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:,,....
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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'
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