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1673 DOCENA RD; ; CB002707; Permit
08/11/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB002707 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1673DOCENARDCBAD POOL 2159100700 Lot# $12,30000 Construction Type WINTER RESIDENCE 400 SF POOL AND SPA 0 NEW Applicant BLUE HAVEN POOLS 5945 MISSION GORGE RD SAN DIEGO, CA 92120 000-283-6567 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/24/2000 MDP 08/11/2000 08/11/2000 Owner BREHM-AVIARA III DEVELOPMENT ASSOCIATES L P 5715 08/li/OO 0001 CV 2835 CAMINO DEL RIO S #220 C-PRffT SAN DIEGO CA 92108 183=06 Total Fees $278 95 Total Payments To Date $9089 Balance Due $18806 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 $13983 $000 $9089 $000 $2000 $2700 $1 23 $000 $000 $000 $278 95 Inspector FINAL APPROVAL 5/M/OIDate 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 08/11/2000 City of Carlsbad 1 635 Faraday Av Carlsbad, CA 92008 Right of Way Permit Permit No RW000351 Job Address Permit Type Parcel No Start Date Insurance Expire Liability Insurance Reference# Location Project Title Description 1673DOCENARDCBAD ROW 2159100700 05/01/2001 Y CB002707 POOL & SPA Subtype Lot# Est Complete Date Traffic Control Plan GOP Applicant BLUE HAVEN POOLS 5945 MISSION GORGE RD SAN DIEGO, CA 92120 000-283-6567 MINOR 0 Y Status Applied Issued Expired Entered By ISSUED 08/08/2000 08/11/2000 02/11/2001 TNKW 5? 15 33/ii'OO 3mi 210,00 Total Fees $21000 Total Payments To Date $000 Balance Due $21000 Permit Fee Additional Permit Fee Other TOTAL PERMIT FEES $21000 $000 $000 $21000 This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion of the work or if the work does not meet City Standards The applicant may be billed for the cost of any corrective work that the City must perform Permit Release Date Released YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK UNDERGROUND SERVICE ALERT NO IF ANY EXCAVATION OR BORING IS DONE THIS PERMIT IS INVALID WITHOUT THIS NUMBER PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO 6fc.x EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Soite #)Business Name (at this address) Le Lot No//Q Subdivision Name/Number Unit No J Phase No Total # of units Assessor s Parcel #Existing Use oPfopose'd Use!/ *>U 'Jif'JJ.. U -. 90.39 Description of Work 2 I: CONTACT PERSON (if different from applicant) #of Stories of Bedrooms # of Bathrooms APPLICANT D Contractor Address (2>Agent for Contactor City State/Zip Telephone #Fax # Do Agent for Q< Name Address City State/Zip Telephone # of Address City State/Zip Telephone #Name 5 CONTRACTOR - COMPANY NAME ' 3?' *E-' -a*V -JfK -•*: ""V" . '••!«•• (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter, improve, demolish or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractoi s License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemrAQn AnV violation of Section/*p31 Jfby any applicant for a permit subjects the apphcanj^to a^civil penalty of not more than five^hupdred^doH.irs !$Ei Address License Class/a.o/ City State/Zip ,_ City Business License # /-/. Designer Name ,^~-1—, Address City State/Zip Telephone State License # 6 WORKERSSCOMPENSATION : /..kj;:/ " ' :: rat- :5V- Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations fj 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 My worker's compensation insurance carrjar and policy number are n./ Insurance Company lf/&rtfitf^ l J1/J ^O Policy No^d/C—^* ^J• ^_ Expiration Date (THIS SECTION NEED NOT^SE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar^C$TOO/000) in addition to the co?tfbf compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE ^f^jAJU^^- jfy] , *=*M-^L3$YY^~JL-^.... DATE ~Jf ^L y /$) 7 ;-QWNER-BlXtDER DECLARATION \^*~ :»:' "• 'Pi.*p:: :..". •:••:*•• ... f 1 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 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) |~1 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) |~| 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 l~l YES 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 COMPLffE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONL1L f¥n , "..„,_,i;..-;i.; is ,... ' • « : 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? O 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' l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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 ME! TING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 CONSTRUCIION'LENDING AGENCY " jm. 'Sp- jlp""' " >'"" , "'f^-^- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER S ADDRESS ;9": APPLICANT CERTIFICAf ION -SiW °":- ,,j;,,' ••? ' ;;;.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 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 AIL 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 commencad for a penodof 180 days^Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE T'X— L-it*Ff\ JL. . DATE YELLOW Applicant PINK Finance City of Carlsbad Final Building Inspection Dept Building Engineering Planning CMWD St Lite Fire Plan Check # Permit* Project Name Address Contact Person NA Sewer Dist CA CB002707 WINTER RESIDENCE 400 SF POOL AND SPA 1673DOCENARD Phone 7607380403 Water Dist CA Lot Date 05/07/2001 Permit Type POOL Sub Type 0 Inspector f ) Inspected By Inspected By Comments f~\ Date /f „ P\ rf~/s\a<3tT Inspected UZ>{O1( Date Inspected Date Inspected (£&O( Approved \s* Approved Approved Disapproved Disapproved Disapproved City of Carlsbad Bldg Inspection Request For 9/11/2000 Permit* CB002707 Inspector Assignment Title WINTER RESIDENCE Description 400 SF POOL AND SPA Type POOL Sub Type Phone 7607389357 Job Address 1673DOCENARD Suite Lot 0 x^~ Location Inspector <~yJ APPLICANT BLUE HAVEN POOLS Owner BREHM-AVIARA III DEVELOPMENT ASSOCIATES L P Remarks Total Time Requested By DANIELE Entered By CHRISTINE CD Description Act^ Comments 51 Excav/Steel/Bondmg/Fence Associated PCRs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO (760) 602-2700 1635 FARADAY AVENUE TIME c? FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE'' FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © City of Carlsbad Bldg Inspection Request For 05/07/2001 Permit* CB002707 Title WINTER RESIDENCE Description 400 SF POOL AND SPA Inspector Assignment SR 1673 DOCENA RD Lot Type POOL Sub Type Job Address Suite Location APPLICANT BLUE HAVEN POOLS Owner WINTER JAMES&DIAN Remarks Phone 7607380403 Inspector Total Time CD Description 59 Final Pool Requested By NA Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 12/07/2000 55 Fence/Pre-Plaster AP SR 11/22/2000 55 Fence/Pre-Plaster CO PD 09/22/2000 23 Gas/Test/Repairs AP SR 09/22/2000 52 Underground Plumbing AP SR 09/22/2000 53 Electric/Conduit/Wiring AP SR 09/11/2000 51 Excav/Steel/Bondmg/Fence AP SR 09/11/2000 52 Underground Plumbing AP SR OK TO PLASTER ALL CORRECTION WERE MADE SEE NOTICE ATTACHED APPON9/11 NEED FENCING BEFORE GUNITE SEE ATTACHED NOTICE City of Carlsbad Bldg Inspection Request For 11/22/2000 Permit# CB002707 Inspector Assignment SR Title WINTER RESIDENCE Description 400 SF POOL AND SPA Type POOL Sub Type Phone 76073804P3 Job Address 1673DOCENARD Suite Lot 0 Location Inspecto APPLICANT BLUE HAVEN POOLS Owner BREHM-AVIARA III DEVELOPMENT ASSOCIATES L P Remarks Total Time Requested By DANIELLE Entered By CHRISTINE CD Description Act Comments 55 Fence/Pre-Plaster Associated PCRs Inspection History Date Description Act Insp Comments 9/22/2000 23 Gas/Test/Repairs AP SR 9/22/2000 52 Underground Plumbing AP SR APPON9/11 9/22/2000 53 Electric/Conduit/Wiring AP SR 9/11/2000 51 Excav/Steel/Bondmg/Fence AP SR NEED FENCING BEFORE GUNITE 9/11/2000 52 Underground Plumbing AP SR SEE ATTACHED NOTICE NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE * ' TIME LOCATION /Iff 1 5 T2* e £ tJ A PERMIT NO nr P r> /f 7 / / r-iFOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? I _ i YES FOR FURjirHER JMRORMATION, CONTACT . PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER BUILDING ADDRESS J (f)*? g PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER ^ J.6 - *?/O "* 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 the "attached report of deficiencies marked wi<Q__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 D Grading Permit Application D 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 H \WOFiD\OOCS\CHKLST\Pool Building Plandieck CMisl CHKM Enm DMH a™-. 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (76O) 602-8562 3 BUILDING PLANCHECK CHECKLIST - POOLS i^L. \\Q SITE PLAN STV 2Ntv 3RD/ Q Q 1 Provide a fully dimensioned site plan drawn to scale Show A "North Arrow C -Property Lines B-Existing & Proposed Structures D'"Easements- 2 Show on site plan A^ZDramage Patterns D "Indicate what will happen with (6^,E*}sting & Proposed Slopes soil excavated from pool area C Existing Topography 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 Q Q Q 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 Q Q 5a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut, fill, import, export) Q Q 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 * STV oND/ 3RIV Q Q Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by _ Date Q Q Q 5d No Grading Permit required MISCELLANEOUS PERMITS ]Q Q 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 ^y A separate Right-of-Way issued by the Engineering Department is required for the following __ Please complete attached Right-of-Way application form and relurn 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 2 of 2 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE 00 ADDRESS RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE (JO ENGINEER DATE Oacs/Misrorms/Pianning Engineering Approvals /ik*-y_iw_ otii\fi nrywMii it: Ur tLiAuttLu d si iwoUi^ifluk^fe^ 05/03/00 PRODUCER tfatendge Insurance Services lOSSH^vIljta Sorrento Pkwy #300 San Diego CA 92121 Tony Yahyai Phone No 858-452-2200 Fax NO 858-452-6004 INSURED Blue Haven Pools Zembel Marketing, Inc 912 : South Andreasen Dr #101 Escondido CA 92029 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANYA The Insurance Corp of New Yor COMPANY B Mercury Casualty Insurance Co COMPANY C Legion Insurance Company COMPANY D COVERAGES INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS COLTR A B C TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY ^] CLAIMS MADE [~x] OCCUR X OWNER S& CONTRACTOR SPROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS XJ HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY 0ANY AUTO - : EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS LIABILITY THE PROPRIETOR/ I ,NC, OFFICERS ARE EXCL OTHER , POLICY NUMBER CAIC10016021 AC11035675 WC31231286 POLICY EFFECTIVE DATE (MM/DD/YY) 05/01/00" 04/18/00 02/07/00X V POLICY EXPIRATION DATE (MM/DD/YY) 05/01/01 — - — 04/18/01 02/07/01 — -" LIMITS PRODUCTS - COMP/OP AGO PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE AUTO ONLY • EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDEN r AGGREGATE EACH OCCURRENCE AGGREGATE X I WC STATU | OTH, 1 TORY LIMITS 1 ER ~Et^ACH ACCIDENT EL DISEASE - POLICY LIMI1 EL^JISEASE - EA EMPLOYEE $2,000,000 * 2,000,000 $1,000,000 $1,000,000 $ 100,000 $ 5,000 $1,000,000 $ $ $ $ $ $ $ $ $ TiY6o~6~)"6o6" $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS *EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER IS LISTED ASAN ADDITIONAL INSURED PER THE ATTACHED FORM CG2124 AS RESPECTS GENERALLIABILITY ONLY RE OPERATIONS PERFORMED BY OR ON BEHALF OF THE NAMEDINSURED AS COVERED BY THESE POLICIES CERTIFICATE HOLDER CANCELLAT DELMARF SHOULD AN1 EXPIRATION 30* DAY DEL MAR FAIRGROUNDS PO BOX 1088 SOLANA BEACH CA 92075 ACORD 25-S (1/95) BUT FAILURI OF ANY KIND ION ' OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL S WRITTEN NOTICE TO THE CERTIFICATE HOLDEF) NAMED TO THE LEFT, = TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY > UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE -"*'" i ' ' " Tony Yahyai /W- %•]// l/sfi 1 /ACORD CORPORATION 1988 moLUJuIxxoo 8 •y \**s°O co$ LL)_ ai5 u.oa o Q. ai en o Q. CQ oZj fi *^ / "- j c^_ -f- ^^»o J CSi 'T^^ ^5 p^^ 5 iQ w^ vu:^\Vi -^ V, 0 ^ i v^ ^V- ^^^ s•w ^3 K^\4v\ ^ ^. ^^