HomeMy WebLinkAbout1345 CHESTNUT AVE; ; CB021359; Permit05-10-2002
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No: CB021359
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1345 CHESTNUT AV CBAD
POOL
2052109000 Lot#: 0
$17,850.00 Construction Type: NEW
FERRELL RESIDENCE
510SFPOOL&SPA
Status: ISSUED
Applied: 05/03/2002
Entered By: MDP
Plan Approved: 05/10/2002
Issued: 05/10/2002
Inspect Area:
Applicant:
MISSION POOLS OF ESCONDIDO INC
755 W GRAND AVENUE
ESCONDIDO, CA 92025
1319-743-2605
Owner:
FERRELL SCOTT & SHERI
1345 CHESTNUT AVE 92008
6853 05/10/02 0002 01 02
CGF" 210.08
Total Fees:$314.92 Total Payments To Date:$104.84 Balance Due:$210.08
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
$161.29
$0.00
$104.84
$0.00
$20.00
$27.00
$1.79
$0.00
$0.00
$0.00
$0.00
$314.92
Inspector:
FINAL APPROVAL
Date: "Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, 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
tees/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.
fflol
.PERMH APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT lNFORMlfION
FOR OFFICE USE ONLY
PLAN CHECK NO. l
EST.VAL.
Plan Ck. Deposit
Validated By _
Date 5" '/ '
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No.Subdivision Name/Number Unit No.6440 Phase No. Total # of unitsnnn? 01 n? _
Assessor's Parcel Proposed Use CGP 104.84
Description of SO. FT.#of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (if different from icant}
Name
3. APPLICANT Q Contractor
, Address
Agent for Contractor Owner
City
Agent for Owner
State/Zip Telephone #
Name
4. PROPERTY OWNEI
Address City State/Zip Telephone #
Address City State/Zip Telephone #Name
5. CONTRACTOR - COMPANY NAME
(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 70,31.5 by any applicant forj permrtsubjects the applicant to a civil penalty of not morethan five hundred dollars [$500]).
Name
State License # r
City State/Zip
Citv Business License #
Designer Name Address City State/Zip Telephone
State License #
6. WORKERS' COMPENSATION
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 ihe work for which this permit is issued.
Ar\| 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
fissued. My worker's compensation insurance carrier and policy number are:
Insurance Company /J ^tf.faytLt^r (~f/* Policy Htfafsj£?/5?&a&£/f^ Expiration Date_
(THIS SECTION NEED NOT BE COMPLETEDJf THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
l~l 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 dollars (£100,OQp), in addition tqjhe cost of compensation, damages as provided for in Section 3706 of the Labor aide, interest and attorney's fees.
SIGNATURE J^ff^^££Sf£^?^ ^X^/^^^^U^^,^ DATE £)fs2\ /&2\
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
n 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).
f~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 contractor(s) licensed
pursuant to the Contractor's License Law).
l~l 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~l YES l""lNO
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
COMPLETE THIS SECTION FOR /VO/V-fffS/DBVTMi 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 Act? O YES [H 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 fj NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9. 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. I hereby authorize representatives of the CitV 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 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 180 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 commenced for a period of 180 days (Section 10614/4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
APPLICANT'S SIGNATURE
City of Carlsbad Bldg Inspection Request
For: 07/22/2002
Permit# CB021359
Title: FERRELL RESIDENCE
Description: 510 SF POOL & SPA
Inspector Assignment: SR
1345 CHESTNUT AV
Lot 0
Type: POOL Sub Type:
Job Address:
Suite:
Location:
APPLICANT MISSION POOLS OF ESCONDIDO INC
Owner: FERRELL SCOTT J&SHERI A
Remarks:
Phone:
Inspector:
Total Time:
CD Description
59 Final Pool
Requested By: MICHELE
Entered By: CHRISTINE
Act Comments
Associated PCRs/CVs
Inspection History
Date Description Act Insp
07/09/2002 55 Fence/Pre-Plaster AP SR
06/06/2002 52 Underground Plumbing AP RC
06/06/2002 53 Electric/Conduit/Wiring AP RC
06/04/2002 51 Excav/Steel/Bonding/Fence AP RC
06/04/2002 52 Underground Plumbing AP RC
06/04/2002 53 Electric/Conduit/Wiring PA RC
Comments
OK TO PLASTER
GAS PIPING W/TEST
GATES & FENCING OK - OK TO GUNITE
BONDING AT POOL ONLY
AT POOL LIGHTS ONLY
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB
BUILDING ADDRESS:
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.
By:Date:
Please see,
marked
plans of s
DENIAL
aflached report of deficiencies
lake necessary corrections to
cations for compliance with
applicablerSJdes and standards. Submit corrected
plans and/or specifications to this office for review.
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: Karen Saul
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE:(760) 602-2775
H:\0evelopment Seivices\MASTERS\FORMS -\CHECKLISTS -BUILDING PLANCHECK CKLIST FORM - POOLS.doc
Rev. 8/22/96
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-272O • FAX (760) 602-8562
Q Q
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
iofth Arrow
7 Existing & Proposed Structures
2. Show on site plan:
/~>~>f
j£$/ Drainage Patterns
^}& Existing & Proposed Slopes
\ Existing Topography
), Property Lines ~;
C Easements
JO. Indicate what will happen with
soil excavated from pool area
^. 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
3. Include on title sheet:
ite^Address
Assessor's Parcel Number - ^-ic*_«, v
Legal Description
. Grading Quantities Cut Fill Import/Export
a) If grading is not required, write "No Grading" on plot plan.
4. Project does not comply with the following Engineering Conditions of approval
for Project No.
Conditions were complied with by:
GRADING PERMIT REQUIREMENTS
Date:
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
Page 2 of 3
H:\Development Setvices\MASTERS\CHECKLISTS\Building Plancfieck Cklist Form- POOLS.doc
..Sly 2ND/ 3RD/
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
Page 3 of 3
H:\Development Seivices\MASTERS\CHECKLISTS\Building Plancbeck Cklist Fom- POOLS.doc
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB_PATE
ADDRESS
RESIDENTIAL ADDITION MINOR
« $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER DATE
ENGINEER DATE
Docs/Mlsforms/Plannina Engineering Approvals
04/08/02 MON 12:05 FAX 858 452 6004 WATERIDGE INR.
ACOKD. CERTIFICATE OF LIABILITY
PRODUCER
Wateridge Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
Tony Yaliyai
858-452-2200
INSURED
F«No. 858-452-6004
Mission Pools of Escondido
755 West Grand Avenue
Escondido CA 92025
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.
COMPANIES AFFORDING COVERAGE
COMPANY
A INSCORP-Ins. Corp, of New York
COMPANY
B State Compensation Fund
COMPANY
C
COMPANY
D
COVERAGES
THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
WOICATEO. 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 TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
00L1R
A
A
B
.TYPE OF INSURANCE
GENERAL LIABILITY
X
X
AIT
X
X
X
COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE | X | OCCUR
OWNER'S » CONTRACTOR'S PROT
rOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
t
ANY AUTO
EXCESS LI ABILITY
WO
EMF
THE
PAR
OFF
• UMBRELLA FORM
OTHER THAN UMBRELLA FORM
HKERS COMPENSATION AND
LOYERS' LIABILITY
PROPRIETOR/ ~~~| ,NCL
TNERS/EXECIJTIVE
ICERSARE: X EXCL
OTHER
POLICY NUMBER
CA1C10016054
CAIC10016054
559180BGP
POLICY EFFECTIVE
DATE (MM/DD/YY)
04/01/02
04/01/02
04/05/02
POLICY EXPIRATION
DAT6IMM/PD/YY)
04/01/03
04/01/03
04/05/03
LIMITS
GENERAL AGGREGATE
PRODUCTS -COMP/OP ASS
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one flr»)
MED EXP (Any one parson)
COMBINED SINGLE LIMIT
BODILY IN JURY
(Per person)
BODILY INJURY(Pec accident)
PROPERTY DAMAGE
AUTO ONLY • EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE -:/,
AGGREGATE
WC STATU- OTH-TORY LIMITS ER
EL EACH ACCIDENT
EL DISEASE • POLICY LIMIT
EL DISEASE • EA EMPLOYEE
*2,000,000
$2,000,000
si, 000, 000
$1,000,000
$ 100,000
$ 5,000
$1,000,000
J
$
s
I
* -.••-••.
J
$ ..-.'.•••
s ".••••
J " • • '. ..
$1,000,000
$1,000,000
$1,000,000
*Except 10 day notice for non.payment. RE: All Operations. CertificateHolder as named additionally insured as their interests may appear asrespects to operations of tne named insured, per attached.
CERTIFICATE HOLDER
CITYOFS
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL MAIL
30* OAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of San Diego