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Home My WebLink About1063 LIGHTHOUSE RD; ; CB972620; PermitL//070 B U I L D I N G 0:.l/16/97 14:43 P E R M I T Permit N0 : CB9726 2 U Project No: A970JJ26 Development No: Page 1 of 1 Job Address : 1063 LIGHTHOUSE RD Pe mit Type: PATIO/DECK Parcel No: 214-531-23-00 Valuation: 810 Suite: Lot#: Occupancy Group: Reference#: Description: PATIO COVER 120 SF, GAS LINE : TO FUTURE BBQ Appl/Ownr : HARRINGTON JOHN 1352 WICKER PLACE ESCONDIDO , CA 92027 Fees Required *** Fees: Adjustments : Total Fees: Fee description Building Permit Plan Check Strong Motion Fee Other * BUILDING TOTAL 760 Con~I9J-1 Cl '1 l . NEW OY/i6,(-1N 1~Ql, D11S8!IED App1<;_-~T O 9 / 1686i.'&() Apr/Issue: 09/16/97 Entered By : JM 489-5420 Credits .oo .00 66.00 *** Ext fee Data 23 .00 15 .00 1. 00 27.00 PLUMBING 66 .00 D PERM~T EERMIT-HAS EXPIRED IN .~CCORDANCE WITH U.B.C. SECTION 106.4.4 ~ DATE ____ SIGNATURE _.Ito.__.~~~....:;::.. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY, 7 / PLAN CHECK NO. C/lww 6'1{) EST. VAL. _ __:::....:...:::... _____ _ C!TY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (ij,30) 438-1161 1. PR0.IECT INJ;ORMATION "Ji, /063 /.j/iT, q,Se Address (include Bldg/Sui Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use /;il,O I Proposed Use ~ hi't:cte ,41.r,, G,.,,{(_ Description of Work (r/JS .,;:.r',c,f!._ SO. FT. #of sbries # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# 3~ APPLICANT O Contrllctor .. : □:;Aaenrfof_Co~cfur_-, 0 ()wner. ... , 0:Aeent for Owner ».60 Jh,vp:A),giw' J3S,x t-J.;c.cfc:e,e. l"'L. ,?5c, Name Address City State/Zip Telephone# 4. •·•PROPERTY OWNER d'9/4K LwSo,0 1"63 Name Address City State/Zip Telephone# li. " ''cONTRACTOR ''COMPANY'l'IAME'>:•,, (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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)), Ji_ 1/N . :;, /$,,J . NO · I 3S .2 r,.j_;clu({_ t. ~c. ·S Name Addres City State/Zip Telephone # State License # Sq/ ')::? / License Class C ~gl 7 City Business License # /.2e, '/2 q $1 Designer Name Address City State/Zip Telephone State License # _________ _ e. WO~KERS'.C:OMPEl',ISATION,. 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 the work for which this permit is issued. D 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 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS~ ~ERTIFICATE 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 ~ be;me subject to the Wor er ' C ens · ws of Califomia. WARNING: Failure to ~~;,:• compenutlon coverage Is unlawful, and shall subject an employer to crtmlnal penaltles and clvll fines up to one hundred !Ji don to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE'-,:,::11£-'-'"-'==-,-,------,,----------------DATE ________ _ 7. OWNERS I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 1, 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 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 Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contr8cts 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. t 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 I phone number I 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 I 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 I address / phone number / type of work):, ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ 'cOMPLETE;THl!I SECTIOriFOR•'/ir~.ENJZU'iliiii;DiNG'•PEIIMlTSONLY · 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 O NO Is the applicant or future building occupant required to ot;,tain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. ie. .cO.NSTRUo,10N LENDING'ililiiNCYi 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 [9c. ·· APPUCAN'MlERTI.;; .. ~·· mRFICAici,cl'IOrit. ·>tiiti:0· ;:-;;:-;;:-;~;:-;=:; 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY AC RUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. d demolition or construction-of structures over 3 stories in height. EXPIRATION: Every permit issued by the Bui in,,_.. .. , .. ·c.0;ae,I rovisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not com d days from the date of such permit or if the building or work autholiz by su permit is suspended or abandoned at any time after the work i a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --4,,P.~--==~:::__________________ DATE /6 9 WHITE: File YELLOW: Applicant PINK: Finance ~·~1····-··· PERMIT# CB972620 DE~CRIPTION: PATIO COVER 120 CITY OF CARLSBAD INSPECTION REQUEST FOR 10/01/97 SF, GAS LINE INSPECTOR AREA PLANCK# CB972620 OCC GRP r TO FUTURE BBQ TYPE: PATIO JOB ADDRESS: 1063 LIGHTHOUSE RD APPLICANT: HARRINGTON JOHN CONTRACTOR: OWNER: REMARKS: C/JOHN/489-5420 AM PLEAE SPECIAL INSTRUCT: CELL PHONE 203-0651 TOTAL TIME: CD 11 23 LVL DESCRIPTION ST Ftg/Foundation/Piers PL Gas/Test/Repairs ------------------ ------------------ STE: CONSTR. TYPE NEW LOT: PHONE: 760 489-5420 PHONE: PHONE: - INSPECTOR ✓Y PERMIT ON FEN~ ACT COMMENTS Ii--- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS --· ····----··-------" ·-.. ~----- fl<ol'oSeO O/JeAI tl}tl.'ce. 'or WoooerJ /Jl"J'IJ:o Cou;l1. / ~10--'JA:,_ I - 'E'--J..o r ➔ f ,!.C]{t.'-,a,.: 8 '-1-_71 1,! J~o f t f'~o('t>SeO ~ ,, t:'~r; L,N~ + S-tv (j ~ ilerJ#C() , ,v 2,' I FkJt £;111ce, /of<. ,&urute.'<--.6-06<.. I? e.s.~ae rJce_ /o~ 3 t-·'j/lrhhvse, 1)1, (? t.J {'~ 3 J oc, ;). "'6 o,. .. ,cy-e_ /!> e,t} /-f :J... -;;i.. ~? foo /; "'$ / ;;i._ ':f. /;J. ><If)__ /063 LjllT /lovse,_