HomeMy WebLinkAbout2581 NAVARRA DR; C; CB011142; PermitS&CAROL A Q
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MOMIC"E WITH U.B.C.
,.,
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03/26/2001 Plumbing Permit Permit No:CBOI 1142
Building Inspection Request Line (760) 602-2725
Job Address: 2581 NAVARRA DR CBAD C..
Permit Type: PLUM Status: ISSUED
Parcel No: 2162002707 Lot #: 0 Applied: 03/26/2001
Construction Type: NEW Entered By: CB
Reference #: . Plan Approved: 03/26/2001
Issued: 03/26/2001
Project Title: MEADOR RES! NEW WATER HEATER - Inspect Area:
I
Applicant: - Owner:
A&J FOSTER, INC.
STEB
GRAFF-RADFORD 4
((Ti /.\ p...
13706 HWY 8 BUS 7 JENNIFER Cu 0
EL CAJON CA 92021 / RANCHOMIRArGE,(
619-390-4477
Total Fees: $2700 Total Piymenti T6 Date: '$6.00
7
. / •f Plumbing Issue Fee
Fixture or Trap 0
Building Sewer j 0
Roof Drain I . 0
Install/Repair Water Line 0
Water Heater and/or Vent \. I
Gas Piping System. \
Vacuum Breaker \.
0.
0
Other Plumbing Fees
Master Drainage Fee \ \.
Sewer Fee \ (( ") 'N
INCORPORATED
1952
I
TOTAL PERMIT FEES
SlGNATUREi(.u)
FINAL APPROVAL
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 lees/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 willbar 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 capactiy
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.
FOR OFFICE USE ONLY
PERMIT APPLICATION '
PLAN CHECK NO.C21 ifi 41-
CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL.
1635 Faraday Ave., Carlsbad, CA 92008 . Plan Ck. Deposit
Validated By (42.
Date/(fi/pI
PROJECT INFORMATION
2581—NAvARRDRCCa6rCA92009 C
Address (include Bldg/Suite #) Business Name (at this address) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> <Total>
Legal Description
<Assessor No> .
Lot No. Subdivision Name/Number
<Existing Use> -
Unit No. Phase No. Total # of units
<Proposed Use>
Assessor's Parcel #
water heater replacement Existing USe
<SQ FT> <Stories>
Proposed Use
<Bedrooms> <Bathroom>
Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms
CONTACT PERSON (if different from appIiciü) . .. . -
<Name> <Address> <City> ST <Ziø> <Phone> <Fax>
Name Address city State/Zip Telephone# Fax #
APPLICANT 13 Cóntractor
'NetClerkinc IJ for Contractor Owner
- 720DubuqueAve D AiWfFOwner. . SouthSanFr5T940808883391777
meaaor.iim zoai navarra or #c carisoaa ca 92009 760-942-5761
RiAme auuress ..uy OWLWLIP WIPflOflH
5CONTRACTORCOMPANYNAME .. '
(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
exemption. 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 ($5001).
A & J Foster Incorporated P0 Box 2758 El Cajon CA 92021 6193904477
Name Address city State/Zip Telephone#
State License # 630120 License Class c36 City Business License # 1210836
<Name> <Address> <City> ST <Zip> <Phone>
State Licence #
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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.
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:
Insurance Company Mid-Century Ins. Policy No. A20075651 Expiration Date 05/01/2001
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
O 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 doll Z7' " 1), in addition to the cost of compensation, damages as provided for in Section 3708 of the Labor code, interest and attorney's fees.
SIGNATURE . DATE 03/19/2001
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O I, 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 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).
O 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 builds or improves threreon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 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 D NO
I (have / have not) signed an applicant for a building permit for the proposed work. -
I have contracted with the following person (firm) to grqvde the.proposed construction (include name / cldressJ phone number / contractors license number): <Name> <twuress <WOrK I'hone> <State License>
I plan to provide portions of the work, but I have hired the following person ID coordinate, supervise and provide the malor work (include name I address / phone
number/ contractors license number):<Name> - <Address> Mork Phone> <State License>
I will orovide some of the work, but I have contracted (hired) the following person to provide the work indicated (include name / address /.We number / type
of work): 'Name> - <Address> <Work Phone> <Work Type>
PROPERTY OWNER SIGNATURE . - DATE
.COMPLETE THIS SECTION FOR NON-RESIDENTIAL'BUILDING PERMITS ONLY
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 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the apphcant 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 school site? DYES 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 THE AIR POLLUTION CONTROL DISTRICT.
8CONSTRUCTION LENDING'AGENCY ..
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
"APPLICANT CERTIFICATION
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 City 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,
JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE 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 the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE 03/19/2001
City of Carlsbad Bldg inspection Request
For: 05/31/2001
Permit# CB011142. Inspector Assignment:
Title: MEADOR RESI NEW WATER HEATER
Description:
Type: PLUM Sub Type:
Phone: 7609425767
Job Address: 2581 NAVARRA DR
Suite: Lot 0
Location: Inspector:
APPLICANT A&J FOSTER, INC.
Owner:
Remarks: AM PLEASE
Total Time: Requested By: JIM MEADOR
Entered By: CHRISTINE
CD Description Act Comments
CWV&O Y)1)beX 25 Water HeaterNents
Associated PCRs
InspectionHistory
Date Description Act Insp Comments
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