HomeMy WebLinkAbout1253 BELLEFLOWER RD; ; CB010197; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Spa Permit
Building Inspection Request Line (760) 602-2725
Permit No:CBOI 01 97
Job Address:
Permit Type: SPA Status: ISSUED
Parcel No: 2145412400 Lot #: 0 Applied: 01/17/2001
Reference #: Plan Approved: 01/17/2001
Issued: 01/17/2001
Project Title: DUBIA RESIDENCE Inspect Area:
1253 BELLEFLOWER RD CBAD
Construction Type: NEW Entered By: MDP
INSTALL FIBERGLASS SPA
Applicant:
QUALITY FIBERGLASS POOLS
32497 HWY 74
HEMET CA 92545
909 926-6060
Owner:
DUBIA DUSTIN A&LAURIE
PL34 !l.t/-L7JOL 0002 31. 02
'33 I 20 1253 BELLEFLOWER RD CARLSBAD CA 92009 CGP
~
Total Fees: ~ $80.00 Total Payments To Date: $0.00 Balance Due: $80.00
Building Permit
Other Building Fee
TOTAL PERMIT FEES
$80.00
$0.00
$80.00
FINAL APPROVAL I Inspector: L Date: -BuL 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 "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must
follow 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 fght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. (3 \ - act1
EST. VAL.
Pian Ck. Deposit
Validated By
Date
I $4 -.
Address (includeBldglSuite #I Business Name (at this address)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total t of units
Assessor's Parcel #
/exription of Work
Existingpe Proposed Use a5 sa. FT. #of Stories t of Bedrooms X of Bathrooms -+.Wq)a95 5,
2.
Name
CONTACT PERSON Ut different from appDcantl
Name Address City Statelzip Telephone t
Name Address City Statelzip Telephone X
ONTRACTOR - COMPANY NAME
(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
/lChapter 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
e permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001).
Statelzip - City - Name Address
State License I %I, 3 30 Licenseclass Cpt> 3 City Business License #
Designer Name Address City Statelzip Telephone
State License t
6. WORK
Workers' Co
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
work for which this permit is issued.
ce Policy No. Fu4v~ Expiration Date ~/~>~)* I
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lOOl OR LESS)
0 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 workars' compensation coverage i. unlawful, and shall subject an employer to criminal penalties and civil finw up to one hundred
thousand dollars ($100,0001. in addition to the cost of compensation, damages as provided for in Section 3706 of tho Labor coda, interest and attorney's fees.
SIGNATURE DATE
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 does
such work himself or through his own employees, provided that such improvements 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 purpose of sale).
0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and 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 contractor(s1 licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
1 (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR #Off4€S/DBW7.4l BUILDINOPERMITS 0
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevantion
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
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 EM
8. CONSTRUCTION LENDING AGENC
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).
LENDERS NAME UOflL LENDERS ADDRESS
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 I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
0 YES 0 NO
ION CONTROL DISTRICT.
APPLICANT CERTlFlCATION
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 co City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit). 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
authorized by such permit is
at any time after the work is
APPLICANT'S SIGNATURE
ire by limitation and become null and void if the building or work
or work authorized by such permit is suspended or abandoned
DATE $1 ./4/
LLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/28/200 1
Permit## CBOl 01 97
Title: DUBIA RESIDENCE
Description: INSTALL FIBERGLASS SPA
Inspector Assignment: JC
Type: SPA Sub Type: Phone: 7606030995
Job Address: 1253 BELLEFLOWER RD flq
Suite: Lot ,127 / Inspector: ,j. Location :
APPLICANT QUALITY FIBERGLASS POOLS
Owner: DUBIA DUSTIN A&LAURIE
Remarks:
Total Time: Requested By: LAURI
CD Description
59 Final Pool
Entered By: CHRISTINE
Act Comments
Associated PCRs -7
InsDection History
Date Description Act lnsp Comments
04/02/2001 52 Underground Plumbing AP AR
04/02/2001 53 ElectridConduiVWiring AP JC