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