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Home My WebLink About2273 MASTERS RD; ; CBR2017-1279; PermitPrint Date: 12/06/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2273 Masters Rd BLDG-Residential 2121401100 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: BLADEN: REPLACE WTER HEATER PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 Owner: TRUST BLADEN BARBARA A TRUST 09-12-06 2273 Masters Rd CARLSBAD, CA 92008 Total Payments To Date: $98.00 Status: Applied: Issued: Fina led: Inspector: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBR2017-1279 Closed -Finaled 06/12/2017 06/12/2017 $0.00 $98.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING · {'cityof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD Plan Ck. Deposit Date APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL PROPOSED USE FAX GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS YES□No□ PROPERTY OWNER ADDRESS CONTRACTOR BUS. NAME "A~D~D~R~E~S~S-----------------------------ieA~D~D~R~ES~s-------------~-------------------- CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL (Sec: 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme_nd1ngw1th Section 7000 of Division 3 of the B_usiness and Professions Code) or fuat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: B 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 perfonnance of the work for which this permit is issued. 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 workers' compensation insurance carrier and policy number are: Insurance Co._____________________ Policy No. _______________ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ,,@$ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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- 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm} to provide the proposed construction (include name address I phone I 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 I phone I 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 I address/ phone/ type of work): RS PROPERTY OWNER SIGNATURE □AGENT DATE lo· Id 'I !:OMPLETE 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 SecUons 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify th at I have read the application and state that the above information isoorrectand that the infomlation on the plans isacx:urate. I agreetooomplywith all City ordinances and State laws relatlngto bulldlngoonstructlon. I hereby authorize representative of the City of Car1sbad to enterupoo the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILrTIES, 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 c,-construction of structures over 3 stories in heiJhl EXPIRATION: Every permit issued by the Building Official under the provisions of this Cooe shall expire by limilation and become null and void if the building or work authorized by such pennit is not commenced v.ithin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Cooe). AS APPLICANT'S SIGNATURE ~ ~ t-,_ blc,_J_,;__,,__ DATE ~·}.)_, 7 .~~----------- • 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 building@carlsbadca.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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS D PICK UP: u CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#-------------O MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER: ________________ _ □ CHANGE OF USE/ NO CONSTRUCTION AS°APPLICANT'S SIGNATURE DATE ,f,t-4 ' . 1 , 1J , , t ,iJ \, 0 , , ~ 11 t "i' ·,_:. ( , ~ •'"' ,;; 1PERMIT INSPECTION HISTORY REPpRt·JCSR2017-1279)/ ~ ·. . Permit Tyµo: BLDG-Residential Application Date: 06/12/2017 Work C!a% P/M/E Issue Date: 06112/2017 Status: Closed -Finaled Expiration Date: 12/1312017 IVR Number: 4298 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status -----------·-·· 1210612017 0611612017 06/1612017 BLDG.Final Inspection 042627 •2017 Checklist Item BLDG-Building Deficiency BLDG·Plurnbing Final BLDG•Mechanical Final BLDG•Structural Final BLOG-Electrical Final BLDG•25 Water HeaterNents 026442·2017 BLDG•Final Inspection Checklist Item BLDG-Building Deficiency 026519·2017 Checklist Item BLOG-Building Deficiency BLDG-Plumbing Final BLDG•Mechanical Final BLDG.Structural Final BLDG·Electrical Final Passed COMMENTS Failed COMMENTS Failed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul York Paul York Paul York TRUST BLADEN BARBARA A TRUST 09-12-06 CARLSBAD TCT#91-03 2273 Masters Rd Carlsbad, CA 92008-3849 Reinspection Passed Yes No No No No Re inspection Passed No Reinspection Passud Yes No No No No Complete Complete Complete Complete ----·--·-··,,~-,--"~------------------------------------------------- December 06, 2017 Page 1 of 1