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
__- .