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HomeMy WebLinkAbout1078 LIGHTHOUSE RD; ; CB981371; Permitll J f3 1 ! ~ h B U I L D I N ' P E f< M : T F-errrit Ne: '-E'iti1371 Froj@c~ No: AJH01bv [J0ve loPmE nt No: PaqE: 1 of 1 Tot Al]dr ess: 10 78 :.IGH ."HOUSE Fcrm1t Type: PATIO/DECK Parcel No: 214-531-49-00 Valuation: 4,009 Occupc:1ncy Group: RD Description: ~94 SF PAT:O COVER Appl/Ownr : BERKLEY, STEPHEN 1015 LIGHTHOUSE RD CARLSBAD, CA. 92009 *** Required *** --------- Fees: Ad1uGtments: Total Fees: Fee descr1pt1on ------------------- Building Permit Plan Check Strong Motion Fee * BU1LDING TOTAL S•..11 te: ~ot#: RPference#: 760 CLEARANCE CITY OF CARLSBAD CoLstruction TypP: VN Status: lSSl'ED Applied: 0">/08/c.ifS Apr/Issur: U5/08/~H 688t?~8~ do(i{ ot1DP02 603-oog:; C-PRMT 117-0◊ .00 ,UJ 117.oo Ext fee uatc:i -.. ----------- 70.G0 46.UO 1. 00 117.0u 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMlT APPLICATION PLAN CHECK NO. ____ _ EST. VAL. ~( 00 7 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ Unit No, Phase No. Total # of units Existing Use Proposed Use Description of Work -SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON Of different from appUcant) Name 3. APPLICANT Name -4- Name Address 0 Contractor D Agent for Contractor frowner Address 6. CONTRACTOR -COMPANY NAME City 0 Agent for Owner City State/Zip State/Zip Telephone# Fax# Telephone# 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 reciuires 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]). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS" COMPENSATION 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. 0 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 ($100) OR LESS) 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: Failure to secure workers· compensation coverage Is unlawful. and shall subject an employer to crtmlnal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE.______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 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 l, 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). 0 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. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. J have contracted with the following person {firm) to provide the proposed construction (include name f address f phone number f contractors license number): PROPERTY OWNER SIGNATURE 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 ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 8. CONSTRUCTION LENDING AGENCY 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 ________________________ _ 9. APPLICANT CERTIFICATION 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. 1 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 com d within 365 days from ate of such permit or if the building or work authorized b such permit is suspended or abandoned at any time after work is enced f r a p o o O ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _..,,~;~~~~2:::,..,~~::2~~~L---------DATE _,S°"'-c~=-.'-'-~'--------- PINK: Finance , PERMIT# CB981371 CITY OF CARLSBAD INSPECTION REQUEST FOR 05/28/98 DESCRIPTION: 594 SF PATIO COVER TYPE: PATIO JOB ADDRESS: STE: INSPECTOR AREA PD PLANCK# CB981371 OCC GRP CONSTR. TYPE VN LOT: APPLICANT: 1078 LIGHTHOUSE RD BERKLEY, STEPHEN PHONE: 760 603-0095 CONTRACTOR: OWNER: REMARKS: B/ILENE/ SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: a ;f PHONE: ~ INSPECTo~U , ACT COMMENTS _14 __ sT _F_r_am_e_f_s_t_e_e_1_f_B_o_1_t_i_n_g_f_w_e_1_d_i_ng_ 1t. h (I) kl,- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 'I, , \ \ v,l ~ ~ ~ " \ \ ------- I -i·s_ ~/1-1/0 -/0 1(," --10 1 g" \ \J.l ~ '- J --l3"10" - --- Z3 1 - ~ 7'6 L,tJ u-rr101A5!/:JR t;,,1 £lS/5d-tJ (:IV qzooCJ (')~ 1''<( ~ti 5 ·8·98 --0 \J\ "" - \-- ... ... co c:, - \;-- ... ' ... ... 0 I..._ I ----L I, ,1,_ -\J) I • •,M N ' ){ ('I I. I' ,,_c1_ __ , e, ____ ----7J ,, 7.f '-+-\" () • ',j 0-),, l ___ J ~ --~ r - ' ~-() "' •\ ~ VI