HomeMy WebLinkAbout2579 NAVARRA DR; A-C; CB061033; Permit71
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INCORPORATED
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City of Carlsbad
1635 Faraday Av. Carlsbad, CA 92008
04-13-2006 ' Miscellaneous Permit Permit No: CB061033
Building Inspection Request Line (760) 602-2725
Job Address: 2579 NAVARRA DR dBAD St: A—C,. .
Permit Type: MISC Subtype: REPAIR Status: ISSUED
Parcel No: 2162002708 - 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.0 - Inspect Area:
TERMITE REPAIR TO BEAMS .
Owner:
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Applicant:
MARIO BUTTERFIELD
6211 LAKE ARIANA AVE
92119
619-454-9477 ,
Miscelaneous Fee #1
Total Fees:
PERMIT FEE $60.00
/
/ $60.00\
I $60.00 Total Payments To Date: $60.00 BalanceDue:T,. $0.00
I
iviisceianeousree Q / Additional Fees
TOTAL PERMIT FEES'
1(r )
FINAL APR AOV 'L
Inspector: 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 a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
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' FOR OFFICE USE'O. V
PERMIT APPLICATION t
PLAN CHECK NdZ2/O?
CI1Y0FCARLSBAD BUILDING DEPARTMENT EST. VAL.
1635 FaradayAve., Carlsbad, CA 92008 .. Plan Ck. Deposit
Validated By / J t4/Wr•
Date
2g71 ° .giôc'9 - /3 Address (include ldg/SuitO #1 Business Name (at this address)
Ciôn Cqc -
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units'
Assessor's Parcel # Existing Use Proposed Use
Name - Address City . State/Zip '' Telephone # Fax #
iAuA ctQ:A E&Va OOtD Own EM
Name - Address City State/Zip Telephone ((ifl)l45!.f_4._'77
PE ER
Name Address . City Slate/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
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 Code] or that he is exempt therefrom, and the basis for the alleged
e emption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500D.
V C,. (ô ,Jt1zOrt6 (IZ. La. A(U*JA 4D CA.. OTMJW~l 64,V 4,
41 Z4tJ
Name , Address - City.' IState/Zip Telephoner,
State License # 7 License Class . ' City Business License # .
Designer Name Address . City , State/Zip Telephone . .
State License # -. , •.
N 15 c~is 5'-L AR
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ,
O ' I have andr will maintain a äertificate 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 perthit is
issued. My worker's compensatiOn insurance carrier and policy number are:
. • . ,
Insurance Company
. Policy Na. Expiration Date__________________
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED, DOLLARS [$1001 OR LESS)
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: Failure 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 addl n to the pens o damages as provided for In Section 3706 of the bor c a, Inte " est and attorney's fees.
DATE SIGNATURE ___•._r-:':_ To -..:-, , .
I heieby affirm that' I am exempt from the Contractor'i LicenseLaw for the 'following reason: • - • . 0 I, as owner of the property or my employees with wages as their iole 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).
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 build or Improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Sction 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 / 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 cortractors license number):
I plan to provide portions of the work, but I have hired the following person to coordinatil supeivisé and provide the major work (include name/ address / 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 / address / phone number / tye
- of work):
PROPERTY OWNER SIGNATURE -- _'•-' DATE
Is the applicant or future building occupant required to submit a businesi 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 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 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 THEAIR POLLUTION CONTROL DISTRICT. . . . •.. 1' :- HIM -11 I hereby affirm that there is a construction lending agency for the performance of the work for whiâh this permit is issued (Soc. 30970) Civil Code).
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LENDER'S NAME LENDER'S ADDRESS •
ITE j . T SrVi LL C ; 1i
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 PERMlT
- - 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 become iulI and void if the building or work
authorized by such permit is not co menced witpin 180 d~frothete such pgunit or the building or work authorized by such permit is suspended or abandonedat any time after the work is com ed for a period of 1 - . 4 Unif uilding Code).
APPLICANT'S SIGNATURE
.
- - DATE 9/u 4.6_•-
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WHITE: File - Y LOW: Applicant PINK: Finance -
'Rao FAD City of Carlsbad Bldg Inspection Request
W-01 For 09/29/2006
Permit# CB061033 Inspector Assignment: JM
Title FAIRWAY SOUTH-UNITS A,B,C -
Description: TERMITE REPAIR TO BEAMS
Type: MISC Sub Type: REPAIR F
Phone: 6194549477
Job Address: 2579 NAVARRA DR
Suite: A Lot 0
Location: Inspector:
APPLICANT MARIO BUTTERFIELD
Owner:
Remarks:
Total Time: Requested By: MARIO
• Entered By: CHRISTINE
CD Description Act Comment
14 FramelSteellBoltinglWelding
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description • Act iflsp Comments
09/28/2006 14 Frame/Steel/Bolting/Welding CO JM
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