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HomeMy WebLinkAbout2409 BUENA VISTA CIR; ; CB911000; PermitBUILDING PERMIT Permit No: CE911OOO 07/26/91 10:56 Project No: A9101235 Page 1 of 1 Development No: Job Address: 2409 BUENA VISTA CR Str: F1: Ste: Permit Type: GUNITE POOLS AND SPAS 341Q19/&6#&gQolOl 02 Parcel No: 155-222-03-00 c-QR)cT 166.25 Valuation: 11,900 w33-34 Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED Description: 432 SF POOL AND SPA Applied : O7/08/ 9 1 Apr/I ssue : 07/16 /9 1 Validated By: SBR Appl/Ownr : COOK, RICHARD AND SHIRLEY 619 729-8738 2409 BUENA VISTA CJ. CARLSBAD, CA 9200 *** Fees Required ** Fees : Adjustments: Total Fees: Fee description ------------------ Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL Enter "Y!' for Plu Each Water Heater Gas Piping System Each Vacuum Breaker * PLUMBING TOTAL Enter "Y" for Electri Enter "Y" for Remodel x ELECTRICAL TOTAL ($10 . Credits . 00 87.75 166.25 Ext fee 135.00 88.00 1.00 224.00 7.50 2.50 2.50 2.50 15.00 5.00 10.00 15.00 ClTY OF CARLSBAD 207'5 Las Palmas Dr., Carlsbad CA 92009 (619) 4381161 Y Y Y PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE 1 A - ~CCMHERClAL Lj NEU OTENANT IMPROVEMENT PLAN CY DEPOSIT VALID. BY B - 0 INDUSTRIAL ONEU UTENANT IMPROVEMENT c - -J&~ESIDENTIAL UAPARTMENT OCONDO OSINGLE FAMILY DUELLING ~ADDITIONIALTERATION 0 DUPLEX DEMOLIT ION 0 RELOCAT ION OMOBI LE HOME OELECTRICAL UPLUMBI NG MECHANICAL -L -PA ORETAINING UALL SOLAR OOTHER I 2. PROJECT INFORMATION PLAN CHECK No. I FOR OFFICF USF ON1 Y B ilding or Suite No. Address z+oq ~UahSULS& CA&A LEGAL DESCRIPTION Lot c"yu-u2?Z*on No. CHECK BELW IF SUBMITTED: Nearest Cross Streets ULS&LCk!!L t - n2 Energy Calcs 02 Structural Calcs 02 Soils Report 01 Addressed Envelope 1 Fb ASSESSOR'S PARCEL ISS-Za -0 3 EXISTING USE UORK f BLDG. SO. FTG. # OF STORIES 3. CONTACT PERSON Me&: ADDRESS CITY STATE ZIP CODE DAY TELEPHONE SIGNATURE *TRACTOR AGENT FOR CONTRACTOR OOUNER OACENT FOR OWNER ADDRESS 4. APPLICANT NAME CITY STATE ZIP CODE DAY TELEPHONE 5. PROPERTY OWNER OLESSEE nTENANT STATE e ZIP CODE 7-b DAY TELEPHONE 729-0738 SIGNATURE TITLE L& DATE 71blU DESIGNER NAME ADDRESS " CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Uorkers' Cmnsation Declaration: I herebv affirm that 1 have a certificate of consent to self-insure issued by the Director of Industrial Relations. or a certificate of Workers' Carpensation 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 c*\- k, POL I CY NO%= 33-1 W T EXPIRATION DATE 1t /qi Certificate of Exemption: so as to becane subject to the Workers' Compensation Laws of California. 1 certify that in th'e performance of the work for which this permit is issued, I shall not employ any person in any manner SIGNATURE fi- DATE 7 /& 19 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the foliowing reason: 0 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 f property who builds or improves thereon,, and who ed or offered for sale. If. however, the building ng that he did not build or improve for the purpose project (Sec. 7044. Business and Professions Code: and contracts for such projects with contractor(s) Business and Professions Code for this reason: alter, improve, demlish, or repair any structure, he is licensed pursuant to the provisions of the Professions Code) or that he is exempt therefrom. it subjects the applicant to a civil penalty of not more than five hundred dollars [SSOOI). SIGNATURE DATE terials registration form or risk management and prevention rol district or air quality management district? UULESS THE APPLICMT HAS NET OR IS MEETING THE REWIREMEYTS OF THE OFFICE OF E~GENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENilING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(il Civil Code). LENDER'S NAME p/b LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply nith all City ordinances and State laws relating to building construction. CITY IN CONSEWENCE OF THE GRANTING OF THIS PERMIT. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioncd property for inspection purposes. I ALSO AGREE TO SAVE INDEMUIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAIUST ALL LIABILITIES, JWGIKNTS, COSTS AND EXPENSES UHICH IvIr JU ANY YAY ACCRUE Aminsr SAID 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 comnenced 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 time after the work is comnenced for a period of 180 days (Section 303(d) Unlform Building Code). 0 OUNER ~NTRACTOR 0 BY PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB911000 DESCRIPTION: TYPE: POOL JOB ADDRESS: APPLICANT: CONTRACTOR: OWNER: CITY OF CARLSBAD INSPECTION REQUEST FOR 10/10/91 INSPECTOR AREA PY 432 SF POOL AND SPA PLANCK# CB911000 OCC GRP CONSTR. TYPE NEW 2409 BUENA VISTA CR STR: FL: STE : COOK, RICHARD AND SHIRLEY PHONE: 619 729-8738 PHONE : PHONE : cQr REMARKS: MH/LINDA489-6328 SPECIAL INSTRUCT: TOTAL TIME: v INSPECTOR --RELATED PERMITS-- PERMIT# TYPE STATUS CB901613 ISSUED RW910121 ROW ISSUED CD LVL DESCRIPTION ACT COMMENTS 1 59 ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 092591 Fence/Pre-Plaster AP PY 080791 Underground Plumbing AP PY 080791 Electric/Conduit/Wiring AP PY 080791 Gas/Test/Repairs AP PY 072591 Excav/Steel/Bonding/Fence AP PY NEED FENCING I .. A I AFFl DAVIT This document will, certify that I have read the attached copy of the Carlsbad Municipal Code and know the provisions requiring, fencing for swimming pools andlor spas. I understand that 1, as the owner/contractor of the pool/spa located at responsible in obtaining an approved inspection of the permanent fencing from the Building Department prior to a steel and bonding inspection for the pool and/or spa. SIGN /OWNER -c SIGN /CONTRACTOR L/ V1&9/- This signed form is to be attached to the Inspectors copy of the swimming pool and/or spa permit. I 2075 Las Palmas Drive- Carlsbad. California 92009-4859-(619) 438-1 161 __- .