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HomeMy WebLinkAbout2318 MASTERS RD; ; CB980162; Permit~ -c, 2-l 3 <g-DO Z:.. fr -(2.o~ "l ~lp B U I L D I N G P E R M I T Permit No: CB98016l Project No: A9800223 Development No: Jl,21/98 12:3::1 Paqe 1 of 1 Job Address: 2318 MASTERS Permit Type: ELECTRICAL Parcel No: 212-142-12-00 Valuation: 0 RD Suite: Lot#: 3221 01/21/98 0001 01 Construction~: 02 Occupancy Group: Reference#: Status: NEW 60-00 ISSUED 01/21/98 01/21/98 RMA Description : GAS TO BBQ, 50 AMP SUB PANEL : FOR FUTURE SPA,RECEPTICLES Appl/Ownr : MILCH , ROBERT 2318 MASTERS RD CARLSBAD CA 92008 Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Single Phase Enter "Y" for Other *** 60.00 *** 760 Applied: Apr/Issue: Entered By: 438-2550 Fees Collected & Credits .00 .00 60.00 *** Ext fee Data y GAS FEE Fl~•"""-· "nop_()'//\L INSP. /zjJ . l)ATE~;2-y2 CLEARA; ,GE ______ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 '1.: :iW);illCTINFD-TJON · ?.318, f'.'!!ASTC:IQ.$ RaAQ FOR OFFICE USE ONLYO DI I '.)._ PLAN CHECK NO._q.......,a_....._ __ 0_ EST. VAL. _________ _ Plan Ck. Deposit -..-,.-,lr------ Validated By-r--::---;/J~~------ Date_-f-+-6""'1'-f'f,v"'----- Address (include Bldg/Suite #) Business Name (at this address) CM>.L.'>6AO "17,1.4<'1" 41-q1.3 !:w.,.,5 'e,~ we.~~$ Legal Description Po 1 ~ Lot No. -z.r2. -14 2.-l "I.. -00 Subdivision Name/Number Unit No. Total # of units Description of Work SO. #of tories '.§~-. .-~~ .~~~.5=±~~,~~~!~~~-:~~.~'"''"'-'"'''·'S"''''~·"-"-•'""""'"""'·""''''''' :!2., ---, ·-"""""-"·':4CT,,,:;~yq;pl>MJ1~~--.iy,;&+.:,,:,,,µ¢,~-,.r:,tr,n:';2,t~"i~c;l'i'<'·""''ict,\r'4ik,d•t,;,!!'i'J".•v~;,,,,.r:1w•~00.ti.~?~~"C>.&-:"· ""''"'tL·, ,· -.,-., "-~---,,_ +:, .. ._ Name Address City State/Zip Telephone # Fax # ra;::,~ANT,,i:l]):oiit,iP,ar;\;,~o/i!iiiffiptc'.·l'l~,'~l<!rJOW~~J;,;.i!!:;';,::';~~!§/F.'[•'',· C ·.·,: a, •····~ . • ·• :. :Rc,e,e~-. \-1.\,1.L'...\\ :Z.°'JW,\lv\A<i-rc.ra.s RoAO C61>.1..Sl5!\0 . C.A Q,woe, ('!G.0)43?rv55"0 Name Address City State/Zip Telephone I 4':;: -,:';:~onR,n':;Q~;\ti /:.:i@;iit/1 ~:t;,ifi")},j1:~~bi!f:"'.'." ';),,\,._<.. 4<, P.,ppL,<-INT" Name Address City State/Zip Telephone I (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 (Chapter 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars lt5001). Name Address City State/Zip Telephone, State License II _________ _ License Class _________ _ City Business License , _______ _ Designer Name Address City State/Zip Tejephone State License , _________ _ ief;:1:~Yl(JR.Kffl!:.cOMPINM110N~ii;i;!F?':4.3i:i::,;;~\:.i,JYi-'s;:',·:r. 'c:-.~1~i:~'.~~:i::"~<~$-£[8r,::_;;_'. ;: -~~-::J,~~G1~0;i~7:?l~i.2:i~fM~V';~~'fu"ffi;~-i;!fJ¥:Jt:.;;~~f.::,ttl;~.~t'~~,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. 0 l 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 worker's compensation insurance carrier and policy number are: Insurance Comp.any______________________ Policy No. ____________ _ EXpiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) ll 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' compenaadon coverage is unlawful. and ahall aubject an employer to criminal penaltlu and cfvll fines up to one hundred thousand dollars ($100,0001. In addldon to ~ compenution, damagaa u provided for In Section 3708 of the labor code, lnterut and attorney•• tau. ·.·IGNA~•'=: .!itlcl.~.;cl . ••• .. ..·.·. ··••·· •·••.•· ... •. . . , , .. ·· ... •·• • ... ·•· . .,, .~~:~,,.,Y:'.~~%,=-s,•. • ' ._,,,. n ... W""" ':I~_-'';, c;Q'.-.a,i;n-aU~1.o1~1iii_~-,_1..,._i',;~"c:C'.:-:,-;'1~:i/¥,~,;a1;'.0tzjff'G{-";ic.'.i;f;/ :::<,, ·.:rr-'f:!'.~";":>''-·~-;; ~;' ~.1,,-;:; "" ' ,~.':cfi;i.~"L\:t:)~'1'r.t:f~~-w~~1,"~'tit..ilW\f'ifl:W::t; ., 'lt"":'0¥'.:;;'J'P··.c:t~r':'££G 't!::s~; I i,reby affirm that I am exempt from the Contractor's License Law for the following reason: llJ 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 don such work himself or through his own employees, provided that such improveriients 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 purpoae of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end 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 contractorlsl licensed pursuant to the Contractor's License Law). □ ,. 2. I am exempt under Section ______ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. ,! YES ONO I ~/ have not) signed an appUcation for a building permit tor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license num~erl: 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 / phone number/ 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/ phone number/ type of work)=----------:,-,----,,--------:,--,----------------------,---------------- PROPERTY OWNER SIGNATURE U,<\ \Al\.,r,j •• O,.J -DATE I/ 1.1( qi '®~S.i81$(fi'IQ~ll'~iillil:®il~~'il~~lffi;li~lI,,:f!,~,--~:\1;1;1~~~,:,~i.i!'{ 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 26505, 25533 or 25534 of the Presley-Tanner HazardOU5 Sub$tance Account Act? 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualitv management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all Citv ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building-or work authorized by such permit is not commenced within 365 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 the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S s1GNATURE Br-2,ui; \IVl. vV441.-DATE -~l-1/~a~1~l~'i~8.,_ ____ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980162 FOR 06/23/98 DESCRIPTION: GAS TO BBQ, 50 AMP SUB PANEL FOR FUTURE SPA,RECEPTICLES TYPE: ELEC JOB ADDRESS: 2318 MASTERS RD APPLICANT: MILCH, ROBERT CONTRACTOR: PHONE: PHONE: STE: INSPECTOR AREA RB PLANCK# CB980162 OCC GRP CONSTR. TYPE NEW LOT: 760 438-2550 OWNER: REMARKS: C/ROBERT/ SPECIAL INSTRUCT: PHONE: INSPECTOR -----M ______ _ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 23 PL Gas/Test/Repairs /M-, _____________ _ 31 EL __ u_n_d_e_r_g_r_o_u_n_d_f_c_o_n_d_u_i_t_-_w_i_r_i_n_g__ hf ______________ _ -?-% -. -1!::J... ---------------_j__ ------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 060298 Underground/Conduit-Wiring CA RB 052998 Final Electrical co RB SEE NOTICE 052998 Final Plumbing co RB SEE NOTICE 032498 Underground/Conduit-Wiring AP RB ALL CONDUIT TO BE UNDER 4"CON 020698 Gas/Test/Repairs AP RB 020698 Underground/Under Floor AP RB UNDRG GAS LINE .. ---------