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Home My WebLink About2635 HIGHLAND DR; ; CB951092; Permit/ (!),, 1f I DJS 09/29/95 15:12 Page 1 of 1 B U I L D I N G Job Address: 2635 HIGHLAND DR Permit Type: RESIDENTAL ADD/ALT Parcel No : 156-110-85-00 Valuation: 47,658 P E R M I T Suite: Lot#: Permit No: CB951092 Project No: A9501590 Development No : 3922 09,' ... '9/f:5 ~00.!. J1 c-, .. ~,n Construction Type : )..: f, .._,. \ ' Occupancy Group: R-3/M-1 Reference#: Status : VN ISSUED 08/10/95 09/29/95 RMA Description: 498 SF ROOM ADDITION-SINGLE ST : 332 SF DECK, 111 SF PORCH Applied: Apr/Issue : Appl/Ownr : PORTER,ROBERT P.O.BOX 2593 CARLSBAD, CA 92018 *** Fees Required Fees : Adjustments: Total Fees: *** 767.00 ,00 767.0IJ Entered By : 619-729-4271 Fees Collected & Credits Total Credits: Total Payments : Balance Due: .00 261.00 506.00 *** Fee description Building Permit Plan Check Units Fee/Unit Ext fee Data Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plumbing Issue Fee > Each Plumbing Fixture or TraP, > Each Install/Repair Water Line > Gas Piping System > * PLUMBING TOTAL Enter "Y" for Electric Issue Fee > Enter "Y" for Remodel > * ELECTRICAL TOTAL Enter 'Y' for Mechanical Issue Fee> Install Furn/Ducts/Heat Pumps > * MECHANICAL TOTAL 2075 Las Palmas Dr., Carlsbad, CA 92009 3 1 1 1 7.00 7.00 7.00 9.00 402.00 261.00 5 .00 668.00 20.00 Y 21.00 7.00 7.00 55 .00 10.00 Y 10.00 Y 20.00 15.00 Y 9.00 24 .00 ~10--z<-a PERMIT APPLICATION City of Carlsbad Building 0-rtEnt 2075 Las POLES Or .• carlsbad, CA 92009 (619) 438-1161 1. PEkMl I NPE From Llst I (see back) give code of Permit-Type: _ _,~..:....,4..:....:...p ______ _ --------------------------------------------------------- For Residential Projects Only: From list 2 (see back) give 31.12 08/10/9:i 0001 01. 02 Code of Structure-Type: ___________________ _ C-P,:MT Net Loss/Gain of Dwelling Units 2. PRCllECT INFORMATION FOR OFFICE USE ONLY Address .;I ~ :3 S" J./,c; /1-L,t)N/) D<. Bu1idmg or Suite No. Nearest Cross Street .,t:...,4 S r£ O-'l G "? LEGAL DESCRIMIUN Lot No. Subd1vts1on Name/Number Omt No. Phase No. CHECK BEWW iF SOBMII IED: !2 Energy Cales ,I! 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE DESCRIPTION OF WORK # OF STORIES # OF BEDROOMS __j; # OF BA TIJROOMS pp '5'1' , ,:. ()l'.,(/'O ADDRESS Q,4. ZIPCODE J';zooY 0,(7e-f, 0/SC-t7 ADDRESS /{C..5 ISA-P STATE C,4 ZIPCODE DAYTELEPHONE 72,7_ fz.?I NAME (lastnamefirst) g/(7e-t, ()/2C<T 11 ;5 t1Y d .S :J "> cITvC11-..e <.. > ,s.-,_ P STATE C: ,4. ZIP CODE 'J;;i.t?l'i' DAY TELEPHONE ? :.Z.. 7 -9.2. '? / 6. WNtkACIOR 77ic,,.;1.1p~,1~/-" J) C:t::.G'C?'""'"C NAME (last name first) f' Cl j$ () i-/I ADDRESS ,-., <;> _s-> 71 f CITY.A/?.IVO'-I> STATEC,1 ZIPCODE7S-<~7 DAYTELEPHONE,117-//. - STATE I.IC. # /72 Jf'? LICENSE CLASS C-/ 6 CITY BUSINESS I.IC. # DEslGNERNAME(lastnamehrst) )!ON'!. flovst: Pt.,-t-v> ADORES$ 7z;t., 3<ceh,vf. C-VP/~/4' CITY S..1,,,<;J,v, l?,c STATE 04 ZIPCODE 7;;.,, DAYTELEPHONE7.Z't-7'l5 STATELIC.# Workers1 Compensation Declaration: I hereby afhrm that I have a certUlcate of consent to seif-msure issued by the Director of lndustnal 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 Department (Section 3800, Lab. C). 26.l.,0() INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exemption: I cemfy that m the peilormance of the work for wblch thts permit 1s issued, I shall not employ any person many manner so as to e 1f/ to fe Workers' Compensation Laws of California. □ □ rnt DATE '1-ltJ-'JS'" Owner-Builder Declaration: I hereby atftrm fhat i am exempt from the Contractors Llcense Law for the foUowmg 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 Ucense 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 Code: The Contractor's Llcense 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 License 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 that e is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit subjec lie t to !J!ivil penalty of not more than five hundred dollars [$500)). SIGNATIJR!l /;;( DATE 8-/ (J -J_j- Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form 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 TIJEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAYNaf BEJliSUEll AF!'ERJIJLY I, 1989 IJNLESSTilE APPLICANT HAS Mirr OR JS MEEflNG TilE REQUIREMENTS OF TilE OFFICE OF EMERGENCY SERVICES AND TilE AIR POU.\JTION CXlNTROL DISI1UCT. 9. wNSIROCIION £ENDING AGENCY I hereby afhrm that there 1s a construcbon lendmg agency for the performance of the work for which this penmt 1s issued (Sec 3097(!) Civil Code). LENDER'S NAME LENDER'S ADDRESS to. APPUCAN I CFJlliFICAIJON I cert.Ify that I have read the apphcauon and state that the aOOve mformat1on ts correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AUD AGREE 10 SAVE INDI!MNIFY AND KEEP HARMLI!SS TilE Cl"IY OF CARISBAD AGAINST AU. LIABIUI1ES, J\IDGMENTS, CDSTS AND EXPENSES WlllOI MAY IN ANY WAY MDUJE AGAINST SAID Cl"IY IN CXlNSEQ\JENCE OF TilE GRANTING OF TillS 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 issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the such permit is suspended or abando t y · ea e9the l'Jrk is commenced for a period of 180 days (Section 303(d) Uniform Buil;;;g Codf ...... building or work authorized by such it is not com~nced within 365 days from the date of such permit or if the building or work authorized by APPLICANTS SIGNATURE M DATE: -/()" J WHITE: File YEI.J..OW: App 1cant PINK: Fmance 0