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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