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Home My WebLink About2588 HIGHLAND DR; ; CB152484; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-04-2015 Permit No: CB152484 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2588 HIGHLAND DR CBAD PME 1561300200 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: COOK RES-REPAIR GAS LINE LEAK FROM METER TO HOUSE-SHUT OFF BY SDG&E Applicant: ARROW PIPELINE STE 101 1330 PARK CENTER DR VISTA CA 92081 760 476-9388 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: COOK FAMILY TRUST 02-20-09 2588 HIGHLAND DR CARLSBAD CA 92008 ISSUED 08/04/2015 RMA 08/04/2015 08/04/2015 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE at 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Plan Check No. ( ~ JJ } tj' ).J-1.F L; Est. Value / email: building@carlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit (llLr:D:-a.,-te-71l(' /cr4.;'-t/' /-:;-5----,fr-sw_P_PP----,l JOB ADDRESS '2. s B'i? Or CT/PROJECT# -,LOT# IPHASE# l#OFUNITS !#BEDROOMS SUITH/SPACEf/UNITI # BATHROOMS IAN I TEMANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1:' ,,,,,,,,.$0,.. c 7 ":, <,.,\ ~1,l._u-,....,_A Fr&,,,,,. < EXlSTING USE I PROPOSED USE TGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YESQ 'IAIR CONDITIONING \FIRE SPRINKLERS N<CJI YES0No0 YESONoO APPLICANT NAME A Primary Contact fV Ou.J ADDRESS , ;:~., r .. , \:. . ~ I} STATE . /0 I ZIP C... q,oP>I PROPERTY OWNER n ( ' I l'>rvc~-,nor STATE UI.. ZIP "??oOS PHONE l'AX 160-'-32-r>OII EMAIL • Jlt Oc..v,c\_"" A. !!OW p, ,u \,;.,.. ,tll<cP~ EMAIL /. r oo /c.e, Io I '-I m <11. -m ... , . ce,,,,,-, DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE l'AX PHONE l'AX EMAIL EMAIL I STATE LIC. # STATE LIC.# l'LASS I CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair any structure, p,rtor 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, comme_ndIng with Section 7000 of Division 3 of the Business and Professions Code) or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of section 7031.5 by any appllcanffor a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Wori<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [il.1 hava and will maintain workers' compensation, as reouired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation in ranee rrier and policy numbecare,losucaao,Co C7 f'C.'z$ T.,_,. ( n, Pol;cyNo. ArUJ C: 6D'-112."i &p;raoonDate 7 l-' I ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performar.ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damage as prov! fo · ction 3706 of the Labor code, interest and attorney's fen. ,8$ CONTRACTOR SIGNATURE /<:..._,/~1' 111 ~ENT I hereby affirm that I am exempt from 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 lt1ereon, 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 contracUng with licensed oontractors 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 oontracts for such projects with oontractor(s) licensed pursuant to the Contractor's License Law). l am exempt under Section _____ ,Business and Professions Code for this reason: 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 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 I phone I contractora' license number): 4. 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 I phone I contractors' lk:ense 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 I phone I type of work): ,8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or lisk 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 dislrict or air Quality management district? Yes No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? Yes 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I haY8 read the application and state that the above lnfonnatlon Is coffllCl:and that the Information on the plans Is accura1B. I agiee ID oomplyv.tth all City onfinances and State laws relating ID buUclng cons1rucllon. I hereby authorize representative of the City of Carlsboo to enter upon the above menoooed ~perty br inspection p.JIJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CllY OF CARLSBAD AG<\INST A1.L LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA pennit is requred for excavations over 5'0' deep and demolioon or construct()ll of structures over 3 stories fl he,Jht. EXPIRATION: Every permit SSued by the 0.Jilding Offcia! under the provisKlf'ls of this Qxle shall expire by limitation and beoome null and void IT the Wilding or v.ork authorized by sud! permit is not commenced 'Nithin 180days from the da'3: of sud! permit or IT the tx.Jikf v.ork orized by such pennlt is suspended or aballOOllOO at any time after the v.ork is rommenced for ape of 180 days (Section 106.4.4 Uniform Building C<Xle). 6$ APPLICANT'S SIGNATURE DATE 8 • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office U11e Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LlC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR {On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------~ _i! APPLICANT'S S1GNATURE ASSOCIATED CBt•------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB152484 Type: PME Date lnsp_e_ction Item .. 08/11/2015 23 Gas/Test/Repairs 08/11/2015 29 Final Plumbing 08/05/2015 23 Gas/Test/Repairs 08/05/2015 23 Gas/Test/Repairs 08/05/2015 29 Final Plumbing 08/05/2015 29 Final Plumbing Thursday, August 13, 2015 Inspector Act PY AP PY AP RI PY AP RI PY AP COOK RES-REPAIR GAS LINE LEAK FROM METER TO HOUSE-SHUT OFF BY Comments EMERGENCY GAS REPAIR EMERGENCY GAS REPAIR Page 1 of 1