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1150 CHINQUAPIN AVE; ; CB983828; Permit
BUILDING PERMIT 11/24/98 10 47 Page 1 of 1 Job Address 1150 CHINQUAPIN AV Suite Permit Type GUNIPE POOLS AND SPAS Parcel No 206-2bl-25~00 Lot* Valuation 21,771 Occupancy Group Description 708 SF POOL & SPA Reference* Permit No CB98382H Project No A9804989 Development No Construction Type NEW ISSUED Appl/Ownr MISSION POOLS 755 W GRAND AV ESCONDIDO CA 92025 *** Fees Required *** -<•£ 760 743-2605 j3 Collected & Credits Apr/issue 11/24/98 Entered By RMA - A V*. -1— Fees Adjustments Total Fees 410x00 F ee > j; ^-1/tJr edr:t s -.cii;' ifaviueja-lfs - , v . ^_.. yljSai'Ssfioek J3uex description /" 'V^X, / -"^Vs .^i1^111^ '"7'.^§f/Ub-it 00 142 00 268 00 Ext fee Data Building Permit /."-•;^ Plan Check / •<--::: Strong Motion Fee t ."^ .j" Enter "Y" for Enter "Y" for * BUILDING TOTAL ->s Ele<pt±*isca'l .Fee .vvX> •2^ ts~" -<---'J"'! X-I."1/ i Pluiibing Pee^,/'/; ^ ^ f />rs\? / / , ' J AL \ ,X ""'/^^ \ ... ; (K^}/ ' '•' \ - \ •-. ^VU^.1 r- -,V / ' / 219 00 142 00 2 00 20 00 Y 27 00 Y 410 00 \ APPROVAL CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 i>ERIVHT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 1 llPlOJECljNFORMAf ION „"• ' '*""">"'• ^tf" J FOR OFFICE USE O PLAN CHECK NO EST VAL oL\ Plan Ck Deposit Address (include xi Business Name (at this address) Legal Description Left No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #-3 4? /-oposed Use Description of #of Stories # of Bedroorns # of Bathrooms Address City State/Zip Telephone #Fax* Sfate/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 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 Ssfftion 7031 5 by any applicant fona permit subjects the applicant to a civil penalty of not more than five hundred dollars [- - Name State License # <_i^2^7 / C Address /?(_) License Class f ""o J City State/Zip /•NO City Business License # ^-Jo> Telephone # rT)AC> Designer Name Address City State/Zip Telephone State License # 6 s WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 IP- 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 /r-L/^)/~T&(. Policy Ncu*Z-fSF<=>A*/<-J I UNgi-J Expiration Date ~~f"~- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~1 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-etvij fines up to one hundred thousand dollars (9TQO 000) irfa^dition to the cost of compensation damages as provided for in Section 3706 of the Labor code interestjnd attorney s fees SIGNATURE /C ^ iL/LjLfflV^J DATE //" & *~ DE™CTAlA*?ION J?JL „ , *£' :?j,.. sfaT" -»2L \^e* -J±£L'j ' :.':<k 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) l~l 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~l 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 fj YES l~"lNO 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 COMJgLEXI THIS SECTIQNIFOR «0/\y?£S/D£W7MrBUILDINGJ)ERMITS'ONUY ^31,, J|f -t > ilmJj|S" 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? D YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' Q YES fj N0 Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES l~l 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 I hereby affirm that thereis"i conjugation lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME ' H / LENDER S ADDRESS 9"^Sp?LTclkrTrciWmCA/T'|10N" "^ 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 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 commenced within 365 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 w^fR^s comnjeli^ed for a perioo^of 1 SO^days (Section 106 4 4 Uniform Building Code) _J DATEAPPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Inspection Request For 4/14/99 Permit# CB983828 Inspector Assignment PD Title 708 SF POOL & SPA Description Type POOL Sub Type Phone 7607432605 Job Address 1150 CHINQUAPIN AV Suite Lot Location Inspectoj APPLICANT MISSION POOLS Owner BRUNACHE GERARD F Remarks HOMEOWNER WILL BE WAITN FOR INSPR Total Time Requested By SHERRY Entered By CHRISTINE CD Description Act^ Comments 59 Final Pool Inspection History Date Description Act Insp Comments 4/12/99 59 Final Pool CO PD ON CARD 4/9/99 55 Fence/Pre Plaster AP PY ALARMS OK 2/10/99 23 Gas/Test/Repairs AP PD 2/10/99 52 Underground Plumbing AP PD 2/10/99 53 Electric/Conduit/Wiring AP PD 1/12/99 51 Excav/Steel/Bonding/Fence AP PD 1/11/99 51 Excav/Steel/Bonding/Fence NS PD 12/31/98 51 Excav/Steel/Bonding/Fence CO PD City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS <3a PROJECT DESCRIPTION Pool 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 failurejo-comply with instructions in this report can resuttlfTsuspen^ion of permit to buildc_ZZij>By Date 7 see DENIAL ;e attached report of deficienciesPlease marked witQ_D^ake 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 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 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE (619) 438-1161, ext 4324 H \WORD\DOCS\CHKLS'nPool BulMina Plancheck Cklist CHK24 Form PR doc 2O75 Las Palmas Dr • Carlsbad CA 92009-1576 • (760) 438-1161 • FAX (76O) 431-5769 BUILDING PLANCHECK CHECKLIST - POOLS \ SITE PLAN Q Q 1 Provide a fully dimensioned site plan drawn to scale Show K North Arrow fe^Property Lines \B/Existing & Proposed Structures ©^Easements _ ,im,.off^ Show on site plan '"" "'"™" 3}?&, jupapayi^iisanerns | • v *T u >IIIUIL;CII« what will happen with i/flP Existing & Proposed Slope's i^AAuy^^soil excavated from pool area 1 Existing Topography-^v^o t ' (EyRetaining Walls /X\-L- (location and height)A~ Note If excavated so// 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 Address sessor's Parcel Number _ _ — -•— ? ,egal Description ,**?* radmg Quantities Cut^QQ/^/ Fill IOO± ImporVExport~ 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 H \WORD\DOCS\CHKLST\Pool BuikJing Plancheck Cklist CHK24 Form DR doc STV 2NCV oRD/ Q Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q Q 5d No Grading Permit required MISCELLANEOUS PERMITS Q Q 6 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Wav and/or private work adjacent tot he public Right-of-Way ,0 ylA- A separate Right-of-Way issued by the Engineering Department is required for the following v.\ \ Please complete attached Right-of-Way application form and return to the . yfs*' 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 Q Q 7 Remarks Page 2 of 2 H \WORD\DOCS\CHKLST\Pool Building Plancheck Cklist CHK24 Fomi DR doc 11/24/1998 12 14 7607432978 MISSION POOLS PAGE 02 A««R». CERTIFICATE OF INSURANCE "ISSUE ifttf PRO&UCEH TIMOTHY S MILLS INSURANCE p 0RV80XS8«!59 SAN OIEGO CA 92138-6259 INSURED Mission Pools of Esoondidp Ino Dunn Brothers Leasing, El al 755 West Grand Avenue Escondido CA 92025-9990 „,„, THIS CERTIRCATE IS ISSUED AS A MATTER OFlORliiA'nON ONLY A>ID CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BEIOW COMPANY A UTTER " COMPANY 0 LETTER D COMPANY "r>LETTER * COMPANY n LETTER U COMPANY C LETTfR c COMPANIES AFFORDING COVERAGE ZenKh Insurance Company OJVKHAGES—~— "- ' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BH.OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH£ POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDfTION 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 EXCLUS10NS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 00 LTR POLICY NUMBERTYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OWNER'S i CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY WTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS OARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER 5CRIPTON OF OPSUnONS/ljOCAJIONS/VEHICLESfflPECIAL ITEMSRane Residence Job hncmilas Days Notice ol CancellatIon (or Non Payment of Premium POLICY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MM/ODffY) Z042038803 04/05/98 04/05/99 LDirrs GENERAL AGGREGATE PRODUCTS-COMPAQ AOQ PERSONAL 1 ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Aft/ me Urn) MED EXPENSE (Any ona pereon) COMBINED SINGLE LIMIT » BODILY INJURY <fa peraon) BODILY INJURY . (Pur JW«nl) * PROPERTY DAMAGE S EACH OCCURRENCE $ AGGREGATE I X STATUTORY LIMITS EACH ACCIDENT S DISEASE POLICY LIMIT S DISEASE EACH EMPLOYEE S 1 000 000 1 000 000 1 000,000 \o ( /' T1FICA7E HOLDER 5} Encintes Bill 0 Donnal CUth Vulcan Avenua as CA 92024 CANCELLATION ^ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BSFCRE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENQBfWERxSaxxXXXXXX MAIL 30 *DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT BHX)6»!X)fl6<X8>Mta>«X»»aW^ -.. ..«»^JfoR)OQWI$WWXm?^^ 10 DAYS FOR NQM PAYMENT OF PREMIUM 25*3 (7*0) AUTHORIZED REPRESENTATIVE *o / Tom Jamas, CPCU CIC \ If Afwr'\J-i~- |l['\^s ] r * r©ACORLT CORPORATION 1990