HomeMy WebLinkAbout2581 NAVARRA DR; A-C; 80-953-C; PermitOWNER-BUILDER DECLARATION
Dl hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031 .5,Buslness 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
applicant for 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).
Dl, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure is not 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). -
Dl, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property t.ho builds or im-
proves thereon, and who contracts for such pro- -
jects with a contractor(s) license pursu
NB.0
the
contractor's License Law).
I am exempt under Sec. , -
for this reason
Date - Owner
WORKERS' COMPENSATION DEC ARATION
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 -
DCopy Is filed with the city.
0 CertifIed 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 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 Workett' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer-
tificate of Exemption, you should become subject
to the Work a' Compensation provisions of the
Labor Code,ou 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
CITY OF CARLSBAD- BUILDING DEPARTMENT
APPLICATION & PERMIT
POINT PEN ONLY i9nn Fl k4 AVFWIIF (7lifl A%R_55')6
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES. LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under piovi- ,
le
LLI
slons 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.
joe ADOR 55 AV. SD T. IDATE OF
R P7AATION B9j. LICENSE PERMIT NUMBER
/ 271A '-°1 I
OWNER OWNER'S PHON CONTRACTOR f STATE LICENSE I E PR
4 .
3"// - -32- -
OWNER'S MAILING ADDRESS - CONTRACTOR'S ADDRESS CONTRACTOR'S
— lO 2a ____________ _____ ______
LOT BLOCK SUBDIVISION ASSESSOR'S PARCEL NO. DESIG STATE LICENSE
'DESCRIPTION Aig, 0.-.) zz."J - 4/09/19172 . 629.0
OFWoLpQ 2 DESIGN ER'S ADDRESS
-
DESIGNER'S PHONE
CENSUS TRACT GP LAND USE ZONING RES ITS KING SPAS1jL UMBER OF STORIES
• BLDG SQ. FT.4IJ",L BLDG USE PLAN ID N TYPE CONST 0CC. GP STANDARD PLAN N OCC. LOAD
I
NtVabdUnIMathinemff&,
AMT. CITY. - MECHANICAL PERMIT
lob
mu) INSTALL FURN. DUCTS UP TO 100,000
OVER 100.000 BTU
BOILER/COMPRESSOR UPTO3HP
VENT FAN SINGLE DUCT
- MECH EXHAUST - HOOD/DUCTS - -
AMT.
.400
__ BOILER/COMPRESSOR 3-15 HP
am1 cPIrflMDDEg 4a
-• - _
OTY. PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM I 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
44Q C ? .Od d._- SIGN PERMIT I • I I I
TOTAL PLUMBING PLAN gç I 'Z.4Lr2..SIo
CONTRACTOR 14..?
TOTAL MECHANICAL
- CONTRACTOR 4, ALL INCLUSIVE PERMIT
TOTAL PLUMBING I I r
UTY. - ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT.. ELECTRICAL
NEW CONST EA AMP/SWT/BKR / V0 AWNING • . MECHANICAL
1 PH .25 3 PH , PORCH . ' MOBILE HOME
EXIST BLDG EA AMP/SWT/BKR SET-UP. , ' SOLAR : A"2o 1 PH .25 3 PH , - RAMADA, CABANA -- 2tZt14.d ôZ)
REMODEL/ALTER PER CIRCUIT . FENCE OVER 6'
TEMPPOLE 200AMPS . . - TOTAL MOBILE HOME . . * -. M IJC O -FILM
OVER 200 AMPS . - ¼- f F'
TEMP OCCUPANCY (30 DAYS)
- TOTALELECTRICAL ' TOTAL FEES PAYABLE -
CONTRACTOR - 77
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO P *AN OSHA M4 IS REQUIRED FOR EXCAVATIONS OVE
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5-0" DEErAND aEMo4.ITlON OR CNSTRUCTION OF -
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, STRUCT RE
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 ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE OWNERD -
RD AGENT [3 BY PHONE 01 AP
Y
p.
VALIDATION
City of-Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438-5525
Address where Business Buildina 80 -953C will be conducted 2581 Navarra A B C Permit o.
Name of Occupant Business Phone
Address of Home Office of
Occupant if different from above 7g5p p:j'pj Suite Home Office
'T, CArl hd Phone 7294992
Owner of Building FAIRWAY SOUTH, A. LIMITED PARTNERSNss same as above Phone •129-4992
Type of Business 3 unit condo
Describe exact use of all portions of each building and lot residential eondominjitm
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 this application; that they are true and correct, and that I make this statement under penalty of perjury.
Dated this 23 day of June '19 82 1 It of Carlsbad, State of California
Signature of FAIRWAY
T(jrApplicant
-S
re of
T-gr.BuiIdlr9Mici*A'PTKTVP <6—,
/17nurtuz1Lc..UjNç LUJNI
Use Zone
FOR DEPARTMENTAL USE ONLY
Occupancy Group R Type of Construction 7
Planning
Department Date I it/i 9 ',Approved Disapproved By
Engineering
Department Date fZ.provecj J-1L.Q Disapproved By
Fire
Prevention Date 41 Approved 4f Disapproved By
Health Department Date j W'&W
Buildin
~ nicnimproved By
Department Date . Disapproved By
White - Building Dept. Yellow - Applicant Pink - Finance Gold - Fire Dept.