HomeMy WebLinkAbout1414 CRESSA CT; ; CB960964; Permitr^ ^ v ILDING PERMIT
02/25/97, 1-2 18 '"
Page 1 of 1
Job Address 1414 cfeESSA CT Suite,
Permit Tyj>e. ELECTRICAL
Parcel No 215-621-26-00 , Lot*
Valuation 0
Occupancy Qroup: Reference*
Description ELECT OUTLET FOR SPA & LIGHTS
, AND RECEPTICALS-EXTERIOR
Permit No CB960964
Project No -A9601377
Development No
Appl/Ownr
***
SAN DIEGO HOT TUBS
P O BOX 500233
$AN DIEGO CA 92150
Fees Required ***
Construction Type. NEW
Status ISSUED
Applxed. 05/31/96
AprYIssue 02/25/97
Entered By RMA
619-486-2797
Adjustments*
Total Fees
Fee description
Enter "Y" for' Electr
Enter "Y" for Remod
Other
* ELECTRICAL TOTAL-
Collected & Credits
2860 «2/25/?7 000
* * *
02
5.00
Ext .fee Data
-1,0.00 Y
10.00
25,00 ,
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palnas Dr.. Carlsbad. CA 92009 (619) 438-1161
1 PERMIT TYPE
From List 1 (see back) give code of Permit-Type
For Residential Protects Only From List 2 (see back) give
Code of Structure-Type
Net Loss/Gain of Dwelling Units _
2. PROJECT INFORMATION
PLAN CHECK NO.
EST.VAL
PIAN CK DEPOSIT
VALID BY
DATE
FOR OFFICE USE ONLY
^Address
Nearest Cross Street
or bmte No
LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No
CHECK BELOWTF SUBMITTED
D 2 Energy Gales D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL ISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ FT _# OF STORIES # OF BEDROOMS # OF BATHROOMS
3T GUN IALTT FERSLJN (it oinerent trom applicant;
NAME (last name first)
CITY STATE ZIP CODE DAY TELEPHONE 7
APPLICANT
NAME (last name
CITY
TOR, U AGENT FO LTOWNER, U AGENT FOR OWNER
/?<& '
STATE AY TELEPHONE
ADDRESS
CITY £/?ZIP CODE DAY TELEPHONE
CONIKACTOR ^^- /I / s
NAME (last name firstJ^^Xxv f/< /ADDRESS
CITY S STATE
STATE UC #
DAY TELEPHONE
H^CENSE CLASS7:!? CITY BUSINESS LIC #
UhSlGNtR NAMBJIast name first;ADDHhbb
CITY
WORKERS'COMPENSATION
STATE ZIP CODE DAY TELEPHONE STATE UC #
Workers' Compensation Declaration Thereby amrm that I have a certificate ofconsent to self-insure issued by the Director ot Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) / *
INSURANCE COMPANY DATE J/V^/ X
Certificate oTExemption I certify that in the performance of the work tor which this f&rmit is issued, T shall not employ any person in any manner
so as to become srfhM&t to/die Workers' Compensation Lrfws of California
S1GNATU
8 OWNKH-BU
mer-Builder Declaration 1 hereby attirm that 1 am exempt trom the Contractor's License Law lor the tollowing reason
D 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 KW sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds
or improvesjhereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered formate If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that ne did not build or improve for the purpose of sale)
D I, as owner of the progeny, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions
Code The ContractorVLicense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) license^pursuant to the Contractor's License Law)
D I am exempt under Section N^ Business and Professions Code for this reason
(Sec 7031 5 Business and ProfessiciHsCode Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, pnor to its issuance, alsb\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\fChapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basts 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 mqre than five hundred dollars [$500])
SIGNATURE ^ DATE
COMPLETE TH1S>SECT1ON FOR NON-RESIDENTIAL BUlLDlNli HEHM1TS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and
prevention program undfer Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES \. Ol NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district?
D YES ^vD N0
Is the facility to be constructed withmH-OOO feet of the outer boundary of a school site?
D YES
IF ANY OF THE ANSWERS ARE YES, A FINAl>CERTlFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9 CUNb'l HUC.'HUrrt^NUlNG ACiKlMCY
1 hereby attirm thaVthere is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3UV7(.i) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
10. AFPLICANI
I certify that I have read the application and state that the above information is correct I agree to comply with all City ordinances 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 I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA. An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stones 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 authonzed by such permit is not cpmmenced^withm 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned/at an/tiro^Tter the/work is commenced for a penod of 180 days (Section 303ra) Umform Building Code)
APPLICANTS SIGNATURE 7S// f / Z /^J* I/O J3ATE
/HITE: File YELLOW: £j5phcant PINK: Finance \" / '/
BASE ** ACTIVITY PROCESSING ** 01/11/97
Permit No: CB960964 09:53
Type: ELEC ELECTRICAL
Status; rEXPIRED.::r ~7
Dates: Applied ; 053196 Apr/Issue : 053196
Finaled : Expired : 113096
Job Title: ELECT OUTLET FOR SPA & LIGHTS Valuation:
Descr; AND RECEPTICALS-EXTERIOR
Type Const; NEW
Altkey;
Address; j—14X4~i__ Stree1fr~CRESSA"CT
Lot#: ' " Suite;
Parcel: 2156212600 Owner: PARKER JOHN W&JULIE J
Occupancy; Referencefl;
No district keyword
Appl/Ownr ; SAN DIEGO HOT TUBS Telephone; 619-486-2797
Address; P.O. BOX 500233
SAN DIEGO CA 92150 Insp Area;rDClT3 Entered By; RMA
INSP; YES APPR: NO COMM; NO MULTP; NO MULTA; NO $ BAL; NO
Project; A9601377 ELECT OUTLET FOR SPA & LIGHTS Entered: 05/31/96 By: COUNTER
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB960964 FOR 02/28/97
DESCRIPTION: ELECT OUTLET FOR SPA & LIGHTS
AND RECEPTICALS-EXTERIOR
TYPE: ELEC
JOB ADDRESS: 1414 CRESSA CT
APPLICANT: SAN DIEGO HOT TUBS PHONE:
CONTRACTOR: PHONE:
OWNER: PHONE:
INSPECTOR AREA DC
PLANCK# CB960964
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-486-2797
REMARKS: BJN/CHUCK/486-2797
SPECIAL INSTRUCT:
INSPECTO
TOTAL TIME:
CD LVL DESCRIPTION
59 SW Final Pool
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP
021197 Final Pool NR PD
012797 Final Pool CO PD
060396 Underground/Conduit-Wiring AP PD
COMMENTS
EXPIRED
CONDUIT ONLY/NO WIRING
PERMIT* CB960964
DESCRIPTION: ELECT
AND
TYPE: ELEC
JOB ADDRESS
APPLICANT:
CONTRACTOR:
OWNER:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/27/97
OUTLET FOR SPA & LIGHTS
RECEPTICALS-EXTERIOR
1414
SAN DIEGO
CRESSA CT
HOT TUBS PHONE:
PHONE:
PHONE:
INSPECTOR AREA DC
PLANCK# CB960964
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-486-2797
REMARKS: MW/
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
59 SW Final Pool
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP
060396 Underground/Conduit-Wiring AP PD
COMMENTS
CONDUIT ONLY/NO WIRING
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE
DATE
LOCATION.
PERMIT NO.
7
' '
2075 LA
TIME
t -To ft '»'T& fa*
FOR INSPECTION CALL 438-3101 RE-INSPECTION FEE DUE?
/ /
FOR FURTHER INFORMATION CONTACT
YES
f PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER
^-*v "fOT
B u i Id i nig Department
WORKERS' COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations
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
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 workers' compensation insurance carrier and policy number are
INSURANCE COMPANY POLICY NO EXPIRATION DA
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR O
DOLLARS ($100) OR LESS)
NDRED
I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner j,o as to become subject to the
C workers compensation laws of California.-
Signature
Warning Failure to secure workers' compensation coverage is unlawful, and shall be
subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars ($100,000), in addition to the cost of compensation, damages as provided for
in Section 3706 of the Labor Code, Interest and attorney's fees
March 3, 1995
2O75 Las Palmas Dr - Carlsbad CA 92009-1576 • (619) 438-1161 - FAX (619) 438-0894
so
COMPENSATION
INSURANCE
FUND
PO BOX 807, SAN FRANCISCO CA 94101-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 08-01-95
POLICY NUMBER 07O9212 - 95
CERTIFICATE EXPIRES 08-01-96
CITY OF CARLSBAD
ATTN. BUILDING DEPARTMENT
2075 LAS PALMAS DRIVE
CARLSBAD CA 92009~1»859
JOB ALL OPERATIONS
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded
by the policies listed herein Notwithstanding any requirement term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or may pertain the insurance afforded by the
policies described herein is subject to all the terms exclusions and conditions of such policies
, PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 00 PER OCCURRENCE
ENDORSEMENT #2O65 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08/01/95 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY ., - ,
EMPLOYER LEGAL NAME
SAN DIEGO HOT TUBS
P 0 BOX 500233
SAN DIEGO CA 92150
RUBACKY CHARLES (PARTNER) AND
SMITH TOM (PARTNER)
PRIWTFD 07-19-95
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 102S5 (REV. 2-»5)
SAH DiEGO HOT TUBS
SPAS AND CONSTRUCTION
P Q 3ox 500233
3an Oieac CA 9235G
(619) 586-1188
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