HomeMy WebLinkAbout1243 MARIPOSA RD; ; CB043370; PermitSt G~ l::_: City of Carlsbad ' d'fJv-1635 Faraday Av Carlsbad, CA 92008
0.9-15-2004 ~l--~'-' Pool Permit Permit No: CB043370 ~ ww\((1, () Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1243 MARIPOSA RD CBAD
POOL
2122203900
Status:
Lot#: 0 Applied:
Valuation: $15,674.00 Construction Type: NEW Entered By:
Reference #:
Project Title: WILKE RES-461 SF POOUSPA
Applicant:
SIMPLICITY POOL & SPAS
PO BOX 2410 92033
760 739-8413
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
Plan Approved:
Issued:
Inspect Area:
Owner:
WILKE MARK W&NEILSON LORNA I
1243 MARIPOSA RD
CARLSBAD CA 92009
ISSUED
08/25/2004
RMA
09/15/2004
09/15/2004
$145.89
$0.00
$94.83
$0.00
$20.00
$27.00
$1.57
$0.00
$0.00
$0.00
$0.00
$289.29
Total Fees: $289.29 Total Payments To Date: $94.83 Balance Due: $194.46
1284 09/15/04 0002 01
CGF-
Inspector:
FINAL.A
Date: ~ Clearance: 3,·:Z,,<2$
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
I . n I w h h Tl i ii r hi w h Ii i h
02
194-46
FOR OFFICE USE ONLY v.21~ICA~ PLAN CHECK NO. (i¼,1'73)-0
EST. VAL. / S & 7 CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit -----...,,--ft-_._,. f .J
Address (include Bldg/Suite #) I Business Name (at this address)
9729
Subdivision Name/Number Unit No. . tal # ez.mits
Proposed Use CGF·
# of Bedrooms
94.93
# of Bathrooms
City State/Zip Telephone # Fax #
Dli!lon~or~•d, '/t1 ,,, ClZt?
City State/Zip Telephone#
Address City
s, · :~ONTll/liC'l'.OR:'•<lOJ\i!!ANVJi'lAllfll:[::
State/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
exem~~· Any v~ol~tion of Section 7031.5 by a').Y applicant for a permit subjects the applicant to,a 5ivil penalty of not !IJ.ere than five hundred dollars ($5001). ,.,..,/J,. c.:-1'1 f}orzl J. S"rf?0 £scone!, t:10 Co 't' 202)2 7h? 7.?9-P-9/,s>
Name f' • q .., ~ A dress City State/Zip Telephone #
State License # 7 Cf C.--tJ> I License Class CS.] City Business license # ( 2 / rf2 J () ...5'
Designer Name Address City State/Zip Telephone
State License # _________ _
G;• ,, !WilRkial!S! ;¢(11,l!'ilNsA tll>i'l:0"
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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 t~rk for which this permit is issued.
0"'"" 1 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 'S'-lc, .fe-£._.,,_., d Policy No. lb 4 77 3 ";J -Zc?t7s Expiration Date ;f-/ -o S--
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
D 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
, 01, in_)ll'ddlt n to the cost of compensation, damages as provided for in Section 3706 of th}l..labor code, Interest and attorney's fees.
SIGNATURE~ifl~~~~T~ ·~~:-r~~~=;;~~~~~~~'.':"'~--:---:---:---DATE 6'° -2,S' -fy ?,:\! ''OWliEift" Pell ilECl:ARTlli!'.111-,
I hereby affirm that I am exempt from the Contractor's license Law for the following reason:
D 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 sate. 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).
D 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).
D 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 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 I 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 I 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 I address / phone number I type of work): __________________________________________________________ _
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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D 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,: • COtlSTA!l!oiONLE'.lli))ll'iG J\G~NCVt .
J 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). ~~N~:~~:~.;Ql;;_; .. ·."!!T.,.l;l'J;C'ili"';l'I!);_ .. ;_;r,icc;;:,0;;•0· ::,;-::,;-::,;-::,;-:;::~~
I certify that l 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 ANO 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 com ced 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 is com r a period of 18. O ~s (Section 106.4.4 Uniform Building Code). /\
APPLICANT'S SIGNATURE ,,r ("" 'L--/pt DATE ~ -2 J -C7y
WHITE: File YELLOW: Applicant PINK: Finance
ll . . City of Carlsbad Bldg Inspection Request
For: 02/01/2005 .
Permit# CB043370
Title: WILKE RES-461 SF POOL/SPA
Description:
Type: POOL Sub Type:
Job Address:
Suite:
Location:
1243 MARIPOSA RD
Lot 0
Inspector Assignment: JM ---
Phone: 7608013062
Inspector: -----
OWNER WILKE MARK W&NEILSON LORNA I
Owner: WILKE MARK W&NEILSON LORNA I
Remarks:
Total Time:
CD Description
59 Final Pool
Act Comment
Requested By: JOE
Entered By: CHRISTINE
?;(,_ _____ _
Associated PCRs/CVs
I nsi;iection Histo!Y
Date Description Act lnsp Comments
01/28/2005 59 Final Pool co JM CONNECT HEATER· ANTI SIPHON @ FILL LINE
12/23/2004 55 Fence/Pre-Plaster AP PS
12/22/2004 55 Fence/Pre-Plaster co BN see notice attached
12/20/2004 51 Excav/Steel/Bonding/Fence AP PD SLIDE
12/16/2004 51 Excav/Steel/Bonding/Fence co JM BOND WIRE SLIDE TO EXISTING RETAIN WALL & HORIZONTIALY
BENCH CUT REQUIRED @ SLIDE.
10/13/2004 51 Excav/Steel/Bonding/Fence AP JM OK TO GUNITE (2) LIGHTS/EQUIP/SLIDE
10/13/2004 52 Underground Plumbing AP JM
10/13/2004 53 Electric/Conduit/Wiring AP JM
10/07/2004 51 Excav/Steel/Bonding/Fence co JM SUBMIT REVISED PLAN FOR SLIDER
10/06/2004 51 Excav/Steel/Bonding/Fence co JM FIX LEAK @ SPA & EQUIP/ MOVE POOL HEATER AWAY FROM
CLEAN OUT 12INCHES
10/06/2004 52 Underground Plumbing co JM
10/06/2004 53 Electric/Conduit/Wiring co JM
City of Carlsbad
IR!ibli ◄W·iltt•#•i·llli441II1·1
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB Q4--33 7 C
BUILDINGADDRESS: 124? MA:f?dpos.A Rn
PROJECT DESCRIPTION: ---'P---'oc.::o.c...l ________ _
ASSESSOR'S PARCEL NUMBER: 2 / ::2--2-2-0 -"3 ~
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
~&;:;::it to build. d,..,_ /,.,{"' : ~v 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~ttached report of deficiencies
marked wit ' 0. 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.
€/~Date:i#t-
By: Date: ---------
By: ---------Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: Linda Ontiveros
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE: (760) 602-2790
H:\Devel0pnl8nt Servlces\MASTERSIFORMS -ICHECKLISTS-\BUILDING PLANCHECK CKUST FORM• POOLS.do<: ..,_.,,,..
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562
•
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□ □ □
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C--1 q1-1Lf--UV\d
BUILDING PLANCHECK CHECKLIST. POOLS µf ~ O · 7 t1_)
SITE PLAN /l{Clf '?2, tfu
1.
2.
Provide a fully dimensioned site plan drawn to scale. Show:
/4rth Arrow r/.' Property Lines
IY."Existing & Proposed Structures ~asements
Show on site plan:
~inage Patterns
8. Existing & Proposed Slopes V
G,-Existing Topography
@ 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:
d.ddress
EL.,,'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: 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:\Oevelopment Servlc851MASTERSIFORMS •\CHECKLISTS -\BUILDING PI.AHCHECI< CKLIST FORM• POOLS.OOC Rev. 81221911
·--------------------
•
1ST_1 2ND1 3RD1
□ □ □ 5c. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
□ □ □ 5d. No Grading Permit required.
MISCELLANEOUS PERMITS
□ □ □ 6.
RW 6 4-~ l)z._ 6J q;
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:\DeveloPfflent Servlces\MASTERS\FORMS •ICHECKLISTS ·\BUILDING P!.ANCHECK CKLIST FORM• POOLS.doc Rev. &'22196
··-·· ·-------·····----
PLANNINC/ENCINEERINC APPROVALS
PERMIT NUMBER CB rJ '-I 3 -~ 7 rP · DATE D8 -b--0 -o tf ·
)2 L/3 li/'\t1Ylf. ~S'tA-
ADDREss ______ t_r '---(--------------]
'RESIDENTIAL
RESIDENTIAL ADDITION MINOR
(<$10,000.00)
OTHER
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDING
-------------'----------
PLANNER~-·-·-~---·.--+----() ,:f1 --;}_ ()-/9-V/ · DATE o D --1 ------''----
ENGINEER. ---------DATE -------
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76.0 -901-JO~l.
B'f'--~~:..---ca
5100~ ou ? ,
, o CP..RI.SSP.O . -, _, J 7 "
C~t11.D\NG OE.Pi J~o~a~: ~i::e/Neilson Date: 8/17/M'
Company: Simplicity Pool Spa, Inc.
111111 illl/11111