NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PERMIT. APPLICATION,
(FIrYOF CARLSBAD 'BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Name (at this
FOR OFFICE USE ONLY;
PLAN CHECK NO. O3OoL 03Z2_
EST. VAL.
Plan Ck. Deposit
'Validated By 'Jhi,9t
Date
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 4RcLcwttj-f- o- w~ !O L,J Pr.
Name • - - Address - City State/Zip
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Telephone #' Fax #
Name Address City btatelzip ieiepnone '1!
Name Address •, . City State/Zip 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
is 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 lChapter 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
Name ' Address City - statelzip Telephone
State License # _____ -: License Class ' _, City Business License # - -.
Designer Name . Address -. , ' City State/Zip Telephone
State License #
Jc Ju
Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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.
0 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 ($100) OR LESS) .
TK CERTIFICATE OF EXEMPTION: Icertify 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 upto one hundred
thousand dollars ($100,090), In ad di n to th c pens ,jf damages as provided for In Section 3706 of the L,bor cWle, Interest and attorney's tees
SIGNATURE L4VZA ''A , . DATE 41 I' I 05
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 s'ole compensation, will do the work and the structure is not intended or offered for sale
(Soc. 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 buildi 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:
1. I prsonally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
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 I phone number / 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 / address,/ phone number I 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 / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE .-.,. DATE
Two
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'\' J
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, 255,33 or 25534 of the Presley-Tanner HazardoUs 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 the facility to be constructed within 1,000 feet of the outer boundary of a school Cite? 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. - - , , ' ,. - • -
'EN 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 -
::i. [ --mi WE KIM 1MREW540, I certify that I have read the application and state that the above information is corrct,and that the information on the plans is.accuràte. I agree to comply with all.
City ordinances and State laws relating to building construction. -I hereby authorize representativOs of the Citt' 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 becone-nuII and void if the building or work - authorized by such permit is not co menced witin 180 days from the date of such pgunit lor •f the building or work authorized by such permit is suspended or abandoned - at any time after the work is corn ad for a period of 1 s ( - - 4 Unif9myguilding Code).
APPLICANT'S SIGNATURE
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' • - DATE
WHITE: File Y - LOW: Applicant PINK: Finance -
' -- -
City of Carlsbad Bldg Inspection Request
For: 09/29/2006.
Permit# CB061032 Inspector Msignment: JIM
Title: FAIRWAY SOUTH-UNITS A,B,C,D -
Description: TERMITE REPAIR TO BEAMS
Type: MISC Sub Type: REPAIR
Phone: 6194549477
Job Address: 2577 NAVARRA DR
Suite: A Lot 0
Location: Inspector:
APPLICANT MARIO BUTTERHELD • • •
Owner: • •
Remarks:
Total Time: • Requested By: MARIO
Entered By: CHRISTINE
CD Description Act Comment
14 FramelSteel!Bolting!Welding
Comments/Notices/Hold•
Associated PCRs/CVs Original PC#
Insøection History
Date Description Act lnsp Comments
09/28/2006 14 Frame/Steel/Bolting/Welding CO JM
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