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Home My WebLink About2658 HIGHLAND DR; ; CB152937; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-09-2015 Permit No: CB152937 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference#: PC#: Project Title: Applicant: 2658 HIGHLAND DR CBAD PME 1561300500 PROSSER: SEWER REPAIR INSTALL CLEANOUT ARS DBA RESCUE ROOTER STE B 9895 OLSON DR SAN DIEGO CA 92121 858-457-6572 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: PROSSER FAMILY TRUST 08-20-93 PO BOX522 CARLSBAD CA 92018 ISSUED 09/09/2015 SLE 09109/2015 09/09/2015 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL:f PPROV ~ Date: · /tJ · (...J Clearance: $0.00 r-oTICE Aease ta<e r-oTICE that WM ci 'fOJ( prqed irdu:!as the "lrri,c,,iticrl' ci fees, dE<lcatic:ns, reservoocx,s, cx ctm eoroicrs rereafler ooledively raem,d to as 'fee&'eoroicns." Yoo rave 00 da),s ron the -lhs psml ""5 iSSI.M3d to µasst i~oo ci these fee&'eoroions. If \'CJJ ~ lha-T\ \W mJSt fdlc,,vlhe µctsst po::,dres set font, in C<MamrErt Code Sectioo OO:W:a), "1d file lheµctestaid !l"\f ctre" r<!Q.ired infomaioo wlh the aty~fcx !>')CSSSing inaa:croa--cewth Ca\sboo Mridpa Code Sectioo 3.32.03'.). Falu-eto tin-ely fdlONlhat ~wll ta !l"\f subsecj.lent lega a-:iiootoattoo<, re-Ae.v, set asiOO. vcid, er nu their in,:n=;itioo. Yoo ,re~ R.RTl-ER r.oTJFIEIJ that yo.r rig"t to~ the sp;,:ified feesleoroioos DCES NOf APPLY tovaer Md""""' cxrredioo fees ml~ dmges, ncx pla-nng, 2l'.Ting ga:lng cx ctm snrila' ,qiicalioo !>')CSSSing cr seNire fees in cx:m,ctioo wlh lhs prqed. trn DCES IT APPLY to"¥ f ·a,s crt n·i «~r· ~ CITY OF CARLSBAD JOB ADDRESS :;;L(.e, Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-271712718 I 2719 Fax 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# r Plan Check No.ffi l t::S 2.. q3 + Est. Value Plan Ck. Deposit DateC\-9-I SWPPP -eo CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME OCC. GROUP DESCRIPTION OF WORK; Include Square Feet of Affected Area(s) \ ' -. ( s ~ r \.NYU1 ~ sTet<Jl d.o.,.ncrv'tl! APPLICANT ADDRESS CITY PHONE F,X EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FlREPlACE YES0, APPLICANT NAME (Secondary Contact) ADDRESS AIR CONDITIONING NoCJ YESQNo □ CITY STATE ZIP PHONE FAA FIRE SPRINKLERS YESONoO 1 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. have and will maintain workP(_s' :Densatlo~ reou1red bv Section 3700 of the Labor Code for \he performance of \he work for which this oermItIs issued M¥ workers' compensation ms aumberare Insurance Co LI b :€ Cl'-:j Po hey No l {OD\ 5c)'b /o '3 I C)f '"/ Exp,rat,on Date-+'~+-'--+ >- ~section need not be completed if the pemiIt Is for one h.mdred dollars ($100) or less LJ Certificate of Exemption· I certify that in \he perfonnance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become sub1ect to the Workers' Compensation Laws of Calttomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an emplcyerto criminal penalties and civU fines up to one hundred thousand do ars (&100,000), In addition to the cost of compens~ges as provided for in Section 3706 of e La ode, In and ' fees. Rf CONTRACTOR SIGNATURE u ITT~ I hereby affirm that I am exempt from Conlraetor's Uc6nse Law for the following reason: □ □ D I, as owner of the property or my employees with wages as their sole compensation, will do \he work and the structure is not intended or offered for sale (Sec, 7044, Business and Professions Code: The Contractor's License LaN does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own em~oyees, provkled \hat such improvements are not intended or offered for sale. II, however, \he building or improvement is sold within one year of completion, the owner-builder 'MU have \he burden of proving that he did not build or improve for the purpose of sale) I, as owner of the property, am exclusively contracting with licensed contractors to construct the proiect (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apµly to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to \he Contractor's License Law). I am exempt under Section _____ Business and Professions Code for \his reason: 1. l personally plan lo provide \he major labor and materials for construction of \he proposed property improvement. Oves ONo 2. l (have I have not) signed an applicaUon for a building perm!t for the proposed work. 3, I have contracted with \he following person {firm) to provide \he proposed construction (include name address I phone I contractors' license number): 4. \ plan to provide portions of the work, but\ have hired the klllowirg person to coordinate, supervise and provide the major work {include name I address I phone/ contractors' license number) 5. I will provide some of \he work, but I have contracted (hired) \he following persons to provide the work indicated (include name I address I phone I type of work)· ,6 PROPERTY OWNER SIGNATURE DAT!e I I Is the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pres\ey-T anner Hazardous Substance AccountAcr? 0 Yes U No ls the applicant or future building occupant required to obtain a permit from the air pollution contro~rk;t or aiUl,ijality management district? Des O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? UYes UNo 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. I certify that I l'laYe read the application and state that the above Information ls correct and that the information on the plans is accurate. I agree to comply with all Ctty ordinances and State law.. relating to bullding coostructton I hereby authorize representatiw of the City of Garlsboo to enter upon the above mentbned property for insi;eclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE C\TY OF CA,RLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Cl' THE GRAf/TING Cl' THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRA T\ON: Eve!)' penTltt issued by the Building Official urder the provisOOs of this Code shall expire by limitation and booome null and void if the building or WOfk authorized by such penTlil is not commenced within 180 days from the date of such penTltt or if the building or work authorized by such penTl~ is suspended or abandoned at any time after the v,ioo<; is commenced for a peri of 180 da (Section 106.4.4 Unifoon Buikling Qxle). ~ APPLICANT'S SIGNATURE ~--b-DATE 9 -l) . . Inspection List Permit#: CB152937 Type: PME Date ln_spection _Item 09/10/2015 22 Sewer/Water Service 09/10/2015 22 Sewer/Water Service 09/10/2015 29 Final Plumbing Thursday, September 10, 2015 Inspector Act RI PD AP PD AP PROSSER: SEWER REPAIR INSTALL CLEANOUT Comments Page 1 of 1