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Home My WebLink About2862 Highland Dr; ; CBR2017-1770; PermitPrint Date: 08/08/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2862 Highland Dr BLDG-Residential 1562002000 $0.00 LAWSON: GAS LEAK REPAIR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Owner: TRUST LAWSON LYLE TESTAMENTARY TRUST 2862 Highland Dr CARLSBAD, CA 92008 760-729-2175 Total Fees: $166.00 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBR2017-1770 Closed -Finaled 08/03/2017 08/03/2017 $0.00 $166.00 ·· (ci~of Building Permit Application Plan Check No. QBR 2..D 17-I 7 7 0 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 780-802-2719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov Plan Ck. Deposit www.g:arl§:barji;g.gov 'B-'3-Date ' '"":\:, J02.WC2-t\lc¥'1~ 'Pr. SUITE#/SPACE#/UNIT# IAPN --- CT/PROJECT# OT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) f.,c....c; ~--~-'\'("" • EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF} I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES □ NOD YES □ NOD APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME Mc:,..,1 e. u,.w<;olf"\ ADDRESS ADDRE~"(b -z... ~ \~i,.,lci,.,,J... 0, CITY STATE ZIP CITYG,..rt,;6J.., V ST't!.A: ZIP '1 WO~ PHONE I FAX PHO~ l'AX 0 q..2.ei. 1-.\~ EMAIL EMt,12.½.,c... l\.(vic.h S:,'=r (e, '-1fY'l0:I L cc,,...., DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I 'AX PHONE I 'AX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to. construct, alter, improve, demolish or repair any structure, pnor 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 exemJ;lt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensalion Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent 10 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. D 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 workers' compensation insmance carrier and policy number are: Insurance Co ______________________ Policy No. _______________ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,t!$ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Conflactor's License Law for the following 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 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 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), jll" 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 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 License Law). □ 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. □ Yes □ No 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/ 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/ contractors' license number) 5. I will provide some of the work, but I have contracted (hired) the following work indicated (include name/ address/ phone/ type of work): ,Ji! PROPERTY OWNER SIGNATURE □AGENT DATE ' ,.. • 0 C ICOMPLE"fE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the appliccint 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? D Yes □ 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. I certify that I have 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 City ordinances and State laws relating to bulldlngoonstruction. I hereby aulhorize representalile of lhe Cify of Carlsbad ID e11ter upon lhe above mentioned prnper1y for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLS BAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH W.Y IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA permit is required for excavations over5'0' deep and demolition or construction of structures over 3 stories in heil;Jht. EXPIRATION: Every permit issued by lhe Building Official under lhe provisions oflhis Code shall expire by limitatioo and become nuM and void if lhe building orwor1<: authorized by such permit is not commenced within 180 days from lhe date of such permit or if the bulcling or work aulhoriz y such it is suspended or abandoned at any time after the work is commenced for a period of 180 clays (Section 106.4.4 Uniform Building Code). ,f!5APPLICANT'SSIGNATURE ,,,.-;? ,r;...-y DATE '3/2:, ,q...- Por:nit Type: BLDG-Residential Application Date: 08/03/2017 Owner: Work Class: P/M/E Issue Date: 08/03/2017 Subdivision: Stal us Closed -Finaled Expiration Date: 01/30/2018 Address: IVR Number: 5446 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 0810412017 0810812017 0810412017 August 08, 2017 BLDG-Final Inspection 031064-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbin'g Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-23 GaslTesURepalrs 030834-2017 Checklist Item BLOG-Building Deficiency Checklist Item BLDG-Building Deficiency Passed Paul Burnette COMMENTS Passed Andy Krogh COMMENTS COMMENTS TRUST LAWSON LYLE TESTAMENTARY TRUST CARLSBAD LANDS 2862 Highland Dr Carlsbad, CA 92008-1909 Reinspection Passed No No No No No Passed No Passed No Complete Complete Complete Page 1 of 1