HomeMy WebLinkAbout1075 LIGHTHOUSE RD; ; CB053565; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-13,!!tJ05-... Plumbing Permit Permit No: CB053565
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1075 LIGHTHOUSE RD CBAD
PLUM Status:
Parcel No: 2145312100 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title: DUPLACK RES-GAS TO BBQ& FIRE
PIT, ELECT FOR FUTURE SPA
Applicant:
MEANS LANDSCAPE, RANDALL A.
1829 VIA QUINTO
OCEANSIDE, CA 92056
619-940-1888
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
0
1
0
Plan Approved:
Issued:
Inspect Area:
Owner:
DUPLACK CURTIS L&DONNA L
1075 LIGHTHOUSE RD
CARLSBAD CA 92009
ISSUED
10/13/2005
RMA
10/13/2005
10/13/2005
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due:
.VAL
Inspector: Date: Clearance:
$0.00
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 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 . . I . .
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. c/;IJ.f 356_'{'
' CITY OF CARLSBAD BUILDING DEPARTMENT
EST. VAL _________ _
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit T
Validated By • Jl} ,///=-
Date /t>/{}J/~
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
# of Bedrooms # of Bathrooms
City State/Zip Telephone #
Name Address City S.tate/Zip Telephone#
--ll■ffiJB~IIS~ri@~E!ti1&~1':~'l'J&+c~;;01~;~;:;;~;~f;~#.tr'.0~~~1 .. ,-~; ~
(Sec. 7031.6 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 7 31.5 by any applicant for a~ subjects the applic nt to a civil penalty of not more than five hundred dollars ($6001).
11-.\ \ 4-.t'\ (_ • I \l -
Designer Name
State License I
Address City State/Zip Telephone
,, ' ,rl!!ili,"li/!Jililll!!i-•lli.~:ev•-~1::;:~~~-
_Wo!Jlers' 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 tha work far 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 compensa~n insurance carrier and policy number are: 1 1 \r' l II l !
Insurance Company $:¼;l.,,, r u,nci Co/½? Tu5-Policy No. w---I Sbo!,50-0 ~ Expiration Date :r__ 1.1, O 7
(THIS SECTION NEED NOT IE 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 1ubject to the Worker,• Compensation Laws of California.
WARNING: Failure to aecure worken' compenutlon coverage Is unlawful, and shall aubject an employer to criminal penaltla• and clvU fine, up to one hundred
thousand d0Uar1 O 00), addition to the coat of compenaadon, damagea u provided for In Section 3706 of the 1-'-.b,r ::~interut and attorney'• fee,.
SIGNATURE ''A.Ml.AA DATE [0 _ f~s:
-• a
I hei'eby affirm that I am exempt from the Contractor'• Ucense Law for the following reason:
D 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
(Sac. 7044, Business end Profesalon1 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 hla own employeea, 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 ownar·bullder 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, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end 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(s) licensed
pursuant to the Contractor's License Law).
D I am exempt under Section ______ Business and Professions Code for this reason:
1 . I par1onelly 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• building permit for the proposed work.
3. I have con_trected with the following ·parson (fiiml to provide the proposed construction (include name/ address/ phone number/ contractors license number):
4. I pJari to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name I address / phone
number/ contractor■ license number): __ ....;. ______________ ~~------------------------------
6. I will provide some of the WOfk, but I have contracted (hired) tha following persons to provide the work Indicated (Include name / address / phone number / type
of work).:_---------------------------------------------------
PROPERTY OWNER SIGNATURE DATE
~11771 '.PRffl'W 1 7i F
la 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 26606, 25533 or 25534 of the Presley•Tannar Hazardous Substance Account Act? D YES D NO
Is the applicant or futuro building occupant roqulrod to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is tho facility to be conatructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
__ .... ___ &iei'.!2.~)1~~itr!~li~.Tim1:'.?1i~;;::ei1:::!i~it1~~tt~ltt:\\~ikf..v;t"i1411ll~ilidlll!!':91B'.~}J:~~,;f:;)J ·:·:;;/a:"~~rlbi.~g;:~:_:i
I hereby affirm that there is a construction lending agency for the performanca of the work for which this permit Is issued (Sec. 3097(i) Civil Code).
I cenlty 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
propeny 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 shell expire by limitation and become null end 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 authorized by such permit is suspended or abandoned
at any time after the work is com n for period of 180 days (Section 106.4.4 Uniform Building Code).
DATE
WHITE: File YELLOW: Applicant PINK: Finance
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City of Carlsbad Bldg Inspection Request
For: 03/09/2006
Permit# CB053565
Title: DUPLACK RES-GAS TO BBQ& FIRE
Description: PIT, ELECT FOR FUTURE SPA
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
1075 LIGHTHOUSE RD
Lot 0
APPLICANT MEANS LANDSCAPE, RANDALL A.
Owner: DUPLACK CURTIS L&DONNA L
Remarks: EARLY AM BEFORE 9:30 PLEASE
Total Time:
CD Description Act Comment
Inspector Assignment: PD ---
Phone: 7604310572
Inspector:~
Requested By: DONNA
Entered By: JANEAN
29 Final Plumbing __eL ____________________ _
~-+~~-39 Final Electrical ±= _ _
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
lns[1ection Histo!Y
Date Description Act lnsp Comments
02/27/2006 19 Final Structural co PD NO PLANS/ NO PERMIT FOR PATIO COVER-CALLED DONNA
10/14/2005 23 Gas!TesURepairs AP PD
10/14/2005 31 Underground/Conduit-Wiring AP PD