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Home My WebLink About1072 LIGHTHOUSE RD; ; CB043179; Permitu~? Be~~-City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-10-200~ {'(Q,, Plumbing Permit Permit No: CB043179 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1072 LIGHTHOUSE RD CBAD PLUM Status: Parcel No: 2145314800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: ARCIDIACONO RESIDENCE GAS & ELECTRIC FOR BBQ BELLE TERRE LANDSCAPES STE 110 B 16776 BERNARDO CENTER DR SAN DIEGO CA 92128 619 487-8639 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: ARCIDIACONO JOSEPHINE G 1072 LIGHTHOUSE RD CARLSBAD CA 92009 ISSUED 08/10/2004 MDP 08/10/2004 08/10/2004 $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: $0.00 Balance Due: $47.00 :35~+B 08/10/'.}f J002 0J. Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' o 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave:, Carlsbad, CA 92008 Lot No. Subdivision Name/Number Name Addreu City OIWMNt»tW~I~~~~ FOR OFFICE u::;1:: UNL Y PLAN CHECK NO. C,l{ "~ \ 1 j' EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date_~--------,----- Unit No. Phase No. Total I of units Proposed Use I of Bedrooms I of Bathrooms "' , ' Stat a/Zip Telephone I Fax I . 'I ,. Telephone I (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 l11uance, alao requlrea the applicant for such permit to file a signed statement that he la licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of bivlsion 3 of the Business and ~rofesslons Codel or that he Is exempt therefrom,. end the basis for the alleged exemption. Any violation of Sectlo 7031. by any applicant for a permit subjects the •P.Plica t to a civil penalty of not more than five hundred dollars ($6001). j -H .. c· z Name r'I/ State License I ., ·• /\ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 la Issued. ti I have and will maintain workers' compensation, aa required by Section 3700 of the Labor Code, for. the performance of the work for which this permit Is l{sued. My worker's compensatl~n Ins~• carrier and policy number are: , / / Insurance Co~pany 2,e..v111n JhStu'tG-DCt ' Polley No. it3'i?tn.)()Jk]l-o3/ Expiration Date 1 /2-o I ov CTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR·LESSJ I f 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 ■s to become· subject to the Workers' Compensation Laws of California. WARNING: Failure to -wClflt-■' cornp11p11t1e1,n -ave la unlawful, and 1111111 aubject an employer to crlmklal penalties and clvU fines up to one hundred ~ dollm-a 1•100,000J, In ~•t of ~tlon, damegea .. provided for.In Section 3708 of the Labor code, Inter• t and ■ttorJl!IY'• fNa. SIGNATURE ' DATE • () •O . .. ·1 hereby affirm that I am exempt from the Contractor's License r..w for the following reuon: O I, H owner of the property or my employNs with wages H their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7Q44, Business and ProfelllQn& Code: The Contractor's Uc-• r..w does not apply to an owner of _property who builds or Improves thereon, and who does such work himself or through hla 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-buUder will have the burden of proving that he did not build or Improve foi the purpose of sale) . . Q I, H owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busineaa end Profeaalons Code: The Contractor's License r..w doea not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractcir(sl licensed pursuant to the Contractor', License r..w) • . 0 I am exempt under Section ----~-Bualneu and Professions Code for this reason: 1. I personally plan to provide the major labor and materiel• for construction of the propoHd property Improvement. 0 YES ONO 2. I (heve / have not) signed an application for a building permit for the proposed work. · 3. I have contrected. with the following person (firm) to provide the proposed construction (Include name / addraaa / phone number / contractors license number): 4. I plan to provide portions of th~ work, tiut I have hired the following person to coordinate, supervise and provide the major work (Include name / address / phone number/ contractor■ license number>=------------------------~---------------------- 6. 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 loJKlH!ifjfijf!i'limfflfMB~e'.iif(41{1Wllr- la the applicant or future buildlng occupant requlred to submit a business plan, acutely hazardous materials registration form or risk management and prevention progrem under Sections 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act?-· 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air" quality management district? O YES O NO la the facility to be constructed within 1,000 feet of the outer boundarv of a school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCA TE 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I .certify that I have read the application and state that the above Information la correct and that the Information on the plans Is accurete. I agree to comply with all City ordlnancea and State laws relating to building construction, I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposea. 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 excevatlons over 6'0" deep and demolition or construction of structures over 3 stories In height. X EXPIRATION: Every permit Issued by the building Official under provlsk>ns of lhls Code shall expire by llmltallon and become null and void if the building or work authorlz99 by such permit Is not commenced within 180 days f data of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work Is commenced for a period of 1 (Section 106.4.4 Uniform Building Code). Q \j APPLICANT'S SIGNATURE ---------1-.u.~rJ...J.~--=::::::::..-------DATE ___ u_· .... lu_·_o---) _____ _ PINK: Finance m. . < . ·city of Carlsbad Bldg Inspection Request . . Permit# CB043179 For: 12/29/2004 Title: ARCIDIACONO RESIDENCE Description: GAS & ELECTRIC FOR BBQ Type: PLUM Sub Type: Job Address: Suite: Location: 1072 LIGHTHOUSE RD Lot 0 APPLICANT BELLE TERRE LANDSCAPES Owner: ARCIDIACONO JOSEPHINE G Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 7608040824 Inspector: yV'- Requested By: STEVE Entered By: CHRISTINE 29 Final Plumbing ..f._{:_ ___________________ _ 39 Final Electrical -J----+---- Associated PCRs/CVs lns12ection Histo!Y Date Description Act lnsp Comments 08/16/2004 23 Gas/Test/Repairs AP JM BBQ 08/16/2004 24 Rough/Topout WC JM 08/16/2004 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY 08/16/2004 34 Rough Electric we JM