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Home My WebLink About2581 NAVARRA DR; C; CB980797; PermitBUILDING PERMIT Permit No: CB980797 .C3/18/98 10:39 Project No: A9801053 Page' 1 of I Development No:, Job Address: 2581 NAVARRA DR Suite: C Permit Type: PLUMBING Parcel No: 216-200-27-07 ' , Lot#: Valuation: 0 Occupancy Group: Ref erence#: Description: WATER HEATER REPLACEMENT Appl/Ownr : MEADOR, JIM 2581 NAVARRA DRIVE #C CARLSBAD, CA. 92009 *** Fees Required .*** Fees: 27.00 Adjustments: / .0 Total Fees: /27.0 _!_! _ _L -- Enter "Y' for PlunDii Each Water Heater anZ INCORPORITED 1952 Construction Type: VN Status: ISSUED Applied: 03/18/98 Apr/Issue: 03/18/98 Entered By: MDP 760 942-5767 flt\ Tot aif rL i t Collected & Credits ' -röf óI - 'rect s: C-PRMT 00 27.00 ay1qnt's: .00 tiJp e\ 27.00 (5/Urit ' Ext fee Data , .00 20.00 Y ' 7.00 FINA),PPROVAL DA13' CLEARANCE_ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION .CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ON.Y PLAN CHECK NO.? Cfl EST. VAL. Plan Ck. Deposit Validated By___ Date 2581-C Navarra Dr. Address (Include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Spd0n Nome/Number . Unit No. Phi,. No. Total S of unlIs' Assessor's Parcel I Existing Use Proposed U.. Description of Work SQ. PT. Iof Stories S of Bedroom, I of Bathrooms WATER HEATER REPLACEMENT Name Address City State/Zip Telephone I Fa x S .................... Name Address City , State/Zip Telephone I f. J2OER.4QW. Nime Address City . Stats/Zip Telephone N (Sec. 703 1. 5 Business and Professions Cods: Any City or County which requires e permit to Construct, alter, improve, demolish or repair any structure, prior to its Issuance, also require, the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law IChsptsr 9. commanding with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged .eamption. Any violation of Section 7031,5 by anyjgpJc;n or qp aIcjs the applIcsnt 9iid,,jJty of not ra the 4)2i.ndrsd 3I9Ifb4dP. A & J FOSTER PLUMBING li/ub— riwi 0 Name Address C-36 City . . . State/Zip 120 &one # State Licensea 630120 License class City Business License Designer Name Address City Slits/Zip Telephone State License I N/A . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain 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. Q( I have and will maintain workers' compensation, as required by Section 3700 olIha Labor Code, for the performance of the work for which this permit Is Issued. My worker's compensation Insurance policy policy number its: N2007-56-51 CONTINUOUS Insurance Company FtiJL jJL 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 cartify 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 dollars (5100.000). In addition to the coitof compensation, damages as provided for in Section 3706 of the Labqr code. Interest and attorney's less. SIGNATURE . DATE 7 'OWNER BUILDER DECLARATION tJW, . rab I' I hay affirm that I em 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 Cod.: The Contractor's Ucense 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 I. 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, em axclualvely contracting with licensed contractors to construct' the project (Sec. 7044, Business and Professions Code: The Cbntractor'e License Law does not apply to an owner of property who builds, or improves thsreon, and contracts for such projecte with contractor(a) li c e n s e d pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Cods for this reason: I p.rsoneiiy plan to provide the major labor and materials for construction of the ptoposad property improvement. 0 YES ONO I (have I 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 / Contractors license number): 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work ilnclude name / address I 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 THIS FCTIOtkNK&0Af,4'A# BILPJHQ.. 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 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or sir quality manegemant district 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? (3 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. B u CONSTRUCTION LENDING AGENCY p - I l,er.by affirm that there I, a construction landing agency, for the performance of the work for which this permit Is Issued (Sec. 3097(I) Civil Code). LENDER'S NAME LENDERS ADDRESS_____________________________________________________ 'APPLICANT CERTIFICM%ON..r ' kJ.) LCI'.rW lenIly that I have read the application and state that the above inlormatlon 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 LIAB I L I T I E S . 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 the building o r work authorized by such permit Is not commenced within 366 days from the data of such permit or If the building or work authorized by such permit is suspanded or abandoned at any time after the wgrk is commenced for ,.perlod of 180 days IscUon 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980797 FOR 04/22/98 INSPECTOR AREA DESCRIPTION: WATER HEATER REPLACEMENT PLANCK# CB980797 OCCGRP TYPE: PLUM CONSTR., TYPE VN JOB ___ STE: C LOT: APPLICANT: MEADOR, JIM PHONE: 760 942-5767 CONTRACTOR: . , PHONE: OWNER: PHONE: . REMARKS: C/MRS MEADOR/942-5767 AN PLEAS INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents INSPECTION HISTORY *** DATE DESCRIPTION ACT. INSP - COMMENTS . . . a'POUR . ..