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