HomeMy WebLinkAbout1368 CORVIDAE ST; ; CB951814; PermitBUILDING PERMIT Permit No•
12/14/95 14-11 Project No
Page 1 of 1 Development No.
Job Address 1368 CORVIDAE ST Suite
Permit Type GUNITE POOLS AND SPAS 5l?7 32/W? OC-01 '••>!
Parcel No 215-691-26-00 Lot# C-PRHT
Valuation. 11,583 Construction Type
Occupancy Group Reference* Status
Description 410 SF POOL-GUNITE Applied
Apr/Issue•
Entered By
Appl/Ownr . UNLIMITED LANDSCAPE 485-1600
11374 CAMINITO CORRIENTE
SAN DIEGO, CA 92128
CB951814
A9502t,55
21;.0rt
NEW
ISSUED
12/12/95
12/14/95
RMA
*** Fees Required **** **Fees Collected & Credits * * *
Fees 399 00
Adjustments Op
Total Fees 399.00
Fee description
Total Credits
Total Payments
Balance Due:
Units Fee/Unit
Building Permit
Plan Check
Strong Motion Fee
Enter "Y" for Electrical Fee
Enter "Y" for Plumbing Fee
Other
* BUILDING TOTAL
135,00
00
88 00
311 00
Ext fee Data
135.00
88 00
1 00
20 00 Y
20 00 Y
135 00 DOUBLEFEE
399 00
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr.. Carlsbad, CA 92009 (619) 438-1161
1 PERMIT TYPE
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. Q C 1
EST VAL_
PLANCKDl
VALID BY
DATE /
II
2. PROJECT INFORMATION
5116 12/12/95 0001 01 02
FOR OFFICE l5§ETONLY
Address
Nearest Cross Street
T~* Building or Suite No
LEGAL DESCRIPTION LotNo Subdivision Name/Number Unit No Phase No
CHECK BELOW IF SUBMITTED
D 2 Energy Calcs D 2 Structural^ Calcs D 2 Soils Jteport D 1 Addressed Envelope
ASSFSSOR'S PARCEL FX7STING USE PROPOSFD USF
DESCRIPTION OF WOR!
SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS
3 cumAUT FEKSON lit uiiicrent trom
NAME (last name first)^/9 tA#
CITY STATE
ADDRESS
ZIP CODE
lASlfO
DAY TELEPHONE
4 APPLICANT D CONTRACTOR ja'AGENTTOR CONTRACTOR DOWNER D AGENT FOR OWNER
NAME (last name first) •S'/yfl^CfzU/^l*0 ADDRESS //j 7
CITY £> .*2. STATE ZIP CODE*?1 l-/2_iP'DAY TELEPHONE
CITY STATE DAY TELEPHONE
6 CONTRACTOj
NAME (last name first!
CITY
ADDRESS
STATE ZIP CODE DAY TELEPHONE
STATE LIC LICENSE CLASS CI'IT BUSINESS LIC #
TJESIGNER NAME (last name
CITY
ADDRESS
STATE ZIP CODE DAY TELEPHONE STATE LIC #
7 WORKERS^ COMPENSATION
Workers' Compensation Declaration I hereby attirm that I have a certificate ot consent to selt-insure issued by the Director ol Industnal
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 COMPANVt/</4<S£*£./>M*<«{«twfy POLICY NO# 3/7*2. Q / EXPIRATION DATE
Certificate of Exemption
so as to become subject
SIGNATURE,
that in the pertormance ot the work tor which this permit is issued, I shall not employ any person in any manner
'orkers' Compensation Laws of California
DATE
8 OWNER-BUUDER D
Owncr-Uuilaer Declaration Thereby attirm that 1 am exempt trom the Contractors License Law tor tne lollowing reason
D 1, 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 [$500])
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct 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 AtTER 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 CONSTRUCTION IJiNUING AGENCY
I hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(i) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
10 APl'lJCANI
I certify that I have read tne application and state that tne above information is correct I agree to comply with all City ordinances and State laws
relating to building construction I hereby authonze 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 IJABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE 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 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 365 days from the date of such permit or if the building or work authonzed by
such permit is suspended or abandoned at any time after the work is^rifnmenced for a period of 180 days (Section 303(d) Uniform Building Code)
APPLICANTS SIGNATURE ^#O C ^ ^^^^ DATE '
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT* CB951814
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/15/96
DESCRIPTION: 410 SF POOL-GUNITE
TYPE: POOL
JOB ADDRESS: 1368 CORVIDAE ST
APPLICANT: UNLIMITED LANDSCAPE
CONTRACTOR:
OWNER:
REMARKS: MW/DEBRA/485-1600
SPECIAL INSTRUCT:
STE:
PHONE: 485-1600
PHONE:
PHONE:
INSPECTOR AREA PD
PLANCK* CB951814
OCC GRP
CONSTR. TYPE NEW
LOT:
INSPECTOR P
TOTAL TIME:
—RELATED PERMITS—
CD LVL DESCRIPTION
59 SW Final Pool
PERMIT* TYPE
RW950188 ROW
CB960057 ELEC
STATUS
ISSUED
ISSUED
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
020696 Fence/Pre-Plaster
010296 Excav/steel/Bonding/Fence
122295 Excav/Steel/Bonding/Fence
122295 Gas/Test/Repairs
122295 Underground Plumbing
122195 Excav/Steel/Bonding/Fence
ACT INSP
AP PD
AP MP
PY
PY
PY
PD
CO
AP
AP
CO
COMMENTS
POOL ONLY/NO SLIDE OR WTRFALL
ND REV SITE PLN PRIOR GUNNITE
City of Carlsbad
Engineering Department
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER
BUILDING ADDRESS
PROJECT DESCRIPTION Pool
ASSESSOR'S PARCEL NUMBER S- la *?/- ^L
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
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 ENGINEERING DEPT. CONTACT PERSON
LJ Grading Permit Application
G Grading Permit Checklist
D Right-of-Way Permit Application
D RIght-of-Way Permit Submittal
Checklist and Information Sheet
Clty of Carlsbad
ADDRESS: 2075 Las Palmas Dr.. Carlsbad. CA 92009
PHONE: (619) 438-1161. Ext. 4-3 /S~
P \DOCS\CHKLST\CHK-24 REV 05/11794
2O75 Las Palmas Dr • Carlsbad, CA 92OO9-1 576 • (619) 438-1161 • FAX (619) 438-O894
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
M 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
D D 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,
U LJ LJ 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 \DOCS\CHKLST\CHK-24 Page 1 Of 2 REV 05/11/94
/
'•stV
D D D 5c A Grading Permit has been applied for
PE 2 DWG
WU
Grading Inspector sign off by Date-
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 following fiuO 9 S~ OI b o
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
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
A. workers' compensation as provided by section 3700 of the Labor Code, for
the performance of the work for which this permit is issued.
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
issued My workers' compensation insurance carrier and policy number are.
INSURANCE COMPANY POLICY NO EXPIRATION DATE-
--->^^^f::<_^..^^^^
(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 C>^^- 7x^«g—- - 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
2O75 Las Palmas Dr • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
ACOR& CERTIFICATE OF LIABILITY INSURANCE 08/29/95
PRODUCER
TANENBAUM-HARBER OF CA. INC.
11610 IBERIA PL., SUITE 200
SAN DIEGO, CALIFORNIA 92128
(619) 487-8839
INSURED
UNLIMITED LANDSCAPE, INC.
11374 CAMINITO CORRIENTE
SAN DIEGO, CA 92130
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 REPUBLIC INDEMNITY COMPANY OF CAI
COMPANYB
COMPANYc
COMPANY
D
COVERAGES _. - _ ^2£&,*£?> ™,
THIS IS TO CERTIFY THAT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
5°, TYPE OF INSURANCE
GENERAL LIABILITY
1 COMMERCIAL GENERAL LIABILITY
| 1 CLAIMS MADE | | OCCUR
i | OWNER S 4 CONTRACTOR S PROT
i i
i
j AUTOMOBILE LIABILITY
i I ANY AUTO
! ALL OWNED AUTOS
1 ' SCHEDULED AUTOS
! ' HIRED AUTOS
! NON OWNED AUTOS
i !
! i
GARAGE LIABILITY
i ANY AUTO
1
!
i
EXCESS LIABILITY
j i UMBRELLA FORM
1 OTHER THAN UMBRELLA FORM
j WORKERS COMPENSATION AND
^ EMPLOYERS' LIABILITY
j THE PROPRIETOR/ X ' INCL
1 OFFICERS ARE X i EXCL
OTHERj]
POLICY NUMBER
03512171
POLICY EFFECTIVE
DATE (MM/DD/YY)
8/01/95
POLICY EXPIRATION
DATE (MM/DD/YY)
8/01/96
LIMITS
GENERAL AGGREGATE
PRODUCTS COMP/OPAGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
$
$
$
$
S
MED EXP (Any one person) | $
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
BODILY INJURY(Per accident)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
Yl WCSTATU- ViOTHA| TORY LIMITS A.I gR
EL EACH ACCIDENT
EL DISEASE POLICY LIMIT
EL DISEASE EA EMPLOYEE
$
$
$
$
$
$
$
$
$
$
$ 1,000,00(
$ 1,000,00(
$ 1,000,00(
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
LICENSE #122003
CERTIFICATE HOLDER
CITY OF ESCONDIDO
ESCONDIDO, CA
'• ACORD 25-S (1/95)
owteeLLAtios j :;du^^ :™V,/ , ,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
3n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
9 ACORD CORPORATION 1988
I