HomeMy WebLinkAbout1361 CORVIDAE ST; ; CB960003; Permit» BUILDING PERMIT Permit No
01/U4/96 11 3o Project No
Page 1 of 1 Development No
Job Address 1361 CORVIDAE ST Suite 5374 OI">t/Si 500.!
Permit Type GUNITE POOLS AND SPAS ><^M
Parcel No. 215-691-09-00 Lot*
Valuation 12,825 Construction Type
Occupancy Group Reference* Status
Description. 450 SF GUNITE POOL Applied
Apr/Issue
Entered By
Appl/Ownr HALLMARK POOLS 619-674-7676
12070 CARMEL MOUNTAIN RD
SAN DIEGO CA 92130
CB960003
A960000 3
NEW
ISSUED
01/02/96
01/04/96
RMA
*** Fees Required ***** A Fees Collected & Credits
Fees- 279.00
Adjustments .00
Total Fees- 279.00
Fee description
Total Credits.
Total Payments:
Balance Due:
Units Fee/Unit
00
94 00
185 00
Ext fee Data
Building Permit
Plan Check
Strong Motion Fee
Enter""Y" for Electrical Fee
Enter "Y" for Plumbing Fee
* BUILDING TOTAL
144 00
94 00
1 . 0 0
20 00 Y
20 00 Y
279 00
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Pa I mas Dr., Carlsbad, CA 92009 (619) 438-1161
1 PtRMTTTYPli
From last 1 (see back) give code of Permit-Type
For Residential Proiects Only From List 2 (see back) give
Code of Structure-Type
Net Loss/Gam of Dwelling Units
PLAN CHECK NO.
EST VAL I x, f i~r
PLAN CK DEPOSIT <-/ U . f)h
VALID BY
DATE / / p *
2 PROJECT INFORMATION
5334 01/02/96 000.1 03 02
C-RMT
FOR OFFICE USE ONLY
94.00
Address
Nearest Cross Street
LEGAL DESCRIP1 ION Lot No Subdivision Name/Number Unit No Phase No
CHECK BELOW It- SUBMITTED
D 2 Energy Calcs D 2 Structural Calcs ^D 2 Soils Rgport D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WOP
SQ FT # OF BEDROOMS # OF BATHROOMS
3 (JUN1AL.1 I dirtercnt^trom applicant)
NAME (last name first) <'
CITY
/ 2-£>"7'£>
DAY TELEPHONE
/**
^APPLICANT D CONTRACTOR
NAME (last name first)
CITY
' (JWNliK5 PROPERTY
NAME (last name first)
CITY
ADDRESS
STATE ZIP CODE TELEPHONE
6 CONTRACIUH
NAME (last name first)
CITY STATE
STATE LIC #
DESIGNER NAME (last name lirst)
CITY STATE
ADDRESS /2_O P7^
TELEPHONE £ 7
CLASS'—-^ '_ CITY BUSINESS LIC #
ZIP CODE DAY TELEPHONE STATE LIC #
7 WCJRKIJur CJUMPLNSATION
Workers Compensation Declaration I hereby affirm that I have a certificate ot consent to self-insure issued by the Director of 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 UO£—%r-?jrt)®>~&fiRATlON DATE
rnt-nfir-Tt^ nt Fvpmpw«i—y yi.itJjy-thaj iri rhp performance of the work forwhiMrthis-Dermit-is-issuedr-I-shall-not-emplovanv-persen-in any_manner
bjecftQ^h^Workersl.CQmBcnaation-Lowo of California. CJS*^ ,
DATE S—^T
Owner-Builder Declaration FnereDy allirm that I am exempt trom the Contractors License Law lor the lollowing reason
D 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 )
D 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)
D 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 for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [S500])
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDF.NTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7
Q 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 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 IJUNSTKUiriKJN IJiNDlNG AGENCY
1 hereby affirm 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
10 APPL1CAN1 UhR 111'lUVllUN
I certify that I have read the application and state that the above information is correct f agree to comply with alfCity 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 IAISO AGRKE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABDJTIES, JUDGMENTS, COSTS
AND EXPENSES WII1CH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUFJTCE 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 stones 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 within3£5 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 worMS'Commenced for a penod of 180 days (Section 303 (d) Uniform Buildinj?_Codi"
APPLICANTS SIGNATURE ^-s»"n ^ s£^^7 DATE
WHITE:Applicant PINK: Finance
PERMITS CB960003
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/17/96
DESCRIPTION: 450 SF GUNITE POOL
TYPE: POOL
JOB ADDRESS: 1361 CORVIDAE ST
APPLICANT: HALLMARK POOLS
CONTRACTOR:
OWNER:
INSPECTOR AREA PD
PLANCK# CB960003
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619-674-7676
PHONE: x-i
PHONE: / / /7 ^~^)
REMARKS: MW/PAUL/438-0595X233 INSPECTO
SPECIAL INSTRUCT: PRIMARILY SELF LATCHING GATE
TOTAL TIME:
CD LVL DESCRIPTION
59 SW Final Pool
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
080696 Final Pool
060596 Final Pool
051096 Fence/Pre-Plaster
021596 Gas/Test/Repairs
021596 Underground Plumbing
021596 Underground/Conduit-Wiring
020996 Electric/Conduit/Wiring
020596 Footing
012396 Excav/Steel/Bonding/Fence
012296 Excav/Steel/Bonding/Fence
011996 Excav/Steel/Bonding/Fence
ACT
CO
CO
AP
AP
AP
AP
CO
AP
AP
CA
CA
INSP
PD
PD
PY
DC
DC
DC
PD
PD
PD
PD
PD
COMMENTS
AT FOUNTAIN
BY CONTRACTOR
BY CONTRACTOR
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE 438-3550
2075 LAS PALMAS DRIVE
DATE IJ '~5 • f &TIME
LOCATION
PERMIT NO -
.-'*! /
'neu ft >
FOR INSPECTION CALL 438-3101 RE-INSPECTION FEE DUE?YES
FOR FURTHER INFORMATION, CONTACT
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER
City of Carlsbad
Engineering Department
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER CB
BUILDING ADDRESS I ?) fn /
PROJECT DESCRIPTION Pool
ASSESSOR'S PARCEL NUMBER ~ 6y
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 Q 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
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 Dr . CarlsbadCA 92009
PHONE: (619) 438-11 61. Ext.
P \DOCS\CHKLST\CHK-24 REV 05/11/94
2O75 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
D D 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'
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
D 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 \OOCS\CHKLST\CHK-24 Page 1 Of 2 REV 05/11/94
1st/ 2nd/ 3rd/
D D D 5c A Grading Permit has been applied for
PE 2 DWG
Grading Inspector sign off by _ Date- _
D D 5d No Grading Permit required
MISCELLANEOUS PERMITS
D 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 permit issued by the Engineering Department is required for
the following1 //YUL ^roi^A. LJ /UE ^W-c -
/ '
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
1st/ 2nd/ 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
I hereby 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
•^/l/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
I ./ 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 Date
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 92009-1576 • (619) 438-1161 • FAX (619) 438-O894
2PM
STATE
COMPILATION
Pt AJNC *
PC BOX 4208157, SAN FRANCISCO, CA 94142-0807
A7TN: 06V.
1222
SAN DICOO, CA
_ _ _
This Is to certify that we rWisJuad a valid Works's' Corfip«n&ation Insurance polldy I" 8 term fipfirovftd &y th« C«'ifonia
insurance Commissicnef to t^e wmployer named below f<xth» policy pvnod Indicated.
Tnis policy is not dubitcrjo cancellation by the Puncl •xcept upon te'ijay*1 advance written notice tc the emptoy«r
* , 30 • • . ' r ' JO > (, ,
We 'wll eJso O've ycju Tfl^nays1 advancu nctlcs should this oolicy be cancelled prior to Its normal expiration.
this, .-^rtificflte of insurance is not art insurance po.lcy and does, not amend, extend or alter the coverage afforded by the
;3oi!o'M listed herein. Notwithstanding «ry requirement, term, or condition at any contract or other document with
."*•&;".* 'o which th'fe 'tartificata of Insurance miy b»" issued or may pertain,,,^ ireui-artce, Rfrardud by the policen
^^•..'.•.-tidhere.oiimubjyct to all *he terms, exslgaioris and condltior)5,pf suorj(pblWlc*. • ',^-y- ?X'' -- yjoftALtoRHwioNs ; ' ;:;:^;^,;|;;,; ^l^M^^f-
.'-" '••* *' i i-'»\ir v-^'1' Kin^iS'1*^. «/•' • ,« ..'"'*,'v :, ">'• M-V...; h^/^T ^ • Mea'ftENT.« •• • >-.r - !.• • ' ,;•*/'^ l%f ^ Jr ,•"• • v^-^ ;i _ . i '•, J . - •«" t.' ^- * -^" I', •' .'''A..- • i
EMPLOYER'S LIABILITY. J.IMIT INCL'UOINO DEFiNSE'COST: 11,^000 PER OCCURUBKlCE.
^-' /?>>'.: W" ^'-^ ?.' i ^v^r^-?;
ENDORSEMENT «OW CNTITLtD CERTlPlCATp HOLDER'S NdlJCE EFFECTIV6 10/17/9S IS ATTACHED
TO AND PO«MS A PART OF THIS POLICY.' ' " " "
r
HALLMARK POOLS > 1 '
12070 CARMEL MTN KOAD
SAN DISCO, CA S2128 MR
' .* ,.'
***•*! •<
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