HomeMy WebLinkAbout2792 HIGHLAND DR; ; CB951060; Permit~s 09,37
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B U I L D I N G
Job Address: 2792 HIGHLAND
Permit Type: MISCELLANEOUS
Parcel No : 156-141-16-00
Valuation: 2,000
Construction Type: VN
DR
P E R M I T
Suite:
Lot#:
Permit No: CB95106U
Project No: A9500341
Development No:
Occupancy Group: Reference#: Status: ISSUED
Applied: 08/08/95
Apr/Issue: 08/08/95
Entered By: DC
Description: CONVERT PATIO TO FAMILY ROOM
Appl/Ownr : DIRKES, STEPHAN
2792 HIGHLAND DRIVE
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
75.00
.00
75.00
"'**
619 737-9323
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.00
.00
75.00
Ext fee
***
ti
Data
---------------------------------------------------------------------------
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
> 75 .00
CITY OF CARLSBAD
75 .00 PERMIT
75.00
3063 08/08/95 0001 Ol 0:2
C-PRMT l, .cc
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
t
PERMIT APPLICATION PLAN CHECK NO. 4-c-l Ck, V
City of Carlsbad Building D-rt:Rnt L. (!)00 2075 Las Pal-Dr., carlsbad, CA 92009 (619) 438-1161 EST. VAL, __ -"--------
I. PPJlMl1 l'VPE
PLAN CK DEPOSIT, _______ _
VAIJD. BY. __________ _
DATE
From Llst 1 (see back) give code of Pennit-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Nee Loss/Gain of Dwelling Units
2. PRUIF.Cf INFORMATION FOR OFFICE USE ONLY
Address 2., "I "2. ~' L-,+-\t.A,-.l.:i:,.. Nearest Cross Street
BuUdmg or Suite No. ~~lV~
I mt o.
CHECK BEWW IF S0BMll 1£D:
□ 2 Energy Gales □ 2 Structural Gales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi.
DESCRIPTION OF WORK Co(\ oe,-+-E~G usf+ l L PRQPQSEQ JISE .... ~, y r .,.c,._
SQ.IT. #OFS10RI~ # OF BEDROOMS # OF BA TIJROOMS
3. WN IACI PiltSON (J[ duferenf from applicant)
NAME (last.name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPI.ICANI UWNIRACIUR OAGENI FORWNIRACIOR '5(pWNER UAGENI FOR OWNER
NAME (last name first) D l r.c:_ ~~i'. t-HA;;KADDRESS "2..-, "\ ,_ \-h I;..~ ~12.tv~
CITY ~l.-~6?\;D STATE Ch ZIPCODE C\1.ot)<g'. DAYTELEPHONE 7 f?t-°l.°52.l.,
S. PR~wNf!k
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE UC.# LICENSE CLASS CITY BUSINESS UC. #
DESIGNER NAME (last name Ilrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORkEkS' OOMPF.NSAliON
••
Workers' Compensation Declaration: I hereby afhrm that I have a certUlcate of consent to self-msure issued by the 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 POUCYNO. EXPIRATION DATE
Ceruhcate of Exempuon: I cert.1fy that m the performance of the work for which this penrnt 1s 1ssued1 I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
ere ya inn a am exemp rom e e o owmg 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 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 not build or improve for the purpose of sale.).
□ I, as owner of the property1 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 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 issuance1 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
CoMPil:'.IH 'IRIS SECIION FOR NON-RHSIDHN IIAL BOIWING Pf:RMil's ONLY:
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 ls the facility to be constructed within 11000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CER11FICATE OF ocx:tlPANCY MAY NOT BE ISSUED AFl1lR JULY I, 1989 UN1JlSS THE APPLICANT
HAS MEf OR IS Ml!E1lNG THE REQUIREMENTS OF THE omCE OF EMERGENCY SERVICES AND THE AIR POIJ.IJ1lON a>NrnOL DISTRICT.
9_ WNSIROCIION LkNDING XGENCJ
I hereby afhrm that there lS a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPllCAN I CEltiiFICAIIUN
I certify that I have read the application and state that the above mfonnat1on 1s correct. I agree to comply with ail City ordmances and Seate 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 1U SAVE INDEMNIFY AND KEEP HARMLESS THE crJY OF CARISIIAD AGAINST AIL IJABIIITIES, JUDGMENTS, <DSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACX:RUE AGAINST SAID crJY IN a>NSEQUENCE OF THE GRANTING OF TIDS 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 n t commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandon at an}'. me after e work i~com need for a period of 180 days (Section 303(d) Un"form Building Code).
APPLICANT'S SIGNATURE "-/--.--;;;jj • -::f::::>.....__, i DATE;
YEILOW: Apphcant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951060 FOR 09/19/95
DESCRIPTION: CONVERT PATIO TO FAMILY ROOM
TYPE: MISC
INSPECTOR AREA PY
PLANCK# CB951060
OCC GRP
CONSTR. TYPE VN
JOB ADDRESS: 2792 HIGHLAND DR
APPLICANT: DIRKES, STEPHAN
CONTRACTOR:
STE: LOT:
PHONE: 619 737-9323
PHONE:
OWNER: PHONE:
REMARKS: BJN/STEVEN/737-9323 INSPECTOR -~✓'--/-1--------SPECIAL INSTRUCT: A.M. INSPECTION PLEASE AS EARLY AS /
POSSIBLE -PLEASE CALL WITH TIME
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB900789 RAD
STATUS
EXPIRED
ACT COMMENTS
39 EL Final Electrical AX------------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
081495 Frame/Steel/Bolting/Welding AP PY
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