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Home My WebLink About2269 MASTERS RD; ; CB972021; Permit' B U I L D I N G P E R M I T Permit No: CB972021 Project No: A9702565 Development No: 07/22/97 12:49 Page 1 of 1 Job Address: 2269 MASTERS RD Permit Type: PATIO/DECK Parcel No: 212-140-10-00 Valuation: 1,404 Occupancy Group: Description: 208 SF PATIO COVER Appl/Ownr : KEONI LANDSCAPE 1052 KNOWLES AVE CARLSBAD, CA. 92008 *** Fees Required "*" Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 59 .00 ,00 59 .00 Suite: Lot#: Construction Type: Reference#: Status: Applied: Apr/Issue: Entered By : 760 729-5845 VN ISSUED 07/22/97 07/22/97 MOP *** Fees Collected & Credits • Total Credits: Total: P.c1vments: Balance Due: .00 .oo 59.00 *** Units Fee/Unit Ext fee Data 35.00 23.00 1.00 59.00 PROVAL __,_."-"'--_ DATE 7, :1;,:: CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 >ERMIT APPLICATION C::ITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Cru-(s FOR OFFICE USE ONLY I PLAN CHECK NO. qJ ,1._,o'--V EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date -------------- Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Existing Use Proposed Use ~ SQ. FT. #of Stories I of Bedrooms I of Bathrooms Name Addreas Name '4. 'P/IOPEittY·bWN!ft4zi·"rn . oc Name Stata LifOnf• # '-I I ;;)_ ~ ::t._ MI 0fi/)J)I Designer Name "' State License # ________ _ 8. WORKERS' .COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. D I have and Wm 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 ere: Insurance Company____________________ Policy No .. ____________ Expiration Data. _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FDR ONE HUNDRED DOLLARS It 1001 OR LESSI ~ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is iuued, I shall not employ any parson in any manner so es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ure worklrl' compenutlon coverage• unlawful. and lh■I subi■ct an employer to crtrnlnal penaldes and dvll fines up to one hunchd ~:=~:::. o . ~•,:~:t:l::don· -:.: =--m ~c::: .. ~,~~::.::z&¾it::1= :::•.:::, .. I hereby effir that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employns with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044. Busine■s and Profe1sions Coda: The Contractor's License Law don not apply to an owner of property who builds or lmprovu thereon, and who does such work himself or through his own employees, provided that such Improvements era not Intended or offered for sele. If, however, the building or Improvement ls sold within one year of compa~ion, the owner•bullder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISac. 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(sl licen11ed pursuant to the Contractor's Lica,se 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. 0 YES ONO 2. I !have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the foHowing parson lflrml to provide the proposed construction !Include name / addreas / phone number I contractor• licanH number): 4. I plan to provide portions of the work, but I have hired the following person to coon:tlnata, supervise and provide the major work !include name I address / phone number/ contractors llcan11e number):. ____________________________________________ _ 5. I will provide soma of tlla work, but I have contracted lhiredl the following parsons to provide the work indicated Uncklde name/ address/ phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ ·coMPLETETHIS hcttoN·FOR~BfflAl/lilllfblHlfcPE!Mrti'.IINL~'ill"l''J~1','!'~!!'l"'!l!'~~~t!f\1,'lf\!l~,"~:crm'C:J~"~"''7"'.•'t~i'- 1s the applicant or future building occupant required to 1ubmit a business pan, acutely hazardous materials registration form or ri1k management end prevention program under Sections 26505, 25633 or 26634 Of the Prnley•Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future b1.iilding occupam required to obtain a permit from the air pollution control district or air Quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of • school sh:e1 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICAT£ 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 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit ll lasued (Sac. 3097(1) Civil Code). LENDER"S NAME ____________ _ LENDER"$ ADDRESS. ______________________ _ i9·, . ,· "AF'PUCANT CEATifldAtiON~T~7".:""":IY,~::A:::n'f':RJ,F~~l;~'+i'~lj~~:,;,.~r.::-:,-:=~,!l;fk;t.V,J~~,1~~,t,_,e:,:l!"JltT.,'1!.ff•Jti1'\'l'¾;,.~-~:.;~:~ ;;c.~·:''?T";.~ :·· y~·~,·, ;.,. :-:, .. ::.· I certify that I have read the application and stat• that the above Information Is correct and thlt the lnfonnation on the plan11 Is accurate. I agree to comply with all City ordinances and State laws relatlng to buHdtng construction. I hanby authorize reprnentativN of the Ott 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 reQuirad for excavations over 5•0• dHp end demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the BuiJdlng Official under the provisions of this Coda shell expire by limitation end become null end void If the building or work authorized by such permit Is not com d within 385 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after th k Is enc r a period__: 180 days I Section 108.4,4 Uniform BuildlnDgACTodE •l:z /"' ~ ! 9 7 APPLICANT'S SIGNATURE _::;:f,~~~_:},~~S:,.fl::~~-------------/LCX..-....?- \~IUl"l'i::, i::11,.. vi:, I r'I\V• ~ ...... ,, .. ,..... Plr,,,tl( F1,i11nc .. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972021 FOR 07/31/97 DESCRIPTION: 208 SF PATIO COVER TYPE: PATIO INSPECTOR AREA PLANCK# CB972021 OCC GRP CONSTR. TYPE VN JOB ADDRESS: 2269 MASTERS RD APPLICANT: KEONI LANDSCAPE CONTRACTOR: STE: LOT: OWNER: REMARKS: C/JOHN/729-5845 SPECIAL INSTRUCT: TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof ------------------ ------------------------------------ PHONE: 760 729-5845 PHONE: PHONE: INSPECTOR ACT COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS