HomeMy WebLinkAbout2337 MASTERS RD; ; CB050010; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-03-2005 Spa Permit Permit No: CB05001 o
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2337 MASTERS RD CBAD
SPA
2121430300 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference#: Plan Approved:
Project Title:
Applicant:
JONES RES 49 SF ING ROUND
FIBERGLASS SPA ELEC AND GAS TO SPA
Owner:
Issued:
Inspect Area:
RUBACKY, CHARLES J JONES EVAN&CLAUDINE M
PO BOX 500233
SAN DIEGO, CA 92150
Building Permit
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
2337 MASTERS RD
CARLSBAD CA 92008
ISSUED
01/03/2005
KG
01/03/2005
01/03/2005
$120.00
$0.00
$0.00
$120.00
Total Fees: $120.00 Total Payments To Date: $0.00 Balance Due: $120.00
8806 01./03/0~ -0002 01.
~. '
Inspector: Clearance:
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
tallow 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
ee I xactions of which ou have r viousl be n iven a NOTICE similar t this or as to which the tatute of Ii itations has reviousl otherwi e ex ire .
(\'.)
•./i..
.120" 00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NoC.!}b-r:OO IV
EST. VAL. _________ _
Plan Ck. Deposit ----,,'-'---,----
Validated By•--;;;.------...P,.'4,f_ ___ _
Date,_---.1---...,_-'-"-'L----,f------
Business Name (at this address)
Unit No, Phase No. Total # of units
Assessor s Parcel #
a/,<P?-4". Description of Work SO. FT. #of Stories
Proposed Use
~7-t,7
# of Bedrooms # of Bathrooms
Name ,-Address
ij:: ,,M~~;r,,,.,,,.ii1ri!i,~ijiii&~,~i~~l';j!~mfif
Name
,~r::,~~011!1f<lDMl1Alii~iNAii!i!!s' '"''"''"'"' , ''", '""' , ,,, , ' ,, · ··
(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
An ·01 tio f S~~~Y ·ects the '!2.e,licant to a civil pe lty f not more t n five h~ed dollars ($500]).
Name ,/ _,L,
State Ucense # ~~~~~_,1/,'--.,.~"-'~'--"''3'--
Address ity State/Zi Telephone #
License Class --~,,..=-----City Business License # 7 2,..t:) ""3tf:) l7
Design Address City State/Zip Telephone
lr;;. :,.wol!~i;'l!lli:111!1iifAtli>ij:C2ci:'
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. K 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 w. orker's compensation insurance carrier and olicy number are: / a?" '/ / (J, / ,_--
Insurance Company _:__:_;iz~e~~::::=--/-~~~'.'(.~::;2~_ Policy No. / ~, 2 I)() ( Expiration Date / • 'f Z-(}(() f
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt,001 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 coverag unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thouaand dollars ($100,00 , In d o th ost of com ation, damages as provided for In Section 3706 of the Labo , Inter and attorney's fees.
SIGNATURE DATE
7,;:,n:;:owt{e,!'llll~ll&o'
I here
D I, a wner 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, usiness 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 hi If or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
r of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
D I, as owner o e property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License L does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
License Law).
D I am exempt under Secti,,...,_. _____ Business and Professions Code for this reason:
1. I personally plan to provide the jor labor and materials for construction of the proposed property improvement. D YES ONO
2. I (have / have not) signed an applica · n for a building permit for the proposed work.
3. I have contracted with the following per {firm) to provide the proposed construction (include name I address/ phone number/ contractors license number):
4. I plan to provide portions of the work, but I hav ired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): _______ _,,, _________________________________________ _
5. I will provide some of the work, but I have contracted ired) the following persons to provide the work indicated (include name / address I phone number/ type
of work),,_-------------------------------------------------------
Is the applicant or future b · ding occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 2550 , 5533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occ ant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is the facility to be constructed within 1,0 feet of the outer boundary of a school site? D YES D 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.
ili!i t!rGNS'l'IWlrnON!liN .·· ti~iilEN!rY?"
truction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
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
City 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 180 days from the date of h permit or if the building or work authorized by such pe it is s ended or abandoned
at any time after the work is commence r' f 180 ys (Section .4.4 Uniform Building Code). ,,,_--
APPLICANT'S SIGNATURE
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 05/16/2005
Permit# CB050010 Inspector Assignment: JM ---
Title: JONES RES 49 SF INGROUND
Description: FIBERGLASS SPA ELEC AND GAS TO SPA
Type: SPA Sub Type:
Phone: 8587053143
Job Address:
Suite:
Location:
2337 MASTERS RD
Lot 0
Inspector: -----
APPLICANT RUBACKY, CHARLES J
Owner: JONES EVAN&CLAUDINE M
Remarks:
Total Time:
CD Description
59 Final Pool
Requested By: CHUCK
Entered By: KAREN
~,( Comment
_t'.'.]L ____________ _
Associated PCRs/CVs
lns12ection HistO!Y
Date Description Act lnsp Comments
02/04/2005 34 Rough Electric AP JM BOND WIRE @ LIGHT
01/26/2005 23 Gas/TesURepairs AP JM BBQ/EQUIP
01/26/2005 31 Underground/Conduit-Wiring PA JM
I __ ,,, , 51
/Ci I
I I
I
\
\
'\
"' J)I R., 10 ftPP,8ooeO S 1-rE
/ !
• fl/0 t-(j,<.J//Y 01( /J/r/teRl~t,s "I'!/ .::::7£~c"r
--•----
40rJ&'5
)3g-7 11//ll~?t-f)"]-;i I
, . ;) ,::::in .,:-,r/l..J
70 1
•d r""°\ /' I l
' /J I -
5
. ...
I