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Home My WebLink About1185 TAMARACK AVE; ; CB040656; Permit03-03-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB040656 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1185 TAMARACK AV CBAD POOL 2062611400 Lot# 0 $23,580 00 Construction Type NEW SILVERMAN RES 720SF POOL/SPA Status ISSUED Applied 02/26/2004 Entered By SB Plan Approved 03/03/2004 Issued 03/03/2004 Inspect Area Applicant SANDPIPER POOLS INC 2005 S ESCONDIDO BLVD ESCONDIDO, CA 92025 619-489-6328 Owner SILVERMAN TIMOTHY J&LORRI A 1185 TAMARACK AVE CARLSBAD CA 92008 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 $207 49 $000 $13487 $000 $2000 $2700 $236 $000 $000 $000 $000 $391 72 Total Fees $391 72 Total Payments To Date $13487 Balance Due $256 85 03/03/04 0002 01 02 CGP 256.85 DAIF SIGNATUKE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1. PROJECriNFORMATION " - FOR OFFICE USE PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date ^ / ^ V ' 6192 02/26/04 0002 01 02 CGPAddress (include Bldg/Suite #)Business Name (at this address)134.37 Legal Description Si-AcyUe. Assessor's Parcel # Lot No Subdivision Name/Number Unit No Phase No Total tt of units Use Proposed Use Description of Work FT #of Stories _ 2 CONTACT PERSON (if different from applicant) C-/d-nlC # of Bedrooms tt of Bathrooms Name' 3 APPLICANT HI Contractor Address £ Agent for: Contractor Q Owner City | Agent for Owner.. State/Zip Telephone tt Fax tt Name 4;'"^PROPERTV'OWNER Address City State/Zip Telephone tt Address City State/Zip TelephoneName 5 COtftRACtOR - 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 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 [$500]) Name ' State License #^/3I ?? 7 Address License Class I City State/Zip — . * *3 ^ City Business License tt Telephone # Designer Name State License # Address City State/Zip Telephone !$' WORKERSlCOMPENSATION fljf "Tlfh , ...... . ;;£ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n I nave 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 [3 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 carriei and policy number are Insurance Company g/Wg -£<-JlScP _ Policy No | 3 ^ '&> ^(a^ ~ ^^^ Expiration Date (^"]^<s£^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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) ia=a^monJo3thexe<Sst^f,eeflipens?tion damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE {^^T &&>£gZ^~ " _ DATE ^_ 7->. OWNER-BUILDER^DECLARATION ^ ;hi ~ . I hereby affirm that I am exempt from the Contractor s License Law for the following reason [~l 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, piovided 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) n 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 d YES dNO 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 COMPLETETHIS SECTION fOR NON-RESIDENTIAL BUILDINGPERMITS ONLY ^v : ••jiJif .£'... 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? l~1 YES l~l 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' O YES [U 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 CONST RUCTION 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(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 9. "APPtiCANT-CERTIFICATiON ~: ""-' ....„..,, .......„...'. ^fc" ;.: f. ' M^ 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 180 daysjajm 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 tetfCa'penod of rstfdays (Sep*on 106 4 4 Uniform Building Code) ^ APPLICANT'S SIGNATURE O~&-^t!&£fS' ^^^""^"^— DATE ^ WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 07/02/2004 Permit* CB040656 Inspector Assignment PY Title SILVERMAN RES 720SF POOL/SPA Description Type POOL Sub Type Phone 7604896328 Job Address 1185 TAMARACK AV Suite Lot 0 JTW\ Location Inspector APPLICANT SANDPIPER POOLS INC Owner SILVERMAN TIMOTHY J&LORRI A Remarks Total Time Requested By MICHELE Entered By CHRISTINE CD Description Act Comment 59 Final Pool Associated PGRs/CVs Inspection History Date 06/04/2004 05/10/2004 04/30/2004 04/30/2004 04/13/2004 04/13/2004 04/09/2004 Description 55 Fence/Pre-Plaster 23 Gas/Test/Repairs 23 Gas/Test/Repairs 53 Electric/Conduit/Wiring 21 Underground/Under Floor 51 Excav/Steel/Bondmg/Feru e 51 Excav/Steel/Bondmg/Fenc e Act AP AP AP AP AP AP NR Insp PY PY PD PD PY PY PY Comments GATE LOCKED City of Carlsbad Bldg Inspection Request For 06/04/2004 Permit* CB040656 Title SILVERMAN RES 720SF POOL/SPA Description Inspector Assignment PY 1185 TAMARACK AV Lot 0 Type POOL Sub Type Job Address Suite Location APPLICANT SANDPIPER POOLS INC Owner SILVERMAN TIMOTHY J&LORRI A Remarks Phone 7604896328 Inspector Total Time CD Description 55 Fence/Pre-Plaster Associated PCRs/CVs Inspection History Requested By MICHELE Entered By CHRISTINE Act Comment Date 05/10/2004 04/30/2004 04/30/2004 04/13/2004 04/13/2004 04/09/2004 Description 23 Gas/Test/Repairs 23 Gas/Test/Repairs 53 Electric/Conduit/Wiring 21 Underground/Under Floor 51 Excav/Steel/Bondmg/Fence 51 Excav/Steel/Bondmg/Fence Act AP AP AP AP AP NR Insf PY PD PD PY PY PY GATE LOCKED City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS ///?5 PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER fft&h ~ $&[ ^ If 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 comply with instructions in this report can result IQ. suspension of permit to build By Date 7 DENIAL Please see the attached report of deficiencies marked with D Make necessary corrections to plans or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications 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 JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2775 H \WORDVDOCS\CHKLS-nPool Building Planchech Cklisl CHK24 Form BE.doc 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 6O2-2720 • FAX (760) 6O2-8562 Q Q Q Q Q a a Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow B Existing & Proposed Structures 2 Show on site plan A Drainage Patterns B Existing & Proposed Slopes C Existing Topography C Property Lines D Easements D Indicate what will happen with soil excavated from pool area 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 A Site Address B Assessor's Parcel Number C 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 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 2 of 2 H \WORD\DOCS\CHKLST\Pool Building Planchec* CWist CHK24 Form BE doc -t ST/ 2ND/ 3RD/ Q 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 JWprivate work adJacent to tne Public Right-of-Way , A seParate Right-of-Way issued by the Engineering Department is required \VJ *s *r 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- (o4 of-Way checklist, at the time of resubmittal Right-of-Way Permit and Pool Building Permit will be issued simultaneously Q Q 7 Remarks H \WORD\DOCS\CHKLST\Pool Building Plancheck Cklisl CHK24 f orm BE doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE £3/e>t/0\J RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER DATE nnrc/MfcFnrmc/Planmna Fnofnewmn Annrnuaic POLICYHOLDERCOPY P O BOX 420807, SAN FRANCISCO, CA 94142-0807 FLJIM D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPENSATION INSURANCE NOVEMBER 17, 2003 CITY OF SAN DIEGO DEPT OF BLDG & SAFETY 1222 FIRST AVE MAIL STATION 301 SAN DEIGO CA 92101 GROUP POLICY NUMBER. 1326164-2003 CERTIFICATE ID' 81 CERTIFICATE EXPIRES: 12-01-2004 12-01-2003/12-01-2004 This IS I Insurance Commissioner to the employer named below for the policy period i This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days, advance notice should this policy be cancelled prior to its normal expiratforu >" ... policies listed herein Notwithstanding any requirement, term or oonoraon warn contract of other document with respect to which this certificate of insurance may be issued or described herein is subject to all the terms, exclusions, and fvt n*»rA*. «f»ll«JfWlof sucn ponctes. AUTHOR!ENTAT1VE PRESOENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER '<•] t;il SANDPIPER POOLS, INC 300 ENTERPRISE ST STE A ESCONDIDO CA 92029 CL I x O I a!! E0^ u ;r CG-O gcgE"-5 S,3£_ICE 5 '?8g°£ SiSSu - Ul COO CL , §< fD CL 10 !C(O JJ (O LT o LiJ O£ a: J 4 ^ Si v. Q Ik ^ ^ ^ V