HomeMy WebLinkAbout2792 HIGHLAND DR; ; CB984244; PermitBll1L1:>ING P E R M I T Permit No: _F9b4£-4'±
Arnc,,500 l.c./u8/9ts .1.l:SS
Faqe 1 of 1
.;0b Addr:e-s: l792 HIGHLAND DR
Permit 1ype: PLUMBING
Parcel No: 156-141-lo-OO
Valuation: o
Suite:
L0t#:
<Jccupancy Group: Reference#:
Desc~1ption: RELOCA=E WATER HEA7ER O~TSI~E
: !N APPROVED CABINET
App ... /Own.r : DIRKES STEPHAN
2792. HIGHLAND DRIVE.
CARLSBAD CA 92008
Fees Required
Fees:
Adiustments:
Total Fees:
FN' dP~cription
Enter "Y for Plumb
Each Install/Repair:
Euch Water Heater
7b0
FIN
CITY OF CARLSBAD
Pr:o_ir_f•t N:
:.>eve.1.0J_:mt.•nt No:
4167 12/08/98 0001 01
C-PRHT
02
34-00
Con~truct1on -ype: VN
Status: IS~-·JED
Appliert:
Apr/I!.:isue:
Entf're 1 By:
729-83'-l2
12/llt< / '.Jt.l
12/08/'.":18
MOP
.cu
.OU
34. 00
*""'
Ext fr--0 Dati
2 0. L•O Y
7.00
7.JO
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
.f'ERMlT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE O~!,),'
PLAN CHECK No.le)· lf2 l{({
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated !Y!
Date __ .J.~~:!:::.c.. __________ _
\, 1. PROJECT lfJFORMATION
~9-z.._ :t:H4,J:/:t.~
Address (include Bldg/Suite #I Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #
>:1.-c~~ wf'm!%::-ti:~~
Existing Use Proposed Use
4 Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
-2. COtfr:..CT PERSON :(ff-dlfferAnUrontiilppUcantl ~~ Dt~
Name
3. 0, -:COntractor:
Address City
"O•'Ag.,,tfot.C~~, ~..,,.,, >;(l~f'i>riOwnet
State/Zip Telephone# Fax#
Name Address City State/Zip Telephone #
,-4~::e;;trNPAi-<aA J:,1l,&S z '19 2-l:f: I ', ~ t--1. p .;;.(2_ c~Af> cA. "1'2.cci! 71-0 7z.-"I -t'l<i.
State/2!1p Telephone # Name Address City
15; CONTRACTOR •.•COMPANY•NAM& ··
{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, end the bests for the alleged
exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the appficant 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 Citv State/Zip Telephone
State License # _________ _
-8. WOR~ERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided bv Section 3700 of the Labor Code, for the performance
of the work fqr which this permit is issued.
0 I have and will 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 n.umber are:
Insurance Company______________________ Policy No, Expiration Date, _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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 person in any manner so as
to become subject to the Workers' Compensation Laws of California,
WARNING: Failure to Hcure workers' compenaatlon coverege Is unlawful, end shall •ubjei;t an employer to crlmlnal penalties and civil fines up to one hundred
thousand doHar• 1$100,000), In addition to the coat of compensation, damages H provided for In Section 3708 of the Labor code, Interest and attorney's tees.
SIGNATURE:______________________________ DATE _________ _
7. . OWNER,BUILDl!R DECLARATION
t\he~ affirm that I am exempt from the Contractor's License Law for the following reason: .er 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 improvemems are not imended or offered for sele. 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 applv to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(&) licensed
pursuant to the Contractor's License Law).
0 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 property 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 (include name / address / 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 / phone
number/ contractors license number)::_-------------------------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):. ___________________________________________________________ _
ROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETE THIS SECTION•FOR NON41E8/DENTIAL BUILDINO• PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous meterials registration form or risk management and prevention
program under Sections 26605, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D 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 site7 D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL 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.
8C CONSTRUCTION·LENDING AOENCY
I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued !Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _
•!!; ·APl'LICANTFCERTIFIIIATIOrt
I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with alt
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 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 bv such permit Is not commenced within 365 days from the date of such permit or it the building or work authorized by such permit is suspended
or abandoned at any time after the work is c d for ~~d of 180 days (Section 108.4.4 Uniform Building Code) .
...,,.APPLICANT'S SIGNATURE ..J.--'-/......___ DATE _ ..... 1..,:z,,=--1[,-,~'-ll-'j.L..!j'.,__ ___ _
WHITE: File YELLOW: Applicant PINK: Finance
N
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..._-··
Address: 2792 Highland Drive
Project: Relocate water heater to exterior
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Water heater housing provides 405 sq. in. of
louver area (18" x 11.25" x 2) and 60% of free
area. (UPC Tbl. 13-1)
I Vent to extend 2 4 II
I above roof
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I_ ---APP~ED
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By W
I .. -.,·· 1• Lite, Q fl 1'398
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i City of CARLSBAD
I BUILDING DEPT.
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I I tgj: 48'
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35'
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Property line
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