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Home My WebLink About2257 MASTERS RD; ; CB972125; PermitB U I L D I N G 07/31/97 11:38 Page 1 of 1 Job Address: 2257 MASTERS Permit Type: PATIO/DECK RD P E R M I T Suite: Lot#: Permit No: CB972125 Project No: A9702684 Development No: ~ r Construction Type: Parcel No: 212-140-07-00 Valuation: 1,890 Occupancy Group: Reference#: Status: NEW ISSUED 07/31/97 07/31/97 JM Description: PATIO COVER 280 SF Appl/Ownr : LANGSTON CONSTRUCTION 2018 VICTORY LANE VISTA, CA 92084 *** Fees Required *** *** 760 Applied: Apr/Issue: Entered By: 855-9583 Fees Collectea & Credits • *** -------------------------------------------- Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 72.00 Ext fee Data 43.00 28.00 1.00 72.00 >ERM.IT APPLICATION FOR OFFICE U~ONLY PLAN CHECK/~~7✓2tz5 EST. VAL. '6' rO CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Depos,~it.__,,.,.__,,,;__.,:.::.,'--'==::.....- Validated B.y!;o.',~-,:,,-:::------ Date. __ ...Lf-,L./."1--..L..~------ 1. PROjECT INFORMATION Address (include Bldg/Suite II Legal Description j} A_ Jc'() ~fll C 01/Pfs, Phase No. Total II of units Assessor's Parcel # Existing Use Proposed r,d f7i # of Bathrooms Name Fax# 11;·c \tiPPUcllkt Name Name i&~-,'"~-coNTRActOR"~ coMPANYNAME~"?~~N~;~~,,,,.-":'~'"'''9~'/;-nl<?O:-¥~•··"'!'~...,.~ ~-,· .,. •··· "'"'" (Sec. 7031.6 Business and Professions Code: Any City or County which requires • permit to construct, aher, improve, demotlsh or repair any structure, prior to Its issuance, also requires the applicant tor such permit to file a signed statement that he is licensed pursuant to the provisions of _the Contractor's License Law IChapter 9, commending with Section 7000 of Division 3 of the Bu,iness and Professions Codel or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Sectio 031.6 by any_ pplica,Jrt for• permi~ subj eta the applicant to a ~lv!I 9'natty of not more than five,JJ~ed dollars l$600)). O 'i9l1 I G' 1 C 7. :Ar .Y.5 ~~ '.)-3 Name State License•./)/ ""7:J'J,2:;) License Class-'--------City Business License # _______ _ Designer Name State License # 8. WORKERS' COMPENSATION Add,ess City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. 0 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. _______ _ (THIS SECTION NEED NOT BE COMPLETEO IF THE PER ~ IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS! ~ CERTIFICATE OF EXEMPTION: I certify that in t erformance 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' Campana ·on L s f California. WARNING: Failure to secure workers' thousand doUars ($100,000 !11111.JILJ.Ellll!!l!!!I_ , and shal aubfect an employer to crlmlnal penaltles and civU fines up to one hwldred don, damages u provided for In Secdon 3708 of the Labor code, lnt_...t and attorney's fHS. SIGNATUR i---4 DATE ________ _ 7. OWNER-BUILOEll DECLARA I hereby affirm that I am exempt f .• :c.?•C!'')' O 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 Profeaslons Code: The Contractor's License Law dou 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•bullder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors ta construct the project !Sec. 7044, Butlness and Profession• Cade: The Contrac 's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorlsl licensed to the Contractor's License Law). am exempt under Section ______ Business end Professions Code for this reason: 1 . I personally plan to provide the majar 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 prapoaed work. 3. I have contracted with the following person lfirml to provide the proposed construction !include name / address / 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 / address / 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 (Include name/ address/ phone number/ type of work):, ______________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE ________ _ 'coMPLETE THIS ·sectioN. f:OR -~'iUlblNB:NiiMltj'~Nli\~~~:frrlf,r,t.1-~:~1,,,~~~~~~~-r~ril~~~~Jr,~ ;;,c•r-~~t{':tfF'.',,1\/:·~~';"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 26505, 25533 or 25534 of the Presley•Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future bl.iildlng occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. i&. . CONstiitictiOtfl.ENDINii1AGDICV.?~~•:~>~-'~?-Jr ··~r;~!~~?~;'"'"'"'"''.'"'"'1 -· .. ····'"·•,'¥·':"l"'"l""'~"i'::':~~: -·•·'ci' ,. .:··'"7 '.'1'''"""·V"'""", · I hereby affirm that there is a construction lending ■gency for the performance of the work for which this permit la issued (Sec. 3097111 Civil Code). I certify that I have rud the application and state that the above Information Is correct and that the lnformadon on the plans Is accurate. I agrn to comply with ell City ordinances and State law• relating to building construction. I hereby authorize repreaentetlves of the Cltt of Carlsbad to enter upon the above mentioned property for lnspactlon 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 C1TY 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 de 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 6 from the date of such permit or If the building or work authori d by sue permit Is suspended or abandoned at any time lifter the work Is c days (Section 106.4.4 Uniform Building Code}. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972125 FOR 08/01/97 DESCRIPTION: PATIO COVER 280 SF TYPE: PATIO JOB ADDRESS: 2257 MASTERS RD APPLICANT: LANGSTON CONSTRUCTION CONTRACTOR: OWNER: REMARKS: C/THOMAS/855-9582 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB972125 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 855-9583 CD LVL DESCRIPTION ACT COMMENTS 11 ST Ftg/Foundation/Piers ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS /JPe,,,,,., To 6e I '1Yc!?/1 // _5/i!!rl I~/ (7 f o, C1 ~,,Yb I/ foo0~c:; lfL--Y/f/y /.A 11 ,0P1r" ! ....-----c Pl.c b~i1~ ~ ~ imu~· COASTAL PERMIT --------·----- • . , .-;,_ 0· . ' . !ll!lll!IS:::;:. tttttu11,1 Jh ii ' . . . . . . . . ' •••••• , ••• , ·--;3 ',';. ,;' ' ' , ·. 1 ;,. (i'_1 ~ ~ • .-,o •. 0 -· ..,-·-r'• .• ... , ,!.: !\t· "· ri·• -~