HomeMy WebLinkAbout1010 DAISY CT; ; CB041475; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No CB041475
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
Applicant
SPA BUILDERS
1010 DAI SYCTCBAD
POOL
2144100600 Lot#
$9,006 00 Construction Type
MCKIRNAN RES 275 SF FIBERGLASS
POOL
0
NEW
Status
Applied
Owner
MCKIRNAN CHERYL
ISSUED
04/30/2004
Entered By SB
Plan Approved 05/19/2004
Issued 05/19/2004
Inspect Area
2275 TERMING AVE 90815
800-500-6761
1010 DAISY CT
CARLSBAD CA 92009
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
$9969
$000
$6480
$000
$2000
$2700
$1 00
$000
$000
$000
$000
$21249
Total Fees $21249 Total Payments To Date $64 80 Balance Due $14769
2514 05/19/0* O
CG 01 02
1*7.
Inspector JU.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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
O-iol
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1 PROJECT INEORMATION ;: ,
1010 Den si. c-f-
FOR OFFICE USE ON
PLAN CHECOIO
EST VAL
Plan Ck Deposit
Validated
Date •
I r
Address (include Bldg/SuiteW)Business Name (at this addre 92 04/30/04 0002 0:32
Legal Description Lot No Subdivision Name/Number Unit No Phase No--''-Str Total # of units-f'
Assessor's Parcel # —.
a I } / ">i • in1*) row
Description of Work''
gKtjn^Ugp V^-fr-^
Proposed Use
&f?^
SQ FT #of Stories ' # of Bedrooms # of Bathrooms
'•2 CONTACT PERSON (if different from applicant)
<
Name
3. APPLlCANTil
-5p/QJ>4 7£
NarAe
Address
•QJContraotof:" Q Agent for Contractor
xj/f pljr*f\ ie'-nrl>'\
Address
O Owner *
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aw
1: CD Agent for Owner '•••• <•
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City
State/Zip
::- •
£k •
State/Zip
Telephone #
• • • v-ip
Telephone #
Fax #
• • •^.:- i
/%/«/
Address City State/Zip Telephone #Name I I
J^CONfRACTOJB"- COlvlPANY NAME • • '"$> "I" '••••3f'- "" , :: *-• .. '..V "I* '4':y,
(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 Any violation of Sectjon 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001)
So** jfc
Narrle
State License #
3QK f
Address
License Class
.
$ £
=t
City State/Zi
city Business License *
- f 7*7
Designer Name I Address City State/Zip Telephone
State License #
6 WORKERS' COMPENSATION"; Isu^ ""' •-- """*SSJ" nh-v 1:": • : : -'- •ft"" ; •«.... ..r""""
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
|~| 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 ,^> fol [t T'Ct/\t Policy No ' ' ' -J * I S Expiration Date / C^ ^oCy~QS~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
f~l 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 compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars[$100,000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
\./SIGNATURE ^** • "^^ DATE /" 3&~Oy
/( 7 t. OWNER-BUILDER DECLARATION :;4 1 .
' I hereby affirm that I am exempt from the Contractor 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)
fj 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)
f~| 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 Q YES d|NO
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? fJ 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' l~l YES l~l NO
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? O 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 . ,ii::. ::..: :: ,:.... ...... ... :. ../.."£'. •" • ., ..... •»,..:: ^ '*" ""'""
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME _ LENDER'S ADDRESS _
9 •-.. APPLICANT CERTIFICATION ' '"" " :! '"•" " "" " " . ;.^ ,- 'ir '*ff • •
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 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
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones 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 180 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 work is commenced for a periocLpf 180 days (Section 106 4 4 Uniform Building Code) ...*
APPLICANT'S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 08/06/2004
Permit* CB041475
Title MCKIRNAN RES 275 SF FIBERGLASS
Description POOL
Inspector Assignment RB
Type POOL Sub Type
Job Address 1010 DAISY CT
Suite Lot 0
Location
APPLICANT SPA BUILDERS
Owner MCKIRNAN CHERYL
Remarks
Phone 7605054261
Inspector
Total Time
CD Description
59 Final Pool
Associated PCRs/CVs
Comment
Requested By OLIVER
Entered By CHRISTINE
siifcH
Inspection History
Date Description Act Insp Comments
07/13/2004 31 Underground/Conduit-Wmng AP RB
07/13/2004 51 Excav/Steel/Bonding/Fence AP RB
06/11/2004 31 Underground/Conduit-Wiring CO RB NEED 18IN DEPTH
06/11/2004 52 Underground Plumbing PA RB P V C SYSTEM OK
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS ^
BUILDING PLANCHECK NUMBER CB Q J ~~ ' '
BUILDING ADDRESS /b/0
PROJECT DESCRIPTION Pool
ASSESSOR'S PARCEL NUMBER - O
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 revew carefully all comments attached,
as failure to comply with instructions in this report can
result in suspension of permit to build
Date
DENIAL
Please s£e*Tne\ attached report of deficiencies
markecry/ith QMakg/rfecessary corrections to plans
or specificaflonsror compliance with applicable
codesl^and s\ar\dpfSs~~) Submit corrected plans
and/orvspecificatrons to,this office for review
By
By
By
Date
Date
Date
ATTACHMENTS
Grading Permit Application
Grading Permit Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal
Checklist and Information Sheet
ENGINEERING DEPT CONTACT PERSON
NAME Kathleen M Farmer
City of Carlsbad
ADDRESS 1635 Faraday Avenue
Carlsbad, CA 92009
PHONE (760) 602-2741
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562
Q Q
Q Q
Q Q
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
^
dimensioned site plan dra
orth Arrow
NV-—Bx"Existing & Proposed Structures
2 Show orr'site plan
Drainage Patterns
Existing & Proposed Slopes
C Existing Topography
Show
perty Lines
Easements
ndicate what will happen with
soil excavated from pool area
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.
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
—Site Address
Assessor's Parcel Number —
Legal Description l^ (rt~ c2
D Grading Quantities Cut
/ </ — <//0 - D (o
Fill _ Import/Export
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 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
Page 1 of 2
3Rtv
Q
5c A Grading Permit has been applied for
,PE2 DWG
Grading Inspector sign off by Date
5d No Grading Permit required
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
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 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
Remarks
Page 3 of 3
H \Development Services\MASTERS\CHECKUSTS\Building Plancheck Cklist Form POOLS doc Rev B/22/96
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB DATE
ADDRESS 1010
("RESIDENTIAL \
RESIDENTIAL ADDITION MINOR
« $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
OTHER
COMPLETE OFFICE BUILDING
PLANNER
ENGINEER
DATE
DATE
nnrc/UUrnnntJPtannina Fnolnporinn Annrnualc
License ueiau
WT'^H;?WJ7PS5rK'-~:'5V^il^"~^i^'¥rS7r'?£
License Detail
Contractor License # 750334
CAtfFORNiA CONTRACTCRS STATE L1CEN
DISCLAIMER
A license status check provides information taken from the CSLB license data base Before
on this information, you should be aware of the following limitations
• CSLB complaint disclosure is restricted by law (I-;: ; ..-. ~ o) If this entity is subject tc
complaint disclosure, a link for complaint disclosure will appear below Click on the hn
button to obtain complaint and/or legal action information
• Per BiP ""-'"; ";"", only construction related civil judgments known to the CSLB are di
• Arbitrations are not listed unless the contractor fails to comply with the terms of the
arbitration
• Due to workload, there may be relevant information that has not yet been entered ont
Board's license data base
Extract Date 02/11/2004
* * * Business Information * * *
SPLASH SPAS & POOLS
19710 SR 410 AVE
BONNEY LAKE, WA 98390
Business Phone Number (760) 729-8787
Entity Sole Ownership
Issue Date 06/05/1998 Expire Date 06/30/2004
* * * License Status
This license is current and active All information below should be reviewed.
* * * Classifications * * *
Class
B
C53
| Description
G?NEr.^-u S../-;."MG -:CN"-A:-OK
S-VfMs!.A-3FOOL.
* * * Bonding Information * * *
CONTRACTOR'S BOND: This license filed Contractor's Bond number BE2620857 in the a
$10,000 with the bonding company
http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 2/11/2004
License
- . i-«.
Effective Date 10/29/2001
Contractor's Bonding History
* * * Workers Compensation Information * * *
This license has workers compensation insurance with the
STATE COMPENSATION JNSURA'^Ct. FUND
Policy Number 1713143 Effective Date 10/08/2002 Expire Date 10/01/2004
Wo-'ke^s Compensation History
Number Ke
http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 2/11/2004
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