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Home My WebLink About2873 HIGHLAND DR; ; CB900396; PermitB U I t D I N G P E R M I T Permit No: CB900396 Project No: A9000393 Development No: 03/09/90 09:50 Page 1 of 1 Job Address: 2873 HIGHLAND Permit Type: MISCELLANEOUS Parcel No: 156-190-47-00 Valuation: 0 Construction Type: NEW Occupancy Group: DR Str: Fl: Ste: ~15 CJ <, Qt,#l1SU Class Code: Status: ISSUED Description: SFD 1100 DEMO WILL REBUILD Applied 03/09/90 OWNER : SHOCKLEY, EDWARD *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee #t * MISCELLANEOUS TOTAL 30.00 .00 30,00 AAA ) Apr/Issue Validated By: JPY Lie. 619 439-9600 Fees Collected & Credits *** Total Gred1ts: Tot.al Payments: Balance Due: Units Fee/Unit .00 .00 30.00 Ext fee Data 30.00 DEMOSFD 30.00 ANAL AP OYAL INSP~ DATE -i · fv CLEARANCE ___ _. CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION l!A. V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438·1161 1. A • 2. PERMIT TYPE D COMMERCIAL TENANT IMPROVEMENT 0 INDUSTRIAL □RESIDENTIAL □TENANT IMPROVEMENT □APARTMENT □CONDO □SINGLE FAMILY DWELLING 0 DUPLEX O DEHOL IT ION □MECHANICAL □POOL □RELOCATION QSPA QRETAJNING WALL PROJECT INFORMATION PLAN CHECK Address Nearest Cross Streets 0 ADDITION/Al TERATION QPLUHBING PLAN ct:: DEPOSIT, _______ ~---- VAL ID • RY ---=::::::::::: DATE~ F LEGAL DESl.1UPTION lot No. Sutx:livision Name/Nl.lOOer Unit No. Phase No. CHECK BELOW If SUBMITTED: 3. 4. Q2 Energy Cales 02 Structural Cales ASSESSOR'S PARCEL BLDG. SQ. FTG. CONTACT PERSON NAME s CITY NAME CI TY I D 2 Soi ls Report Q 1 Addressed Envelope EX I ST! NG USE PROPOSED USE # OF STORIES STATEG\-- ADDRESS ZIP COOE 0 AGENT FOR CONTRACTOR ADDRESS STATE Z!P CODE (., 1...--lt. l1.-L ,-...~ 1\--W...__ q7..0_s;-{JI DAI TELEPHONE L( 1 ~ 1 (p.dc) OowNER 0 AGENT FOR OWNER DAY TELEPHONE 5. PROPERTY OWt,LER NAME L ~"'i \)'I:~ □LESSEE AOORESS 7l 8 l'\I • .J-..,-. v,...vJ- □TENANT CIT! \.AC,t:,.....-. STATE ZIP CODE O,J)}l ~ DAY TELEPHONE 6. CONTRACTOR 7. 8. NAME Cl TY STATE STATE LIC. #-_____ _ ADDRESS ZIP COOE LICENSE CLASS _____ _ DAY TELEPHONE CITY BUSINESS LIC. # SIGNATURE Tl HE DATE DESIGNER NAME ADDRESS ZIP CODE Cl TY STATE DAY TELEPHONE STATE UC, # WORKERS' COMPENSATION Workers• con,::,ensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Coopensation Insurance by an actnitted 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). SIGNATURE POLICY NO. EXPIRATION DATE I certify that in the performance of the work for which this permit is issued, I shall not effllloy any person in any manner Coopensation Las of California. that I am exempt from the Contractor's License Law tor the following reason: J as owner of the property or my employ es 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 C e: The Contractor's License Law does not apply to an oomer of property who builds or improves thereon,, and who does such work himself or through his own employees, pro.,,ided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of CO(ll)letion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusi.,,ely 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 impro.,,es 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: e: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, pPlican_t for such permit to file a signed statement that he is l_icensed pursuant to the provisions of the ricing with section 7000 of 0i.,,fs1on 3 of the Business and Professions Code) or that he is exempt therefrom, 'y violat on of Section 7031.5 by any applicant tor a permit subjects the applicant t a ci.,,il penalty of not more than f i "e SIGNATURE DATE 3 () COMPLETE THIS SECTl(m Is the applicant or future building occupant required to sub'llit a busine registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazard s Substance Account Act? □YES □,o Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF THE ANSWERS ARE YES, A FIKAL CERTIFICATE OF OCOJPANCY NAY NOT BE ISSI.ED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS METING THE REQUIREf'l:NTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the abo"e information is correct. l agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representati.,,es of the City 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, JU'.IGMENTS, COSTS ANO EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. oc oc very pe mit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and "oid if the building perm, t is not comnenced w1 thin 180 days from the date of such permit or if the building or work author I zed by such permit is suspended ter the work is coomenced for a period of 180 days (Section 303(d) Undorm Building Code). 0 OIJNER □ CONTRACTOR □ BY PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance