HomeMy WebLinkAbout2250 MASTERS RD; MP; CB960143; PermitC[-JJ· 31 JI O "I g 3
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Job Ad<Jiess: 2250 MASTERS RD
Fermit Type: ELECTRICAL
Parcel Nv:
Valuation: 0
f-'ERMI': Permit
t'IOiE-C'"t
r<\f' D-velor:>1nent
Suite: ,'>'
:::.ot#:
Nu:
No:
No:
..._· ' (-.tt, 0 l 4 1
A 9.., (Ju~;_ ,
oc,::upanry Group: Reference#:
Construction ~ype: NEri
Std.tus: l.:,SllE[J
Applied: 01/24/96
Apr/Issue: 01;24/9b
f:.ntere(1 By: RMA
bl9-">49-31c b
Descriptidn: METEF< PEDISTAL
Appl/Ownr : ~HEA HOMES
10721 TREENA ST, STE lOO
SAN DIEG, CA 92131
->.*A F'ees Required f'ef:c; t·o 11 &q_ted ~ ere, lits
Fees:
Adjustments:
Total F'e,~s:
Fee description
Enter "Y" for Electric
Enter 'Y" for Tempor
* ELECTRICAL TOTAL
Tot1J. creuit;s :
Total Payrr:l?.n~s:
B::\lance I.'>ue:
Units F'ee/Unit
.00
.00
20.00
Ext fee Data -----~~---~ -~--~---~-------~------------------
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
10.0U Y
10. OU Y
20.0U
PERMIT APPUCATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
From List l (see back) give code of Permit-Type: ___________ _
---------------------------------------------------------
For Residenri3] Projects Onlv: From Use 2 (see back) give
Code of Structure-Type: -------------------
Net Loss/Gain of Dwelling Units
2. PROJECT !NFORMA'TION FOR OFFICE USE ONLY
Address 2250 Masters Road
Nearest Cross Street El Camino Real
Building or ::,uHe No.
LWAL D£SCRlPII0N l.Dt No. Su6dlVls1on Name/Number Unit No. Phase No.
Next to L32 across L57 Carlsbad Tract 91-3 "Evans Point" CHECK H£WW IF S0BMI I 1£0:
□ 2 Enerzy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARGEJ
DESCRIPTION OF WORK !fieter Pedestals
EXISTING USE PROPOSED USE
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN IACI PmstJN (1[ dUterent from appJlcan[J
NAME (lase name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPLiUiNI UWNlltACIOR OAGENI FURWNIRACIOR DOWNER OAGENI FDR OWNER
NAME (last name first) Shea Homes ADDRESS 10721 Treena Street, Suite 200
ZIP CODE 92131 DAY TELEPHONE (619)549-3156 CITY San Di~o STATE CA
S. PROPfj[ IV OW Shea Homes ADDRESS 10721 Treena Street, Suite 200 NAME (last name first)
CITY San Diego STATE CA ZIP CODE 92131 DAY TELEPHONE ( 619) 549-3156
NAME (last name first) Shea Homes ADDRESS 10721 Treena Street, Suite 200
CITY San Diego STATE CA ZIP CODE 92131 DAY TELEPHONE ( 619) 549-3156
UCENSEC!ASS CITY BUSINESS UC. # STATE UC.# 640934
DFSIGNER NAME (last name lust) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WOHRFJtS WMPt:NsA hUN
Workers' Compensauon Declarauon: I hereby aiiirm that I have a ceruhcate of consent to setl-msure issued by the Director of lndusmal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with rhe Building inspection Department (Section 3800, Lab. C).
Insurance Company of the State of PA ~8406453RA NovPJTiber l,_1996 INSURANCE COMPANY POUCY NO. EXPIMTION Dliu,
Cemhcate of Exempuon: I cernfy that m the periormance ol the work ior which this penmt is lSSued, I shall not employ any person many manner
so as to become subject to the Worken' Compensation Laws of California. _ _
SIGNATURE DATE
8. OWNER-BUllDfJl DECLXAAIION
□
□
Uwner-Bullder Oeclarauon: I hereby aihrm ffial I am exempt from ffie Contractors License Law for the ioiiowmg reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the strucrure 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 conscruct the project (Sec. 7044, Business and Professions
Code: The Conttactors License Law does not apply to an owner of property who builds or improves lhereon, 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:
(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, commencing with Section 7000 of Division 3 of the Business and Professions Olde)
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
SIGNA-=ec~plicant t~l;:;c;; not more than five hundred dollars !:OJ). I' /4J! ~ &§
CoMPLtlt IHIS S~N FOR N0N-RESIDEN IIAL BUILDING P£RMIIS ONLY:
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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF TIIEANSWERS ARE YES, AFINAL CERTIFICATE OF =:t/PANCY MAY NOT BE ISSUED AFTER JULY I, 1989 UNLF.SS THEAPPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CONTilOL D!STIUCT.
9. WNSJR0CJJON LENDING AGl::NCY
I fiereDy aU1rm ffiat there 1s a construction lending agency !or ilie performance of the worK for wmch ffi1s perma 1s issued (Sec 3097(1) CiVH C&ieJ.
LENDER'S NAME LENDER'S ADDRESS
10. APPUG\N I GJUIFICAIION
I cerufy iliat I have read the apphcat1on and state that the above 1mormat1on 1s correct. I agree to comply wuh all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE m SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARISBAD AGAINST AU. UABIIJTIES, JIJDGMENTS, CXJSTS
AND EXPENSES WJUOI MAY IN ANY WAY AOCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIIIS PERMIT.
OSHA; An OSHA permit is required for excavations over S'O" 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 abando d at any ti~fter the work is commenced for a period of 180 days (Section 303(d) Uniform Build~ngj;.ode).I:
APPUCANT'S SIGNATURE /? ~ DATE: ,::_~/~
WI-llTE: File YELLOW: Applicant PINK: Finance
rDULED BUll,DJNG INSPECTlON
DATE I 11..'i/ ; "" INSPECTOR / / /
PERMIT # 9{.p -/ ...J 3 PLAN CHECK# ____ _
JOB ADDRESS 2,2.,5""0 /JJMTI:fM r-.!J
DESCRIPTION ___________________ _
TIME ARRIVE: ----TIME ___ _
jo;E -D-ES_C_R_IPT_IO_N_____ ; cow;~ #
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EVANS POINT
BY SHEA HOMES
WESTERLIES
MODELS