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Home My WebLink About2705 HIGHLAND DR; ; CB101663; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-10-2010 Plumbing Permit Permit No: CB101663 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2705 HIGHLAND DR CBAD PLUM Status: Parcel No: 1561109500 Lot#: 0 Applied: Construction Type: 5B Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: OLIVER: GAS & ELECT TO BBQ Inspect Area: Applicant: OLIVER GREG&LISA PO BOX 3122 MAMMOTH LAKES CA 93546 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: OLIVER GREG&LISA PO BOX 3122 MAMMOTH LAKES CA 93546 ISSUED 09/10/2010 JMA 0911012010 09/10/2010 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $4 7 .00 Balance Due: Inspector: FINA't'.P~VAJ_ Date: 2, f • ( ( Clearance: $0.00 NOTICE: Please take NOTICE Iha! approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.~ Y0L' have 90 days from the date this permit was issued to protest imposition of these fees/exactions. II you protest them, you must follow the protest procedures set fo,1h 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 lhEir imposition. «~~ Building Permit Application Plan Check No. CB I I Co & ~ CITY OF CARLSBAD JOB ADDRESS CT /PROJECT # CONTACT NAME (ff Different Fom App/leant) ADDRESS CITY PHONE EMAIL PROPERTY OWNER NAME ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit # BATHROOMS TENANT BUSINESS NAME ~I PR~~ED USE A ?., cg.,. 0£. GARAGE (SF) PATIOS (Sf) DECKS (SF) STATE ZIP FAX STATE CITY STATE FAX PHONE FAX EMAIL STATE LIC. # STATE LIC.# CLASS CONSTR. TYPE OCC. GROUP ZIP CITY BUS. UC.# I FIRE SPRINKLERS YES □ NOD (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 r~uires 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, 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 a permit sub;ects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKliRS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjur; one of the following deciaralions: □ I have and will maintain a certificate of consent to self-Insure for wO!'kers' compensaHon as provided by Section 3700 of the Labor Code, for the performance of the WOik for which lhis permit is issued. □ I have and will maintain workers' compensation, as required by Sectioo 3700 of the Labor Code, for the perfoonance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is Issued, I shall not employ any persoo in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. ,A$ CONTRACTOR SIGNATURE □AGENT DATE OWNER•BUILDER DECLARATION rby affirm that I am exempt from Contractor's Ucense 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 oot 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 conslruct the projecl (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) Ucensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ 8.usiness and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes O No 2. I (have I have not) signed an application for a building permit for the proposed WOO. 3. I have contracted with the follO'Mng person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I h hired e following person to coordinate, supervise and provide the major work (include name/ address I phone I contractors' license number): 5. I will provide some of the work, but I h hired) the following persons to provide the work indicated (include name/ address/ phone I type of WOO(): ~ PROPERTY OWNER SIGNATURE □AGENT DATE . m City of Carlsbad Bldg Inspection Request . . . . Permit# CB101663 For: 06/24/2011 Title: OLIVER: GAS & ELECT TO BBQ Description: Type:PLUM Sub Type: Job Address: Suite: Location: OWNER 2705 HIGHLAND DR Lot: OLIVER GREG&LISA Owner: OLIVER GREG&LISA 0 Remarks: Can you final? Or shall I send Exp Ltr? Total Time: CD Description Act Comments Inspector Assignment: PD --- Phone: Inspector: tfL_ Requested By: CHRISTINE Entered By: CHRISTINE 29 Final Plumbing 39 Afr------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 02/07/2011 23 Gas/TesURepairs AP PD 02/07/2011 31 Underground/Conduit-Wiring AP PD - AP.PROVED BY 5'M--- SEP 10 2010 City of CARLSBAD BUILDIMG DEPT 1' -----.... I:> " ~7()5 HI &tfl)rNP VR ~ 1 CARL~MV O,tOI&~~