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Home My WebLink About2293 MASTERS RD; ; CB161327; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Prtnt Date: 05/01/2017 Residential Permit Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: Total Fees: 2293 Masters Rd BLDG-Residential 2121420100 $7,874.00 www.carlsbadca.gov Work Class: Addition Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Finaled: Inspector: RESDNTL-RAD WEWORSKI: 172 SF REMODEL AT 1ST FLOOR/ CONVERT BEDROOM INTO WALK-IN CLOSET AND BATHROOM Total Payments To Date: 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 6602D(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: CB161327 Closed -Expired 04/06/2016 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCO ( City of Building Permit Application Plan Check No.(' A I (,. I ".2..2., T 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 7. 8 74 - Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date -4-f•-1<.o lsWPPP JOB ADDRESS 2293 Masters Road SUITE#/SPACE#/UNrT# I"'" 212 -142 -01 -00 CT /PROJECT # ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP V-B DESCRIPTION OF WORK: Include Squa,.. Feet of AffilCNd A,..a(a) Remodel of an existing two-story single family residence, Convert an existing first floor bedroom into a walk-in closet and bathroom. Remodel = 172 square feet, EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (Sf) FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS v,so NcQ YES □No□ YES□No[l) APPLICANT NAME Bart Smith, DZN Partners PROPERTY OWNER NAME Joseph & Corey Weworski ADDRESS ADDRESS 682 Second Street 2293 Master Road CITY STATE ZIP CITY STATE ZIP Encinitas CA 92024 Carlsbad CA 92008 PHONE I FAX PHONE lfA" 760-753-2464 760-753-0600 760-801-6429 EMAIL EMAIL b.smith@dznpartners.com DESIGN PROFESSIONAL Bart Smith, DZN Partners CONTRACTOR BUS. NAME ADDRESS 682 Second Street ADDRESS CITY STATE ZIP CITY STATE ZIP Encinitas CA 92024 PHONE I FAX PHONE I FAX 760-753-2464 760-753-0600 EMAIL EMAIL b.smith@dznpartners.com I STATE UCC-22557 STATE LIC.# !CLASS I CfTY BUS. LIC.# (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 1ts issuance, also requires the applicant for such permit to file a signed statement tliat he Is licensed pursuant to the provisions of the Contractor's License Law {Chapter"9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is eKempt therefrom, and the basis for the alleged eKemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION WOfXen' Compensation Declaration: I hereby Bfflml under penalty of petfury one of the fol/owing declara1ions: 8 I have and will maintain a certificate of con1ent to self-Insure for WOl'kers' compensation as provided by section 3700 of the labor Code, for the performance of the work forvlhich this permit is Issued. I have and wlll maintain worken' compensation, as reoulred by Section 3700 of the Labor Code, for the performance of the woII( for Which thls oemit Is ISSued. My 'NOr!(efS' compensaHon Insurance carrier and policy number are: Insurance Co. __________________ ~ Polley No. _____________ Expiration Date ________ _ "OJii,sectlon need not be completed if lhe permit is for one hundred doAars ($100) ocless. LJ Certificate of Exemption: I certify that In the performance of the 'M:)O( for which this pennlt Is issued, I shall not employ any person in any manner so as to become subject to the WMers' Compensation Laws of Ciilfomla. WARNING: Failure to secure wor1ten' compensation coverage is unlawful, and shall sltlJect an employer to criminal penaltles and civil flnt1 up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for ln Section 3706 of the Labor code, Interest and attorney'• fen. ft5 CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I ..,, exempt from Contntdor's LJcense Law for the folloMl!g reason: I, as ovmer of the property or my employees with wages as their sole compensation, will do the wor1( and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's LceTise Law does not apply to an ovmer of property'Mlo builds or improves thereon, and v.tio does such 'NOrk 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 "'11hln one year of completion, the owner-bullder v.ill have the burden of proving that he did not oogd or Improve for the purpose of sale). □ □ □ I, as ov.net of the property, am excluslvel)' contracting with Hcensed contrackws to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an O'Mler of property who builds or improves thereon, and controcts for such projects with conlractor(s) licensed pursuant to the Contractor's Ucense Law). I am eKempt under Section ----~usiness and ProfesSions Code for this reason: 1. I pefSOnally plan to provide lhe major labor and materials for construction of the proposed property i~rovemenl OYes Do 2. 1 (have I have not) signed an application for a building permit for the proposed work. 3. I have contra::ted with the foilowlng person (linn) to provide the proposed construction (include name address I phone I controctors' license number): 4. I plan to provide portions al' the 'Mlr1(, but I have hired the following person to coordinate, supervise and provide the mater work Qnclude name/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) thefoilowlng persons to provide lhe Y,'011( indicated (include name/ address/ pt,one /type of worl(): ..@S' PROPERTY OWNER SIGNATURE □AGENT DATE ' ~C.MflLITII THI$ StECTION FOR NON:81UO!INTIAL BUILDING PERMITS ONLY , Is the applicant or future bulldlng occupant required to submit a business pliJl, 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 1(1 No .._/ Is the applicant or future building occupant required to obtan a pem,it from the ar polullon control district or ai!q aUty management district? □ Yes at-No Is the fa:Ulty to be coostructed 'Nithin 1,000 feet of the outer bound~ of a school site? □ Yes o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affinn that there is a construction lending agency for the performance of the work this permit 1s issued (Sec. 3097 0) CMI Code) Lender's Name Lender's Address I ceitlfythat I hcM ieadthe applcatlon and state that.the abow Information Is coned:and lhatthe lrlonnatlon on the plans Is accurate. I agree to complyv.ffll all Clly onlnances and State laws relatlngtD buidng conslructlon. I hereby authooze representative of the City ct Camba:l ti enter upon the above menooned ~rty fer flspe::tioo ?-I~ I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Ali UABIUTIES, JUOOMENTS, COSTS AND EXPENSES \o\'HICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA permit Is re:iuired b' exc:av.-ioos r,,e 5'0' deep and demdltion c, constructkm of slructures over 3 stcries In height EXPIRA TIOO: Every permit issued by the Building Cfficial under the prm,;sions or this Code shal expire by frnilalioo End berome 111JI ood 'vtid if the buikling or wcrk authaized by sudl permit Is not commenced within 180 days frcm the date of such permit or if the bulling or work~ by · ·s ~uspend~ ,~ at any lime aftel'the'M:11< is commenced for a perkld of t80days (Sectbn 100.4.4 Uniform Buik:ling Code). AS' APPLICANT'S SIGNATURE V 1{1---.1-{::::5 DATE +, " "'