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HomeMy WebLinkAbout2581 NAVARRA DR; A-C; CB061034; PermitCity of Carlsbad 1635 FãradayAv Carlsbad; CA92008 04-13-2006, Miscellaneous Permit Permit No: CB061034 Building Inspection Request Line (760) 602-2725 Job Address: 2581 NAVARRA DR CBAD St: A - Permit Type: MISC Subtype: REPAIR Status: ISSUED Parcel No: 2162002705 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: -R DN&cARebtre RANHO-MR6E-GA-922PO N / \P Applicant: MARIO BUTTERFIELD 6211 LAKE ARIANA AVE 92119 619-454-9477 Miscelaneous Fee #1 / PERMIT FEE ("U $60.00 Misc&aneous Fee #2 / Additional Fees $0.0q TOTAL PERMIT FEES! /1 / i/ \j\ $60.00 Total Fees: $60.00 Total Payments To Date: $60.00' Balance Due:,,.... -'I----'- . /1 '\ -Is- 1 N,_,_•/ ' ( INCORPORATED U 1952 FINAL Inspector: LI Date: 7L'7('6 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. FOR OFFICE USE ONLY, ' PLAN CHECK NO. 050(o 103Y EST.VAL. . Plan Ck. Deposit.____________________ Validated By Date ' /I3lh Business Name Name (at this address) - PERMIT APPLICATION . CITYÔF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include Bldg/Suite #) Legal' Description - - Lot-No. Subdivision Name/Number Unit No. - -- Phase No. - Total # of units - Assessor's Parcel #'- - Existing Use' - - . - - Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms • N of Bathrooms ......r o 5. 550 L1J• ri-.:- , •... . 1. -: Name Address . • City . - State/Zip Telephone N Fax N. Name Address City State/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 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). 9tii c-i t.ds C2e4. %.-OC'i. ( ,J$1tlA .: "t%'L^Vjr. A(U4 - _6D CA" 412.4 1-1 Name Address - City State/Zip • Telephone State License # - License Class City Business License # Designer. Name Address - City . ' State/Zip Telephone State License # 1T1t 4'- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 perforiiance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work fo vhich this permit is issued. My worker's compensation insurance carrier and policy number are: - - ,••• ' ' . Insurance Company . Policy No. • Expiration Date _- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) - CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit i'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 ciimlnal penalties and civil fines up to one hundred thousand dollars ($100,090). In add n to th pens .o damages as provided for In Section 3706 of the Lpbor cle, Interest and attorney's feel. SIGNATURE i14.*2 ii ' DATE 4-1 I heieby affirm that I am exempt from the Contractor's License Law for the 'fo.Ilowing reason: • I, as owner of the property or my employees with wages as their s'ole 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, howOver, 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 buildior improves thereon, and contracts for such projects with contractor(s) licensed - pursuant to the Contractor's License Law). 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 / address / phone number Icontractors license' number): I plan to provide' portions of the work, but'l have hired the following person to coordinate, supervise and provide the major viork (include name / address / phone number I contractors license number): .5. 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 / 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 25534 of the Presley-Tanner Hazardous Substance Account Act? - 0 YES 0 NO -. Is the applicant or future building occupant required to obtains 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 THE AIR POLLUTION CONTROL DISTRICT. " 4N7@ COINC, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS EfCANtRtiFiATIbiii .- TJ I certify that I have read the application and state thSt'the above information is 'correct and that the information on the plans isaccurate. I agree tà comply with all City ordinances and State laws relating to building construction. I hereby authorize representativOs of the Cite of Carlsbad to enter upon Lthe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, 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 the building Official under the provisions of this Code shall expire by limitation and become null and void if thebuilding or'work authorized by such permit is not c menced wipin 180 days from the to such pgamit,oV the building or work authorized by such Permit is suspended or abandoned, at any time after the work is co period of I --a ( . 4 Unif uilding Code).- - APPLICANT'S SIGNATUREimp - . DATE / WHITE. . File Y LOW. Applicant PINK. Finance C t rDt'% " J City of Carlsbad Bldg Inspection Request For 09/29/2006 Permit# CB061034 Inspector Assignment: JIM Title: FAIRWAY SOUTH-UNITS A,B,C - Description: TERMITE REPAIR TO BEAMS Type: MISC Sub Type: REPAIR Phone: 6194549477 Job Address: 2581 NAVARRA DR Suite: A Lot 0 Location: - Inspector: OWNER GRAFF-RADFORD ADRIAN S&CAROL A Q Owner: Remarks: - Total Time: Requested By: MARIO• Entered By: CHRISTINE CD Description Act Comment 14 FramelSteel/BoltinglWelding - Comments/Notices/Hold Associated PCRs/CVs Original PC# - Inspection History Date Description Act Insp Comments 09/28/2006 14 Frañ,e/Stèel/BoltinglWelding CO JM L I FAIRWAY SCutTTH JO 5 LEO' F 7~5 r f I . I sP1 T 1 rj _ i4'LP3 ti- Nk ______________ : ct Jr ) Illig_ Cd=10 451 1~