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HomeMy WebLinkAbout1311 CORVIDAE ST; ; CB040731; Permit03-23-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB040731 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1311 CORVIDAE ST CBAD POOL 2156900300 Lot# $15,458 00 Construction Type ROBINSON RES-472 SF POOL/SPA 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/03/2004 RMA 03/23/2004 03/23/2004 Applicant SOUTHLAND POOL CONSTRUCTION STE#A 1132 EVERGREEN DR 92024 760-944-2808 Owner ROBINSON SHAUN B&ROCHELLE L 1311 CORVIDAEST CARLSBAD CA 92009 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 $14589 $000 $9483 $000 $2000 $2700 $1 55 $000 $000 $000 $000 $289 27 Total Fees $289 27 Total Payments To Date $0 00 Balance Due $289 27 8192 03/23/04 0002 01 02 CGP 289-27 Jnspector FINAL AP Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition!" of f¥es, 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired Qi^r City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-23-2004 Right of Way Permit Permit No RW040095 Job Address 1311 CORVIDAE ST CBAD Permit Type ROW Subtype MINOR Status ISSUED Parcel No 2156900300 Lot# 0 Applied 03/19/2004 Start Date Est Complete Date Issued 03/23/2004 Insurance Expire 04/21/2004 Traffic Control Plan Y Expired 04/20/2004 Liability Insurance Y GOP Entered By JJ Reference# CB040731 Location Project Title ROBINSON RESIDENCE Description POOL & SPA Applicant SOUTHLAND POOL CONSTRUCTION STE106 5355AVENIDAENCINAS CARLSBAD CA 92008 760-930-0797 Total Fees $230 00 Total Payments To Date $000 Balance Due $230 00 Permit Fee $230 00 Additional Permit Fee $0 00 Other $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $230 00 * 03/23/04 0002 Oj ^ COP 230.00 This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion of the work or if the work does not meet City Standards The applicant may be billed for the cost of any corrective work that the City must perform Permit Release Date Released Cash Deposit? YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK UNDERGROUND SERVICE ALERT NO THIS PERMIT IS INVALID WITHOUT THIS NUMBER IF ANY EXCAVATION OR BORING IS DONE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO _L EST VAL j 5. Plan Ck Deposit Validated By Date [1 PROJECT INFORMATION Address (include Bldg/Sutte #)Business Name (at this address) Legal iption Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use DescnptionofWork SQ FT # of Stones # of Bedrooms # of Bathrooms [2CONTACT PERSON (If different from applicant) Name Address City [3 APPLICANT g~Contractor 'By Agent for Contractor State/Zip Telephone #Fax* D Owner D Agent for Owner Name [4 PROPERT'TOWNER Address C,ty State/Zip Telephone # AddressName [5 CONfRACTOR~COMPANY NAME City 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 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]) CA ' Name State License # Address License Class City State/Zip City Business License #. Telephone # / "2. Designer Name State License # Address City State/Zip Telephone # WORKER'S COMPENSATION 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 the work for which this permit is issued "%^ I have and will maintain worker's 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 22-cl" ZH^54s>2,- 2Ot>3 . .^ Insurance Company SV^\fc- "^UVX? Policy No ^J^^^CB Expiration Date T " t* ' ~ I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 to secu^workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollare($100,000), lit addrtioo,toffie"BB9t-6l (aajPEeHSatlonNlamftgse-iKs provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE -\Jy^^^^^^-^^^ DATE 1>- ^ C>M^ "tHR^ECLARXTioiir^-^—^^^-~^=" - IOWNER-BUII I hereby affirm that I am exempt from the Contractor's License Law for the following reason D I aa owner of the property or my employees with wages as their sole compensation will d 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 withm 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 Contractors License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractors) 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 DYES D NO 2 I (have/have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (fin 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 / /ontractors 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 WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 Page 2 of 2 [COMPLElE 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 for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' DYES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' Q YES D NO IP ANY OP 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(1) Civil Code) LENDER'S NAME.LENDERS ADDRESS. 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 t 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, JUDGEMENTS, COSTS AND OSHA An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit is by such permit Is not commenc the work is commenced for a i 1 by the building Official under the provisions ofJbis-Code shall expire by limitation and become null and void if the building or work authorized 1 within 180 days from the date of suchpsrrnlforif the building or work authorized by such permit is suspended or abandoned at any time after 1 of 18fr<l8^(Sfflaioi4Pl^4JWtortnSBuJding Code) APPLICANT'S SIGNATURE DATE 3 WHITE File YELLOW Applicant PINK Finance January 4, 2004 City of Carlsbad 1635 Faraday Avenue Carlsbad, CA 92008 RE Authorization to Sign Building Permit Contractor City of Carlsbad I, Rich Batten, Licensed contractor, authorize Josue Rodriguez, to act on my behalf for the purpose of obtaining a building permit for all properties and permit applications, no limitations This authorization includes signing the building permit and all supporting documentation on my behalf I am named on the contractor's license listed below and have the authority to authorize the person named above to act as agent Signed under penalty of perjury, Contractor Signature Rich Batten-Owner / Contractor License No 810422 C-53 5355 Avenida Enemas, Ste 106 Carlsbad, CA 92008 (760) 930-0797 City of Carlsbad Bldg Inspection Request For 12/09/2004 Permit* CB040731 Title ROBINSON RES-472 SF POOL/SPA Description Inspector Assignment PD 1311 CORVIDAEST Lot Type POOL Sub Type Job Address Suite Location APPLICANT SOUTHLAND POOL CONSTRUCTION Owner ROBINSON SHAUN B&ROCHELLE L Remarks Phone 7604315445 Inspector Total Time Requested By RACHELLE ROBINSON Entered By KAREN CD Description 59 Final Pool Act Comment Associated PCRs/CVs Inspection History Date Description 07/13/2004 55 Fence/Pre-Plaster 05/27/2004 52 Underground Plumbing 05/27/2004 53 Electric/Conduit/Wiring 05/14/2004 51 Excav/Steel/Bonding/Fence 05/14/2004 52 Underground Plumbing 05/14/2004 52 Underground Plumbing Act Insp Comments AP AP AP AP NR AP JM PD PD PD PD PD OK TO PLASTER - DOOR ALARMS OK GAS 2 30 1 1 30 - NO TEST City of Carlsbad Public Wor k s — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB QtyQ *7.3 / BUILDING ADDRESS ( 31 / (0 f\/ r~ PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER QJL$ - 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,in suspension of permit to build Date DENIAL Please seeVhe attached report of deficiencies marked withSj^Make necessary corrections to plans or'^specifications for compliance with applicable codes ahd standards Submit corrected plans and/or specifications to this office for review 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 \WORD\DOCSVCHKLST\Pool Building Plancheck Cklist CHK24 Form BE.dnn 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 6O2-272O • FAX (76O) 6O2-8562 BUILDING PLANCHECK CHECKLIST - POOLS - < -* f SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show QvoCx ^J&} f A A North Arrow fe^Property Lines B Existing & Proposed Structures fCfSEasements 2 Show on site plan Drainage Patterns u^fjThdicate what will happen with sting & Proposed Slopes 'soil excavated from pool area 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 Q Q 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 Q Q 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 Q Q 5a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut, fill, import, export) Q Q 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 Plancheck Cklist CHK24 Form BE doc * STV 2H°S oRD/ Q Q Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q 5d No Grading Permit required MISCELLANEOUS PERMITS Q 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 H \WORD\DOCS\CHKLST\Pool Building Plancheck Cklist CHK24 Fornl BE doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS n>u RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE srI L, RD HANSOM INSURANCE AGEN2'',1 71 .C 747 1074 ,Jun-17-03 3 COPM,1/2 ^- "' "E OP LiAEMLITV INSURANCE _L DATF (WlWYYYY) 6/31V2Q03 Ci JIANSOW INSURANCE AGENCY ,» fj, MISSION AT/E. #206 COMli DO CA 9:2025 r«jr,: KKS EQOl CONSTRUCTION, DEA, SOUTH '-AMD FOOL INC 1132 EVEUGKEEN DR SJITE B BMCINITflSJ, CA 92024 THIS CSFITIFICATE IS ISSUED AS A MATTER OF INFOHnUTION ONLY AMD C3iVFi=R'>, NO RIGHrS UPON THE CEIiriFICATE HOLDER THIS CERTIFiCATE DOES NOT AMEND, EXTEND OR ALTER THE C JVggAjij: AFFORDED BY THE POLICIES SEIOW USURERS AFFORDING COVERAGE NAIC# 5 JEER A.S: IHSUHANCE COMPANY INS IRER B STATS FUMD CENT'JIU NMIOKftL [NSURANCE ! IM'JRER 5 TH: PC'l fh\ 11 MS 1 ' PCI '('II ! I S OF INSURANCE LSTEDBELDW HAVE Bl EMSSIrC TO HI" MSIjRSr NAMED AEOVE FDR THE •• OLICY PERlOlJ INDICATED NOTWITH' ANDING |l: 1EMENT, TERM OR CONDITION OF ANY CON i RAH" PH OTHER DnCIJMf NT WITH RESF'CT TO /VHICH THIS CERTIFICATE MAY 9E IS'.JCD OR lit N THE INSURANCE AFFrORDEO BY I Ht * II K It-fc I.I t.(,R.I'EU I" ERcl'N i3 SUBJECT TO Al L W Tl RMS EXCLUSIONS AND CONDITIONS OF SUCH£ LIMl) S SHOWN MA" HAVE BE'!!) IIFDUC =1) 3Y l',l II 'C IAIM^ TYTEOriNSLIWCE 'ER/I LIABILITY COMMbRC IAL Ct C tfVi. LIA3ILIIY CLAIMSMACE OITUR VCGP C'CfOfKI I i v L A ,GRCC ATE L MIT / PPLiES PER » I P01 .ICY£.J..jj'fi.,. CI..1 I01 AN1 AUTO All JWNFDAI.ini', .If! 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' E7° •">*BT1IFIMF-<FO (TIV-men cxanocn" i be u der "> • l^l'IQVI'iinNSbelow Jfll'' -09-02 OS-09-I.I-3 COMBINED SINGLE LM:T BOJiLYINjUHY("erperecn! fcODllYlriJIIKY PR^P£:ft i'Y I'JAMAl'jl- (P^rfK-ciflmt) fllHOONIT FAACCID:NT HTHF-RTHAN f*^ AUTO ON Y At(_ TAi'll OCrURRENrr <. i 000, 000 - . i 1 5, 3 ' : i 1 | VCSTATU 1i TOftfLIMIIt, ! 0<3-;?1-03 04~;>l-<]4 E L EACI ACCIDENT i 1 ,, 000 , 000 I- I U'SI-^^I- l-AHWHiUYLli ! 3 ,000 000 hL Ulhbi,bh MOLIOYIIMII | i 3 000,000 i'f OP'RATIC NR/LfKJVTnNS/VEHICI.ES/EXSLUSI >flS VDDf [) 3 'ENC<5-'SI. rfEi'T,"SPECIALI'ROVSlONb TO HOIJJER IS LIABII.3TY IMStJFKIi PEE JiD 6'3 02 01 95 (ATTACHED) CITY 3F C'ARLSBAD L6-J5 PARfiDJiY AVE CA 9200S >4g-2S8_4_ CAhlCELU>,TIQN SHOULD ANY OF THE A30VE 0 S<,RI3tl> ^0! H,lfeS Hfc CANC!-I I CC) HFFOPI T IF FXSIRATIC > CATE THEREOF THE ll'!.<JINO INbUKtK WILL INUfcAVOR TC- MA:I j.0__ ClArS WRITTFN NO! ICE TO THE CER' IF't ATE h OLDER .VMbl) y I Hh Lt>-1 (JU' FAll IJR? TO 00 ^0 SriAl I IMPOSE NO DBLIGAT 0,( 01 LI'iPILITY 01 ANY KIND UHON IHI- INpyPFR FTf AfiFNT" OR IVF? Jl ."id" ©ACORD CORPORATION 1988 f jn I,- RD HANSOM INSURANCE AGENDA 1 /hC 747 1074 , Ji.n-1 '-03 3 COPM, Page 2/2 PoUcy Number VC<GPOH60f4 AD 66 0?, 01 ">5 Insured Name: AKS POOLS COHWTRUO ION, JW. Number: 2<i Effective Date. 04/21/2003 THE. ENDORSEMENT C1IA1* GE& HIE POLICY. PLEASE HEAD IT CAREFULLY. INSURED' Tlii!> crdorsstucnt modifies insurance provided wider (he following CCMMURCIAL GENERAL LVBILJI 'f C < (VER/iGl PART OWNERS AND CONIRACTOJ tS n'OTliCxllVB LL> BEL1TV COVJtRA< HB PART PRQDUCTS/COMPLE EiD < «PI JRATIOHS LIM ft i. FIT COVERA 3fi PART W1.10 IS! AN INSURED (Section n) n nmenrl: •! to iitslmb ET an insured ;\ay pcrac'ti. ori;anizaUon, trustee, estate or Oov- j errmentil entity t> whom or to wiich won BIT niligeitil, by vir(4i'. ^f a v/nUcn coiitrnct 01 by the issuance or exisiencc cf a peiaut, to provide insurance such as a efi ardpil ly Uis poJcj1, but only wnJi resp'JCt to ojieratioiu. performed by you or on yoiiT bel alf « U> facikues used by yoi ra'l <i(' i cully fcr l)ie litairt of liability spestfied ni ".uch contract, but in nu event for liJTjtaof liability m excess of thu ipflicuble limits 0 iiibiitj-oftJuspolicj, provrd^S thai such person, organizat on, trustee, estite ot Govwtunmtal entity shall bs ,m Inuur-i i on y ntli r"«,j>s,t to occuoence, ukaig ^lace slier such written conttsct h.u. t>o;a exe outcci or imch permit ha;, been i ;s led <M)<.602019!' fagelofEJ D u OT Si 5w O o oona 1 ;: cort dj- a: *- O 8 oSo: W £