HomeMy WebLinkAbout2222 MASTERS RD; ; CBR2018-0947; Permit{city of
Carlsbad
Residential Permit
Print Date: 06/19/2018 Permit No: CBR2018-0947
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2222 Masters Rd
BLDG-Residential
2121412200
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Both rooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
04/19/2018
04/19/2018
Plan Check#:
Final
Inspection: 6/19/2018 8:21:04AM
Project Title:
Description: BREEZE: ADD-ON A/C (CONDENSER & COIL)
Owner: Contractor:
MARK BREESE
2222 Masters Rd
CARLSBAD, CA 92008
BREEZE POINT HEATING AND AIR
CONDITIONING SERVICE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00
1518 Seabrook Ln
San Diego, CA 92139-3960
858-864-3780
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 Carlsbad 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 capacity 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$170.00
·,r (._ Cicyof Building Permit Application Plan Check No. CA~2DI t'.l -(jq t./j_
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 76CMI02 2719 Fax: 760-602-8558
email: bullding@carlsbadca.gov Plan Ck. Deposit
www.car!sb~dca.gQv 4-l9 ,g Date -
JOBADD~ESS Wr~~ /lO. CltiUS/'m 041-. °J,µOR SUITE#/SPACE#/UNIT# I APN /J. :i. 2 ---
CT/PROJECT# 'LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME
1
coNsrn. TYPE
I
acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
1-/0 {o,o~ ./l&r1.. of (U) I~ J !(Pt' --f),.) -
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE rR co7-NING I FIRE SPRINKLERS
9t;Jt,,w ties lfll:l5i/ lfL >' ;ru__:,c I tJe>71 A-t. YES O # __ NOJ{ YES NO □ YES □ N~
APPLICANT NAME (Prtr.,a_ Contact) .. ...,, ./ Jt'!µA, PROPERTY OWNER NAME M.Afl.{<'. b{lE}:;--s! E "• IC '
ADDRESS/ 5/ g 9_,e,>('(,/I..JJO J(__ UrN.t:: ADDRESS dl.2--2-2 Ml'/8 {&YLJ (l1:J •
CITY ~ pff?M STATE ZIP CITYc,t'iZ-U STATE~ ZIP 9 ,;u})) ,P c-14 92131 NrP PHOr~ ~),Rt,'(,$7,Ro i '1 tI4 ) }'HSS"V p"r't,ciJ 1J1 -n17 IFAX
EMAi JtMk,,,._,,..-_ 'j,f(l ~. &OM EMA'L
DESIGN PROFESSIONAL NAME CONlRACTORBUS.~~ {'{)/JV/ ffevffl tJ .( -I-IJ-1::
ADDRESS ADDRES5;q fl .s.1:71-fJ MOIC l/t-NC
CITY STATE ZIP CITY S1\1'f /?fEG;o STATE C1'. ZIP q.21 ;)'7
PHONE I FAX r~iJ>°'> 3>C,f/"37Pt> I'( (p /'1) J 't'J-6S {J1,)
EMAIL t.MAIL ch>ih L,. r" _ q f (!_, 1/)1(1/1,,,;;, · C!,C M I STATE LIC. # STATE UC.# q,iJJ]J I CLASS I Cl{\US. LIC.# C -:2-0 '-Q/f\Qu}2.P
(Sec 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's license Law /Chapter 9, comme_ndm,11; with Secti_on 7000 of Division 3 of the B_usiness and Professions Code) or 01at he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any appl1canflor a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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.
D 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 workers' compensation insurance carrier and policy
number are: Insurance Co ______________________ Policy No ______________ _ Expiration Date __________ _
This lion need not be completed if the permit is for one hundred dollars ($100) or less.
ertificate of Exemption: I certify that i ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of
a. WARNING: Failure to s re workers' comp ation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensa1 n, damages as provided r in Section 3706 of lhe Labor code, interest and attorney's fees.
,8$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D 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 lo 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 contracUng 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}.
□ 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. □ Yes □ No
2. I (have I 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/ contractors' license number):
4, I plan kl provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone I 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 I address / phone I type of work)·
,8$ PROPERTY OWNER SIGNATURE □AGENT DATE
:,,¢oMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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.
CONSTRUCTION LENDING AGENCY
l hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that 1 have read the applir.ation and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all Ci1y ordinances and State laws relating to building construction.
I hereby authorize representative of the Cily 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 pennit is required for excavations over 5'0' deep and demolitian er construction of strucb.Jres over 3 stories in height.
EXPIRATION: Every pennit issued by the Buildi · n pn:MSKlf'ls of this Code shall expi'e by limitation and become null and void if the building or wor1I. authorized by such pennlt is not commenced within
180 days from the date of such permit or if uikling or work auth · ed by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
_65 APPLICANT'S SIGNATURE DATE 1-/f-/f
l
,, ,~ 0 '0 •+/~ { ! ' ' 0 ts
\ ,. : ";''.', . • .,,. PERMIT INSPECTl9'~!'fl!1fORY REPORT ,(CBR2018-0947) . ,
Permit Type: BLDG-Residential Application Dato: 04/1912018 Owner: MARK BREESE
Work Class: PIMIE Issue Date: 04/19/2018 Subdivision: CARLSBAD TCT#91-03
Status: Closed • Finaled Expiration Date: 1211712018 Address: 2222 Masters Rd
Carlsbad, CA 92008-3845
IVR Number: 10810
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
•~-•-•••-•-~•-••m•••••
06/19/2018 06/19/2018 BLDG-43 Air 061384-2018 Passed Andy Krogh Complete
Cond./Furnace Set
BLDG-Final 061386-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
BLDG-Electrical Final Yes
June 19, 2018 Page 1 of1