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1346 CASSINS ST; ; CB030953; Permit
04-16-2063 ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB030953 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1346CASSINSSTCBAD POOL 2156903100 Lot#: 0 $13,100.00 Construction Type: NEW WOLF RES/400 SF GUNITE POOL & SPA, GAS TO FUTURE BBQ Status: ISSUED Applied: 04/02/2003 Entered By: CB Plan Approved: 04/16/2003 Issued: 04/16/2003 Inspect Area: Applicant: LANDMARK POOLS 13223 BLACK MOUNTAIN RD SAN DIEGO CA92129 858 538-0435 Owner: WOLF MICHAEL D&KATHLEEN 1346CASSINSST 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 $130.49 $0.00 $84.82 $0.00 $20.00 $27.00 $1.31 $0.00 $0.00 $0.00 $0.00 $263.62 Total Fees: $263.62 Total Payments To Date:$84.82 Balance Due:$178.80 2908 04/16/03 0002 01 02 CGP 178-80 PROVAL DATE.7 I CLEARANCE. RMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. - PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST. VAL. I Plan Ck. Deposit Validated By Date (TO, Address (include Bldg/Suite #)Business Name (at this addlHS? 04/02/03 0002 01 02 Unit No. Phase NEGF'Total # of unigft • 82Legal Description Lot No.Subdivision Name/Number Assessor's Parcel #Existing Use Proposed Use Description of Work 2. SQ. FT.#of Stories # of Bedrooms # of Bathrooms Name Address City 3. APPLICANT DB^ontractor D Agent Jor Contractor Q Owner Q Agent for Owner State/Zip Telephone #Fax* Name *. PROPERTY OWNER City State/Zip Telephone # Name ' Address City State/Zip Telephone # 6, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name State License # H^>V^«o v Address *\ License Class C^~ f ^ City State/Zip City Business License # Telephone # Designer Name State License t> Address City State/Zip Telephone ' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. ITrl 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 C^Tlfrtxfe. ^O>*^P Policy No. t^J~ i l^r **^ Expiration (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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' i iini|i thousand dollars ($100,000), in addition t SIGNATURE is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE H* I hereby affirm that I am exempt from the Contractor's License Law for the following reason: l~l 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). Q 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). EH 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 I~1NO 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 COMPLCTE DISSECTION FOR Ar6Mfl£S/D£/V7M£ 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? Q 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? Q YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. », 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(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 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 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 frnm tha H^f. prf anf-h, pprmit nr if tha rmilriinj 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 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUF DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/09/2003 Permit* CB030953 Title: WOLF RES/ 400 SF GUNITE POOL & Description: SPA, GAS TO FUTURE BBQ Inspector Assignment: JE Type: POOL Sub Type: Job Address: 1346 CASSINSST Suite: Lot 0 Location: APPLICANT LANDMARK POOLS Owner: WOLF MICHAEL D&KATHLEEN Remarks: IF PROP OWNR IS NOT HOME ACCESS LEFT SIDt Phone: Inspector: Total Time: CD Description 59 Final Pool Requested By: NA Entered By: CHRISTINE Act Comment Associated PCRs/CVs Date 08/08/2003 06/26/2003 06/26/2003 06/26/2003 05/19/2003 05/19/2003 05/19/2003 05/14/2003 Inspection History Description 55 23 52 53 31 51 52 51 Fence/Pre-Plaster Gas/Test/Repairs Underground Plumbing Electric/Conduit/Wiring Underground/Conduit-Wiring Excav/Steel/Bonding/Fence Underground Plumbing Excav/Steel/Bonding/Fence Act AP AP AP AP CO AP AP CO Insp PS JE JE JE JE JE JE JE Comments NOTED-REMOVE LOW VOLT WIRES FROM POOL AREA COMPLETE ELECTRICAL CONDUIT OK TO GUNITE COMPLETE PLUMING, PROVIDE FENCING, BOND POOL STEEL TO EQUIP. 1127-B6 City of Carlsbad Bldg Inspection Request For: 05/14/2003 Permit# CB030953 Title: WOLF RES/ 400 SF GUNITE POOL & Description: SPA, GAS TO FUTURE BBQ Inspector Assignment: 1346 CASSINS ST Lot Type: POOL Sub Type: Job Address: Suite: Location: APPLICANT LANDMARK POOLS Owner: WOLF MICHAEL D&KATHLEEN Remarks: Phone: 6192463777 Inspector: Total Time: CD Description Act Comment 51 Excav/Steel/Bonding/Fence Requested By: TOM Entered By: ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE 0f~ljf-Q3 TIME LOCATION PERMIT NO. /J 3} - FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT _ YES BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS: PROJECT DESCRIPTION: Pool ASSESSOR'S PARCEL NUMBER:3/ 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: DENIAL Please see the attached report of deficiencies marked withJ&T 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. 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:\WOraXDOCS\CHKLST\Poa Building PHncha* Cktet CHKM Form BE doc 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 6O2-2720 • FAX (76O) 602-8562 BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow C. Property Lines B. Existing & Proposed Structures D. Easements 2. Show on site plan: rainage Patterns D. Indicate what will happen with xisting & Proposed Slopes soil excavated from pool area 7 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 3. Include on title sheet: A. Site Address ^Assessor's Parcel Number Legal Description ). 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. Q 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 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:\WORO\DOCS\CHKLST\Pool ButdUg Ptencheck Ckfel CHK24 Forni BE .doc v Q<5c. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: 5d. No Grading Permit required. MISCELLANEOUS PERMITS 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. Q Q 7. Right-of-Way Permit and Pool Building Permit will be issued simultaneously. Remarks H:\WORD\DOCSVCHKLST\Pool Buiwino Plancheck Octet CHK24 Form BE .doc ACORD^ CERTIFICATE OF LIABILH King Insurance ^3J>0 N. El Camino Real #1A :initas, Ca 92024 v/60) 753-7000 (760) 753-5578 INSURED TW Landmark Inc. DBA: Lankmark Pools 13223 Black Mountain Rd. #1-388 San Diego, CA 92129 .619 538-0435 FY INSURANCE DATE (MM/DD/YY) 04/07/2003 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. INSURERS AFFORDING COVERAGE A /INSURER A: Gemini Insurance jPr/^ INSURERS: STATE FUND INSURANCE "/'*f INSURER C: INSURER D: INSURER E: COVERAGES 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 TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A C B TYPE OF INSURANCE GEd Y ERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE | X | OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: | POLICY | | JJECT 1 1 LOG AUTOMOBILE LIABILITY *, ' ' ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER POLICY NUMBER VCGP005731 155470900 POLICY EFFECTIVEDATE (MM/DD/YY1 03/13/03 020103 POLICY EXPIRATION DATE fMM/DDWY) 03/13/04 020104 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL * ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT(Ea accident) BODILY INJURY(Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE(Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE X I WC STATU- OTH-1 TORY LIMITS ER EL. EACH ACCIDENT EL. DISEASE - EA EMPLOYEE E.L. DISEASE • POLICY LIMIT il,000,000 $50,000 $5,000 $1,000,000 $1,000,000 $1,000,000 $ $ $ $ $ $ $ $ $ $ $ $ $1,000,000 $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *10 DAYS FOR NON PAY Re: License Number 481867 as CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION /"~ CITY OF CARLSBAD 1635 FARADAY AVENUE CARLSBAD, CA 92008 ACORD 25-S (7/97) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLKpATl6NOR)LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE'S,/ ./ J AUTHORIZEDBE'PBESENf/filVE \7 AS ' j> ©ACORD CORPORATION 1988 ACORD^ CERTIFICATE OF LIABILI1 PRODUCER King Insurance 360 N. El Camino Real #1A Encinitas, Ca 92024 (760) 753-7000 (760) 753-5578 INSURED TW Landmark Inc. DBA: Lankmark Pools 13223 Black Mountain Rd. #1-388 San Diego, CA 92129 :619 538-0435 IT INSURANCE DATE (MM/OO/YY) 03/14/2003 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. INSURERS AFFORDING COVERAGE INSURER A: Gemini Insurance INSURER B: STATE FUND INSURANCE INSURER C: INSURER D: INSURER E: COVERAGES 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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR.UB- X b TYPE OF INSURANCE GENERAL LIABILITY X^COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | X | OCCUR GEN1 AGGREGATE LIMIT APPLIES PER: ~~1 POLICY | | !£& I 1 LOG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY [ OCCUR | [ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS1 LIABILITY OTHER POLICY NUMBER TEA 155470900 POLICY EH-tCTIVEDATE (MM/DD/YY1 03/13/03 020103 POLICY EXPIRATION DATE (MM/DD/YY) 03/13/04 020104 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT CITHFRTHAN EAACC AUTO ONLY: f^QQ EACH OCCURRENCE AGGREGATE X WC STATU- | IOTH- TORY LIMITS 1 1 ER E.U. EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000,000 $50,000 $5,000 $1,000,000 $1,000,000 $1,000,000 $ $ $ $ $ $ $ $ $ $ $ $ $1,000,000 $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *10 DAYS FOR NON PAY Re: License Number 481867 CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 ACORD 25-S (7/97) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L^T, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KWSr^O^He-IBSbRER, ITS AGENTS OR REPRESENTATIVES./ J^f^'\[~~\ AUTHORIZEDJPPWBISENTATIVE //\ / j///""l ^— ^" y * V (©ACORD CORPORATION 1988 0oi<>o \