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Home My WebLink About1376 CYNTHIA LN; ; CB032759; Permit11-21-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB032759 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1376 CYNTHIA LNCBAD POOL 1562315500 Lot#: $17,030.00 Construction Type: WARD RES 520 SF POOL/SPA 0 NEW Status: ISSUED Applied: 10/03/2003 Entered By: SB Plan Approved: 11/21/2003 Issued: 11/21/2003 Inspect Area: Applicant: SANDPIPER POOLS INC 2005 S ESCONDIDO BLVD ESCONDIDO, CA 92025 619-489-6328 Owner: WARD STEPHEN M&SUSAN L 1376CYNTHIALN OCEANSIDE CA 92056 9324 ii/21/03 0002 01 02 CGP 209-99 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 $1.70 $0.00 $0.00 $0.00 $0.00 $314.83 Total-Fees: $314.83 Total Payments To Date:$104.84 Balance Due:$209.99 Inspector: FINAL APPROVAL Date: W,Clearance: NOTICE: Please take NOTICE trial approval of your project includes the "Imposition1 of fees, dedications, reservations, or other exactions hereafter collectively referred to as'fees/exactions." Yfcu 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 66Q2Q(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 Ihe 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 fees/exactions of which you have previously been diver a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. .._ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) .5666 10/03/03 0002 01,, 02 ^UniiNo. Phase Nj»n.pi.r>iotal # of units* 04Legal Description Lot No.Subdivision Name/Number?•* lain Assessor's Parcel #Existing Use Proposed Use Description of Work SQ. FT.iKof Stories of Bedrooms # of Bathrooms Name Address City (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]). A-gko-gy ^oe>^ s .U&.C 3&Q S'tCt^y oVi^-* 5»V^Ar gSo>A ^\ JP Name ' *A,"State License # *t" •K^«*n Address License Class C.*£~ 3 City State/Zip City Business License it [ *2x> Telephone # Designer Name ^_ i State License #P^-iz.Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. (Q— 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 worker's compensation insurance carrier and policy number are: " I " Ct"Insurance Company Policy No.Expiration Date (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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), huddition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE O-*^ O~i^.£^2tl DATE (<J — j 'O ^ I hereby affirm that I am exempt from the Contractor's License Law for the following 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 dpes 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 withjicensed 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 Businesj'and Professions Code for this reason: 1. I personally plan to provide the major labor and yfaterials for construction of the proposed property improvement. Q YES CJNO 2. I (have / have not) signed an application for aJSuilding permit for the proposed work. 3. I have contracted with the following persor/(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 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 oj the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant reqyrred to obtain a permit from the air pollution control district or air quality management district? Q YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C YES Q NO IF ANY OF THE ANSWERS ARE YES, A/INAL 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 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 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 fora period of ISO days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE J-^-C-^ V J-t~v A"£7t~") DATE 10 *~ Z " Q> 3 WHITE: File TELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/02/2004 Permit* CB032759 Title: WARD RES 520 SF POOL/SPA Description: Inspector Assignment: PY 1376 CYNTHIA LN Lot Type: POOL Sub Type: Job Address: Suite: Location: APPLICANT SANDPIPER POOLS INC Owner: WARD STEPHEN M&SUSAN L Remarks: Phone: 7604896328 Inspector: Total Time:Requested By: MICHELE Entered By: CHRISTINE Act CommentCD Description 59 Final Pool Associated PCRs/CVs Inspection History Date Description 02/05/2004 59 Final Pool 01/14/2004 55 Fence/Pre-Plaster 12/15/2003 31 Underground/Conduit-Wiring 12/15/2003 52 Underground Plumbing 12/12/2003 31 Underground/Conduit-Wiring 12/11/2003 21 Underground/Under Floor 12/11/2003 31 Underground/Conduit-Wiring 12/02/2003 51 Excav/Steel/Bonding/Fence Act Insp Comments NR PY AP JM OK TO PLASTER ALARM OK PA PY CONDUIT ONLY WC PY PA PY CONDUIT ONLY WC PY CO PY SEE NOTICE ATTACHED AP PY UNSCHEDULED BUILDING INSPECTION r»ATT7 III III °-3 INSPECTOR PERMIT #l PLAN CHECK # CVA/Tf///V LA/ _•___ \rk.-\f r'x/Airw/flx IA/JOB DESCRIPTION CODE DESCRIPTION ACT COMMENTS TLC(^>' CITY OF CARLSBAD BUILDING DEPARTMENT DATE_ NOTICE (760) 602-2700 1635 FARADAY AVENUE TIME. LOCATION \C\7L CX/V77//XI PERMIT NO. / FOR INSPECTIQN CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHEK INFQRWflTQN, CONTACT YES BUILDING INSPecTQ PHONE CODE ENFORCEMENT OFFICER City of Carlsbad ^r V^^BW^^^^MV^^HB'^Hi^HHVQ^^^H^HH^^H^^NHi^^HPublic Works - Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB ft 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 suspepsion of permit to build. By:Date: DENIAL Please see the attached report of deficiencies marked with HI 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 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: Kathleen M. Farmer City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92009 PHONE:(760) 602-2741 1635 Faraday Avenue • Carlsbad, CA 92O08-7314 • (760) 6O2-272O • FAX (760) 602-8562 G oNEV a )RCV G BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN Q 1 . Provide a fully dimensioned site plan drawn to scale. Show: Arrow & Proposed Structures Lines 2. Show on site plan: A-^Drainage Patterns /& Existing & Proposed Slopes C./Existing Topography ndicate what will happen with spU-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: Address r's Parcel Number 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: 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 1 of 2 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: Q 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:\0evetopnw* SwvtoeiWASTER&CHECKUSTSeuMing Ranch** CWW Form- POOLS.**; SD POUOYHOLDER COPY COMPENSATION P.O. BOX $07, SAN FRANCffiCO,CA 94142-0807 CERTIFICATE OP WORKERS' COMPENSATION INSURANCE ISSUE DATE 11-21-2001 'CONTRACTORS STATE LICENSE BOARD WORKERS' COflPENSATION UN IT P 0 BOX 26000 SACRAMENTO CA 95826 GROUP: POLICY NUMBER: 1328184-2002 CERTIFICATE ID: 88 CERTIFICATE EXPIRES; 12-01-2OO3 ( 12-O1-2002/12-O1-2O03 -'" \ LICENSE NUMBER: * 431987 INCEPTION DATE: (2-01-2002 D.O.: SO This Is to certify that we haw* issued » valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. ' This poHcy Is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also tfve you 39 days'notice should this policy be cancelled prior to its normal expiration. This certificate of /instirance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Ntotwrthstartdtofl any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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. AUTHORIZED, REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: M.OOO.OOO.OO PER OCCURRENCE. #2OBB ENTITLED CERTIFICATE HOLDERS* NOTICE EFFECTIVE 12-01-2O02 IS ATTACHED TO AND FORMS A PART OF THIS EMPLOYER SANDPIPER POOLS, INC 300-A ENTERPRISE ST ESCONDIDO CA 92029 THIS DOCUMENT HAS A BLUE: PATTERNED BACKGROUND PLANNING/ENGINEERING APPROVALS PERMIT WtlMBEP CB ADDRESS DATE \D RESIDENTIAL RESIDENTIAL ADDITION MINOR «$10VOOO.OO> TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER Q DATE ID ENGINEER DATE DocsJMislorms/Planning Engineering Approvals 00'2 U.Si £' il 3: r o co «T n C* g 5 O =• tJ < -p u O IJ- ,: OT £E J O x ^ c CE 15 • Z O U, 'J MJ rr u, Uj U3 f_j ; J2 tN * O aVr>