HomeMy WebLinkAbout2226 MASTERS RD; ; CB971314; PermitciL ~ z rz:z.. 7
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PERMIT HAS EXPIRED IN ACCORDANCE WITH U.ac, SECTION 106.4.4
CITY OF CARLS~~~ (619) 438-1161 2075 ., Las Palmas Dr Carlsbad, CA
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PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECT INFORMATION
Address (include Bldg/Suite #)
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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
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Assessor·s Parcel # Z/2-IC//-z3 Existing Use sr;e. Pr2.e,.osed Use
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Description of Work / SO. FT. #of Stories
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# of Bedrooms #, of Bathrooms
C.. tJ CQ $" , ,LC/Lr /....., tt; __eov,.._,,,,t;, 1/&os.,e::; ,,--
2. C~ACT PERSON (If clff•ent from applicant)
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Name Address City State/Zip Telephone# Fax#
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Name Address City State/Zip Telephone#
4. P OP.iBJV QWNm,_ __ _
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Name Address City State/Zip Telephone #
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(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
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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
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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
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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. Remarks
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