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Home My WebLink About1078 LIGHTHOUSE RD; ; CB994431; PermitCity of Carlsbad 12/02/1999 Plumbing Permit Permit No:CB994431 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1078 LIGHTHOUSE RD CBAD PLUM Parcel No: 2145314900 Lot#: 0 Construction Type: NEW Reference #: Project Title: BERKLEY RES-GAS LINE TO BBQ Applicant: BERKLEY STEPHEN M&MARY E 1078 LIGHTHOUSE RD CARLSBAD CA 92009 Total Fees: $27.00 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 TOTAL PERMIT FEES FINAL APPROVAL Date: 3-/J-tTi) Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 12/02/1999 RMA 12/02/1999 12/02/1999 $0.00 $0.00 $27.00 $27.00 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 capactiy 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 ou have reviousl been iven a NOTICE slmilar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 27-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C/J Cf{ ftf:J/ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Business Name lat this address) Legal Description Subdivision Name/Number Unit No. Phase No. Total II of units Existing Use Z-Pro~Use Description of Work SO. FT. #of Stories # of Bedrooms II of Bathrooms· Name Address City State/Zip Telephone# Fax II ~~~~ct~ Name Address City State/Zip Telephone # ~~~~;?~1iJit&W4iiMtW,..."'™~.m;J"'~wi~~:ffi¥;~~·~~~~~'.f':t''•'•;······ Name Address City S.tate/Zip Telephone# ~~~-,!L Name Address City State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City Stete/Zip Telephone State License # U°'j-l°1WQ9iCER°lt';flt;;;;, ;(jj:;:_,..;;;.~;::. ~-;:;_;;:;N';;;:~;;s;;;;;g;;~::lfP~E.iimi::3:i~~~0:,~~:1i~:~~";r:'; .;: : .: . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have end will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work tor 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 end policy number are: Insurance Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 19 FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in tha performance of the work tor 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 Califomia. WARNING: Failure to aecure worken' compen•tlon coverage It imlawful, and ahaA ■ubject an amployer to criminal pan■lti■s and civil finea up to one hundred thousand dollars 1$100,000), In addition to the coat of compensation, damages u provided for In Section 3708 of the labor code, lntereat and attorney's fe11. SIGNATURE~;;;::::;:;:,:;:;,;;;;;;;;:;;;;;;;;;;,:::;;;:;;:=:;::::;;;::;;;::;:;;;:;::;:;:;;,;;;::,;:;:;;;;;:;:~;:;;;;;:;;;;;:;;;:;;;~;:;;;:::; DATE ________ _ 'i~'SJJoWffairliuiu>'£it'bECl'.'A"i11(1ftffl_~M~~J1.i.:;,s.;_~~~,.J..."':-1l~-1;,;.-3"J'....),!3-J'l";:;:;~t~~;."l.~•JtP."' ;__":.~;?::;,,7="J"· , .. , ·---"';· '·~ ·' I h~y affirm that I am exempt from the Contractor's License law tor the following reason: Ga'" I, as owner of the propeny or my employees with wages ■s their sole compensation, will do the work and the structure is not Intended or offered for sale {Sec. 7044, Business and Professions Coda: 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 sol~ithin 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). l12J I, as owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Busineas 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 conttactor{sl licensed pursuant to the Contractor's License law). □ 1. 2. 3. I am exempt under Section ______ Business and Professions Code for this reason: / I personally plan to provide the major labor and materials for construction of the proposed property improvement. O YES (9No ~have not) signed an application for a building permit for the proposed work. I ha,v contracted w· the following person (firm) to pro de the proposed constru one number / contractors license number): ,!-,J,4-/,l /N NTA 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 persona to provide the work indicated {include name / address / phone number / type of work): PROPERTY OWNER SIGNATUR lc6MfllE'ti~IS.'S~C1fC1;{~l'R Is the applicant or future building occupant required to submit a business plan, acutaly hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pr .. ley-Tanner H•z~rdous Su~stance Account Act7 O 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 7 O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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 POUUTION CONTROL DISTRICT. :S,~([Nm,\J'c:tj6ij;'@.1N'tf~~@~~~~~~~~;;:1~;;:;,ti?,~+;•~~-:.:":. . I hereby affirm that there is a construction lending agency for the performsnce of the work for which this permit is issued (Sec. 3097{1) Civil Code). LENDER'S NAME_::::;;::;:::;;;;;;;;;;;::;:;;::;;:;;;:;;;;;:;;;;;::;:;;:==== LENDER'S ADDRESS. ______________________ _ , ~ .. ~cANt~~Fi~--~~--eiim§i~ff~~~~n~~~:'k~t!-..f,1T.;:: +{. ·· ::,-:·· _ 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 Cit\' 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 i11ued 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 365 de from the date of such permit or if the building or work authorized by such permit is suspended or absndoned at any time afte_::::::::.;:,,~~~--'5-Z:::::-of 180 days (Section 106.4.4 Uniform Building Code). / ! APPLICANT'S SIGNATURE<:::~~~~~::::..::!::!E~::::'..::2:::::=::'.;2'.:..._____________ DATE --'/._?£_"'--, Z,~L. __ o/--...:'7:...._ ______ _ YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE JNSPECTOU L - PERMIT # 99 t/l/ 3 I . PLAN CHECK# ___ _ JOB ADDRESS /J 1 f UC f!: L/kJ JC (LI) DESCRIPTION ________________ _ CODE DESCRIPTION ACT COMMENTS 25 011-s / ¥-t;,Jkl--