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Home My WebLink About2238 MASTERS RD; ; CB972369; Permit08/25/97 07:49 Page 1 of 1 B U I L D I N G Job Address: 2238 MASTERS RD Permit Type: MISCELLANEOUS Parcel No: 212-141-26-00 Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB972369 Pro5ect No: A9703012 Development No: 02 Occupancy Group: Reference#: 8412 08/'ZJ/97 0001 01 Construction f-Y'Rfifr- Status: Applied: VN 30-00 ISSUED 08/25/97 08/25/97 M,DP Description: FOOTINGS FOR FUTURE PATIO Appl/Ownr : PRENTICE CONSTRUCTION 1440 GRAND AVE SAN MARCOS, CA. 92069 *** Fees Required *** ~** Fees: Adjustments: Total Fees: 30.00 .00 30.00 Apr/Issue: 760 Entered By: 744-1823 Fees Collected & Credits Tot~I Gredits: Total Payment:s: Bala ce Due: ,00 .00 30.00 *** Fee description Units Fee/Unit Ext fee Data Miscellaneous Fee #1 * MISCELLANEOUS TOTAL , VAL f >JSP. ,_~_ DATE VS: 1 lGLEARANCE ___ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 30.00 PERMIT 30.00 •• FOR OFFICE USE ONLY 'ERMIT APPLICATION PLAN CHECK NO. il( ~ '2._3 '9' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date,_-'------------- 1. PROjECT INFORMATION Buslneu Name (at this addfessl Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units sn Assessor's Parcel # Existing Use Proposed UH # of Bathrooms Name Address City State/Zip Telephone I Fax# o,, »rue.it.Ht ,· □ eai\iii"aiar1~,□.,A/fitil'.~i;~El~~iM□ gli.iBi!r'~F;c~'i-~~-•.,,,t,eii,M<i!ii'\i\i!Vl"',:",Y ·"·• , , , :: , Name Addrus City State/Zip Telephone I 4. :· ltROP!!Af\t'bWH~II ~i:_::,~,'.'11~ ~~.¥'.) ~~s:ft\l;·',,Jr,"~~-~,r~•:r"'":,;}~~~,,1'!~n.•5~!JE~~"rlfi.:,.-,c~.,~''!a"!: :: · Name Address City State/Zip Telephone I s~" ','"·'CONtRACTOFi<t CbMPANYNAMi!~,.,.'frc: ne:sz-r:cl,~·v-:ir:~ '"'¥\~~~?«••""'17'"'·-•~---.,,_ ·""'"''"'?~;,~~:1-rr!t:I~'"~\~:~}"·?!~::~,~~"t11~;~~~~~ :~)"i,'"1 >~,,:. (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 iasuance, 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 Buslneu and Professions Code) or that he Is exempt therefrom, and the basis for the alleged e ption/2Any viol ion o Section 31.5 by a ~~;;ant or a perm·~';; th ap lica o a civil enahy of im e ~n five hundred dollars (t. ~ ). Name State License I _.~_,{;:,"'-"~='-5":....__ __ _ License Clan -.,;,e,""-------- City State/Zip Telephone I City Bus;nen License # 119 ft, '$2 2- Designer Name Address City State/Zip Telephone State License I _________ _ S. 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 worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDREO DOLLARS 1'1001 OR LESS! D CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit la iasued, I shall not employ i.ny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to 1ecure worilen' compenution coverage It unlawful, and shall aubfect an employer to crirnklal penaldn and ctvll flnu up to one hundred thousand dollars f $100,0001, In addition to the colt of compenutlon, damqu u provkled for In Section 3708 of the Labor code, lnt.,..t and ■nomey'a fen. SIGNATURE _______ -,-,-,--,---------------------,-,--,-,,.,----DATE _________ _ 7. OWNER-BUILDER DECLARAtiON:· .. .,;,;-:, •a_,:~ .c, :c:.:•;~-~q-::;; ";"'.;:'.,'.:·:·,--~.;;'. .. y-·.c "·;,:,i:"::;'.'..: _:, k: ,;, __ , ·::;r.,·, ';-,;,; •;t'ii: ::.;·:;;:-.r:,:~·.,;;.,aa;:,:_;; :·;;,;~:-;:i-_;;.;.,,-~'11;>,~~h ,,; :; .,;:;;.?filf::.lx · I hereby affirm that I am exempt from the Contractor'• 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 Profusions 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 hi• own employNa, provided that auch Improvements are not intended or offered for sale. If, however, the building or Improvement la 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 contracting with licensed contractors to construct the project (Sec. 7044, Buslneas and Profeplons Code: The Contractor's License Law does not apply to an owner of property who builds or improves tha,eon, and contracts for such projects with contractorl•I licensed pursuant to the Contractor's Ucenae Law), D I am exempt under Section ______ Business and Profa11ion1 Code for this reuon: 1. I personally plan to providt 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 propoaed WOJk. 3. I have contracted with the following person ffirm) to provide the proposed construction (Include name / add,na / phone number / contractors llcenae number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supa,vise and provide the mejor work (Include name I addreu / phone number/ contractors license number): ____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persona to provide the work Indicated linctude name / address / phone number/ type of work):, ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ·coMPLETE 1"HiS ·$ECtk)N ,OR ~IUlfbllilfl'i!liMttli'.dNl.1'>\11:~!'l'~t;$ll,:l!~lii''llk-!t!ll!fflil!!,~,!f"""';'~f"o''."'""'~l,cf!l' Is the applicant or future building occupant required to &ubmh a buslneu plan, acutety hazardous materials registration form Of risk management and prevention program under Section1 215505, 25l:.33 or 215534 of the Presley-Tanner HnardaiJI Substance AcCOU'tt Act? 0 YES D NO Is the applicant or future bl.llding occupant requtred to obtain a permit from the air pollution control district or air quallty management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 • •• _.""~. :CONStiitictiON.11END1NG~~GENC\t1,~'.';~}~'~:;'.!!~:V~;':'.~~~~,;~r,~.~;~''.~~'~:':". ,':'.J::,j, ~~i~r~~':"':':'.'i71:.~;::?. '(t;, ~:•T-Jt:~~'.:·c~ " t '""' ':'."'r:: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit It luu1d CSec. 3097(1) Civil Code). LENDER'S NAME ____________ _ LENDER'S ADDRESS. ______________________ _ 19~ .... AP,UCAN'i" 'CERtiflcAtioN•~~~:;:;..;:~~,;c~.~!~~~-"~0 ;1':,r:~i®~~lr'.~'1'4<',f~r~~~~-f;§-:1.a1r,:"'...:;~~;,r,F •-~~--~~ .. ~~~;::-:,?,:' ~,'!'.f."'r::;-;:,·'-{t:~::;n: • ,,~; :;, I certify that I have reed the application and atate that the above Information ii correct and that the information on the plans is accurate. I agrN to comS,,y with all City ordinances and State lawa relating to building construction. I hereby authorize reprNentltivn of the Cltt of C■rfabed to enter upon the above mentioned property for Inspection purpoMa. 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•0• deep and demolition or construction of structures ova, 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 APPLICANT'S SIGNATURE work authorized by such permit is n ommenced within 3 days om the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after k Is co an ad fo,/4""'"°Jfl!r"IIO'days (Section 108.4.4 Uniform Building Codel. DATE -~"'-----''Z-=..::f'._-_'j..._7-+---- vc,, "''"'· 11 ...... ,: ... ,. .... t'II\IV• ,:;,,,..,,.., TIMZ UJllVW: TIMZ tzAW: Cl) t.vt. ! l ,¥ ------------- PIMlN f/11/19 CUc:JllPl'ION 6Jr .. , iiJ,sktio -- . ---·---· AC'l' CCNIIIJITS (ct~ ./.1f -----