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Home My WebLink About1039 LIGHTHOUSE RD; ; CB962225; PermitPERMIT APPLICATION City of caclslal Building Depact...,t ,,.--, PLAN CHECK NO. '{le ,....... 1_.,,,1-,, '1.,, ") 2075 Laa Pal-De., caclslal, CA 92009 (619) 4311-1161 l fST. VAL 1. P£kMJI hPF! PIAN CK DEPOSIT ______ _ VAUD.BY _________ _ DATE From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: ____________________ _ FOR OFFICE USE ONLY mt o. ... o. CHECK BEWW IF S0BMll 1£O: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEL EXISTING JJSE PBOPPSEP USE DESCRIPTION OF woruri I " L,J ( r t I 1✓ ~ LO""-' <D<CS. ,A...<.._. SQ. IT. 1,G, C, "'-' # OF STORIES # OF BEDROOMS # OF BATHROOMS sp~ -rf?.,,,-£L. DAY TELEPHONE NAM? .Oast name firsJ) -H-t c.,jc; ~ -ro M Cl1Y ~e.eu, STATE CA-. ADDRESS (6'2.'I L.-fbl<'-rf-i6ll<;t, ZIP CODE '7 2 O{) 'j DAY TELEPHONE 4'sl, C! Bet S. PROPFJl IY OWN mt NJ\M~ (last name first) 1--t ( C.-K..S "fO M ADDRESS J o '6 9. L.-/ b"'"<" /-le,u Q;.. fU' · ZIP CODE q2009 DAY TELEPHONE 4-~ l Cl1Y C,,&, STATE CA. 088/ 6. WN hOO.!IOk NAME (last name first) ADDRESS 5 4:0 Q'l--(_~ L PfL. . . ~~rt'~ M~ ~C-• ~;1,Jfi12. # ~ .. ZIPCOD~Zo DAY TELEPHONE Cf-f-2,, $~32 a a □ UCENSE CUSS 'z1" (, -2. + Cl1Y BUSINESS UC. # - ADDRb~ -.;94-c, ~wt, L-F<2-. ZIP CODE '.J 2o bf DAY TELEPHONE Workers• Compensation beclarauon: I hereby aUlrm that I have a cerullcate of consent to self-insure 1Mued by the Director of lndusmal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Ins~tion Department (Section 3800, Lab. C). DATE / I hereby afunn that I am exempt from the ContradoPs Ucense Law for the following reason: I, as owner of the propeny 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 Llcense Law does not apply to an owner of propeny 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 lhe burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projecrs with contractor(s) licensed pursuant to the Contractor's Llcense Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement chat he is licensed pursuant to the Provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [SS00]). SIGNATURE DATE WMPlllE IHlS SEGIION FOR NON-RESIOEN liAI BDIWING PERMll'S ONLY: 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 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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 ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF /\NY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:t/PANCY MAY NOf BE~ AITER JULY 1, 1989 I/NUSS THE APPLICANT HAS MET OR IS MElrrtNG THE REQUlREMENTS OF THE OFFICE OF EMERGENCY Sl!RVICES AND THE AIR POlllJTION CONTII.OL DISl1UCT. 9. WNS IRUCI ION UNDING AGENCY I hereby afhrm that there lS a construction lending agency for ilie performance of the work for which iliis penmt 1s issued (Sec 3097(1} CivU Code). LENDER'S NAME LENDER'S ADDRESS JO. APPIJCXN I CEtilFICXIION I certify iliat I have read ilie appUcauon and state that the a&5ve miormauon lS correct. I agree to comply w1ili all Gty ordinances and State laws relating to building construction. I hereby authorize repCCSentatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AlSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE ClTY OF= AGAINSf AIL UABIUTIF.S, JI/IJGMENTS, CXJSfS AND EXPENSES WHICH MAY IN /\NY WAY Aa:RUE AGAINSf SAID CTIY IN CDNSF.QUENCE OF THE GRANTING OF THIS PERMIT. OS}IA; An OSHA permit is required for excavations over S'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 within 365 days from the date of such pennit or if the building or work authorized by such pennit is suspended or. aba a a y · e after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildil)8 ~b / APPUCANTS SIGNATU~ DATE:i,.,_s.,_f.L.,__.,¥,..,__.,_7-14> File YEil.OW: App 1cant PINK: Finance C, PERMIT# CB962225 DESCRIPTION: 168 SF PATIO CITY SPECS TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 01/07/97 COVER W/GAS LINE INSPECTOR AREA DC PLANCK# CB962225 OCC GRP CONSTR. TYPE VN JOB ADDRESS: 1039 LIGHTHOUSE RD APPLICANT: HICKS, TOM STE: LOT: CONTRACTOR: OWNER: REMARKS: MW/MATT/942-5622 SPECIAL INSTRUCT: TOTAL TIME: PHONE: 619 431-0881 PHONE: PHONE: INSPECTOR CD 19 23 LVL DESCRIPTION ACT COMMENTS ST Final Structural 11-// _______________ _ PL _G_a_s_f_T_e_s_t_f_R_e_p_a_i_r_s _______ , -------------------- ***** INSPECTION HISTORY***** DATE 112096 112096 DESCRIPTION Ftg/Foundation/Piers Gas/Test/Repairs ACT AP AP INSP DC DC COMMENTS COASTAL PERMIT DETERMINATION FORM (To Be Completed By Planning Staff) This form is used to identify and record those projects which either require a Coastal Development Permit or which are exempt from the requirement for a Coastal Development Permit. Note: This is not a building permit or a determination under the California Environmental Quality Act. COASTAL PERMIT DETERMINATION NUMBER: __ C/_:._6_---'/ 5==--------- ASSESSOR'S PARCEL NUMBER: d--) L/ -'5 S { -d-rJ NAME: -----1.:Wc.u..;A'--'-'-Jt----'-'{;J"'-'-PJJ_~_:;_or-'-t~-'-'--_._(..,;_H~1 c_k--=-;j-,,,...=-:;c,1.1.1:..:..:..tJ"'-'-'~ ~:,___ ___ _ ADDREss: l v 3,9 l1'-3htlku~e f"Zv11T> LOCATION OF PROJECT (If DIFFERENT FROM ABOVE): __ ,.,,LC,.4_,__ _____ _ PROJECT DESCRIPTION: _L_0_v_e._(l_e..D_---=-¥_A_+_1--=· o'--_.,V_/_6....:.B_S_ei,---'--'-fl"'"'".).,,..'--- COASTAL PERMIT DETERMINATION: ~ 1 . This development is exempt from the requirement for a coastal permit. D 2. This development requires a coastal development permit from the City of Carlsbad. D 3. This development is in the State of California Coastal Commission area of ~~· _1_1_,_/_1a ........ 0_.9b"'------ P1anner's Signature Date This determination relates only to the project described above and shown on the attached plans. Any change to the project may change the determination status. If the information contained in this submittal /including plans) is changed, found to be incorrect, or incomplete this determination shall be invalid. c: Applicant, Project File, Building Permit File (when applicable) H:\ADMIN\COUNTER\OETERMINATION FORM (CDP) -.. II :r~ UtJ~ l'2> J?!c(>n+ ___;.•---------, ... \ ~,~~ ~- ~~~ ii 1 ,i n;) J ---.. . ·--. i . ~\' --~ 1·· ·-··-· --t -1 ·--~l ~~ ~ . . --. 'Cl~--· . ~-·--· ·------ ·~ <&> 0~ ~ ~~ I.:) ~~ ____ ...,._ ___ _