HomeMy WebLinkAbout2639 UNICORNIO ST; ; CB981568; PermitFOR OFFICE USE ONL
PERMIT APPLICATION PLAN CHEC { 5 'B
EST. VAL. CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
Plan Ck. Deposit_=-----+---~-"---
Validated Bv_.....::.£...?:~=__,,re----,f,;,,ori-
Date _________ =+-""""':.L.il-.:;.,o"--
1. PROJECT INF()RMA TION
Total # of units
Assessor's Parcel # cf?/5 ~ 3:5(}-3B-OJ Existing Use {5F/2-Proposed Use
Description of Wor~aJIIJ!Te la/. I c/),1 SQ, FT.1/aO
2. CONTACT PERSON (If different from eppfka~t)
#of Stories # of Bedrooms , # of Bathrooms
Name Address City
3. APPLICANT O Contractor O Agent for Contractor O Owner O Agent for Owner
State/Zip Telephone # Fax# 7289 "05/21/98 0001 01 02 c--mMr 9'1-00
Telephone#
7b:S 353f
Name State/Z~~"1rlJ?°' Telephone#
6. CONTRACTOR• COMPANY NAME /CIVV(.)
(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 Code] or that he is exempt therefrom, and the basis for the alleged
exemption. Any violat' n of Senn 7031.5 by yap licant a per it subjects the appl' ant to civi penalty not ore t n fiv hundred dollar1,001). oG
Name City State/Zip ~~h~ne #
State License # ~~~~~-----License Class ___::_---=:_______ City Business License # /ij'O 3'f:ii,(...
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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
of the work for which this permit is issued.
~ 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
issued. My worker's compensation insurance carrier and policy number are: /" 0 -L-/-90
Insurance Company ,'5Tf}7G r(//1/£) Policy No./r9,3'~o23 Expiration Date_J ___ __,L'----
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FDR ONE HUNDRED DOLLARS [$100] OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in t erformance of the work for which this permit is issued, I shall not employ any person in any manner so as
s f California.
D 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).
D 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(sl licensed
pursuant to the Contractor's license Law).
D I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. 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 / phone
number/ contractors license number): ______________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Act7 D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
8. ~ONST UCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
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 Citt 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 n demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by th Building O ial under h provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permi mmenced in 365 av. from the date of such permit or if the building or work authori ed by such permit is suspended
or abandoned at any time after d of 180 days (Section 106.4.4 Uniform Building Code).
YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 1 /19/99
Permit# CB981568
Title: POOL AND SPA 420 SF
Description:
Type:POOL Sub Type:
Job Address:
Suite:
Location:
2639 UNICORNIO ST
Lot
APPLICANT : SAN DIEGO POOLS
Owner: LASKIN PAUL S&MARY EA
Remarks:
Total Time:
CD Description
59 Final Pool
Inspection History
Date Description
9/22/98 55 Fence/Pre-Plaster
8/14/98 53 Electric/Conduit/Wiring
8/7/98 23 GasrresVRepairs
8/7/98 51 Excav/Steel/Bonding/Fence
8/7/98 52 Underground Plumbing
8/7/98 53 Electric/Conduit/Wiring
Inspector Assignment: DH ---
Phone: 6198712518
Inspector: /JA
Requested By: JOHN
Entered By: CHRISTINE
Act Comments _EJ!_ _____ _
Act lnsp Comments
AP DH
AP DH
AP DH
AP DH
AP DH
AP DH
City of Carlsbad
■ ¥1 h· • i ,144 Ii ,t-1 •14 ·Ei I I; ,t4 ,II
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NU MBER: CB o/:'8 / 568
BUILDING ADDRESS:
PROJECT DESCRIPTION: Pool ---------------
ASSESSOR'S PARCEL NUMBER: J tS -3SD ~ .:S B
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved. The approval is based on plans, information
and/or 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 suspension of permit to build.
~
ATTACHMENTS
Date: 'f/;?8/fti I
Grading Permit Application
Grading Permit Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal
Checklist and Information Sheet
DENIAL
Please see the attached report of deficiencies
marked with D. Make necessary corrections to
plans or specifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
By: Date:
By: Date:
By: Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: JOANNE JUCHNIEWICZ
City of Carlsbad
ADDRESS: 2075 Las Palmas Drive
Carlsbad, CA 92009
PHONE: (619) 438-1161, ext. 4510
\\LASPALMAS\SYS\LIBRARY\ENG\WORO\OOCS\CHKLST\Pool Building Plancheck CkltSI CHK2◄ Fonn JJ.doe
Rev. 8122/96
2 075 Las Palmas Dr.• Carls bad, CA 9 2009-1576 • (760) 438-11 61 • FAX (760) 431 -5769
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BUILDING PLANCHECK CHECKLIST -POOLS Le., Co~ ~s U~ 3
SITE PLAN
Dc.v~ -/88 -,A
1. Provide a fully dimensioned site plan drawn to scale. Show:
¥.North Arrow ~operty Lines ~ Existing & Proposed Structures ~asements
2. Show on site plan:
J(»rainage Patterns
~ _pisting & Proposed Slopes
~Existing Topography
✓indicate what will happen with
~oil excavated from pool area
t6( Retaining Walls
(location and height)
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:
/4te Address ~ _e.ssessor's Parcel Number
~1,e§al Description
JY"Grading Quantities Cut Fill Import/Export
a) If grading is not required, write "No Grading" on plot plan.
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.
5a. Inadequate information available on Site Plan to make a determination on
grading requirements. Include accurate grading quantities (cut, fill, import,
export).
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 2 of 2
\\Laspatmas\SyS\LIBRARY\ENG\WORO\DOCS\CHKLST\Pool Buildlllg Planchecil; Ckllsl CHK.2• Form BE,doc Rev. 8122196
1 ST✓ 2ND✓ 3RD✓
O O O 5c. A Grading Permit has been applied for:
✓o 0
0
0 0 0
PE2
Grading Inspector sign off by:
~o Grading Permit required.
MISCELLANEOUS PERMITS
DWG
Date:
6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way.
A separate Right-of-Way issued by the Engineering Department is required
for the following:
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.
7. Remarks
\\laspalrnas\SyS\LIBRARY\ENG\WORD\DOCS\CHKLST\Pool Buiiding Plancheck Cklist CHK24 Form BE.doc Rev. 8122196