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Home My WebLink About2744 HIGHLAND DR; ; CB950948; Permit07/17/95 11:04 Page 1 of 1 • B U I L D I N G DR P E R M I T Suite: Lot#: Permit No: CB950948 Project No: A9501342 Development No: 2736 07/17/95 0001 01 C-PRM~ 02 '7-0C Job Address: 2744 HIGHLAND Permit Type: MECHANICAL Parcel No: 156-141-06-00 Valuation: O Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED 07/17/95 07/17/95 RMA Description : FAU INSTALLED W/OUT PERMIT Appl/Ownr : FRITZ, VAN 285 N EL CAMINO REAL ENCINITAS, CA 92024 *** Fees Required Fees: Adjustments: Total Fees: Fee description *** 27 .00 .00 27.00 *** Applied: Apr/Issue: Entered By: 619-753-5616 Fees Collected & Credits Total Credits : Total Payments : Balance Due : .00 .00 27.00 *** Units Fee/Unit Ext fee Data --------------------------------------------------------------------------- Enter 'Y' for Mechanical Issue Fee> Other > * MECHANICAL TOTAL 12.00 2075 Las Palinas Dr., Carlsbad , CA 92009 (619) 438-116 1 15.00 Y 12.00 GAS INSPE 27.00 PERMIT APPLICATION PLANCHECKNO. q5 0 CJ4cf City of Carlsbad Building D-rt-,t lgt"1"1111= itL I 2075 Las PalES Dr., carlsbad, CA 92009 (619) 438-1161 I. PEkM1 I UPI! From Llst l (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Ccxle of Structure-Type: ____________________ _ Net I.Dss/Gain of Dwelling Units 2. PRClJECf INFORMATION FOR OFFICE USE ONLY 2&\0::'.fy H-\ <.:r-\-1 '-k tv ,r::, 0 f\_ Nearest Cross Street 1--\lc '-./--'f-J {_) Hmldmg or Suite No. 11:tAt DESCRIP I ION Lot No. Subd1vis1on Name/Number Ontt No. Phase No. CHECK BEIDW IF SOBMII IED: □ 2 Energy Cales □ 2 Structural Cales D 2 Soils Report DESCRIPTION OF WORK SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WNIACI PERSON (U dlIIerent..u,:om apphcanO ADDRESS -, t,. e-N ,(~LC~\ t,..JLJ Q.(~ >ct-\ CJ I NAME (last name first) r \<!,_ I ' <-I V -ON ,._,, CJ CITY\~(..\1-J\'(t,.~ STATE {'r->'--ZIP DODE 9'\...i)'\.L\ DAYTELEPHONE/5 °3,-,;'E,\ 6 "')L\ NAME (last name first) ~IZ..\ CITY c'.t--J L\t,., \ ~p \ ADDRESS ?., 5' N ~\__ P{v"-, \ .,._, & H.,;,p, t._ 'I'" \ u 1 STATE ( r,.\.__ ZIP DODE ~"\._U\_ <..\ DAY TELEPHONE ~-, 7 5"5 ---;-6\ \c, · NAME (last name first) LAN (r '3, 'iU N 1 ::Sr.::,,t-JI-\• ADDRESS '2__~/ 4-1 C, \~"\._,->µ/) -0 ~ CITY (/'.:.\(7\.. "JP,C¥) STATE (:,\_ ZIP DODE (\1_u~ 6 DAY TELEPHONE 72 q~ L\1...t. 6' NAME (last name first) CITY STATE ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE 12.. Y IS°' c. 1 STATE ucl" S-Y S'.3 CITY BUSINESS UC. # DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP DODE DAY TELEPHONE STATE UC.# 7. WORkF.kS' WMPENSAliuN Workers' Compensation Oeclarat1on: I hereby afhrm that I have a certthcate of consent to self-msure issued by the Director of lndustnai 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 Certificate of Exempuon: I certify that m the perfonnance of the work for which thts permit 1s 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. oWNRk-BOUDFJt tm.DJlAliuN Owner-Budder Declaration: I hereby afhrm that I am exempt from the Confradofs Llcense Law for the lollowmg reason: D 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 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennic co 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 pennit subj~~ the ap i~ to a civil penalty of not more than five hundred dollars [$500]). 1 SIGNATIJRE '-.)().rJ;.:: DATE 1 , l 4~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 OCCUPANCY MAY NOT BE ll:lSlJED AFrER JULY 1, 1989 UNIBSS THE APPLICANT HAS MET OR IS MEimNG THE REQUIRl!MENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLI.UTION mNTROL DISl1UCT. 9. WNSJROCIION LE.NillNG XGRNCY I hereby affmn that there ts a construction lendmg agency for the perfonnance of the work for which this penn1t 1s 1SSued (Sec 3097(1) C1vU Ccxie). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CERIIFJCAIION I cert.UY that I have read the apphcat1on and state chat the above mformat1on 1s correct. I agree to comply with ali City ordmances 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 AI.'iO AGREE m SAVE INDEMNIFY AND KEEP HARMLESS THE crIY OF CARI.5BAll AGAINSf AIL LIABIUTIES, JUDGMENTS,= AND EXPENSES WHICH MAY IN ANY WAY ACDUJE AGAINSf SAID crIY IN illNSEQUl!NCI! OF THE GRANTING OF TIIIS 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 pennit 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 pennit is not commenced within 365 days from the date of such pennic or if the building or work authorized by such pennic is suspended or aha d ned at a time ter the work is commenced for a period of 180 days (Section 303(d) Unifonn Bui~ip~ ~e_l· APPLICANT'S SIGNATURE DATE: --'-j-f-'IF 0 gpgn;pqµo U(SPJC:Z:!Olf ~ DATZ ?-/ 7-'7.S-I!fSPIC"t'Oll t?!:!/ PERMIT t Yr-'11/ef p• •.. t I // _,,c:Jt Joa ADDJllSS cJ 7 ij'(/ /4t5Hf1::::::? ----- 01-h, /) (Aw~J Tid AJUtIVZ: ____ Tld t.ZAVZ: ____ _ CO Lvt. OISc:JlIPl'ION FA-LI ------·--- ACT COMNllffS (1£_ 4#!6'./ ,h<J&: L-1NC7cfi ------ :,66o;z; " ,,,,,,._,,,,,,y;; :10,<>-C o-J -C)cJ~ .S~/ O .,,.,,e. C,;9,-)/cl 50 AkA d / -/4..s -f /~ <,/A--S ('#c., --IJ.,~/e.s ~~ °" ~· s;) c),,..;~ 12-{,li, I-/4. ~-~" If) f: -f _4us..e... 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