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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.