HomeMy WebLinkAbout1588 TRITON ST; ; CB071672; Permit07-02-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No CB071672
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1588 TRITON STCBAD
POOL
2150750800 Lot#
$10 868 00 Construction Type
SIERRA RES- 286 SF POOL/SPA
0
NEW
Status ISSUED
Applied 06/19/2007
LSM
06/28/2007
Entered By
Plan Approved
Issued
Inspect Area
06/28/2007
Applicant
SUNDANCER POOLS
728 INPIRATION
ESCONDIDO CA 92025
760-489-5850
Owner
SIERRA SANTIAGO A&VIRGINIA T
1588TRITONST
CARLSBAD CA 92011
Building Permit
Add'l Building Permit Fee
Plan Check
Add I Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
ATTACHED
$10739
$000
$6980
$000
$2000
$2700
$1 09
$000
$000
$000
$000
TOTAL PERMIT FEES $225 28
Total Fees $225 28 Total Payments To Date $225 28 Balance Due $000
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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATIONj
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO (2&
EST VAL
Plan-Ck Deposit
Validated By
Date 6
10.
Business Name (at this address)
Lot No Subdivision Name/Number Unit No Phase No Total tt of units
Existing Proposed Use
Description of Work
|2^y::;::^OiffACT:P"EisbN (ifidifferentJronKppiicant)
SQ FT #of Stories # of Bedrooms # of Bathrooms
Address City
fid Contractor,;? • d Agentlor Contractor™ d Owner 3|i]: Agent for Owner
State/Zip Telephone tt Fax tt
State/Zip Telephone tt
Name
15 ''^^CONTRACT-OlCiCOMPANY NAJBJE
(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
exe/fTp'tion Any violation of Sect|§i) 703 V5,by any^apphcarjt for. a permr^subjects^he applicant to a civil^penalty of not more than five hundred doNars, [$500J)
'rf^'fatt
Designer Nanrv
State License #
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/the work for which this permit is issued
**B^ 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 comijensationinsurarMeTiarrier arid policy number are r^f^lfy /*~XOr"7f<"~'
Insurance Company ^T\£JC(£/ TUJI fjl Policy No [J / jj& I,' l^> Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
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<Q00) in afldition to.the cost of condensation damages as provided for in Section 3706 of the Labor code^iriterjst-jmd attorney s fees
,7i. OWNERIBUILDE'RDECLARATION •' fj„/" ' ,. 7 ~ 4
I hereby affirm that I am exempt from the Contractor s License Law for^e 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 wo/k 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 witrmjone 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*8f~the-ntnpertv am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code Theas owner i
Contractor s License Law does not lip
pursuant to the Contractor s License Law)
d I am exempt under Section
ei of property who builds or improves thereon and contracts for such projects with contractor(s) licensed
Business and Professions Cod
1 I personally plan to provide the major labor and materials for construction of the proposed propferm^mprovement l~l YES [~|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
JCOMPLETE THIS
DATE.
BUItmJNG PERMITS.pNLY 3:!
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 und^r Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? d YES d NO
Is the applicant orTOtofeJjLHldjng occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed withirTToeft4eeXofthe outer boundary of a school site? d YES d NO
IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFicATE-dRQCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANDTrFfETAU^POLLUTION CONTROL DISTRICT
\8. = CQNSjlUCTipriLENbiNGi AGENCY" if r
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
APPLICANT CERffFiCAtibN
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 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 commen)seji/tor a period of/et^dj^ys (Section 1JJ6 4 4 Uniforrr^euilajng Corje)
APPLICANT S SIGNATURE /\fKTMSf> /JZ-JLesmZC/'. /rT7££Sl-f' DATE
YELLOW Apphc/nt PINK Finance
City of Carlsbad Bldg Inspection Request
For 12/14/2007
Inspector Assignment JMPermit* CB071672
Title SIERRA RES- 286 SF POOL/SPA
Description
1588 TRITON ST
Lot
Type POOL Sub Type
Job Address
Suite
Location
OWNER SIERRA SANTIAGO A&VIRGINIA T
Owner SIERRA SANTIAGO A&VIRGINIA T
Remarks
Phone 7604895850
Inspector
Total Time
CD Description
59 Final Pool
Requested By JOHN
Entered By KATHY
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
11/21/2007 55 Fence/Pre Plaster
08/30/2007 23 Gas/Test/Repairs
08/30/2007 52 Underground Plumbing
08/30/2007 53 Electric/Conduit/Wiring
08/10/2007 51 Excav/Steel/Bondmg/Fence
08/10/2007 52 Underground Plumbing
Act Insp Comments
AP PC
AP JM EQUIP/PIT/BBQ
AP JM
AP JM
AP JM OK TO GUNITE - LIGHTS/EQUIP/FENCE
AP JM
s bad
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER CB O7//$
BUILDING ADDRESS TVl<T-pVv
PROJECT DESCRIPTION Pool
ASSESSOR'S PARCEL NUMBER <2-t$'' 07S '
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/snsReflSfQFKbf permit to build
_ DateBy
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 \WORD\DOCSCTKLS-nPool Building Plancheck Cklist CHK24 Form BE .doc
1635 Faraday Avenue • Carlsbad, CA 92008-7314 « (76O) 6O2-2720 • FAX (760) 602-8562
2ND/
Q
Q Q
Q Q
Q
BUILDING PLANCHECK CHECKLIST-POOLS
SITE PLAN
1 Provide a fully dimensioned site plan drawn to scale Show
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 QQ 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 \WORD\DOCS\CHKLS'nPool Building Plancheck Cklisl CHK24 Form BE doc
•jST/ "* 2ND^~ gRD/"
Q Q 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
Q Q 7 Remarks
H \WORD\DOCS\CHKLST\Pool Building Plancheck Cklisl CHK24 Form BE doc
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CBQ7 ~ / (o"7 3L DATE (A- SLO -
ADDRESS /S88TVt-(:ov\
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
« $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER -H-
PLANNER
ENGINEER DATE
oocsMnronramanning Engmnrlng AoprovaS
Is,
'0
728 INSPIRATION LANE • ESCONDIDO, CA 92025 • (760) 489-5850
CONTRACTOR S LICENSE NUMBER C53 482435
Mar 27 06 02 50p Sundancer Pools 76CM89-5890
POLICYHOLDER COPY
k
•X • B_L
PO. BOX 420807, SAN FRAIMCISCO,CA 94142-0807
•FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE. O4-11-2OO6 GROUP-
POLICY NUMBER: 0735975-2006
CERTIFICATE ID 11
CERTIFICATE EXPIRES O4-11-2OO7
O4-11-2O06/O4-11-2OO7
SD
COMPENSATION
INSURAN CE
STATE CONTRACTOR'S LICENSE BOARD
P 0 BOX 26000
SACRAMENTO CA 95826
SD LICENSE NUMBER LICENSE K 482435
INCEPTION DATE O4-11-2O06
00 SO
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved fay 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 30 days advance written notice to the employer
We will also give you 33 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 documert
with respect to which this certificate of insurance may be issued or to which it may pertain the insurance
afforded by the policy described herein is subject to all the terms exclusions and conditions of such policy
PRESIDENT
UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING
THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER,
EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING
CALIFORNIA WORKERS' COMPENSATION BENEFITS, EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'
COMPENSATION LAW
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1.OOO.OOO PER OCCURRENCE
ENDORSEMENT 02065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE O4-11-1S8B IS
ATTACHED TO AND FORMS A PART OF THIS POLICY
EMPLOYER
WILLIAMS, DAVID A AND
DBA SUNDANCER POOLS
728 INSPIRATION LN
ESCONDIDO CA 82O2B
WILLIAMS, SUSAN C SD
(REV 2 OS)PRINTED O3-18-2OO6
M041O