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HomeMy WebLinkAbout2706 MEDFORD CT; ; CB920619; Permit.. 8 [. r l r I',, ,; F r R M 7/ll,/ t. !.4:4':, f:-cllJ l , , • Tl Ai<ltP::..: ~7GbMEDfUR> P rrn YL e. ,t :-1 r 'E 1-'CJ >~ I-' r c el ~c : 6 / 4 J.) 1 - u1t AND .: PA.:.> T t#: V I l ll l t i or. : 1 , ~ 0 ':, 1·< n .... tr._.c; ..... >t 'Type: :-JFW < cct,p H,l y _.,rnup: t f ( r en, 0# : ·ie C!: 1p+-1<,n: 5bU ~F PO >L AND Sr A I ..... l r "1 t t \ '-I ) ~ Pio . PC"+-I\ I) : AJ . + [l(>V(> 1 C>[ ffif n t r110: 8326 07/02/92 0001 01 02 C-f'RMT 208-00 t/(_;2031 .,t l u. : T t AE i:-' / At1/l...,-Ut t,/ 2 ~ V-l l t ~(. y" ANTHONY POOLS 619 7 9-152" App.1./0wra • >N, RAC ·vR , J6 W. M S~[ON AVEN~E t~roN~LDO, CA t.O~~ ESC'r,ND [DU, OwNI: R TR' IXAU, PA 270t1 MED£ 'ARLSBAC', C *** f e~. RP.}UirE:.:d ~.,..,, 1-e.·: A !ju tTT•"r.ts: rr ,t ~ Fee : Bui. L:.nCJ Permit J. 1n c n ' ~ t:r:< r,q M ,t ion fee En+-c>r Y for Elec:trica Entc>r v" tor PLumtanq Fe * B1 IL .. >TNG )TAL L fee. Co ---,.. - Totil CITY OF CARLSBAD l 1 I ~ 4 c 1 (. )( 1' p .0 Ex+--t [) .. . . . . '"'. ('( 2.. ,) • l J y ) \ ' .OU APPROVAL ~~-DATE 1·v ,. 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION • City of Carlsbad Building Department m. v,t. ____ L .. 2"''--"&;"'0""15:::.._ __ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. A PERMIT TYPE COMMERCIAL TENANT IMPROVEMENT PLAN CIC DEPOSIT __ -1'.J....L------- VALID. BY /.)G- . OATE 6/45<, 0/tj~ B -0 INDUSTRIAL □NEW □TENANT IMPROVEMENT 8248 06/26/92 0001 01 02 C-PRMT 111-00 C -□RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWfLLING □ADDITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING 0MECIIANICAL □POOL □SPA □RETAINING \.IALL □SOLAR □OTHER Cfl-lOJ l 2. PROJECT INFORMATION PLAN CHECK NO. Address iOb 1',11. E-DFO'R..D C:.'"T": Bu1 1ng or Suite No. Nearest Cross Streets LEGAL DESCRIPTION Lot No. s 1 v1 s 1 on Name/Nl.llt>er Unit No. Phase No. CHECK BELOM IF SUBtUTTED: D 2 Energy Cales Q2 Soils Report Q 1 Addressed Enveloee -,z EXISTING USE PROPOSED USE 3. BLDG. SQ, FTG. ':)°4,-0 % pc::,,ct..-# er JfBUES CONTACT PERSON' ""' ::f..-i Li,wse>.l •"' G.\,12..,i L.Aw:.o,-J ADDRESS STATK'.,lr-ZIP CODE ~DZ5'"'" DAY TELEPHONE .-, 39-1 52.5 [B1GENT FDR CONTRACTOR □OWNER QAGENT FOIi OWNER ADDRESS S"'e:>6 u.), .AA.t$,:,.10,J A,t/., 1£e:Ce.,iJ. STATE C;#-ZIP CODE '7"2,,e>~ DAY TELEPHONE 7.39•/ _s-z.~ 5. PROPERTY OWNER □LESSEE □TENANT ••" PAuL ,f Pe.Ge../ -f'Ru')( Aw ADDRESS z7,,,:, lv'\t,.:J)~ e.o =-; CITY C.A-f2 [. ~ i;;!,A;P STATECA-ZIP CODE 91,;oe 8 0AY TELEPHONE 7Z..CJ-ZA,5'4' 6. CONTRACTOR HAME Ar-JTl+O r--1 y -PesL $ M,ss-10 J 7. 8. ADDRESS CITY E.sco "-1 Dt D o OAY TELEPHONE 7~°t-1 SZf; STAT<CJ... 190 11 'l ZIP CODE '9Z.o.2.S LICENSE CLASS C.. 'z~ c1n Bus1NEss uc. , I I z..r.; 6co SIGNATURE DESIGNER NAME CITY WORKERS' COMPENSATION STATE OATE ~-:Z (o• 9Z ZIP CODE DAY TELEPHONE STATE LIC. # Workers' C«rpensat1on Declaration: hereby affirm that I have a cert1f1cate of consent to self·1nsure issued by the Director of industrial Relations, or a certificate of workers' c~nsation Insurance by an admitted insurer, or an e11.act copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3600, Lab. C). 1NsURANcE ca-1PANYNlftt o,-lM... UN, or:J Fro F PoL,cY No. (<M4:t:,. VZ.'32.otl4 ExP1RAT10N DATE -r-, -9 z. Certificate of E11.emption: I certify that in the performtmce of the work for which this permit is issued, I shall not employ any person in any manner so as to become slbject to the Workers• C~nsation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e11.empt from the Contractor's License Law for the following reason: D I as owner of the property or my efll)loyees with wages as their sole corrpensation, 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 i~rovement is sold within one year of coqiletion, the e,tner·builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 J, as owner of the property, am e11.clusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apPly to an owner of property who builds or i~roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exer!l)t under Section ___________ Business and Professions Code for this reason: (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, al so requires the applicant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, corrmencing with section 7000 of Division 3 of the Business and Professions Code) or that he is e11.empt therefrom, and the basis for the alleged ell.emption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500] ). SIGNATURE DATE COMPLETE THIS SECTION FOIi NON-RESIDENTIAL BUILDING PERMITS ONLY: ls the applicant or future bui lding occupant required to submit a business pt an, acutel v hazardous materials regi strati on form or risk management and prevention program under sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES QNO Is the applicant or future building occupant required to obtain a peN11it from the air pollution control district or air quality management district? Oves □No Is the fac i l i ty to be constructed within 1 ,000 feet of the outer boundary of a school site? □YES o,o IF ANY Of THE ANSll:RS ARE YES, A FINAL CERTIFICATE OF CX:ClFANCY NAY NOT BE JSSUEO AFTER JULY 1, 1989 UNLESS THE APPLICANT KAS N:T OR JS N:ETING THE RElilUIRENEltTS Of THE OFFICE Of EMERGENCY SERVICES AND TIIE AIR POI.LUTl<II CONTROi. DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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). LENDER'S NAME A/ 0 V L LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above 1nformat1on is correct. I agree to COO'ply with all City ordinances and State la1,1s 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 lll>EMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jl.OGflENTS, COSTS ANO EXPENSES WHICH NAY IN ANY MAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. EKpiration. Every permit issuei:I by the Building Official under the provisions of this Code shall e11.pire by limitation and become null and void if the building or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandone at any time after the work is corrmenced for a period of 180 days (Section 303(d) Uniform Building Code). D OWNER □CONTRACTOR~ ~ [:) BY PHONE APPROVED BY; _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance ... PERMIT# CB920619 CITY OF CARLSBAD INSPECTION REQUEST FOR 09/02/92 DESCRIPTION: 580 SF POOL AND SPA TYPE: POOL JOB ADDRESS: 2706 APPLICANT: ANTHONY CONTRACTOR: ANTHONY OWNER: TRUXAU, MEDFORD CT POOLS POOLS PAUL & PEGGY REMARKS: MH.JIM/739-1525 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# RW920135 CB920764 TYPE ROW PATIO PHONE: PHONE: PHONE: STATUS ISSUED ISSUED INSPECTOR AREA PY PLANCK# CB920619 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 739-1525 619-714-3000 619-729-2454 - C_D_ -LV_L __ D_E_S_C_R_I_P_T_I_O_N _________ ~.() COMMENTS 59 SW Final Pool M ------------------------------------ ***** INSPECTION HISTORY***** DATE 082492 081192 081092 080792 080792 080592 080592 072492 DESCRIPTION Fence/Pre-Plaster Electric/Conduit/Wiring Electric/Conduit/Wiring Underground Plumbing Electric/Conduit/Wiring Electric/Conduit/Wiring Gas/Test/Repairs Excav/Steel/Bonding/Fence ACT INSP AP PY NR PY CA PY CO PY CO PY CO PY AP PY AP PY . ··--•---~-• ----·~-~--- COMMENTS ND 6 11 BELOW SOIL SEE NOTE 8-5-92 RE DEPTH OK TO GUNNITE City of Carlsbad _.:JYIIKllll·A•JY•All ■lil4,li AFFIDAVIT 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 and/or spas. I understand that I, as the owner /contractor of the .pool/spa located at shall be 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. DATE _____ __,_7_-_z_-_1_v ________ _ This signed form is to be attached to the Inspectors copy of the swimming pool and/or spa permit. 2075 Las Palmas Drive•Carlsbad, California 92009-4859•(619) 438-1161