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Home My WebLink About2792 HIGHLAND DR; ; CB950248; Permit1J,,✓l')/.:l"> ii;:,.u Paae 1 of 1 H I J I L r, I Job AoldresJ: 2792 HI0H~AND DR Permit Type : ELECTRICAL P.:ircel N0: l ib-14.-lb-OlJ V-"iluat1on: u Cun~truct1on Ty~e: NEW N t.., F f R M l '.' ~,u1te: Lot#: Pt·rnnt N~,: r'ro ·t>ct NP: !)Pvelopment No: 0705 02/15/95 0001 01 C-PRMT l f j .>II<.. 4 A'1.1Jt.,, 4 L 02 35.00 o-cupanc-y Group: Ri:ference#: ~+-i'ltu:::: Apr., li ""'rl: [::;-, IE[• 0,:/1 >/'::15 02/15/':;':", [)C L)escr1pt10n: OVERHEAD TO UNDt:RGRUUND Appl/Ownr : DIRKES, STEPHAN 2792 HIGHLAN~ DRIVE CAR~SBAD , CA 9lUOS Ap1. / I .;sue: Ente.r ,,..,J Bv: 7J7-q323 *** Fees Required Fees '>llect.ed & Credit.::; Ft"es: Adjustment:::: Total Fees: Ft•e desc.r 1ption -,_------------·-----------------~- ' tal t:e ht .., : "1;t'a:. Pc:tym~nt : Balani;e Due: Units Fee7fJHit • (J (J . 01, l 5. OC.. Ext f E:-e l>c.l tci ------------------~~-~-~----------------- E.nter "Y for Ele t ric-Issue fee ) lU.Ull ':t 2,.r:. OU !:->1ngle Phase Per AM? > 1 u (1 . 5 * ELE1.''IRlCAL TO'.:'A I(' \.)I'. PPROVAL ::OJITE 7-.:i7-lEA RANCE -~~LL.0...:...?...!._,---1).lr.....=~!.._ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 '.i 5 . u r PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Depart-,t 2075 Las Pal-Dr., carlsbad, CA 92009 (619) 438-1161 I. PkkMII NP£ PLAN CK DEPOSIT. ________ _ I EST. VAL VAIID. BY, __________ _ DATI! From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Address Bmldmg or Suite No. ·t-7 <\ ·,_ M 1 ~ ,-.\ L A.. )-...I D DP 1 \.,' C: Cf-'-.. I2. L S ls "'--..D , C-"'-.. °I 7 c.., D <"l; Nearest Cross Street @.u (:7i'-I. ~ V \ ~ ~ LEGAL DESCRIPl1ON Loe No. Su6Chvis1on ame/Number 0mt No. Phase No. CHECK BEWW iF SUBMII IEO: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D l Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK EXISTING USE co"' vc-e.,11'.\c._-, -EL C c·-.-e_, c ;,.. L -~ "--->~-~E::::e-L""l\:::'--D\..:-t-,-\~ PBOP9SED us~ SQ. FT. # OF STORIES # OF BEDROOMS 3. WN IACI PERSON (II amerent from apphcanf) NAME (last name first) ADDRESS CllY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI UWNIRACIOR UAGENI FORCONIRACIOk t!tJWNER OAGENI FOR OWNER NAME (last name fin;t) r:::,. , ~F ':;.', . . ADDRESS z •-, <\ -;,_ I-\ t t-, 1,\ L I>-, "-'+--c, "e:,7.:•"PI'\•~ /"\ <V . ( • CllY Ci'>.e-L'S@>""D STATE ZIP CODE ,2DD D DAYTELEPHONE \p\0, NAME (last name first) ....-~ '~ ~ CllY NAME (last name first) CllY STATE STATE STATE UC.# DESIGNER NAME (last name first) CITY STATE ZIP CODE ZIP CODE UCENSE CLASS ZIP CODE ADDRESS DAY TELEPHONE ADDRESS DAY TELEPHONE CllY BUSINESS UC. # ADDRESS DAY TELEPHONE # OF BA111ROOMS STATE UC.# 7. womams• OOMP£NSA'IION Workers• Compensation Oedarauon: I hereby affirm that I have a cert1hcate of consent to seif •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 POUCYNO. EXPIRATION DATE Certthcate of Exemption: I certify that m the perfonnance of the work for which this penrnt 1s 1ssued1 I shall not employ any person m any manner so as t~~,,~~~-~rk~~mpe~~omia. ·z__ I -~ I ~ ~- SIGNATI/RE DATE 8. OWNER-B0liD£k D£COOtAIIDN ..._/ Uwner-BuUder Declaration: I hereby afhrm that I am exempt from the Confractofs License Law for the foiiowmg reason: .IBt 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 Llcense 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 noc 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 contraccor(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 thac he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects ::~•pplica ~ to a civil penalty ;!_f not more than five hundred dollan; [$500]). SJGNATIIRE ~~~, g.-~ DAT!! z_,/, S-;.,/_.. COMPLEIE N FOON~ENI BUILDING PEkMII'S ONLY: 7 / 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, AFINALCERTIFICATI!OF oa:ul'ANCY MAY NOT BE~ AFrnRJULY 1, 1989 UNLESSTHEAPPUCANT HAS MET OR IS MEIITING THE RF.QIJIREMENTS OF THE omCE OF EMERGENCY SERVICES AND THE AIR POLI.UTION OON11l.OL DISllUCT. 9. WNSI RUCl1ON LENDING AGENCY I hereby affmn that there 1s a construction iendmg agency for the performance of the work for which [fas penmt 1s issued (Sec 3097(1) CIVli CcxieJ. LENDER'S NAME LENDER'S ADDRESS 10. APPilCAN i CFJtllFICAiiON I cerufy that I have read the application and state that the above mformauon 1s correct. I agree to comply with ali 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMIJ!SS THE CfIY OF CARISBAD AGAINST AU. LIABILITIES, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACX:Rlll! AGAINST SAID CfIY IN OONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 thew k is commenced for a period of 180 days (Section 303(d) Uniform Buil~~e). _ APPUCANTS SIGNATIJRE "".:::s ~ . ~ ~ DATE: 9 S Wl-llTE: F" e YEil.OW: App 1cant PINK: Finance 0 PERMIT# CB950248 DESCRIPTION: OVERHEAD TO TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 02/17/95 UNDERGROUND STE: INSPECTOR AREA PLANCK# CB950248 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2792 APPLICANT: DIRKES, CONTRACTOR: HIGHLAND DR STEPHAN PHONE: 619 737-9323 OWNER: REMARKS: RS/STEVEN/737-9323 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB900789 RAD CD 39 EL Final Electrical ------------------------------------ PHONE: [# PHONE: INSPECTOR __________ _ STATUS EXPIRED ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS