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Home My WebLink About1054 LIGHTHOUSE RD; ; CBR2021-3813; PermitBuilding Permit Finaled Residential Permit Print Date: 04/26/2023 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1054 LIGHTHOUSE RD, CARLSBAD, CA 92011-3410 BLDG-Residential Work Class: 2145314500 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: 1054 LIGHTHOUSE; REPLACE FURNACE (E-REVIEW) FEE Property Owner: VASILIOS B KAMBOUKOS 1054 LIGHTHOUSE RD CARLSBAD, CA 92011-3410 PLUMBING, MECHANICAL & ELECTRICAL PERMITS P/M/E Total Fees: $193.00 Total Payments To Date: $193.00 {city of Carlsbad Permit No: Status: CBR2021-3813 Closed -Finaled Applied: 12/16/2021 Issued : 12/16/2021 Finaled Close Out: 04/26/2023 Final Inspection: 12/23/2021 INSPECTOR: Renfro, Chris Contractor: PRO AIR CITY WIDE-INACTIVE 2514 JAMACHA RD, # 502 EL CAJON, CA 92019-4363 (858) 277-3048 Balance Due: AMOUNT $193.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov CBR2021-3813 l PC Deposit . 12/16/2021 ---- Date .Addres;, __ ~_~4-.....""""'1"-10--=-+.::..:h:.::.o~:: _kd __ ---!.R::.:.d.:i. ..... _Untt? ___ .APN; ______ _ CT/Project#:. ________________ lot #:. ____ Year Built: ________ _ Sfmnklr" ra :(=)te{)NJ NOfW nor Is the area a conversion or change of userOYQN I ORemodel:. _____ SF of affected area D Pool/Spa:. ___ ~SF Additional Gas or EJectrlcaffeatw.r:es? __ _ MY•• .rtf 1'J, li'(!r~.----•·-·-s_o_i ···--A*----_____,,___..---• ;J,·!illf,:'._.a,.IG,...;.....,.;.......,.,w..J--....:..,...:....J,..i,&,,li.u.,...;....i,:,,....:.~1..._._-- Address: 1 S 2 ·.·,·,a c~ U•r Address:,..J,..;~ ..... ---~,....;....~...,..r.loo.l,,.~~-~~-- City: · Le_ bll , · State~ ..... ( _ __,Zip: q 2 City: ' , J,-f State:.,C>4 '✓ho"'«.:1,.L_ __ f[!5-/\ ~jL.Z..__-... __ ,Pnon2:.48Q ·71:c.:i-Gf, 4:r. ___ _ :_1T1a~i_.-·----,_ DESIGi1J PF:.OFESSIQ?';j;\L CONTR;\CTOR Or RECO~D N::~-S:-i._.-.-----------------~:m3flr,ow~t: Wtff: D~1 'fr-iaK) --·-··----'ca,,,:_. _ __,11~. ;'.,.~-··---. _ Jn -.at2 .. , a ,,tJ: .. u,1q ··-· Phone: _____________ Phone: S'S3-;..,;h17-30L.f X: Email• Email: oeo-a I(@ CDx, o&t r .a. ,'..,A~ -lo:r") ,--. Ardllt2ct Snl111_Uq,nse: -~ •·--~-. .,o,_--. .CSLB\:!""1cense~~ .. JL, .... ~:;J< ='Clc:ss~. b<¥····-·· ~""~,__.... Clrlsb,1d Su~---li'cense #OlaqU:r,:d):, f 23 iC:'(~ 1'\'PPLICANTCtRTtf=ICATION: ltertifythatlhavereadtheapplicationandstatethattheoboveinformattoniscorrectandthatthe informattonon the plansfsaccurate. lagreetocomplywlth all City ordinances and State laws relating to building construction. 11151' REV. 07121 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ---------A BUllDING PERMlT CAN BE lSSUEO TO EITHER A STATE UCENSEO COllfrRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORfZATION ORM OR LETTER {S REQUIRED PRIOR TO PERMIT ISSUANCE. {OPTION A}: LICENSED CONTRACTOR DECLARATION: fherebyaffirmunderpenaltyofperjurythat/amlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is f n full force and effect. J also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): Q1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the labor Code, for the performance of the work which this permit ls Issued. Policy No •. __________________________________ _ -OR- ("1 l have and wtll maintain worker's compensation, as required by Sectlon 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ~Y workers' compensation Insurance carrter and policy number are: lnsuranceCompany Name: __________________ _ Polley No. _________________________ Expiration Date: _____________ _ ~OR-~ Certificate of Exemption: I certify that ln the performance of the work for which this permit is issued, i shall not employ any per.;on in any manner so as to become subject to the workers' compensatlon laws of California. WARNING: Failure to sei:ure workers compensation covarai:e is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,00D.OO, In addition th.e to the cost of compensation, damages as prolllded for In Section 3706 of the Lebor Code, Interest end attorney's fees, CONSTRUCT[ON LENDING AGENCY, IF ANY: I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is issued (Sec. 3007 {1) Civil Code). Lender'sName:. __________________ lend.er'sAddress: __________________ _ CONTRACTOR CERT/FICA TION: I certify that/ have read the application and state that the above fnformatlon is correct and that the information on the plans is accurate. I agree to comply with all City ordf nonces and State laws relating to bufldin9 construction. {OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that l am exempt from Contractor's License Law for the following reason: (} !, as owner of the property or my employees with wages as their sole oompensation, will do the work and the structure is not intended or offered for sale {sec. Y044, Business and Professions Code: Toe Contractor's License Law does not apply to an owner of property who builds or lmJ)roves thereon, and who does such work himself or through his own employaes, provided that such lmprovements are not Intended or offered for sale. If, however, the bulld!ng or Improvement Is sold within one year of completion, the owner-builder w!ll have the burden of provlng that he did not bulld or Improve for the purpose of Sl!lle). -OR-O I, as owner of the property, am exclusively contracting wffi1 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 wi1h contractor{s) licensed pursuant to the Contractor's License Law). -OR-O I sm exempt under Business and Professions Code Division 3, Chapter 9, Artlcle 3 for this reason: Ai"ID, 0 FORM 8--61 "Owner Builder Atknowledaement and Veriflcatlon Form• Is required for any permlt Issued to a praperty owner, By my signature below I acknowledge that, except for my personal residence in which ! must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if 1t has not been constructed in its entirety by ncensed contractors.Junderstand that a copy of the applicable law, Section 7044 of the Businessond PrafessionsCode, fsllVailableupan request when thlsapp!fcation is submitted orat the followins Web site: http: I lwww.leginfo.ca.gov/calaw.html. OWNER CERT/A CATION: 1 certify that I have read the application andstatethattheabove tnformatlon ts correct and that the information on the plans ts accurate. f agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): ________ _ SIGN: _________ DATE: _____ _ Note: rf the person signing 11bov11 Is en authorized agantfor the property owner lndudefurm 8-62 slgned by property owner. 1635 Faraday Ave. C&rlsbad, CA 92008 Ph: 760-602-2719 F~: 760-602-8558 Ema!I: Sylldll)g@g1mbadca,gov 2 REV. 07/21 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2021-3813) Permit Type: Work Class: Status: Scheduled Date 12/23/2021 BLDG-Residential Application Date: 12/16/2021 P/M/E Issue Date: Closed -Finaled Expiration Date: IVRNumber: Actual Inspection Type Start Date Inspection No. 12/23/2021 BLDG-43 Air Cond./Furnace Set 173280-2021 Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final Inspection 173281-2021 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS 12/16/2021 06/21/2022 37665 Inspection Status Passed Passed Thursday, December 23, 2021 Owner: VASILIOS B KAMBOUKOS Subdivision: CARLSBAD TCT#92-01 Address: 1054 LIGHTHOUSE RD CARLSBAD, CA 92011-3410 Primary Inspector Reinspection Inspection Chris Renfro Chris Renfro Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1