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Home My WebLink About2500 NAVARRA DR; ; CB961819; PermitCJ':l/2.J 96 14. 2 .l Pac.re 1 )f 1 Job Aldie~s: 250 NAVARRA DR FERMI':' .;;illi te: PE'rmi.t N Pro t N :..>eve opm n N Permit Type: PLUMBING Paree.: No: Lot#: Va ... uation: 0 Occupancy Grouv: Reference#: Descciption: HOA-REPAIR OF MAIN GAS LINE TO : BBQ'S Appl/Ownr : W.M. DODSON & ASSOCIATES P.O. BOX 231357 ENCINITAS CA *** Fees Requi:i::ed Fees : Adjustments: Total Fees: Fee de$cript1on Enter "Y' for Plumb Gas Piping System A PLUMBING TOTAL A,._-,. 619 consttuction Type: NEw Statu : Applie 3: 091 Apr/Issue: 09/20/Y~ Enter d By: RMA 632-9659 9841 09/20/96 0001 01 C MT .00 .00 27.00 Ext fe~ Datd 20.00 Y 7.00 27 .00 Fl INSP. _ J7 CLEAR/ )RO 'AL DATE 9 ·-;;21~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. r.ity of Carlst.d Buildilllil Departaent 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438·1161 I. PERM.1 I IYPE From Llsc 1 (see back) give code of Pennit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRCllF.Cf INFORMATION FOR OFFICE USE ONLY ;I ress ~(X) Nearest Cross Street □ 2 Energy Cales 5 □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope 3. WN JACI PFltSON (I[ duferenl from applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. Af'PULANl OCONIRACIOR DAGEN I FOR CON IRACIOR ADDRESS DOWNER DAGEN I FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE ,,, 5 · ~~'11~!,~:":e'1r,t) tl_S~c_ ·1 ~"t-(~ ADDRESS c.::SCO 'N.~\JA~A CITYl..t-. i!__os_j A, STATEC.,l, ZIPCODF 'if $°J,AYTELEPHONE 435-~b:5 \ CITY BUSINESS I.IC. # ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE 7. WOJlk£RS' WMPENSXIIUN workers Lompensac,on uec1arauon · i hereby affirm that I have a ceruhcate of consent to self-insure issued by the Director of lndusmal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Depanment (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE □ □ □ Cert1bcate of Exemptmn: I certify lhat m the perionnance of the work for which this pennlt ts issued, I shall not employ any pernm many manner so as to beco -subject to the Worker..' Compe tion Laws of Cal' ia. ' . c ere ya inn a am exemp rom e e o owmg reason: 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.). I, as owner of the property, am exclusively contracting with licensed contractor.. to construct the project (Sec. 7044, Business and Prof~ions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). I am exempt under Section ________ Business and Professions Code for this reason: (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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or rhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a pennit subjects the applicant to a civil penalty of not more rhan five hundred dollars ($500]). SIGNATURE DATE COMPll l'E I HIS SECI ION FOR NON-RESIDEN I IAL BUIWING PERMI i's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 11IE ANSWERS ARE YES, A FINAL CER11FICATE OF oa:IJPANCY MAY NITT BE Il,SIIED AFrnR JULY I, 1989 UNU!SS 11IE APPUCANT HAS MET OR IS Mm11NG 11IE RF.QUIREMEN1'S OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POl.l.llTION OONTil.OL DISI1UCT. 9. WNSIR0CIION LENDING AGENCY I hereby afhnn that there ts a construction lending agency for the performance of the work for which this permit 1s 1SSued (Sec 3097(1} CIVIi c&ie). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI CFJlliFICAIIUN I cernfy that I have read the appUcauon and state that the above mformauon 1s correct. I agree to comply wnh all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS 11IE CITY OF CARISIIAD AGAINST AIL LIABIUllES, JUDGMENTS, CDSTS AND EXPENSES wmrn MAY IN ANY WAY A(XJUJE AGAINST SAID CITY IN OONSEQUENCE OF 11IE GRANTING OF nos 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 is.5u building or work authorized by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the such pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspende_d a APPLICANTS SIGNA oned at any time after work· commenced for a period of 180 days (Section 303(d) Uniform JP~P~ v') DA•0~/7~ Applicant PINK: Finance C, PERMIT# CB961819 DESCRIPTION: HOA-REPAIR BBQ'S TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/23/96 OF MAIN GAS LINE TO INSPECTOR AREA PLANCK# CB961819 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2500 NAVARRA DR APPLICANT: W.M. DODSON & ASSOCIATES CONTRACTOR: STE: LOT: OWNER: REMARKS: MW/PER RAENETTE SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs -------------------------------------- -------------------- PHONE: 619 632-9659 PHONE: PHONE: INSPECTOR ACT COMMENTS AL ~16\i)V ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS LICENSED CONTRACTOR'S DECLARATION I hereby affirm Iha! I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code. and my license is In full force and ef- fect. OWNER-BUILDER DECLARATION C'I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5,Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). C' 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 of- fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sale. If, however, the building or improve- ment 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). 'Ji, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business 2nd Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. ____ _ for this reason _________ ~v---+- Date ______ Owne~lft '/,. ,,t,-" WORKERS' COMPENSATION DECL1/tATIO 'ri/A--_ I hereby affirm that I have a certificate of f V 1 sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ____________ _ COMPANY ____________ _ □Copy is flied with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars (S100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any pyrson In any manner so as to become subject to the Workers' Compensation Laws of California. NliTICE TO APPLICANT: If, after making this Cer- tifiCate of E,emption, you should become subject t '¥-8 Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- dlno aaencv for the oRrfnrm;iinr.A nf thA wnrk fnr CITY OF CARLSBAO-BUILOING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO, Joe ADDRESS t~r-IDA~mTION ..2.510.01 1N1A1V1/:J..f?, RiA1 I I I I I I I I I I I I I I I I I OWNER kt:-fh=/2.T'i~ 5 ..:r.uc_ OWNER'S PHONE p~ ETCO~ _./)_/ E:6,t) I /.c,()/)'J;~ 433-dili OWNER•s MAILING ADORES~ S.U.\\ 6 L.01. CONTRACTOR'S ADDRESS S-A 1--rt. A, 1..::1 \'2.~ E.LCP.~;;...lD '2EAL-ocr-~~\oi:::.. ~\ . 7 3-i. vJ .'\-'~Av E~- LOT BLOCK ASSESSOR'S PARCEL NO, DESIGNER APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS, LICENSE PERMIT NUMBER ~ 3--:i.,t,/., ST ATE LICENSE 9o .J.. \ l3. \ 6 CONTRACTOR'S ,~,-&-~ \""1 ST ATE LICENSE .~::r -I SUBDIVISION I 2/IU8 15'i30 I I 1 I I 1 1 1 1 1 I -7. DESCRIPTION Of WORK ,,?It,,; ; ,I(// e ft/ /J A/ c e__ □00 l5u 30 2/1~/Bt .,,.s ~ DESIGNER'S ADORESS DESIGNER'S PHONE V/?1r.A DP=---/ e:=. Lee rJ-t t. /1--L h-r, (y ) - CENSUS TRACT GP LANO U,/E ZONING \ "'"..-:-'UNITS I PARKING SPACE I NUMBER OF STORIES Not Valid Unless Machin• Cartifi«J BLDG SQ, FT. BLOG USE occ. GP I STANDARD PLAN It I PLAN ID It I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOO/OUCTS Valuation WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUI LO ING PERMIT I I I I .; .......... -7 . '"' .: ........ ~ '7 • ('\ ('\ SIGN PERMIT I , I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I I ' CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I -QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I "l 7. CfTV NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL r (. I 1 PH .25 3 PH PORCH MOBILE HOME I I I ~ EXIST BLOG EA AMP/SWT/BKR {f• U ,t' -) 2-S-~ SET-UP SOLAR I , I I I 1 PH .25 3~ 7 RAMADA, CABANA I I , I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' Strnn o Ml"'lt inn I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO:-FILM I I I I OVER 200 AMPS I . I I : I TEMP OCCUPANCY (30 OAYS) I I I I ~ ........ ,_ '),'f\r. I I I I TOTAL ELECTRICAL ---=--,t "'-"'V TOTAL FEES PAYABLE I ~1/.~L.--CONTRACTOR 2")~ . I I . I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT, ANO DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER School Fees ff.A' 11!11 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-I LESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO ./7 I A EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ,A OF THE GRANTING OF THIS PERMIT. APPLIC:!(77.~ OWNER□ CONTRACTO rPPROVEr 1~ 1~/J1 --- AGENT D BY PHONE '/1...,/ ---- • ~ 0 ~ 5 ~ hl a.. V) ~ ' . . ~ T • SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS • SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE DAMPER & STEEL PLATE Tl Es/HEIGHT OF C HIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT I OTHER DEPT'S REQ COMPLETED ' -/'\ I ELECMETER-PERM-TEMP l M,} I 1~ ~I G AS METER-PERM-TEMP I , I IV ~\ I\ ·, \I V .,- C ERT OF OCCUPANCY ISSUED