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HomeMy WebLinkAbout2505 NAVARRA DR; 314; CB990972; PermitCity of Carlsbad 03111/1999 Plumbing Permit Permit No:CB990972 Building Inspection Request Line (760) 438-3101 Job Address: 2505 NAVARRA DR CBAD St: 314 Permit Type: PLUM Status: ISSUED Parcel No: 21617049 Lot #: 0 Applied: 03/11/1999 Construction Type: NEW Entered By: MDP Reference #: Plan Approved: 03/11/1999 Issued: 03/11/1999 Project Title: BENEDICT Inspect Area: REPLACE WATER HEATER & AIR HANDLER W/ELEC 7326 03/il/99 0001 01 02 c-PRNT 71.00 Applicant: Owner: ARS B STE 100 ORGEFBNOlT M 2505 NAVARRA DR#31 I 6121 NANCY RIDGE DR ÔIRLS'AD SAN DIEGO CA 92121 C 619-677-5445 Total Fees: $71.00 / Thtál Péyments oêy' $0.00 \ " FBalarice Due: $71.00 \'? \ $0.o0 Plumbing Issue Fee Q=9 Fixture or Trap 0.00 Building Sewer -0 0.00 Roof Drain $0.00 Install/Repair Water Line $0.00 0 INCORPORATED Water Heater and/or Vent $7.00 Gas Piping System 1952 $0.00 Vacuum Breaker Other Plumbing Fees $44.00 Master Drainage Fee OI0 $0.00 Sewer Fee EXPIRED-PERMIT $0.00 TOTAL PERMIT FEES pMffHAS imw 1t1AccoiwluticE WITH uic. $71.00 SEC11ON 106.4.4 DA1E_30.00 iijp, aL. FINAL APPROVAL Inspector: Date: _____________ 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 capactiy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. '77 EST. VAL. Plan Ck. Deposit Validated By_________________________ Date Address (include Bldg/Suite I) Business Name let this address) Legal Description -Lot Ifp. -- Subdivision Name/Number Unit No. Phase No. Total S of units (r10 'I Assessor's Parcel S . / Existin Use .. Proposed Use li) IOit tA)A1.IL JI€ L / /A s,1ak,f DescrijtionpWork A-).fr-L. / SQ. FT. lot Stories S of Bedrooms Sot Bathrooms //oiIç ' '2co 3/ - ikP1AL Name - Name Address City State/Zap Telephone I Fax S ( 4ZJj.J .. NN(YPTfl(! rn iilflfl sn,rA 97171 (A19)77_c4dc Name . Address City . State/Zip telephone S iiCt 2SZX /J.4V 9fl)r2 3l CAtA (../J 1Ld3 7D73-7/33 Name Address City State/Zip Telephone S EbNTRACTOR COMPANYAM LZ (Sac. 7031.5 Business and Professions Code: Any City or County which requires • 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 S. 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 e permit subjects the applicant to e civil penalty of not more than five hundred dollars ($5000. ARS/DBA COAST/MAIO/TORREY PINES PLUMBING 6121 NANCY RIDGE DR #100 SD,CA 92121 Name Address City State/Zip Telephone state License # 742039 License Clas/C36/20 City Business License # 1030700 619)677-5445 Designer Name . Address City State/Zip Telephone State License S 8 WORKERS' COMPENSATION r ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaration.: I have and will maintain a certificate of consent to self-insure for worker.' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued: I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company LIBERY MUTUAL . Policy NS1C 71 91 —41 5 582 = 08 8Expiration Date 4-1 99 (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 is issued, I ehaii not employ any person in any manner so as to become subject to the Workers' CâmPensation Lows of California. . WARNING: Failure to secure workers' compensation coverage I. unlawful, and shall subject an employer tocdmlnel penalties and civil fines up to one hundred thousand dollar. ($100,000). In addition to the cost of compensation. damages u provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE 7 ER4UiLDERDECL All 9-Z I hereby affirm that I em exempt from the Contractor's License Law for the following 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 contractors to construct the project (Sec. 7044, Business and Professions Cods: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contrectorla) licensed pursuant to the Contractor's License Law). I em 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 DNO 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 (include4 nom; / address I phone number I contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phone number I contractors license number): I will provide some of the work, but $ have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE ________________________________ DATE COMPIEIE'TH it. SECTION FOR ND DMLBUILDNOPERM1S cNiY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program undir Sections 25505, 25533 or 25534 of the Presiey.Tsnn.r Hazardous Substance Account Act?- Q •#E6. NO - - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or sir quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school alt.? 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS______________________________________________________ UiUCANlCEN11flCON 4 ' 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 authorize representatives of the CIt%' 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 LIABILITIES. 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 5'O deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Bull ng Offic I under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not c ad with'365 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after ork i nce for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE MAR 0 8 10 I4ITF: FileVFI I C)VJ- A r,r,Ijr.,r,r PINK