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Home My WebLink About2219 MASTERS RD; ; CB971704; Permit&\I 1l1tHIP"I 11 I at• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE 0 PLAN CHECK NO."'"'-::.--::z---=-'- EST. VAL. 2 f"' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 . -::7-:-...J-.-J.:..L.<.a<'-+-"L=y~ Address {include Bldg/Suite #) /l Busin~ Name (at this address) ?1 6/...,._,S Yt>f,.Yf"" '1/-? Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units As~sor's Parcel# Existing Use /t, 2 Proposed Use -I< lffA1 ,-J / .J C. Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City Fax# illll~~-■~!!r'lllllll1lil.U'~~-1',~~1,!W~IB'~11'!i,~!1<it' !: Name Address City State/Zip Telephone # ~4'.4~~;;1~1~i~~~Mlli'~di10~-l:hmlf!:ffi!hnm:'.5:ll1}Z¥Ilt'.il1G?NYfff§i~::'ftCii]_> H'.f;f);f i;-~:0j(,ji :J'i:i : :~'-,' '.:,•_:·'-.''., Name Address 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. 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 [$5001). ~ ~ {Q7?.--I ~ Sr ~~ a qu>t 5"'(q--s,s;-(..,. Name JD 11. ,I Address /).., City ' State/Zip Telephone# State License # f..lt/ 0 U'J ? T.. License Class ___ V~------City Business License # / W ~t:j ~ Designer Name Address City State/Zip Telephone State License # _________ _ nll!JRllllll~------~ffiWZliii~f~ml]BiliITTiliill~:rl~~ikill&ll!~Rk~~lm!41b11lrLlt:iiIT~l:?j;;[;[!'.f'.fu~;e1ell1CTLffici~!l;hal1C&~~lli;~f;lf;~'.'.~1;;;:g~S~2Ll H'.:t:;,; :;:;:,;:-r_,i;:J;':, 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 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 nu'!)qer are: / I Insurance Company /w, a, ff: 1'¾: ~ p? f-' A-Polley No. W l ilfD {,lj ~3 /( A--Expiration Data II I .q--, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' companaatlon coverage la unlawful, and shall subject an employer to crlmlnal panaltlea and clvH flnea up to one hundred thousand dollan ($ 0,000)~ addition to the cost of compenaation, damagaa as provided for In Section 3708 of the Labor co~e, Interest and attorney's faea. SIGNATUREiii~iii.i~iiiii~iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii: DATE (e,/J1u/y7 !'tiit0¥~ ~ ~ .,, :.: "~~~;i1;~1BmM~iiiYb~~g~~\ir}ltt~!~~;f;f!!;J:t);::;;;i,;:s:~1j1jf;f:i~4:1j&fW0YJ~~t'.'1r~uJF?i;R~E•~ill!RTI~f±r:c;:::;,~~~<1-::~;{,J4fjiiE:~y:;: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: tr 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 'isec. 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 bullding 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). 0 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(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 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 / 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 I 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 ===---------==-=----,...-,c=,.....-------------DATE _________ _ -------~~arr,m::vv111~~\8fgjj§f{/ljjN!Sm¼Slij££l:&ilITTLlC!ili!&£==i11~«~ilf!djitJ~i~!;~_;'.:j1:iz+1%:1;i~;;fj;f;: Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605, 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 e permit from the air pollution control district or air qualitv management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 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 ________________________ _ 1■ ....... ----■■a■■--■1111;1~1tiilE!llll~·!fiiin~•fiii~i~1~~~7:tr.Hr1~:i~ili~-H~l~~;p--~[•~iJ~K!:ll;!~f~~;;!!!i!Jn•tlt\~H"!~~i,::~~~;;~1~~iltJi~~i~li-!W 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. l 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 ANO 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 within 366 days from the data of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the ~m~cedf or a period of 180 days (Section 106.4.4 Uniform Building Code). / / APPLICANT"S SIGNATURE ---!,~,"-'='-"C....,~====--------------DATE VI )-.0{ "'17 WHITE: File YELLOW: Applicant PINK: Finance ' • PERMIT# CB971704 DESCRIPTION: RETAIN WALL 163 CITY SPECS 222 TYPE: RETAIN CITY OF CARLSBAD INSPECTION REQUEST FOR 09/10/97 SF, LOT 39 JOB ADDRESS: 2219 MASTERS RD APPLICANT: SHEA HOMES CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PY PLANCK# CB971704 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 549-3156 REMARKS: C/DAVE/? SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION 61 MA Footing ---.. L .f?!?~ ------ DATE DESCRIPTION 071697 Grout 071597 Steel/Bond Beam 071497 Footing PERMIT# TYPE CB971816 SFD ACT STATUS ISSUED COMMENTS ltf2 11Jv r-- ·k**** INSPECTION HISTORY ***** ACT INSP COMMENTS AP PY NR PY AP PY PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB rz-/10 i ADDRESS 2ZIC/ M/i c;.rGfl-8, /2{) · RESIDENTIAL RESIDENTIAL ADDITION MINOR ( < $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER f2&7lit/lJIAJ6 WIJU-;,J S 1/}tT 'j?ll-0 6' HIMI} DATE /2 -l(f---97 ENGINEER(lJ. 17)~ C:\WP51 \FILES\BLDG.FRM Rev 11 /1 5/90