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