HomeMy WebLinkAbout1337 CORVIDAE ST; ; CB980119; Permitt
BUILDING P E
01/27/98 12 49
Page 1 of 1
Job Address 1337 CORVIDAE ST
Permit Type GUNITE POOLS AND SPAS
Parcel Wo 215-691-03-00
Valuation 5,650
Occupancy Group Referenced
Description 220 SF POND-4- FT DEEP,PUMP
. USING EXIST ELECT AT POOL PUMP
Appl/Ownr . BLUE WATER POOLS
1315 ENCINITAS BLVD
ENICNITAS CA 92024
*** Fees Required *** .***''
Suite
R M I T Permit No
Project No
Development No
3429 01/27/98 0001 01
C-PRMTConstruction Type
Status
Applied
Apr/Issue
Entered By
760 753-6369
Lot#
Fees Collected & Credits
CB980119
A98001S1
02
NEW 82-°0
ISSUED
01/19/98
01/27/98
RMA
***
Fees 135.00
Adjustments• .00
Total Fees 135.00
Fee description
Total Credits
Total Payments.
Balance Due
Units Fee/Unit
. 00
53 00
82 00
Ext fee Data
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
81 00
53.00
1 00
135 00
FINAL APPROVAL
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERiyUT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
1" PROJECT INFORMATION ^i, : InSSK ~~ :-f
FOR OFFICE USE Of
PLAN CHECK NO .
EST VAL
Plan Ck Deposit
Date
Address (include Bldg/Suite ff)
\33~7 (sQ<-\!ffl<&JH
Legal Description
4 /^~* & tf / ~~ 0 3 "00
Assessor's Parcel tt «
^ry^ftfDescription of Work ^J"/L/ Vit~
0<?
Lot No Subdivision
I Existing Use
\
4 /i t ?Q FT«
Business Nagie
/ts ~ 3 tl tf/3f*
Name/Number
ffof Stories
(at this address)
fl
Unit No
Proposed
C # of Bedroi
Phase No
Use
Dms . i
Total # of units
# of Bathrooms
.2. CONTACT PERSON (if different fromappli
Name
3 APPlCANT
Address City
D Agent for Contractor Q] Owner D Agent fbr:0wner
State/Zip Telephone # Fax #
Name
4 PROPERTY OWNER
Address City State/Zip Telephone #
Name / Address £^£/2.'i/£~0/H£~ CltV State/Zip Telephone #
5 "^CONTRACTOR -COMPANY NAME .. .' ...:' :JIBN **lJF- " • "•^1%;,:.. .• ' • ••>
(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 o_f_Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not morelhan five hundred dollars [$500])
~
Name
State License #
Address
License Class
City State/Zi|
City Business License #
'elephone #
Designer Name Address City State/Zip Telephone
State License #
6.":: WORKERS''COMPENSATION ""•"" ' ' gipM 'alpr" • lift"?.;.i;"': :: .. >«*«« ° 'mw • .j-J
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
l~l 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
Q I 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 *>77^T& \**-jt\fQ Policy No / ~&~2,~~f~2** d/ "^L ~~ /7 Expiration Date _JT" / ~ /o
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
0 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 secure-workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dolhyrt)($100,QpO)/in/addrtWn to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
SIGNATURE \^l\jLJk/-<sClU,l-fa- ' DATE / / /<7/4?rf
•7™ OWNER BUILDER DECLARATION -^K'','""
1 hereby affirm that I am exempt from the Contractor s License Law for the following reason
0 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 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)
(~1 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 contractors) licensed
pursuant to the Contractor's License Law)
l~1 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 l~) YES I~|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 (firm) to provide the proposed construction (include name / address / 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 / 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 / address / phone number / type
of work)
PROPERTY OWNER SIGNATURE DATE
COMPLETEmWSECTlbN fOf^NON-RESIDENTIAL BUILDING PERMITS ONLY •'""""'"'"" ^ Mks - , r
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? O YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' [~l YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' [H YES D 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
"a CONSTRUCTION'LENDING AGENCY,, ;;;-. "i? •:"r" ,::.k ::'.T,,M ::.,.--v™s::
I hereby affirm that there is a construction lending agency far the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME LENDER'S ADDRESS
9" APPLICANtjCERTIFICATION ihRpF ' V.. •;]]• '.;• ". .. .. ,-"sr" ' £ ^'.^MX**
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 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
OSHA An O'SHA 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 wrfhin 365 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 commericeiS for aAenod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE V-^CX/lA- '^k~<-^sf(A'/ tt-S DATE
WHITE File YELLOW Applicant PINK Finance
UNSCHEDULED BUILDING INSPECTION
DATE £- - / V - f& INSPECTOR
PERMIT # nt>^ in PLAN CHECK*
JOB ADDRESS 1 33 "7
DESCRIPTTON 71
WTIME ARRIVE- TIME
CODE DESCRIPTION ACT COMMENTS
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB980119 FOR 06/17/98
DESCRIPTION: 220 SF POND-4 FT DEEP,PUMP
USING EXIST ELECT AT POOL PUMP
TYPE: POOL
JOB ADDRESS:1337 CORVIDAE ST
APPLICANT:
CONTRACTOR:
OWNER:
BLUE WATER POOLS
REMARKS: C/753-6369
SPECIAL INSTRUCT:3-7
PHONE:
PHONE:
PHONE:
INSPECTOR AREA RB
PLANCK# CB980119
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
760 753-6369
INSPECTOR
TOTAL TIME:
—RELATED PERMITS—
CD LVL DESCRIPTION
59 SW Final Pool
PERMIT* TYPE
RW980017 ROW
STATUS
ISSUED
ACT COMMENTS
CO
***** INSPECTION HISTORY *****
DATE DESCRIPTION
042498 Fence/Pre-Plaster
030298 Excav/Steel/Bonding/Fence
030298 Underground/Under Floor
030298 Underground/Conduit-Wiring
022798 Excav/Steel/Bonding/Fence
022798 Underground Plumbing
022798 Electric/Conduit/Wiring
ACT
AP
AP
AP
AP
CO
CO
CO
INSP
RB
RB
RB
RB
RB
RB
RB
COMMENTS
PVC LINES OK
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE
NOTICE
LOCATION
PERMIT NO
(760)438-3550
2075 LAS PALMAS DRIVE
TIME
yJVg^-r
/
o
3.
'
FOR INSPECTION CALL (7^60) 438-3101REXNSPECTION FEE DUE?
FOR FURTHER INFORMATION, CONTACT
YES
PHONE
CODE ENFORCEMENT OFFICER
City of Carlsbad
Engineering Department
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER CB <?<?£?//<?
BUILDING ADDRESS /2>3"7
PROJECT DESCRIPTION Pool
ASSESSOR'S PARCEL NUMBER •£>*?/•
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 see the attached report of deficiencies
marked with D 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
By
By
Date
Date
Date
ATTACHMENTS
D Grading Permit Application
D Grading Permit Checklist
D 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 Drive
Carlsbad, CA 92009
PHONE:(619) 438-1161 ,ext. 4374
H IWOROOOCStCHKLSTTPool Suikkia Plandiecl: Cktel CHK24 Form BE doc
2075 Las Palmas Dr - Carlsbad, CA 92OO9-1576 - (619) 438-1161 - FAX (619) 438-0894
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
1 STY oND/ oRDV
Ga Q Q 1 Provide a fully dimensioned site plan drawn to scale Show
A North Arrow C Property Lines
B Existing & Proposed Structures D Easements
Q Q 2 Show on site plan •
A Drainage Patterns /ID) Indicate what will happen with'
B Existing & Proposed Slopes — soil 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
QT 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 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
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
\\LASPALMAS\SYS\UBRARYlENG\WORD\DOCS\CHKLST\Pool BuiMmg Plancheck CklBI CHK24 Form BE dot
Page 2 of 2
4 STV 2NDy
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 Cktat CHK24 Foim BE doc Rev B/22/96
COMPENSATION
INSURANCE
PO BOX 807, SAN FRANCISCO,CA 941Q1-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 03-01-37
POLICY NUMBER 1327202 - 97
CERTIFICATE EXPIRES 03-O1-98
: '.„,'• STATE CONTRACTORS LICENSE BOARD-WORKER'-S .COHP. - JOB-
• •"" SOX J6QQQ .' ' •. ' I '•- • " ; " •• ^ %' - -
civr^Attcu^A'Vfl ^5826 '» ' ''-- "• '-'.'". ..",'. i - '
t-IC #675390
EKP 08 31 S5
1NCEP 03 01 94-03 01 .95
>">This is tp ^certify th^t we have issued a valid Workers' Corrjpensatt'on 4nsui-ance policy in a form approved by< the
California Insurance Commissioner to the employer named below for the policy period
This'poltcy is not subject to'cancellation by the Fund e-xcept upon 10 days' advance written notice tp the employer
'/. ' • ,;;•' . ' _ ',.,.;
We will also give you -\Q, days' advance notice..should this policy bft car>'eelied. prior to us normal expiration
:• * •••,-'- VU -1 'i ,. . t i t
^ This certificate of msuranqe ts no\ ?n iHsurao'de policy and dpes riot amgnd,,extend or '^Iter-^thp coverage afforded
*by the policies 'listed herein Notwithstanding any requirement, 'term or condition 9? 'any cpnjract or other document
' with respect to which this certificate of insurance ma/ be' issued'0r may pettanj, the insurance afforded by the
poljcies described herein is subject to all th&.>'terms. exctos'ions 'a|nd conditions of such polictes
PRESIDENT
LIABILITY- LIMIT INCLUDING DEFENSE COSTS. $1,O09,OQO OO PER OCCURRENCE'
.. EMPLOYER LEGAL NAME
DEL RANCHO POOL SUPPLY
1*65 PESCADO'PL
ENCIN1TAS CA 9202U
BLUEWATER POOLS (A CORP )
JPRINTED...W: t_a-97 PQA