HomeMy WebLinkAbout2706 MEDFORD CT; ; CB920619; Permit..
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APPROVAL
~~-DATE 1·v
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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