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1005 CANVASBACK CT; ; CB100846; Permit
05-28-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB100846 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title 1005 CANVASBACK CT CBAD POOL 2146434000 Lot #: 0 $18,012.00 Construction Type: NEW ROMERO RES- 474 SF POOL/SPA Status: ISSUED Applied: 05/14/2010 Entered By: LSM Plan Approved: 05/28/2010 Issued: 05/28/2010 Inspect Area: Applicant: MISSION POOLS OF ESCONDIDO INC 755 W GRAND AVENUE ESCONDIDO, CA 92025 619-743-2605 Owner: BOARDWALK DEVELOPMENT INC 16909 W BERNARDO DR SAN DIEGO CA 92127 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $199.71 $0.00 $129.81 $0.00 $20.00 $27.00 $1.80 $1.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $379.32 Total Fees:$379.32 Total Payments To Date:$379.32 Balance Due:$0.00 Inspector: FINAL APPROVAL 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 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 capacity 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 you have previously been given a NOTICE similar to this, or as to which the statute ot limitations has previously otherwise expired. ->ii£|y (« 1.635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 ion Plan Check No. d& Est. Value f 8 Q I Plan Ck. Deposit Date J'jC ADDRESS.IMS COA M <sor. •PROJECT;; | LOT;; | PHASES |# BEDROOMS OF WORK: (Please describe present use and proposed use) SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME ADDITION AREA (SF)GARAGE (SF)PATIOS (SF) .•pl-JTACT NAME S * t~i / ~ ' /> /ILO^M 3fYiLFL.(imissiOi\ root- ADDRESS ' V ZIP OWf-JEE WAIWfc T^f// /C£mtr(2 ADORES:: STATE ZIP STATE LIC. # DECKS (SF)FIREPLACE YESD #NOD AIR CONDITIONING YES D NO Q FIRE SPRINKLERS YES D NO D APPUCANTNAME ADDRESS CITY STATE*ZIP FAX EMAIL CONTRACTOILBUS. NAME ' ^rL ADDRESS CI.TY PHONE STATEC/J ZIP FAX EMAIL STATE LIC.#CITY BUS. LICJ (fee. iOil.i liusiiicss and PIO.KSIOIIS 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 islicensee! 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 ofiocuoii /Hi 1.1 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). •if-1': 'A'-ji'ktrf' Compensation Declaration: (hereby affirm under pena/ty of perjury one of Hie following declarations: EMS 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. lave 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 workers' compensation insurance carrier and policy Insurance Co. ^,i/ L I £ <—^C f\/ui.C- c Cf\. ^(.CPolicy \~\(^/(i/^^OOO^~~)/<^\ /i(-/ / Expiration Date SP* *// ^~s / / I ThiG section need not be completed if the permit is for one hundred dollars ($100) or less. r/j Ceiiiiidvte 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (£100.000). in >n io 'die cost oi: coiiipeiisation,^damages,as provided for in SecijUli 3706 of the Labor code, interest and attorney's fees. Jiy tiiiiini that I am exempf from Confracfoc's License Law for the following reason: c! i, as owner of ilio 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 IJCdiioe Law does r.oi 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). C> i, ac, (wner of [he 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). D I am exempt under Section Business and Professions Code for this reason: 1.! personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes a No 2.1 (liavu / have not) signed an application for a building permit for the proposed work. ?>. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan io provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): S. I will provide ;,ornc! of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): . -j PROPERTY OWNER SIGNATURE DATE I h ipplicant 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 fi Jay-Tanner Hazarcous Substance Account Act? OYes O No Is ifi« applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility io be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No IF AMY OF THE ANSWERS ARE YES,; EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address 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 I hereby authorize representative 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSMA: An USHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: bvery pannit 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 I iiO days irorn (lie date of 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 180 days (Section 106.4.4 Uniform Building •'L APPLICAHT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 08/26/2010 Permit* CB100846 Title: ROMERO RES- 474 SF POOL/SPA Description: Inspector Assignment: RB Type: POOL Sub Type: Job Address: 1005 CANVASBACK CT Suite: Lot: 0 Location: OWNER BOARDWALK DEVELOPMENT INC Owner: ROMERO JAAN M&MCCORMICK-ROMERO MARY K Remarks: Phone: 7607432605 EX 234 Inspector: Total Time: CD Description 59 Final Pool Requested By: MICHELE Entered By: CHRISTINE mments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act 08/13/2010 55 Fence/Pre-Plaster AP 07/30/2010 11 Ftg/Foundation/Piers AP 07/21/2010 23 Gas/Test/Repairs AP 07/21/2010 53 Electric/ConduitM/iring AP 07/14/2010 51 Excav/Steel/Bonding/Fence AP 07/13/2010 51 Excav/Steel/Bonding/Fence CO Insp Comments RB ALARMS OK, CHECK SUB PANEL @ FINAL RB DECK BONDING PLUS BBQ AREA CONDUIT ONLY RB RB RB RB NO PLANS OR PERMIT ON SITE (1127 86) PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB100846 DATE 5/17/10 ADDRESS 1005 CANVASBACK CT RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER PLANNER GINA RUIZ ENGINEER DATE 5/17/10 DATE ll:\ADMIN'\f,OIINTI!R/PLA\'NINr,/EM',INEERINi; APPROVALS City of Carlsbad Public Works BUILDING PLANCHECK CHECKLIST POOLS Engineering DATE: | BUILDING PLANCHECK NUMBER: CB [_0^ BUILDING ADDRESS: PROJECT DESCRIPTION: Pool/Spa ASSESSOR'S PARCEL NUMBER: 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 edmply with instructions in this report can result in suspension of permit to build. By:Dater DENIAL Please see tl^attsiched report of deficiencies marked with/Q-xfirtake necessary corrections to plans or (specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. ATTACHMENTS D Final Map D Grading Permit Application D Grading Permit Checklist D Grading Plan D Right-of-Way Permit Application D RigJrt-of-Way Permit Submittal Checklist and Requirements Or Storm Water Compliance Form(s) ENGINEERING DEPT. CONTACT PERSON Name: Linda Ontiveros Address: Phone: City of Carlsbad 1635 Faraday Avenue Carlsbad, CA 92008 (760) 602-2773 LEGAL DESCRIPTION Reference No(s): Lot No.: Subdivision/ Carlsbad Tract: 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-272O • FAX (760) BUILDING PLANCHECK CHECKLIST - POOLS .ST3 2 D ND3 D 3' D RD3 ODD D D SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow B. Existing & Proposed Structures C. Property Lines D. Easements D 2. Show on site plan: D. 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. A. Drainage Patterns B. Existing & Proposed Slopes C. Existing Topography *lf 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: A. Site Address B. Assessor's Parcel Number C. Legal 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: GRADING PERMIT REQUIREMENTS Date: The conditions that invoke the need for grading permit are found in Section 15.16.010 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. The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit D (jj 5d. No Grading Permit required. Page 2 of 3 ,ST3 2 n ND3 3 D RD3 BUILDING PLANCHECK CHECKLIST - POOLS MISCELLANEOUS PERMITS 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. 11 O 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. Right-of-Way Permit and Pool Building Permit will be issued simultaneously. D D D D D x D/ 'D ; 0 D a D a a /a a n a a a a a n 7d. 7e. 7f. 7g. 7h. STORM WATER REQUIREMENTS Construction Compliance 7a. Project Threat Assessment Form complete. 7b. Enclosed Project Threat Assessment Form incorrectly completed. Please make the corrections, re-sign a new form and resubmit with next submittal. 7c. Requires Tier 1 Storm Water Pollution Prevention Plan . * Please complete attached form and return (SW ( Q-~ \ y*T Post-Development (SUSMP) Compliance 7d. Storm Water Standards Questionnaire complete/i 7e. Stormwater Standards Questionnaire incorrectly completed. Please make the corrections, re-sign the questionnaire and resubmit with next submittal. Project is subject to Standard Stormwater Requirements. See City Standard Urban Stormwater Management Plan (SUSMP) for reference. Disconnect Discharges per SUSMP. Do not connect runoff from impervious surfaces to storm drains without first discharging water over landscape areas first. See SUSMP. Minimize use of impervious surfaces per SUSMP. Redesign to reduce the excessive use of impervious area (pavement) on project. Use a balanced design of pervious surfaces (landscape area, planters, etc.) and impervious surfaces. See SUSMP. D D D 8. Remarks Page 3 of 3 Client*: 9923 3MISSPOO1 ACORD* CERTIFICATE OF LIABI PRODUCER Willis Ins Services of CA, Inc 4250 Executive Sq. Suite - 250 La Jolla, CA 92037 858535-1800 INSURED Mission Pools of Escondido, Inc. 755 West Grand Avenue Escondido, CA 92025-9990 LITY INSURANCE DATE (MM/DD/YYYY) 04/05/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Praetorian Insurance Company INSURER B: Everest National INSURER c: Nationwide Mutual Insurance Co. NAIC# 22292 10120 23787 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR A C B ADD'LNSRC TYPE OF INSURANCE GENERAL LIABILITY .X- X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE | X I OCCUR BI/PD Ded:2,500 GEN'L AGGREGATE LIMIT APPLIES PER:~n POUCY fxi JPECT r~Koc AUTOMOBILE LIABILITY^r X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS Drive Other Car GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? If yes describe underSPECIAL PROVISIONS below OTHER POLICY NUMBER H01 000050402 ACPBA7823469047 7600005127101 POLICY EFFECTIVEDATE IMM/DD/YY) 04/01/10 04/01/10 04/05/10 POLICY EXPIRATION DATE (MM/DD/YYI 04/01/11 04/01/11 04/05/11 LIMITS EACH OCCURRENCE DAMAGE TO RENTEDPREMISES ISa occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT(Ea accident) BODILY INJURY(Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHFRTHAN EAACC AUTO ONLY: AQG EACH OCCURRENCE AGGREGATE V WC STATU- I OTH-A TORY I IMITS I ER E.L. EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000,000 $400,000 $5,000 $1,000,000 $2,000,000 $2,000,000 $1,000,000 $ $ $ $ $ $ $ $ $ $ $ $1,000,000 $1,000,000 $1,000,000 The Certificate Holder is named as additional insured per attached form CG2010 07/04 but only for ongoing swimming pool, spa and/or water feature (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE «fh Jitov3AJ ACORD 25 (2001/08) 1 Of3 #M637490 3RDON © ACORD CORPORATION 1988 c 1 <>1 2 1*h in 28U. 05 00o rrr^^r ti 4- 0