HomeMy WebLinkAbout2721 YORK RD; ; CB911711; Permit• f
Ul/06/92 08:30
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B U I L D I N G
Job Address: 2721 YORK RD
Permit Type: GUNITE POOLS AND SPAS
Parcel No: lb7-391-33-0U
Valuation: 14,715
Construction Type: NEW
P E R M I T
Str :
PeLmit No: CE911711
ProJect No: A9102206
[ t:>VE 01 llH r l 1< •
F -=seu 011061f.( 0001 01
C-PRMT
02
188-00
Occupancy (,roup: Class Code : at.1::.: IS.:>UED
Applied: 12 .3 9
Apr/Issue: J1 Ob 9
Desciiption: 500 SF+ 40 SF SPA
Appl/Ownr : ANTHONY POOLS
50b W. MISSION
E3SCONDIDO, CA
CONTRACTOR
144 EWA
ESCONDI
Fees Require
Fees:
AdJustments :
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion· Fee
* BUILDING TOTAL
Enter "Y" for Plumbing
Each Water Heater and/o
Gas Piping System
Each Vacuum BLeaker
-;. PLUMBING TOTAL
Enter Y" tor Electric * ELECTRICAL TOTAL
Vt.1lidated By: C
619 741-::lUOO
.50
2.50
2 .50
019-714-3000
.00
105.00
188.00
Ext fee Data
162.00
105.00
1.00
268.00
7 .50 Y
2.50
2 .50
2.50
15 .00
10.00 Y
10.00
LAPPROVAL ~
!NS G'o" ~'---_DATE~·/' •1.;+
CLCARANCE ____ _ .._ _______________ _j
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERM1T ,APPkICATION
City of Carlsbad Bui ldi ng Department EST. VAL. ___ ....,_l_¼-,L./-~tc..<%'. .... ~..__ __ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Pl.All o:: oePOSu _____ __.Au.n, ... 5:__ __
1. PERMIT
VALID. BY ___ 4,b,,L-'G--:::::=--+---~---
DATE __ __,./,""""~.,_.~~_..<J;..,.._/.-+>t7/"--
A COHMERC I AL TENANT IMPROVEMENT
QTENANT IMPROVEMENT 5701 12/23/91 0001 01
C-PRMT
02 B O I NDUSTRIAL ONEIi 105-00 C QRESI0ENTIAL □APARTMENT QCONDO QSINGLE FAMILY DWELLING QADDITION/ALTERATION
□DUPLEX Q0EHOLITION QRELOCATION OH081LE HOME QELECTRICAL QPLUHBING
Q MECHANICAL QPOOL OSPA □RETAINING IIALL QSOLAR □OTHER. _____ _ CR
2. PROJECT INFORMATION PLAN CHECK No . F
Address 2. 7 2.1 ORK Q..0 P.D Bu, 1ng or Su1te No.
Nearest Cross Streets
LEGAL 0ESCRIPTIOII Lot No.$5"' Sutxhv,s1on Name/Nl.llt>er Un1 t No. Phase No.
CHEO:: BELOW IF SUBMITTED: 0 2 Energy Cal cs 0 2 Soils Repcrt
3.
BLOG. SQ. FTG.
CONTACT
NAME ::r, ~
# er &lORIES
PERSON
t.~s o.J oit GAf2,,f l-A,wS°'-J
CITY ~Sr;, t l) 0 ~ STATE ~
ADDRESS
ZIP CODE
LS.
DAY TELEPHONE
PROPOSED USE
540
SIGNATURE 7 ~
4. APPLICANT □CONTRACTOR ~ENT FOR CONTRACTOR
NAME ~ {_,~ ADDRESS
OOIINER
5 06 v.).
0 AGENT FOR O\INER
M I S';;,/0,u ~
CITY f:!..SC..0. Ot I) 0 ZIP CODE DAY TELEPHONE 741-3000
5. PROPERTY OW~ER
NAME MARIi"' 2t-> ::S-o~c.£..
QTENANT
ADDRESS :z. 7 Z (
CITY CA~,. g, .4-J:) STATE CA--ZIP CODE 9 2,oOIS DAY TELEPHONE
6. CONJRACTOR
NAME A1,rr1+0N Y PooLS ADDRESS S"Ob ~"-
cm r;:,,scoND1,::,o
SIGNATURE
DESIGNER NAME
CITY
STATE ~ ZIP CODE qz_o2S-
Llc. #{9o I 7 9 LICENSE CLASS _C=-=S-=3'--
STATE ZIP CODE
DAY TELEPHONE 741-3,os)e:,
CITY BUSINESS LIC. # /I Z-S~t>o
DATE • 9/
DAY TELEPHONE -----STATE LIC. #
7. WORKERS' COMPENSATION workers' C()f'l1)ensation 0eclarat1on: hereby affirm that I have a cert1f1cate of consent to self·insure issued by the Otrector of Jndustrul Re lations,
or a certificate of Workers' C~nsat ion Insurance by an &dnitted insurer , or an exact copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Sect ion 3800, Lab. C).
8.
INSURANCE cOHPANYNffi,plJM... u1,J1oiv fie'-POLICY NO.~MWd-1-z..7t.c8f, EXPIRAT ION DATE , -, -9z
Certificate of Ex~tion: I certify that in the performance of the work for which this permit is issued, I shall not eff1>loy any person in any manner
so as to become subject to the Workers' Coq>ensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's L1cense Law for the follow1ng reason:
O 1 as owner of the property or rrrt ~loyees with wages as their sole conl)ensation, will do the work and the s tructure 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 bui lds or i~roves thereon,, and who
does such work himself or through his own eq,loyees, provided that such i"1)rovements are not intended or offered for sale. If, however, the building
or i111>rovement is sold within one year of coq:,letion, the owner-builder will have the burden of proving that he did not build or iff1)rove for the purpose
of sale.).
D 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bus iness and Professions Code:
The Contractor's License Law does not apply to an owner of property who builds or i"l)roves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Cont rector Is license Law).
0 I am ex~t under Section __________ _ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i!T'prove, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to fi le a signed statement that he is licensed pursuant to the provisions of the
Contractor's Ucense Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeq>t therefran,
and the basis for the alleged ex~tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred dollars [S500J).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to sutwnit 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?
QYES ONo
JS the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES O NO
Is the fad l i ty to be constructed with in 1,000 feet of the outer boundary of a school s i te7
□YES
IF ANT OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OC<lJPANCT MAY IIOT BE ISSUcD AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREIENTS
OF THE OFFICE OF EIERGENCY SERVICES All) THE AIR POI.LUTIOII OOIITROI. DISTRICT.
9. CONSTRUCTION LENDING AGENCY
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 _A..,.," C N ~ LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that J have read the application and state that the above informat1on 1s correct. I agree to c~ly with all City ordinances and State laws relating
to building construction. I hereby authorize representatives of the City 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, Jll>GHENTS, COSTS ANO EXPENSES WHICH KAY IN ANY IIAT ACCRUE AGAINST SAID
CITY IN OOIISEQUENCE Of THE GRANTING OF THIS PERMIT.
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 conmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or aba ed at any time after the work is carrnenced for a period of 180 days (Section 303(d) Uniform Building Code).
O O\INER [JcONTRACTOR $
~
OBY PHONE APPROVED SY; _______ _
DATE: ----------'
WHITE: File YELLOW: Applicant PINK: Finance
. I ,.., • t
PERMIT# CB911711
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/13/92
DESCRIPTION: 500 SF+ 40 SF SPA
TYPE: POOL
INSPECTOR AREA PY
PLANCK# CB911711
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE: JOB ADDRESS: 2721
APPLICANT: ANTHONY
CONTRACTOR: ANTHONY
OWNER:
YORK RD
POOLS
POOLS
PHONE: 619 741-3000
PHONE: 619-£714-3000'dl
PHONE: / ;J_ i\
INSPECTOR ~ H_ ___ ____;____;;_;m:;._ _____ _ REMARKS: MH/JIM/739-1525
SPECIAL INSTRUCT: CARD GOT
CB920082
WET. PLEASE LEAVE NOTE.
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
RW910238 ROW
STATUS
ISSUED
ACT COMMENTS CD
59
LVL DESCRIPTION
SW Final Pool ~-----
DATE
030592
020392
020392
012392
012392
***** INSPECTION HISTORY*****
DESCRIPTION
Ftg/Foundation/Piers
Gas/Test/Repairs
Electric/Conduit/Wiring
Excav/Steel/Bonding/Fence
Fence/Pre-Plaster
ACT INSP
AP PD
AP PY
NR PY
AP PY
AP PY
COMMENTS
DECK FOOTINGS
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009""859
Citp of Carlsbab
DEVELOPMENT PROCESSING
SERVICES DIVISION
AFFIDAVIT
This document will certify that I know the provisions
requiring fencing for swirrming pools and/or spas. I
understand that I, as the owner of
ADDRESS
must obtain an approved final inspection of the fencin9
from the Building Department prior to final inspection
of the swimmina pool and/or spa, and -prior to any use
of the swirrming pool and/or spa .
SIGNfo.~A
DATE l 7.. -1.--°? -9 1
This signed fonn is to be attached to the Inspector 's
copy of the swirrming pool and/or spa pennit.
·TELEPHONE
(619) 436-1161
. _, , -·
1
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2
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3
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D
C C C
H H H
E E E
~ K K
m □□
d □□
0 □□
□□□
□□□
BUILDING PLANCHECK
ENGINEERING CHECKLIST
DATE: _ __._l_--=3=----4~1 ___ _ ~ ITEM COMPLETE
PLANCHECK NO. 9 1-)J / I ITEM INCOMPLETE
NEEDS YOUR ACTION
272.\ YDck u. ITEM SELECTED
PROJECT ID: _ __,__j -=-l,_7 .__---=3::::...9_,__._! _-=33=------
LEGAL REQUIREMENTS
site Plan
1.
3 .
Provide a fully dimensioned site plan drawn to scale.
Show: north arrow, property lines, easements, existing and
proposed structures, streets, existing street improvements,
right-of-way width and dimension setbacks.
Show on site plan: Finish floor elevations,
elevations, elevations of finish grade adjacent
building, existing topographical lines, existing
proposed slopes, driveway with percent (%) grade
drainage patterns.
Provide legal description and Assessors Parcel Number.
pad
t o
a nd
a nd
Discretionary Approval Compliance
4 . No Discretionary approvals were required.
5 . Project complies with all Engineering Condi tions of Approval for Project No . ________ _
6 . Project does not comply with the followi ng Engi neering
Conditions of Approval for Project No. _________ _
Conditions complied with by: ________ Date: ____ _
t ~ ~ Field Review
7. Field review completed. No issues raised.
8. Field review completed. The following issues or
discrepancies with the site plan were found:
DD D A. Site lacks adequate publ~c improvements
□□□ B.
□□□ c.
P:\DOCS\HISFORMS\FRH0010.DH
Existing drainage improvements not shown or in
conflict with site plan.
Site is served by overhead power lines.
REV . 02/27 /91
·□□□ D. Grading is required to access site, create pad or
provide for ultimate street improvement.
000 E. Site access visibility problems exist. Provide onsite
turnaround or engineered solution to problem.
00 0 F. Other: _________________________ _
□□□
Dedication Requirements
10.
No dedication required.
Dedi.cation required. Please have a registered Civil
Engineer or Land Surveyor prepare the appropriate legal
description together with an 8\" x 11" plat map and submit
with a title report and the required processing fee. All
easement documents must be approved and signed by owner(s)
prior to issuance of Building Permit. The description of the dedication is as follows: _______________ _
Dedication completed, Date __________ _ By: __ _
[lJ Improvement Requirements
D D 11. No public improvements required. SPECIAL NOTE: Damaged or
defective improvements found adjacent to building site must
be repaired to the satisfaction of the City inspector prior
to occupancy.
Public improvements required. This project requires
construction of public improvements pursuant to Section
18.40 of the City Code. Please have a registered Civil
Engineer prepare appropriate improvement plans and submit
for separate plancheck process through the Engineering
Department. Improvement plans must be approved,
appropriate securities posted and fees paid prior to
issuance of permit. The required improvements are: ___ _
Improvement plans signed, Date: _________ by: ___ _
P:\DOCS\HISFORHS\FRH0010 .DH REV. 02/27/91
□o d 13. Improvements are required. Construction of the public
improvements may be deferred in accordance with Section
18.40 of the City Code. Please submit a letter requesting
deferral of the required improvements together with a
recent title report on the property and the appropriate
processing fee so we may prepare the necessary Future
Improvement Agreement. The Future Improvement Agreement
must be signed, notarized and approved by the City prior to
issuance of a Building Permit.
Future Improvement Agreement completed, Date : ______ _
By: __________ _
DD D 13a. Inadequate information available on site plan to make a
determination on grading requirements. Please provide more
detailed proposed · and existing elevations and contours.
Include accurate estimates of the grading quantities (cut,
fill , import, export).
No grading required as determined by the informati on
provided on the site plan.
D D D 15. Grading Permit required. A separate grading plan prepared
by a registered Civil Engineer must be submitted for
separate plan check and approval through the Engineering
Department. NOTE: The Grading Permit must be issued and
grading substantially complete and found acceptable to the
City Inspector prior to issuance of Building Permits .
Grading Inspector sign off. Date : ______ by: ____ _
Miscellaneous Permits
q □ □ 16.
~ □ □ 17.
0□□
□□□
18.
19.
G'.1 □□ 20.
Right-of-Way Permit not required. •
Right-of,;,.Way Permit required. A separate Right-of-Way
Permit issued by the Engineering Department is required for the following: ______________________ _
Sewer Permit is not required.
Sewer Permit is required. A sewer Permit is required
concurrent with Building Permit issuance. The fee required
is noted below in the fees section.
Industrial Waste Permit is not required.
P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27/91
□od 21. Industrial Waste Permit is required. Applicant must
complete Industrial Waste Permit Application Form and
submit for City approval prior to issuance of a Building
Permits. Permits must be issued prior to occupancy.
Industrial Waster Permit accepted -
Oate: ___________ By: ________________ _
Fees Required
27. Park-in-Lieu Fee
Quadrant: _____ Fee per Unit: _______ _
Total Fees: __ _
23. Traffic Impact Fee Fee Per Unit: __________ Total Fee: _____ _
24. Bridge and Thorough fare Fee Fee Per Unit: __________ Total Fee: _____ _
25. PUblic Facilities Fee required.
26. Facilities Management Fee Zone: _____ Fee: ____ _
27. sewer Fees Permit No. ________ EDU's ___ _
Benefit Area: _________ _ Fee: ________ _
28. Sewer Lateral Required: _______________ _
Fee: ________ _
29. REMARKS: ______________________ _
ENGINEERING AUTHORIZATION TO ISSUE PERMIT
BY: __ l _,_..;;;U.=..,.e .... A .... m,.._._../\=-+.-----oATE: _.L...J-....;:.3=----=1+2.,"'"""'-----
P:\OOCS\MISFORMS\FRM0010.0H REV. 02/27/91
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 9/· 171 I DATE /~-;z_,(p-~ I
ADDRESS ,;77:2/ jo£K ~D.
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL
( < $10,000.00)
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER ______________________ _
DATE ____ ;_/.__3 __ /_Y_.2.. __ I I
ENG I NEER Q__ ,LJ ~ DATE /-3 -'12-
C:\WP51 \FILES\BLOG.FRM Rev 11 /1 5/90