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1475 CHESTNUT AVE; ; CB043596; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB043596 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1475 CHESTNUT AV CBAD POOL 2052207400 Lot #: $18,700.00 Construction Type: BAINES RES-550 SF POOL/SPA 0 NEW Status: ISSUED Applied: 09/17/2004 Entered By: RMA Plan Approved: 10/05/2004 Issued: 10/05/2004 Inspect Area: Applicant: MISSION VALLEY POOLS & SPAS 8284 MIRAMAR RD SAN DIEGO, CA 92126 619-695-2007 Owner: ALLEN-BAINES REX V&DIANE C 1475 CHESTNUT AVE 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 $168.99 $0.00 $109.84 $0.00 $20.00 $27.00 $1.87 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $327.70 Total Fees:$327.70 Total Payments To Date:$109.84 Balance Due:$217.86 2545 10/05/04 0002 01 02 CGF" 217=86 Inspector: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 thai 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. PERMJT CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Depose Validated By. Date flM oftft7/04 3002 01 CG!P 109-84Address (include Bldg/Suite Business Name (at this address) 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 fijyn. Name I A"3ciress J[ ^APHlCANT D Contractor " Q'Agem for Contractor City State/Zip Telephone # Fax # £32)wner C3 Agent for Owner Name 4. PROPERTY OWNER Address City State/Zip Telephone. Address City State/Zip Telephone # (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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section, 703k5rf>y arty-apolicant for a permit subjects the applicant to a civil penalty oj not more.tharLfive hundred dollars [$5001). Name State License # T^' •Designer Name State License # tfOQ^fcCs? ^1* Q_ "^P* Cr> ( /! \ni\ /Jfcffiress License Class t Address City t_- -~iS"^ City City StateVZip Business License tt f a(I *• State/Zip Telephone foHqtfv \\J 9 Telephone ,JB. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: |~| 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. R3°^ 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 ijermit is issued. My worker's corrmenaation insurance carrier and policy number are: _ / / Insurance Company ^^J(-..r^TCjt ^ \—(JLJfl ^ A- Policy No. \~1 ~^»~3, *l IS)& Expiration Date ///7^6? (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/sacun|\workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10p,000),lui addition tbjtbe cost of jcfofnpensation, damages as provided for in Section 3706 of the Labor dode, interest and attorney's fees. SIGNATURE V LXlAj\ ^ C»H 1 *A- 'QJ* XJV-Ov DATE QJ / /'/Ofy ;7. DOWNER-BUILDER DECLARATION^ ' *" ,_ l <• 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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. O YES f~|NO 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-; ,; », " " "7 "; ,; ',. '-, ""*" i 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 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? i~l YES [~1 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d 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^^^^«|R^Siol;HllNG 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". "liPl'UCpTClRTiJclTloF" ' ~ T~ ~ •'; —---,r ;--.- — - -~~~ _- - j- - — - «- - -— -- - 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 issueo/bv thJe puilding 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 cofnn|entafj within 18CJdays from thddate of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencedfcDr a period of 180 days (Section 106.4.4 Uniform Building Code). \ AAA t f r~f iAJL I) i i a\J/V . DATEAPPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/14/2004 Permit* CB043596 Title: BAINES RES-550 SF POOL/SPA Description: Sub Type: 1475 CHESTNUT AV Lot 0 Type: POOL Job Address: Suite: Location: OWNER ALLEN-BAINES REX V&DIANE C Owner: ALLEN-BAINES REX V&DIANE C Remarks: Total Time: Inspector Assignment: PC Phone: 8585498033 Inspector: Requested By: DEANNA Entered By: CHRISTINE CD Description 59 Final Pool Act Comment Associated PCRs/CVs Insoection Historv Date 12/02/2004 10/22/2004 10/22/2004 10/22/2004 10/22/2004 10/21/2004 10/21/2004 10/21/2004 10/21/2004 10/18/2004 10/18/2004 10/15/2004 Description 55 23 51 52 53 23 51 52 53 51 52 51 Fence/Pre-Plaster Gas/Test/Repairs Excav/Steel/Bonding/Fence Underground Plumbing Electric/Conduit/Wiring . Gas/Test/Repairs Excav/Steel/Bonding/Fence Underground Plumbing Electric/Conduit/Wiring Excav/Steel/Bonding/Fence Underground Plumbing Excav/Steel/Bonding/Fence Act AP AP AP AP AP CA CA CA CA NR NR CO Insp PC PC PC PC PC PC PC PC PC PC PC PC Comments PERMIT CARD LOST CORRECTIONS NOT DONE REINF NOT PER PLAN 'tv QJLQj*I1sbajd' BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB 04- 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. 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: Linda Ontiveros City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE:(760)602-2790 H:\Developmem Setvices\MASTERSlfORMS -CHECKLISTS -\BUILDING PLANCHECK CKLIST FORM - POOLS.doc Rev. 8O2/96 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 6O2-8562 BUILDING PLANCHECK CHECKLIST - POOLS o D 1. Provide a fully dimensioned site plan drawn to/scale. Show: A/ North Arrow G< Property Lines ^./Existing & Proposed Structures D. :^/EEasements D D 2. Show on site plan: rainage Patterns D/ Indicate what will happen with xisting & Proposed Slopes / soil excavated from pool area / Existing Topography F' Retainin9 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: DC Site Address 3( Assessor's Parcel Number C. Legal Description rading Quantities - Cut Fill . Import/Export a) If grading is not required, write "No Grading" on plot plan. D D D 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. D D D 5a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, export). D D D 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:\Development Services\MASTERS\FORMS -\CHECKLISTS -\BUILDING PLANCHECK CKLIST FORM - POOLS.doc . Rev. 8/22/98 3RDffl ••• '"**' D D D 5c. A Grading Permit has been applied for: *" "" j "*"" PE2 DWG Grading Inspector sign off by: . • Date: D 5d. No Grading Permit required. ,'~ _ MISCELLANEOUS PERMITS . ". V . """ - — - • , j t, «. ^ •>- . ' " 1 " ^ D 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. " / J" '• • • * f 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.' D D D 7. Remarks ' Page 3 of 3 . ' H:\DevelopmentServices\MASTERS\FORMS-\CHECKLISTS-\BUILDINGPLANCHECKCKLISTFORM-POOLS.doc " •; Rev. 8/22/96 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB.PATE ADDRESS RESIDENTIAL ADDITION MINOR « $10,000.00) OTHER TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING t - PLANNER DATE ENGINEER DATE License Detail Page 1 of2 License Detail Contractor License # 409386 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 friforrnation. ; A • Per B&P 7071:17, 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: 09/17/2004 * * Business Information * * * MISSION VALLEY POOLS & SPAS INC ; s V dba: MISSION VALLEY POOLS & SPAS , 8284 MIRAMAR ROAD - ','"••" , SAN DIEGO, CA 92126 ,.".".,. : Business Phone Number: (858) 695-2007 Entity:Corporation Issue Date: 07/23/1981 Expire Date:,07/31/2005 ,*** License Status *** •.. • ' ' •" 1 " > * * This license is current and active. All information below should be reviewed. *'** Classifications *** Class Description C53 SWIMMING POOL * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number WLI1184661 in the of $10,000 with the bonding company http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 09/17/2004 License Detail Page 2 of 2 INTERNATIONAL BUSINESS AND MERCANTILE REASSURANCE COMPANY. Effective Date: 08/01/1997 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL^): The Responsible Managing Officer (RMO) RC LYNDEL CUNNINGHAM JR certified that he/she owns 10 percent or more of the voting sto of the corporation. A bond of qualifying individual is not required. Effective Date: 07/23/1981 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1733468 Effective Date: 07/0,1/2003 Expire Date: 07/01/2005 ; , Workers Compensation History Personnel listed on this license (current or disassociated),are listed on other licei Personnel List Salesperson List Other Licenses I H •License Number Request m Contractor Name Request m—:—:—— —-r—-rVr—r*rrrrrr_._ f ip • ; .... .'.._ ^—_r3-— j |HContractor Name Request • Personnel Name Request I Salesperson, Name Request © 2004 State of California: Conditions of Use Pnvacy Policy http://www2.cslb.ca.go v/CSLB_LIBRARY/License+Detail.asp 09/17/2004 3. S; o >- (0</) : s S m _i SS O:a < o •o m D- .