HomeMy WebLinkAbout1286 VERONICA CT; ; CB981459; PermitFOR OFFICE USE ONLY
PLAN CHECK NO. / PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECT INFORMATION
Legal Description Lot No. Subdivision Name/Number
Assessor's Parcel #
Name
3.
EST. VAL.
Unit No. Phase No. Total # of units
# of Bathrooms
-N-am_e....::::,...L----Li'-A~:....4~L.....c>-----,~-.L--=..L----'-_.L....L--""'~---L"-'-->--"""-~'"'----'--='---',:::___~-"""~;,..L..--..,.1-_.L._..L-~L.9" ¾
4.
Name
5. CONTRACTOR -COMPANY NAME
(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
tion. Any violation of cti n 031.5 by any ap licant f a rmit sub' ts the applicant to & ~lty of n~,;'.tn five hu~~~~~
Name Address City State/Zip ~e13.hg.~ #
State License# ~ ,2tW License Class L. --;-s:::,3 City Business License# c(;2;;2 '7 / U U
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:
O 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.
O. 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
l!s\ued. My worker's com ensation,in u ance carrier and policy number are: / / , .A..? c) )a~ ;,/" ~
Insurance Company / Policy No.V -Jfi2.~tJ cf< Sl.... Expiration Date ~ ~ '7'9
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
O 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.
re workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and
in a ditio to the cost of compensation, damages as provided for in Section 3706 of the Labor ode, In
DATE_..J-...,c...,L.>,-c...£~""-.U..-
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
s up to one hundred
attorney's fees.
O 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, tha 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).
O 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 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. 0 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 I phone number / type
of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONL V
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 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. CONSTRUCTION L~ING . GENCV
I hereby affirm that therT is/ str ion lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
LENDER'S NAME ------I-#---'--------LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATI
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 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 pe~ • ot c mence ithin 365 days from the date of such permit or if the building or work authori by such permit is suspended
or abandoned at any time after r is commen d for a period 180 days (Section 106.4.4 Uniform Building Code). J /
APPLICANT'S SIGNATURE -+==::...,_-,,.L_.1,..:::...~,::::__,_..;z'....J.__: _ __::::::....__________ DATE :,b
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 4/14/99
Permit# CB981459
Title: 280 SF GUNITE POOL
Description:
Type:POOL Sub Type:
Job Address:
Suite:
Location:
1286 VERONICA CT
Lot
l\PPLICANT : MISSION POOLS
Inspector Assignment: PY
Phone: 7607432605
lnspecto,g_
Owner: WORTHINGTON SCOTT M&TRACEY LAZAR
Remarks:
Total Time: Requested By: SHERRY
Entered By: CHRISTINE
CD D_e_s_c-ri-p-tio_n ________ Ai} Comments 59 Final Pool r.
Inspection History
Date Description Act lnsp Comments
3/30/99 59 Final Pool co PY POOL LIGHTS
9/24/98 59 Final Pool co PY POOL LIGHT NOT WORKING
8/27/98 55 Fence/Pre-Plaster AP PY ALARM OK
7/29/98 52 Underground Plumbing AP PY
7/29/98 53 Electric/Conduit/Wiring NR PY COMPLETE ELECT/INSTALL P
7/24/98 52 Underground Plumbing NR PY
7/24/98 53 Electric/Conduit/Wiring NR PY
6/30/98 31 Underground/Conduit-Wiring AP PY CONDUIT ONLY NM
6/30/98 51 Excav/Steel/Bonding/Fence AP PY
Cit~ of Carlsbad
5 #hi-11 ,t441 hi-1 •14-iU I;, ,t§ ,; I
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB Cj 9-, /4-~q
BUILDING ADDRESS: \ 2-60 Vllf'OV:U: C' G,,, C -:f.
PROJECT DESCRIPTION: Pool 2--80 rp
ASSESSOR'S PARCEL NUMBER: 2 { 4 -S-$"" \ -/ 8
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.
By•~ kc9 Date 9i~
ATTACHMENTS
D Grading Permit Application
D Grading Permit Checklist
D Right-of-Way Permit Application
D Right-of-Way Permit Submittal
Checklist and Information Sheet
H:\WORO\OOCS\CHKLST\Pool Buidlng Planc:heck Cklist CHK24 Form BE.doc
DENIAL
:_.J,1,-..dJ.l.l;!Ched report of deficiencies
Ma e necessary corrections to
plans r spec ions 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: DANNA TRIGS
City of Carlsbad
ADDRESS: 2075 Las Palmas Drive
Carlsbad, CA 92009
PHONE: (7'10) 438-1161, ext. 4374
Rev.8122196
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (,t.o,) 438-1161 • FAX (7.~0) 438-0894
BUILDING PLANCHECK CHECKLIST -POOLS . .
SITE PLAN
"
2ND✓ 3RD✓
Show:
~ycth Arrow ~erty Lines
Y."Existing & Proposed Structures ~~ments
3) 2. . Show on s~e plan:
·.~/ L age Patterns ~te what will happen with
I excavated from pool area
taining Walls
0
0 0 0
0 0 0
0 0 0
~/sting & Proposed Slopes
xisting Topography
(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
3. Include on title sheet:
-----
ssessor's Parcel Number
egal Description
Applied for Approved ----
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.
Sa. Inadequate information available on Site Plan to make a determination on
grading requirements. Include accurate grading quantities (cut, fill, import,
export).
Sb. 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
\\LASPALMAS\SYS\LIBRARY\ENG\WORO\DOCS\CHKLST\P~ Building Plancheck Cklist CHK24 Form BE.dot Rev. 812219e o//-/2--I 339-f Ylt-3
1 ST✓ 2ND✓ 3RD✓
Page 2 of 2
0 □ □ Sc. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
□ □ □ Sd. No Grading Permit required.
MISCELLANEOUS PERMITS
□ □ □ 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
H:\WORO'DOCS\CHKLST\Pool Bulkilng Planchec.k Cktl51 CHK2' Fonn BE.doc Rev. S/22/96