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HomeMy WebLinkAbout1627 CORTE ORCHIDIA; ; CB050191; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB050191 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1627 CORTE ORCHIDIA CBAD POOL 2159503100 Lot# 0 $1360000 Construction Type NEW HOLSTEN RES 400 SF POOL/SPA plicant SANDPIPER POOLS INC Status Applied Entered By Plan Approved Issued Inspect Area 2005 S ESCONp.LE>eTBLVD DA 92025 6194896328 Owner HOLSTEN TIMOTHY&ANDREA 1627 CORTE ORCHIDIA CARLSBAD CA 92009 ISSUED 01/19/2005 LSM 01/25/2005 01/25/2005 Building Permit Add I 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 $13049 $000 $8482 $000 $2000 $2700 $1 36 $000 $000 $000 $000 TOTAL PERMIT FEES $263 67 Total Fees $263 67 Total Payments To Date $84 82 Balance Due $17885 0296 01/25/05 0002 01 02 CGP 178.85 BUILDING PLAN^ STORAGE .ATTACHED Inspector FINAL Date Clearance NOTICE Please take NOTICE that approval of your project includes tne Imposition of tees dedications reservations or other exactions hereafter collectively referred to as fees/exactions YOJ nave 90 days from :he date tn.s permit was issued to protest imposition of these fees/exactions li you protest them you must follow the protest procedures set rortn in Government Code Section. 66020(a) and file the protest and ar.y oiher required information with the City Manager for processing in accordance with Carlsoad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review se: aside vo.d or annul their imposition You aie hereby FURTHER NOTIFIED thai your right to protest the specified fees/exactions DOES NOT APPLY to water arid sewer connection fees and capacity changes nor panning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exael'ons of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired 01-25-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Right of Way Permit Permit No RW050017 Job Address Permit Type Parcel No Start Date Insurance Expire Liability Insurance Reference* Location Project Title 1627 CORTE ORCHIDIA CBAD ROW 2159503100 11/21/2005 Y CB050191 Subtype Lot# Est Complete Date Traffic Control Plan GOP MINOR 0 Status ISSUED Applied 01/21/2005 Issued 01/25/2005 Expired 07/31/2005 Entered By TNKB Applicant SANDPIPER POOLS INC HOLSTEN RESIDENCE PUObASPA 2005..SLESCDNBtDO BLVD ESCONDIDO, CA 92025 619-489-6328 Total Fees $265 00 Total Payments To Date $000 Balance Due $265 00 Permit Fee Additional Permit Fee Other Additional Fees TOTAL PERMIT FEES $265 00 $000 $000 $000 $265 00 0l/25/05 0002 Qi CGP 265-00 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 Deposit7 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 APPLICATION 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 Deposit Validated By. Date 5? ^/, 1? 3L // Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Numberlion Name/Numb( 9F/7 Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work SQ FT 2 CONTACT PERSON (if different from applicant) /3/T #of Stories # of Bedrooms jO0t<Gjl # of Bathrooms ;g^7^.3^f Address CityVT" ' ' ^*i~~~3 APPLICANT:JjE] Contractor S"Agent for Contractor;;^-:Q Owner [] AgeriOor Owner State/Zip Telephone #Fax # Nanfe 4 PROPERTY OWNER Address City State/Zip Telephone # Name 5 CONTRACTOR ::::•:.. . "."!•= d-A face.? Address City State/Zip COMPANY NAME 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 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 I $5001) State License # ^ -£ Address License Class „ ^ — J City State/Zip Telephone # City Business License # \ ^j O *^ 1 I ^\ Designer Name Address City State/Zip Telephone State License # "6 WORKERS' COMPENSATION :s"a"s" ™*' :«:: ^iX:i .*Mhi.::.., J" "" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~| 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 l~| | 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 earner and policy number are Insurance Company j^T/frf1^- /f-CAA-^te-l Policy No / "S ^ y / P*/1 "~~£JIX*f Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~| 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 workersc»pJpensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addfjforrfo the costoi-eomp^nsation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE >r— S T^^^-gg»»-t^<-^ (~-£^&, —•£, _— DATE 7 :IibWNER BUIL^b DECLARATION " " ••" iip ""'"^ .." ""::... I 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) 0 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) ^t C] I am exempt under Section _ Business and Professions Code for this reason 99-^. m/MO/fT1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YtS' "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 "COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY *3ll ' * 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 [U 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? CJ 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 if CONSTRUCTION, LENDJNG AGENCY , „ I 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 _ 9 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 issued by the buildmg'Dfficial undgjjjne provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commencfd^rtfiiri 1 80 day,s>ffop(rTne 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 commej APPLICANT S SIGNATURE 106 4 4 Uniform Building Code) DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/10/2005 Permit* CB050191 Title HOLSTEN RES-400 SF POOL/SPA Description Inspector Assignment PY 1627 CORTE ORCHIDIA Lot 0 Type POOL Sub Type Job Address Suite Location APPLICANT SANDPIPER POOLS INC Owner HOLSTEN TIMOTHY&ANDREA Remarks Phone 7604896328 Inspector Total Time CD Description 59 Final Pool Associated PCRs/CVs Requested By MICHELE Entered By CHRISTINE Act Comment Inspection History Date Description 06/07/2005 59 Final Pool 05/13/2005 31 Underground/Conduit Wiring 05/13/2005 55 Fence/Pre Plaster 04/05/2005 53 Electric/Conduit/Wiring 03/25/2005 21 Underground/Under Floor 03/25/2005 23 Gas/Test/Repairs 03/25/2005 51 Excav/Steel/Bondmg/Fence Act Insp Comments CO AP AP PA AP AP AP JM PY PY PY PY PY PY LOW VOLT <1 OFT ALARMS OK CONDUIT ONLY REBAR PRIOR TO GUNITE CLEAN MUD OFF City of Carlsbad Pub:J ic Wo r ks -- E n g 1 n ee ri n g BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB 05"- BUILDING ADDRESS (A - 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 it=rcjN attached report of deficiencies marked wit^TJyMake 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 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 Taniya Barrows City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2773 H ^Development Servicos\MASTERS\FORMS \CHECKLISTS \BUILDING PLANCHECK CKLIST FORM POOLS doc Rev 8/22/96 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-2720 • FAX (760) 602-8562 CT 44-11- Q Q a 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 llndicate what will happen with i. /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 3 H \Development Services\MASTERS\FORMS \CHECKLISTS \BUILDING PLANCHECK CKLIST FORM POOLS doc 3RD/ Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q 5d No Grading Permit required MISCELLANEOUS PERMITS Q Q 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 Page 3 of 3 H \Development Semces\MASTERS\FORMS \CHECKLISTS \BUILDING PLANCHECK CKLIST FORM POOLS doc so POLICYHOLDER COPY 5 SAN FRANCiSCO,CA 94442-0807 J^.OF WORKERS' COMPE^ISATION INSURANCE * _. i. M J ISSUE 4)AT& 12-01-2OO4 QKJUP- -POLICY NUMBER IBc STATE LICENSE BOARD SO \, IPErtSftTiplLiBUdF ^ "v _-_ * - V r V «*Wf* »j,ww>jQ ^ £ -^ ~ -'^^ " * * C 'V SACft/WENTO £A 95826 > € ^ - \ V / P 0 BOX 26000 * | 1326164-2OO4 ~ 12-01-2005 ; , 12-Ot-2OO4/12-O1-2OO5 •* Z "-- *~ LlCE»si NUMBER. * 481997 ~ .INCEPTION; DATE. 12-01-20O4 D O.: SO This is to certify that we haw issued a vahd Workers' Compensation^ insurance policy m a form approved by the Calif orma Insurance Coflrwnisstonw to tfw employer natoecf below -for the policy period indicated. This poficy is not object to cwfoeltetion fay the Fund «xcept upon 3Od*ys? advjrtce wrrttwi notice to the employer , '— M»^ _ --=-\- . We wtli also flwe you 3O^ "Wys* «hnBn?fr notice sbouicT this ;poficy to« cartcelled pnor to its- normaT expiration This certificate of by the poVcte fewith respect to ce fes j>t>t*poRcy-and does not amend} extend" or alter the coverage afforded tt terra, or cond deserfced herein i$ subject to alf the terms^ fe'x of any contract or othef document or may fcurtin. the insurance afforded by the and concbboDS of such policies. EMPLOYE'S LIABILITY LIMIT INCUOIN8 DEFBUSC COSTS: 41 .OOO^OOO.OO MR OCCUTWENCE1 "• r -V " * » *§ "'*.. v anojcsEKin- JZD^ EiniTLE&;«^il$^$T&fioL^RS': Ntrr%& EFFECTIVE 12-01-2004 is «TTAO«D TO AND i FORKS A.PART'OR--"THIS POtTPF.^f" | 't "?£. -' " "" -\ ' / * - " * ' ', *- . ,'_^__i--*. 7 ' LE6AL NAHE 30Q ' y e—T . p>'-^ - *..'?»«r^ PLANNING/ENGINEERING APPROVALS DFPMIT IUIIMBEP CH /5fl ADDRESS (DATE RESIDENTIAL ADDITION MINOR «$10VOOO.OO) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE u2*u O Q UJ fi. feu. 8 CO p £ COLUcez5m LU Q. CL Q 2 I t-i V t "o