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Home My WebLink About2253 MASTERS RD; ; CB032898; Permit1G7'1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-21-20'03 Patio/Deck Permit Permit No: CB032898 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2253 MASTERS RD CBAD PATIO Status: Parcel No: 2121400600 $2,426.00 Lot#: 0 Applied: Valuation: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: BERTOLDI RES 313 SF ICBO PATIO COVER SKYLINE SUNROOMS 8075 ALVARADO RD LA MESA, CA 91942 619-469-9556 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Plan Check#: Owner: BERTOLDI FAMILY TRUST 04-30-98 2253 MASTERS RD CARLSBAD CA 92008 ISSUED 10/21/2003 SB 10/21/2003 10/21/2003 $45.79 $0.00 $29.76 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $76.55 Total Fees: $76.55 Total Payments To Date: $0.00 Balance Due: $76.55 7047 10/21/03 0002 01 CGP Inspector: FINAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 f x Ii n hi h o h v i I Tl E imil r hi h f limi i n h I h ir 02 76-55 FOR OFFICE USE ~~LY PLAN CHECK Nd?Po'\7'd f? PERMIT APPLICATION , CffY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. -Z=-v(.L.......::'l..;_b ___ _ Address (include Bldg/Suite #) Business Name (at this address) legal Description CX) Lot No. Subdivision Name/Number Unit No. Phase No. o:.1.ia -140-ti£)- A,s,ssor's Parcel # rt" -Existing Use .-Jl~-5 Proposed Use 0 l 11111 V\l llY\ \n \l) Description of Work Name Address iii~i''i'lllllli~ll'l>!11~i!Jb1,1!>Ai'l'ili'lilii!i:r' Designer Name Address State License # _________ _ e.;, , WO!i~'cOMJ>l!i'liiAi:!!)l\ii SO. FT. #of Stories City i;'IJ''Qilii,ifu'' :'!Ei':~,i\)°f<)i °""""' City 'cnrti~ City # of Bedrooms City Business License # _______ _ City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Total # of units # of Bathrooms Fax# 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. lJ, I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thr permit is issued. My worker's c=--•p!nsation.,.!!!~~~n~p carrier and policy number are: . ((o() 1179 . . ' I /o I ( 0:3 Insurance Company ~-\€, ~U Polley No._c__ _ _:._;_,_______ Exp1rat1on Date. _______ _ !THIS SECTION NEED NOT BE COMPLETED If THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O CERTIFICATE OF EXEMPTION: 1 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 aacu orkers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred /" thousand dollar 0 ,000 , addition to the cost of compensation, damages as provided for In Section 3706 of t!Jfl.J.. '!_C,-10 " interest and attorney's fees. SIGNATURE DATE / U, QI./. i),3 k" OWN I hereby affirm that I am exempt from the Contractor's License Law for the D t, 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). D 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. J have contracted with the following person (firm) to provide the proposed construction (include name I address I 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 I address / phone number/ 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 / phone number / type of work): ______________________________________________________ _ 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 Act7 D YES D NO ts 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. ~t i;!!<!Nn.t1!iQli11N:Eejiji!fi'li;Ji:;ji~i:Nil:\i',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). I certify that 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 5'0" 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 commence ithin 180 ys from the date of such permit or 1f the buIldIng or work authorized by such perrmt is suspended or abandoned at any time after the work is commenced I days (Section 106.44 Uniform Building Code). {Vhf /(}3 APPLICANT'S SIGNATURE ----./----./------------------DATE __ _,L_ __ /_I _______ _ WHITE: File YELLOW: Applicant PINK: Finance ,. UNSCHEDULED BUILDING INSPECTION DATE 3 ·'-' -o"' INSPECTOR _:S:~00'-L-,L __ _ PERMIT# O::S2 e,q B . PLAN CHECK 1 # ____ _ JOB ADDRESS __ "'1.-=~' ~s~~en~aa..::4~::tir:!U2..eo ..... 4~'b...1.,_~J)~~---------- DESCRIPTION __________________ _ CODE DESCRIPTION ACT COMMENTS M V'lk'u,Lj ,4/4