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Home My WebLink About2340 MASTERS RD; ; CB962198; PermitI I • 1 h E l r ... " 1 . !-l : C y • L • .. r Aq wnr Al JU-, trr n , t 11 E 't A . 4 - 1 / / C A'" r I HR A. t A., E. , 1 t> A<. ' ' • AN [ IE G< A 6 '. Ct.[t. t, 1.41 j1nJ I:'·,,. • l n he. · t-t l • AL • r y f r t L( EC'. t-' t L • !- I ,tu. tr .r+-vr. tt . t A A ' Ext f P • I., 21. t PPROVAL 1NsP._-f __ . ~-DATE 12..-/s-hc CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PI.AN CHECK NO. 9' City of tarlst.l Building D-rtant .55 2075 Las Pal-Dr., carlst.l, CA 92009 (619) 438-1161 1. PEkMJI hPE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____________________ _ Net l.oss/Gain of Dwelling Unics 2. PRClJECT INFORMATION FOR OFFICE USE ONLY BuUdmg or Suite No. Nearest Cross Street LEGAL Df:StklPIION Omt No. Phase No. CHECR BEWW IF S0BMI I 1£0: □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ~;$ =?5J-r\eU--EXISTING USE PROP9SEP USE # OF STORIES # OF BEDROOMS # OF BA TI!ROOMS I NAME (lase name first) ram app 1can ADDRESS Cl1Y STATE ZIP CODE DAY TELEPHONE 4. ~1:f.!,tnam~~t~~~~~WN,b~~R 3,r~w.g~ □~~OWNER CI'JY ~f\ ,":,'w\ STATE (,t\ ZIP CODE 0i I \ DAY TELEPHONE '--) . NAME (last name fir.;t) (\\ f.>/A~ J ~"::,€., ADDRESS 1°1 ~~ -~~ . Qi.A._ . 6_ illi:nl~'.J>,~ STATE ()I\-z1PcoDE°l;}\1'3 DAYTELEPHONE {.g\":, -lale\ -1,S'S°7. NAME (last name first) ADDRESS Cl'JY STATE STATE LlC. # ZIP CODE LlCENSE CLASS DAY TELEPHONE Cl'JY BUSINESS LlC. # ast name 1rst Cl'JY STATE ZIP CODE DAY TELEPHONE STATE LlC. # 7. WOIOO:ltS' WMPENSAIION Workers' Compensanon Oeclarauon: I hereby afftrm that I have a ceruhcate of consent to self.insure issued by ffie D1recl0r oi lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Deparunent (Section 3800, I.ab. C). INSURANCE COMPANY POLlCY NO. EXPIRATION DATE Ceruhcate of £xempuon: 1 cemfy that m the perlonnance of the work for which this penn1t 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Ulws of California. SIGNATURE DATE 8. OWNER-B0llDmt DF.CDJtAJIUN □ □ Owner-Builder Declaration: I hereby afunn that I am exempt from the Confracfofs license Law for the following reason: 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 Ulw 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 did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contract on to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense I.aw 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 Llcense Law). I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions c.ode) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a pennit subj the a1wlicant c civil penalty of not more than five hundred dollars [SS00]). SJGNA ~ j~ DATE -l;s-q Is the applicant or futu building occu nt required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO ls the applicant or future building occupant required to obtain a pennit from the air pollution control disnict or air quality management district? □YES □NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 1llE ANSWERS ARE YES, A FINAL CERTIFICATE OF OOCUPANCY MAY NUf BE ISSUED AF11!R JULY I. 1989 llN1JlSS 1llE APPIJCANT HAS MET OR JS MEETING 1llE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POILUTION CONTROL DISJlUCT. 9. WNSIKUCIIUN LENDINi .. I hereby afhnn that there IS a construcuon lending agency for the perlonnance of the work for which this penn1t 1s assued (Sec 3097(1) CtvU Code). LENDER'S NAME LENDER'S ADDRFSS 10. XPPIJCANI CEJllOlt\llUN I certify iliac I have read the apphcaoon and scace ffiac the afxive mformauon ts correcr.-T cjzree to comply with all Gey ordinances and State laws relating co building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned propeny for inspection purposes. I AIS) AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS nm CfIY OF CARISIIAD AGAINST AU. LlABIUTIES, JUDGMENTS, COSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACDIUE AGAINST SAID CfIY IN CONSF.QUENCE OF nm GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over S'0" deep a.nd 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 Hmitation and become null and void if the building or work authorized by such pennit is not commenced within 36S days from the date of such pem;it or if the building or work authorized by such pennit is suspended or abandon t any tim afte work is commenced for a ~ricxi of 180 days (Section 303(d) Unifonn Building Ccxie). Q APPLlCANTSSIGNATURE • ~ A'\('.,¥~ DATE: ll-)3!-·1\P PINK: Fina,1ce 0 , . PERMIT# CB962198 DESCRIPTION: 260 SF PATIO-PER TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 12/05/96 CITY SPECS INSPECTOR AREA PLANCK# CB962198 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2340 MASTERS RD APPLICANT: ALEXANDER, JOSE CONTRACTOR: STE: LOT: OWNER: REMARKS: MW/DAVE SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final structural ---------------------------------------- PHONE: 619 661-6557 PHONE: PHONE: INSPECTOR -.....-i-----------/J ACT COMMENTS (d. ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ----·----··