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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.