HomeMy WebLinkAbout1110 CHINQUAPIN AVE; ; CBR2023-5352; Permit{"Cityof
Carlsbad
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check ________ _
Est. Value
PC Deposit
Date
Job Address 1110 CHINQUAPIN AVENUE Unit: ____ _.APN: 206-261-22-00
CT/Project #:, __________________ ,Lot #:, ____ Year Built: _1_96_3 ________ _
BRIEF DESCRIPTION OF WORK: PROPOSED SPA AND CITY STANDARD RETAINING WALLS SPA: 48W 3.5' MAX DEPTH RETAINING WALLS: 170 LF 3' MAX HEIGHT
□ New SF : Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N, if yes how many? ___ _
D Remodel: _____ .SF of affected area Is the area a conversion or change of use? 0 YO N
Additional Gas or Electrical Features? N ~ Pool/Spa:_48 ____ SF -------------
O solar:, ___ KW, ___ Modules, Mounted:0Roof0Ground, Tilt: CYON, RMA:OY ON,
Battery:OvC N, Panel Upgrade: OvGN Electric Meter number: -------------0th er: STANDARD RETAINING WALLS 170 LF 3' MAX HEIGHT
APPLICANT {PRIMARY CONTACT)
Name: JENNIFER RASMUSSEN
Address· 6469 PANEL CT
PROPERTY OWNER
Name: COELHO RESIDENCE
Address: 1110 CHINQUAPIN AVENUE
City: SAN DIEGO State:,_C_A _ _.Zip: 92122 City: CARLSBAD State:_C_A _ _.Zip: 92008
Phone: (619) 729-1198 Phone:, ___________________ _
Email: INFO@SWIFT-PERMITS.COM Email: ___________________ _
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: __________________ Business Name: SUNDANCER POOLS INC
Address: Address: 1048 METCALF STREET
City:, ________ tate:, __ _.Zip:,_____ City: ESCONDIDO State: CA Zip:,_9_20_2_6 ____ _
Phone: Phone: (760) 489-5850
Email: Email: MARC@SUNDANCERPOOLS.COM
Architect State License: ___________ _ CSLB License #:,_9_9_59_6_7 ____ class:_c_s_3 _____ _
Carlsbad Business License# (Required): _______ _
APPLICANT CERT/ FICA TION: I certify that I have read the application and state that the above information is correct and that the information of the plans is accurate. I
agree ta comply with all City ordinances and State laws relating ta building construction.
NAME (PRINT): JENNIFER RASMUSSEN SIGN: ~~ DATE: 12/21/2023
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2 719 Email: Byjidjng@caclsbadca gov
REV. 04122
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING
THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE.
{OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaf firm underpenal ty of perjury that I am licensedunder provisionsof Chapter 9 ( commencingwith Section lOOO)of Division 3
of the Business and Professions Code, and my license is in full force and effect. /also affirm under penalty of perjury one of the
following declarations (CHOOSE ONE}:
D1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. PolicyNo. _________________________________________ _
-OR-
~I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: PALOMAR SPECIALlY INSURANCE COMPANY
Policy No. PSIC0903905 Expiration Date: _1_r,_12_02_4 _______________ 1
-OR-
D 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 califomia. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to
crlmlnal penalties and clvil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
Interest and attorney's fees.
CONSTRUCTION LENDING AGENCY. IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ -'Lender'sAddress: _____________________ _
CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and
utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are
not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show
the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed
use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation.
All improvements existing on the property were completed in accordance with all regulations in existe,1ce at the time or their construction, •,nless otherwise noted.
NAME (PRINT): JENNIFER RASMUSSEslGNATURE: ~ ~ DATE: 12/21/2023
Note: If the person signing above Is an authorized agent for the contra t Ide I tter of authorization on contractor letterhead.
-OR-
{OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
DI, 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).
-OR-
D1, 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).
-OR-
D1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM 8-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors./ understand that a copy of the applicable law, Section 7044of the Business and ProfesslonsCode, ls available upon request when this application Is
submitted or at the following Web site: http: I lwww.leglnfo.ca.gov/calaw.html.
OWNER CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility
easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved
for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct
dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each
building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All
improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted.
NAME (PRINT):
Note: If the erson sl nln above Is an authorized a ent for the ro rt owner Include form B-62 sl ned owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov
2
REV. 04/22
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2023-5352)
Permit Type: BLDG-Residential Application Date: 12/21/2023 Owner:
Work Class: Pool Issue Date: 05/24/2024 Subdivision: THUM LANDS
Status: Closed -Finaled Expiration Date: 03/17/2025 Address: 1110 CHINQUAPIN AVE
IVR Number: 53938 CARLSBAD, CA 92008-3543
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date
06/03/2024 06/03/2024 BLDG-SW-Pre-Con 250587-2024
COMMENTS Checklist Item
BLDG-Building Deficiency
07/02/2024 07/02/2024 BLDG-51 253840-2024
Excav/Steel(Pools)
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-52 Pool Plumbing 253618-2024
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-53
Elec/Condult/Wiring(Po
ols)
253617-2024
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-SW-Inspection
Checklist Item
253841-2024
COMMENTS
Tuesday,November12,2024
Are erosion control BMPs
functioning properly?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Has trash/debris accumulated
throughout the site?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
Status
Passed Chris Renfro Complete
Passed
Yes
Passed Tony Alvarado Complete
Passed
Yes
Passed Tony Alvarado Complete
Passed
Yes
Passed Tony Alvarado Complete
Passed
Yes
Partial Pass Tony Alvarado Reinspection incomplete
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Page 1 of 3
PERMIT INSPECTION HISTORY for (CBR2023-5352)
Permit Type: BLDG-Residential Application Date: 12/21/2023 Owner:
Work Class: Pool Issue Date: 05/24/2024 Subdivision: THUM LANDS
Status: Closed -Finaled Expiration Date: 03/17/2025 Address: 1110 CHINQUAPIN AVE
IVR Number: 53938 CARLSBAD, CA 92008-3543
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
Checklist Item COMMENTS Passed
Are erosion control BMPs Yes
functioning properly?
Are perimeter control BMPs Yes
maintained?
Is the entrance stabilized to Yes
prevent tracking?
Have sediments been tracked Yes
on to the street?
Has trash/debris accumulated Yes
throughout the site?
Are portable restrooms Yes
properly positioned?
Do portable restrooms have Yes
secondary containment?
08/27/2024 08/27/2024 BLDG-54 Equipotential 259106-2024 Passed Tony Alvarado Complete
Bond(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-SW-Inspection 259325-2024 Partial Pass Tony Alvarado Re inspection incomplete
Checklist Item COMMENTS Passed
Are erosion control BMPs Yes
functioning properly?
Are perimeter control BMPs Yes
maintained?
Is the entrance stabilized to Yes
prevent tracking?
Have sediments been tracked Yes
on to the street?
Has trash/debris accumulated Yes
throughout the site?
Are portable restrooms Yes
properly positioned?
Do portable restrooms have Yes
secondary containment?
09/16/2024 09/16/2024 BLDG-55 261065-2024 Passed Tony Alvarado Complete
Fence/Preplaster
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-SW-Inspection 261212-2024 Partial Pass Tony Alvarado Re inspection incomplete
Tuesday,November12,2024 Page 2 of 3
PERMIT INSPECTION HISTORY for (CBR2023-5352)
Permit Type: BLDG-Residential
Work Class: Pool
Status: Closed -Finaled
Application Date: 12/21/2023 Owner:
Issue Date: 05/24/2024 Subdivision: THUM LANDS
Expiration Date: 03/17/2025 Address: 1110 CHINQUAPIN AVE
CARLSBAD, CA 92008-3543
IVR Number: 53938
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection Primary Inspector Reinspection Inspection
11/12/2024
Checklist Item
Are erosion control BMPs
functioning properly?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Has trash/debris accumulated
throughout the site?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
COMMENTS
11/12/2024 BLDG-Final Inspection
Checklist Item
267544-2024
COMMENTS
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
BLDG-SW-Inspection
Checklist Item
267769-2024
COMMENTS
Are erosion control BMPs
functioning properly?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Has trash/debris accumulated
throughout the site?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
Tuesday,November12,2024
Status
Passed Tony Alvarado
Requested Tony Alvarado
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Complete
incomplete
Page 3 of 3
STORM WATER POLLUTION PREVENTION NOTES
1. All NECESSARY EQUIPMENT AND MA TERI A LS SH All BE
AVAILABLE ON SllE TO FACILITATE RAPID INSTAllATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DE'.1CES TO WORKING ORDER TO lHE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PROOUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL t-JSTAll AD[)TIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHAll BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN lHE fl',£ (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
{ 40%). SILT AND OlHER DEBRIS SHAll BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHAll CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SE[)MENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTAllED AND MAINTAINED.
7. THE OTY INSPECTOR SHAll HA'.£ THE AUlHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFlCA TE:
I UNDERSTAND AND ACl<NOVIUDGE TltA T I MUST: (1) IMPUMENT
BEST MANAGEMENT PRACTICES {BMPS) DU~G COOSTRUCTICN
ACTIVITES TD THE MAXIMUM EXTENT PRACTICABLE TD AVOD
Tl£ MOBILIZATION CF POLLUTANTS SUCH AS 9':DIMENT AND TD
AVOD Tl£ E~OSUlE Of STORM WATER TD CONSTRUCTICN
RElA TED P<llUTANTS; AND (2) ADHERE TD, AND AT ALL TIMES,
CCMPLY WITH M S OTY APPROVED TIER 1 CONSTRUCTICN SVIPPP
THROUGHOUT THE DUlATION Of THE CCNSlRUCTICN ACTIVITES
UNTIL Tl£ CONSTRUCTICN WORK IS CCMPLETE AND APPROVED
BY THE OTY CF CARLSBAD.
DAVID JONES
Cl'IINER(S)/OWNER'S AGENT NAME (PRINT)
D.wd~JU4, ER(S)/0~ AGENT NAME (siGNAME)
E-29
DA1t
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
BEST MANAGEMENT PRACTICES (BMP) SELECTIOO TABLE
ErosbnConlrd Seciment Clnlrd BMPs Tracld"1 ltln-StlnnWl!Aer Walle Management and Ml!Ae dais
BAf>s CorirolBMPs Maregemer( BMPs Polltia, Clnlrd BMPs
-~ -~ ls c' c -0 :g ., -0 C u u C "' E C ., -0 .l!! ,!; .2' E C 0 :, :, ,Q ,Q, 0 0 0 E ii~ .b -0 I:: .,
2 -0., ~ ~ .!! i C .__ :, ~ "' "' CV 0. ~ .& ., 8 <T 0 C
Best Management Practice* ~ & 0 0 e m ii' 'C ls., ls ~ ~ .... I C ,Q
.c .. ~ ., c8 ,!, u~ 0 I -0 u :: 0 l -., C .... E "' ., "' "' ii., -0., 2 V C (BMP) Description ➔ u I., ~ ., .!!t Ji,§ C 0 ::::, -.. .. "3 c 0 0 ~-E il~ ]~ l5ls 0 ., E u 0 0 m "' "' -~ ., 1i 2 o.,, C Ot ig 0 i 8, ., ., et: 4) § 0 ~~ .,,:.:i .!! ~-~ 0. ct~ .cg ,!; .,, ~ .c e..!l =• .!8 .c 'ii ~ '8 ., ... u ~ -0 ~g cO 0 ~ 5;.~ -0 0 0 t"e 0. -0 ., ~g C ·;: ~ :c 2 -is 0 •-C 0 .s e o.,, ~8 0 ., i o~ 0 Iii ., .c .c 0 0 V, C itt :fo o_ 0. 0 oo "' WO v; "' 0 ~ v>> "' "'"-"'"' Cl. 2<1> 2 "' v,o V,2
CASCIA Oesig,atia, ➔ ,.._ ., O> -.., ... ,,., <D ,.._ ., 0 "' .., ,.._ ., "i "' .., ... ,,.,
I I I ' ' I I I I I I "i ' I j; J, J, J, I I I I
0 0 0 0 .... .... .... .... .... .... .... .... I!: I!: i i i i i ConllruclionAdivly .... .... .... .... "' "' "' "' "' "' "' "' z z z z
X G<odlnq/Soll Dlsturb<llce X X X X X
X TrenchJnn&xcovotlon X X X X X
Stookolllno
DrI16nn1AorJno
Cona-ete/ Aschdt Sowruttlno
Cona-ete flotwor1<
Povlna
Conduit/Poe lnstolotloo
Stucco/Mortar Work
Woste Dlsoosd x Stoolnn /I av Down Area X
Eouloment Maintenance cr,d fuellno
Ho20rdous Substance Use/Storoae
Dewoterlna
Site Access Aa-oss Dirt
Other Oist\:
lnstrucUons: 1. Check the box to the left of al <wllcoble coostructloo activity {first cdumn) expected to ocrur during coostructlon.
2. Located doog the top of the BMP Tobie Is a list of BMP's with it's correspoodlng Cofifomlo Stormwoter Quafity Assoclotloo {CASQA) deslc,,otlon oomber. Choose one
or more BMPs you Intend to use during construction from the list. Check the box ..t>ere the chosen ocUvlty row Intersects with the BMP cdumn.
3. Refer to the CASQA coostructlon handbook for Jnformotloo and details of the chosen BMPs cr,d how to ~ply them to the project.
PROJECT INroRMATION
Site Address:_1_1_1_0_C_H_I_N_Q_U_A_P_I_N_A_V_E_N_U_E_
Assessor's Parcel ~mber: 206-261-22-00
Emergency Contact:
Nome: MARC CORRELL
24 Hour Phooe: (760) 4S9-5SSO
Constructloo Threat to Storm water Qudlty
{Oleok Box)
0 MEDIUM IJt LOW
s .,
0 31<-C H bt NC oo :C2
<D I
i
s
ic ., ~5 ~g oo 02 .,
I
i
X
X
Page 1 of 1 REV 11/17