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Home My WebLink About1072 LIGHTHOUSE RD; ; CB960147; Permit, B tl I L D I N G PERMIT Permit N0: ~B46J:4, Ol ✓L.5/9b ll'J:"i( 1 Paqe l c,f • J,,b Ackhess: 1tJ72 LivHTHOUSE ~D Perm 1 t Type: MI SCELLANE<..lll::, Pc1rcel No: 2.14 -531-48-00 Valuation: l) PtoJect No: A92.0U124 Development Ne.>: [>r,V90l tj-4 ..;ui t-.,: < ,c-c-upancy Group: Ref ere nee#: Construction "ype: NEW Status: IS~l•ED Appl1c:,id: 0l/2S/~J1) Apr/!~sue: 01/25/96 Entered By: RMA ::.iesc1.· ipt ion: SALES OFFICE CONVERSION TO BE : RETURNED TU GARAGE USE AT COMPLET[uN Appl/Ownr : GREYSTONE HOMES 9 J'-J-27 .:l-9494 495 E RINCON, STE 11S CORONA, CA 91719 Plan Check Number Fees Required *** Feas cat prted & Credit~; * * * Fees: Ad1ustments: Total Fees: Fee description Units • l)) . () () JO.OU Ext fee Dc1ta ------------------------------------------------------------------------ Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 30,UO CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 3L,.OU PE:h~IT FEE Jv.00 PERMl1' APPLlt:ATION PLAN CHECK NO. City of Carlsbad Building DepertEnt I EST. VM.. 2075 Las PalllBS Dr., carlsbad, CA 92009 (619) 438-1161 I. P£ltMII IYPE PLAN CIC DEPOSIT, ________ _ VAUD. BY. ___________ _ DATI! From Llst 1 (see back) give code of Pennie-Type: ____________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJF.CT INFORMATION Address Building or Suite No. Nearest Cross Street CHECK BEWW IF SOBMIIIED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope DESCRIPTION OF WORK /' ,,,. . , t• "\ Tf:/"lf pv/lLI<., f?~ ( P/Jvl 2.8 I .SA.W (lfFtcE. -v:~" 'Y · SQ. FT. # OF STORIES # OF BEDROOMS I NAME (last name first) ADDRESS 'ffS E, /IN<AI #-lf.f: DAY TELEPHONE NAME (last name first) {yr?£'( s,01.1E /.fot,-,EJ"ADDRESS 3/ ?S-F. RrJJuw -If/fr CI1Y C/JRON" STATE CA, ZIP CODE 9/7f/ DAY TELEPHONE (Jo,)'l..]_J, 2 '('I'( S. PkOPF.R.TY oWNmt NAME (last name first) .S" A,t\16 -6\f t\PfltCAt-11 ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME (lase name first) A.,PPUCJ.,t,11'" ADDRESS .SA"1£ AS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC. # UCENSE CLASS CI1Y BUSINESS UC. # DESIGNER NAME (lase name brst) H£"2fa1 AIJIALC,/f ADDRESS I 7't7S' ~/\I l<Ni~E/.I /.sv,ri r•r DAY TELEPHON /'f t!;t!-4'0 STATE UC.# C, /2. 'f'tO Cl1Y -V/iv/G STATE ZIP CODE Workers' COmpensat1on beclarat1on: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Dtrector of lnduscnal 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 Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATE Ceruhcate of Exemptmn: I certify that m the performance of the work for which this penmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNffi-BUllDER DECLAkAlibN □ □ □ Owner-BuUder Declaration: I hereby affmn that I am exempt from fie Confrador3s License Law for the iollowmg reason: I, 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 Llcense 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.). 11 as owner of the property1 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 projects 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 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 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 [$500]). SIGNATURE DATE CUMPLEIE IHIS SECIION FOR NON-RESIDENIIAtB0iilllNC PERMIIS.Q.NLY: 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? □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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANYOFTIIEANSWERS AREYES, AFINM..CERTIFICATI!OF OCCUPANCY MAY NOT DE~ AFl1'.RJUI.Y I, 1989 UNU!SS TIIEAPPUCANT HAS MET OR IS MEIITING TIIE REQUJREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE Alli POll.lJTION CONTROL DISfRICT. 9. WNSIRUCIION LENDING AGRNct' I hereby afhrm that there 1s a constructmn lendmg agency for the performance of the work for wfoch this permit 1s issued (Sec 3097(1) C1vU Code). LENDER'S NAME N ~ LENDER'S ADDRESS 10. APPUCAN I C£R11Ftti I cerufy that I have read the apphcauon and state that the above mformauon ts correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the Cicy of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTlY OF CARISBAD AGAINSf AIL LlABILl11ES, JUDGMENTS, CDSTS AND EXPENSES WlllCH MAY IN ANY WAY Aa:RUE AGAINSf SAID CTlY IN CONSEQUENCE OF TIIE GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 permit or if the building or work authorized by such permit is suspended or ab ndoned at any time fter the work is commenced for a period of 180 days (Section 303(d) Unifonn Built~p:(" APPUCANl"S SIGNATURE v DATE: 1 -j PINK: Finance 0