The URL can be used to link to this page

Home My WebLink About1412 CRESSA CT; ; CB960619; PermitBUILDING PER MI 04/03/96 10 04 Page 1 of 1 Job Address- 1412 CRESSA CT Suite Permit Type GUNITE POOLS AND SPAS Parcel No 215-621-25-00 Lot#- Valuation 0 Occupancy Group Reference* Description INSTALL IN-GROUND FIBERGLASS SPA W/ SEP EQUIPMENT Permit No CB960619 Project No A9600864 Development No 6842 04/03/96 0001 01 02 C-PRfl Appl/Ownr • SAN DIEGO HOT TUBS P O BOX 500233 SAN DIEGO CA 92150 Construction Type ' "'WEW Status ISSUED Applied 04/03/96 Apr/Issue 04/03/96 Entered By RMA 619-486-2797 •*** Fees Required **** A A Fees Collected & Credits * * A- Fees: 80 00 Adjustments .00 Total Fees 80. 00 Fee description Total Credits: Total .Payments: Balance Due . .Units Fee/Unit 00 00 80 00 Ext fee Delta Other A BUILDING TOTAL 80. 00 80 00 PERMIT FEE 80 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMJT APPLICATION City of Carlsbad Building Department 2075 Las Pains Dr., Carlsbad, CA 92009 (619) 438-1161 1 PERMIT TYPE From Ust 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units . 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT VALID BY ft A-'•*" M7Jfr: FOR OFFICE USE ONLY Address Nearest Cross Street Suite No LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No CHhCK BhLOW IP-SUBMITTED D 2 Energy Gales ^B-3J>tructural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 LUNIAUI FtKauiM (H different from applicant; NAME (last name first) \^ CITY , ^""STAIE. ADDRESS ZIP CODE 4 APPLICANT >"sJ]uNlKAt;iUK Q ACitN 1 H_W CUN 1HAUIUH NAME (last name firet)^^/?^^ /'^^DRESS CITY STATE ZIP CODE DAY TELEPHONE QOWNhR LJAGEN1 FOR OWNtH DAY TELEPHONE tyJf'v?,/^'/?? 7* CITY DAY TELEPHONE O UJNIKAL.IUK NAME (last name first) CITY STATE UC # 5 STATE C^T ZIP CODE<£^^/<£y'DAY TELEPHONE 7^0te7eZ^SS S '^//^/^ f -*72 / <-7/OJ?vO / -^77 ^X'gCENSE CLASS /~Z CITY BUSINESS UC # /c^U'L/C'S / NAME (last name tirst)ADDRESS CITY 7 WORKERS' UUMPENSA'IION STATE ZIP CODE DAY TELEPHONE STATE LIC # Workers'Compensation Declaration I hereby altirm that I have a certiticateot consent to sell insure issued by the Director oJ Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certifie by the Director of the insurer thereof filed with the Building Inspection Department (Secjion 3800, Lab INSURANCE COMPANY ,5UCYNO TION DATE Certiticate of Exemption I certify that in the performance of the work For wnicn this permit is issued, I shall not employ any person in any manner so as to become subjectso^the Workers' Compensation Laws of California SIGNATURE OWNER-BUILDER DECLARATION _ uwner-buiider Declaration 1 nereoy amrm tnat 1 am exempt from trie (jontractors License Law lor the following reason D I, as owneXof 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, 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 N(. however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he dioNi^t build or improve for the purpose of sale ) O 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 Ucense^w does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuaqt to the Contractor's License Law) D I am exempt under Section ^v Business and Professions Code for this reason (Sec 7031 5 Business and Professions CodeNAny City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requiresxhe applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of die Contractor's License Law (ChapteN^, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for thehal{eged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more thaninvehundred dollars [$500]) SIGNATURE v ^^ DATE COMPUTE THIS SEL'MUIM NJR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future buildm^Qccupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES Is the applicant or future building occupanfrequired to obtain a permit from the air polluDon control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of tttesouter boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFlCATfrQF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9 LUNMHUlllUN 1 hereby allirm that there Bsgconstrucuon lending agency tor the performance of the worK tor which tnis permit is issued (bee 3097 UJ Civil Code) LENDER'S NAME DER'S ADDRESS 10 ArPUCAnl (JEH llrlCA 1HJN I certify tnat l nave read tne application and staiejnat the atxjve information is correct I agree to comply with all City ordinances ana State laws relating to building construction I hereby authonze representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height 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 permiMs not comnienced wjthin 365 days from" the date of such permit or if the building or work authorized byxsuch permit is suspended or abandoned.a^^njgrffme.jKter the Work is comrnena£jf,for a period of 180 days (Section 303(d) Uniform Building/Code^ APPLICANTS SIGNATURE WHITE: File YELLOW:: A^j^ant PINK: Finance CITY OF CARLSBAD ' INSPECTION REQUEST PERMIT* CB960619 FOR 04/17/96 DESCRIPTION: INSTALL IN-GROUND FIBERGLASS SPA W/ SEP EQUIPMENT TYPE: POOL JOB ADDRESS: 1412 CRESSA CT APPLICANT: CONTRACTOR: OWNER: SAN DIEGO HOT TUBS PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK! CB960619 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-486-2797 REMARKS: MW/CHUCK SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION 59 SW Final Pool PERMIT* TYPE STATUS SE940082 SWRSD ISSUED ACT COMMENTS fv ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 040996 Underground/Under Floor AP TP 040996 Underground/Conduit-Wiring AP TP 040996 Gas/Test/Repairs AP TP COMMENTS GAS LINE COMPENSATION NSURANCE' PO BOX 807; SAN FRANCISGO;CA 94 10 T-08Q7. ;--"., ;•• " ' ' ' "" - ' '-' F"UND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 08-01-95 POLICY NUMBER- 0709212--95 CERTIFICATE EXPIRES 08-01-96 ' .- SO CITY OF CARLSBAD ATTN: BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE ' ' CARLSBAD CA 9200g-i»859 ' " JOB ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance-policy in-'a form approved by the California Insurance Commissioner to the employer named below .for-the policy period indicated.. ,, ",-. v • ' ' '• This policy is not subject to cancellation by the Fund except upon 30 days''advance-written notice to the employer We will also give you 30 days' advance notice should this policy be cahceiled.'Tbribr to its normal expiration '-. ••< This certificate of insurance is npt an insurance policy^ arid "does-not amend,-;extend-or "alter the coverage afforded by the policies listed herein Notwithstanding any requirement, .term,, or condition of. any contract.or other document with respect to which this certificate of insurance may:be-'issued or may pertain; the insurance afforded by the policies described herein ts subject.to att the terms, exclusions and.conditions;.:of such policies' s-:s.;--.'.' .'•"- J, EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS., .loOO.OOO.OO PER OCCURRENCE ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS < NOTICE: EFFECTIVE 08/01/95 IS ATTACHED TO AND FORMS A PART OF THIS POLICY • ••_„., •-;•"'>, <• ,,;• ..-;';-, . Wv^'^-'vi^'-" : "' •'''•-•- ' ;'; : "-::™~"-i *'" ••.:•.'•:"•' •' •• '•• • "''' '• "•-' ••" ''-''-- 4-':r ' ": '- ''" "'''~' . _ * • :•"'. • A-.^. ;, -;"'".• •-..-,•• '"-'••' ••''.">'""**•'" ', '• tj- %1""'. ., .. EMPLOYER LEGAL NAME SAN DIEGO HOT TUBS P 0 BOX 500233 SAN DIEGO CA 92150 RUBACKY, CHARLES (PARTNER) AND SMITH, TOM (PARTNER) PR1NTFD O7-19-95 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10285 (REV. 2-S5) City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations. I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are INSURANCE COMPANY POLICY NO EXPIRATION DA .....J/L. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR 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 ($100,000), 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 2O75 Las Palmas Dr • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-O894