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HomeMy WebLinkAbout2218 MASTERS RD; ; CB982363; Permit--- B L' I L [l I N G P E Fi. "1 I T Petm~t t,,; ,: CE.n .. lt Pr o J (• < t No : A l tl l' 1 , Developm(.'r.t No: [J/,r ~,,-.,:, Pd.fl: l ot :00 . .. }lib A,idres..,: 2. .11:3 MA5TE~,S RD t"erm1t '..'.'ypt': PArIO/I•EC"f< P1rcPl No: ,.12 14.1.-2•-o l Valuation: 4,-c;OO, 1 ircupancy Gr our.,: f1e~c-r1pt1on: "80 ::-,f PATro Appl/Uwnr : VIIA~CAE~ --l 4 4 SANT A E ~>"'RELLA ~OLANA BEACH CA Fe s Requir0<1 fee.,: AdJu3tmPnt.s: Tot.il E'E-'Pf;: Building Perrriit Plan Chec.t< Stron; i.,otion Fee * Bll[LDING TO::'AL **" Sult, :::.ot#: C, .. mstruc-t ion Typf : VN ::.ta tu::;: I !:.iUE:~ Appllerl: 1 7 / 241 Jl:S Ap.t/:• ... suE•: 01 1 24,, l~ Fr.t-Pr E ~l E,v: •,,r,p 6~9 481 I 9382 07/24/98 ~ijM~l 02 117_00 Od • I 0 117.0) Ext :c:• 7 C . O 0 4b. IIJ 1.J( 1!.7.0J A* I< D trt CLEARANCE--------~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECTINfORMA,IO!I ~ FOR OFFICE USE ONLX c;3 PLAN CHECK NO. 'f b ~ Z~ EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, _____________ _ -z,.z_,, I i' MA.$ } &~>-/Lb ' Ad~ (includ111 Bldg/Suite #) Business Name (at this address) '.::::2 I N t--/ E--F-.A---IIA. ~ \9 ~ I:=- Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # A-T7"" c.,._r-.., ~ VL-' Existing Use $'· 0 ' Description of Work SO. FT. # of Bathrooms 2. g '\::4:::::-zA-,-..,"f"I+ 6-s: ~;.... L--./4 I ~p._ ,.J A-f5 A..--,('.'. Name 3. APP. CANT-': i;a-ton~r•ctor 1,;-,A '-- Name 4. Pl)OfERTY OWNER • /1/\ A-l A-- Name Address ~Q:Ag~mtfor,Contractor .\> Address Address ,5. CONTRACTOR • COMPANV"NAME City D ()wner , .D Agent for Owner State/Zip Telephone # Fax # 4'-6 I e 6 S-L City State/Zip Telephone# (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. A~olation of Section 7031.5 by any applicant for a peJ.mit subjects the applicant to a civil penalty of not more t~an.Jive hundred dollars ($5001). , / 1 LA 2 c.-& ? F < '3 <l--4---S .A-1'.) T:A-E-s ~ u .,t, , qg I t:: er; Sc Name /f ) / ~ °( Address (' City State/Zip Telephone # ____... State License # _0 __ ~_,..~/~-.-,--1/r License Class _., -'--7 • City Business License # / z.._ 0 6 CJ 9 ':,. ----N l L-l ~ M A---:vi.---ocr-, I'/ A c..,; ,, 3 '::r:::b ' 7 3 ~ '7 / "Z---L_ Designer Name Address I City State/Zip Telephone State License # _________ _ 6, RS' COMPENSATION mpensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I ave 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 th~ork for which this permit is issued. ~ 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 P O .::=.; L ~ A.-1 > -, Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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: Failure to aacure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dotlers ($100,000), in addition to the cost of compensation, damages H provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE______________________________ DATE _________ _ 7. OWNER'8UILDER1)ECLARA11ON I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages es 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). D 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(sl licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. 1 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 I 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 _________ _ COMPLETE THIS SECTtON FOIi NON41ESIDEN11AL.8UILDINO'PERMITS ONLY 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? D 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 ANO THE AIR POLLUTION CONTROL DISTRICT . .8. CONSTRUCTION·LENDINO AGENCY , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971il Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ 9. Al'Pl;ICANTCEIITIFICATION 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 ANO 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 · in 365 days fro he of such permit or if the building or work authorized by s ch permit is suspended or abandoned at any time after the work i c Section 106.4.4. Uniform Building Code). WHITE; File YELLOW: Applicant PlNK: Finance PERMIT# CB982363 DESCRIPTION: 580 SF PATIO TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 10/21/98 JOB ADDRESS: 2218 MASTERS RD APPLICANT: VITASCAPE PHONE: CONTRACTOR: PHONE: STE: INSPECTOR AREA DH PLANCK# CB982363 OCC GRP CONSTR. TYPE VN LOT: 619 481-6652 OWNER: PHONE: REMARKS: C/804-0531 INSPECTOR __ 0_1✓ ________ _ SPECIAL INSTRUCT: PERMIT IS ON THE TABLE IN THE BACK YARD TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof ACT COMMENTS ll hrfl L-• ***** INSPECTION HISTORY***** DATE DESCRIPTION 072798 Ftg/Foundation/Piers ACT INSP AP DH COMMENTS PATIO