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Home My WebLink About2234 MASTERS RD; ; CBR2017-1394; Permit~ Print Date: 08/16/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2234 Masters Rd BLDG-Residential 2121412500 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: LARSON: GAS LINE TO BBQ & FIRE PIT IN BACKYARD PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: COOWNER LARSON SCOTT AND SARAH 2234 Masters Rd CARLSBAD, CA 92009 Total Payments To Date: $166.00 Status: Applied; Issued: Finaled: Inspector: 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. Permit No: CBR2017-1394 Closed -Finaled 06/21/2017 JWest $0.00 $166.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING C City of Carlsbad JOB ADDRESS 2?.:11 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# □BUILDING □FIRE Plan Check No.e, Est. Value Plan Ck. Deposit Date APN CT/PROJECT# LOT# PHASE# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet o Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS NO□ YES □No□ YES□No□ APPLICANT NAME PROPERTY OWNER ,e,A) ADDRESS '2,Ut/ /17~ ~ CITY CITY ~,At) STATE ZIP~ PH FAX PHONE FAX EMAIL DESIGN PROFESSIONAL CONmACTOR BUS. NAME ADDRESS A ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL --STATE LIC. # CITY BUS. UC.# (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair an)' structure, prior to its issuance, also requires the applicant for such permit to file a signed statement tliat he is licensed pursuant to the prov1s1ons of the Contractor's License LawJChapter 9, comme_nding with Section 7000 of D1v1s1on 3 of the B_usiness and Professions Code} or fuat he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Comp en Ion Declaration: I hereby affirm under penalty of perjury one of the following declarations· D I have a ill 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 ha 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 ➔--------------____ Policy No. ______________ _ Expiration Date __________ _ Th" section need not be completed~ the permit i Certificate of Exemption: I certify that in th California. WARNING: Failure to secure wo r one hundred dollars ($100) or less. 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 rs' comp en tion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in for in Section 3706 of the Labor code, interest and attorney's fees. VI']./ I hereby affirm that I am exempt from Contractor's □ □ □ 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). 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). 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. Oves 0No 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 construcLion (include name address / phone I contractors' license number)· 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name/ address I phone / 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 / address I phone I type of work)· RS PROPERTY OWNER SIGNATURE □AGENT DATE ,, Is the applicant or fut~re 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 applic8nt or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No ls 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. I certify that I have read the application and state that the a 1 hereby authorize representative of the City of Cartsbad to e AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OSHA: An OSHA permit is required for excavations over 5'0' EXPIRATION: Every permit issued by the Building Official un 180 days from the date of such permit or rr the building or work information isconect:and that the infomlatlon on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to building construction. r upon ~e-e menooned propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD NSES H MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT and ilion or coostruction of slrucb.Jres over 3 stories in hejJht the p · ions of this Cooe shall expire by limitation and become null and void rr the building or work authorized by such permit is not commenced within th zed by such permit is suspended or abandoned at any time after the work is commenced for a eriod 180 days (Section 106.4.4 Unifonn Building Cooe). _6$ APPLICANT'S SIGNATURE DATE l.t -Z,/ r-:Y- • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Ca~sbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY Carlsbad STATE ZIP CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS □PICKUP: o CONTACT (Listed above) ["J OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#F------------ □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE / NO CONSTRUCTION □MAIL/FAX TO OTHER: ________________ _ □ CHANGE OF USE/ NO CONSTRUCTION ~APPLICANT'S SIGNATURE DATE Pcr•1,,1 'typo: BLDG-Residential Apptic<ltion Dato: 06/21/2017 Werk C!ass: P/M/E Issue Date: Status Closed -Finaled Expiration Date: 12/19/2017 Scheduled Date Actual Start Date 06/22/2017 06/22/2017 08/16/2017 08/16/2017 August 16, 2017 IVR Number: 4560 Inspection Type Inspection No. BLDG-23 Gas/Test/Repairs 026992-2017 BLDG-Final lnspectlon Checklist !tern BLDG-Building Deficiency 031799-2017 Ctwck1ist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Jonathan West Paul Burnette COOWNER LARSON SCOTT AND SARAH CARLSBAD TCT#91-03 2234 Masters Rd Carlsbad, CA 92008-3845 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete ----·--······•· Page 1 of 1