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HomeMy WebLinkAbout2226 MASTERS RD; ; CB971314; PermitciL ~ z rz:z.. 7 T N A N PERMIT HAS EXPIRED IN ACCORDANCE WITH U.ac, SECTION 106.4.4 CITY OF CARLS~~~ (619) 438-1161 2075 ., Las Palmas Dr Carlsbad, CA tK#Jl/&;3 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION Address (include Bldg/Suite #) Z Z 2 G:. h?A.[Cefl?f FOR OFFICE USE ONL V Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I/ of units 2 7 C A.rz 1..s 8'4P T/l..4 <-r <J' I-3 nl?A/#o, /J/8 7' Assessor·s Parcel # Z/2-IC//-z3 Existing Use sr;e. Pr2.e,.osed Use .J F£ Description of Work / SO. FT. #of Stories /?e,~c:.. # of Bedrooms #, of Bathrooms C.. tJ CQ $" , ,LC/Lr /....., tt; __eov,.._,,,,t;, 1/&os.,e::; ,,-- 2. C~ACT PERSON (If clff•ent from applicant) KOAt=-<.r-/,t.-/-p,,., P./0 .v &7r JZur~~.<j' ;Jv~ Clv1-A v'l/f,4 C-4. ?lf'/J <./7G-/a83 Name Address City State/Zip Telephone# Fax# 3. f- Name Address City State/Zip Telephone# 4. P OP.iBJV QWNm,_ __ _ S-&1;-A 1,Zo.,.... e.r Name Address City State/Zip Telephone # '6, (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 t9,J1 civil penalty of not mora than five hundred dollars 1$600)), 4 z {/ /Z.€ c~.,,...,.f TIZ "'C T.N<f"'. 7 (j 2. :J ~ C.lfve>y 6LvP L-4/?JcJA, C'.4' t(fJII ~'11-3.J~J Name Address City State/Zip Telephone # State License # .S-0 l. I t6 I License Class & ~ I _ /J City Business License # Ro.-v L.A,cl-frC)(. /3J L N. /hn., 1...e-11. Sr dzot r-t NAJ../1e~ CA, ,r-=-z...,..'J'._'P_G'.-,---,Z.-7:_!i'_</}5 '26--&-zfj Address City State/Zip Telephone• 6. W.Q.RKl;RS' COM~ 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. ~ 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 -VA: z: G ~ <..-J ~..P Policy No. / ?-t> Z 9 t; Ci'-.f'f)r Expiration Date / 4 · -/ -?7 !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenaatlon coverage Is unlawful, and shall subject en employer to crimlnal penalties and civil fines up to one hundred thou111nd dollara [$ ,0001, in a I ·on to the cost of compensation, damages as provided for In Section 3706 of the Labor code, lntere1t end attorney's fees. DATE .J -/f:-f' 2 0 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 to an owner of property who builds or Improves thereon, end 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). O 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(sJ licensed pursuant to the Contractor's License Law), O 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 I 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 / address / phone number/ contractors license number): _____________________________________________ _ 5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work I:. _______________________________________________________ _ PROPERTY OWNER SIGNATURE------===:::==:=-::::=---------- DATE _________ _ COWLEIE ~ CJIO OR flON-8,fS/. ,µf,TW_ BUILDINQ. PERMITS ONI,. Y 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 26605, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant 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 O 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. 8. CONSTRUC110N L£N ING AGENCY I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME -:::;:;::::;;::;::::A./;:::;::;:;:::;A;:;::=' :::;::--;;:;;;;;-======-- 9. APPLIC~T CERTIFICATION LENDER'S ADDRESS ________________________ _ I certify that I have reed 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 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 permit Is required for excavations over 5•ow 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at eny time after the ork · comm ced for a period of 180 days (Section 106.4.4 Uniform Building Code), APPLICANT'S SIGNATURE e--¥.r-DATE S -/9~ "J 7 WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB971314 CITY OF CARLSBAD INSPECTION REQUEST FOR 07 /17 /97 DESCRIPTION: 480 SF POOL-GUNITE TYPE: POOL STE: INSPECTOR AREA PY PLANCK# CB971314 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2226 MASTERS RD APPLICANT: AZURE CONSTRUCTION CONTRACTOR: PHONE: 619 697-3363 PHONE: OWNER: REMARKS: C/RICK SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE RW970125 ROW PHONE: INSPECTOR --<:h;2--.---------- STATUS ISSUED CD 53 55 LVL DESCRIPTION ACT COMMENTS SW Electric/Conduit/Wiring SW Fence/Pre-Plaster F--------------------------------------------------------------- DATE 071697 070297 070297 061197 061097 ***** INSPECTION DESCRIPTION Ftg/Foundation/Piers Electric/Conduit/Wiring Underground Plumbing Excav/Steel/Bonding/Fence Excav/Steel/Bonding/Fence i ~-f/ ACT CA AP AP AP AP HISTORY ***** INSP COMMENTS PY CANCELLED BY DANA NF NF PY PY • City of Carlsbad ■3 ,I· 11 ltMlili·I •l4•Eiii ,1£4111 BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CS q ZJ]) <( BUILDING ADDRESS: 2 A J l, Jr? t4 S r € /2.. 5 /<J> , PROJECT DESCRIPTION: Pool J.. S p i4 ASSESSOR'S PARCEL NUMBER: ;) / 2. ~ I</ I --2...] ENGINEERING DEPARTMENT APPROVAL The item you have. submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your submittal; therefore, any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to compl with instructions in this report can result i · of it to build. ATTACHMENTS D Grading Permit Application 0 Grading Permit Checklist \B1(ight-of-Way Permit Application 0 Right-of-Way Permit Submittal Checklist and Information Sheet 111.11spatrnas\Syo\LIBRARY'£NGIWORDIDOCS\CHl<LSW'ool B•ll<l11'Q Planehecl< Cl<IISI CH1<2' Fom, MM.doc Rev.1122196 DENIAL Please se~ ~~ached report of deficiencies marked wit'G.--!'ake necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: Date: By: Date: By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: BRUCE EUBANK City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1161, ext. 4374 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (619) 438·1161 • FAX (619) 438-0894 " ~·~D✓ □ □ □ □ □ □ □ 0 . . BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: ~~orth Arrow ~operty Lines .,,. .......S. Existing & Proposed Structures vrf. Easements o ft, 2. Show on site plan: ✓-,· Drainage Patterns ~ Existing & Proposed Slopes l/C Existing Topography ~;cate what will happen with (3} ~:~1 excavated from pool area µ/ E. Retaining Walls t4 (location and height) Note: If excavated soil is not to be removed from property but regraded on' site. show proposed elevations and slopes. If any portion of retaining walls are over 4' in height, a separate permit is required. Retaining Wall Permit CB 3. Include on title sheet: ~ · Site Address ----- Assessor's Parcel Number Applied for ----Approved C. Legal Description tJ f D. Grading Quantities Cut ____ Fill ___ Import/Export 4. Project does not comply with the following Engineering Conditions of approval for Project No. Conditions were complied with by: Date: GRADING PERMIT REQUIREMENTS The conditions that invoke the need for grading permit are found in Section 11.06.030 of the Municipal code. 5a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, export). 5b. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form attached. Note: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit \\Ulspalmas\sys1LlaRARY1ENG\WOROll)OCSICHKLSTIPool 81Jildlno Planclleck Ckllsl CHK24 Fonn BE.doe Rev. &122196 .. 1ST✓ □ □ □ □ □ □ I Page2 of2 5c. A Grading Permit has been applied for: PE2 Grading Inspector sign off by: 5d. No Grading Permit required. MISCELLANEOUS PERMITS DWG Date: 6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent tot he public Right-of-Way. A separate Right-of-Way issued by the Engineering Department is required / for the following: e oo l /-s: f' ,;----& c..c...> 9 7 -/ LS Please complete attached Right-of-Way application form and return to the Engineering Department together with the requirements on the attached Right- of-Way checklist, at the time of resubmittal. Right-of-Way Permit and Pool Building Permit will be issued simultaneously. 7. 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