HomeMy WebLinkAbout1245 Belleflower Rd; ; CBR2018-1104; Permit( City of
Carlsbad
Residential Permit
Print Date: 10/01/2018 Permit No: CBR2018-1104
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
Applicant:
1245 Belleflower Rd
BLDG-Residential
2145420200
$3,352.96
MCLANE: 64 SF IN-GROUND SPA
Owner:
Work Class: Pool
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#:
CARRIE JONES TRUST MCLANE LIN FAMILY TRUST 05-08-10
1245 Belleflower Rd
619-884-3891
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
CARLSBAD.CA 92011
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1 -Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1 -MEDIUM
Total Fees: $490.46 Total Payments To Date: $490.46
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
PRP AQUATICS INC
5431 Avenida Encinas, B
Carlsbad, CA 92008-4411
916-743-2290
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to t his, or as to which the
statute of limitation has previously otherwise expired.
Closed -Finaled
05/07/2018
05/18/2018
CRenf
10/1/2018 11:46:58AM
$0.00
$61.74
$43.22
$41.00
$49.00
$1.00
so.so
$238.00
$56.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
' (,Cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Ca rlsbad, CA 92008
Ph: 780-602~71.9 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.QbR 20 I 'g -1104
Est. Value ~ 353
Plan Ck. Deposit
Date 5-7-\
JOB ADDi3: 45 SUlrE#/SPACE#/UNIT#
CT/PROJECT H # BATHROOMS TENANT BUSINESS NAME OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES •#_ NOD YES O NOD YES D NOD
A~CANT NAME (Prima Contact) C\'f
ADDRESS
~61;,__Avce,n ,.
Cl ;;,o
FAX
EMAIL
~, OYt-e__S ~ ot1'h::¼ i l EMAIL
CetrY' ·c
DESIGN PROFESSIONAL AME ACTOR BUS. NAME
fXYl I -e., t
ADDRESS ADDRESS 5Y j[ff)J
CITY STATE ZIP CITY ZIP Cc, r\ 6 \:Jc~d 9'd00
PHONE FAX PHONE 7wo-Y7
EMAIL
STATE UC.#
(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 1s licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with SectJon 7000 of D1v1s1on 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby afflrm under penaffy of perjixy one of the following declarations:
0 I h.!ve and will maintain a certificate or consent to self-insure for worl<ers' compensation as provided by Section 3700 of the Labor Code, for the performance or the worl< for which this permit is issued.
~I have and will maintain wo ers' C)lmpensation, as r~uir by Section 3700 or the abor Code, for the perfoonance of th~ for which this permit is issued. My worl<ers' cornpensation,nsura,e CJl"W policy
number are: Insurance Co._.L.1.~:::>=.,lj:~.!...\,:--=~::::..._~.iu..ll)L.LL!l"4--.1.LJL.4::i,o..~+-Policy No. l{\ IS u so~ t OO?:;J.O I Expiration Date -~a'-+-~2~~.._,.LU~---., :;.;) ~ / '
This sec~on need not be completed if the permit is for one hundred dollars ($100} ess. N ~ 0 Certificate of Exemption: I certify that in the performance or the work for which this permit is iss , I shall not employ any person ,n any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), in
addition to the cost of compensation provided for in Section 3706 or the Labor code, interest and attorney's fees.
,Ji$ CONTRACTOR SIGNATURE
I hereby afflrm that I am exempt from Conuactor's License Law for the following reason.
o I, as owner or the property or my emploxees with wages as their sole compensation, will do lhe work and the structure is not intended or offered for sale (Sec. 7044, Business and Profess,ons 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 yea1 or completion, the owner-builder will have the burden or proving that he did not build or improve for the purpose or sale)
D I, as owner of the property. am exclusively contracting with licensed contractors to construe! the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant IO the Contractor's License Law).
• 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 or the proposed property improvement. • Yes • No
2. I (have I have not) signed an application for a building permit for the proposed work.
3 I have contracled with the following person (firm) to provide the proposed construction (include name address I phone/ 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 wor1< (include name/ address / phone/ contractors' license number):
5. I will provide some of the worl<, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone/ type or work)·
,Ji$ PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicanl"Jf future building occupant required to submit a business plan, acutely hazardous materias registration form 0< risk management and prevention program under Sections 25505, 25533 0< 25534 of the
Presley-Tanner Hazardous Substance Account Ar.I? • Yes • No
Is the applicant 01 future building occupant required to obtain a permit from the air pollution control district or air quaity management district? • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes • 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 certify that I haYe read the applk:ation and state that the above infomlatlon Is oorrectand that the infomlation on the plans Is accurate. I agree to oomplywith all City ordinances and State laws relating to building oonstrudlon.
I hereby arthorize representative of the City of Carlsbad lo enter upon the above mentioned propert'f lor i1spection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARM.ESS THE crrv 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: Aro OSHA perm~ is requred lo-excavations r:Ner 5'0' deep and demolition or construction of suuctures r:Ner 3 stories n height
EXPIRATION: Every pel!Tlit issued by the &rilding Official under the provisions of this Code shall expre by Imitation and become nul and void l lhe buildilg or WOif< authorized by such perm! is not conmenced wilhi1
180 days from the date of such permtorff the buidilg orW0111 authorized by such penntt is suspended or abandoned atc11y line after the WOl1I is oorrmenced for a period of 180 days (Section 106.4.4 Unifoon Buildilg Code).
_15 APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2018-1104)
Permit Typo: BLDG-Residential Application Date. 05/07/2018 Owner: TRUST MCLANE LIN FAMILY
TRUST 05-08-10
Work Class: Pool Issue Date. 05/18/2018 Subdivision. CARLSBAD TCT#92-02 UNIT#01
Status Closed -Finaled Expiration Date: 03/18/2019 Address: 1245 Belleflower Rd
IVR Number: 11191
Carlsbad, CA 92011-2501
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
06/18/2018 06/18/2018 BLDG-51 061228-2018 Passed Chris Renfro Complete
Excav/Steel(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
08/31/2018 08/31/2018 BLDG-53 068910-2018 Passed Chris Renfro Complete
Elec/Condult/Wirlng(
Pools)
BLDG-54 068911-2018 Passed Chris Renfro Complete
Equipotential
Bond(Pools)
09/17/2018 09/17/2018 BLDG-55 070207-2018 Passed Chris Renfro Complete
Fence/Preplaster
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
10/01/2018 10/01/2018 BLDG-Final 071523-2018 Passed Chris Renfro Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
October 01, 2018 Page 1 of 1
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACllVlllES TO THE MAXIMUM EXTENT PRACllCABLE TO AVOID
THE MOBILIZAllON OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCllON
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL llMES,
COMPLY WITH THIS CITY APPROVED llER 1 CONSTRUCllON SWPPP
THROUGHOUT THE DURA llON OF THE CONSTRUCllON ACllVlllES
UNllL THE CONSTRUCllON WORK IS COMPLETE AND APPROVED
BY ~TY OF CARLSBAD.
OWNER(S
E-29
'l-,( ( 'l ~
SIGNATURE DATE
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP CBRX5l8 -1!6Lf
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Simm Water Wa&e Management and Materials
BMPs Control BMPs Management BMPs Pollution Control BMPs
C: -C: C: 0 -0 0 :;:; C: C: ,:, :;:; :;:; "' 0 a, ,:, a, ,:,
"' C: 0 0 C: .5 "' E C: E C: -0 C, C, .2 ·c: c_ 0 0
0 E -L L ,:, L a, a,
::,; ,:, "' "' L a, ---.5 "'-·,, >, "' -C: Q) L C: a, c "'"' "' 0 CT L 0 C: "'
~ "' Co
c_ a, ·a. ·c: -C: "' C: > L L Lu !!i C: 0 0
Best Management Practice* C: 0 CD L 0 a, 0 L C, a, :;:; ;i::-
:i: "' 3' "' ~ Q) 0 C: u a, -a, 0 -C: E (..) L "' ,:, ., "' ::,; C: a, C: C:
(BMP) Description "' 0 a,(/) "' Q) "' CD ·c c: "' ,:, "' ~ • a, ·e a, "' C: C: Cl :::, !!i -a, "' a,
:5 ~ Q) 0 -0 '3 0 3' C: L 0 ,:, Lu ,:, >, 0"' C: C: 0 a, [!l E "' E :;:; C: Cl CD (/) ·-"' O:;:; a,'-Co a,
::,; Cl c> Cl C: E :!lo u ~ "' ~g o ~ 0 a,
X Q) "' 0 Nu, C'I:;:; a, Q) C: L-;i:: Q)
Q) 0 Q) E -"' ~ -C, .0 E hl = (l'J =3 i...:;:; :0 o·c: ·c: "-e "' ,:, "'
Q) L... C: 0 -"' t:;o -,:, ..c: C: 0 L a, C, ,:, :c E ·-,:, Q) 0 •-L .s Q) L a, 0 --"O 0
0 0 -·-c_ 'o Q) a, a, 0 C: L-.0 0 -o i5 g ·-0 -o -= C: = C N C:
LO 0 -0 00 0 "'
..c: Q) 0
Q) 0 CL DJ a, ..c: ~ L .!:;o 0 -L ci, C: .s 0 CL 0 ~u o_ 0 -c_o oo co
C, ;i:: Lu Cl vi (/) u C, (/) > (/) (/) "-(/)"' ;i:: "-CLO "-::,; (/) ::,; (/) (/) u (/) ::,; :,::::;;
CASQA Designation • r--<Xl 0, ,.., ...-"' <O r--"' a N ,.., r--<Xl ' N ,.., ...-"' <O
I I I ' I ~ I I I I I ' ' I ' I I I I I I I I
u u u u Lu Lu Lu Lu Lu Lu Lu fl': fl': (/) (/) (/) (/) ::,; i ::,; ::,; ::,; ::,;
Con&ruction Activity Lu Lu Lu Lu (/) (/) (/) (/) (/) (/) (/) z z z z ;i:: ;i:: ;i:: ;i:: ;i::
.,, G.radin° 'Soil Disturbance ,I -T=nchin° /Excavation I I
/ Stocknilinn /
Df'illin° IBorin•
/ r~ncrete/ As•halt Sawcuttinq
• Concrete Flatwork
Pavina
Conduit /Pine Installation
Rtu cco /Mortar Work /
' Waste Dis•osal /
Staainn /Lav Down Area
Enuinment Maintenance and Fuelinn
Hazardous Substance Use/Storaae
Dewaterina
Site Access Across Dirt
Other Wst1:
Instructions: 1. Check the box to the left of all applicable construction activity (first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
Page 1 of 1
PROJECT INFORMATION
Site Address: l&f \ 8 ° ~ f€ tiou .. .KL ~ , ~ l"tlG"l -02,-(jj)
Assessor's Parcel Numbe~:.__).,__~'""'-_,.._,t.-=----
Emergency Contac\ _,
Name: [krM1' N, c?a,~.u--<
24 Hour Phone: ~(ao-*1/o-Q'.:2:W
Construction Th;e<ft to Storm Water Quality
(Check B~
MEDIUM O LOW
Q) -"' o-;i:: C: a, ., E
-Q)
Q) "' t; 0
C: C: oo u:::s
"' I ::,; ;i::
,
/
7
REV 11/17