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1416 CRESSA CT; ; CB010730; Permit
03/01/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB010730 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1416CRESSACTCBAD POOL 2156212700 Lot# 0 $26,200 00 Construction Type NEW O'CONNOR RES-800 SF POOL/SPA Status ISSUED Applied 02/20/2001 RMA 03/01/2001 03/01/2001 Entered By Plan Approved Issued Inspect Area Applicant GREEN LAND CO 1270 PLUM TREE RD CARLSBAD, CA 92009 760-4329999 Owner OCONNOR DONALD J&JENNIFER 1416CRESSAWAY CARLSBAD CA 92009 2939 03/01/01 0002 01 02 CGP 275 = 93 Total Fees $423 03 Total Payments To Date $147 10 Balance Due $275 93 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 TOTAL PERMIT FEES $226 31 $000 $147 10 $000 $2000 $2700 $262 $000 $000 $000 $423 03 Inspector FINAL APPROVAL 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 capactiy 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 given 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 . PROJECT INFORMATION , FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit ValidaterJ-By Date ; _L Address (include Bldg/Suite #)Business Name (at this address) Legal Description Assessor s ParcfiUj f* Description of Work Lot No Subdivision Name/Number Existing Use SO FT #of Stories UnifiNo Q2/2Phas€.No3Q02 Total tt ofjjnits Proposed Use 1~ ~ * tt of Bedrooms tt of Bathrooms 2 "" CONTACT PERSON (if different from applicant) Name Address 3 3 APPLICANT '"'Htcpntractpr D Agent for Contractor D Owner '" City Q, Agent for Owner State/Zip Telephone tt Fax* Name 4% PROPERTY OWNER• Address City State/Zip Telephone # Name 55 C"OlNTRACTbR COMPANY NAME (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 ($5001) Name State License tt & i Designer Name State License # 6 WORKERS COMPE Address 'b$2J$ License Class £- 2.~7 Address iNSA I ION ^:.^;.::.::'ii^. :. ^ hH^.:*:!:. .. ,£?.;,.. City State/Zip1 oCity Business License tt / &• City State/Zip .ir .....:.-" Telephone # 0(*t~/£ Telephone ,. •'"; ... '?*":K.::: "1 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 ^[ 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 __ j / <? 9 -*>& "3 ^ r Expiration Date ^/O/ /£>/Insurance Company Policy No (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 cornpensationtcoverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 OOOi in addition Iq.thelc&ist oflcompensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE .-A-flLJU. >—._ Vr'-.l/djA -- . - _ DATE i3.//£ /O / 7" OWNER BUILDER DECLARATION 'k '!'77' ' il: JlV-"""' "•""^ " .." i "It '""" "" I hereby affirm that I am exempt from the Contractor s License Law for the following reason |~| I as owner of the property or my employees with wages as their sole compensation will do ths 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) f~l 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) f"| 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 O YES [~|IMO 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 COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS^ONLY ^;; .,;=»' ,„ . ,i, "* : , Is the applicant or future building occupant required to submit a business plan acutely hazardous mdterials registration form or risk 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 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 D 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 (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS <F AP^UCANfCERfiFICAflbN,^ " "f"^ ff!" , "J? ~\.a: f1 "T.ii T '"°'~ """ f l^i-P I 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 undjjr 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 fifjrmthe 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 far a period of 180 r/ajs Qpfttion J06 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/25/2001 Permit# CB010730 Title O'CONNOR RES-800 SF POOL/SPA Description Inspector Assignment PD Type POOL Sub Type Job Address 1416 CRESSA CT Suite Lot 0 Location APPLICANT GREEN LAND CO Owner OCONNOR DONALD J&JENNIFER Remarks Phone 7604329999 Inspector Total Time CD Description 59 Final Pool Requested By JAY Entered By BARBARA Act Comments Associated PCRs Inspection History Date Description Act 05/16/2001 55 Fence/Pre Plaster AP 05/15/2001 55 Fence/Pre Plaster CO 04/10/2001 51 Excav/Steel/Bondmg/Fence AP 04/09/2001 51 Excav/Steel/Bonding/Fence CO 04/09/2001 52 Underground Plumbing CO 04/09/2001 53 Electric/Conduit/Wiring CO 03/16/2001 21 Underground/Under Floor AP 03/16/2001 31 Underground/Conduit-Wiring AP SEE NOTICE ATTACHED Insp Comments PD PD RB RB SEE ATTACHED NOTICE RB RB PD GAS PD City of Carlsbad Bldg Inspection Request For 05/15/2001 Permit# CB010730 Title O'CONNOR RES-800 SF POOL/SPA Description Inspector Assignment PD Type POOL Sub Type Job Address 1416CRESSACT Suite Lot 0 Location APPLICANT GREEN LAND CO Owner OCONNOR DONALD J&JENNIFER Remarks Phone 7604329999 Inspector Total Time CD Description 55 Fence/Pre-Plaster Requested By JAY Entered By ROBIN Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 04/10/2001 51 Excav/Steel/Bondmg/Fence AP RB 04/09/2001 51 Excav/Steel/Bondmg/Fence 04/09/2001 52 Underground Plumbing 04/09/2001 53 Electric/Conduit/Wiring 03/16/2001 21 Underground/Under Floor 03/16/2001 31 Underground/Conduit-Wiring CO RB SEE ATTACHED NOTICE CO RB CO RB AP PD GAS AP PD NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE PERMIT NO il) DATE ^ '-* TIME. LOCATION A £0/1 FOR INSPEGTK/N CALL (760) 602 2725 RE INSPECTION FEE DUE1? FOR FURTHER INFORMATION CONTACT PHONE BUILDING INSPECTOH CODE ENFORCEMENT OFFICER CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE -~> LOCATION PERMIT NO ^ ^ " / * TIME -r: t, 5 t ifj < > / c c 5 I / / I—I FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE? ! I YES , / FOR FURTHER INFORMATION CONTACT (//:PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © /I City of Carlsbad Bldg Inspection Request For 04/09/2001 Permit# CB010730 Title O'CONNOR RES-800 SF POOL/SPA Description Inspector Assignment PD 1 41 6 CRESSA CT Lot Type POOL Sub Type Job Address Suite Location APPLICANT GREEN LAND CO Owner OCONNOR DONALD J&JENNIFER Remarks Phone 7604329999 Inspector Total Time Requested By JAY Entered By CHRISTINE CD Description 51 Excav/Steel/Bonding/Fence Act Comments CjO 52 53 Underground Plumbing Electnc/Conduit/Wirmg 1 1 I Associated PCRs Inspection History Date Description Act Insp Comments 03/16/2001 21 Underground/Under Floor AP PD GAS 03/16/2001 31 Underground/Conduit-Wiring AP PD NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE 'DATE ' _ TIME LOCATION PERMIT NO A Ls7<;^// S^et? / jets o K FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE ? YES FOR FURTHER INFORMATION CONTACT PHONE BUILDING INSPECTOFf CODE ENFORCEMENT OFFICEER ® City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB QJ - 73<3 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 suspension of permit to build By Date DENIAL Please see thg^ttached report of deficiencies marked wrfn 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 ATTACHMENTS [] Grading Permit Application [] Grading Permit Checklist D Right-of-Way Permit Application D Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT CONTACT PERSON NAME TANIYA WADE City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2773 ±l WORD\DOCS\CHKLST\Pool Buildin; Planchei* Cktel CHK24 Foim DUH On- 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-272O • FAX (760) 602-8562 Q Q Q Q Q Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN Provide a fully dimensioned site plan drawn to scale Show North Arrow (^>>Property Lines Existing & Proposed Structures ^B^Easements Show on site plan what will happen with - ^=^\ soil excavated from pool area ( E>R6!aihing Walls — ^^ (location and height) Drainage Patterns Existing & Proposed Slopes Of Existing Topography 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 Z Include on title sheet ite Address Assessor's Parcel Number 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 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 * sv Q Q Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by __ Date _ Q Q 5d No Grading Permit required MISCELLANEOUS PERMITS $r Q 6 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent tot he public Right-of-Way \A A1 1 X^ A seParate Right-of-Way issued by the Engineering Department is required •'for the following Please complete attached Right-ofWay 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 Q 7 Remarks Page 2 of 2 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB O\ - O7SQ DATE ADDRESS RESIDENTIAL ADDITION MINOR (< $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE Does/Mlsforms/Pianmng Engineering Approvals (An Inter Inaunmc* Exchange Hereinafter Sometime.! Refarrud Tu A& Thi* OGmpa v " Compensation 4680 Wilshire Blvd -Los Angeles, CA 90010 Information Page Name of Employer Mailing Address PEBANI , JAY (AN IND) DBA GREENLAND LANDSCAPING 1270 PLUM TREE STREET CA 92009 N2008-76-50 00 Policy No of the Co X d tibovg 2000 Policy Yo WESTERN-WCC CARLSBAD Other workplaces not Shown above 1270 PLUM TREE STREET '.. CARLSBAD CA 92009 Renewal of Policy No 99-65-32P Ayunt teaulny OitiL** Prematic A'-cl No 3306*49 72'; Federal icbntific.iiiOM I liif|t(!eQal Entity fx] Individual) I Partnership f~] Corporation .'•*!«6Vt'MJ^ ; " ^~^ — —Other This policy is from (12 01 A M Standard Time but not prior to time applied for),iiiv. jnsure(j'S mai||ng address 04/01/00 policy will continue for successive policy periods as follows If we elect to continue this insurance, we will it-iujw/ If you pay the required deposit premium for each successive policy period subject to our premiums and rules (h [ Any balance due us must be paid by the renewal date 'orkera Compensation Insurance Part One of this policy applies to the Workers Compensation Law of the State of Calik>iy^-KiiH 'it limits of our liability under Employers Liability Insurance Part Two are '$%£' 1,000,000 each accident - Bodily Injury by Accident 1 ':U'.)k 'L"i«! •'"• 4 ft rt /\ f\ n f\ *^ ^. f*l~ f* MA w I A L > ,*i A t") .«. *J 111 i I n i • • vi * It i r P\ I f\ j-i f\ ft j-i1 , 000, 000 each employee - Bodily Injury by Disease ' , 1 ,000,000 policy limit - Bodily Injury by Disease premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Ratuiy S Information required below is subject to verification and charge by audit Minimum Premium for this Policy shall be $3,795 00 Deposit Premium $000 Classification of Operations Entries in this item, except as specifically provided elsewhere Uhithis policy, do not modify any of the other provisions of this policy CONTINUOUS POLICY ^|iE,;< CLASSIFICATION OF OPERATIONS SCHEDULE Your Workers' Compensation premium may be subject tomidterm adjustment, for the unexpired term of your policybecause the Insurance Commissioner of California has the authority to disapprove rates Code No Premium Basis Estimated Total AnnualRemuneration Rates Per $100 of Remu-neration TOTAL ESTIMATED ANNUAL PREMIUM Estimated AnnualPremium 6,51 The language of Ihe classification or classifications of operations inserted in the policy information pags shall no! be mi. >, to extend insurance, or obligate us to the payment ot benefits, to any person who is excluded from insurance bystatement elsewhere in this policy or in any endoisement Total Deposit Premium $0 00 Cash $ SEE INVOICE Other Crednt $ SEE INVOICE Balance due $ SEE INVOU $ Premium for increased limits part two (if applicable) Tola) Premium subject to the experience modification % Premium modilied to reflect experience modification 38 00 Other Premium charges 6,513 00 Total Estimated Standard Premium This policy includes these endorsements and Sci- 90-9008 90-9031 90-9032 56-5285 90-9005 90-9032B WCOOOOOOA WC040601A 25-2320 WC040407 If indicated below interim adjustments of premium shall be made CpSemj-AnnuallyimQuarterlyCHMonthly C2ILevel Premium Plan ''WESTERN-WCC 05/17/00 TRUCK INSURANCE EXCHANGE Truck Underwriters Association, AUy in MID-CENTURY INSURANCE COMPANY < PLACE '.«'* '••! 'Countersigned DATE Authorised Representative Vice-President EDITION (B) 10 Hi (WC 00 00 01 A ED B Jtij Includuu nuioridl of National Council on Compensation Insurance Copyright IU87 . CN T I L „.,_