HomeMy WebLinkAbout2579 NAVARRA DR; A; CB980070; PermitBUILDING PERMIT Permit No: CB980070
01/12/98 17:06 Project No: A9800115
Page 1 of 1 Development No:
Job Address: 2579 NAVARRA DR Suite: A
Permit Type: PLUMBING
Parcel No: 216-200-27-08 Lot#:
Valuation: 0 Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
Description: WATER HEATER RPELACEMENT Applied: 01/12/98
Apr/Issue: 01/12/98
Entered By: JM
Appl/Ownr HEZA VICTORIA 760 633-fl35
2579 NAVARRA DRIVE 2Y64 01/14/98 0001 01 02
CARLSBAD CA 92009 C-PRMT 27.00
*** Fees Required *** Fees Collected & Credits
Fees: 27.00
Adjustments: .00 P, Total Credits: .00
Total Fees: 27.00 Total Payments: .00
Balance Due: 27.00
Fee description Units Fee/Unit Ext fee Data
Enter "Y" for Plumbing Issue Fee > 20.00 Y
Each Water Heater and/or Vent > 1 7.00 7.00
CLEAA.IJi
CITY OF CARLSBAD
2075 Las Pahnas Dr., Carlsbad, CA 92009 (619) 438-1161
ERMIT APPLICATION
AO - I
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619)438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO.'LYit)
EST. VAL.
Plan Ck. Deposit
Validated By_______________________
2579—A Navarra Dr.
Address linclude Bldg/Suite I) Business Name (at this address)
Legal Description Lot No. SFRSubdlvlalon Name/Number Unit No. Phase No. Total S of units
Assessor's Parcel I Existing Use Proposed Use
Description of Work SQ. FT. Sal Stories I of Bedrooms S of Bathrooms WATER HEATER RPLACH€
4.
Name Address
-- City State/Zip Telephone S Fox
State/Zip
Name Address City - -- 5tat.IZ111 Telephone S riyawomOil WON..—
(Sec. 7031.5 Business and Professions Code: Any City or County which requires e permit to construct, alter, Improve, demolish or repair a
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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 iChepter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefro
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exemption. Any violation of Section 703 1. 5 by any applicant for a perj,ilUj,cte the eppllcapf,io p,çiv3lpptalty of npIqnore tI'q hundrjlgli4$pylOD. A & J FOSTER PLUMBING 13706—B HWi ti tiUb. . maLi Ltti)A4 •
Name
630120 Address C-36 City . StatelZlp 12003I$phone I State License . License class City Business Ucensel
Designer Name Address City State/Zip Telephone State License N/A
.
t.ÔRKERS.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the foilowing.daclarationa:
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.
cJ 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: N2007-56-51 CONTINUOUS insurance Company FARMER INSURANCE
Policy No.__________________________ Expiration Date________________ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
CERTIFICATE OF EXEMPTION: I car Ily that in the performance of the work for which this permit is issued, I shell not employ any
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to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure-workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and
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thousand dollars 1$ 100.0001. In addition to the cost of compensation, damages as provided for in Section 3708 of the Lebqj code, Interest end attorney's fees.
SIGNATURE•
. DATE ___ 7. ' OWNER-BUILDER DECLARAtION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
I, as owner of the properly or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale ISac. 7044. Business and Professions Code: The Contractor's License Law doss 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 eels. 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 properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professio
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Contractor's Ucanas Law does not apply to an owner of property who builds, or improves thereon, and contracts for such projects with contra
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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 / 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 I 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 persona to provide the work indicated (Include name / address
I phone number / type of work):
PROPERTY OWNER SIGNATURE DATE
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, 25533 or 2553401 the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is thn 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 fast of the outer boundary of a school site? (3 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET
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REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
S CONSTRUCTION LENDING AGENCY4P4
I hereby affirm that there Is 5 construction lending agency, for the performance of the work for which this permit Is Issued 15cc. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS_____________________________________________________
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. I certlly that I have reed 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 City of Carlsbad to enter upon the
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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'
Building Official under the provisions of this Code shall expire by limitation and become null and void it the building or work authorized by such permit Is not mmenced within 385 days from the date of such permit or if the building or work authorize
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or abandoned at any time after the w k isco menced for ailed of 180 days,1,ection 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE df.1(ALT DATE /'/3 --qy
WHITE: File YELLOW: Applicant PINK: Finance
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CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB980070 FOR 03/13/98 INSPECTOR AREA TP
DESCRIPTION: WATER HEATER RPELACEMENT PLANCK# CB980670
0CC GRP
TYPE: PLUM CONSTR. TYPE NEW
JOB ADDRESS: 2579 NAVARRA DR STE: A LOT:
APPLICANT: HEZA VICTORIA PHONE: 760 633'-1135
CONTRACTOR: PHONE:
OWNER:
•
PHONE: • : -•
REMARKS: C/VICTORIA/714/939-8093 INSPECTOR
SPECIAL INSTRUCT: - ••..
TOTAL TIME:
CD LVL DESCRIPTION ACT CO1ENTS •
25 •PL Water Heater/Vents
•. 4••_•. •
•
***** INSPECTION HISTORY'***** •
DATE DESCRIPTION ACT INSP COMMENTS
031098 Water Heater/Vents • NR TP NO RESPONSE @ ADDRESS