HomeMy WebLinkAbout2687 WATERBURY WAY; ; CB042593; PermitC~~D rJ 1'J·17py(Yld City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-04-2004 Pool Permit Permit No: CB042593
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2687 WATERBURY WY CBAD
POOL Status:
Parcel No: 167441 2000
$20,633.00
Lot#: 0 Applied:
ISSUED
06/30/2004
KMT
08/04/2004
08/04/2004
Valuation: Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: MEYER RES-630 SF GUNITE POOL
AND SPA
Inspect Area:
Applicant:
HALLMARK POOL
12580 STOWE DR
POWAY CA 92064
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
Additional Fees
TOTAL PERMIT FEES
Total Fees: $353.30
Owner:
MEYER ALEX R&ELIZABETH L
2687 WATERBURY WAY
CARLSBAD CA 92008
$184.39
$0.00
$11 9.85
$0.00
$20.00
$27.00
$2.06
$0.00
$0.00
$0.00
$0.00
$353.30
Total Payments To Date: $119.85 Balance Due: $233.45
BUILDING PL~
~IN STORAGE
~ATTACHED
F-t?.,
08/04/04 0002 01
C GP
L
Inspector: Date: 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 dale 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 waler and sewer connection fees and capacity
changes nor planning zoning, grading or other similar apphcat1on processing or service fees in connection with this project. NOR DOES IT APPLY to any
f wh1 h h I n iv n N r h1 r limi i n
02
233 .45
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Right of Way Permit Permit No: RW04024 7
Job Address:
Permit Type:
Parcel No:
Start Date:
2687 WATERBURY WY CBAD
ROW Subtype:
167 4412000 Lot #:
Est Complete Date:
MINOR
0
Insurance Expire: 02/07/2005
Liability Insurance: Y
Traffic Control Plan: Y
GOP:
Reference#: CB042593
Location:
Project Title:
Description:
MEYER RESIDENCE
POOL AND SPA
Applicant:
HALLMARK POOL
12580 STOWE DR
POWAY CA 92064
Total Fees:
Permit Fee
$230.00
Additional Permit Fee
Other
Additional Fees
TOTAL PERMIT FEES
Total Payments To Date: $0.00
Status:
Applied:
Issued:
Expired:
Entered By:
ISSUED
08/03/2004
08/04/2004
02/07/2005
LO
Balance Due: $230.00
$230.00
$0.00
$0.00
$0.00
$230.00
3088 08/04/04 0002 01 J2
CGp 230-JO
This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion
of the work or if the work does not meet City Standards. The applicant may be billed for the cost of any corrective work that the
City must perform.
Permit Release _______ _ Date Released _____ _ Cash Deposit? ___ _
YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK.
UNDERGROUND SERVICE ALERT NO. ______ ,. THIS PERMIT IS INVALID WITHOUT THIS NUMBER
IF ANY EXCAVATION OR BORING IS DONE.
/ vSlf1J-
FOR OFFICE USE ONLY
P£R~P~d--
CITY OF CARLSBA~~~RTMENT
1635 Faraday Ave., Carlsbad, CA ~~8
PLAN CH~CK NO . t-804 2$ Cf3
EST. VAL.~ (D3 _
Plan Ck. De / /9 ,8 5'
1 . PROJECT INFORMATION
Business Name (at this address) CGF· 119-85
Legal Description Subdivision Name/Number Unit No. Phase No. Total # of units
!Gf.).k
Assessor's Parcel # !& 7-4Cf! -d()
Proposed Use
#of Stories # of Bedrooms # of Bathrooms
Name
3.
Name
4.
Name
5.
Address City
0 Owner O Agent for Owner
City
State/Zip Telephone # Fax#
State/Zip Telephone#
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, • • • • ·sion 3 of the Business and Pr • • sis for the alleged
exemption.
Name
State Li
Designer Name
State License # ___ .,.l~/_7~7 ..... / __ _
6. WORKERS' COMPENSATION
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
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.
-f7P 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
hsued. My worker's com ti insuran carrier d policy number are:
Insurance Company -Policy No. /6Cf0&3~ Expiration Date _______ _
(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 Wor9s Com nsation La
WARNING: Failure to secur wor rs' c nlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), in ad itio , damages as provided for in Section 3706 of the Labor co e, int rest and attorney's fees.
SIGNATURE _____ ___,~,.,.L.---'---"---'e--+....,..,4-lil"-'""--_...,,,.,..,_.c,,,,.u..,u_.,::________ DATE ___ C,.::::._.....,"""-,r....:...4--_
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Cont ctor's License 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, 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 QNO
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? 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 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 excavati
EXPIRATION: Every permit issued by t b 'ldi
authorized by such permit is not comme ced w thi
at any time after the work is commence for a er
" deep and demolition or construction of structures over 3 stories in height.
der the revisions of this Code shall expire by limitation and become null and void if the building or work
om the te of such permit or if the building or work authorized by such permit is uspe ded or abandoned
rs (Se 1 106.4.4 Uniform Building Code).
DATE
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 06/13/2005
Permit# CB042593
Title: MEYER RES-630 SF GUNITE POOL
Description: AND SPA
Type: POOL Sub Type:
Job Address: 2687 WATERBURY WY
Suite: Lot 0
Inspector Assignment: JM ---
Phone: 7608025372
Location: Inspector:
OWNER MEYER ALEX R&ELIZABETH L
Owner: MEYER ALEX R&ELIZABETH L
Remarks:
Total Time:
-----
Requested By: BETSY
Entered By: JANEAN
CD Description Act Comment
59 Final Pool ~------
Associated PCRs/CVs
lnsgection Histo!}'.
Date Description Act lnsp Comments
09/28/2004 55 Fence/Pre-Plaster AP JM OK TO PLASTER. ALARMS OK
09/13/2004 23 Gas/Test/Repairs AP JM EQUIP/BBQ/Fl REP IT
09/13/2004 51 Excav/Steel/Bonding/Fence AP JM OK TO GUNITE ON 9/1/2004
09/13/2004 52 Underground Plumbing AP JM
09/13/2004 52 Underground Plumbing AP JM AP ON 9/1
09/13/2004 53 Electric/Conduit/Wiring PA JM
09/01/2004 51 Excav/Steel/Bonding/Fence co JM ROCK SURCHARGE DETAIL
08/31/2004 51 Excav/Steel/Bonding/Fence co JM LEAK IN PLUMB