HomeMy WebLinkAbout1165 MAGNOLIA AVE; ; CB030769; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-19-2003 Pool Permit Permit No: CB030769
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
1165 MAGNOLIA AV CBAD
POOL
2052803400
$12,576.00
Lot#: 0
Construction Type: NEW
CONNORTON RES-384 SF POOUSPA
ELEC FROM 100 TO 200 AMP
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/17/2003
RMA
03/28/2003
03/28/2003
JM
Applicant:
OUTBACK BUILDERS CONNORTON MICHAEL J&CHRtlffiNli!"iEl';, 0:5 )O(C )'.
613 KIMBEL ST 92027
800 97 4-0469
Building Permit
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
Total Fees: $265.86
Inspector:
C~E3F·''
1165 MAGNOLIA AVE
CARLSBAD CA 92008
$122.79
$0.00
$79.81
$0.00
$20.00
$27.00
$1.26
$0.00
$0.00
$15.00
$0.00
$265.86
Total Payments To Date: $250.86 Balance Due: $15.00
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
JJ< \\A\I\
PERMIT APPLICATION
FOR OFFICE USE ~L}
PLAN CHECK No.Wcf3o7 6 (
EST. VAL. / )._, s:z b ' J CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit-------&,--+--+-'
Validated By _____ __,.~"-'--.---
Date. _______ ...,_+----'--;'-J.....J""--,,J
1. PROJJg INFORMATION / {/tv flll~f/ "1<> ,'e,,.._
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel# ,Z.-=_,__ Z,ta-'-( o.a.. Existing Use Proposed Use
Description of Work SO. FT. # of Bedrooms # of Bathrooms
2. CONTACT PERSON (if different from applicant)
Name Address
~gent for Contractor
City
0 Agent for Owner
State/Zip Telephone# Fax#
3. APPLICANT O Contractor 0 Owner
Name Address City ™z<ID17 /0Jl'8~~e 6! 02
4. PROPERTY OWNER
CO"'-V\. C ( 2. 1'b-,,_ CGP 79-81
Name Address City State/Zip Telephone#
5. CONTRACTOR· COMPANY NAME
(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 Oivision 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 JPPlicant to a civil penalty of not more than five hundred dollars [$500]). Q
o<Ad-{3-t<-tc ~.•{.J(.,-J 6(3 /cc'")l\6<& s /.-, ~5c . t/a 7z.027 /'jfo.,a-'t7<f.c.'(61'
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
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. M 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
~ued. 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, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure ure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
SIGNATURl~~~ro~?~~~~~::::=====---------------::=::-DATE 3-? 7-e, 3 f thousand dollars ,000), in dltion to the cost of compensation d s provided for in Section 3706 of the Labor code, interest and attorney's fees.
7. OW,nl619";Dl,l!pt:n
I hereby
O s 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).
O 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 tor such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 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. 0 YES ~O
2. I (have/ have not) signed an application for a building permit tor 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? D 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? 0 YES O 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.
8, CONSTRUCTION LENDING AGENCY
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 ______________ _ LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
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 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 buildi 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 commence , h · 180 days from the date of such permit or ii the building or work authorized by such permit is suspended or abandoned
at any time after the work is commence riod of 180 days (Section 106.4.4 Uniform Building Code).
DATE ---"'='-J___._7,..L../_-....:::ac:-=-J __ _
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/22/2003
Permit# CB030769
Title: CONNORTON RES-384 SF POOUSPA
Description: ELEC FROM 100 TO 200 AMP
Type: POOL Sub Type:
Job Address:
Suite:
Location:
1165 MAGNOLIAAV
Lot 0
APPLICANT OUTBACK BUILDERS
Owner: CONNORTON MICHAEL J&CHRISTINE E
Remarks:
Total Time:
CD Description
59 Final Pool
~ Comment
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: JM ---
Phone: 7604343926
--..)
Inspector: J 'W\
Requested By: HOMEOWNER
Entered By: CHRISTINE
06/20/2003 55 Fence/Pre-Plaster AP JE ELECTRIC OK· ALARMS CHECKED AND INSTALLED UPSTAIRS
AND DOWNSTAIRS OK TO PLASTER· NO CARD ON SITE FOR
SIGNATURE
05/20/2003 33 Service Change/Upgrade AP JM PANEL UPGRADE OK
05/19/2003 23 Gas/Test/Repairs AP JM EQUIP ONLY
05/19/2003 51 Excav/Steel/Bonding/Fence AP JM OKTOGUNITE
05/19/2003 52 Underground Plumbing AP JM
05/19/2003 53 Electric/Conduit/Wiring PA JM CONDUIT ONLY
♦ City of Carlsbad
l:lfiNIIWfi·ll~f-#i,1·11,14411,1·1
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB 03 -:f6 q
BUILDING ADDRESS: /{((iS" .L 'q k
PROJECT DESCRIPTION: -'P'--'o=--=o:.:...I ________ _
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 contin d conformance with applicable
codes. Please re · refully all comments attached,
as failure to co ply w· instructions in this report can
result i p sion permit to build. / /i
By: ....>..::::....µ='...l.l___..!<'...:...._ __ Date:1_/v lS' cf'l._
ATTACHMENTS
Grading Permit Application
Grading Permit Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal
Checklist and Information Sheet
DENIAL
Please se~e ttached report of deficiencies
marked wi D. Make necessary corrections to
plans or c1fications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
Date: 3(;.:f/J3
By: Date:
By: Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: Taniya Barrows
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE: (760) 602-2773
H:\DeYelol)ment SefVlces\MA.STERS\FORMS-\CHECKLISTS •\BUILDING PLANCI-IECK CKLIST FORM. POOLS.doc
Rev. 8122/96
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @
4
~I 1 -rllu,., Lant$
BUILDING PLANCHECK CHECKLIST -POOLS ?O<" Tc.T J,'f /
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
. North Arrow . Property Lines
@ □ 2. Show on site plan:
~cate what will happen with
soil excavated from pool area
□ □ □
□ □ □
ainage Patterns
sling & Proposed Slopes
C. Existing Topography 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.
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:
~it ddress .
~ sessor's Parcel Number
. 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:\Qevelopment Servlces\MASTERSIFORMS -\CHECKLISTS -\BUILDING PlANCHECK CKLIST FORM-POOLS.doc Rev. 11122196
1ST✓ 2ND✓ 3RD✓
□ .□ □ 5c. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
□ □ 5d. No Grading Permit required.
MISCELLANEOUS PERMITS
0/ □ 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.
□ □ □ 7. Remarks
Page 3 of 3
H:\Oevelopment Serviceti1\MASTERSIFORMS-\CHECKLISTS-IBUILDING PLANCHECK CKUST FORM -POOLS.doc Rev. 8122196
. ·-·-·---------
PLANNINC/ENCINEERINC APPROVALS
PERMIT NUMBER CB 0.30 7(aq
llESIDENTIAL
RESIDENTIAL ADDmON MINOR
( < $10,000.00)
oTHER pro I, .s p{L.
ENGINEER _______ _
DocsJMlSformsJPtanning Engineering Approval5
DATE 3-/ 7 -Q,3
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
DATE 3-/7-0,3
DATE ______ _