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HomeMy WebLinkAbout1370 CASSINS ST; ; CB961944; PermitBUILDING PERMI 10/18/96 15:37 Page 1 of 1 Job Address: 1370 CASSINS ST Suite Permit Type: GUNITE POOLS AND SPAS Parcel No: 215-691-49-00 Lot#: Valuation: 10,545 Occupancy Group: Reference*: Description: 370 SF POOL AND SPA Appl/Ownr : MISSION POOLS 755 W. GRAND AVE ESCONDIDO, CA. 92025 *** Fees Required *** 619 T Permit No: CB961944 Project No: A9602787 Development No: 0458 10/18/96 0001 01 02 C--PRMT 167-00 Construction Type: VN Status: ISSUED Applied: 10/1U/96 Apr/Issue: 10/18/96 Entered By: MDP 743-2605 lected & Credits Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee Enter "Y" for Elec Enter "Y" for Plum: * BUILDING TOTAL 249 * * * . 00 82 . 00 167.00 Ext fee Data 126.00 82.00 1 . 00 20.00 Y 20.00 Y 249.00 FINAL APPROVAL .DATE_ ICLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 BUILDING 12/09/96 15:17 Page 1 of 1 Job Address: 1370 CAS SINS ST Permit Type: GUNITE POOLS AND SPAS Parcel No: 215-691-49-00 Valuation: 0 Occupancy Group: Reference*: Description: 370 SF POOL AND SPA PERMIT Suite: Lotf: Permit No: Project No: Development No Appl/Ownr MISSION POOLS 755 W. GRAND AVE ESCONDIDO, CA. 92025 Construction Type Status: Applied: Apr/Issue: Entered By: 619 743-2605 *** Fees Required ******Fees Collected & Credits CB961944 A9602787 VN WITHDRAW 10/10/96 10/18/96 HDP *** Fees: Adjustments: Total Fees: Fee description 115.00 .00 115.00 Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 115.00 .00 Ext fee Data Other * BUILDING TOTAL 115.00 115.00 NON-REF 115.00 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmes Dr.. Carlsbad, CA 92009 (619) 438-1161 1. PERMll 1TPE From List 1 (see back) give code of Permit-Type: \£JC? \ For Residential Projects Only: Prom List 2 (see back) rive Code of Structure-Type: S T~ ^- Net Loss/Gain of Dwelling Units ©PLAN CHECK NO. EST.VAL PLANCK VALID. BY. DATE 2. PROJECT INFORMATION 0305 10/10/96 0001 01 02 C-PRMT 82. FOR OFFICE USE ONLY 1310 Nearest Cross Street Buildmg or Suite No' LbGAL UtbLRIPTION Subdivision Name/Number Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT.3"fO*fi # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. UJN IAL.I KEKaun (it different trom applicant.) NAME (last name first) CITY ADDRESS 755 «-O. STATE <L.Py ZIP CODE DAY TELEPHONE 4. APPLICANT ^CONTRACTOR NAME (last name first) D AOtN I rOR CON IRACIOR U OWNhR ADDRESS UAutNI rOR OW CITY &TYO ~?5S STATE <_Pr ZIP CODE *T7<5> c DAY TELEPHONE "7 5. PROPERTY OWNER NAME (last name first) CITY STATE ;v,\ ZIP CODE ADDRESS DAY TELEPHONE D. UUN1KAL.IUR NAME (last name first) <>"** ~S1TJL ADDRESS CITY £^>C£5n.cL^<io STATE d-rVl ZIP CODE ^"Z&ZJS DAY TELEPHONE STATE LIC. #SLJ-TiLt> LICENSE CLASS d~-5 3 CITY BUSINESS LIC. # NAME (.last name tirstj CITY STATE ZIP CODE ^ADDRESS DAY TELEPHONE STATE LIC. # \\~T~l I 7. WURKEKb COMPENSATION Workers Compensation Declaration : I hereby artirm that I have a certificate of consent to self-insure issued by the Director or 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 NO Certificate of Exemption: I certify that in the performance of the work tor whicl so as to become subject to the Workers' Compensation Laws of California. SIGNATURE ._,FJCPIRAT1ON DATE t-j~ is permit is issued, I shall not employ any person in any manner 8. OWNEK-BUUJJJiK UKJJIAHA uwner-buimer Declaration: i nereoy arnrm mat i am exempt trom the contractors License Law tor tne toiiowing 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-tne project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bujldror 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 ProfessicuK"Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or Couptjr'which requires a permit to construct, alter, improve, demolish, or repairany structure, prior to its issuance, also requires the applicanffor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9.jx>fnmencing 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 notmdfe than five hundred dollars [$500]). SIGNATURE .s' DATE COMPLETE THIS SEI.T1UN FOR NON-REStPENTIAL 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 SectionsxZSSOS, 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 district or air quality management district? O YES/^ D NOIs the facility to be constructed within 1,000 feet of the outer boundary of a school site? ~ 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^S MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. UJNblKUlfrHUN LENDING AGENCY I herebyattirm that there is a construction lending agency for the performance ot the work tor which this permit is issued (.Sec 30970J Uvil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT I certify that 1 have read the application and state that the above information is correct. 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 CTTY OF CARLSBAD AGAINST ALL UABIUTffiS, 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 365 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 303(d) Uniform Building Code). APPLICANTS SIGNATURE ^ j,/u - . C*> i DATE: >W: Applicant PINK: Finance •JL City of Carlsbad Engineering Department BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS: ]37O r g PROJECT DESCRIPTION: Pool ASSESSOR'S PARCEL NUMBER: 3-1S -(£ Jl- 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 D. 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: By: By: Date: Date: Date: 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: MICHELE MASTER8ON City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad. CA 92009 PHONE:(619) 438-1161, ext. 4315 G:\USRARY\EN iSTVoolBu k CUM CHK24 Font MlUoe 2O75 Las Palmas Dr. - Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN Q Q 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: ^ Drainage Patterns D. Indicate what will happen with <—*" . Existing & Proposed Slopes*--"" soil 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 Q 3. Include on title sheet: A. Site Address B. Assessor's Parcel Number C. Legal Description D. Grading Quantities Cut Fill Import/Export 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. 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 1 of 2 GUIBRARYiEN3WVORD\DOCS\CHKLSTV>ool MMng PtanehKk Ctttt CHK24 Fom MM.doe 5c. A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by: Date: Q Q Q 5d. No Grading Permit required. MISCELLANEOUS PERMITS D Q 6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Wav and/or private work adjacent tot he public Right-of-Way. A separate Right-oM/Vay 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 2 of 2 1200 ELM AVENUE £3 j^^jM TELEPHONE: CARLSBAD. CALIFORNIA 92008 VA^sMU/ Oft 4 (714)729-1181 Citp of Csrtetmb This document will certify that I am aware of the provisions of the California Administrative Code, Title 24, Section 120-1406(0), "Swimming Pool Heating", as shown on form DPL #297. I understand that neither a swimming pool building permit using a fossil-fueled heater nor a plumbing/electrical permit for a new or replacement fossil-fueled heater will be issued until this certification is executed. For the swimming pool located at /3/0 £/T^VAO S>/ _ (site address) I certify that all of the following requirements for fossil-fueled (or electric) swimming pool heaters will be met: ^' Outdoor pools shall be equipped with. a pool cover . 2. ON-OFF switch on outside of heater to allow shutdown, without adjusting thermostat and start-up without relighting pilot light, 3. 36" minimum length of plumbing provided between filter and heater to allow future solar installation. 4. After January 1, 1982, new heaters installed must have 75% thermal efficiency. 5. Time clocks installed to allow pump operation during off-peak demand periods (unless pump used for active solar) . 6. Directional water inlets in pool for good mixing. Print Owners Name: Owners Signature: >L^'/'^^^^ Date; Print Contractors Name; yyy^ <,^\OY-\ Fc3gjl!!> Contractors Signature: .Ri »^.o ^*^s± A-^H ^^AJ^r^ \C*Jtt\ Pate: U V Address: 7*55 U_X (>re».A.tl <voe . 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 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: "V-S-T7 (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 /Or 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-O894 CERTIFICATE OF INSURANCE ISSUE DATE (NN/OD/YY) | | »3/26/96 PRODUCER TIMOTHY S. KILLS INS. SERVICES P. 0. BOX 86259 San Diego, CA 92138 (619) 535-184* INSURED THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AMD CONFERS NO RIGHTS UPOII THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES MOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER COMPANY LETTER Zenith Insurance Company-San Dieoo Office CDIP1NY LETTER CCIIHTOY LETTER Mission Pools of Escondido IncDunn Brothers leasing, Et ai755 West Grand Avenue Escondido, CA 92I25-999* COMPANY LETTER ECOVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAKED ABOVE FOR THE POLICY PERIOD INDICATED, NOTUITHSTANDINS ANY REQUIREMENT, TERN OR CONDITION OF ANY CONTACT 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 TERNS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN NAY HAVE BEEN REDUCED BY PAID CLAIMS. CO " " POLICY POLICY LTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS DATE DATE GENERAL LIABILITY "+ ~ GENERAL AGGH GATE "PTODUCTS-COMP/OPS AGGREGATE [ ] COMMERCIAL GENERAL LIABILITY PER SHIM I t JUVEITISIIIfi IHMT" [ j CLAINS NADE [ OCCUR. EMU ftttlHRfUttf 1 OWNER'S £ COHTRACTOH'S PROT. MjE DAMEE U y one tirel " [ ] ; MEDICAL EXPENSE(Any one person) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY HUTO + ALL OUNED AUTOS . BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS t MON-OUNED AUTOS BODILY INJURY GARAGE LIABILITY (Per accident) PROPERTY DAMAGE I EXCESS LIABILITY EACH OCCURENCE lUubrella Fom AGGREGATEjother Than Uibrella Fon A WORKER'S COMPENSATION Z«42fl388«l* M/15/96 «4/«5/97 I STATUTORY LIMITS I AND EACH ACCIDENT T 1 lll.W EMPLOYERS' LIABILITY DISEASE - POLttV llHIT i 1 Jir.ltt DISEASE - EACH EMPLOYEE|J1 1(1,111_» _ + + + --.+. _ • OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: All OPERATIONS OF THE NAMED INSURED. 'It day notice of cancellation for non-payient of pre*iui CERTIFICATE HOLDER «««=«««««««««=««««==« CANCELLATION ==««««««=««««««««=«««=«.«««««««««. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF CARLSBAD . EXPIRATION DATE THEREOF, THE ISSUING COMPANY HmXXIHinilXXU BUILDING DEPARTMENT MAIL 3( DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NANED TO THE 12»8 ELM AVENUE LEFT, I(IXIIIIIIIIXHXimXX!IUXXIIII(IX»mXimiIXK(XHIIini(IXII CARLSBAD, CA 92H8 KIIIUinXIIIXIIXXIIMXIIHXlHXIimRtXXIIJXmniXIIIXHRmilinniSX ^ffltirnTED REPRESENTATIVE / U 'I t£L~^<* L J ^ fl'LiL Us = srs=sass = rrss==sssas=srsss-sssss = sss=ss=sa = ess£sss=a = a = s==sst'S===s = s=1Ss5s = =?"1s== = = s=s=s= = *=a = s=-sssa£sssss32s=s=ass=s2=rssas=: U