HomeMy WebLinkAbout1324 CORVIDAE ST; ; CB961295; PermitBUILDING PERMIT
07/18/96 12 13
Page 1 of 1
Job Address 1324 CORVIDAE ST.- Suite
Permit Type GUNITE POOLS AND SPAS
Parcel No 215-690-08-00 Lot#
Permit No CB961295
Project No A9601847
Development No
StJU 07'18/9* 0001 • A 02
Referenced
Valuation 8,475
Occupancy Group
Description 300 SF POOL AND SPA
Appl/Ownr HALLMARK POOLS
12070 CARMEL MOUNTAIN ROAD
SAN DICGO, CA 92129
Construction Type VN
Status ISSUED
Applied 07/15/96
Apr/Issue 07/18/96
Entered By MDP
619 483-8212
**v Fees Required
Fees
Adjustments
Total Fees
Fee description
& Credits *•**
Units
,u '-A.5 ••;• .VA o. - •;.i, ••-.•;;?:••',. 'V- ;_..,,,
oo
70 00
149 00
Ext fee Data
Building Permit Jj
Plan Check f;
Strong Motion Fee ,•"
Enter "Y" for Elec.t
Enter "Y" for Plumb
•A BUILDING TOTAL »
>:-v ; ; " "'"•'"" : ' >::--^
•iV>*l. -Fe:!e ' > • • • ' • '•; .-- ,;._i-.
^•Fi'c-. Fee -.|_(.. . , . > ' • /"".. /a*' :.-;',
108
70
1
20
20
219
00
00
30
00
DO
00
Y
Y
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
T PEItMIT TYPE
From List 1 (see back) give code of Permit Type
For Residential Projects Only From List 2 (see back) give
Code of Structure Type
PLAN CHECK NO
EST VAI.
PLAN CK DEPOSIT
VALID BY_
DATE
-4-
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION
Address f^-nj CO/LUI
Nearest Cross Street
LEGAL DESCRIPTION Lot No
AAjuf ^y-Building or Suite No
Subdivision Name/Number
8537 07/15/96
FOR OFFICE
0001 Ct 02
C-PRrtT 70. COUSE ONLY
Unit No Phase NoLot No£ITEB^CHECK BELOW IF SUBMIT]
D 2 Energy Calcs D 2 Structural Calcs Q 2 Soils Report D 1 Addressed Envelope
ASSESSOR S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ STOR1ES ~5ao # OF BEDROOMS # OF BATHROOMS
3 CON1AU1 PERSON (fl aitterenl trom a
NAME (last name
CITY
ni rroi applicant) ,. -^ r .I C y*1 ^K- AC X'£'C>iDDRESS /
ZIP CODE<?''2-VSTATE
APPLICANT DCON1RAC1OK LJAGhN I hOR CON IRACTOR
NAME (last name first)/^f c/C/*f *}**(<*. /^QOXADDRESS
CITY *STATE ZIP COD]DAY TELEPHONE
5 PROPERTY OWNER
NAME (last name first)
CITY
ADDRESS
STATE ZIP CODE DAY TELEPHONE
6 CONlMACTOfl
NAME (last name first)
CITY STATE
STATE L1C #
ADDRESS
ZIP CODE V 2^ 2.^* DAY TELEPHONE
LICENSE CLASS Cr^T_> CITY BUSINESS LIC #
NAMt (last name lirslj ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC #
7 WORKERS^ COMPENSATION
Workers Compensation Declaration I hereby affirm that I have a cerlilicate ol consent to sell insure issued by the Director ol Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C)
INSURANCE COMPANY POLICY N£lJ<y/^2J?/fe5fclRATION DATE
Certihcate of Exem
so as to become
SIGNATURE
I certify that in the performance of the work lor which this permit is issued, I shall not employ any person in any manner
i the Workers' Compensation Laws of California
8 OWNER-BIT
Owner Builder Declaration 1 hereby allirm that 1 am exempt from the contractors License LawTor the tollowing reason
C3 1, 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 nol 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)
D I, as owner of the property, am exclusively contracting wuh 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
(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, commencing 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 foi a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [S500])
SIGNATURE DATE
COMPLETE 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 form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act7
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?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNI.ESS THE APPIJCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 CONSTRUCTION LENDING ACil'JMC^f
I hereby atlirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME LENDER'S ADDRESS
CJ'JtnULAllCJN
I certity that I have read the application and state that the above information is correct I agree to comply witn 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
OSIIA. 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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoruzjjialaiw time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Cpdel
APPLICANTS SIGNATURE Jcs?JXl. DATE ~~*
WHITE File YELLOW Applicant PINK. Finance
PERMIT* CB961295
DESCRIPTION: 300 SF
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/19/96
POOL AND SPA
TYPE: POOL
JOB ADDRESS: 1324 CORVIDAE
APPLICANT HALLMARK POOLS
CONTRACTOR.
OWNER-
REMARKS: MW/AMY
SPECIAL INSTRUCT-
ST
PHONE:
PHONE:
PHONE.
INSPECTOR AREA PD
PLANCK* CB961295
OCC GRP
CONSTR. TYPE VN
STE: LOT:
619 483-8212
INSPECT
TOTAL TIME.
CD LVL DESCRIPTION
59 SW Final Pool
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
091296 Final Pool
082896 Fence/Pre-Plaster
081596 Underground/Conduit-Wiring
081596 Underground Plumbing
081596 Electric/Conduit/Wiring
073196 Excav/Steel/Bonding/Fence
073096 Excav/Steel/Bonding/Fence
ACT
NS
CO
AP
AP
AP
AP
CO
INSP
PY
PD
PD
PD
PD
PD
PD
COMMENTS
City of Carlsbad
Engineering Department
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER CB*? (0
BUILDING ADDRESS
PROJECT DESCRIPTION Pool
ASSESSOR'S PARCEL NUMBER "(0 J Q ~Q f
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
DENIAL
Please see the attached report of deficiencies
marked with L"U. 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.Date
By.Date
By.Date
ATTACHMENTS
LJ Grading Permit Application
EH Grading Permit Checklist
LJ Right-of-Way Permit Application
D Right-of-Way Permit Submittal
Checklist and Information Sheet
ENGINEERING DEPT CONTACT PERSON
NAME
City of Carlsbad
ADDRESS 2075 Las Palmas Dr. Carlsbad. CA 92009
PHONE (619) 438-1161. Ext
P \DOCS\CHKLST\CHK-24 REV 05/11/94
2075 Las Palmas Dr • Carlsbad CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 ®
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
[£/ D CH 1 Provide a fully dimensioned site plan drawn to scale Show
A North Arrow \s C Property Lines ^"~
B Existing & Proposed Structures ^^^D Easements t^-^~
2 Show on site plan
A Drainage Patterns \^^ D Indicate what will happen with soil <
B Existing & Proposed Slopes """ excavated from pool area
C 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
src D 3 Include on title sheet
A Site address
B Assessor's Parcel Number
C Legal Description
D Grading Quantities Cut Fill Import/Export,
D D D 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 a grading permit are found in Section 11 06 030
of the Municipal Code
D D D 5a Inadequate information available on Site Plan to make a determination on grading
requirements Include accurate grading quantities (cut, fill, import, export)
D D D 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
P \DOCS\CHKLST\CHK-24 Page 1 Of 2 REV 05/11/94
D D D 5c A Grading Permit has been applied for
PE 2 DWG
KJD
Grading Inspector sign off by Date
D D 5d No Grading Permit required
MISCELLANEOUS PERMITS
D6A 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 permit issued by the Engineering Department is required for
the following (£.(£ <%(p ri / /*- 6^ fc^-a
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
1sti/ 2ndx/ 3rd>/
D D D 7 Remarks
P \DOCS\CHKLST\CHK-24 Page 2 Of 2 REV 05/11/94
City of Carlsbad
Building Department
WORKERS' COMPENSATION DECLARATION
xahereby affirm under penalty of perjury one of the following declarations
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 workers' compensation, as required by section 3700
•• B of the Labor Code, for the performance of the work for which this permit is
issued My workers' compensation insurance carrier and policy number are.
- INSURANCE COMPANY POLICY NO EXPIRATION DATE.
\
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED
DOLLARS ($100) OR LESS) *
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
™ C workers compensation laws of California
Signature
Warning. Failure to secure workers' compensation coverage is unlawful, and shall be
subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars ($100,000), in addition to the cost of compensation, damages as provided for
in Section 3706 of the Labor Code, Interest and attorney's fees
March 3, 1995
2075 Las Palmas Dr - Carlsbad, CA 92O09-1576 • (619) 438-1161 • FAX (619) 438-0894
AOOISII. CERTIFICATE OF INSURANCE
PRODUCER
Wateridge Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
John Clanton/Conmercial Accts.
619-452-2200
INSURED
CSR JH
HALLMAl
ISSUE DATE (MM/DD/YY)
12/22/95
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW
COMPANY
LETTER
COMPANIES AFFORDING COVERAGE
A California Compensation Ins
Hallmark Pools
12070 Carmel Mountain Rd #296
San Diego CA 92128
COMPANY o
LETTER °
COMPANY f.
LETTER *"»
COMPANY n
LETTER U
COMPANY c
LETTER C
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 1ERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE IMM/DD/YY) DATE (MM/DD/YY)LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OWNER S & CONTRACTOR S PROT
GENERAL AGGREGATE 0
PRODUCTS-COMP/OP AGG 0
PERSONAL &ADV INJURY (I
EACH OCCURRENCE «
FIRE DAMAGE (Any one fire) *
MED EXPENSE (Any one person) (i
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKER S COMPENSATION
AND
EMPLOYERS LIABILITY
W95C129813 12/15/95 10/01/96 X STATUTORY LIMITS
EACH ACCIDENT
DISEASE—POLICY LIMIT
DISEASE— EACH EMPLOYEE
»1,000,000
»1,000,000
•1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS•EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM
CERTIFICATE HOLDER
DIMENSION IN WATER
DAVE STAPLETON
1967 WILBUR AVENUE
SAN DIEGO CA 92109
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
ACORD 25-S (7/90)
Jo
ACORD CORPORATION 1990