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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 ______ _