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HomeMy WebLinkAbout1707 LOBELIA CT; ; CB910425; PermitB U I L D [ N G P E R M I T Permit Project Developmt=>nt No No· No 104 ..., f)3/21/9l 14: Page 1 of Job Address: 1101 ~ )BELIA CT Pennit Type: ~, TE POOLS AND SPAS Parcel No: Valuation: 11,419 Construction Type: NEW Occupancy Group: Description: 435 SF POOL Appl/Ownr : MISSION POOLS 755 W. GRAND AVENUE ESCONDIDO, CA 92025 *** Fees Required Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plum Each Water Heater Gas Piping System Each Vacuum Breaker * PLUMBING TOTAL Enter "Y" for Electric- Enter "Y" for Remodel * ELECTRICAL TOTAL ($10 Class Code: Str: 619 INS -----PROVAL ____ DATE le =2{-9 I Fl: St-e: 1506 03/'"'1 Status: Applied: Apr/rssue: IS!:ilJED 0.:,/0i::.i/ Jl C!/2191 DC Validated By: 743-2605 llected & Credits ,Oll 88.00 166.00 **Ir. Ext f@e Data lJ 0 135. U;) tl8.00 1.00 224.00 1.50 Y 2.50 2 . c, 0 2.50 'lS.00 t..OO Y 1C.OO Y 1':>.00 CLEARANCE ___ _ CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL·-------~~-,1,----- 1. A PERMIT TYPE COMMERCIAL 0 JNOUSTRIAL PLAN CK DEPOSIT _____ ---;-,~~---- VALIO. BY _____ ~~~!"-,,-,~--- DATE -------7'1'--'.£,'-4'---- NEW □TENANT IMPROVEMENT □TENANT IMPROVEMENT C -_)GRESIOENTJAL □APARTMENT □CONDO □SINGLE FAMILY DIJELLING 0ADD!TION/AL TE RATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING 0 MECHANICAL POOL OSPA □RETAINING lJALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. Addcoss 1707 Lo Nearest Cross Streets LEGAL DESCRIPTION Lot No. Sul:xlivision Name/Nurt>er \.l <::1; BS -3 ~ Unit No. Phase No. CHECK BELOII IF SUBMITTED: 35 3. 4. 5. 6. 7. Q2 Energy Cales 02 Structural Cales ASSESSOR'S PARCEL BLDG. S0. FTG. D 2 Soi ls Repart # OF STORIES D 1 Addressed Envelope EXISTING USE PROPOSED USE CONTACT PERSON M., '.)"'.),O>'\ Pa:,\$ (_ ~C-V\.C..<c. Se.~) ADDRESS NAME CITY [.:'.:>l, SIGNATURE NAME CITY PROPERTY OWNER NAME l,_)<e.::,tem /,A+ i 6 n"-\ CITY -\"" e, DAY TELEPHONE FOR CONTRACTOR O0.JNER □AGENT FOR OWNER ADDRESS '1 $ 5 lAJ b..r""-'I"'\ d o..~ STATE(:...I'\:, ZIP CODE ~:2; 0: l..._ 5 DAY TELEPHONE ADDRESS C\0 \ □LESSEE S-i r-<,'tj- ST A TE C:, f).. 1 ZIP COOE DAY TELEPH0N ADDREss '15S w, l>.ra."' <i a.vt' STATE (._~, ZIP COOE ·'\"'Z.cL S DAY TELEPHONE 7 '-\ ~ -L 60 S CITY £;':::,(., STATE LIC. • 3-Z.blbO LICENSE CLASS c:..-53 CITY BUSINESS LIC. # ·"'l...L\_ b\ 5 SIGNATURE TITLE DATE ~-1-~ DESIGNER • ao(\, C..o ,~ CITY • STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION workers' Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by tl'le Director of Industrial Relations, or a certificate of workers' Compensation Insurance by an actni t ted insurer, or an exact copy or dupl i cate thereof cert if i eel by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). · 00.::,(. 3b ', "t,2. 6 l.l_"\9 INSURANCE COMPANY \' POLICY1No. Exi1RATION DATE Certificate of Eltemptio : I certify that in the performance of the work for which this permit is issued, I shall not en-ploy any person in any manner so as to become subject to the 'workers' Corrpensation Laws of California. ~ ~l'cd<b SIGNATURE ~ DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e)(empt from the Contractor's License Law for the following reason: 0 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, Business and Professions Code: The Contractor's License Law does not apply to an 01,1ner of property who builds or improves thereon,, and ...tio does such work himself or through his 01,1n employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold 1,1ithin one year of completion, the owner-builder 1,1ill have the burden of proving that he d ot build or improve for the purpose of sale.). D I, as owner of he property, am e)(cluslvely contracting with licensed contractors to construct The Contractor's Law does not apply to an 01,1ner of property who builds or improves th licensed pursuant D I am eltel1l)t under roject (Sec. 7044, Business and Professions code: and contracts for such projects with contractor(s) (Sec. 7031.5 Business and Professions es a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires --,--::··:.; file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, comnencing with Section Division 3 of the Business and Professions Code) or that he is eltempt therefrom, and the basis for the alleged eltemption. ction 7031. ny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred do l lars ($500] ) . SIGNATURE COMPLETE THIS SECTION Is the applicant or future building program under Sections 25505, required to suD"nit a business plan, acutely hazardous materials of the Presley-Tanner Hazardous Substance Account Act' □,o ,, ure building occupant required to obtain a permit from the air pollution control district or air quality management district? OYEs □No Is the faci constructed within 1,000 feet of the outer boundary of a school site' □YES If AMY THE ANS\IERS ARE FINAL CERTIFICATE OF OCOJPANCY NAY NOT BE ISSl.£0 AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENC hereby affirm that there is a construction lending agency for " 0 or which this permit is issued (Sec 3097(i) civil Code). LENO ER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE [ certify that ! have read the application and state that the above information is correct. I agree to comply 1,1ith all City ordinances 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 ALSO AGREE TO SAVE INDEIINIFY AND ICEEP HARIILESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll>GMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. E)(piration. Every permit issued by the Building Official under the provisions of this Code shall e~pire by limitation and become null and void if the building or 1,1ork authorized by such permit is not coomenced 1,1ithin 180 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 CCllllllenced for a period of 180 days (Section 303(d) Uniform Building Code}. APPLICANT'S SIGNATURE □ BY PHONE APPROVED SY; _______ _ DATE: YELLOW: Applicant PINK: Finance PERMIT# CB910425 DESCRIPTION: 435 SF POOL CITY OF CARLSBAD INSPECTION REQUEST FOR 06/17/91 INSPECTOR AREA PD PLANCK# CB910425 OCC GRP TYPE: POOL JOB ADDRESS: 1707 APPLICANT: MISSION CONTRACTOR: OWNER: REMARKS: MH/SHARON SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LOBELIA CT POOLS PERMIT# CB901968 CB910716 RW910039 CD 59 LVL DESCRIPTION SW Final Pool TYPE SFD ELEC ROW ------------------ -------------------- CONSTR. TYPE NEW STR: FL: STE: PHONE: 619-743-2605 PHONE: PHONE : /,/ ;J __)._ ~ ,1,/ INSPECTOR~~~?;:t;:::....:....:....c. ~-~:....:....-=--------- STATUS ISSUED ISSUED ISSUED ACT COMMENTS llf ___ _ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 061091 Final Pool co PD 051491 Fence/Pre-Plaster AP MP NOT A FINAL 050391 Underground Plumbing AP MP 050391 Electric/Conduit/Wiring AP MP 050191 Underground Plumbing AP PD GAS TEST 042391 Excav/Steel/Bonding AP PD 042291 Excav/Steel/Bonding co PD