HomeMy WebLinkAbout1078 LIGHTHOUSE RD; ; CB041521; PermitJ
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07-28-2004, Pool Permit Permit No: CB041521
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Building Inspection Request Line (760) 602-2725
1078 LIGHTHOUSE RD CBAD
POOL
Lot#: 0 2145314900
$18,275.00 Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
05/06/2004
KMT
07/28/2004
07/28/2004
Project Title:
Applicant:
BEA LACEY
674BEL AIR DRIVE
92084
760-726-0109
Building Permit
BERKLEY RES-558 SF GUNITE
POOL & SPA
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
Inspect Area:
Owner:
BERKLEY STEPHEN M&MARY E
1078 LIGHTHOUSE RD
CARLSBAD CA 92009
$168.99
$0.00
$109.84
$0.00
$20.00
$27.00
$1.83
$0.00
$0.00
$0.00
$0.00
$327.66
Total Fees: $327.66 Total Payments To Date: $109.84 Balance Due:
FINAL APPROVAL,....
Inspector: Date: Clearance:
$217.82
NOTICE. Please take NOTICE that approval of your project includes the "Im position" 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/exact1ons. 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 subseq .• ent 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
I i n f hi h h I n 1v n imil r h' h h \ I f ·m· 1 ns h I x ired
02
V 'lMlvl u 'U.Cit'y of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-28-2004, Right of Way Permit Permit No: RW040236
Job Address:
Permit Type:
Parcel No:
Start Date:
1078 LIGHTHOUSE RD CBAD
ROW Subtype:
2145314900 Lot#:
Est Complete Date:
MINOR
0
Insurance Expire:
Liability Insurance:
07/28/2005
y
Traffic Control Plan: Y
GOP:
Reference#: CB 04-1521
Location: 1078 LIGHTHOUSE
Project Title:
Description:
BERKLEY RESIDENCE
POOL/SPA
Applicant:
POOLSCAPE 2000
2306 MANGRUM
OCEANSIDE CA 92056
760-722-1990
Total Fees: $230.00
Permit Fee
Additional Permit Fee
Other
Additional Fees
TOTAL PERMIT FEES
Total Payments To Date: $0.00
Status:
Applied:
Issued:
Expired:
Entered By:
ISSUED
07/22/2004
07/28/2004
01/31/2005
KMF
Balance Due: $230.00
$230.00
$0.00
$0.00
$0.00
$230.00
7558 07/28/04
00()2 OJ
This permit may be revoked by the City Engineer if it is deemed that inadequate progress is belng 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.
✓ t\;~\
PER~A!~\CATION let. I
CITY d~~ib'iu1LD1N~~Gm~
1635 Farapay Ave., Carlsbad, CA ~08
Legal Description IIPAI t1:-
Assessor's Parcel #
#of Stories
FOR OFFICE USE ONLY
PLAN CH~i:;K NO. C.804152 /
EST. VAL. (/1,/8,J.75
Plan Ck. Deposit # fOM'{
Validated ~Y ~
Date 5 D )oY
:,. i.; J\,H.)i ,.I,:_
: ___ r-· ···"
Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
1? o-7.J t. -c,10 '1
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, 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
Name Address City State/Zip Telephone#
State License # _________ _ license Class _________ _ City Business license # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
,1;, ,i .. WOl'lil!i~;dlif,lJ&tl$'Jl'l'(!ll'«i ,x::x, ·
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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.
O 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______________________ Policy No, Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 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 coda, Interest and attorney's fees.
SIGNATURE.______________________________ DATE
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t hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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 ha did not build or improve for the purpose of sale). )ii/" l, 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 l am exempt under Section ______ Business and Professions Code for this reason:
1. I personalty 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/ 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 I 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).,_-----------------------------------------------------------
X,;::;.~;;;:e:~~~~~~:tJ:Q~~ftjJi(iii.ljl!'«il~RM!ff~~Vfii!i:ii:f);;:,,:;. ·--··• ,: ,,:,:
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? D YES D 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.
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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
'$'.f.,,,,.,o.11!>~!C"l!Hl'•:~c-~•i;imW•·-·ti •. i=liill~. _iij·. •iiimri-•iii· N'~,;,,i:;11;;:• ,::;"::;_,::;_ .:;:~~~;-:
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 Citt 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 ANO 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 enced 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 ls co me ed for a period of 0 days (Section rn6.4.4 Uniform Building Code).
~PPLICANT'S SIGNATURE ~~Ze-iLiL~tf'1~l;t~--------------
YELLOW: Applicant PINK: Finance
ll . • . City of Carlsbad Bldg Inspection Request
. For: 01/20/2005 .
' iR
Permit# CB041521
Title: BERKLEY RES· 558 SF GUNITE
Description: POOL & SPA
Type: POOL Sub Type:
Job Address:
Suite:
Location:
1078 LIGHTHOUSE RD
Lot 0
OWNER BERKLEY STEPHEN M&MARY E
Owner: BERKLEY STEPHEN&MARY
Remarks:
Total Time:
Inspector Assignment: PD
Requested By: GARY
Entered By: KAREN
---
CD _D_e_s_c-ri-pt-io-n------~ A£f_o_m_m_e_n_t----------------nh'Y'---:.~ 59 Final Pool L ~
Associated PCRs/CVs
lns11ection Histoiy
Date Description Act lnsp Comments
11/22/2004 55 Fence/Pre-Plaster AP PD
09/07/2004 51 Excav/Steel/Bonding/Fence AP PD
09/07/2004 52 Underground Plumbing AP PD
09/07/2004 53 Electric/Conduit/Wiring AP PD
09/01/2004 51 Excav/Steel/Bonding/Fence co PD FENCING
• City of Carlsbad
l@bll ♦+;i·il~t-#,i·li,i4411,i·I
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB Cf-/-/SJ)
BUILDING ADDRESS:
PROJECT DESCRIPTION: ....:P....:o:..=oc:....I ________ _
ASSESSOR'S PARCEL NUMBER: 'J..14-5'8/ -<fq
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 compl ith instructions in this report can
result in suspens· of permit to build. -1 / _ ~ f ,
By: ---+~=-+-~--Date: ~
ATTACHMENTS
Grading Permit Application
Grading Permit Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal
Checklist and Information Sheet
DENIAL
Please se~attached report of deficiencies
marked wit D. Make necessary corrections to
plans or cifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
By: ~~ Date: :s/J::tld/
By:
By:
_________ Date:
_________ Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: Taniya Barrows
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE: (760) 602-2773
H:',[)twelopment Servk:es\MASTERS\FORMS-ICHECl<LISTS -\BUILDING PLAt<fCHECK CKLIST FORM -POOLS.doc Rev. 8122/96
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @
•
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BUILDING PLANCHECK CHECKLIST -POOLS
SITE PLAN
c, qJ.--c3/
L-6+ 11'1
rra~ 13~&
1. Provide a fully dimensioned site plan drawn to scale. Show:
v. North Arrow
El:"1§:xisting & Proposed Structures
2. Show on site plan:
K."" _..,Drainage Patterns
.z~xisting & Proposed Slopes F Existing Topography
e:-' Property Lines
~asements
..a:-lndicate what will happen with
_/soil excavated from pool area
.-i:. 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
3. Include on title sheet:
_____ Applied for ___ Approved
IC"Site Address
--8:"' Assessor's Parcel Number
JY.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: 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
Page 2 of 3
H:\Development 5ervlces\MASTERSIFORMS-\CHECKLISTS -\BUILDING PI..ANCHECK CKLIST FORM -POOLS.OOC Rev. 8122196
1ST✓ 2ND✓ 3RD✓
• Cl Cl Cl Sc . A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
Cl Cl Cl 5d. No Grading Permit required.
f) MISCELLANEOUS PERMITS
f Cl 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.
Cl Cl 7. Remarks
Page 3 of 3
H:\Oevelopmeot Servk:ellMASTERS'l'ORMS -\CHECl<LISTS-\BUILDING PLANCHECK CKLIST FORM-POOLS.doc
PLANNING/ENGINEERING APPROVALS
PERNIT NUMBER CB O l./ -/ S 2 / DATE tJS-/O--tJl/
ADDRESS / 0. 7 8 LI bHTNOVS £ f!-1) -~---------------cc..._ __ _
RESIDENTIAL ADDfflON MINOR
I< $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDING
OTHER __________________ _
PLANNER~-%-_,·,,__ ___ _ DATE JS-/() -o L(
ENCINEER DATE ---------------
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