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Home My WebLink About2658 HIGHLAND DR; ; CB911726; Permit) u L [> I N c., p E:. l"\ M ~ ~t>rm1t Ne•: I '➔ 1,.. 1.!/J /91 .. t:,!) f' 1,rr• 1 t L Jct> At..ldre~.,: -6">t H:GHIA-.JI, ..>P ! 1•1 n 1. t-I Yr e: l::LE--'1 R:CAL £c.ncel l\io: :•,6 1·10 G.-,it voa1 ... ucc1+-1.<n: U ~on~tr~ct1on fype: ~lW 1 c, •1p<1nLy Group· ( 1 '15~ 1·1. jp: .>P~ ("r ~pt l'>n: llf'GRADE 10 150 : 'JTI:::.ITY BLDG A~P"'; + :::. IN£ ':' > Appl/Ownr · ?ROSSER, BERl\iARI> 2o•,8 HIGHLAND DRIVE (ARLSBAD, ,.A 929 f"ces Required Fee-3: Ad u~tments: Total Fees: I-ee ]PSCllpt:.on E.nti?r V' fr,r t.lec1; !:>1r1cJlf Phu E' Pr--r ;. ELECTttICAL TOTAL p ' l •·c: t :, .. ., .... r : vev i L >pme>r t ~ -;t/3.y L -• S-t-c.: 5761 12130;91 oqo~ 011 02 .. , c-~RMr 1 L 1 41.00 A1.-,r. , I · L< • 1 2. ' , , • Vdl1 1c1+-e,1 f y • r r· tt19 4J4-4/l ... 00 LI') fi :_. P l [) ' , 1 ) , l, 11 V 1.2J 41, I APPROVAL ~.,.~_DATE/-·~ ~-i CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION . • PLAN CHECK NO. . City of carlsbad Building Departaent - I F.ST. VAL 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161 . PLAN CK DEPOSIT _______ _ VAUD. BY, __________ _ I. PF.RMI I hPE DATE A -Li COmmerc1al U New Butldmg Li lenanc Improvement B -D Industrial □ New Building D Tenant Improvement C . □ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home #'Electrical □ Plumbing D Mechanical D Pool U Spa D Retaining Wall □ Solar D Other FOR OFFICE USE ONLY BuUdmg or Suite No. mt o. ase o. CH£CR BEWW IF SUBMI I I ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PBOPOSF.~SE UPGtfAOt!: Ee.s:.·ne,c4e.. sEttvt~ n Mw.a-r.r dos.r 1<1.C.$0 DESCRIPTION OF WORK SQ. Ff. ' . 5 , , ·;#OF STORIES < · · , (?U.., 1:::"-L«..,te1c-,, ,s~,/feS TO <./71LH"f' 6LD(i. 3. WN IACI PFJtSlJN (Ir dnlereni from applicant) NAME ADDRESS ZIP CODE CllY STATE DAY TELEPHONE 4. APPIJCAN I NAME □WNIRACIOR DXGENI FORWNIRACIOR DOWNER UAGENI FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE Ct4. 6. CDNt NAME ZIP CODE 92. ()6'8 ADDRESS DAYTELEPHONE 4'5,l.•4]/2 CITY STATE STATE LIC. # ZIP CODE LICENSE CLASS DAY TELEPHONE CI1Y BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' WMPENSA:IIUN Workers' Compensation Deciaratton: I hereby affirm that I have a ceniilcate of consent to seif-msure issued by ihe 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). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cernhcate of Exemption: I certify that m the periormance of the work for which this penmf ts issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0llDEk DBCLJUtAllUN " □ □ 0Wner-Bu1ider beclarauon: I hereby affmn that I am exempt from ihe Contracto?s Llcense Law for the followmg 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 Code: The Contractor's License 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 Llcense 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 Llcense Law (Chapter 9, commencing 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 a permit subjects the applicant to a civil pen~ not more than five hundred dollan; [$500]). SI~~~~~N-RE~G PERMI Is ONLY: DATE /2 -°30 • q 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 THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NUT BE ISSUED AYlllR JULY I, 1989 IINU!SS THE APPUCANT HAS MET OR IS MEIITING THE REQUIREMENTS OF ll!E Off!Ql OF EMERGENCY SERVICES AND THE AIR POLLU11ON WNTIIOL DISllllCI'. 9. WNSIR0CIIUN UNDING XCENCi I hereby afhrm that there 1s a constructmn lending agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) C1vU Code). LENDER'S NAME LENDER'S ADDRESS JO. APPllcANI t.EtlOICAUUN I certify chat I have read the apphcatlon and state chat the above mformauon 1s correct. I agree fo 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 AJ.<;O AGREE TO SAVE INDEMNIFY AND KEEP IIARMLESS THE CI1Y OF CARISBAD AGAINST All. lJABIIJTIF.S, JUDGMENTS, CDSTS AND EXPENSES wmrn MAY IN ANY WAY MilUJE AGAINST SAID CI1Y IN mNSEQIJENCJl OF THE GRANTING OF 11IlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'011 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 building or work authorized by such permit is not commenced within 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). ~~ DATE:l2-3C2·9' I WJ-IlTE: File YELLOW: Applicant PINK: Finance YHSCHEPYYP INSP~,J' _\ /YI con _;,. f{ ~ tNsn~=-:~~'JJ..J-..1.~=.....:::::...:::::===-- PERMIT # 97Z.7:if PLANCK # JOB ADDRESS d-0 ..5 8 I(; fr;/ LA;/VD /J ;f~~-=---.2/L-_,,__ @B~· TIME ARRIVE: ____ TIME LEAVE: ____ _ CD LVL PUIIITS 6/1!5/19 DESCRIPTION h ty 11' t-ff!:'-£ C . I ACT COMMENTS A[ __ _