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HomeMy WebLinkAbout2261 VISTA LA NISA; ; CB992177; Permit~ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION Address (include Bldg/Suite #) l//SrA PLAN CHEC Business Name (at this ad~ 06/10/ 99 0001 01 25-86 LA NI rA c--PRMr Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel I Existing Use Proposed Use Description of Work SPA #of Stories I of Bedrooms II of Bathrooms 2. CONTACT PERSON lif different from applicant) Name 3. Address City 19ent for Owner State/Zip Telephone I Fax I 150N Name City Telephone '6(9-2.o'I-1773 4. PROPERTY OWNER t5All..N E 77: Name Address City State/Zip Telephone II 6. 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 exemption. Any violation of Section ,031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001). C. (/ Name State License # Address License Class ___ ....,/J..,,=------ City State/Zil1') • Teleb.ne II City Business License # L..-J 1 ~D 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 3 700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 com~~insurance carrier and policy number are: Insurance Company ~/ QA/ Policy NolJC..2,Q 6rJ/&£: Expiration Date $L-/-6C) (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: Failure to aecure worke,a' compensation covera u and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of co ensation, aa in Section 3706 of the i,,-a>or e;pde, lntrfst and attorney's fees. SIGNATURE. _____________ -l-~--Y4L.lo'4,/.~--------DATE <=> -/(;) '? 9 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor' e Law for the following reason: 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, es 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 / 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 Act? 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 site 7 0 YES O 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 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 Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS. _________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the ebove 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 permit is not commenced within 365 days from the date o such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of O days ction 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ---=t _-___:_/(_0_.-_9--'-~--- PINK: Finance City of Carlsbad Inspection Request For: 9/14/99 Permit# CB992177 Title: BARNETT RESIDENCE Description: 58 SF GUNITE SPA Type:POOL Sub Type: Job Address: Suite: Location: 2261 VISTA LA NISA Lot APPLICANT POOL 'N SPA CENTER 0 Owner: BARNETT MICHAEL J&LORI J Remarks: Total Time: Inspector Assignment: DH --- Phone: 6192718822 Inspector: ~ ' Requested By: LYNN Entered By: CHRISTINE CD Description Act Comments 59 Final Pool _M_ ~ Inspection History Date Description Act lnsp Comments 9/1/99 55 Fence/Pre-Plaster AP SR NEEDS TO COMPLETE FLEX PIPE & CONDUIT IN TO SERVICE PANEL AT FINAL 8127/99 55 Fence/Pre-Plaster co PD NO ELEC INSTALLED 8124199 55 Fence/Pre-Plaster co SR NEED LIGHT BONDED AND POTTED WITH COMPOUND 8113/99 52 Underground Plumbing CA DH 8/5/99 51 Excav/Steel/Bonding/Fence AP DH 6128/99 51 Excav/Steel/Bonding/Fence co DH PROVIDE SURCHARGE DETAIL BUILDING PLANCHECK CHECKLIST POOLS C T 8<f -0 3.-2- 1,/2-f BUILDING PLANCHECK NUMBER: _C_B __ °t~q~cJ-:_/_1_'1 __ s ;;i..s-1.A- c../3 '? BUILDING ADDRESS: ;;J.. ~/ V/4:;;,Tf+ LA /v! S:k PROJECT DESCRIPTION: Poot 5 f'fr -------------- ASSESSOR'S PARCEL NUMBER: d.. 5 5 o-70 ((£i 00 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 fall,na to romp wllh ;nstcocUoos ;n th;s U".h result in su7 nsi n of permit to uild. By: --+-=t'_.............,--~~-Datu ~ ATTACHMENTS DENIAL Please see the attached report of deficiencies marked witltQMake 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: Co,A-4/qq I By: --------Date: By: Date: -------- ENGINEERING DEPT. CONTACT PERSON NAME: DONNA HARVEY City of Carlsbad Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 H IWORO\Har;ej\ENGINEERING COUNTER SERVICES\Pool Sutld,ng Planctte<k Ckl~t CHK2• Fonn MM.doc R 1/. &' PHONE: (619) 438-1161, ext. 4324 2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (760} 438-1161 • FAX (760) 43 1-5 76 9 0 0 0 0 0 0 0 0 0 BUILDING PLANCHECK CHECKLIST -P'OOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: -K. North Arrow B:" Existing & Proposed Structures 2. Show on site plan: WDrainage Patterns -B':" Existing & Proposed Slopes .O:" Existing Topography z-:' Property Lines .0". Easements ~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: <. ite Address ----- ssessor's Parcel Number egal Description Grading Quantities Cut Applied for ----Approved 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 Building Permit Page 1 of 2 H IWORD\Harvoy\ENGINEERING COUNTER SERVICES\Pool Building Plandled< Cklisl CHK2• fom, MM.doc 8/22/96 Rev 0 0 D Sc. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: D D D 5d. No Grading Permit required. ~/ MISCELLANEOUS PERMITS D D @ 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. D 0 0 7. Remarks Page 2 of 2 H \WORD\Harvey\ENGINEERING COUNTER $E:RVICES\Poo1 Buitjing Plancl'leck Cld1st CHK24 Form M~tdoc 8/22/96 Rev / 1~~ • City of ,Carlsbad 0u/15/1999 Pool Permit Permit No:CB992177 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2261 VISTA LA NISA CBAD POOL Status: ISSUED 06/10/1999 RMA 06/15/1 999 06/15/1 999 Parcel No: 2552701600 Lot#: 0 Applied: Valuation: $1,784.00 Construction Type: NEW Entered By: Reference #: Project Title: Applicant: BARNETT RESIDENCE 58 SF GUNITE SPA POOL 'N SPA CENTER 8550 PRODUCTION AVENUE SAN DIEGO, CA 92121 619-271-8822 Plan Approved: Issued: Inspect Area: Owner: BARNETT MICHAEL J&LORI J 2261 VISTA LA NISA CARLSBAD CA 92009 08'•4 06/15/99 0001 01 C-PRMT Total Fees: $113.65 Total Payments To Date: $25.86 Balance Due: $87.79 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee TOTAL PERMIT FEES Inspector: FINAL APPROVAL Date: Cf-/~· ?'J $39.79 $0.00 $25.86 $0.00 $20.00 $27.00 $1 .00 $0.00 $0.00 $0.00 $113.65 Clearance: ______ _ NOTICE: Please take NOTICE that 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 Carlsbad 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) 438-11 61 02 87. 79 0o/15/1999 Job Address: Permit Type: ROW Parcel No: Start Date: Insurance Expire: Liability Insurance: Y Reference#: Location: Project Title: ROW Description: Applicant: POOL N SPA 639 BISON CT EL CAJON 92019 619 203-1773 Total Fees: Permit Fee $210.00 Additional Permit Fee Other TOTAL PERMIT FEES City of Carlsbad Right of Way Permit Subtype: MINOR Lot#: 0 Est Complete Date: Traffic Control Plan: N GOP: Total Payments To Date: $0.00 Permit No: RW990217 Status: Applied: Issued: Expired: Entered By: ISSUED 06/14/1999 06/14/1999 12/14/1999 DMH 0844 06/15/99 0001 01 02 C-PRMT 210-00 Balance Due: $210.00 $210.00 $0.00 $0.00 $210.00 This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion of the work or if the work does not meet City Standards. The applicant may be billed for the cost of any corrective work that the City must perform. Permit Release _______ _ Date Released _____ _ YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK. UNDERGROUND SERVICE ALERT NO. ______ .. THIS PERMIT IS INVALID WITHOUT THIS NUMBER IF ANY EXCAVATION OR BORING IS DONE. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161