HomeMy WebLinkAbout2579 NAVARRA DR; A-C; 80-953-G; Permit/) / CITY OF CARLSBAD- BUILDING DEPARTMENT
APPLICATION & PERMIT SL,POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
4ei No. JA JOB S AV. ST RD
.;
DATE OF,APPLCATION I BUS. LICENSE
_
PERMIT NUMBER
- .
P-9s-3-
I I
-
OWNE OWNER'S PHONE PRIME CONTRACTOR
- -. . --- ---- - ..
STATE LICENSE 3--
OWNER'S MAILING ADORE CON DDRESS CONTRACTOR'S
PHONE
-
-
*
' Not Valid Unli'Machino ceitilied
STATE LICENSE
DESIGNER'S PHONE
LOT BLOCK SUBDIVISION ASSESSOR'S PARCEL NO. DESIGNER
11111111111
DESCRIPTION OF 0 c2 - ' DESIGNER'S ADDRESS
- __ 1,o 1h4 IT-5
-
-
CENSUS TRACT - GP LAND USE ZONING
-
RES. UNITS- PARKING SPACE
F
NUMBER OF STORIES
,
3
-
BLDG SQ. FT. BLDG USE DCC. GP STANDARD PLAN It PLAN ID S TYPE CONST
AMT. QTY. MECHANICAL PERMIT
INSTALL FURN. DUCTS UPTO100,000BTU
OVER 100,000 BTU
ow - BOILER/COMPRESSOR UP TO 3 HP
- aaiLEn/0OtuTrflSOI-4a0-HP-w
- - VENT FAN SINGLE DUCT
- BOILER/COMPRESSOR 3-15 HP
' - MECH EXHAUST - HOOD/DUCTS
0CC. LOAD
AMT.
-
.- /77fl,L
' -
OTY. - PLUMBING-PERMIT,
EACH FIXTURE TRAP
BUILDING SEWER
' :
EACH
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO4OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER - RELOCATION OF EA FURNACE/HEATER -, BUILDING PERMIT 144 910
TOTAL MECHANICAL
CONTRACTOR -
SIGN PERMIT
PLAN CHECK
I
1'TAL PLUMBING
CONTRACTOR -g,. ALL INCLUSIVE PERMIT I
QTY ELECTRICAL PERMIT AMT. OTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING
ELECTRICAL . Il7- — 44
NEW CONST EA AMP/SWT/BKR TOO AWNING - - - MECHANICAL
I PH .25 3 PH - PORCH . - MOBILE HOME
EXIST BLDG EAAMP/SWT/BKR - SET-UP -. SOLAR
1 PH .25 3 PH - RAMADA, CABANA
REMODEL/ALTER PER CIRCUIT - FENCE OVER 6'
TEMPPOLE 200AMPS - -
TOTAL MOBILE HOME - MICO-FILM I I - I
OVER 200AMPS
TEMP OCCUPANCY (30 DAYS)
— '-Q---17f
TOTAL ELECTRICAL
CONTRACTOR:_. 77
___________________ _______ - I • I I - I
- TOTAL FEES PAYABLE . I
' I I I
0
__________________________ ___________
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
-SPECIFIED HEREIN OR NOT. I,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS 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.
'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER -
5-0" DEEP A EM LITION OR CONSTRUCTION OF -
STRUCTUR S E 3 TOR
-
PPPLICANT ATURE OWNERD CONTRACTORO
AGENT [3 BY PHONE 0 I APPthDBY ''$j
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
Di hereby affirm that 1 am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031 .5,Business and Professions Code), Any
City or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its Issuance also requires the
appiicantfor such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
DI, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure isnot intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions 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 of-
fered for sale. If, however, the building or Improve-
ment 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).
Di, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business an4._Pro*
to
ns
Code: The Contractor's License Law(oep-
ply to an owner of property t.ho b lidsm-
proves thereon, and who contracts fo so- J ]acts with a contractor(s) license purs n the
contractor's License Law).
I am exempt under Sec. , - P. -
for this reason_______________________________
Date ______________ Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, or a certificate of Workers
Compensation insurance, or a certified copy
thereof (Sec. 3800, Labor Code),
POLICY NO,__________________________
COMPANY
iJCopy is flied with the city.
DCertifted copy is hereby furnished,
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit is for one hundred dollars ($100) or less).
I certil7 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:
NOTICE TO APPLICANT: If, after making this Cer-
tificate of Exemption, you should become subject
to the Workers' Compensation provisions of the -
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction len-
ding agency for the performance of the work for
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
ap
VALIDATION
City of Cahsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438.5525
dress where Business Buildina I be conducted 2579 Navarra A B C permit 1o. 80-953G
Name of Occupant Business Phone
Address of Home Office of Home Office Occupant if different from above 2850 Pio Pico, Suite I, Carlsbad, CA 92008 Phone 729-4992
Owner of Building FAIRWAY SOUTH, A LIMITED PARTNERSA SS same as above Phone
Type of Business 3 unit condo
Describe exact use of all portions of each building and lot residential condominium
Previous use of Building none
Type of flammable or explosive liquids to be used, If any none
I certify that I have read the statements contained in thisavori—ca-rift that they are true and correct, and that I make this statement under penalty of perjury.
Dated this
2AIKW dqyof
14
- -June 19 .82 .AY 5UU 111
InZe C lt:ofCarlsbad, State of California
Signature of 'PDXI'mr
Applicant
Signature of RISES, IbjUdiifjiaPARTNER
SSJI.JA.'d 4. "4
Use Zone 1b I"V\
FOR DEPARTMENTAL USE ONLY
Occupancy Group /L.I Type of Construction ) jj/
Planning
Department Aj Disapproved By
Engineering
Department Date DateFb..APProved proved ()'_..~... Disapproved By
Fire Prevention Date Approved Disapproved By
Health Department
Building Department
4 DateNB :
Date /Øy/PL. APProv4
Disapproved
________ J5iproved
By
By
White —BuildIng Dept. Yellow - Applicant Pink - Finance Gold - Fire Dept.