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Home My WebLink About2823 AVENIDA VALERA; ; CB951653; Permit-- I BUILDING PERMIT Permit No: CB951653 11/13/95 10:29 Project No: A9502418 Page 1 of 1 Development No: Job Address: 2823 AVENIDA VALERA Suite: Permit Type: GUNITE Parcel No: 216-460-40-00 Valuation: nstruction Type: Occupancy Group: Status: Description: INSTALL U Applied: : OCTAGON Apr/Issue: Entered By: Appl/Ownr : S.D.H P.O. SAN D *** Fees Requir Credits --_-----__-----__- ---------- Fees : Adjustments: Total Fees: 80. Fee description Ext fe Other 80. * BUILDING TOTAL 80. ..................... ------------- NEW ISSUED 11/13/9 11/13/9 RMA 00 00 00 e Data 00 PERM1 00 - - - - - - - I 5 5 T FE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 3 ” PERMlT APPLICATION City of Carlsbad Building Departmmt 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 ~~~ ~ ~ ~~ From List 1 (see back) give code of Pennit-Type: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of Structure-Type: Net Loss/Gain of Dwelling Units 2 PRaMlTINFORMAIION FOR OFFICE USE ONLY LEGAL -ON Lot No. Subdivlsion NamdNumber Unit No. Phase No. 2 Enernv Calcs 0 2 Structural Calcs 0 2 Soils Reoort 1 Addressed Envelow CITY STATE ZIP CODE DAY TELEPHONE SATE LIC. # ~~ ~~ Workers’ Compensation Declaration: I hereby attirm that 1 have a certificate ot consent to self-insure issued by the Director ot Industrial Relations, or a certificate of Workers’ Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified to construct the project (Sec. 7044, Business and Professions o builds or improves thereon, and contracts for such projects 0 I am exempt under Section (Sec. 7031.5 Business and Pro any structure, prior to its issuance, a provisions of the Contractor‘s License or that he is exempt therefrom, and subjects the applicant to a civil penalty of not more than five hundred dollars [$SOO]). Business and Professions Code for this reason: ty or County which requires a permit to construct, alter, improve, demolish, or repair applicant for such permit to tile a signed statement that he is licensed pursuant to the r 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit SIGNATURE DATE LY 0 YES HAS MET OR 1s MEEIlNG THE REQ- OF THE OFFICE OF IMERGENCY SJZRVICfS AND THE AD1 PoLLunON CONTROL DISlRICX. e work tor which this permit 1s issued [Sec 309m 1 Civll Code). LENDER’S NAME a \ I ceN that 1 have read the applicatlon and state that the above intormation is correct. 1 agree to comply with all City ordinances and State law relatin! to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IAISOA?CREETOSAVEI”MANDKEEPHARMLESSTHECllYOFCARCSBAD~AINSTAU.~~~MENTS,<X)SIS AND EXPENS WHlCE4 MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PJiRMlT. OSHA: An OSHA permit is required for excavations over 5’0“ deep and demolition or construction of structures over 3 stories in height. Code shall expire by limitation and beco the date of such permit or if the building r a period of I80 days (Section 303(d) U c v PERMIT# CB951653 CITY OF CARLIJBZU) INSPECTION REQUEST FOR 01/10/96 DESCRIPTION: INSTALL UNDERGROUND SPA-90" OCTAGQN TYPE: POOL JOB ADDRESS: 2823 AWIDA VALERA APPLICANT: S.D.H.T co)ITEuIcMIR: OWWER: REllARKs: XW/CHUCK/416-2797 SPECIAL INSTRUCT: --==TED PERUITS-- PER)(IT# TYPE C8951649 KO CD LVLDESCRIPTION ACT INSPECTOR AREA PY PWLWCK# C8951653 OCC GRP COWSTR. TYPE NEW STE: m: PHONE: 619-486-2797 PHOblE: PIzOwE: ***** INSPECTIOW HISTORY ***** DATE DESCRIPTTOW ACT ISSP c0)IPBwTS 121895 Final Pool co PY WD GFI PLUG REPLllCED 111595 Gas/Test/Repairs AP PY 111595 Eloctric/Conduit/Wiring AQ PY WORKERS‘ COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for the performance of the work for which this permit is issued. = A. workers’ compensation as provided by section 3700 of the Labor Code, for have and will maintain workers’ compensation, as required by section 3700 f the Labor Code, for the performance of the work for which this permit is My workers’ compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO. EXPI RATIO WDATF: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS F6R ONE HUNDRED DOLLARS ($100) OR LESS) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the C. workers compensation laws of California. Signature Date Warning: Failure to secure workers’ compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (S 1 OO,OOO), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney’s fees. March 3, 1995 @ 2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 (619) 438-1161 FAX (619) 438-0894 ___I.. . . __.__ ~ . .... , . ... ...__ ~ - . - .... .-. . .. .. .. ,. . ._ .. ..