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LAPPROV~A
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
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PERMIT APPLICATION
City of Carlsbad Building Deparhlent
2075 Las Palms De., Coclsbad, CA 92009 (619) 438-1161
I. P£RMI I hPE
A -□Commercial □New Building D tenant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -~esidential □ Apartment □ Condo ~Single Family Dwelling □Addition/Alteration
D Duplex D Demolition D Relocation □ Mobile Home D Electrical □ Plumbing
D Mechanical 1'J>ool )a. Spa □ Retaining Wall □ Solar □ Other e/<-&!03
2. PRamcr INFORMATION FOR OFFICE USE ONLY
Address 2fo39 Tl\Ar&u. (fA--pE@mg or Su,te No.
Nearest Cross Street /h 00 /? J L~ J A ~ LEGAL DEsCRIPIION ~o. sufvts1on Na~U Omt No. Phase No.
CHECK B£WW iF SOBMll 1£D:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
EX!SJJNG USE s Pk ASSESSOR'S PARCEL tj SµW DESCRIPTION OF WORI( µ_;t)l PROPOSED USE
SQ. Ff. ~ # OF STORIES
3. WN JACl~ (tf duierenl from apphcani)
NAME L)A\fc'.._ l).J"1 l l \'Ar'Y\: ADDRESS
CITY C...
CITY ZIP CODE
NAME
CITY C... L
ADDRESS:z...b3q
ZIP CODE
mw<x1.A.(--k\. p_z_,
DAY TELEPHONE 0t7 3 ~ 7 (./ k, /
· NAMESU--()da..ne0L lX>ls ADDRESS ,z...t..{09. ~A/J /Q.A-
cITY [."SC...... STATEC__R, ZIP CODE q2))z<( DAYTELEPHONE l/.iq-_s--gS()
STATE UC. #4~ UCENSE CLASS (' D CITY BUSINESS UC.#
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
7. WOltkF.RS' WMPF.NSAIIUN
Workers' Compensation beciaratlon: I hereby aff1rm that I have a cert1hcate of consent to self.insure issued by the Otrector of lndustnal
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).
D POUCY NO.
Owner-Builder beciarat1on: I hereby afhnn that I am exempt from the Contracto?s Lcense Law for the followmg reason:
□ 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, Busine$ and Professions Code: The Contractor's Llcense 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.).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Ucense Law).
□ I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.S 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SJGNATIJRE DATI!
COMPLEIE IRIS SEGIION FOR NON-RESIDEN IIAL BUILDING PERM! IS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hai.ardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hai.ardous Substance Account Act?
□YES □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 □ NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IP ANY OP 11IE ANSWERS ARE YES, A PINAL CERTIFICATI! OF OCCUPANCY MAY NOT BR ISSUED AFll!R JULY I, 1989 UNLF.SS 11IE APPLICANT
HAS MET OR JS MEilTING 11IE REQIIJREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11IE AIR POIJ.IJTION CDNTROL D!SfRICT.
~~ construction en mg agency or t e per ormance o t e wor or w JC t IS permit IS ISSU
LENDER'S NAME r i LENDER'S ADDRESS
I certUY that I have read the apphcat1on and state that the above mformat1on 1s correct. I agree to comply with all City ordmances 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 AISO AGREE 1U SAVE INDEMNIFY AND KEEP IIARMIJlSS 11IE CITY OP CARISBAD AGAINST AU. UABJUTIES, JUDGMENTS, CDSTI;
AND EXPENSES WIIlCJI MAY IN ANY WAY ACX:RIJE AGAINST SAID CITY IN CDNSEQUENCE OP nm GRANTING OP TIIlS 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 issued by the Building Official under the provisions of this Ccxle shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 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 commenced for a period of 180 days (Section 303(d) Uniform Buil ·ng Code).
DATE: ...>..C.<'--_,_-_'=t-'--1-APPLICANTS SIGNATURE
OW: Applicant PINK: Finance
•
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB910859 FOR 08/08/91
DESCRIPTION: 340 SF POOL AND SPA RW910093
TYPE: POOL
JOB ADDRESS: 2639 MARQUITA PL
APPLICANT: B PARTON
CONTRACTOR: SUNDANCER POOLS
OWNER:
REMARKS: MH/JUAN/672-4572
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
RW910093 ROW
STR:
PHONE: 4895850
PHONE: 4895850
PHONE:
INSPECTOR
STATUS
ISSUED
CD
59 LVL--D-E_S_C_R_I_P_T_I_O_N __________ MCOMMENTS
SW Final Pool fil•
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
071891 Underground Plumbing AP PY
071891 Electric/Conduit/Wiring AP PY
062791 Excav/Steel/Bonding AP PY
062591 Excav/Steel/Bonding AP PY
INSPECTOR AREA PY
PLANCK# CB910859
OCC GRP
CONSTR. TYPE NEW
FL: STE: