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HomeMy WebLinkAbout2230 MASTERS RD; ; CB972903; PermitB U I L D I N G P E R M I T Permit No: CB972903 Project No: A9703688 Developmenr No: 10/03/97 12:00 Page 1 of 1 Job Address: 2230 MASTERS RD Permit Type: PATIO/DECK Parcel No: 2121 141-24-00 Valuation: 3,713 Suite: Lot#: 9841 10/03/97 0001 01 C-PRHT Construction Type: 02 105-00 Occupancy Group: Reference#: Status: Applied: NEW ISSUED 10/03/97 10/03/97 JM Description: COVERED PATIOS TOTAL 550 SF Apr/Issue: Appl/Ownr : DEARBAUGH CLIFFORD 2230 MASTERS ROAD CARLSBAD, CA 92009 *** Fees Required *** Fees: Adjustments: Total Fees: 760 Entered By: 438-1249 ~--~-Eees Collected & Credits ,00 .00 105.00 *** Fee description Building Permit Plan Check Ext fee Data Strong Motion Fee * BUILDING TOTAL 63.00 41.00 1. 00 105.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCQRDANCE W\111 u.a.c. sECTIOMtOIAA \;,ax.. _ S1GNA1URl--~..----O~__.__.....-- FINAL AP · OVAL :s?. ____ DATE __ _ '"'LEARANCE -------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No. ~ 7 Z?o:: CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATl(!N cA1-;,o ffiq~tei,.<; Rd. Address (include Bldg/Suite #I Yee;. Business Name (at this address) Je, wes:kv-1,~ Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units #'of Bedrooms # of Bathrooms '2;,, CONTACT PER$0N llfdlfforent ...... ..,.,._., ,:ti:~ Ttt1C:M!: ?»4 m•"'j'"" e1. v,~:½, CA 91® ll,O "Q,D•Oll'l, State/Zip Telephone# Fax# CA ct'loM "71,0 -C\?,0-0111 Name Address City State/Zip Telephone # CA 91DZ>$ 71,,0-42,'i, -11.49 Address City State/Zip Telephone# ~.,-, 'CONTIIACTDli"'COMPANY'NAle"""''' (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 far 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 7031.6 by any applicant for a permit subjects tha applicant to a civil penalty of not more than five hundred dollars !$6001). Name Address City State/Zip Telephone# State license # _________ _ license Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WDRKeliS: <=DMPINSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 1 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______________________ Policy No._____________ Expiration Date _______ _ (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 shalt not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: FaUura to ncure workers' compensation coverage ls unlawful, and than subject an employer to crlmlnal penattlas and clvll fines up to one hundred thousand dollars ($100,000I, In addition to the cost of compensation, damagu as provided for In Section 3708 of the labor coda, lnterHt and attorney's feH. SIGNATURE______________________________ DATE ________ _ 7. OWNERCBUIL1>Ell 11ECIAilll.TION- I hereby affirm that I am exempt from the Contractor's license law for the fotlowing reason: CE("' 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, 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). (lt" 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(s) 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. D 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 / 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 I contractors license number): ________________________________________________ _ 6. l will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name / address / phone number / type of work):, __________ ~~~-~~...,....,~--~------------------f--~;-------------~~~=::~E:;~:;~ii?B~LD~'=~Jb DATE _,j_,~,_,?ZL.~.,;_,,1."'~-'-l-1--- ls 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, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. re:; .. ·.i!)()NSTRUCTION:I.ENl>INll1iMIEN~··,·, ... ;;;,;: ,.<L .... ·i;, "' .. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ______ ~------------------ 'S'i' •· ,;o.1'PUCAN't"ceiml'ICA~N,,.'t ' I certify thet 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 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit · sued by the uilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such per is not c m enced within 365 days from the date of such permit or it the building or work authorized by such permit is suspended or abandoned at any time after cbmmenced for a period of 180 days (Section 106.4.4 Uniform Building Code). • DATE \ 0 • 2-'ii ~~~'--~'--------APPLICANT'S SIGNATUR WHITE: File YELLOW: Applicant PINK: Finance 09/28/98 DATE 12/16/97 INSPECTION HISTORY LISTING FOR PERMIT# CB972903 INSPECTION TYPE Final Structural INSP ACT COMMENTS RB co NO FTG INSP/ND 6 11 CLEAR FR POS HIT <RETURN> TO CONTINUE ..• PERMIT# CB972903 DESCRIPTION: COVERED PATIOS TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 12/16/97 TOTAL 550 SF JOB ADDRESS: 2230 MASTERS RD APPLICANT: DEARBAUGH CLIFFORD PHONE: STE: INSPECTOR AREA PLANCK# CB972903 OCC GRP CONSTR. TYPE NEW LOT: 760 438-1249 CONTRACTOR: r / PHONE: OWNER: .J 1)-e..,_q_ ff r ea..,... PHONE: /) l7 REMARKS: C/JESS/599-1134 INSPECTOR /"'S,_ 6 SPECIAL INSTRUCT: THE PERMIT IS IN BBQ IN THE BACK YAR~D--~.'---'..._.i...::::._ ____ _ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural CO I, ktlf-h;'z--J;-..a.,S,E 1 ==== == ============================== = "'· ftt;:h ,, r--;l;~--?------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ' CITY OF CARLSBAD N OTI-CE 438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE DATE TIM..._ _______ _ LOCATION~ :2 3 Q 7 7 " ' /~: e/4 <1<'a 7' l:z.tv z ' / ,L ,( ti ( e lc:r t.C ._ Odtcee:: C I Cl C2 ,_,,cg__ /-~ > s / (-, j t~;,n C / ~ "'l:l, , ----·-FOR INSPECTION CAL~-INSPECTION FEE DUE? □ YES FOR FURTHER INFORMATION, CONTACT ______ _ t) ..,---,, BUILDING IN~ PHONE CODE ENFORCEMENT OFFICER • .,,,.,:,,,, .. ,,•~',M"' .I/ '-5. 0 J_'i --'- P 244. 6 Gri,., ;:--:-:. 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