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Home My WebLink About1024 LIGHTHOUSE RD; ; CB052495; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-05-2005 Miscellaneous Permit Permit No: CB052495 Building Inspection Request Line (760) 602-2725 Job Address: 1024 LIGHTHOUSE RD CBAD Permit Type: MISC Subtype: OTHER Status: Parcel No: 2145314000 Lot#: 0 Applied: Valuation: $7,130.00 Reference #: Project Title: WILLIAMS RESIDENCE 230 SF MEDIA ROOM INFILL Applicant: LANDSCAPE ARTISTRY STE I 1049 CAMINO DEL MAR DEL MAR CA 92014 858 792-5030 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT ELEC,MECH Entered By: Plan Approved: Issued: Inspect Area: Owner: WILLIAMS FAMILY TRUST 07-01-02 1024 LIGHTHOUSE RD CARLSBAD CA 92009 Total Fees: $184.00 Total Payments To Date: $0.00 Balance Due: ISSUED 07/05/2005 MOP 07/05/2005 07/05/2005 $140.00 $44.00 $0.00 $184.00 $184.00 1926 07 /05/05 0002 01 02 CGP 184-00 Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" off es, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 Ctty 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 seivice fees in connection with this project. NOR DOES IT APPLY to any hih hv rvi I ·vn N Tl i r hi r whihh flimi n h hrwi . ·-·--· ----- PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 -, .. __________ _ FOR OFFICE USE ONL~-~5u:" PLAN CHECK NO._~---- EST. VAL. ], 11. 0 Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ d Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Telephone Fax # ···,,:,· .. ·;;'~~6:j'~q-o..f'f,./ Name Address City State/Zip Telephone # (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, and the basis for the alleged exem tion. Any viol ti n of Sect'rn 7031.5 by any applicant for a permit ubjects the arpli~nt to a ivil penalty of not more than five hundred dollars /$5001). • . W 11 C. )(. b I V SIO · • q O 1 0-• license Class ,s;--~B=------- Address City State/Zip Telephone State license # ,.__L-'..1.L,:C.J~f--- J;ii\i1!Wi!Rll!iiSiitl1MfliR!!i'filJNcii ;,,:;,•,:':ii·'••· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I 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 t')8 work for which this permit is issued. [Jt'" 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 com e sati n insu e carrier nd policy number are: Insurance Company --'-'-'-'-"'~'-"'-.f'-'IA.J1~· ..::O!...!lUL _______ _ Policy No.i'J00817 S ~ c}et::6 Expiration Date / ,., , _ {) l:, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 0 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 wor thousand dollars ($100,000), d ' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred o to the cost of pensatlon, damages as provided for in Section 3706 of the b r code interest and attorney's fees. SIGNATURE i:l,E";;\ojiiiljmil!il~ll!Dl!iillill!MfJ!:iflli\'• I hereby affirm that I am exempt from th o tractor's license law for the following reason: DATE 0 D I, as owner of the property or m empl ees 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 ode: T e 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 mploye s, provided that such improvements are not intended or offered for sate. If, however, the building or improvement is sold within one year of completion, the wne uilder 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 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(sl licensed pursuant to the Contractor's License Law). D 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. D 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 I 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): __________________________________________________________ _ 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 25634 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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!lui'!f~fflbl!lfi!>illtE!ilmiii:i':l\'Gi!illSl';:2:•,'ff I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Gitt 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 5'0" 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 not commenced ithin 18 ays from the date of such permit or 11 the bu1ld1ng or work authorized bf uch permit 1s suspended or abandoned at any time after the work is commenced 80 days (Section 106 4 4 Umform Bu1ld1ng Code). 7 t;7 / I)&-, APPLICANT'S SIGNATURE --~:;,_~/,&_~:J/~+,..-"C::::::______________ DATE ---~/-•-~ / _______ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/06/2005 Permit# CB052495 Title: WILLIAMS RESIDENCE Description: 230 SF MEDIA ROOM INFILL Type: MISC Sub Type: OTHER Job Address: 1024 LIGHTHOUSE RD Suite: Lot 0 Location: APPLICANT LANDSCAPE ARTISTRY Owner: WILLIAMS FAMILY TRUST 07-01-02 Remarks: Total Time: Inspector Assignment: JM --- Phone: 7 Inspector: __ _,___ Requested By: TERESA Entered By: CHRISTINE CD Description 19 Final Structural 1£!_o_m_m_en_t ________________ _ Comments/Notices/Hold Associated PCRs/CVs lns12ection Histo[)I Date Description Act lnsp Comments 12/02/2005 19 Final Structural co JM ELEC OUTLET HAS OPEN GROUND 09/22/2005 18 Exterior Lath/Drywall AP JM 08/30/2005 17 Interior Lath/Drywall AP JM 08/18/2005 84 Rough Combo AP JM OK TO DRYWALL (V fr S -e o fv e L-}.. !<9 /l,,,, C 8v4',r/\ .. fl,V 1) ~ L,+--S o I\ f 1)ri:::S tf1~ v~'( \\ i.., / 'J