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Home My WebLink About1036 LIGHTHOUSE RD; ; CB972047; Permit07/25/97 11 :53 Page 1 of 1 B U I L D I N G Job Address : 1036 LIGHTHOUSE RD Permit Type: PATIO/DECK Parcel No: 214-531-42-00 Valuation: 1 ,323 P E R M I T Suite: Lot#: Permit No: CB972047 Project No: A9702597 Development No: Construction Type: Occupancy Group: Ref erence#: Status: NEW ISSUED 07/25/97 07/25/97 JM Description: COVERED PATIO 196 SF, GAS LINE Applied: Appl/Ownr : LORCO 4488 SLIABURY CARLSBAD, CA 92008 *** Fees Required *** Fees: Adjustments : Total Fees: Fee description Building Permit Plan Check Strong Motion Fee Other * BUILDING TOTAL 82,,00 ,00 82 .00 * lr.'lt. Apr/Issue: 760 Entered By: 434-8945 f ees Collected & Credits Total Payme nts : Balance Due: .00 .00 82.00 *** Units Fee/Un it Ext fee Data 33.00 21.00 1. 00 27.00 PLUMBING 82.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY 'ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PLAN CHECK NO. tJ??./fq7 EST. VAL. /:f Z, 3 Plan Ck. Deposit=..,....------- Validated By ~ Date ~1'7 1. PRo.iECT INFORMATION /0~(, U'!jllH/tJPSG Address (include Bldg/Suite I) Businen Name lat this address) Legal Description Lot No. Phase No. Total # of units Assessor's Parcel# L ?;',,' cr..,.s Description of Work I of Bedrooms II of Bathrooms Fax# Name Addreu City State/Zip 'ti~ -·, C()NTRACT()fb, COMPANY NAMl!'"f"'"9';~t-·""<~'-'>·SS'·;•~ ""'·"1"''""«<.",•i')-;1"", · ,,:t;tr· • ''"-' ":/-::q,c, ·•' ~,;;." · ·""" '.L~['"/'~ ··-"'I'·"" <·"'-f-'')l:''S:•':. ~•~ ·' ',:., .,.,, ,,.i. ISec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, attar, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file e 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 ~d Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Ant ~oJ.ation of Section 7031.6 by an a. pllcant for a erm· s jects the appticant to a civil penalty of not more than five hundr~d )loll•~ ($500)1. w,vvo /4 ' . ,j . ~ 'o/ ~r5q s- Name Address City State/Zip Telephone , State license f ? ~s 1:l,_. 0 License Class "1, City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' 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 by Section 3700 of the Labor Code, for the performance cf the work for 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 number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ IT~TION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS} "f:]" CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to workers' compensation coverage Is unlawful. and WI sulliect ■n employer to criminal penalties and civil fines up to one hundred thousand dollars (•100. OI, In to the cost o. t compenaation, damegu u provided for In Sectk>n 3708 of the ~~tnterut and attorney·•·• IHI. SIGNATURE ___ _,._______________________ DATE ::}-fl.-z/.:!!..c: 7. OWNER-BUILDER ECLARATION .. .. ·; . . .·. . . .. ' .. ·.·. ' . ;J;,;, ;;;;;: . • ,!'' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 Profe11ion1 Code: The Contractor's Ucense Law doe, not apply to an owner of property who bullds 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 7044, Busine11 and Profession■ Code: The Contractor's License Law does not epply to an owner of property who builds or Improves thereon, and contracts for such projects with contractorts} licensed pursuant to the Contractor's License Law). O I am exempt under Section ______ Business and Profe11ion1 Code for this reason: 1 . I personally plan to provid• the major labor and materials tor construction of th■ proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for • building permit for the proposed work. 3. I have contracted with tha following person lfirml to provkte the proposed construction {Include nsme / addrns / phone number / contractors license numberl: 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/ eddress / phone number/ contractors license numberl:·---------------------------------------------- 6. I will provide some of tbe work, but I have contracted lhiredl the following persons to provide the work Indicated finclude name I address / phone number/ type cf workl: ______________________________________________________ _ DATE _________ _ PROPERTY OWNER SIGNATURE ---,--------=-----,-,.,,,----c,.,-,-,.,.,-,-,-,-,,-,--,,= 'coMPLETI THIS s&enoN FOR ~'llUiU>IHCI PERNlrti[<iNLY~Wff! l[><'.·:\,~',;l'.:fe>'_".: .. :f'!"':'[~~,,~,f:1:1' "~1-i']i:l]irf';.~,i,'TI;:/ffif]'.'!l1l'f'(•"".;'9 .. ·1· '7'"{' "'' '"." •·:··,-, "•; 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 26505, 25533 or 26634 of the Prnley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future bi.Jlding occupant required to Obtain a permit from the air pollution control district or air quality management district? 0 VES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,a. CONStiiliCTiONl.eNlilNGAGENm' .,,,," ,-, ., I hereby affirm that there is a construction lending agency for the performance of the work for wt.ch this permit ls Issued ISec. 3097lil Civil Code). LENDER'S NAME_____________ LENDER'S ADDRESS===================.,.,-.,-.,---,- ig·, . -APPLICANT CEFITIFlcA tiOtH~'f._'i"; ;::•'-"l'"'& .. :cr:-;;~1:r,:7"'"~·~,.,:;re:r•·-:r,1::7!',ra:m'!,'f!~Xi~.":.:·: :-:,:,~n ;::-•;. ,11 '"d<.:1;'.·:c:,;:;g::-~<4-,:,\ :~:,.~:-:.,;~:;:~· ~· -, ~~.., .. ;;-: ~ . I certify that I have read the application and state that the above Information Is correct and that the information on the plans la accurate. I agree to comply with all City ordinances and Stat■ lawt relating to bulking construction. I hereby authorize representatives of the CJtt 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 ANO 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 ex v1tlons over 5'0 .. deep and demolition er construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the ullding Official under the provisions of this Code shell expire by limitation and become null and void if the building or work authorized by such permit is not co enced within 365 days from the date of such permit or If the building or work authorized by such permit is suspended o, abandonad at any time efte, tha wo,k I om ed to,• period of 180 days IS■ctlon 108.4.4 Unllonn Building Coda). -1L / APPLICANT'S SIGNATURE----+---------------------DATE 'If..Z2('19- ''IL••T:'". c,:,. VL• ! _.,,,1. ,.__,_(:..,~-• D!MV, C,J..,,,.,,.,-, PERMIT# CB972047 DESCRIPTION: COVERED PATIO TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 09/11/97 196 SF, GAS LINE INSPECTOR AREA PD PLANCK# CB972047 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 1036 APPLICANT: LORCO CONTRACTOR: LIGHTHOUSE RD STE: LOT: OWNER: REMARKS: C/LARC0/434-8945 SPECIAL INSTRUCT: PERMIT ON GATE. TOTAL TIME: LVL DESCRIPTION PHONE, 760 434-8045~ PHONE: PHONE:~ INSPECT __,......,'-"'--=-'-------- ACT COMMENTS CD 19 ST _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ t--------------- DATE DESCRIPTION 072897 Gas/Test/Repairs ***** INSPECTION HISTORY***** ACT INSP AP PD COMMENTS ' Fro.e-PtT