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HomeMy WebLinkAbout1027 LIGHTHOUSE RD; ; CB050223; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-24-2005 , Miscellaneous Permit Permit No: CB050223 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1027 LIGHTHOUSE RD CBAD MISC 2145312900 $6,500.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Project Title: / Applicant: Issued: WEBER RESIDENCE Inspect Area: 230 !,;F OPEN OFFICE INFILL @ 2ND FLOOR Owner: WORTHING INC, B. A 201 WEBER EDWARD J JR&SARA L TRS 690 CARLSBA GE DR CARLSBAD, CA 92008 619-729-3965 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES ELEC, MECH PERMIT 1027 LIGHTHOUSE RD CARLSBAD CA 92009 Total Fees: $172.00 Total Payments To Date: $0.00 Inspector:~ FINAL APf'RQV6L Date: CJ ,{,U,,,/F '! Balance Due: Clearance: ISSUED 01/24/2005 MOP 01/24/2005 01/24/2005 $44.00 $128.00 $0.00 $172.00 $172.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as ''fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which 1,ou have nreviousl\J been niven a NOTICE similar to this or as to which the statute of limitations has nreviousl11 otherwise exnired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C,{°' -'2..'2..6 CITY OF C.A:RLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit~ Validated By~ Date l /;JJ-fJ'{)j; ,~ Business Name (at this address) Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use s.a. '. T. rl,. ·. , Z:}:)-:r #of Stories # of Bedrooms # of Bathrooms Address City State/Zip Name Address City S.tate/Zip Telephone# 1$fi'Wti1'.l!li.i>TOR'.i ~tlMfM,1'11' !IA.MS>: (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 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 subje ts the applicant to a civil penalty of not more than five hundred dollars [$500]). . . ' • ,0, 0 . a()l () -'3l!lL :4': iLiW<!RltfflBtic'9'1~~llA'tl01f'i ' 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 tiy-work for which this permit is issued. CJ¥'" 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 carr· r and policy number are: Policy No. 0 C\'.J t'J J J $ -,?DDS Exp;,ation Date / -£) / -D /,, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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: Failura to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimi al penalties and civil fines up to one hundred thousand dollars ($100,000), n to the cost of compensation, damages as provided for in Section 3706 of Labo ::~~~:~if· .i1Biiu1l!J1ctloERi· i!l;o~Ec~· · ~~~~~~~f====::--------,-------,---,------,--DATE µZ-ee:::...J4-_.c,,,.c...,--- tra or's License Law for the following reason: D I, as owner of the property or my e loye 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 Co : Th 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 em lay , provided that such improvements are not intended or offered for sate. If, however, the building or improvement is sold within one year of completion, the o r-builder will have the burden of proving that he did not build or improve for the purpose of sale). O 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). 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. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I 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 _________ _ 'C(!l',ljj~llitl!is,s~c'l'I01fFb$',t(JNiiiU/li£NfiAi..eUJLl!iNQ'~RMltl>'Cllil~Y,·· 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 AND THE AIR POLLUTION CONTROL DISTRICT. Q<i :iQbN!!t~\1!!;1jON:t~i:IJNG,~lllaN¢'(;·;C ,. ' 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 -:c=-:-======------,--...... ---..,--9.',;f,fAPPla.OA!,11':0li!ll'Jllll~TIOi:!(\,J ·;. 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. I 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 commenced within 180 days from the date of such permit or if the building or work authorized such permit is suspended or abandoned at any time after the work is commenced for a d of 180 days (Sec· n 106.4.4 Uniform Building Code). tr·APPLICANT'S SIGNATURE -----"l16,L .... L~_,,,c... _____________ _ YELLOW: Applicant PINK: Finance DATE lns_pection List Permit#: CB050223 Type: MISC Date Inspection Item 09/26/2005 19 Final Structural 04/25/2005 19 Final Structural 04/25/2005 34 Rough Electric 04/21/2005 34 Rough Electric 04/19/2005 19 Final Structural 03/09/2005 17 Interior Lath/Drywall 03/09/2005 18 Exterior Lath/Drywall 03/01/2005 13 Shear Panels/HD's 03/01/2005 14 Frame/Steel/Bolting/Weldin 03/01/2005 34 Rough Electric 02/28/2005 13 Shear Panels/HD's 02/28/2005 14 Frame/Steel/Bolting/Weldin Monday, September 26, 2005 OTHER Inspector Act TP AP JM WC JM AP TP co TP co TP AP TP AP TP WC TP AP TP AP TP co TP co WEBER RESIDENCE 230 SF OPEN OFFICE INFILL @ 2ND FLO Comments OKTO FINAL NEED APPROVED FLR BOX & COVER BOND MTLBOX Page 1 of 1