HomeMy WebLinkAbout2219 MASTERS RD; ; CB992172; PermitCity of Carlsbad
06/10/1999 Patio/Deck Permit Permit No:CB992172
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2219 MASTERS RD CBAD
PATIO
Lot#: 0 2121413500
$3,915.00 Construction Type: NEW
BOERUM RESIDENCE
540SF PATIO COVER PER CITY SPECS
Owner:
Status: ISSUED
Applied: 06/10/1999
Entered By: OT
Plan Approved: 06/10/1999
lss!IGfls ~oPJ#l~Ol 01
Inspect Area: C-PRMT
Applicant:
BOERUM THOMAS M J&SAAVEDRA-BOERU
2219 MASTERS RD
. S"Q~t;JM THO.MAS M J&SAAVEDRA-BOERU
2Z19:MAatERS·RD.
C,1>,RLSBAD CA CARLSBAD CA
92008
760-804-3860
Total Fees:
Building Permit
$101.78
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
TOTAL PERMIT FEES
Inspector:
92008
· Totaf'Payments To Date:· $0.00 Balilnce Due:
$61.08
· $0.00
$39.70
$0.00
$1.00
$0.00
$0.00
$0.00
$101.78
EXPIRf~ PERMIT
PERMIT HAS EY";:;1~:.l, · , · )y:.t,•rr WITH U.B.C.
SECTION 106.~-'
DATE /?{'1/7 --,, -"Jrlt.
FINAL APPROVAL
$101.78
Date: x.. Clearance: -~,.,.)(--',._ __ .
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 Ca~sbad 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
101-78
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Pal mas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO. Cb qq2 /7~
EST. VAL. 3,1 rs
Plan Ck. Deposit.~=~~-----
Validated By Ix
Date ~/0f1
Address (include Bldg/Sule #) Business Name (at this address)
e<,?-! ':I 1:1,ru ~
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use
C '1..
Proposed Use
# of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone # Fax #
11■.11111111111JS1 rra• 11 IWH11 !'J!IIHII i i : I Ell ~-11!!1~~~~[1''.d\~'li::i
Name llll!illll!llll!llil!! Address lllllllillllillliJ City State/Zip Telephone# ,::~~liill■llm~l~-::::e~~;3~
Name Address City State/Zip Telephone #
lllf!lfflllPli"IIIIF?ll flllillli 2177JIVi11111111 11111■11111111 lill J lllllllllillUbii & lll&lltiilllllilllll -
(Sec. 7031.6 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 licenaed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($600)),
Name Address City State/Zip Telephone II
State License II _________ _ License Class ________ _ City Business License II _______ _
Designer Name
State License II
Address City State/Zip Telephone
---~ia--~•'·lit;i~~f~-
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 salt-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 end policy number are:
Insurance Company____________________ Policy No .. ____________ _ Expiration Oat& _______ _
(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: FaUure to aecure workers' compenaatlon coverage I• unlawful, and ahaN subject an emptoyer to criminal panaltlu and clvD flnu up to one hundred
thousand dollars ($100,000), In addition to the coat of companaatlon, damages•• provided for In Section 3708 of the labor coda, Interest and attomev·• fees.
SIGNATURE'iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii DATE ___,,. ]f mrn b u-~J&&J&ll!llal!!IH~-~.' ,~;
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
-QI 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
ft;\c. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bullds 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 contractorts) licensed
pursuant to the Contractor's license Law).
D 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
(]j I (have/ have not) signed an application for a bullding permit for the proposed work.
3, I have contracted with the following person (firm) to provide the proposett construction (include name / address / phone number / contractors licensa number):
PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant r. quired to submit a business plan, acutely hazardous materials registration form or risk management and prevention
progrem under Sections 26505, 25633 or 534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupa t required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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.
-~-flit~11:~~;4J\\/i:.f~t£1--~,,~:,!1
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),
~IP'a'L~
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 excav tions over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the lding Official under the protisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is not c e d within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
APPLICANT'S SIGNATURE
or abandoned at any time after the w,.,.,,,.., .. ,,.".,.,,ce for a eriod of 180 days (Section 106.4.4 Uniform Building Code).
DATE _...,,h"-!('-1'-tJ-J-/.,_J..,_f' __ _
: File YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 6/14/99
Permit# CB991951
Title: BOERUM RESIDENCE
Description: GAS AND ELEC FOR BBQ
Type:PLUM Sub Type:
Job Address: 2219 MASTERS RD
Suite: Lot
Location:
0
APPLICANT BOERUM THOMAS M J&SAAVEDRA-BOERU
Owner: BOERUM THOMAS M J&SAAVEDRA-BOERU
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: 5P
Phone: 7608043860
Inspector: ----
Requested By: TOM
Entered By: CHRISTINE
11 Ftg/Foundation/Piers ,M_ ~IT #' ?9 :J-f 7 :1-
21 Underground/Under Floor z9::e._ ___________________ _
31 Underground/Conduit-Wiring d:£__ ___________________ _
Inspection History
Date Description Act lnsp Comments
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BY:
DATE:
Date:
CITY OF CARLSBAD
PLANNING DEPARTMENT
EXEMPTfROM
COASTAl PERMIT
Signed:
1 UN 01999
Cit . of CARLSBAD
BU LDING DEPT.
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