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Home My WebLink About1057 LIGHTHOUSE RD; ; CB040207; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-20-~04 , Residential Permit Permit No: CB040207 Building Inspection Request Line (760) 602-2725 Job Address: 1057 LIGHTHOUSE RD CBAD Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: RESDNTL Sub Type: 2145312400 Lot#: $6,900.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: JOHNSON RES-ADD 230 SF LOFT RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: ISSUED 01/20/2004 KMT 01/20/2004 01/20/2004 Applicant: Owner: WORTHING INC, 8. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee STD #2 Fee STD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $76.59 $0.00 $49.78 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 JOHNSON DAVID C&KELL Y L 1057 LIGHTHOUSE RD CARLSBAD CA 92009 Meter Size Add'I Reel. Water Con. Fee $0.00 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $0.00 PFF $0~0 PFF {CFO Fund) $0.00 License Tax $0.00 License Tax (CFD Fund) $0.00 Traffic Impact Fee $0.00 Traffic Impact (CFO Fund) $0.00 Sidewalk Fee $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $20.00 MECHANICAL TOTAL $15.00 Housing Impact Fee $0.00 Housing lnlieu Fee $0.00 Housing Credit Fee $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 , -1 ____________________ T_o_T_A_L_P_E_R_M_1T_F_E_E_s _______ $_16_2_.3_1 __ ----.wi,_ tv:;J:; Total Fees: $162.37 Total Payments To Date: $0.00 Balance Due: $162.37 P.o+ ---------------------f>L--,4~ 33~::6 ,11. .. -··20 __ /()i~ Inspector: Clearance: NOTICE: Please take NOTICE tha approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit 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 infonnation with lhe 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 f . f hi . I . Tl . i r hi r hi h h f Ii i . h r . I h . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 d Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # Existing Use Proposed Use # of Bedrooms Total # of units # of Bathrooms !Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repeir 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500Jl, B.A -wor+nw:19, tNC · e.0:0ox l0:41 C£ttlskl:1J, Ca. g.;i.o,s 7<-R0-129-nqlS •·i>'J<~gl-lQm,:coM.811J~MNU~:1ir;y:u , .,. .. '"''"'< 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 of ti_)& work for which this permit is issued. liJI' 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 carrie and policy number are: Insurance Company----'Y"""-' ....... "-"'~_._......, ............. .,.________ Policy No. oao 'i'YJ:15 -,2. 0Q3Expiration Date I -1 -cg (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESSI 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; Fllllure to secure workers' compensation coverage Is unlawful, and shall subject an employ•r to crlminal penalties and clvll fines up to one hundred thousand dollars ($100,000), I dltlon to the compensation, d11m11gH as provided for ln Section 3706 of the La or cod interest and attorney's fees. ,~~~~1i;:nij"iaii01iiJ•i:·i~~;•obl' -~-~~~~~----~~0f¾~~~:;-~~----7~~----DATE --'+-'z.o=a.+--+--- 0 I, as owner of the property my em loyees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professio Cod • 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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. 0 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 / phone number I contractors license number): 4. I plan ta provide portions of the work, but I have hired the following person ta 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 I include name I 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 26505, 26633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required ta obt11in a permit from the 11ir pollution control district or air quality management district? 0 YS:S D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. t hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097m Civil Code I. LENDER'S NAME 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 commenced within 180 d ys 1rom 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 commenced f ertod days ion 106.4.4 Uniform Building Code). t/w /7""!A APPLICANT'S SIGNATURE _ ___,,.;z;..;;;:,,q,~-"""="-'1~~-+---------------DATE --'----.;;._~-------- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/15/2004 Permit# CB040207 Inspector Assignment: PY --- Title: JOHNSON RES-1152 SF REMODEL Description: KITCHEN/CNVRT BDRMS TO OFFICE/CNVRT PART OF GAR Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 1057 LIGHTHOUSE RD Lot APPLICANT WORTHING INC, B. A. 0 Owner: JOHNSON DAVID C&KELLY L Remarks: Total Time: CD Description Act Comment Phone: 7607293965 Inspector: Requested By: TERESA Entered By: CHRISTINE 19 Final Structural 29 Final Plumbing ~---- 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs Inspection History Date Description 02/23/2004 17 Interior Lath/Drywall 02/23/2004 18 Exterior Lath/Drywall 02/13/2004 84 Rough Combo Act lnsp Comments AP JM AP JM AP PY