HomeMy WebLinkAbout2625 VALEWOOD AVE; ; CB900425; Permit•
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Job Address: 2625 VALEWOOD AV
Pe1mit Type: GUNITE POOLS AND SPAS
Parcel No : 1t)7-511-59-0rJ
Vciluat1on : 11 ,36:J
Construct i on Type: NEW
uccupancy Group :
Description: 450 SF POOL
Appl/Ownr :
OWNER
CONTRACTOR
SAN DI
TURC'ZY
BLUE H ,...
,:;945 M ION G
SAN DIE 0, CA
Fees Required *1*
Fees :
Adjustments :
Total Fees :
Fee description
Buildi ng Permit
Plan Check
Strong Motion Fee
Other
* BUILDING TOTAL
Enter "Y" for Plumbing Issue Fee
Each Water Heater and/or Vent
Gas Piping system
Each Vacuum Breaker
* PLUMBING TOTAL
Enter Y" for Electric Issue Fee
Other
* ELECTRICAL TOTAL ($10 Min imum)
)
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> >
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P E R M I T
Str :
68.00
1
1
1
10.00
Permit No: CB90042':>
P 1 o j e ct No • A u (1 o J . 1
Development N'o CIC..!/ 3 S-~
Fl: Ste :
4971 10/25/91 0001 01 02
C-PRHT 68. oo
Status: EXPIRtD
Appl 1ed : o 3 /14/ <;;
Apr/Issue : 11/19/➔C
1 idate i By : ~TPY
,.. . ,J •
ue :
e/Unit
2 .50
2 .50
2 .50
619-283-6567
.00
254.00
68.UO
Ext fee Dcita
135,00
88. 0 0
1.00
68.00
292.00
7 .50
z . 5 ll
2.50
2 . 5 O
15.00
':,. 00
1 ( . 0 0
5. )0
RE~EW lER
y
y
REMODEL
PERMIT APPLICATION
City of Carlsbad Bui lding Department
2075 Las Palmas Or., Carlsbad, CA 92009 ( 619) 438-1161
1.
B
C
2.
PERMIT TYPE
COMMERCIAL TENANT IMPROVEMENT
0 IN0USTRlAL ~Ell □TENANT IMPROVEMENT
~SIOENTlAL □APARTMENT OCON0O □SI NGLE FAMILY 0IIELLING OAOOITION/ALTERATION
OoUPLEX OoEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
□MECHANICAL ~OOL (0sPA □RETAINING WALL OSOLAR
PROJE CT INFORMATION
Nearest Cross Streets
VALIO. BY_,,_...,__=----r------
DATE -------,-'"¾-..c=.+-=t--""'""ir-~
4022 03/.14/90 0001 01
C-·PRMT
02
tJS-00
LEGAL DESCRIPTION Unit No. Phase No.
Addressed Envelo
PROPOSED USE
BLOG. SO. FTG.
3. CONTACT PERSON I' .,, ,.,. ,
NAME .,[).4Jl0 5711) l-,:tL-rOU ADDRESS
CITY SA, STATE
SIGNATURE ~ ~-~ i?:.:zlr..:.;.
ZIP COOE DAY TELEPHONE
4 . APPLICANT D CONTRACTOR ~ENT FOR CONTRACTOR O0IINER 0 AGENT FOR OIINER
NAME ADDRESS
Cl TY STATE ZIP COOE DAY TELEPHONE
OIINER ~I L,.. □LESSEE
ADDRESS:::. j ,Ji , i -&..: 2 62.....r □TENANT
STATE ZIP COOE 9t-/'Z..-c:, 0AY TELEPHONE
6. CO~TRACTOR
NAME,Bt_u"t:,. HAvfl,J,/'COL..S ADDREss s,4..S-/V/1$'~/N'c:,.-c...&~ ~
CITY .S,./J, STATE DAY TELEPHONE 7 2 ?-1/ 8''-/ ZIP COOE
C..-S.3 LICENSE CLASS Cl TY BUSINESS LIC. #
SIGNATURE TITLE DATE
DES I GNER NAME
CITY STATE
ADDRESS
ZIP COOE DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION Workers' Coo-pensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers ' C°"l)ensat ion Insurance by an a<ini tted insurer, or an ex.act copy or duplicate thereof cert ified by the D 1 rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
Poucr No.>Lt<.Jd INSURANCE COMPANY
Certificate of EKefll)tion: I certify that in t he performance of the work for which this permit 1s issued, I shall not e"l)loy any person in any manner
so as to become subject to the Workers• c~nsa t1on Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION Owner·Builder Oeclarat1on: J hereby affirm that I am exeff4)t from the Contractor's License Law for the following reason:
D I as owner of the property or my eff4)loyees with wages as the1r sole compensation, w1lt do the work and the structure 1s not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor1s License Law does not apply to an owner of property who builds or improves thereon,. and who
does such work himself or through h1s own employees, provided that such i,rprovcments are not intended or offered for sate. If, however, the building
or improvement is sold w1 th1n 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.).
0 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 b.Jilds or improves thereon, and contracts for such projects w1th contractor(s)
licensed pursuant to the Contractor Is License Law).
0 I am exefll)t under Sect1on ____________ Business and Professions Code for th1s reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, il11)rove, denK>lish, 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, coornenc1ng wi th Sect ion 7000 of Division 3 of the Business and Professions Code) or that he is eKeffl)t 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 [$5001 ).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMI TS ONLY :
1s the applicant or future building occupant requi red to submit a business plan, acutely hazardous mater1als registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley· Tanner Hazardous Substance Account Act?
Ores □No
Is the applicant or future building occupant required to obtain a permit from the ai r pollution control district or air quality management district'
□YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'
O YES
I F ANY OF THE ANS\IERS ARE YES, A FINAL CERTIFICATE OF OCQJPANCY NAY NOT BE I SSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS Nici UK I> ,_,trtNC THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVI CES ANO THE AIR POLLUTION CONTROL DISTRI CT.
9. CONSTRUCTION LENDING AGENCY
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).
LEN0ER' S NAME LENDER'S ADDRESS
10. APPLICANT 'S SIGNATURE 1 certi fy that I have read the application and s tate that the above informat1on is correct. r agree to COfl'PlY with all City ord1nances and State laws relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon tht' above mcnt1oncd property for inspect ion purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jl.OCIIENTS, COSTS AND EXPENSES WHICH NAY IN ANY IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF TIIE GRANTING OF THIS PERMIT.
Exp1ration. Every permit 1ssued by the Building Official under the provisions of this Code shall exp1re by limitat1on and become null and void if the building
or work authorized by such permit 1s not comnenced within 180 days from the date of such permit or if the build1ng or work i1uthor1zcd by such pcrm1 t 1s suspended
or abandoned at any time after the work is coornenced for a period of 180 days (Section 303(d) Uniform 8u1ld1ng Code).
APPLICANT'S SIGNATURE ~ D OIINER BeoNTRACTOR Q ev PHONE APPROVED BY: ________ _
DATE: __________ _
WHITE: File YELLOW: Applicant
PERMIT# CB900425
DESCRIPTION: 450 SF POOL
TYPE: POOL
JOB ADDRESS: 2625 VALEWOOD
APPLICANT: STAPLETON, DAVID
CONTRACTOR: BLUE HAVEN POOLS
OWNER: TURCZYN
REMARKS: MH/TED/729-2259
SPECIAL INSTRUCT:
TOTAL TIME:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/07/91
AV
CD
59
LVL DESCRIPTION ACT COMMENTS
SW _F_i_n_a_1_P_o_o_1 __________ ~
-------------------
INSPECTOR AREA MP
PLANCK# CB900425
OCC GRP
CONSTR. TYPE NEW
FL: STE:
***** INSPECTION HISTORY*****
DATE
062090
051490
041290
040490
033090
DESCRIPTION
Final Pool
Fence/Pre-Plaster
Underground Plumbing
Underground Plumbing
Excav/Steel/Bonding/Fence
ACT
CA
AP
AP co
AP
INSP
MP
PD
MP
PD
MP
COMMENTS
DITCH FULL OF WATER