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Home My WebLink About1710 BLACKBIRD CIR; ; CB042816; Permit07-20-2004' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Spa Permit. Permit No: CB042816 Job Address: Permit Type: SPA Status: ISSUED Parcel No: 2156026600 Lot #: 0 Applied: 07/20/2004 Reference #: Plan Approved: 0712012004 Issued: 0712012004 Project Title: CAINE RES- INSTALL 112 SQ. FT. Inspect Area: 1710 BLACKBIRD CR CBAD Construction Type: NEW Entered By: KMT FACTORY MADE "ENDLESS POOL" (+ ELEC) Applicant: CAINE JENNIFER L 1710 BLACKBIRD CIR CARLSBAD CA 92009 760-431-281 1 Owner: CAINE JENNIFER L 1710 BLACKBIRD CIR CARLSBAD CA 92009 Building Permit Other Building Fee Additional Fees TOTAL PERMIT FEES $120.00 $20.00 $0.00 $140.00 ~ ~ ~ ~~ ~~ ~ ~ ~~ -~ ~ Total Fees: $140.00 Total Payments To Date: $0.00 Balance Due: $140.00 FINAL APPR VAL Inspector: e Date: B/Tjy Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which vou have Dreviouslv been qiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. * PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. CqO%J,Y/c EST. VAL. Date Phase No. Total # of units Subdivision NamelNumber Unit No. Legal Description Lot No. Name Address city StatelZip Telephone I Fax X \I Name (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Dtvision 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. 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 IS5001). Name Address City StatelZip Telephone t .I State License I License Class City Business License # Designer Name Address City StatelZip Telephone State License t Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: a of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 181001 OR LESS) CERTIFICATE OF EXEMPTION: 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 Workers' Compensation Laws of California. WARNING: Fallurn to aacum workan' compmaatkm wveng. b unlawful, and rhl subbet an employer to crimhal penakii and dvU fines up to one hundrod thousand ddlara ($100,00OL in addlth to the coat of compenmtbn, damngcu as provided for h Section 3706 of the Labor code, Interest and attorney's fern. SIGNATURE RATE I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: 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 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 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 E. 7044, Businsas 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 improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 1, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Licenaa Low does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. I am exempt under Sectlon I parsonally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number / type Business and Professions Coda for this reason: ON0 PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?. 0 YES Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? a YES 0 NO la the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFflCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097Ii) Civil Code). I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with a11 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. 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. OSHA An OSHA permit is EXPIRATION: Every permit authorized by such permit IS at any time after the work is APPLICANT'S SIGNATURE DATE s over 3 stories in height. by limitation and become null and void if the building or work or work authorized by such permit is suspended or abandoned InsDection List Permit# C6042816 Type: SPA Date Inspection Item 12/23/2004 29 Final Plumbing 12/23/2004 39 Final Electrical 10/06/2004 34 Rough Electric 10/06/2004 59 Final Pool 09/27/2004 34 Rough Electric 09/27/2004 39 Final Electrical 07/22/2004 51 Excav/SteeVBonding/Fence Inspector TP TP TP TP TP TP TP Act AP AP NS NS co co co CAINE RES- INSTALL 11 2 SQ. FT. FACTORY MADE "ENDLESS POOL" (+ EL Comments SEE CARD CONC. POURED W/O INSP. - PICTURES SIDES - NO STEEL REQ. PER PLAN VERIFIED STEEL PLACEMENT @ BTM & ALLOWED TO PROCEED W/POOL Thursday, December 23,2004 Page 1 of 1 . UNSCHEDULED BUILDING INSPECTION DATE /2/!!9/6 3/ INSPECTOR PERMIT #D Wl PLAN CHECK ## DESCRIPTION CODE DESCRIPTION 77 ACT I COMMENTS r I