HomeMy WebLinkAbout1286 MARIPOSA RD; ; CB122122; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-01-2012 Pool Permit Permit No: CB122122
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1286 MARIPOSA RD CBAD
POOL Status:
Lot#: 0 Applied:
Valuation·
Reference #·
PC#:
2122200400
$21,093.00 Construction Type: NEW Entered By:
Project Title:
Applicant:
HOLLOWAY RESIDENCE:
518 SF POOL/SPA
BARBARA WHARTON
PO BOX 2363
EL CAJON CA 92021
619-203-1773
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional cees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Inspect Area:
Owner:
HOLLOWAY KENNETH&DONNA
1286 MARIPOSA RD
CARLSBAD CA 92011
ISSUED
10/16/2012
JMA
11/01/2012
11/01/2012
$244.47
$0.00
$171.13
$0.00
$0.00
$0,00
$2.11
$1.00
$0.00
$0.00
$0.00
$0.00
$418.71
Total Fees: $418.71 Total Payments To Date: $418.71 Balance Due:
Inspector:
FINAL APPROV::£
Date 3' · f} · f Clearance:
$0.00
, NOTICE Pleos6 ta~e NOTICr 1na1 approval ,;if yuur prnject includes the "impcs11ion" of lees, dedications, resor,alions, or other oxactions r,ereafter collectively
referred to ,~s "fees/e;,;aciioru;.' Yoll h<Ae 9C d<>y<; !•om !hE. date 1his permit Wf.lS issued to pro!est imposition 0f these feesiexactions. If you protest them, you must
lc,l,'ow tne protest procedures set t0r1h in Government Code Sect10n 6602'J(a), and file the pr,,test and an~ other required fnforma1ion with the City Manager for
proces:~Ir.g In accordance with Carlsbaa Mu.1ic:µal Cod€ Section 3.32 03C. Failu:-e to timeiy lollow that proceduie will bar any subsequent legal action lo a\tack,
review, set aside, void, or annul their impo:,:i\ion
You are hereby FURTHER NOTIFIED that your right to pro!est !he specified fees/exactions DOES NOT APPLY lo water arid sewer connection fees and capacity
chanoos, nor planning, zoning. grading or other similar appltcat1-:>n process;ng or service lees in connection wi1h this project NOR DOES IT APPLY to anv
L..J.O.llfil"'"''""1i ~n·c•; wu have R&V.'QIJ~ly be"en c.iveo a No--:1cE s1milw m this or ?S to wh•cn ihe s:~.~1u·""'"'""'="'-'""'""""'-"=""""-"'"""""-----'
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-01-2012
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW120443
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant
1286 MARIPOSA RD CBAD
SWPPP
2122200400
CB122122
HOLLOWAY RESIDENCE:
518 SF POOL/SPA
BARBARA WHARTON
PO BOX 2363
EL CAJON CA 92021
619-203-1773
Emergency Contact:
SHIRL ZALFEN
858-271-8822
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Owner:
HOLLOWAY KENNETH&DONNA
1286 MARIPOSA RD
CARLSBAD CA 92011
ISSUED
10/16/2012
JMA
11/01/2012
Priority:
$51,00
$216.00
$0.00
$267.00
M
Total Fees: $267.00 Total Payments To Date: $267. 00 Balance Due: $0.00
FINAL APPROVAL
OATE3-1U 3~---
SIGNATURE &{_5 ~~------
-----· -_,,
THE FOLLO~ING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □BUILDING □FIRE □HEALTH 0HAZMAT/Al'CD
Plan Check N <<~~ ~ CITY OF
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
Est. Value cf ..2.J
CARLSBAD Date SWPP I 2--
SUITE#/SPACE#/UNIT#
/PRO ECT # P ASE# # 0 UNIT # BEDROO S BATHR OMS CONSTR. TYPE OC ROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
/1.1!.t,v ~+-
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FlRE SPRINKLERS
YES □#_ NOD YES O NOD YES O NO □
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
JfATE ZIP
(_v--.. 1'2D2-(
ITV STATE ZIP
H NE
CONTRACTOR BUS. NAME
ZP ZIP
'12-12/
(sec. 703L5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any_ structure, prior to !ts issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 70_00 of D1v1sion 3 of the Bus1ness and Professions Code} orfhat he is exemQt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
W01'11.ers' Compensation Declaration: / hereby affirm under penalty of pe,jUf'/ one of the following declarations:
0 I have and wm maintain a certificate of consent to nlf-lnsure for wor\<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor\< for which this pem1it is issued. ~ have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the wor\< for which this permit is issued. My workers' compensation insurance carrier and policy
number are: lnsuraoce Co. ______________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100} or less.
0 Certificate of Exemption: l certtty that in the pertormance of the worl( for which this pem1it is issued, I shal\ not employ any person in any manner so as to become subject to the WofXers' Compensation Laws of
California. WARNING: Failure to secure workers' comp on coverage ls unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as prov Ion 3706 of the Labor coda, Interest and attorney's fe~_,, / /_
,1$ CONTRACTOR SIGNATURE t"JAGENT ("0(/(,, //7--
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole comper1sation, will do the wor\< and the structure is not inter,ded or offered for sale {Sec. 7044, Business and Professior1s Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such wor\< himsetf or through his owr1 employees, provided that such improvements are not inter1ded or offered for
sale. If, towever, the building or improvement is sold within one year of completion, the owner-buil er wUI have the burden of proving that he c'Jd not build or improve for the purpose of sale).
□ \, as owner of the property, am exclusively contracting with licensed contractors to cons project {Sec. 7044, Business and Professions Co!i!: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, ar.d contracts for such projects wi tor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section _____ Business and Prof
1. I personally plan to provide the major labor and als for construction of the proposed property improvement □ Yes □ No
2. I (have I have not) signed an appllcation f u\lding pem1it for the proposed work.
3. I have contracted with the following on (firm) to provide the proposed constrnctlon (include name address/ phone I contractors' license number}:
4. I ~an to provide portions of the wo , but I have hired the following person to coordinate, supervise and provide the major worl( (include name I address/ phone I contractors' license number):
5. l will provide some of the work, but I have contracted (hired) the following persons to provide the worl( indicated (include name I address/ phone I type of work):
,I$ PROPERTY OWNER SIGNATURE AGENT DATE
COMl'Ll!Tlt THIS SECTION FOR NOl!I-REIIPll!ITIIU IJUILPINII' PliRMITS ONLY
ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a perm1l from the air pollution control district or air quality 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 hereby affinn that there 1s a construction lending agency for the performance of the work this permit 1s issued (sec 3097 (1) C1v11 Code)
Lender's Name Lender's Address
APP(ICANT CEl!TOICATtQN
I certify that I h.M 188d the application and strte that the above infom1ation Is correct and that the lnfonnatlon on the plans Is aa:urate. I agree to comply v.tthall Cify ordinances and State laws relating to buUdlng ronstrucllon.
I hereby aulrorize representative of the Qty of Carlsbad b enteru?Jn the above menfuned property tir inspection p.irp:ises. I /\LSO AGREE TO SAVE, INDEMNIFY />.ND KEEP HARMLESS THE CITY CIF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: kl OSHA pemilt is required tir excavations over 5'0' deep and demoliticn or construction of structures over 3 stories in he'ghl.
EXPIRATION: Eve!)' peTTTiil i.ssued by the Building Ofli'Jal under the provisions of this Qxle shall expre by ~mitat"on and become null and vok:I ~ the buil.'.ling or v.ork. authortzej by suc.h pennlt is not CXllTlirenced 'Mthin
180 days from the dale of such permit or if the build· rk. authorlz:d by such permit is suspended or abanooned at any time after the v.ork.
0
oA· T"'Emmenced fo/r a r:~ 0~ ~ays (~( ~ 106.4.4 Uniform Building Code) .
..efAPPLICANT'sSIGNAruRE U/ I w Ir 4----"'
Inspection List
Permit#: CB122122 Type: POOL HOLLOWAY RESIDENCE:
518 SF POOUSPA
Date lnspecti_o11_ltt!m Inspector Act Comments ----------
03/13/2013 59 Final Pool RI
03/13/2013 59 Final Pool PD AP
03/05/2013 55 Fence/Pre•Plaster RI
03/05/2013 55 Fence/Pre•Plaster PB AP
03/01/2013 55 Fence/Pre·Plaster RI
03/01/2013 55 Fence/Pre-Plaster PB co
02/21/2013 11 Fig/Foundation/Piers PB AP
12/12/2012 52 Underground Plumbing PB AP
12/12/2012 53 Electric/Conduit/Wiring PB AP
12/05/2012 51 Excav/Steel/Bonding/Fence PB AP
12/05/2012 51 Excav/Steel/Bonding/Fence PB AP
Thursday, March 14, 2013 Page 1 of 1