HomeMy WebLinkAbout1767 BLACKBIRD CIR; ; CB970534; PermitI BUILDING PERMIT Permit No: CB970534
103/19/97 15~14 Project No: A9700703
jpage 1 of 1 Development No: 1 Job Address: 1767 BLACKBiRD CR . , Suite:
Permit Type: GUNITE POOLS AND SPAS 3444 03/39/97 o001 01 02
Lot#: c-Fy\wT 165 = 00 . Construction Type: NEW
Parcel No: 215-602-35-00
Valuation: 9,888
Occupancy Group: Reference#: Status: ISSUED
Description: POOL & SPA 350 SF GUNITE Applied: 03/10/97
Apr/Issue: 03/19/97
Entered By: JM
Appl/Ownr : PADRE POOLS 619 561-7665
9679 MARILLA DRIVE
LAKESIDE, CA 92040 kedi t s ***
.oo
76.00
165.00
Ext fee Data .---------------
117.00
76.00
1.00
20.00 Y
27.00 Y
241.00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
I
FOR OFFICE USE ONLY
PLAN CHECK NO. 970537
EST. VAL. $?!86tg
Plan Ck. Deposit
Validated By ,%'+ 7&'# rn
Date %U/f7
e-
(See. 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 Code] or that he is exempt therefrom, and the basis for the alleged
ny applicant for a permit subjects the ap undred dollars t$5001). 579M4?/22@ 04 Name Addreis Telephone #
State License #( qw/q License Class City Business License # [ 2/0+$49
I
0 of the work for which this permit is issued.
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
My worker's compensation and policy number are:
Insurance Company GO LOEN Policy NO.)\/# cd 99~/{ -0 4 Expiration Date]L'.& 9s
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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: Failura to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
attorney's fees.
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 exqsively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The
Contractor's License Law does not apply le 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. I personally plan to provide the major improvement. 0 YES ON0
2.
3.
I (have I have not) signed an
I am exempt under Section
I have Contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
4.
number I contractors license number):
5.
of work):
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
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type
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 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 hool site7 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CE MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENC LLUTION CONTROL DISTRICT.
0 YES 0 NO
LENDERS 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 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 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/mfcommenced within 365 days from the date of such vermit or if the buildina or work authorized bv such oermit is susoended
or abandoned at any time a
APPLICANT'S SIGNATURE DATE -3-/o -7$7 tion 106.4.4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD INSPECTION REQUEST
PERMIT# CB970534 FOR 07/03/97 INSPECTOR AREA PY DESCRIPTION: POOL & SPA 350 SF GUNITE . PLANCK# CB970534
TYPE: POOL CONSTR. TYPE NEW
JOB ADDRESS: 1767 BLACKBIRD CR STE : LOT:
APPLICANT: PADRE POOLS PHONE: 619 561-7665
CONTRACTOR: PHONE :
OWNER: PHONE :
OCC GRP
n
REMARKS : B/DEBRA/ 5 6 1-7 655
SPECIAL INSTRUCT:
INSPECTOR Y
TOTAL TIME:
--RELATED PERMITS-- PERMIT# TYPE STATUS
RW970052 ROW ISSUED
CD LVL DESCRIPTION ACT COMMENTS
59 SW Final Pool - AP PYA PYM. -- -
***** INSPECTION HISTORY *****
DATE DESCRIPTION 062797 Final Pool
061397 Fence/Pre-Plaster 061297 Fence/Pre-Plaster
060997 Fence/Pre-Plaster
042997 Excav/Steel/Bonding/Fence
042997 Underground Plumbing
042997 Electric/Conduit/Wiring
042897 Gas/Test/Repairs
042897 Underground/Conduit-Wiring
042597 Excav/Steel/Bonding/Fence
041597 Excav/Steel/Bonding/Fence
ACT INSP COMMENTS co PY NO ELEC 5'FM POOL/PAY FEE AP PY CA PY
CO PD
AP PY
AP PY
AP PY
CA PY
CA PY co PY co PY
NM CONDUITS
SEE CORR LIST
NOT COMPLETE
CITY OF CARLSBAD +'NOTICE 438-3550
BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE
FOR lNSPECTl9fU,CALL 438-3101. RE-INSPECTION FEE DUE? c] YES
PHONE
B IL ING INSPECTOR CODE ENFORCEMENT OFFICER
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PIANCHECK NUMBER: CB 73534
CT
Cby
PROJECT DESCRIPTION: Pool
ASSESSOR'S PARCEL NUMBER: 2 /j .'/60~-3l'
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
By:
ATTACHMENTS
Grading Permit Application
0 Grading Permit Checklist
Right-of-way Permit Application
0 Right-of-way Permit Submittal
Checklist and Information Sheet
DENIAL
I
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:UIBR*RY\PIO\WOR~mPod ecrap Rnsh.c(l adrlo*2* Fan, Mil.& Rw. yzyw 2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 - (619) 438-1161 - FAX (619) 438-0894
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
NorthAnow 1. Property Lines 4. Existing & Proposed Structures 2. Easements &J hf
0 2. Show on site plan:
Patterns adicate what will happen with
soil excavated from pool area
(location and height)
Existing & Proposed Slopeflk J! Existing Topography etaining walls
Note: If excavated soil is not to be removed from property but regraded on
site, show proposed elevations and slopes.
If any portion of retaining walls are over 4’ in height, a separate permit is required.
Retaining Wall Permit CB Applied for Approved
3. Include on title sheet:
. Site Address ’. Assessor’s Parcel Number
Legal Description
Fill ImportlExport
D cl 0 4. Project does not comply with the following Engineering Conditions of approval
for Project No.
Conditions were complied with by: Date:
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for grading permit are found in Section
11.06.030 of the Municipal code.
c3 D D 5a. Inadequate information available on Site Plan to make a determination on
grading requirements. Include accurate grading quantities (cut, fill, import,
export).
0 D D 5b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached.
Note: The Grading Permit must be issued and rough grading approval
obtained prior to issuance of a Building Permit
Page 1 of 2
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qST/ 2NW 3RW
P P P 5c. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
0 5d. No Grading Permit required.
MISCELLANEOUS PERMITS
0 0 0 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
for the following: 9 7 52
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.
0 7. Remarks GJ rFq4d & fi& ~, 90 Cy'J I d-f- 50l'J /&mfdd
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