HomeMy WebLinkAbout2210 MASTERS RD; MP; CB960144; Permit@)clP 3 7J/D 7 </3
B U I L D I N G
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Job Address : 2210 MA::,TERS RD
Pezm1t Type: ELECTRICAL
Parcel No:
Valuation: (l
t-E R M I T
Suite: f'h-f
Lot#:
Fermit No: lS~6Gl44
Project No : A9~Jtl.~D
.,velopmen+:. No :
o.-cupanc-y Gzoup: Ref en•nce#:
Constz uc-t ion 'L'ype: NEW
St<'ltus: t5SIJED
Applied: Ul/ 24/ ➔i:,
Apr/Issue : 01/24/9~
Entered Fy : RMA
619-549-.,156
D0scr1ption : METER PEDI~TAL
Appl/Ownr : SHEA H0ME~
10721 TREENA ST, STE 2JO
SAN DIEG , CA 92131
I<,;..* Fees Required *** ------------------------~
Fees:
Adju$tment::;:
Total Fees:
Fee c]Pscription
20, I
.oo
20 . )0
Enter 'Y" for Electr c-
Ente1 'Y" for Temp0rar y
* ELECTRICAL TOTAL
6'ee-C. >l ,ted o.. Credit:: --~--------------~ -------------------------
)
>
• (, 0
.OU
2U .OO
Ext fee Dc.1tci ~-------------
10.CO Y
10.00 Y
2.1).0U
,----------7
I ~'fl APPRO 'A~/ j I
··J< _D,ATE~
J:.Mr Le. f/s1J6 -$t1,_,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PIAN CHECK NO. er b o , Lf w-
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
From Llst 1 (see back) give code of Permit-Type: ___________ _
---------------------------------------------------------
For Residenrial Projects On!v: From List 2 (see back) give
Code of Structure-Type: -------------------
Net Loss;Gain of Dwelling Units
2. PROJECr INFORMA110N FOR OFFICE USE ONLY
Address 2210 Masters Road 8u11dmg or su1(e No.
Nearest Cross Street El Camino Real
DlliAL DESCRiPliON Loe No. Subd1V1s1on Name1Number Gnu No. Phase No.
Across from L41 Carlsbad Tract 91-3 "Evans Point" CHECK BEWW If S0BMl 11 £0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi
DESCRIPTION OF WORK /1,eter Pedestals
EXISTING 1/SE PROPOSED USE
SQ. IT. # OF STORIES # OF BEDROOMS # OF BA TilROOMS 3. WN IACI PERSON (II duierenf from applicant)
NAME (last name first) ADDRESS
CTIY STATE ZIP CODE DAY TELEPHONE
4. XPPUCANI UWNIRACIUR UXGENI FORCONIRACIOk DOWNER DAGENI FOR OWNER
NAME (last name first) Shea Homes ADDRESS 10721 Treena Street, Suite 200
ZIP CODE 92131 DAY TELEPHONE (619)549-3156 crIY San Di~o STATE CA
S. PROPFltiY OWN Shea Homes ADDRESS 10721 Treena Street, Suite 200 NAME (last name first)
C!1Y San Diego STATE CA ZIP CODE 92131 DAY TELEPHONE ( 619 )549-3156
NAME (last name first) Shea Homes ADDRESS 10721 Treena Street, Suite 200
crIY San Diego STATE CA ZIP CODE 92131 DAY TELEPHONE ( 619) 549-3156
UCENSECUSS CTIY BUSINESS UC. # STATE UC.# 640934
DESIGN ER NAME (las, name hrs[} ADDRESS
crIY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WUkkERS WMPENSX I ION
Workers Compensauon beciarauon: I hereby all arm that I have a cemtlcate oi consenl to seti-msure issued by ihe Director of lndustnai
Relations, or a cenificate of Worker..' Compensation Insurance by an admicted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with rhe Building Inspection Depanment (Section 3800, Lab. C).
IInsNSURANurance Comoany of the State of PA OCB406453RA November l,_ 1996 CE COMPANY POLICY NO. EXPIRATION DAus
Cerfihcate of Eiempuon: I cerofy that m the performance ot the work for whicii lfos permit IS 1SSued, I shaH not employ any person 1n any manner
so as to become subject to the Work.en' Compensation Laws of California. _
S!GNATIJRE DATE
8. OWNE'll•BU[Qjfj( Di?.CI.Al.\AOON
□
□
Uwner•BuUder Declarauon: I hereby afurm ilia[ I am exempt from ihe Concracm?s Llcense Law for uie iollowmg reason:
I, as owner of the propeny 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 propeny 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, che owner•builder will have che burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the propeny, am exclusively contracting with licensed contractors co construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of propeny who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _______ Business and Professions Code for this reason:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NITT BE lSSIJED AITERJlfl.Y I, 1989 IJNLESS TIIE APPUCANT
HAS MET OR IS MEirTING TIIE REQ\JIREMENTS OF TilE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POLLUTION OONTROL D!STRJCT.
9. WNSIRUCiiON LENDING AGENCY
I hereby aU,rm Ulal there 1s a construcuon lending agency for ilie perfonnance of the work ior which this permit 1s 1ssuea (Sec 3097(1) C,VH C&ie).
LENDER"S NAME LENDER'S ADDRESS
lb. APPUCAN I Cl:.RIIFICAIION
I cerufy that I have read the appucauon and stale that the above mlormauon 1s correct. 1 agree to comply wnh all C,ry ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned propeny for inspection
purposes. I Al.50 AGREE ro SAVE INDEMNIFY AND KEEP HARMLESS TilE crIY OF CARISBAD AGAINST AIL IJABWllES, JUDGMENTS, CXlSTS
AND EXPENSES WJilCH MAY IN ANY WAY ACCRUE AGAINST SAID crIY IN OONSF.QUENCE OF TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or a band ned at any p.,e after the work is commenced for a period of 180 days (Section 303(d) Unifonn Build7~
APPUCANrs SIGNATIJRE ~ DATE: C-~
WJ--llTE: File YEU.OW: Applicant PINK: Finance
EVANS POINT
BY SHE A HOMES
WESTERLIES
MODELS