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Home My WebLink About2583 NAVARRA DR; A; CB033019; PermitPlumbing Issue Fee Fixture or Trap /A Building Sewer Roof Drain Install/Repair Water Line• Water Heater and/or Vent Gas Piping System / Vacuum Breaker I Other Plumbing Fees Master Drainage Fe Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 (c 0.00 L.'$0.00 $0.00 $0.00 $0.00 $27.00 / / $27.00 0 0 0 Payments Bilanc 952 V City of Carlsbad 1635 Faraday Av Carlsbad, CA, .92008 11-04-2003 Plumbing Permit Permit No: CB033019 Building Inspection Request Line (760) 602-2725 Job Address: 2583 NAVARRA DR CBAD St: A Permit Type: PLUM Status: ISSUED Parcel No: 2162002701 Lot #: 0. Applied: 11/04/2003 Construction Type: NEW Entered By: SB Reference #: . Plan Approved: 11/04/2003 Issued: 11/04/2003 Project Title: STANLEY RES GAS LINE REPAIR . Inspect Area: Applicant: STANLEY NANCY 2000 TRUST POBOX 131554 CARLSBAD CA 92013 - Owner: ------._.. STANLEY NANCY 2000 TRUST P0 BOX 131554 CARLSBADCA 92013"\ N 11/04/03 0002 01 02 - COP 2700 FINALAPPROVAL lnsn tn/"1/ Date: (f' 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 FOR OFFICE USE OJLY PERMIT APPLICATION PLAN CHECK NOC (7 CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL 1635 Faraday Aye, Carlsbad, CA 92008 Plan Ck Deposit Valid atd Date Llf,qf,2 O MP 1OIIQN 7ne Name (at th address) Legal Description Lot No Subdivision Npme/Number Unit No Phase No Total # of units Assessor's Parcel # . Existing Use .. . ' Proposed Use . . - ... - I Descriptiop of Work / . . ' SQ. FT. '''. #of Stories . •.. # of Bedrooms . # of. Bathrooms Name : . " Address . " '. City •',' State/Zip" '- Telephone # Fax # -;`RR ...• , , . A .. . .4 ,,,.•. ' ' . .. .. \ Name ' : . . Address . . . . City. .. - State/Zip . Telephone # I .. 1 ER ' 7 J JYy S3m7k-/ ?c3 I1'ñytL9i 1trb-6 ô)y79-oJ,çg Name dress City State/Zip4 Telephone II TZ (Sec 7031 5 Businei's 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 Jor such permit to file ,a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law IChapter 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 703i.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001) Name . ., Address . City . . State/Zip Telephone # ,. State License #, . '- License Class City Business L.iense #._________________ '1' ' .',, -. .. . ). Designer Name . Address . .'. City State/Zip Telephone. State License # ,. . : " , . .. '... . -• .. . . . _0119~PENIIIATUQ &M Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations C1 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.. •-" '. -, .. ,, • ... . ' 0 I have and 'will maintain workers' compensation, as required by Sedtion 3700 of the Labor Code, tSr the performance of the work for which 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 ($100) OR LESS) o CERTIFICATE OF EXEMPTION I certifyhat 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 end shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. DATE .. : f/l OWPiER BÜEE RATJ I hereby affirm that I am exempt from the Contractor s License Law for the following reason r 0 I as owner, of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale '(Sec. 7044, Business and Professions Code:, The Contractor's License LaW does not apply to en'owner of property who builds, or, improves thereon,: and who dSes' such work himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) I as owner of the property, am exclusively, contacting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractor's, License Law does not apply to an owner of property .who builds or improves thereon, and cSntrict$ for. such projects with ,contractr(s) licensed pursuant to the Contractors License Law) , 0 I am exempt under Section Business and Professions Code for this reason '-r - - 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES ONO 2 I (have I have not) signed an application for a building permit for the proposed work 3 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 prsOn to coordinte, 'supervise and Provide the major work (iñSlude name / address / phone number / 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 I address / phone number / type of work): PROPERTY OWNER SIGNATURE _-_ DATE NS Is the applicant or future building occubant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 at the Presley-Tanner Haardoüs 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 air quality management district? 0 YES 0 NO Is the facility to be constructed within 1;00,0 feet of the outer, boundary of a school site? 0 YES 0 NO ,,IF ANY OF THE ANSWERS AREiYES; A FINAL CERTIFICATE OF' OCCUPANCY' MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE 'REQUIREMENTS OF THE OFFIcEbF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL.DISTRICT. ''- ' .. - "•. I hereby affirm that there is ,e construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDERS NAME -, _'- ____. LENDER'S ADDRESS 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. auihorizerepresentatives.of the. Cite' of Carlsbad to enter, upon the above mentioned property 'for inspection purposes. 11 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE 'CITY OF CARLSBAD AGAINST ALL LIABILITIES, - JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 EM EXPIRATION: Every 'permit issued by: the'buildin Official'under the provisions of this Code shall-epire by iimitdtion and"bacom null and void if the building or work authonzed b 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 y at any time after the work is commenced for a' period of 1 ays on 106.4.4 Uniform Building Code).. APPLICANT'S SIGNATURE DATE File - YELLOW: Applicant - PINK: Finance