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HomeMy WebLinkAbout2575 HIGHLAND DR; ; CB970367; PermitI T ,. • I • 1 l +-' "-· f • ' "':E ~J , i ' ' ~ . ' ... Jo"' t' . ( t ,. tt r r T' .,.. r I A '-•• i 1 •, tr n t l ! • r '{~,,LAN, r p. -I t t r, f < r E H,,,. ~ f• ' ', .. l·<l~ i• V . I , t '"'~., , 2• -. ' .. t -t ' .. " f • l , T L i:-r t 'l , r.,-, t ' ·1 1i~ FINAL APPROVAL INSP.~J:IJ DATE 3-~·?7 CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161 ' ' FOR OFFICE USE ONLY PERMIT APPLICATION '., PLAN CHECK NO. q10JC7 EST. VAL. _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 Plan Ck. Deposit -----,,...--r--,,--- Validated By__,....,..--7'-....---1----- Date __ -ri.._..+-:...,_,,.....c..+-+,-+----- ii ~Mf!RO.lE<f:JJNF.QIUM,ti,oN~~•~WJ.l ..... ~:~ 2575 Highland Dr. Address (include Bldg/Suite II Business Name let thl1 eddress) Legal Description Lot No. Subdivision Name/Number Unit No. Phese No. Totel I ol units SFR . Assessor's Parcel I Existing Use Proposed Uae Description of Work GO. FT. lol Storie■ I of Bedrooms I ol Bathrooms ~-~ ~~~~~T ~~lJ!~ lr,~£.flt:.~~!111~ ,~~-x~~?'~t.:,,:;1~11'&1m:~~~.l(\~r.7 2M.05T2·· Iahr, Robert 2575 Highland Dr. -CA"RLSI • Name Address City State/Zip Telephone I ~U:IPJi9.l'ER:tYIO.W~.~!i;'~}\~\i\!~li'~ ~B~rll3MWUJ:Pll w br Hobert 2575 Highland Dr. CARLSBAD CA . -Jm(~~t)~~~~'-;~,,. Name ' Addresa City State/Zip Telephone I IJEi,:1:"CONTRACJoR;.coMe~.M.EaiAIB ftilW' f.lllUC'.2 W..l.W1i!ID1c ISec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, 11111, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to Ille a signed statement that ha ts licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codal or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .6 by any applicant for a permit subjects the applicant to • civil penalty of not more than live hundred dollar41/jOOU. ~ ei l FOSTER PU JMBING 13706-B HWY 8 BUS . EL CAJON CA. 92021 390-4 ame Address City State/Zip 1200351ephona I State License I 630120 License Class C-36 City Business License I -------- Designer Name Address City State/Zip Telephone State License I _ _,_N.,.fwA"'------ ie:,,i(WO.RKERS! coMPENsA'r1ott,£:f.@1' .~'."•E~:11t11t~'l! -, '"[!;'J~·~•~t!~'ll~:i.:.,.~i;:,;mf&CJ>''m;i·~~ Workers' Compensation Daclaratlon: I hereby affirm under penalty of perjury one of the following dacl■rlllona: 0 I have and will maintain a certificate of consent to ■all-Insure for workers' compan11tlon II provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. vO I have and will m1int1in workers' compensation, 11 required by Section 3700 of the Labor Coda, for the performance of th■ ~ork for which this permit I~ ""Issued. My worker'• compensation insurance c1rrilll' ind policy number ■ra: Insurance Company FARMER INSURANCE Policy No. N2007-56-51 Expiration Oat;_-_l_-_9_? ___ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [.,00J OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify thet In the performance of tho work for which this permit Is lsauad, I ahall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: F■Hure to aecure• workars' compenalllon cov1ra11• (1 unlawful, and shall aubject ■n employer to criminal p1naltl111 and clvll fines up to one hundred thousand dollars 1$100,000), In addition to the cost of compen11tlon, d■mngea II provided for In S■ctlon 3706 of the Uber code, lnt■rHt and attorney's f,ea. SIGNATURE _______________________ _:..______ DATE _________ _ 1. owNER,autLoER DECLARATION t,, i~,: ;/t(JJ,\ ~-::.t·-£/. , ... · f i , ·, ;,: ,: ''t~~~i~X.m~ ~:=r .:~~, ~J.'}.!' ll:.l; · · • I hereby affirm that I am exempt from the Contractor's Llc■nso Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, wlll do the work ind the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Coda: The Contractor's License Law doaa not apply to 1n owner of property who builds or Improves thereon, end who does such work himself or through his own employees, provided thnt such Improvements are not Intended or offered for aala. II, however, the building or improvement is sold within one year of completion, the owner-builder will havn the burden of proving that he did not build or Improve for the purpoH of a■lel. 0 I, 11 owner of the property, 1m exclusively contracting with licensed contrectora to construct" the project (Sec. 7044, Busineaa ind Prof anions Coda: The Contractor's License Llw dou not apply to 1n owner of property who bullda or Improve• thereon, and contracts for 1uch projects with contractorlal licensed pursuant to the Contractor'• Ucanae Law). · 0 I am exempt under Section ______ Business and Professions Code for this re11on: 1. I personally plan to provide the major labor ind m1tarl1ls for construction of the propoted property lmprov1m1nt. 0 YES ONO 2. I lh■ve / have notl signed an 1pplic1tlon for I building permit for the proposad work: 3. I have contracted with the following person Hirml to provide the proposed construction Unclude name / address / phone number / contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work Unclude name / address / phone number/ contractor■ license number): _____________________________________________ _ 6. I will provide soma of the work, but I have contracted lhiradl the following persons to provide the work indicated Uncluda name/ address / phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE _________ _ ~co~:rH1s ·secuoN,FQR_~_ol(.~P,8'.TM4.QY!i,.QJNG rr~~1D1Qr-i~nlf..wil~mme1PF~~~1-~~;:~t::::;,~:;;;• .:.1 Is the applicant or future building occupant required to aubmit a business plan, acutely huardoua materlala registration form or risk management and prevention program under Sections 25606, 26633 or 26634 of the Pr11lny•T1nn11 Hu■rdoue Subst1nc1 Account Act1 0 YES O NO Is the applicant or future building occupant required to obtain n plll'mit from th■ air pollution control dlatrict or air quality management district? 0 YES O NO Is th41 facility to be constructed within 1,000 feet of the outer boundary of a 1chool 1lt11 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCAT£ 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. a .. ·, CONSTRUCTION LENDING AGENCY ';'; '-ra.i ~•~i;.-\ • .'' , ,. ~ ; M,.lt ~-:;;,;~~ffi~i&;;~~'llW.::li¥:5.~\";/.il'r:;i~~:-:: I hereby affirm that there is • construction lending agency for the performance of the work for which thi1 permit 11 Issued (Sec. 3097111 Civil Code). LENDER'S NAME -------~------LENDER'S ADDRESS _______________________ _ ;$}, ' APPUCANT CERTIFICATION ·, • '. ;.:.' l)i '. • :ril;:lf(·?J&, i' \\ ;1,; · \ -~ '.',;. fj,. -~ ··tcTu'•'.l,l:(?;~~~~1'"~~~,fiff~•:!ul/t~l~t:1~i: '";', . ; ·· I certify that I have read the application ind state that the above informetion Is correct and that Iha Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building con1truction. I hereby authoriia repraaantatives 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 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 axc1vatlon1 over 6'0" deep and demolition or construction of 1tructurea over 3 1torias in height. EXPIRATION: Every permit issued by the Building Offlcl1I under the provinlons of thla Coda shall expire by llmit1tion and become null and void II the building or work authorized by such permit Is not commenced within 366 d1y1 from the data of 1uch permit or II the building or work 1uthorl11d by such permit is suspended or abandoned It any time after t a work Is commenced for• period of 180 days (Section 106.4.4 Uniform Building Code). DATE --f2-·-~;,o.....;LJ......_fil__.__.__ APPLICANT'S SIGNATUR WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB970367 DESCRIPTION: REPLACE WATER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 03/04/97 HEATER INSPECTOR AREA PLANCK# CB970367 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2575 HIGHLAND DR APPLICANT: LAHR, ROBERT CONTRACTOR: STE: LOT: OWNER: REMARKS: BJN/ROBERT/729-0572 SPECIAL INSTRUCT: TOTAL TIME: CD 25 LVL DESCRIPTION PL Water Heater/Vents -------------------------------------------------------- PHONE: 619 729-0572 PHONE: PHONE: INSPECTORJ;r------------ ACT COMMENTS -4-f f> V4v ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS