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Home My WebLink About2744 HIGHLAND DR; ; CB982600; PermitB U I L D I N G OB/17/98 11:02 Paqe 1 of 1 Job Address: 2744 HIGHLAND DR Permit fure= MISCFLLANEOUS Parcel No= 156-141-06-00 P E R M I T Suite= Lot#= Permit No= C898260(1 Project No= ~9803478 Oeuelopr11er1t No= Construction Tvpe= UN Ualuation= 0 Occupancy Group= Reference#= Description: STUCCO FRONT OF HOUSE AND Status: ISSUED Applied: 08/11/9t1 08/17/98 l"IDF' : REPLACE WINDOWS IN SAME SIZE OPENING Apr /I :=,-e,ue 1 Entered Bu= 760 729-167~ Appl/Ownr : COFFEY JOHN 2744 HIGHLAND DRIVE CARLSBAD AC 92008 *** Fee-:, Required *** ---------------------------- Fee=•: Ad; u:::,tmf:'n t~;: Total Fee5: Fee de:;,cription ----------------- Mi5cellaneous Fee# • MISCELLANEOUS TOT 0141 08/17 /98 0001 01 02 C-PRMT 50-00 ~ Collected & Credits .00 .00 50.00 Ext fee Data 50.00 PERMIT 50.00 :----~--=-----------........ --. APPROVAL INS -~~....;,..DATE._5'1/ 0 \ ~~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 'ff!., -z./400 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ 1. PROJECT INFORMATION > ~ Name (at this address) Legal Description Lot No. Subdivision Name/Number Proposed Use #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON Pf dlffennt.hom appifriantJ. Name Jc, h. ,,/ '3. APPLICANT. Name &; '' CONTRACTOR"COMPANY•NMIE Address Address Fax# City State/Zip Telephone# City State/Zip Telephone# (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, 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ' Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ e. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will 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. D I have and witl maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No. Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNINO: Failure to secure workers' compenaadon coverage la unlawful, end shall subject an employer to crlmlnal penahlea and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages ■a provided for In Section 3706 of the Labor coda, intareat and attorney's fees. SIGNATURE,______________________________ DATE _________ _ 7. OWNER-IIUILDElt11ECl:AIIATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: lZ( 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 ,.-i's)c. 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). D 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 propeny who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law). D I 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 propeny improvement. 0 YES ONO 2. I (have/ 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 linclude name / address I phone number / contractors 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 / address I phone number I contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I hove contracted lhiredl the following persons to provide the work indicated (include name/ address I phone number / type of work):~~=======-•=-.,-::J~~~~t::_:: __ -_-_'.-~::;=::;~?~~;~~c--_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_---=--==--~-:--~;---:::,~;------------, DATE 8 -/l -28'. COMPLETE THJS,SECTION FO 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 26505, 25533 or 25534 of the Presley• Tanner Hazardous Substance Account Act? D YES Js:! NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A F1NAL 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 . .e. :coNSTRUCTIONI.ENDING0AGENCV:. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER"S NAME f/o j,/{;:' LENDER"S ADDRESS ______________________ _ '9. APl'LICANTCeRTIFICATION"" I cenify that I have read the application and state that the above Information is correct end that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 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 et any time after the work 1s commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) APPLICANT"S SIGNATURE A~ ed/--t,.r DATE '5f -(7 'iff (/ ~ITE: File YELLOW. Apphcant PINK: Finance m City of Carlsbad Inspection Request . For: 5/6/99 ' Permit# CB982600 Inspector Assignment: PY --- Title: STUCCO FRONT OF HOUSE AND Description: REPLACE WINDOWS IN SAME SIZE OPENING Type:MISC Sub Type: Phone: Job Address: 2744 HIGHLAND DR Suite: Lot Location: Inspector: 6-PPLICANT : COFFEY JOHN Owner: COFFEY JOHN J&BEVERL Y A Remarks: Total Time: ---- Requested By: JOHN Entered By: CHRISTINE CD Description 19 Final Structural :W7_c_o_m_m_e_nt_s ________________ _ Inspection History Date Description Act lnsp Comments 11/10/98 18 Exterior Lath/Drywall AP PY