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HomeMy WebLinkAbout2218 VISTA LA NISA; ; CB984381; PermitJ(&D PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION FOR OFFICE usE o~~v t/ 3 ~ I PLAN CHECK NO "-+Z-1.~ti~---=--- EST. VAL. _ ___...{.....::?._,_, ...... • y:_c,_O_--,-,-+-_ Plan Ck. Deposit I J '-(,O, o- Validated By __ ...,....,..,........,~..-,:........:.f4.1_D_P __ Date. ___ ....... r_L_//2'-"l'('--~-'---- Business Name (at this address) Legal Description Lot f1ie: ~11, /YV/lh"" ts~tr" Subdivision Name/Number ~<0001 (J.2_tal # ef.?'nits C-PRMT 14Q.OO Assessor's Parc2'..!,--, Existing Use Proposed Use 2=.£.J. Z...b~ --~ .,_µ_ #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# 3. APPLICANT ~ntractor ~gent for Contractor D Owner 0 Agent for Owner ~ 4 z.i, State/Zip Telephone# 4. PROPERTY OWNER 9~ 7'<(0 2-cj Na d4<7City State/Zip Telephone# 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 exemption. An violation of Section 7031.5 b any applicant for a rmit subjects the applicant to a civil pen)lllY of not more than five hundred dollars [$500)). /It LI' (;t 7- 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: D 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: Insurance Company __ _./_.LJ'-"'._J.._·...,z.....,c_...,.~....,.~-----------Policy No. 5d ~&1~P( t-C&.j Expiration Date {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 California. WARNING: Failure to secure workers' compe tion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ~~~:=~~::liars ($100, in ddition to ost of mpensation, damages as provided for in Section 3::sT:f the f~c".::,fil1J:: attornay's fees. 7. OWNER-BUil D I, as owner of the property or m mployees 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(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 I 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 I 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? 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(11 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 Cit\' 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 3 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wo enced f erio of 180 days {Section 106.4.4 Uniform Building Code). IL-(// ~ f J' APPLICANT'S SIGNATURE --+---\--C.--"-4;.....~~~~~L------------DATE ..., PINK: Finance City of Carlsbad . 01/04)1999 Building Permit Permit No:CB984381 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2218 VISTA LA NISA CBAD POOL Sub Type: 2552622900 Lot#: $12,800.00 Construction Type: VN Reference #: 400 SF GUNITE POOL AND SPA Owner: Status: Applied: Entered By: Appr/lssued: Inspect Area: STAPLETON DAVE 8284 MIRAMAR RD STANDARD PACIFIC CORP SAN DIEGO CA 92126 92126 619 698-2007 Total Fees: Description BLDG PLAN CHECK BUILDING PMTS ELECTRICAL PMTS PLUMBING PMTS STRNG MOTION Total Payments To Date: Inspector: Date: Clearance: ISSUED 12/16/1998 MOP 12/28/1998 $279.00 Fee 90.89 139. 83 20.00 27.00 1. 28 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 wtth 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. CITY OF CARLSBAD You are hereby FURTHER NOTIFIED OOfMilUilllt.RQhimstllhl¥)«iatMJbawj~Pi ~T ~VOOi) t4ntelJ8tsewer 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 otheiwise ex ired. City of Carlsbad Inspection Request For: 8/13/99 Permit# CB984381 Title: 400 SF GUNITE POOL AND SPA Description: Type:POOL Sub Type: Job Address: Suite: Location: 2218 VISTA LA NISA Lot APPLICANT STAPLETON DAVE Owner: STANDARD PACIFIC CORP Remarks: Total Time: Inspector Assignment: PY --- Phone: 6196952007 Inspector: ----- Requested By: MICHELE Entered By: CHRISTINE CD Description 59 Final Pool ~ Comments Inspection History Date Description Act lnsp Comments 2/18/99 55 Fence/Pre-Plaster AP PY ALARMS OK 1/29/99 23 GasfTesURepairs AP PY 1/29/99 52 Underground Plumbing WC PY 1/29/99 53 Electric/ConduiUWiring PA PY NEED J BOX SUPPORT 1/18/99 51 Excav/Steel/Bonding/Fence AP PY POOL HEATER CANNOT BE UNDER WINDOW 1/18/99 52 Underground Plumbing AP PY CONDUIT ONLY @ POOL LIGHT 1/18/99 53 Electric/ConduiUWiring PA PY 1/14/99 51 Excav/Steel/Bonding/Fence co PY FENCE/GATES Cit}' of Carlsbad ■ #i h• 1; ,t4§ Ii ,i· I •l§-1¥14;, ,t§ ,i I BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB q~'13!7/ BUILDING ADDRESS: 2.2.,/3 v,1S'tv\ 1=t Mrtt. PROJECT DESCRIPTION: Pool -------------- ASSESSOR'S PARCEL NUMBER: zss-20 2. -2 CJ 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 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\P~ Building PllllCheck Cklisl CHK24' Fonn BE.doc DENIAL ..tM.-Att;:iched report of deficiencies marked w1 ake necessary corrections to plans or c1fications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. B@::;;; • o ~ 6 Date: By: --------Date: By: --------Date: ENGINEERING DEPT. CONTACT PERSON NAME: DANNA TRIGS City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (7~) 438-1161 , ext. 4374 Rev. 3122/96 2 075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (,wo) 438-1161 • FAX (,~O) 43 8 -0894 ~ND✓ 0 0 0 0 0 0 0 0 0 0 0 BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1. 2. Pro~a fully dimensioned site plan drawnycale. Show: ✓ /4rth Arrow t. £operty Lines .i('E;isting & Proposed Structures b(' E~~ements Show on site plan: ~n Patterns B. ·sting & Proposed Slopes xisting Topography ~ what will happen with avated from pool area ng 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: ~Address isv." ~essor's Parcel Number M.egal Description ---- D. 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 M~ 133~"' \\LASPALMAS\SYS\LIBRARY\ENG\'NORO\OOCS\CHKLST\Poot Buitdiog Planeheck Cklisl CHK.2-4 Form BE.dot Lo-t 2/& er f18-o3 ::IJ.. 2- Rev. 8122196 Page 2 of 2 1 ST✓ 2ND✓ 3RD✓ 0 0 0 Sc. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: 0 0 0 Sd. No Grading Permit required. MISCELLANEOUS PERMITS /o 0 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: \(vJQ8-3Co9 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. 0 0 0 7. Remarks H:\WORO\OOCS\CHKLST'Pool Building Plancheck Cklisl CHK24 Form BE.doc Rev. 8122196