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HomeMy WebLinkAbout2669 VANCOUVER ST; ; CB891827; Permit.. I B U I L D I N G P E R M I T 11/27/89 11 :07 Permit No: CB891827 Project No: A890323 3 Development No: Page 1 of 1 Job Address : 2669 VANCOUVER ST Str: Fl: Ste: Permit Type : FACTORY MADE SPA (PLASTIC) Parcel No: 167-441-36-0 0 0 ;)r-l)(}L-/'1NU Valuation: I f Construction Type: NEW 161: 11/27/89 0001 01 02 f'-PPl•ff 75 • 00 ~(l-i:t<PS7 Occupancy Group: Class Code: Status: ISSUED Applied 11/27/89 Description: SEPARATE PERMIT POOL #89-228 OWNER : STEAD, THOMAS 2669 VANCOUVER STREET CARLSBAD, CA 92008 *** Fees Required *** *** Fees: Adjustments: Total Fees: Fee description Building Permit Fee * SPA TOTAL 75.00 .00 75.00 Apr/Issue Validated By: DC Lie . 619 729-6 365 Fees Collected & Credits *** Total Credi ts: Total Payments: Balance Due: Units Fee/Unit ,00 .00 75.00 Ext fee Data 75.00 75.00 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 (619) 438-1161 1. PERMIT A COMMERCIAL 0 INDUSTRIAL ONEIi TENANT IMPROVEMENT □TENANT IMPROVEMENT VALID. BY __ --:,..,.'------------ DATE __ _,.,::_ __________ _ C • 0 RESIDENT !AL □APARTMENT □CONDO □SINGLE FAMILY DI/ELLING □ADDITION/ALTERATION □DUPLEX D DEMOLITION □RELOCATION OMOOILE HOME □ELECTRICAL □PLUMBING □MECHANICAL iaPOOL jgSPA □RETAINING IIALL □SOLAR □OTHER _____ _ 2. PROJECT INFORMATION PLAN CHECK No. Address 2.. (:, b 9 V .If ,v c o u... ,.J <2. I'll: 5-, Nearest Cross Streets Col\J C..o,Q.o LEGAL OESCRIPTIOII Lot No. Subd1v1s1on Name/Nunber Un1 t No. Phase No. CHECK BELOII If SUBMITTED: D 2 Energy Cales 02 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE bEscRIPfiOA OF UORk f,"be,...?l""ss BLDG. SO. FTG. # OF STORIES 3. CONTACT PERSON NAME CITY STATE SIGNATURE 4. APPLICANT D CONTRACTOR 0 AGENT NAME CITY STATE FOR ADDRESS ZIP CODE CONTRACTOR ADDRESS ZIP CODE DAY TELEPHONE OOIINER 0 AGENT FOR OIINER DAY TELEPHONE OIINER n;r>tr/S £. S Ter-1tJ 5. PROP£RTY OWNER _ NAME 77, O I\"\ A S E . S I f" A I> 0 LESSEE O TENANT 6. Cl TY C A Q I$" b A-p CONTRACTOR NAME CITY SIGNATURE DESIGNER NAME CITY ADDRESS STATE C 14-ZIP CODE <J2ooe STATE STATE LIC. # ____ _ STATE ADDRESS ZIP CODE LICENSE CLASS _____ _ TITLE ADDRESS ZIP CODE DAY TELEPHONE 7 J!.. 'i -b 3 b .s- DAY TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION 8. Workers• C0'11)ensation Declaration: hereby aff1rm that I ha've a certtficate of consent to self-rnsure issued by the D1rector of Industrial Relations, or a cert if; cate of \Jork.ers • COl'T1)ensat ion Insurance by an adni tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Bui lding Inspection Department (Section 3800. Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exet'f'4)tion: I certify that in the performance of the work for which this permit is issued, l shall not efll)loy any person in any manner so as to become slbj~ct to the llorkers' C°"""nsation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ~ I as owner of the property or my ~loyees with wages as their sole c~nsation, 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 i~roves thereon,, and who does such work himself or through his own employees, provided that such irrprovements are not intended or offered for sale. If, however, the building or ilfl)rovement is sold within one year of c~let10n, the owner-builder will have the burden of proving that he did not build or il!1'rove 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 Contractor1s License Law does not apply to an owner of property who builds or improves thereon, anc:J contracts for such projects with contractorCs) licensed pursuant to the Contractor I s License Law). 0 I am exeff1)t under Sect ion ___________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i~rove, demolish, or repair any structure, prior to its issuance, also requfres 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, comnencing with Section 7000 of Division 3 of the Business end Professions Code) or that he is exeff'pt therefrom, and the basis for the alleged ex~tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than f ive hundred dollars [S500J). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES □No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES O NO Is the facility to be constructed within 10 000 feet of the outer boundary of a school site? □YES If ANT Of THE ANS\IERS I\RE TES, I\ FINAL CERTIFICATE Of OCaJPI\NCT MT NOT BE ISSUED AFTER JULT 1, 1989 UNLESS THE I\PPLICANT AAS MET OR IS MEETING THE REQUIREMENTS Of THE OFFI CE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT . 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for wh ich this permit is issued (Sec 3097Ci) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10 . APPLICANT 'S SIGNATURE I certify that I have read the application and state that the above informat1on 1s correct. I agree to comply with all Clty ord1nances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. l ALSO I\GREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlllGMENTS, COSTS AND EXPENSES IIHICH MY IN ANY IIAY ACCRUE AGAINST SAID CITT IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 conmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any ti""' after the work is c011111Cnced for a period of 180 days (Section 303Cdl Um form Building Cod~). APPL! CAN~ SIGNATURE __y~(a;.. F. SC/ D OIINER D CONTRACTOR OBY PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB891827 DESCRIPTION: SEPARATE PERMIT TYPE: SPA CITY OF CARLSBAD INSPECTION REQUEST FOR 05/22/90 POOL #89-228 PHONE: INSPECTOR AREA PD PLANCK# CB891827 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 729-6365 JOB ADDRESS: 2669 VANCOUVER ST APPLICANT: STEAD, THOMAS E. CONTRACTOR: OWNER: STEAD, THOMAS REMARKS: Tl/MH/THOMAS SPECIAL INSTRUCT: PHONE: PHONE: 6lm~ it INSPECTO ~ , TOTAL TIME: CD 59 LVL DESCRIPTION SW Final Pool ACT COMMENTS tli _____ _ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS