HomeMy WebLinkAbout2222 MASTERS RD; ; CB983694; Permit-------------------------------✓\'?)?;\ C
B U I L D I N G
10/27/98 13:51
Page 1 of 1
Job A ress: 2222 MASTERS RD
Permit Type: ELECTRICAL
Parcel No: 212-141-22-00
Valuation: 0
P E R M I T
Suite:
Lot#:
Perm1 Ne>: CB983694
Project No: A9804822
Development No:
Occupancy Group: Reference#:
Confflfur0·t.i.oa Ti· e: VN .-.. 1. l'.!.f 1r!Jt s-0-l I :1)3UED
App }f:'RMT: 10 I 2--W~
Apr/Issue: 10/27/98
Entere• By: MDP
930-1960
Description: ELECTRIC LINE FOR FUTURE SPA
Appl/Ownr: BEERS LOWELL
2222 MASTERS ROAD
CARLSBAD CA 92008
Fees Required
Fees:
Adjustments:
Total Fees:
fee description
Enter "Y" for
Enter "Y" for Re
'Ir. *
760
Collected & Credits
• 00
.00
20.00
Ext fee Data
10.00 Y
10.00 Y
.-----a-----~-------• FINA[ APPROVAL
INS?. _____ DATE ____ _
CLEARANCE
MfiE PREVEN1 ION B0REAtJ
~560 ORIObl WAY, CARLSBAD, CA 92QQ8-Z280
~9) ~31 -2121---
PERMf1"" APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Patmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECT INFORMATION
Addras, Mclude Bldg/Suite #1 J II} I
'-2 J.. J.. /tll tl.!. t~ f 5 r.. o
Legal Description Lot Na. zr;., Subdiwiaion N■melNunlblr
Auessar's P■rcel •
Name AddrNI Cttv
:3, APPLICANT O Camrai:tor O Agant tor CantrKtoT · Ii( Owner -'.Q Agim icw Ownir
Name Addrfls City
4. PROPERTY OWNER,;.;?_ . IV Lo UJefl ~/Jc:, 7-;i...2.,2 ~ /4rs AJ·"··--z:;;,,-;7~ kJ
Name
FOR OFFICE USE ONLY
PLAN CHECK NO. 'l8 ·,3b 'i)f
EST. VAL. _________ _
Plan Cit. Deposit ________ _
Validated By _________ _
Date ____________ _
Unit Na. Ph■HNa. 1 atal • at units
• of Bathrooms
Sta19/Zip Fax,
Tal■phone •
T•phone •
S. CONTRACTOR· COMPANY NAME ----4-"'!" .. ~~~ .......... -.... pz--------~ .. -~ .. ~-----...... ·-.
fSec. 7031.5 Businass ■nd Proteui-Cade: Anv City or Count'f which l'Qllir• a .-mtt to conatruct, .... r. inlpron, damoll■h or l'IP9ir an., strucun, prior ta trs
issu■nca, also reQUiras the aPJJlic1111t for such Plffllit ta file ■ aignld sta1._t 1tat 1111 is liclnaed ......-at the PR!Wiliw of tht Contractor's LiClnN L■w
!Chapter 9, commending wlt'1 Ssction 7000 of Dilli8ion 3 of the Blllin■U and '""9uiw Codll or 1hM he II~ thentram, and tha b■lis for thl alleged
exemption. Any violation of Section 7031,5 by ■ny applicant tor• permit subjects th■ IIPllliCMt to• aivll p■n■lty ot not more th■n ftve hundred doll■tl 115001J.
Name Addrns City 1....,_,
State License• ________ _ Uc:■naa Cius ________ _ cnv a ...... ...._•-------
Designer Name Address Chy
State licenH II ________ _
6. WORKERS• COMPENSATION
Workars' Compensation Declaration: I htl'■l:!Y affirm under pan■tr'f of perjury -of the following lfecl■r■tiGns:
0 I have ■nd will maintain • cenltic:ate of DWNant to Nlf◄n1ure fllf -11-• cornNflAtion • pnnridad by S■ctton 3700 of the labor Code, tor th■ .,.rfllfflltlnca
of the work for which ttu. permit is i1aued.
0 t have and will maintain worksrs' compenaation. as reQUinld by Sectkln 3700 of 1h11 luor Colle, for the ...,_ __ of the WOfll for which this parmlt is
issued. My worker's comp-•tion il'IIUflftC9 carrier and policy number ■re:
Insurance Campany___________________ Policy Na. __________ _ Expntion Dete. _____ _
!THIS SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS rnooJ OR LESSt
0 CERTIFICATE OF EXEMPTION: I certify that in 1M psrtorm■nc■ of the wwk ·tor whidl this PWfflit ill iauad, I atiall not ......., ■ny ....--, in ■ny --sou
to became aubject to the Workers' Co111pa1a■tiDn Law• of California.
WARNING: F■ilura to -wcn■rl' 110...,...licM--■•• II unlllWM. ■nd 1111■11 Rll;lct • __,_ 1111 ....._. ........ ■nd l:lwl tines• to ... .......,
thouHnd dollar• 11100.00Dl, In addition 1111M DDtt of ...................... Pf"idad tor In...._. 3708 ., .. ......, DOde. ....._. ■nd ......,. .... .
SIGNATURE_____________________________ DATE ________ _
7. OWNER-BUILDER DECLARATION . . · ... ,,· •. • . . . ~-:., ... .,_.,,.-. • ". • •· . '""" ,· ·
I hereby 1flirm that I ■m ••empt from the Contractor's licansa Law tot the folowing ,.ssan:
0 I, as owner of the property or mv llfflplov■n with w.,-s ■I tt.ir SClltl compan■11tion, will do the -k and Iha lltnll:lin Is not inlendad or ott..cl tor ....
!Sec. 7044. Bu■inus ■nd Proteni-Code: The c-r■ctor'■ Lioenla Law clDN not apply to an -of prapany who build■ cw ....,.... u.aon, ■net who doN
■uch work himsalf or through his own ■mploYNS, provldad that auch impravemanss.,. not lnlandad or ott..d tor ..... •• ..__, lhe llulldlng • ....,_., 11
sold within one yn, ot completion, the owner-bulldar wll haYa the tluraan of proving that ht did nat 111111d ar im..-tar the SUPON Of ■-Ill.
0 I, as owner of the propany, ■m uclUliMl'f conuacting with linllHd comrsctora 1111 cwtruct lht pr..;■ct IS■c. 7044 • ..__ ■nd Profa■■lam Coda: TM
Con1r■ctor's Licensa Law dou not ■PCIIY to ■n -of propany who builds or ifflp,avaa mer.on, ■nd concrac:IW for ■-h Pfllilcl■ wfth contraatorl■t licalaed
pu1suent to the Contractor's LicanH Law). ~ I am uempt under Saction _____ BusiMa end Pnlt.lions Code for this ,...on:
1 . I personally pl■n to provide the major tabor 1111d matari■l1 for ~on of the propoHCI P,DP■rlV lmpn,i,,en•11. jlJ YES ONO
2. t lhava / have natl lignad an application for • building permit tor the prapmad work.
3. I have contractlld with the following person lfinnl 1111 prowlde tht PNIPONd connruction llnclUda n■rne, ...,_,.,...... nufflbar / contractors lican■e number):
4. I plan ta provide portions ot the -t. but I have hired the following Plf■Dn to r:omdin■te, suparviae end PNMlkl■ .._ llltljar work lindudl ...,. I ■c1c1ras / PhOna number I contractllfs licanse number!: _________________________________________ _
5. I will provide aome ol the work, but I have contracted lhir■dl tha following...,. a, prowld9 th9 won lndlc■lad ......._ 1111me / ..._. / .,._number/ type
orwarkl: -::£. ~
PROPERTY OWNER SIGNATURE67¥~~ DATE /~ ·-;J / -9 ~ •
·COMPLETE THIS SECTION FOR NOIHIIIJIIOBl1I IUILDINQ PElit.irn 0NL y:,:-,,.,........_.. ., .__ ,. . .,....,. -~~··,: ·,-:n:::,..,-••.-,-.. :• ·' · .. ' .. , .......... -~ ...
Is the api,licent or future building 01:!c:up■m ~ to aubffllt ■ tlwinNS ...., ■--, ._..d • .___ , ■1·u al.kc: form or fiall -OllfflW ■net ..,.__,,
program under Sactions 25505, 2S!i33 or 25534 of tha fllullev-T■-HaurllDUs .....,_ ~ Act1 0 YES O NO
•
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB983694 FOR 10/28/98
DESCRIPTION: ELECTRIC LINE FOR FUTURE SPA
TYPE: ELEC
STE:
INSPECTOR AREA
PLANCK# CB983694
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2222 MASTERS RD
APPLICANT: BEERS LOWELL
CONTRACTOR:
PHONE: 760 930-1960
PHONE:
OWNER:
REMARKS: C/KAREN/930-1960
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
31 EL Underground/Conduit-wiring
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-------------------------------------
PHONE:
INSPECTOR ---~-f.:.l3>......a:a--..------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS