Loading...
HomeMy WebLinkAbout1379 CYNTHIA LN; ; CB044026; Permit-17-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB044026 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1379 CYNTHIA LNCBAD POOL 1562315100 Lot#: $28,700.00 Construction Type: SIPES RES 820 SF POOL/SPA 0 NEW Status: ISSUED Applied: 10/28/2004 Entered By: SB Plan Approved: 11/17/2004 Issued: 11/17/2004 Inspect Area: Applicant: HALLMARK POOL 12580 STOW EDR POWAYCA 92064 Owner: SIPES JAMIE K&LUCY A 1379 CYNTHIA LN CARLSBAD CA 92008 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 $237,43 $0.00 $154.33 $0.00 $20.00 $27.00 $2.87 $0.00 $0.00 $0.00 $0.00 $441.63 Total Fees:$441.63 Total Payments To Date:$154.33 Balance Due:$287.30 5734 11/17/04 0002 01 02 CGP 287.30 Inspector: FINAL AR Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You 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 66020(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 the 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 vou have previously been given a NOTICE_similarlo this, or as to which the statute of limitations has previously otherwise expired. 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 B> Date 4266. Address (include Bldg/Sujja #)jja Pi*w Business Name (at this address)CGR Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work SQ. FT.#of Stories # of Bedrooms # of Bathrooms Address ^^^V^^^I^^^M^^-I^^^M^lLrp^ote=>* «fr-&gC/-2gy/ State/Zip Telephone # Fax # Name Address City State/Zip Telephone # ^* Name (J* * Address \ City State/Zip Telephone # :il!Sl!iIfilftit^ii^&MP^i:MftME (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 IChapter 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^ [Anyf^ofrtion of SectiQQ_703'\.5 by any applicant for a permit subjects tb^applicaoUo^a civil penalty of not mjbr^than five b.undfed_do^arsj$50t))).i ~2'~ CAcmipi inarHIUJIII, emu of not nTfcrjLthan five bunrT*f2e*bi Name State License # V^riy Designer Name State License # i • 0. ( *"P f\dl« tml Address License Class Address City s4- State/Zip V /*7City Business License # ( <- City State/Zip . yTefeohone # J6®b T Telephone 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. N0 ' 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 compensatio*Jnsurance£arrier and nplicy number are: Insurance Company ~^Jr~^J(J^J^_j \—(Ajy^gX -* Policy No. j^? 7 0 o^R^' Expiration Date IO (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 WdriWs' Compensation Laws of California. WARNING: Failure/to fecule workers' compensation nverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (wlOOyOOOiyln addition TO the cos* o/jompensation, damages as provided for in Section 3706 of the Labor com, interest and attorney's fees. SIGNATURE ^ ^/JL^^Jt DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 contractor(s) licensed pursuant to the Contractor's License Law). Q 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. Q YES QNO 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 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? [3 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 Q 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 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 CitV 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 issuefTBVtWnuilding 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 dommincefl within 18B pays from the aaftp of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comjnenoted jar a period pfn^O days (Sean/i 106.4.4 Uniform Building Code). / / APPLICANT'S SIGNATURE \ wJ[A \\Lftf\Jl_ ^yLJ ^H /*l, DATE lQ \J2-S JQLf WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/06/2005 Permit* CB044026 Title: SIPES RES 820 SF POOL/SPA Description: GAS FOR BBQ/ FIREPIT, ELEC TO BBQ Sub Type: Inspector Assignment: PY 1379 CYNTHIA LN Lot Type: POOL Job Address: Suite: Location: OWNER SIPES JAMIE K&LUCY A Owner: SIPES JAMIE K&LUCY A Remarks: PM PLEASE Phone: 7146814514 Inspector: Total Time: CD Description 14 Frame/Steel/Bolting/Welding 34 Rough Elect -^o°L Requested By: FRANCISCO Entered By: CHRISTINE omment Associated PCRs/CVs Inspection History Date 04/06/2005 03/07/2005 03/07/2005 01/24/2005 01/24/2005 01/24/2005 12/14/2004 12/14/2004 12/09/2004 Description 55 21 23 23 52 53 21 51 51 Fence/Pre-Plaster Underground/Under Floor Gas/Test/Repairs Gas/Test/Repairs Underground Plumbing Electric/Conduit/Wiring Underground/Under Floor Excav/Steel/Bonding/Fence Excav/Steel/Bonding/Fence Act AP we AP AP we AP AP AP CO Insp PY PY PY BN BN BN PY PY PY Comments ALARMS OK METER TO EQUIPMENT City of Carlsbad Bldg Inspection Request For: 12/09/2004 Permit* CB044026 Title: SIPES RES 820 SF POOL/SPA Description: Type: POOL Sub Type: Job Address: 1379 CYNTHIA LN Suite: Lot 0 Location: OWNER SIPES JAMIE K&LUCY A Owner: SIPES JAMIE K&LUCY A Remarks: Inspector Assignment: Phone: 8585188508 Inspector: Total Time: CD Description Act Comment 51 Excav/Steel/Bond ing/Fence C^Q - Requested By: ROB Entered By: KAREN Associated PCRs/CVs Inspection History Date Description Act Insp Comments NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT , 1635 FARADAY AVENUE DATE. LOCATION PERMIT NO. o y 3E**£ FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? I I YES '' T FOR FUKr^R lfiFt>RM/friON, CONTACT v PHONE COOE^NFOBCEMENT OFRcS ffli City of Carlsbad Public Works - Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS: [Vt*) C/NJTM (A PROJECT DESCRIPTION: Pool ASSESSOR'S PARCEL NUMBER:56. ENGINEERING DEPARTMENT APPROVAL DENIAL 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 sjjspension of permit to build. Date: 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 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: Linda Ontiveros City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE:(760) 602-2790 H:M)«vetopm«nt S«vlces\MASTERS\FORMS -\CHECKLISTS -\BUILDING PLANCHECK CKLIST FORM - POOLS.dac Rev. B/22/9B 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 602-2720 • FAX (760) 602-8562 D D D n 3 D D D D BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: Ar^lorth Arrow Existing & Proposed Structures ty Lines D. Easements 2, Show ortsite plan: . Drainage Patterns B^Existing & Proposed Slopes . Existing Topography Indicate what will happen with satTexcavated from pool area 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: /\/me Address ^8Se"ssor's Parcel Number CrLegal Description D. Grading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan. 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 2 of 3 H:\Dw8topmant Swvtass\MASTERS\FORMS ACHECKLISTS -\BUILDING PLANCHECK CKUST FORM - POOLS.doc n 3 n a 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. Right-of-Way Permit and Pool Building Permit will be issued simultaneously. 7. Remarks Page 3 of 3 H:UteVttopment Servtaes*iASTERStf ORMS -\CHECKLISTS -\BUILDING PLANCHECK CKLIST FORM - POOLS,doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS •SIDENTI TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $1O,OOO.OO) OTHER PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING PLANNER DATE ENGINEER DATE License Detail Page 1 of2 California Home Thursday, Octo License Detail Contractor License # 489610 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P 7071J7, only construction related civil judgments known to the CSLB are di • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. * * * Extract Date: 10/28/2004 Business Information * HALLMARK POOLS 12580 STOWE DRIVE POWAY.CA 92064 Business Phone Number: (858) 391-3434 Entity: Corporation Issue Date: 04/10/1986 Expire Date: 04/30/2006 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * (Class ( Description * * *Bonding Information * * * CONTRACTOR'S BOND: This license files Contractor's Cash Deposit T1377L14 in the ar $10,000 on file with CSLB. Effective Date: 11/13/1998 http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 10/28/2004 License Detail Page 2 of 2 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) MA ALENE HARRISON certified that he/she owns 10 percent or more of the voting stock/equi1 corporation. A bond of qualifying individual is not required. Effective Date: 10/04/1991 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STAT£.C<i)HeEMSATiaXlUIS.U.RAHQE.FU.NP. Policy Number: 1590838 Effective Date: 10/01/2660 Expire Date: 10/01/2005 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licet Per§o_nne_!_List Salesperson List Other Licenses I License Number Request Bcontractor Name Request B Personnel Name Request ^Salesperson Request I Salesperson Name Request © 2004 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 10/28/2004 I A