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Home My WebLink About2269 MASTERS RD; ; CB153849; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-09-2015 Permit No: CB153849 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2269 MASTERS RD CBAD PME 2121401000 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: SHIRLEY: GAS LINE FOR PORTABLE BBQ & ELECTRIC FOR 20 AMP CIRCUIT FOR LIGHTING Applicant: PICTURESQUE LANDSCAPE 3100 WILLOWTREE LN ESCONDIDO CA 92027 760-522-9140 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: RACK STEPHEN P&CYNTHIA D 2269 MASTERS RD CARLSBAD CA 92008 ISSUED 11/09/2015 SLE 11/09/2015 11/09/2015 $163.00 $38.00 $0.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: ~ Clearance: $0.00 r-KJllCE Aease la<e r-KJllCE that WM <i )OOI" p,-qed ird~ Ire '"lrrpcsitiori" <i fees, da::lcaicro, """"1,l'jjcn; or c11>;r exa:,icro rer,st.,-o:Jledively rd..-red to as 1ees'=a,s." Yoo have 00 da)s frtm tt-e-lhs pamt""" issuad to p,-dest irrµ,;rua, <i tt-ese -~-If yoo p,-dest lrerT\ yoo rrust fdlo.vthe p,-ctest poarlres set forth in Q:Marrmrt Cale Sedja, 60020(a), a-dfilett-e p,-dest a-d !11yc11>lrrEQ.ired infoorati01 wth tt-e OtyMragerfor ~rg in a::o:roa-u,wth a.tsbad Mridpa Cale Sedja, 3.32.(ll(]. Faltreto tirrayfdlo.vthal ~wll ta" !llysubseq.Ja"t legal acti01 to atta:k, review-, set aside, vtid, er anJ their ilTlX]3itioo. Yoo aa hereb-; FLR11-ER r-KJllFIEDthal )OJ rigt to p,-dest Ire sµadfied fees'=a,s OCESr,.QT" Pl'PLYtov.at..-a-d SBA€f cxrredj01feesa-d "l)OCity dmgss, nor J>arirg, 2Dirg ga:lrg or c11>lr sinril,r Wicai01 ircx;essirg or s..-vre fees in cxrredja, wth lhs p,-qed. t-m OCES IT Pl'Pl Y to "'Y f m have · ·venal\KJTICE ·m1 totn er Wldi lirri icns THE FotLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD { City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Cfo I 5 3 4-°I JOB ADDRESS CT/PROJECT# EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX Est. Value Plan Ck. Deposit Date \l-9-/ SUITEf/SPACEf/UNIT# APN # BATHROOMS TeNANT BUSINESS NAME GARAGE (SF) PATIOS (SF) ZIP CITY FAX EMAIL ZIP CITY EMAIL STATE LIC. # STATE LIC.# ~l.\ SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES□No□ «' (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 jChapter 9, commending 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 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION W rk ' Compensation DeclaraUon: / hereby affirm under penalty of perjury one of the following declarations: ve 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 pennit is issued, ve and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ ~tk:in need not be completed if the permit is for one hundred dollars ($100) or less. L.:J Certificate of Exemption: I certify that in the onnance 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 secure wo e ensatlon coverage is unlawful, and shall subject an employer to criminal penalties and cl vii fines up to one hundred thousand dollars (&100,000), in addiUon to the cost of compensation, da or in Section 3706 of the Labor code, interest and attorney's fees . .Jl5 CONTRACTOR SIGNATURE I hereby afflnn that I am exempt from Contractor's License Law for the following 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 buildir,g 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 lo 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have I have not) s~ned an application for a buildir,g pennit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ 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 I phone/ 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 I phone/ type of work): ,8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 Acr? 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 1,0CKl feet of the outer boundary of a school site? Yes 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. I certtfythat I have iead the application and state that the above information is conectand that the lnfonnation on the plans is accurata I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter UJX)ll the aOOve mentioned property tr insi;ection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is required br excavations 5'0' deep and demolition or ronstruction of struchlres oYer 3 stories in height EXPlR/fflON: Every permit issued by the Bui'din ial under the provisions of this Code shall expire by limitation and beoome null and voi:I Wthe bui'ding orwxk authorized by such permit is not oommenced 'MIilin 180days from the date of such permit or if the ng or ~rized udl pem,lt is suspended or abandoned at any time after the v.ork is commenced for a period of 100days (Sec!On 100.4.4 Uniform Bui'ding Code). ..6$ APPLICANT'S SIGNATURE ,/ DATE I q • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq@carlgbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELNERY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg . .1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed abOve) MAIL/ FAX TO OTHER: _______________ _ ..6$ APPLICANT'S SIGNATURE ASSOCIATED CB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Perm it#: CB 153849 Type: PME Date lnspec!ion Item 04/21/2016 23 Gas/TesURepairs 04/21/2016 29 Final Plumbing 04/21/2016 29 Final Plumbing 04/21/2016 39 Final Electrical 04/21/2016 39 Final Electrical 04/15/2016 21 Underground/Under Floor 04/15/2016 31 Underground/Conduit-Wirin Thursday, April 21, 2016 Inspector AEK AEK AEK Act AP RI Fl RI Fl RI RI SHIRLEY: GAS LINE FOR PORTABLE BBQ & ELECTRIC FOR 20 AMP CIRCUIT F Comments ------------------ Page 1 of 1