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Home My WebLink About2214 MASTERS RD; ; CB983715; PermitB U I L D I N G P E R M I T 10/28/98 1:l:10 Page 1 of 1 Job Address: 2214 MASTERS RD Suite: Permit Type: PATIO/DECK Parcel No: 212-141-20-00 Lot#: Valuation: 4 1 176 Occupancy Group: Reference#: Description : 576 SF PATIO COVER TO CITY : SPECS Pe1m1t No: CB98J71~ Proiect No: A9804845 Development No: 2780 10/28/98 0001 01 02 C-PRMT 117-00 Construction Type: NEW Status: ISSUED Applied: 10/28/98 Apr/Issue: 10/28/98 Entered By: BT Appl/Ownr : DAN ROSE 804-9316 2214 MASTERS RD CARLSBAD CA Fees Required *** Fees: Adjustments: Total Fees: es Collected & Credits .00 .00 117.00 *** Fee description Building Permit Ext fee Data Plan Check Strong Motion Fe ~ BUILDING TOTAL ---- 70.00 46.00 1.00 117.00 IT FIN AL APPRO VAL INSP. _____ OATE _____ _ CLEARANCE ____ ====---- -~UAEAt:J 2560 ORION WAY, CARLSBAD, CA 92008-7280 (619) 931 -2121 - PERMIT APPLICATION FOR OFFICE USE ONLY ./ PLAN CHECK NO. 9f S1/ 5 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. L/l 7 k? ,,.,.. Legal Description Subdivision Name/Number Unit No. Phase Na. Total # of units Existing Use " Proposed Use #of Stories # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# Name !!C!L' d,PJ(Qp.RT-YfO,WN!:R Name Address City State/Zip Telephone# tG~ii'' coflm,ll.ctr'~~'eoMfiNY"4M!' /:;:0;c r:' !:;;it': (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit ta 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 subjects the applicant to a civil penalty of not more than five hundred dollars [$500)1. Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name State License # Workers' Compensation Address City State/Zip Telephone 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 the work for 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 and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 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: F111llure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltillll and civil fines up to one hundred thousand dollars [$100,0001, In addition to the cost of compansatlon, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. j :r~~~e!?a~;1~~t~:~0~!!!~!~!; Contractor's License Law for the DATE 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale), ~ as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Lewi. 0 I am exempt under Section ______ Business and Professions Cade for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. ~ ONO 2. 1 (have I e signed an application for a building permit for the proposed work. 3. I have convacted with the following pe!>on (firm) to provide the proposed construction (include name / address / phone number / contractors license numberl: CI/UJ.S. LA,4,VA,/'l~f" £$.Lo&Ji40 { "'4 7,'il-.Ow (IK 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 num erl:_.-_____ -+----------------------------------------- 5. I will provide some of thew rk, but l ti e contrac ired) the following persons to provide the work indicated (include na of workl: _________ __,,..,.. ___ __,.,_ ___ _,_ _________________________ ,__....,..-+---------- PROPERTY OWNER SIGNATURE ®Me~.e!rt'fnil!,$tdttei8'FQR" ·- 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 Act7 D YES D NO Is the applicant or future building occupant rectuired to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer bound,uy of a school site? 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 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(il Civil Code). 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 re 'red for exc vations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issue ilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such per~~s enced within 365 days from the date of such permit or if the building or work authhor~i cl by ch permit is suspended or abandoned at any time afte,'(1e ommenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --b---~~==::::_-_-_-_-_-=--------------DATE I t:J . '&-• WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB983715 DESCRIPTION: 576 SF PATIO SPECS TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 11/19/98 COVER TO CITY STE: JOB ADDRESS: 2214 MASTERS RD APPLICANT: DAN ROSE CONTRACTOR: PHONE: 804-9316 PHONE: OWNER: REMARKS: B/DAN/804-9316 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# CB981515 RW980180 TYPE POOL ROW PHONE: INSPECTOR STATUS ISSUED ISSUED ACT COMMENTS INSPECTOR AREA RB PLANCK# CB983715 OCC GRP CONSTR. TYPE NEW LOT: CD 11 21 23 ST Ftg/Foundation/Piers PL Underground/Under Floor PL Gas/Test/Repairs fte~-~---c, II ----~---Y'.':?l.........a;it1 __ .,..~~,,,.~d ........... 1-f'.___ _______ _ ,..,, T7 / ~ ----------------------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 110498 Ftg/Foundation/Piers ACT INSP CO RB COMMENTS SEE NOTICE ATTACHED ------------•--·· '.' ------ CffYOFCARLSUD NOTICE ... _. BUILDING. DEPARTMENT 2075 LAS PALMAS DRIVE DATE //· ?-z(· '?Jk' TIM ______ _ LOCATION -:).. ?-/y Ma:srr-c R.,/ PERMIT NQ ________ _ ' / j'ci;'4~ ~f/a'.«4'L V~L r -.... ~e 70s &A -e., Cr? aa:rrL... ,2 e-.c i14 .~ f= £vi +j} e_ ez, ~? 77 ' ' 7 J» FOR INSPECTION CALL 438-3101. RE-INSPECTION FEE DUE? □ YES FOR FURTHER INFORMATION, CONTACT ______ _ PHONE '"'~ CODE ENFOACEMENT OFFICEA • ......... -, ....... -.. ··------------------··--.. ··-·"