HomeMy WebLinkAbout1380 CYNTHIA LN; ; CB060530; Permit03-10-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No: CB060530
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1380 CYNTHIA LNCBAD
POOL
1562315400 Lot#:
$16,340.00 Construction Type:
FROST RES- 430 SF POOL/SPA
0
NEW
Status: ISSUED
Applied: 02/28/2006
Entered By: LSM
Plan Approved: 03/10/2006
Issued: 03/10/2006
Inspect Area:
Applicant:
SANDPIPER POOLS INC
2005 S ESCONDIDO BLVD
ESCONDIDO, CA 92025
619-489-6328
Owner:
FROST STEPHEN P&MARLA S
1380CYNTHIALN
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
$153.59
$0.00
$99.83
$0.00
$20.00
$27.00
$1.63
$0.00
$0,00
$0.00
$0.00
TOTAL PERMIT FEES $302.05
Total Fees:$302.05 Total Payments To Date:$302.05 Balance Due:$0.00
Inspector:
FINALAPPROVAL
Date:?' 7" *£Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "imposition1 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 similar to this, or as to which the statute of limitations has previously otherwise expired.
03-10-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Right of Way Permit Permit No: RW060092
Job Address:
Permit Type:
Parcel No:
Start Date:
Insurance Expire:
Liability Insurance:
Reference*:
Location:
Project Title:
Description:
1380 CYNTHIA LNCBAD
ROW
1562315400
11/21/2006
Y
Subtype:
Lot#:
Est Complete Date:
Traffic Control Plan:
GOP:
MINOR
0
Status: ISSUED
Applied: 03/07/2006
Issued: 03/10/2006
Expired: 09/10/2006
Entered By: JJ
FROST RESIDENCE
POOL & SPA
Applicant:
SANDPIPER POOLS INC
STEA
300 ENTERPRISE ST
ESCONDIDO CA 92029
951-204-3487
Total Fees:$290.00 Total Payments To Date:$290.00 Balance Due:$0.00
Permit Fee
Additional Permit Fee
Other
Additional Fees
TOTAL PERMIT FEES
$290.00
$0.00
$0.00
$0.00
$290.00
This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion
of the work or if the work does not meet City Standards. The applicant may be billed for the cost of any corrective work that the
City must perform.
Permit Release Date Released Cash Deposit?
YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK.
UNDERGROUND SERVICE ALERT NO.
IF ANY EXCAVATION OR BORING IS DONE.
THIS PERMIT IS INVALID WITHOUT THIS NUMBER
PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLYPLAN CHECK NQ.&60& C7^"3QEST. VAL.Plan Ck. DepositValidated ByDateAddress (include Bldgfeuite #)Business Name (at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of unitsAssessor's Parcel #Existing Use Proposed UseDescription of Work SO. FT.2. CONTACT PERSON (if different from applicant)
pA A/ pnuaea~t~fs
#of Stories # of Bedrooms # of Bathrooms
Name / Address
Q Contractor ';vfsJ-SgSHbr'.Contractor : :Q :0wner
State/Zip Telephone #Fax*
C-/±-
Name Address City State/Zip Telephone #
-4-CA&kJte^ CA~
Name Address }&$& C- l/^/A/^/V> City State/Zip Telephone #
5. CONTRACTOR "GOMPANY NAME ; ".-•:•'-"'^'- • '^'; f-",'":''•"'•'•• "'•'•''•• • .'•. '-""::='• '• "••'•'•••>•'. ;-";•;•-: >'H ^ ;':i:S:-;= p';-/-^1" -;: '.:•; J/h-^ "•: 'z:-'';-2"-'
(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
[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 allege'
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 [$500]}.
Name
State License #
Address
License Class
City State/zip
City Business License #
Designer Name
State License #
Address City State/Zip Telephone
is COMPENSATION ; :*-.. •>.;:'/;;:-.; •':; -:..;. ••;•'. *;'.- .-:: ;; •: ."* = '• -.; •-.•$ *'-••••'•»'.: • •$ ":$ \. '^'& %: \ ;'• •;':? • >•'&$ 3:>-" •-,;>; '• ''•• y V-- v :.i:! r^--1' ••. :?:i
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.
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: -
Insurance Company ^->'rr'TL<? -VtA(_Ao-C__ Policy No. / 5 t? « / » ^ Expiration Date / c* "^ ' &**
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
0 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), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE DATE
^^OW«Ef^U« --: ..' : •' '•:• •>:.'!•:•. •"= :::; '•:: [ M ^ '"'•.:: "•: ''' • •"'•"• • •' >'. I'' "•"< '-"L":- *:••'"• fyyi™ ;*$3<,~~.*r',%.-.- ^ f'": &™'!".,-.: ^ I-: '< •
1 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
NO
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? Q 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 Y£S
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.
iSy^lCQ:^^ Y:. :. • : ;; • :.!--:;-:;v:.:.-!.-|r;. • • .;..._•• .,,..'' .•...,-;:;/;. -•,; v/';":'-;";: .=- ; ; ' r > • '.C':.
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 Ihe 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 commeneecHpr'a period,«f38D dsgfB (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/06/2006
Permit* CB060530
Title: FROST RES- 430 SF POOL/SPA
Description:
Inspector Assignment: PY
Type: POOL Sub Type:
Job Address: 1380 CYNTHIA LN
Suite: Lot 0
Location:
APPLICANT SANDPIPER POOLS INC
Owner: FROST STEPHEN&MARLA REVOCABLE TRUST 04-25-06
Remarks:
Phone: 7604896328
Inspector
Total Time:
CD Description
59 Final Pool
Requested By: MICHELE
Entered By: CHRISTINE
Act Comment
Comments/ Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description
06/23/2006 59 Final Pool
06/06/2006 53 Electric/Conduit/Wiring
06/06/2006 55 Fence/Pre-Plaster
04/11/2006 53 Electric/Conduit/Wiring
04/07/2006 53 Electric/Conduit/Wiring
03/31/2006 23 Gas/Test/Repairs
03/31/2006 51 Excav/Steel/Bonding/Fence
Act Insp Comments
NR PY
AP PY OK TO PLASTER
AP PY ALARMS OK
PA PY CONDUIT ONLY
CO JM MISSING FENCE
AP PY
AP PY
City of Car Is bad
Public Works
BUILDING PLANCHECK CHECKLIST
POOLS
Engineering
BUILDING PLANCHECK NUMBER; CB
BUILDING ADDRESS: I3&O LtL
PROJECT DESCRIPTION: Pool
ASSESSOR'S PARCEL NUMBER: /5% '£31
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 susgejasion of permit to build.
Date:
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
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: JOANNE JUCHNIEWICZ
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE:(760) 602-2775
H:\WOMKDOCgCHKlST\PooUfrtldlnn Punchy r*** rniO4 FonnBE doe """ "ffff**
1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 6O2-2720 • FAX (760) 6O2-8562
NEV RCV
Q
G
Q
Q
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
Q 1. Provide a fully dimensioned site plan drawn to scale. Show:4 vt -
A. North Arrow
B. Existing & Proposed Structures
2. Show on site plan:
A. Drainage Patterns
B. Existing & Proposed Slopes
C. Existing Topography
C. Property Lines
D. Easements
D. Indicate what will happen with
soil excavated 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:
A. Site Address
B. Assessor's Parcel Number
C. Legal 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 2
H:VWORtWOCSCHKLSmal BdkNng Ranch** CMM CHK24 Fwm BE.dOC
Q
2ND/
Q''
3RCV
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:
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
H:\WOROTX>CSV>IKLST\P«it BuUdUg Planch** CUM CHK24 Forni BE.dOC
POLXCYHOLDER COPY SO
COMPBNSATION
INSURANCE
FUND
P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 12-01-2005 GROUP:
POLICY NUMBER: 1328184-2005
CERTIFICATE If* S3
CERTIFICATE EXPIRES; 12-O1-2OQ612-O1-20OS/12-O1-2OOB
CONTRACTORS STATE LICENSE BOARD
WORKERS' COBBVENSATZOM UNIT
P O BOX 26OOO
SACRAMENTO CA 05826
30 LICENSE NUMBER '-if 431997
INCEPTION DATC:12-01-2OO9
130: SD
This is to certify that we have 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 policy is not subject to cancellation by the Fund except upon 33 day* advance written notice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other documentwith respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
afforded by the poNcy described herein is subject to all the terms, exclusions, and conditions, of such policy.
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: JI.OOO.OOO PER OCCURRENCE.
ENDORSEMENT #1COO - LYNNDA DOUQHCRTY, PRES SEC - EXCLUDED.
ENDORSEMENT #1600 - DANIEL H. DOUGHERTY, SR., CHAIRMAN OF BOARD - EXCLUDED.
ENDORSEMENT *206S ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-1909 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
SANDPIPER POOLS, IMC
300 ENTERPRISE ST STE A
ESCONDXDO CA 92029
SO
M0410
(REV. 2-05)PRINTED : 11-17-2OOS
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER ca O(oOS-«So.DATE 8 >-
ADDRESS
/ >-\
C ^
RESIDENTIAL ADDITION MINOR
« $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER DATE j
ENGINEER DATE
as<
*$4 (ft
\
V
^o
^
•>
\v^
-H
t\/>*