HomeMy WebLinkAbout1434 FOREST AVE; ; CB042165; PermitCity of Carlsbad t~ 1635 Faraday Av Carlsbad, CA 92008
06-23-2004 Patio/Deck Permit Permit No: CB042165
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1434 FOREST AV CBAD
PATIO Status:
Lot#: 0 Applied:
Valuation:
1560523200
$4,472.00 Construction Type: NEW Entered By:
ISSUED
06/04/2004
MDP
06/23/2004
06/23/2004 Reference#: Plan Approved:
Issued:
Project Title: WICK RESIDENCE Inspect Area:
88 SF SPA,192 PATIO.GAS & ELEC FOR BBQ,FIREPIT Plan Check#: --· ·-· --·-----.........._
/Aµplicant: -~ <, sc~~~T~~NDSCAPE IN~' I
427 VENTURE ST
ESCONDIDO 92069
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Total Fees: $210.15
Owner:
WICK ROBERT P&FRENCH STEPHANIE J
1434 FOREST AVE
CARLSBAD CA 92008
Total Payments To Date: $39.77
$61.19
$61.19
$39.77
$0.00
$1.00
$0.00
$0.00
$47.00
$0.00
$210.15
Balance Due: $170.38
4999 06/23/04 0002 01 02
CGP 170 .. 38
FINAL APPROVAL
DATE {b ' {, Q
Cc
· . nh · . z__ UJ nri~o PER~T APPLICIION.
CIT F'CAR~ D BUILDIN~MENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY r ,...---
PLAN CHECK NO. Q:l--L\.,lc::>~
EST.VAL. _______ ~~~
Plan Ck. Deposit ___ ..,,_,_~_,~~
Validated Bv·---~---J'--l----'==-
Date, _____ -1..9,./--=h-~~--
Address {include Bldg/Suite #) Business Name {at this address)
Legal Description Lot No. Subdivision Name/Number u~i 66/*~0e4NJ'.)002 tiltal # GQ.Jnits
-~~~~~~~~~~~~~.,---.,---~~~~~~~~~~----c-~--,-,.,---~-C==·G,,._~_.~~--.l.:<-TI
Assessor's Parcel# I s lo -oS i-,~ > 2--Existing Use Proposed Use
Name
3.
Name
4. J~OPERTY OWNfR I J.22 B A+-.v2 ~IJ..Wr e I!: tc.Je:--
Name Address State/Zip Telephone#
5. CONTRACTOR ~ 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
e ption.~ol~~ection 1;1 5 by any app icant for a .,;.rmit su~ts..ze applic nt to a ci; ;;nalty of no more;ha~ive hundred dollars ($500]).
Designer Name
State License # _1_._1-'-''J,_'1_1_.c,Oc._ __
City
6. WORKERS' COMPENSATION
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 t¥work for which this permit is issued.
IS(" 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 ~~mpensation ins~nce carrier an~olicy number are: j /
lnsocanceCompeny \ljtz.G,1/.l/A-.::::Ul'tfT1 LoM\14.J"( U,c Policy No. 065-toc:,!'J5S1 ExpicationDate DI Of OS
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR rntE HUNDRED DOLLARS [$1001 OR LESS) I I
D 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 _____________________________ _
7. OWNER-BUILDER DECLARATION
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 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 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 ______ 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. D YES ONO
2. I (have I 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 I address I phone number I 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 I address I phone
number I 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 I address I phone number I type of work)., ___________________________________________________________ _
PROPERTY OWNER SIGNATURE-----------------------
COMPLETE THIS 'SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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? D YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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.
8. CONSTRUCTION LENDING AGENCY
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 __________________________ _
9. APPLICANT CERTIFICATION
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 Citt 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 5'0u 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 c mmenced w1th~n O days from the date of such permit or 1f the bu1ld1ng or work authorized by such permit 1s suspended or abandoned
at any time after the work is com ced for a pen of 1"9 days (Section 106 4 4 Uniform Building Code) ) /
APPLICANT'S SIGNATURE ~ DATE (q_ 6416±
WHITE: File YELLOW: Applicant PINK: Finance I
. @ City of Carlsbad Bldg Inspection Request
. For: 1 0/04/2004 .
Permit# CB042165 Inspector Assignment: PS
Title: WICK RESIDENCE
Description: 88 SF SPA,192 PATIO,GAS & ELEC FOR BBQ,FIREPIT
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
OWNER
1434 FOREST AV
Lot 0
WICK ROBERT P&FRENCH STEPHANIE J
Owner: WICK ROBERT P&FRENCH STEPHANIE J
Remarks:
Total Time:
CD Description ll.. Comment
Requested By: NIA
Entered By: ROBIN
---
~ --------·-------------
Associated PCRs/CVs
lns1;1ection Histo!}'.
Date Description Act lnsp Comments
09/30/2004 19 Final Structural co PS
08/26/2004 55 Fence/Pre-Plaster AP PS SINK REMOVED
08/24/2004 55 Fence/Pre-Plaster co PS ALARMS OK CORR LISTED ON BACK OF CARD
07/15/2004 23 GasrresVRepairs WC PS
07/15/2004 51 Excav/Steel/Bonding/Fence AP PS
07/15/2004 52 Underground Plumbing AP PS
07/14/2004 51 Excav/Steel/Bonding!Fence co PS
07/14/2004 52 Underground Plumbing co PS NEED 35 PSI TEST & EXPOSE PLUMBING
07/12/2004 51 Excav/Steel/Bonding/Fence co PS
07/12/2004 52 Underground Plumbing co PS NO FENCING
07/01/2004 23 GasffesVRepairs AP PS 3 OUTLETS
06/25/2004 11 Ftg/Foundation/Piers AP PS 2 PATIO FTGS
City of Carlsbad l:ifiHIIMW·lltt•a,;.;;,;;;;;,;.;
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB Ot.f -J_ / {(;5"
BUILDING ADDRESS: ---'-/ Lf_,__3~C/_h?~<=~e~'of~---
PROJECT DESCRIPTION: --'P--'o:..:oc:...I ---------
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
resuzension of permit to build.
By: \~ffe ~ Date: ((}/cJ-3/d-f
ATTACHMENTS
Grading Permit Application
Grading Permit Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal
Checklist and Information Sheet
DENIAL
Please see ~ attached report of deficiencies
marked with D. Make necessary corrections to
plans or s ifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
By: ~~z;:-~-Date: (o/qa/o</
By: Date:
By: ---------Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: Taniya Barrows
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE: (760) 602-2773
H:\Development Servlces\MASTERSIFORMS ·\CHECl<LISTS-\BUILOING PLANCHECK CKLIST FORM -POOLS.doc
Rev. 8122/96
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @
0
BUILDING PLANCHECK CHECKLIST • POOLS
Jt1b wl1
~ace.a,/ 3
SITE PLAN Yl'la? \3q15
1. Provide a fully dimensioned site plan drawn to scale. Show:
~orthArrow
¥. Existing & Proposed Structures
~roperty Lines
-e:-Easements
,
All~ ; (\.~ ,.,,A-~~
2. Show on site plan:
~nage Patterns ~~f ~ting & Proposed Slopes
.c.,-6isting Topography
~icate what will happen with
-~oil excavated from pool area
,,E" Retaining Walls ~·· 0-~'
~~sg·
0 0
0
0
(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:
~ite Address
~ssessor's Parcel Number
e-:---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: _________ Date:
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for grading permit are found in Section 11.06.030
of the Municipal code.
O Sa. Inadequate information available on Site Plan to make a determination on
grading requirements. Include accurate grading quantities (cut, fill, import,
export).
O Sb. 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:\Oevelopment Sefvlces\MASTERS\FORMS ·\CHECKLISTS ·\BUILDING PLANCHECK CKl1ST FORM· POOLS.lloc Re~. 8122196
1sr; . 2'-iD.t. 3RD;
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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.
V (~ ~ [ocaJ-,~ separate Right-of-Way issued by the Engineering Department is required
O _{l-u.)O~ 0.. ~ o VJ for the following:
<Si¥-~\a'Vl
(ff) fOC,V\ ?-ow
'v,~c.lo.; \'t(QI l o.be,j w
~~~~~~~~~~~~~~~~~~~~~~~~~~
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.
Cl 7. Remarks
Page 3 of 3
H:\Development Servlces\MASTERS\FORMS ·\CHECKLISTS -\BUILDING PLANCHECK CKLIST FORM-POOLS.doc Rev. 8122196
~DO
9\DD
,~DD
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
~~r,--Address /43tj Pt)JL~[ fut€
Planner __,~~-"'~Lf.:.!::;=l~~=:::--Phone (760) 602-_,qw'rjj'""-·~'""'-S:.._ ___ _..;._
APN:_--1..._,""°_......._...._...,,,,_ _ __,"-"'=-------------------
Type of Project & Use: ___ ~---Net Project Density: !!} DU/AC
Zoning:{<.-/ General Plan: /, l-/VI Facilities Management Zone:-~---
CFO (in/out) #_Date of participation: Remaining net dev acres: __ _
Circle Ona (For non-residential development: Type of land used created by this
permit: )
Legend: ~ Item Complete D Item Incomplete -Needs your action
Environmental Review Required: YES_NO~ TYPE __ _
DATE OF COMPLETION:--------
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required: YES __ N02(... TYPE ____ _
APPROVAURESO.NO. ______ DATE __ _
PROJECT NO. _________ _
OTHER RELATED CASES: __________________ _
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval: _______________________ _
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES __ NoX
CA Coastal Commission Authority? YES__ NoK
If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive, Suite 103,
San Diego CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
Coastal Permit Determination Form already completed? YES __ NO __
If NO, complete Coastal Permit Determination Form now.
Coastal Permit Determination Log #:
Follow-Up Actions:
1) Stamp Building Plans as "Exempt'' or "Coastal Permit Required" (at minimum Floor Plans).
2) Complete Coastal Pl3rmit Determination Log as needed.
lnclusionary Housing Fee required: YES __ · NO l{
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Data Entry Completed? YES __ NO __
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N,
Enter Fee, UPDATE!) .
Site Plan:
H:\ADMINleOUNTER\BldgPlnchkRevChklst Rev 9/01
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1·. Provide a fully dimensional site plan drawn to scale. Show:. North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, right-of-way
width, dimensional setbacks and existing topographical lines (including all side and rear yard
slopes).
2. Provide legal description of property and assessor's parcel number.
Policy 44-Neighborhood Archltect'x':Deslgn Quldelines
1. Applicability: YES NO
2. Project complies YES NQ. __ _
Required ______ Shown _____ _
Required Shown _____ _
Required Shown---~--
Required Shown _____ _
Required Shown------
2. Accessory structure setbacks:
Front: Required ______ Shown------
Interior Side: Required Shown------
Street Side: Required Shown _____ _
Rear: Required Shown _____ _
Structure separation: Required Shown _____ _
3. Lot Coverage: Required ~ l/0 L-Shown C L/0 ° ( ...
4. Height: Required ______ Shown _____ _
5. Parking: Spaces Required Shown _____ _
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required Shown _____ _
~ D Additional Comments tne ptau me n.f ()£ de/7:u;hed,,
ac.. c.-eJ,se>r j , 5ftvc;fv res: .mao h4.ft:(,
Pl/klfflJ
OKTO ISSUE AND ENTERED APPROVAL INTO COMPUTER 't=>:#~ DATE \L/'.23) tJY
H:IAOMINICOUNTEA\BldgPlnchkRevChklst Rev 9/01
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