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Home My WebLink About1042 LIGHTHOUSE RD; ; CB981784; PermitB U ::: L D I N G P E R M r T Pe.rm_t N >: ,'B'J81784 Proiect No: A ➔802l7t DevPlopment No: 06/10/9>3 12:24 Pc1qe 1 of 1 Job Address: 1042 LIGHTHOUSE PPrmit Type: MECHANICAL Parcel No: 214-531-43 -00 Val.uat1c,n: 0 Occupancy Gr0up: Description: REPLACE A/C UNIT RD Appl/Ownr : ALL:ANCE MECHANICAL 638 SOUTHERN AVENUE ORANGE CA 92865 * * * Fees Required Fees: Ar] ius tmen ts: .,..otal fees: Fee ,Jescription Enter 'Y' for Mecha Install Furn/Ducts~ * * * Suite: Lot#: Reference#: 714 Consti ~ 7880 06/10/s,3 0001 01 "02 ~) t ~ Ei-PRHT 24 ,-00 Apr/Issu~-J~/10/98 Entered By : ,TM 921-059fi . 0 (' .00 24 .00 *'AA Ext fee !)ata 15.CO Y 9.0U ------- F\ APP ROVAL \ DATE 1-z-9 f INS.~~- \ cu:.ARANCE ....... ~-----~ . =::::-=· ... ---. -------\ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY> / 1/ PLAN CHECK NO. cg3( 1f< CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ....,.-T?"4,-,+.,....--,=,,- Validated By• __ __,==:::...1c:..;::::...:::.....-.,1.'A~ Date, ____ .,t;.~l,,!,C,;;'g.---- 1. PROJECT INFORMATION /Ol/2.. Address (include Bldg/Suite #) Business Name (at this address) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existi~CM Proposed Use Description of Work I n so. FT. -y,th'✓(l#of Sto,;es # of Bedrooms # of Bathrooms 2. CONTAs;f-PERS°' (If dJfferent from applicant} \..., '"~ Name JI" Address City 3. APfLICA~ 0 Contractor lfl.Ag~ni-,t91..CO'f"fct0r~ D Owne, _ 0 ,O.gent for ~f L---:::,,>u,,·q; '--1'1 '> /'i, a'>Iffll/JN~ ';',7. Q!.'J;rv',/.,C State/Zip Telephone# Fax# Name Address City State/Zip Telephone# 4. P,9"E'}TY OWNE'r: / f+C/hn ✓d V :f .> Name ,s: 1 rra1r/otfz. l.:7111~ C"-r~t,J. u Address City S.tate/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (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 exemption Any violation of Sectio 7 31.51lY any applica t for a ermjJ sub~s tt,i applicant,to a civil penalty of ncµ._more than five hundred d liars 1$500]). 01 I ( ""1'\U. ...!{..V\(> ~CG<, 4 ::>CM:rNr--, fill-<. Or. U} \ bllf 21-0\ 11:? Name State Ucense # _l __ {l~(_o~~~\_5_ Address A. City State/Zip Telephone # License Class ( 'Z, O / U City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION 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 the work for which this permit is issued. )Q 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 c~ensation insurance carrie\and policy number are: r l ,. ,J / -/-qq Insurance Company ~,A~ wrcJ. Policy No. 'Z--z9 .. °l f \.....'\N,toD/l,1~texpiration 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 sec e wor ' compensation coverage is unlawful, and ahall aubject an employer to criminal penalties and civil fines up 10 one hundred thousand dollars ($100,000 in a dltlon to the coat of compenaation, damages 1111 provided for in Section 3706 of 1¥-b~r cpJt,e,.: I~. and attorney'• fees. SIGNATURE ' DATE _J...a_,_....,_~/_ lU __ '"'f~ •Q...~-- 7. OWNER·BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the followinQ reason: D l, 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 !lot 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). D 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). 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 I address/ 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): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO ls the facilitv 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. 8. CONSTRUCTION LENDING AGENCY 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, ______________________ _ 9. APPLICANT CERTIFICATION 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 Citt 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 com enced wite365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is c mmence for a period of 180 days (Section 106.4.4 Uniform Building Code)j' _ _ 9 K"' APPLICANT"$ SIGNATURE ., DATE _v= __ IZ_D ________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB981784 DESCRIPTION: REPLACE A/C UNIT TYPE: MECH CITY OF CARLSBAD INSPECTION REQUEST FOR 06/30/98 INSPECTOR AREA PD PLANCK# CB981784 OCC GRP JOB ADDRESS: 1042 APPLICANT: ALLIANCE CONTRACTOR: LIGHTHOUSE RD MECHANICAL STE: CONSTR. TYPE NEW LOT: PHONE: 714 921-0596 OWNER: REMARKS: C/HELEN/931-8661 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: PHONE: ~ INSPECTO{i.::!;_g ACT COMMENTS _4_3 __ M_E _A_i_r_c_o_n_d_f_F_u_r_n_a_c_e_s_e_t _____ t_ 6 µ1 fcv: ***** INSPECTION HISTORY***** DATE DESCRIPTION 061698 AirCond/Furnace Set ACT INSP CO PD COMMENTS TAPE WIRE AT SERVICE