HomeMy WebLinkAbout2257 MASTERS RD; ; CB961530; PermitL r u~/ lh 14:1C.,
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Appl/Owr.t SHEA HCJMES
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CITY OF CARLSBAD
Construction ~ype: ~EW
Stat:us: IS· 'f ~>
App;.ied: ob;.'1/'-J,
Apr/Issup: , J/C, 1,
En tc rthl By: RMA
6:9 -'J49 3156
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INS { 1f.L--DATE(_,.,./•n
CLEAF //Li.:-----,
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Department
2075 Las Palaas Dr •• carlsbad. CA 92009 (619) 438-1161
I. PPltMl1 fiPE
From List 1 (see back) give code of Permit-Type: ____________ _
For Residential Projects Only: From Llst 2 (see back) give
Ccxle of Structure-Type: ______________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
BuiJdmg or Suite No.
Nearest Cross Street
i.EGAL DESCRIM ION ~1V1s1on NaJJje/Number ,.,_., ro, vr-C.:r QI-~ Unit No. Phase No.
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PABGE1: EXISTING USE
DESCRIPTION OF WORK {L,t; -.-,.._, ~ I ,-{.. \.V ~ PROPOSED USE
I
SQ. rr. j t,~ ~ # QF smttr!S ll, Z-lilwtt # oF BEDROOMS # OF BATIIROOMS
3. WN IACI PFltSON (I[ amerent from apphcan0
NAME (last name first) ~ ~~ ADDRESS ~ C, -,...1 ~P<. '> ,-
CI1Y ~ 't>~.6'-'" STATE C• ZIP CODE ~ yl '3 j DAY TELEPHONE C, l 'i S°Y "f
NAME (last name first) ",~ ~&"5 ADDRESS I <71 -:2--1 "'t"O-~.,,,._. A S-r. tt. ~
CI1Y S--tst, 1:, I UO STATE C,k ZIP CODE c{-Z,./ ,S. I DAY TELEPHONE lll't 5'"4 "/ :Si S°I,.
S. ~~!~st nar!'e9frst) ~ I\.,, • .~ ADDRESS 101 ?-I '"\R ~ P.. $r-4Fz UV
cITI Se.,-.ibl~'-'o sTATE c;,. zIPCODEa2--1=st DAYTELEPHONE (pt"i: S\-t"'i 51 $"k
6. OON fkACIOR ~.. _
NAME (last name first) ·~ I \e • , • ~ ADDRESS l 0'1 '>-I .--12.-~ ,.._ 1,,-~ ,-0-0
CI1YS.e,....v "'-t::>-.c:!'c,c:> STATE Of.,., ZIP CODE '1':a--1~ I DAYTELEPHONE vl"'i SY"'i "3, 1 .S-!c:,
sTATE11c. # 11cENsEcLASs fl, cI1YBusINEss11c. # ,w1--IA~
ast name 1rst
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LlC. #
7. WOkkEilk OOMPENSAIIUN
workers' compensatmn uec1arauon: I hereby afhrm that I have a ceruhcate of consent to seif •msure issued by the b1recror of Indusrnal
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 the Building Inspection Department (Section 3800, Lab. C). l
INSURANCE COMPANY \,..'!> & <Jr,,,,~ K PP. ro11cv No.Ul 1'/of,L1~110N DATE I\ I \ Ii lo
teruhcate of Exemptmn: I certify that m the performance of the work for which this penmt 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNRk-B0llDEI( bfilXllA:ltuN
□
□
Uwner-BuUder Declaration: I hereby afhrm that I am exempt from the Contractor's License Law for the followmg reason:
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:
(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 Llcense Law (Chapter 9, commencing 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 7031.5 by any applicant for a permit
subjects applicant '?Ja civil penalty of not more than five hundred dollars [$500]). } I
SIGNATURE /f>-t.Pr-lYJY DATE >1 'f
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 ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANYOFTIIE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF oa:I!PANCY MAY NOT BE~ AITERJULY I, 1989 UNLESS TI-IE APPIJCANT
HAS MET OR IS MEIITING TI-IE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POILUTION OONTI!.OL DISfRICT.
9. WNSIROCIION O:NDING AGRNCY
I hereby afhrm that there 1s a constructmn lendmg agency for the performance of the work for whtch thts permit 1s issued (Sec 3097l!J C1VJI Cooe).
LENDER'S NAME LENDER'S ADDRESS
IO. APPLlCAN I C£klfi21CAIIUN
I certUY that I have read the apphcatton and state that the above mformat1on 1s correct. I agree to comply wtth all Ctty ordmances and Stace laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TI-IE CI1Y OF CARISBAD AGAINST AIL LlABIIITIES, JUDGMENTS, CXlSTS
AND EXPENSES WHICH MAY IN ANY WAY Afx:IUIE AGAINST SAID CI1Y IN OONSEQUENCE OF TI-IE GRANTING OF 11DS 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 aha ned at any ti after the work is commenced for a pericxl of 180 days (Section 303(d) Uniform Bu~ f.e).
APPLlCANTS SIGNATURE ~ DATE: e;,_~
YELLOW: Applicant PINK: Finance
PERMIT# CB961530
DESCRIPTION: 163
PER
TYPE: RETAIN
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/17/96
SF RETAIN WALL-SLOPED FILL
CITY SPECS
INSPECTOR AREA PY
PLANCK# CB961530
OCC GRP
CONSTR, TYPE NEW
STE: LOT: JOB ADDRESS: 2257 MASTERS RD
APPLICANT: SHEA HOMES
CONTRACTOR:
PHONE: 619-549-3156
PHONE:
OWNER: PHONE:
REMARKS: MW/DAVID/982-6985
SPECIAL INSTRUCT:
INSPECTOR d"J --l-+--+1 --------
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
CB961386 SFD
STATUS
ISSUED
ACT COMMENTS CD
61
LVL DESCRIPTION
MA Footing kl-------------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
091296 Footing
ACT INSP
AP PY
.. --·-·-· -------~----------
COMMENTS
PLANNING/ENGINEERING APPROVALS
q6 -; f' ~o
PERMIT NUMBER CB c/'6-/ .>3)
ADDRESS Z2 6 J 1/Y ,Cs T~ Rj)
~
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
PLANNER l/ !;mL
ENGINEER @c
C:\WP51 \FILES\BLDG.FRM
TENANT IMPROVEMENT
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
Rev 11/15/90