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HomeMy WebLinkAbout1764 BLACKBIRD CIR; ; CB970336; Permiti BUILDING PERMIT Permit No: CB970336 03/06/97 15:41 Project No: A9700471 Page 1 of 1 Development No: I Job Address: 1764 BLACKBIRD CR Suite; Parcel No: 215-602-05-00 Lot#: Valuation: 13,701 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: GUNITE POOL AND SPA 485 SF Applied: 02/24/97 Apr/Issue: 03/06/97 Permit Type: GUNITE POOLS AND SPAS J118 03/06/97 0001. 01 02 c-mMT 201=#0 Entered By: JM Appl/Ownr : BLUE HAVEN POOLS 619 738-9322 9125 ANDERSEN SUITE 101 ESCOMDIDO, CA 92029 x** Fees Required Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee Enter "Y" for Elect Enter "Y" for Plumb x BUILDING TOTAL * 00 99.00 201.00 Ext fee Data --------------- 153.00 99.00 1.00 20.00 Y 27.00 Y 300.00 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. Plan Ck. Deposit Validated By & Date Z/r7fk7 (760) 438-1 161 Address (include Bld /Suite 1 Business Name (at this address) Legal Description Assessor's Parcel # Existing Use Description of Work /7bY B Subdivision NameINumber Unit No. Phase No. Total # of units 8ird Circle Proposed Use '"I? #of stones # of Bedrooms # of Bathrooms a -as00 4Fle n21L-F 60 sa. FT. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, 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 Division 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 [$5001). Statelzip Telephone Designer Name Address City State License # 0 of the work for which this permit is issued. Fued. My worker's compensation insurance carrier and policy number are: Insurance Company Go Men I%%\+ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 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: Failure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred 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 Policy NO. Iv( ~hj 4~q7 I .\ 0 C) Expiration Date 2-7 8 I hereby affirm that I am exempt 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 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 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 License Law 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. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I 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 I address I phone number I contractors license number): Business and Professions Code for this reason: 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 I address I phone number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 I type program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS 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 all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit) 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 AU 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 required for excavations over 5'0" deep and demolition or construction of structures over 3 stories 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 permit is not commenced within 365 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE a-a-v-97 I WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970336 FOR 08/15/97 INSPECTOR AREA PD DESCRIPTION: GUNITE POOL AND SPA 485 SF PLANCK# CB970336 TYPE: POOL CONSTR. TYPE NEW JOB ADDRESS: 1764 BLACKBIRD CR STE: LOT: APPLICANT: BLUE HAVEN POOLS PHONE: 619 738-9322 CONTRACTOR: OWNER: REMARKS: C/SHERRI/1800/738-9322 SPECIAL INSTRUCT: OCC GRP PHONE : INSPECT0 TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS RW970046 ROW ISSUED CD LVL DESCRIPTION ACT COMMENTS 59 SW Final Pool -- -- ***** INSPECTION HISTORY ***** DATE 071697 071497 071097 062597 040897 040497 040297 040197 033197 DESCRIPTION Fence/Pre-Plaster Fence/Pre-Plaster Fence/Pre-Plaster Fence/Pre-Plaster Excav/Steel/Bonding/Fence Underground/Conduit-Wiring Excav/Steel/Bonding/Fence Gas/Test/Repairs Excav/Steel/Bonding/Fence ACT INSP COMMENTS AP PD CO PD CO NF CORR NOTICE LEFT W/JOB CARD CO DC NO PLANS/CARD AP DC AP DC CO DC NO FENCE AP DC CO DC NO PLANS/CARD/FENCE CITY OF CARLSBAD - NOTICE 438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE DATE 7- If- 4 7 TIME LOCATION a ck S/PD t i I FOR INSPEqON CALL 438-3101. RE-INSPECTION FEE DUE? 0 YES CONTACT ? PHONE ! BUILDING INSPECTOR CODE ENFORCEMENT OFFICER NOTICE 438-3550 u -. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE 55 Wd FOR FURTHER INFORMATION, CONTACT ---=b/L P/AIc, DLP7- -4LUQ FOR INSPECTION CALL 438-3101. RE-INSPECTION FEE DUE? c] YES PHONE 438 -t/b [ / @ CODE ENFORCEMENT OFFICER f-UL GiU Z. I BUILDING INSPECTOR BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB 97- BUILDING ADDRESS: I76 4 &?/d~k Q/cd PROJECT DESCRIPTION: Pool ASSESSOR'S PARCEL NUMBER: z/F--60& 0. IW I crST-X phb7l-Q 1 Uh'( dx16 272-02A ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved. The approval is based on plans, information andlor specifications provided in your submittal; therefore, any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in sqspemiq of permit to build. ATTACHMENTS 0 Grading Permit Application 17 Grading Permit Checklist Right-of-way Permit Application 0 Right-of-way Permit Submittal Checklist and Information Sheet Please see ADENIAL h ttached report of deficiencies Make necessary corrections to plans or for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: Date: By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: DAVID RICK City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1161, ext. 4324 G:UI0RARY!€NGiWORD~~ BJlonp Rnhnlr clh( W4 Fm kM.doc 2075 Las Palmas Dr. - Carlsbad, CA 92009-1 576 - (61 9) 438-11 61 - FAX (61 9) 438-0894 Rw. mzm 0 5c. 5d. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: No Grading Permit required. Date: MISCELLANEOUS PERMITS 6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-way and/or private work adjacent tot he public Right-of-way. A separate Right-of-way issued by the Engineering Department is required Please complete attached Right-of-way application form and return to the Engineering Department together with the requirements on the attached Right- of-Way checklist, at the time of resubmittal. Right-of-way Permit and Pool Building Permit will be issued simultaneously. Page 2 of 2