HomeMy WebLinkAbout2269 VISTA LA NISA; ; CB991215; Permito\L ·r,J City of Carlsbad \ r
04/06/i999 Spa Permit Permit No:CB991215
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
2269 VISTA LA NISA CBAD
SPA Status: ISSUED
03/30/1999
OT
04/06/1999
04/06/1999
Parcel No: 2552701400 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: INGROUND FIBERGLASS SPA Inspect Area:
Applicant:
RUBACKY
P.O. 500233
SAN DIEGO CA 92150
619-486-2797
Total Fees: $100.00
Buildjng Permit
Other Building Fee
TOTAL PERMIT FEES
lnspecto .
Owner:
SANSCHAGRIN ANDRE R&ELLEN M
2269 VISTA LA NISA
CARLSBAD CA
92009
Total Payments To Date: Balance Due:
$80.00
$20.00
$100.00
Clearance:
$100.00
NOTICE: Please take NOTICE th approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Car1sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
FOR OFFICE USE O~L Y _
PLAN CHECK NO. 7'9--/?._/!;) PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date. _______________ _
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number
Assessor's Parcel #
Dew..r~f~ ~~,9 w sodi'as
{, CONTACT PERSON (if different from applicant) /
#of Stories + €1 (_C.,
Name
3.
Name
4.
Name
6. CONTRACTOR • COMPANY NAME
City
Address City
Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
State/Zip
State/Zip Telephone#
(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
State License # / License Class p City Business License # ,d (J ~ 7
Designer Name Address City State/Zip Telephone
State License # ------=~..------
6.
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.
7
~ 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 p
issued. My worker's compe~sation insurance carrier and po · number are: . IJ~U/ 4 tf // tit:Jlt/~. . . /1 a
Insurance Company --:=-➔~ .. --~ --.:7-~~✓ c..:-.,C.---"'~;.-;~-=--=--cr --'"'=L...J!:.~,,,C.-Pohcy No. __ rr __ " ____ '<.c... ____ 7 .. 7/CL: lfx xipIratIon Date_~/._v_,_~,,_,,__/
(THIS SECTION NEED OT 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: Failure to sec and shall subject an employer to crlmln
thousand dollars ($100,0 es as provided for in Section 3706 of the
SIGNATURE, ____ -',~~~~~~~::'.12:~~:::C~g~~.,,::::::________ DATE -~.,.,,,,,:..,....,.,,,,~.L..,~-.,L-
7. OWNER-BUILDER D
I hereby affir
up to one hundred
7ney's fees.
O I, as owne 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, Busin s 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 o hrough 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 o ompletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
O party, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law es 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 L: ense Law).
0 ......_ _____ Business and Professions Code for this reason:
1. I personally plan to provide the ·or labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have I have not) signed an applica n for a building permit for the proposed work.
3. I have contracted with the following pe n (firm) to provide the proposed construction (include name I address / phone number / contractors license number):
4. I plan to provide portions of the work, but I h e hired the following person to coordinate, supervise and provide the major work (include name / address I phone
number / contractors license number):. _________________________________________________ _
5. I will provide some of the work, but I have contr ted (hired) the following persons to provide the work indicated (include name I address I phone number I type
of work): __________________ ....,,_ ________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _
COMPLETE THIS SECTION R NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future buildi occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25' ~ or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupan equired to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CEA CATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SER ES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION 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 and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this ode shall expire by limitation and become null and void if e building or
work authorized by such permit is not com • 365 days m the date o h permit or if the building or work authorized such per ,t is suspended
or abandoned at any time after the work· f 1 d s on 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
City of Carlsbad Inspection Request
For: 7/7/99
Permit# CB991215
Title: INGROUND FIBERGLASS SPA
Description:
Type:SPA Sub Type:
Job Address:
Suite:
Location:
2269 VISTA LA NISA
Lot
APPLICANT RUBACKY
0
Owner: SANSCHAGRIN ANDRE R&ELLEN M
Remarks: INSPECT AFTER 1 PM PLEASE
Total Time:
CD Description Act Comments
Inspector Assignment: PY
Phone: 6194862797
Inspector:
Requested By: CHUCK
Entered By: C HRISTINE
59 Final Pool {f/!_ ____ _
Inspection History
Date Description Act lnsp Comments
4/13/99 31 Underground/Conduit-Wiring CO PY NO FENCE/GATE
City of Carlsbad
■ ¥i h· 1 i ,t44 iih· I •l4·EI Ai; ,t§ 01
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB C/9 , Ad; } 2J)
[/"' /VfJ '-
PROJECT DESCRIPTION: Pool --------------
ASSESSOR'S PARCEL NUMBER:
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 uspension of permit to build.
ATTACHMENTS
D Grading Permit Application
D Grading Permit Checklist
□ Right-of-Way Permit Application
□ Right-of-Way Permit Submittal
Checklist and Information Sheet
G:\LIBRARYIENGIWORDIDOCSICHKLST\Pool B,u;icing -Cldlll CHIQ◄ fom, MM.doc
DENIAL
Please see ~ached report of deficiencies
marked wi~ake necessary corrections to
plans or specifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
G:a_0 _Date:#
By:
By:
________ Date:
________ 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
".,,.11221'1M1i
2 075 L as Pa lmas Dr.• C arls b a d , CA 9 2 009-1576 • (619) 438-1161 • FAX (61 9) 4 3 8 -08 94
0
0 0 0
BUILDING PLANCHECK CHECKLIST -POOLS
SITE PLAN
1.
2.
Provide a fully dimensioned site plan drawn to scale. Show:
v/.... North Arrow /./. Property Lines ·/8. Existing & Proposed Structures -1>: Easements
Show on site plan:
I:) Drainage Patterns ½r Existing & Proposed Slopes
C. Existing Topography
@ Indicate what will happen with
soil excavated from pool area
E. 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
3. Include on title sheet:
A. Site Address
-----
B. Assessor's Parcel Number
C. Legal Description
Applied for ----Approved
D. Grading Quantities Cut Fill ----___ Import/Export
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 Bui/ding Permit
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G:11.IBRAR'\'\ENG\WORDIOOCS\CHKLS'T\Pool Buklng Plancflocl< Cklll CHK24 form OR.doc Rw. 8122198
1ST✓ 2ND✓ 3RD✓
0 0 0
✓o 0
0
0 0 0
Sc. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
5d. 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 tot he 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
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