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HomeMy WebLinkAbout1066 LIGHTHOUSE RD; ; VARIOUS; Permit08-23-2005. Jdb'Address. Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms' Project Title. City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Residential Permit Permit No: CB052893 Building Inspection Request Line (760) 602-2725 1066 LIGHTHOUSE RD CBAD RESDNTL Sub Type: 2145314700 Lot# $7,905 00 Construction Type- Reference #. 0 Structure Type. 0 Bathrooms' FRENCH RES- 255 SF LOFT INF MISC ELECT, MOVE ONE HEATER DUCT RAD 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area; Ong PC# Plan Check# ISSUED 08/09/2005 LSM 08/09/2005 08/09/2005 Applicant: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Owner: FRENCH ERIC P&CHAN GLORIA Y 1066 LIGHTHOUSE RD CARLSBADCA 92009 Building Permit $84 29 Meter Size Add'l Building Permit Fee $0 00 Add'l Reel. Water Con. Fee $0.00 Plan Check $54.79 Meter Fee $0.00 Add'l Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $1.00 PFF (3105540) $0 00 Park in Lieu Fee $0.00 PFF (4305540) $0 00 Park Fee $0 00 License Tax (3104193) $0 00 LFM Fee $0.00 License Tax (4304193) $0 00 Bridge Fee $0.00 Traffic Impact Fee (3105541) $0.00 Other Bndge Fee $0.00 Traffic Impact Fee (4305541) $0.00 BTD #2 Fee $0 00 Sidewalk Fee $0 00 BTD #3 Fee $0 00 PLUMBING TOTAL $0.00 Renewal Fee $0.00 ELECTRICAL TOTAL $20.00 Add'l Renewal Fee $0 00 MECHANICAL TOTAL $24.00 Other Building Fee $0.00 Housing Impact Fee $0.00 Pot. Water Con. Fee $0.00 Housing InLieu Fee $0 00 Meter Size Housing Credit Fee $0 00 Add'l Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Reel. Water Con. Fee $0.00 Sewer Fee $0.00 Additional Fees $0 00 TOTAL PERMIT FEES $184 08 Total Fees: $184.08 Total Payments To Date: $171.37 Balance Due: $12.71 Inspector: .5195 00/23/05 0002 Oi 02 CGF" 12.71 FINAL APP Date: . 'PROVAL Clearance: NOTICE Please take NOTICE that 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 permit w/as issued to protest imposition ol these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and Me the protest and any other required information with the 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 nght 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 tees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenA/ise expired J as 08-09-2005 Job Address: Permit Type Parcel No. Valuation Occupancy Group: # Dwelling Units. Bedrooms Project Title: City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Residential Permit Permit No: CB052893 Building Inspection Request Line (760) 602-2725 1066 LIGHTHOUSE RD CBAD RESDNTL Sub Type: 2145314700 Lot #. $6,107.00 Construction Type: Reference #: 0 Structure Type' 0 Bathrooms: FRENCH RES- 197 SF LOFT INFILL MISC ELECT, MOVE ONE HEATER DUCT RAD 0 NEW Status- Applied' Entered By: Plan Approved: Issued: Inspect Area. Orig PC#: Plan Check*. ISSUED 08/09/2005 LSM 08/09/2005 08/09/2005 Applicant: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 Owner: FRENCH ERIC P&CHAN GLORIA Y 1066 LIGHTHOUSE RD CARLSBAD CA 92009 619-729-3965 4261 08/09/05 0002 01 02 Building Permit $76.59 Meter Size Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0 00 Plan Check $49 78 Meter Fee $0.00 Add'l Plan Check Fee $0 00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $1 00 PFF (3105540) $0.00 Park in Lieu Fee $0.00 PFF (4305540) $0.00 Park Fee $0.00 License Tax (3104193) $0 00 LFM Fee $0.00 License Tax (4304193) $0.00 Bndge Fee $0.00 Traffic Impact Fee (3105541) $0.00 Other Bndge Fee $0.00 Traffic Impact Fee (4305541) $0 00 BTD #2 Fee $0.00 Sidewalk Fee $0.00 BTD #3 Fee , $0.00 PLUMBING TOTAL $0 00 Renewal Fee $0.00 ELECTRICAL TOTAL $20.00 Add'l Renewal Fee $0.00 MECHANICAL TOTAL $24 00 Other Building Fee $0.00 Housing Impact Fee $0.00 Pot. Water Con Fee $0.00 Housing InLieu Fee $0 00 Meter Size Housing Credit Fee $0.00 Add'l Pot. Water Con. Fee $0 00 Master Drainage Fee $0.00 Reel. Water Con. Fee $0.00 • Sewer Fee $0.00 Additional Fees $0 00 TOTAL PERMIT FEES $171 37 Total Fees: $171.37 Total Payments To Date: $0.00 Balance Due: $171.37 llUTf Inspector: FINAL APPROVAL Date. Clearance. NOTICE. Please take NOTICE that 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 permit 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 information with the 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 nght to protest the specilied 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 fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 , PROttEfeTlNFpRMATIONfcr , FOR OFFICE USE ONLY PLAN CHECK N0..^6_i25^I_?B EST VAL Plan Ck Deposit Validated By Date ^l^jn^ Address (inc^e BIdg/Suite #) Business Name (at this address) Legal Description , Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel # Description'fcf Work Ex sting Use Proposed Use . I ~ sJ SQ FT #of Stories # of Bedrooms # of Bathrooms CONTACT PERSON S differeiirtoWIpplicantfe* •M* Name APPUCANT^MICbntractor ^ LJ Agent for Contractor Ld Owner, LJs^gent for Owner ' / rlsv-j^fe-it"'' „ _ Address D'Agent for Contractor City Q J)wrw- Djilgent for'^vner' State/Zip Telephone # Fax tt Name Address f-City State/Zip Telephone tt 4. PROPERTY OWNER j/l^f, ; 'tWS.^/ i. Name S. Address City State/Zip - COMPANY NAMEL Telephone # (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 CodeJ or that he is exempt therefrom, and the basis for the alleged exemption Any violation of SectioriJOSI 5 by any applicant for a permit.subiects the applicant to a civil joenaltvf of not more than five hundred dollars [$5001) Name Address City State/Zip Telephone tt State License tt fjr\ A I ISM" License Class !•< City tJusiness License # Desianer Name' _ 7). Address ' City State/Zip Telephone Designer Name State License tt O i WORKERS'C0MPEN"'SATI0N„.}<1. : 'Wf ' ,.«|Z - i a. Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations • 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 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 iss&ed My worker's compensation insurance carrier and policy number are Insurance Company ^^(^^ "^^VJC^ ' Policy No OOO^'^^f^ - Expiration Date 0Wf)\~OLy (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) • CERTIFICATE OF EXEMPTION 1 certify that in the performance of the work for which this permil 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 secure worksr^ compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars ($100,000), imfl^dmon to the cost of compensation, damages as provided for in Section 3706 of the^^prj;od^, interest and attorney's fees SIGNATURE X-^O"^ A y->^ y^ DATE X 'iss&i inal penalties am leJsabpr codi, ini 7 ^ y/pWNER-BUtLDER'DECLARATrON -f^Vl? "LL '"ZSUiiMi^^ I hereby affirm that I am exempt from the Contr^toXs License Law for the following reason n 1, as owner of the property or my empl/yees vjith 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 frhe C ontractor'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 employaes^irovided 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) • I, as owner of the property, am exclusively c ontracting 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) |~| I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement Q 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 / contractors license number) 4 1 plan to provide portions of the work, but 1 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:/VO«./?f5/OSV7X4/. BUIJffiJNG PERMITS-ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? d YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dislnct or air quality management distnct' d YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' • YES • 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 a; C0NSTRUCTIONiLEN«CmENCY 'S^i',,, -^T^.,^,. 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 3§;.,;^l?.P,LiCANtCEiWrFICAfiSN&^^^*t,„Jl,J^ " • • I certify that I have read the application and state lhat the above information is correct and that the intormation 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 CitV 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 UABIUTIES, 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 stones 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 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced \orj^ilkr\oii of 180 d§y8<fSection 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City ofCarlsbad Bldg Inspection Request For 11/17/2005 inspector Assignment PY Permit# CB0S2893 Title FRENCH RES- 255 SF LOFT INF Description MISC ELECT, MOVE ONE HEATER DUCT Type RESDNTL Sub Type RAD Job Address 1066 LIGHTHOUSE RD Suite Lot 0 Location APPLICANT WORTHING INC, B. A Owner FRENCH ERIC P&CHAN GLORIA Y Remarks Phone 7607293965 Inspector Total Time CD Descnption 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By TERESA Entered By CW Act Comment Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act Insp Comments 11/10/2005 89 Final Combo WC PY 11/07/2005 89 Final Combo NR PY need windows 10/31/2005 89 Final Combo CA PY 10/12/2005 17 Interior Lath/Drywall AP PY 10/12/2005 18 Exterior Lath/Drywall AP PY 09/30/2005 14 Frame/Steel/BoltingAA/elding AP JM STRAP OK TO DRYWALL 09/30/2005 24 Rough/Topout WC JM 09/30/2005 34 Rough Electnc WC JM 09/30/2005 44 Rough/Ducts/Dampers WC JM 09/23/2005 84 Rough Combo AP PY ADD DRAG STRAP 04-15-2010 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Mechanical Permit PermitNo CB100658 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 1066 LIGHTHOUSE RD CBAD MECH 2145314700 $0 00 Lot# FRENCH RES-REPLACE FAU-SAME LOCATION Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/15/2010 RMA 04/15/2010 04/15/2010 Applicant EXCEL AIR CORP Owner FRENCH/CHAN FAMILY TRUST 02-13-08 361 NATALIE WY 92028 760-723-9294 1066 LIGHTHOUSE RD CARLSBAD CA 92011 Mechanical Issue Fee $15 00 Install/Furn/Ducts/Heat Pumps Fee 1 $9 00 Fireplace Installation Fee 0 $0 00 Exhaust Fan Fee 0 $0 00 Installation/Relocation Vent Fee 0 $0 00 Hood Fee 0 $0 00 Boiler/Compressor to 15HP Fee 0 $0 00 Other $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $24 00 Total Fees $24 00 Total Payments To Date $24 00 Balance Due $0 00 Inspector FINAL APPROVAL Date t^/fO Clearance NOTICE Please take NOTICE thai approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set torth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cai Ibbad 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 tne.r imposition You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions [X)ES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sen/ice fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired ^ ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave, Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax 760-602-8558 www carlsbadca gov LOf? p PHASE* DOFUNnS |#BEOROOMS Plan Check No. Est Value Plan Ck. Deposit Date JOB ADDRESS SU1TE#/SPACE#/UNIT(( Cr/PR0JECT# # BATHROOMS TENANT BUSINESS NAME CONSTR TVPE OCC GROUP DESCRIPTION OF WORK Indude Square Feet ofMfactod Ana(s) ^p\acP Pf\\] l\k,0 W V'^ke EXISTING USE PROPOSEDUSE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING RRE SPRINKLERS YES • # NO • YES • NO • YES • NO • CONTACT NAME (It Dttferent Fom Applicant) APPUCANT NAIME V ^ i • . ADDRESS ADDRESS _ . <^ V-rt X 13 ^i\rY\opcrr> \AlauLA Su^T^A CITy STATE ZIP TATE IIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME t^.^ « -t— i CONTRACTOR BUS NAME r— ^ _ ^ , Pv /^V ADDRESS 1 . ^ rt-, \ ADDRESS „ ^ ^ 1 A 1 \ CITY- , STATL ZIP FAX PHONE _ EMAIL EMAIL ARCH/OESIGNER NAME & ADDRESS STATE UC * STATE UC # CLASS CITYBUSUCff (Sec 70315 Business and Professions Code Any City oi County which requires a permit to construct alter, improve, demolish or repair any structure, pnor 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 <> Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Busmess and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a pemiit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500)) WORKERS' COMPENSATION Workers' Compensation Declaration / ttsreby sffirni under p«na/ly ofpeijiiiy one of Ihe /bVowing dedarslions O I have and will maintain a certificate of content to >elf-insurB for workers' compensaton as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued -*3Tliave and wili maintain mprtva' Fpmpensatiitn, a$ rpquiied by Secliao 3700 of the Labor Code, fbr Ihe petfonnance gf the work^ir whchjiis. numberare InsuranceCo tine Policy No \NC ^)T-' jnnit IS issued My woikeis' compensation \ ~7 Expiration Date JZI ^ earner and policy m This section need not be completed if the pemiil is fbr one hundred dollars ($100) or less O Certificate of Exemption I certify that in the perfomiance of ihe work for which this/pemiit is issued, I shall not employ any peison In any manner so as to become sutqect to the Woriceis' Compensation Laws of California WARNING Failure to seciifewrkers' compeniiatian coverage Ik upfiwful, and shali tuliject an emptoyer to/criminal penalties snd chril fine* up to one hundred thousand doDara (&100,000), In addition to the cost of compensatinr; damdges as provkled for la Section3Mof he lfhor^^»r^nlSf^^ attorne^ fees. CONTRACTOR SIGNATURE ( I as provkled for In Section 3»^f the Labor rajierl'itSrrarmd attorn^ ^ It OWNER-BUILDER DECLARATION / hereby affimi (haf / am exempi from Contractoi's Ucense Law lor Uie foBonring reason O I, as owner of the pmperty or my employees with wages ai> their sole compensation, will do the woik and the stnichire 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 pmperty who builds or improves thereon, and who does such work himself or thnjugh his own empkiyees, provided that such improvements are not intended or offered for sale if, however, the building or improvement is sold within one year of completon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) • i, as owner of the pmperty, am exclusively contractng with licensed contactors to constuct the protect (Sec 7044, Business and Professions Code The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts fa such prpiects with cantactar(s) licensed pursuant to the Contractors License Law) • I am exempt under Secton Business and Professions Code ibr Ihis reason 1 I peisonally plan to provide the ma|or labor and materials for constucton of ihe proposed property improvement • Yes •No 2 1 (have / have not) signed an application for a buikiing permit for the proposed wortc 3 i have contracted with the following person (f mi) to provide the proposed constnicton (indude name addross / phone / contactors' license number) 4 I plan to provide portions of the woik, but 1 have hired the tollowing person to cooidinate, supervise and provide the maicr wort< (include name / address / phone / contactors bcense number) 5 1 will provide some of the wortt, but 1 have contracted (hirod) the following peisons to provide the wortc indicated (indude name / address / phone / type of WDrii) VCTPROPERTY OWNER SIGNATURE •AGENT DATE COMI»LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazanlous matenals registaton forni or nsk management and preventon program under Sectons 25505,25533 or 25534 of the • f^iey-Tmner Hazardous Substance Account Acf? DYes 13 No Is the applicant or future buUding occupant required to obtain a permit from Ihe air polluton conlrol distid or air quality management distx;!? • Yes Otto is the facility to be constucted within 1,000 feet of the outer boundaiy of a school site? • Yes OHo IF ANY OF THE ANSWERS ARE VES, A FINAL CERTIFICATE OF OCCUPANCY IWAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT CONSTRUCTION LENDIN G AGENCY I hereby affinm that there is a oonstnidion lending agency fbr the perfonnance of the wort( this penmit is issued (Sec 3097 (i) CMI Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I oertitr ttiat I have lead the applkatton and state thatthe aboHS infbmiatkm Isconectand thatthe inft^^ ihereby aulhonzerepreseritatveoflheCityofCailsbadtoenti'rupon Ihe atxivementt)^ iALSi3 AGREE TO SAVE, nCEMNIFY AND KEEP HARMLESS THE OTY OF CAFiLSBAD AGAINST Aa UABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTi' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA penrnt 6 requied for excavatons over S'O'deep and demolilxjn or cons^ EXPIRATION EveiypeiTnitEsuedbythea^ingCKtolundtKtheprovBnnsofthBCod^shalleimfre 180 days inam Ihe date of suli pemit or if Jfe puidiig or work aulh^^ ^APPLICANT'S SIGNATURE fA DATE City ofCarlsbad Bldg Inspection Request For 05/10/2010 Permit# CBI00658 Title FRENCH RES-REPLACE FAU-SAME Description LOCATION Inspector Assignment 1066 LIGHTHOUSE RD Lot 0 Type MECH Sub Type Job Address Suite Location APPLICANT EXCEL AIR CORP Owner FRENCH/CHAN FAMILY TRUST 02-13-08 Remarks Phone 7604760016 Inspector f^A^ Total Time CD Description 44 Rough/Ducts/Dampers 49 Final Mechanical Requested By P O. Entered By JANEAN Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04-01-2013 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No CBI 30545 Building Inspection Request Line (760) 602-2725 1066 LIGHTHOUSE RD CBAD RESDNTL Sub Type RAD Status ISSUED 2145314700 Lot # 0 Applied 03/07/2013 $6,900 00 Constuction Type 5B Entered By JMA Reference # Plan Approved 04/01/2013 0 Structure Type Issued 04/01/2013 0 Bathrooms 0 Inspect Area Ong PC # Plan Check # KRASOVETZ 120 SF CONVERT LOFT TO BEDROOM Applicant V C WOODWORKS AND GENERAL CONTRACTING Owner KRASOVETZ SCOTT E&MCCLENAHAN MAUREEN F 941 LAURELWOOD ST CARLSBAD CA 92011 760-518-6338 1066 LIGHTHOUSE RD CARLSBADCA 92011 760-518-6338 Building Permit $97 47 Meter Size Add'l Building Permit Fee $0 00 Add'l Reel Water Con Fee $0 00 Plan Check $68 23 Meter Fee $0 00 Add'l Plan Check Fee $0 00 SDCWA Fee $0 00 Plan Check Discount $0 00 CFD Payoff Fee $0 00 Strong Motion Fee $1 00 PFF (3105540) $0 00 Park in Lieu Fee $0 00 PFF (4305540) $0 00 Park Fee $0 00 Lieense Tax (3104193) $0 00 LFM Fee $0 00 License Tax (4304193) $0 00 Bridge Fee $0 00 Traffic Impact Fee (3105541) $0 00 Other Bridge Fee $0 00 Traffic Impact Fee (4305541) $0 00 BTD #2 Fee $0 00 Sidewalk Fee $0 00 BTD #3 Fee $0 00 PLUMBING TOTAL $0 00 Renewal Fee $0 00 ELECTRICAL TOTAL $41 00 Add'l Renewal Fee $0 00 MECHANICAL TOTAL $0 00 Other Buildmg Fee $0 00 Housing Impact Fee $0 00 HMP Fee $0 00 Housing InLieu Fee $0 00 Pot Water Con Fee $0 00 Housing Credit Fee $0 00 Meter Size Master Drainage Fee $0 00 Add'l Pot Water Con Fee $0 00 Sewer Fee $0 00 Reel Water Con Fee $0 00 Additional Fees $0 00 Green Bldg Stands (SB1473) Fee $1 00 Fire Spnnkler Fees $0 00 Green Bldg Stands Plan Chk Fee $0 00 TOTAL PERMIT FEES $208 70 Total Fees $208 70 Total Payments to Date $208 70 Balance Due: $0 00 Inspector FINAL APP Date APPROVAL Clearance NOTICE Please take NOTICE ttiat approval of your project includes ttie "Imposition" of fees, dedications, reservations, or ottier exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit 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 information with the City tvlanager 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 nght 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERtaiT ISSUANCE • PUNNINO • ENGINEERING Ll BUILOING • RRE • HEALTH • HAZMAT/APCD O F ARLSBAD Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buidling@carlsbadca gov xmj'w carlsbadca gov Plan Check No.(0(S>[ f^OST-j ^ Est. Value CrQ Plan Ck. Deposit SWPP —/nrv^ ^MMM r^\^. SUITE#/SPACE#/UNIT# APN CT/PROJECT #» *^ ur ^ L0T# y 1 PHASE # it OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(s) ' . J i EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES • # NO • YES • NO • YES • NO • APPLIC/UIT NAIVIE (PrimaryContact) APPLICANT NAME (Secondary Contact) ADDRESS . /I /I A ADDRESS CiTY STATE ZiP PHONE FAX PHONE FAX EMAIL » . Eli/IAIL PROPERTVPWNER NAME , I CONTRACTOR BUS NAME i _ ADDRESS '/ / 'y / ADDRESS. " . ' /• . ^Hi /^aard -^f-CITY^ . , STATE ZIP cru , f] STATE ZIP PHONE , FAX { ^HONE FAX EMAiiy •EMAILS C »/ ARCH/DESIGNER NAME & ADDRESS STATE LIC # STATE LIC # CITY BUS LIC# J , Xl' (Sec 7031 5 Business and Professions Code Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure prior to its issi^ny also requires the applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor s License Law (Chapter 9 commending with Section TOGO of Division 3 of tine Busmess and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / herefcy affirm underpenalty of perjury one ofthe following declarations CD I have and will maintain a certificate of consent to self insure for workers' compensaton as provided by Section 3700 of the Labor Code for the performance of the work for which this perm it is issued O 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 l^y workers' compensation insurance earner and number are Insurance Co Policy No Expiration Date policy Thissgction need not be completed if the permit is for one hundred dollars ($100) or less ^^l^ertiFicate of Exemption I certify that in the perfomiance of the work for which this permit is issued, I shall not employ any person m any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and siiall subject an employerto cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), addition to the cost of compensation, damages^ provided fopuh^ction 3706 of the Labor code, interest and attorney's fees JS^ CONTRACTOR SIGNATURE •AGENT DATE •Ml. i I hereby affirm (hat / am exempt from Conlractor's bcense Law for the following reason • I, as owner of the property or my employees with wages as then sole compensation will do the work and the struclure 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 provinq that he did not build or improve for the purpose of sale) • 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 Profeosions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement • 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 / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person fo coordinate, supervise and provide the major work (include name / address / phone / 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 / type of work) ^PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a busine<.s plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of Ihe Presley Tanner Hazardous Substance Account Acf • Yes • No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distnct' • Yes • No Is the facility to be constructed within 1,000 leet of the outer boundary of a school site' • 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 DI&TRICT I hereby affirm that there is a constnjction lending agency for the performance ofthe work this pennit is issued (Sec 3097 (i) Civil Code) Lenders Name Lender's Address icertifythati have read the applicaton and state thattheabove infomiation isconectand thattheinfbmiation on the pte iagitsetocomply with all Crty ordinances and State laws relatingto building constnidion I hereby authonze representative ofthe City 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, JUDGfUENTS, 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 demoliton or constaiction of stuctures over 3 stones in height EXPIRATION Every pennit issued by the Building Offtaai under the provisions of this Code shall expire by limitation and become null and void i the building or v»ri< authorized by such pemiit is not commenced within 180 days from the date of such perniit or if the byilding or vrork authonzed by such permit is suspended or abandoned at any time after the wark is commenoed for a penod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. R T I F I C A T E CCUPANCY (Commercial F'rojccts Onjy| Fax (760) 602-8560, Email www buildinq(5)carlsbadca gov or Mail the completed forni to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAME BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICK UP o CONTACT (Listed above) • OCCUPANT (Listed above) Ll CONTRACTOR (On Pg 1) • MAIL TO • CONTACT (Listed above) o OCCUPANT (Listed above) • COIMTRACTOR (On Pg 1) • IVIAIL/FAX TO OTHER • ASSOCIATED CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION yg?APPLICANT'S SIGNATURE DATE Inspectioii List Permit# CB130545 Type RESDNTL RAD Date 06/11/2013 06/11/2013 05/06/2013 05/02/2013 05/02/2013 04/30/2013 04/30/2013 04/08/2013 04/08/2013 04/05/2013 04/05/2013 InspectioiT^jtem 89 Final Cotnbo Final Combo Final Combo Interior Lath/Drywall Extenor Lath/Drywall Frame/Steel/Bolting/Weldin Insulation Frame/Steel/Bolting/Weldin Rough Electnc Frame/Steel/Bolting/Weldin Rough Electnc Inspector MC MC MC MC MC MC MC MC MC MC Act Rl Fl CO AP AP AP AP PA PA CA CA KRASOVETZ 120 SF CONVERT LOFT TO BEDROOM Comments LATE AM SEE CARD NEWWINDOW INFILL WALL ONLY INFILL WALL ONLY PER CONTRATOR Wednesday, June 12, 2013 Page 1 of 1 EsGil Corporation In (PartnersHtp with government for (Butfdmg Safety DATE 03/28/13 • APPLICANT a'jURIS JURISDICTION Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO 13-0545 SET II PROJECT ADDRESS 1066 Lighthouse Rd. PROJECT NAME Convert Loft to Bedroom for Krasovetz Residence XI The plans transmitted herewith have been corrected where necessary and substantially comply With the junsdiction's building codes • The plans transmitted herewith will substantially comply with the junsdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck I I The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck I I The applicant's copy of the check list is enclosed for the junsdiction to forward to the applicant contact person I I The applicant's copy of the check list has been sent to IX] EsGil Corporation staff did not advise the applicant that the plan check has been completed I I EsGil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Email Mail Telephone Fax In Person • REMARKS By Ray Fuller Enclosures EsGil Corporation • GA • EJ • PC (P) 03/15/13 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGil Corporation In (Partnership with government for (BuiCding Safety DATE 03/19/13 • APPLICANT JURIS JURISDICTION Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO 13-0545 SET I PROJECT ADDRESS 1066 Lighthouse Rd. PROJECT NAME Convert Loft to Bedroom for Krasovetz Residence I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes I I The plans transmitted herewith will substantially comply with the junsdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck I I The applicant's copy of the check list is enclosed for the junsdiction to forward to the applicant contact person XI The applicant's copy of the check list has been sent to Vince Jannuzzi 941 Laurelwood Street Carlsbad, Ca 92011 I I EsGil Corporation staff did not advise the applicant that the plan check has been completed EsGil Corporation staff did advise the applicant that the plan check has been completed Person contacted Vince Jannuzzi Kj\{\\ Telephone # (760) 518-6338 Date contacted "Jll^ (by ^Sl^) Email vcwoodworks(5)qmail com ^^^iL ^^ephone Fax In Person • REMARKS By Ray Fuller Enclosures EsGil Corporation • GA • EJ • PC 03/11/13 9320 Chesapeake Dnve, Suite 208 • San Diego, Cahfomia 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad 13-0545 03/19/13 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO 13-0545 JURISDICTION Carlsbad PROJECT ADDRESS 1066 Lighthouse Rd. FLOOR AREA Remodel 120 STORIES 2 Existing HEIGHT No Change REMARKS DATE PLANS RECEIVED BY JURISDICTION 03/07/13 DATE PLANS RECEIVED BY ESGIL CORPORATION 03/11/13 DATE INITIAL PLAN REVIEW COMPLETED 03/19/13 PLAN REVIEWER Ray Fuller FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the California version of the International Residential Code, International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You miay have other corrections based on laws and ordinance by the Planning Department, Engineenng Department, Fire Department or other departments Clearance from those departments may be required prior to the issuance of a building permit Present California law mandates that construction comply with the 2010 edition ofthe California Code of Regulations (Title 24), which adopts the following model codes 2009 IRC, 2009 IBC, 2009 UPC, 2009 UMC and 2008 NEC The above regulations apply, regardless ofthe code editions adopted by ordinance The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 105 4 of the 2009 International Building Code, the approval of the plans does not permit the violation of any state, county or city law To speed up the recheck process, please note on this list (or a copv) where each correction item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. Carlsbad 13-0545 03/19/13 1 Please make all corrections on the onginal tracings, as requested in the correction list Submit threje sets of plans for residential projects For expeditious processing, corrected sets can be submitted in one of two ways 1) Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave , Carlsbad, CA 92009, (760) 602-2700 The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineenng and Fire Departments 2) Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468 Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineenng and Fire Departments NOTE Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineenng and Fire Departments until review by EsGil Corporation is complete 2 Indicate on the Title Sheet of the plans the name of the person responsible for the preparation ofthe plans and all sheets of plans must be signed by the person responsible for their preparation (California Business and Professions Code) 3 Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2010 California Residential Code, which adopts the 2009 IRC, 2009 UMC, 2009 UPC and the 2008 NEC Section R106 2 4 Plans to reflect all new lighting in bedroom to be high efficacy or be controlled by a vacancy sensor or dimmer Generally a high efficacy style affixture is fluorescent, complete with electronic ballasts Regular incandescent, low voltage, quartz halogen and halogen MR lamps do not comply 5 Plans are reflecting a light in the closet This is generally not allowed as must meet the minimum distance from nearest point of storage to edge of proposed lighting a) For comipletely enclosed surface mounted incandescent or LED's -12 inches b) For surface mounted fluorescents - 6 inches c) For comipletely enclosed recessed incandescent or LED's - 6 inches d) For recessed fluorescents - 6 inches 6 Include on the plans the following specifications for anv new electncal devices being installed a) Tamper resistant receptacles required for all new locations b) Arc-fault protection for all new outlets 7 Plans to reflect smoke detector inside of bedroom and outside as well as a carbon monoxide alarm outside Carlsbad 13-0545 03/19/13 8 Note that smoke alarms will be provided in all existing bedrooms, hallways leading to bedrooms and on each floor Section R314 3 1 9 Note that a battery-operated carbon monoxide alarms will be provided outside each separate sleeping area in the immediate vicinity of the bedrooms and on each story Section R315 2 10 Please specify existing window sizes and how they open at loft The proposed bedroom must be shown with a complying egress window for emergency escape Section R310 a) Windows must have an openable area of at least 5 7 square feet with the minimum openable width 20" and the minimum openable height 24" b) The sill height shall not exceed 44" above the floor • To speed up the review process, note on this list (or a copy) where each correction Item has been addressed, i e , plan sheet, note or detail number, calculation page, etc • Please indicate here if any changes have been made to the plans that are not a result of corrections from this list If there are other changes, please bnefly descnbe them and where they are located in the plans Have changes been made to the plans not resulting from this correction lisf? Please indicate Yes ( ) No ( ) The junsdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123, telephone numberof 858/560-1468, to perform the plan review for your project If you have any questions regarding these plan review items, please contact Ray Fuller at Esgil Corporation Thank you Carlsbad 13-0545 03/19/13 [DO NOT PAY- THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PLAN CHECK NO 13-0545 PREPARED BY Ray Fuller DATE 03/19/13 BUILDING ADDRESS 1066 Lighthouse Rd. BUILDING OCCUPANCY R3 TYPE OF CONSTRUCTION VB BUILDING PORTION AREA (Sq Ft) Valuation Multiplier Reg Mod VALUE ($) Remodel 120 53 00 6,360 Air Conditioning Fire Spnnklers TOTAL VALUE 6,360 Jurisdiction Code cb By Ordinance Bldg Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review I I Repetitive Fee Repeats [3 Complete Review • Other j—J Hourly EsGil Fee • Structural Only Hr $97 47 $63 36 $54.58 Comments Sheet 1 of 1 macvalue doc + W CITY OF CARLSBA^ PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www carlsbadca eov DATE: 3/8/13 PROJECT NAME: LOFTINFILL PROJECTID: PLAN CHECK NO: CB130545 SET#: ADDRESS: 1066 LIGHTHOUSE RD APN: ^ This plan check review Is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNIGN Division is required • Yes ^ No You may also have corrections from one or more of the divisions Hsted below. Approval from these divisions may be required prior to the issuance ofa building permit. Resubmitted plans should include corrections from all divisions. []] This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: VCWOODWORKS@GIVIAILCOIVI For questions or clarifications on the attached checklist please contact the following reviewer as marked PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris Sexton 760-602-4624 Chris Sexton@carlsbadca gov 1 1 Kathleen Lawrence 760-602-2741 Kathleen Lawrence@carlsbadca gov Greg Ryan 760-602-4663 Gregorv RvanOcarlsbadca gov Gina Ruiz 760-602-4675 Gma Ruiz@carlsbadca gov Linda Ontiveros 760-602-2773 Lmda Ontiveros@carlsbadca gov 1 1 Cindy Wong 760-602-4662 Cvnthia Wong@carlsbadca gov • • 1 1 Dominic Fieri 760-602-4664 Dominic FienOcarlsbadca gov Remarks: CB130545 1066 LIGHTHOUSE RD KRASOVETZ 120 SF CONVERT LOFT sw •ISSUED •cv Approved Date By BUiiX)iNG PLANNING 5/ar//3 ENGINEERING Fil?E Expedite? Y N AFS Cfiecl<edby Hazl^at APCD Health Forms/Fees sent Reed Due? By Encina Y N Fire V N HazHealthAPCD Y N PE&M Y N Sc^oo' V N Sewer Y N Stormwater Y N Special Inspection Y N CFD Y N LandUse Density ImpArea FY Annex Fattor PFF Y N Comments Date Date Oate Oate Building Planning Engineenng Fire Need? (JO JO CIJU^ \ ">^°"= a Done a Done • Done • Done • Done