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Home My WebLink About2277 MASTERS RD; ; CB132757; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-06-2013 Permit No: CB 132757 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2277 MASTERS RD CBAD PME Status: Parcel No: 2121401200 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: DOHERTY RES -REPLACE FURNACE IN ATTIC UPSTAIRS UNITED CONTRACTORS SERVICES STE 07 120 N PACIFIC ST SAN MARCOS CA 92029 800 233-1950 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: DOHERTY FAMILY TRUST 11-10-09 2277 MASTERS RD CARLSBAD CA 92008 ISSUED 11/06/2013 SKS 11/06/2013 11/06/2013 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL f.PP,OVAL Date: 1T· 1 ·13 Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' 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 f f h v Tl E imil r hi r h" h h f lim· h i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD ~ Building Permit Application PlanCheckNo.CA:, / 3Z1(7 «..:#t 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-855~ CARLSBAD email: building@carlsbadca.gov Plan Ck. D-,po,lt www.carlsbadca.gov Date (}/fol (..? lswPPP JOB AOORESS.;? ;z 7 7 .,,A AC I,,,,,, ,S /) ,r SUITEf/SPACEI/UNITI IAPN --- Cl/PROJECT# ILOTI I PHASE# I# t,F ONITS I# BEDROOMS # BATHROOMS I T£NANT BUSINESS NAME I CONSTR. TYPE I acc. GROUP DESCRIPTION DF WORK: Include Square Feet of Alrected Area(s) /vrnace_ ~ vf~fe1'r. --S (Kc f / ,::.ce (j,e:91 ~ 1-:S TU ffe ~ '-( ~'"('.I,. I~ <S (_ z) 1.,.,/ l1f 1---1 f ( ... ,,,. !:,.--,...,. EXISTING USE I PRDPOSED USE I GARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE rlR CONDITIONING I FIRE SPRINKLERS YES[} "'° YES □No □ YES□No□ APPt.lCANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL PROPERTY OWNER NAME ~ -L n 0° -_J\-. \r-e....tt, coNTRAcro• Bus. NAME/ .J"' , '.f e,.tl /J/r1 .. /. _ JI e,f-A ,< _ J;/, t:.. ' y,Z.,,.,, ADDRESS • I AODiESS /P,,,c,·ltc .., ,.., /1/. CITY STATE ZIP CITY<: STATE ZIP "" A11P P"~S /A PHONE IFAX PHONE > \ 5 Jq.5() I FAX s-c:>o :i.s - EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE "9 ~ ;i _, .?-S ~LPSS 1 CITYBUS.LIC.# .v. vi.., ,,..._,..., ---..;'I(.,. Sec. 7031.5 Business and Professions Code: Any Ci or Coun which requires a ermit to construct. alter, improve, demolish or re air an structure, rlor to Its issuance, 11s6 requires the ~pplicant for such permit to file a signed statement t1iat he Is l~ensed pursuant tlthe provisions of the Contractor's License Law {C~apter ;, commen81ng with Section 7000 of Division 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any appllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Wor1(en1' Compensation Declaration: / hereby affirm under penalty of pefjury one of the following declarations: D I have and wlll maintain a certificate of consent to self-Insure for workers' oompensation as provided by Section 3700 of the Labor Code, for the pelformance of the work for which this permit is issued. ~ I have and wlll maintain workers' compan11tlon, as reQUlred by Section 3700 of~ Labor Code, for the perfOfTilance of the work for which this permit is Issued. My workers' compensa~ insu0 carrier and policy aumbera~: Insurance Co ,£=ice ,Ce$ f,,,-,V,,.-/, ~ f ;.J.,,5; L'4 Policy Na. :7ta\? Y-t14 /:1 / Exr;ral'on D,,. 4'2,:Fc /!) 1f ~ section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pelTTlit 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 penaltln and cMI fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da_;P~• ded e Labor code, Interest and attorney's fees. fl5 CONTRACTOR SIGNATURE "V"'Z,, I hereby affirm that I am exempt from Contractor's Ucense Law for the follcw,ing reason: □ □ □ l, 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. lf, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he dkl 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. Oves 0No 2. I (have/ 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/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provkle the major work (include name I address/ phone/ contractors' license number): 5. 1 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): ,65 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future buikling 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 Is the facility to be constructed within 1,000 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work ttus perrmt 1s issued (Sec 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I 08flifylhat I have 198d the application and statethatlhe abcMI lnfonnatlon Is mnect and that the Information on the plans Is accu18te. I agree tD comply\lltth all Clly ordinances and State laws f8latlng tD bulklng oonstructlon. I hereby aulhoree represenlatiw of lhe Ci1y of Qrlsbad lo enler upon lhe above mentioned property ilr •speclon 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 &'\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: An OSHA pennk is requi'ed for excavations over 5'0' deep and demolitbn or construction of suuctures over 3 sDries rl height. EXPIRATION: Every permit issued by the Building Oft'cial under the provisions of this Code shall expire by linitation Wld become null and void tt the building or 'Mlfk authorized by such permit is not romrnenrecl 'Mlhin 100 days from the date of such permit or tt the buildflQ or v.orit · · is susf);lnded or abandoned at any time after the ViOr1<. is canmenc:ed for a perk>d of 100 days (SectKlll 100.4.4 Unifonn Building Code). AS APPLICANT'S SIGNATURE DATE I • 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 Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office use Ortly) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPFIONS 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: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONS111UCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB132757 Type: PME Date lnspectio_n_ltem 11/14/2013 43 AirCond/Furnace Set 11/14/2013 49 Final Mechanical 11/14/2013 49 Final Mechanical Friday, November 15, 2013 Inspector Act PD AP RI PD AP DOHERTY RES· REPLACE FURNACE IN ATTIC UPSTAIRS Comments DOHERTY RES, 2-4 PM Page 1 of 1