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Home My WebLink About1797 ANDREA AVE; ; CB053589; Permit4 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 1 1-04-2005 Pool Permit Permit No: CB053589 Job Address: Permit Type: POOL Status: ISSUED Parcel No: 2071201100 Lot #: 0 Applied: 1011 812005 Valuation: $0.00 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 11104/2005 Issued: 11104/2005 Project Title: ARTWOHT RES- INGROUND ACRYLIC Inspect Area: 1797 ANDREA AV CBAD SPA WlGAS & ELECTRIC Applicant: MULL I GAN LANDSCAPE 2777 WILSON ST CARLSBAD, CA 92008 61 9-729-1 054 Owner: CHAFFIN JACK R 1285 DISTRIBUTION WAY #A VISTA CA 92081 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 TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1 .oo $0.00 $0.00 $1 20.00 $0.00 $121 .oo ~~~ ~ Total Fees: $121 .OO Total Payments To Date: $121 .OO Balance Due: $0.00 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 feeslexactions DOES NOT APPLY to water and s ion fees and capacity PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. pRoJBcT)IKoRIMI#w A A/nl Business Name (at this address) I393 4 Address (indude BldglSuite #) FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By 0s 3 3'8q Date 101 I8pZ Legal Description Lot No. Subdivision NamdNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed use 2. ceMTAcT~(ifdlknnt~crpplDanLg Name Address city StateRip Telephone # Fax # conb&br oAQm*- u &mtfOrbwnr iA'atrM -7 w ?GO 7-u /ow Statelzip Telephone # c z.7Zu.t c J 9lGtxf Name Address City 4. PRopERtvovlMER Name Address city StateRip Telephone # a ~oR-CoMP6NY~ (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 k exempt therefrom. and the basis for the alleged exemption. Any vidation of Section 7031.5 by n DT& O+t 7 ubjects the applint to a civil penally of not more than fnre hundred dollars [$500]). Address city StatdZip Telephone # Stete Licens # >T% 3 7 6 License Class L- 27 City Business License # 4-c3 77 6 h Deskner Name Address city statelzip Telephone # State License # rkmmmm cfifiXt ./?+? ,&c/rcaAIr/ &/* kJ Workers' Compensation Declaration: I hereby affirm under penalty of pejufy one of the following declarations: 0 for which this permit is issued. 4 worker's compensation insurance (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDREO DOLLARS [tlaOJ OR LESS) 0 CERTIFICATE OF EXEMPTION: I certiry 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 beaxne subject to the Workers' Compensation Laws of California. WARNING: FaUun to recun worken' compensatbn coverage is unlawful, and shall subject an employer to crlminal panaltba and cMI fines up to OM hundred thousand SIGNATURE 7. VDeCuRATKrn I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the properly or my employees with wages as their sole compensation, will d the work and the structure is not intended M offered for sale (Sec. 7044, Business and Professions Code: The Contractcf's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsetf 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 properly who builds or improves thereon, and contracts for such projects with contrador(s) licensed pursuant to the Contractor's 0 lamexemptunder Section Business and Professions Code for this reason: 1. 2. 3. 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 I have and will maintain worker's compensation, as required by Secton 3700 of the labor Code, for the performance of the work for which this permit is issued. My nie and polii number are: Insurancecompany LL '7 3 PolicyNo>~~o~~ lZq6 -O e/ ExpirationDate 9/ f 106 s an provided for in Won 3706 dthe Labor Code, Intenstand atbnay'r he8 - DATE ./(I,// c,/G 7 License Law). I personally plan to provide the major labor and materials for mstrudion of the proposed property improvement 0 YES 0 NO I (havdhave not) signed an application for a building permit for the proposed work. I have contracted with the fdbwing person (firm) to provide the proposed construction (indude name I address l phone number l contractors license number): 4. 5. 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 l address l phone number I lontractors liise number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name l address / phone number l type of work): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 coMPLmETHl8~wII~ lmmwRw Is the applicant or future buildtng wpant required to submit a business plan, acutely hazardous matenals registration for or nsk management and preventlon prcgram under Sectlons 25505,25533 or 25534 of the PresleyTanner Hazardous Substance Account Ad3 0 YES 0 NO Is the applicant or future building mupant required to obtain a permlt frwn the air pollubm control dstnct or air quallty management d~~tnb? Is the factlity to be constructed Whin 1 ,OOO feet of the outer boundary of a school ate? 0 YES 0 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. 0 YES 0 NO a ~~~RWKWLEWD~~YQAOEE~CY I hereby affirm that there is a comtwtmn lending agencyfor the performance of the work for whtch this permtt IS issued (Sac 3097(1) Civil Code) LENDERS NAME LENDERS ADDRESS 9. #PPucAmceRFIF1cATK))I I c&fy that I have read the appllcebon and state that the above informaton is conect and that the information on the plans is accurate I agree to comply unth all Ctty ordinances and State laws relatmg to building construdion I hereby authome representatives of the Clty of Carlsbad to enter upon the above memonad property for mspedlon purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENrS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSW An OSHA permtt IS required for excavations of 5'0" deep and demolttm or construction of struc1uras over 3 stones in hetght EXFIRATION: Every permtt lssued by the building ORml under the pmsions of this Code shall expire by limitatton and becMe null and vcid lf the building or work authorized by such permit is not commenced wtthin 180 dap from the date of such permlt or If the building or work authomed by such permtt is suspended or abandoned at any time after the work is ccinmenced for a penod of 180 days (Sdon 106 4 4 Unlform Building Code) APPLICANT'S SIGNATURE DATE /d/ d oc- /- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For. 01 /I 3/2006 Permit# CB053589 Inspector Assignment: PY Title: ARWOHT RES- INGROUND ACRYLIC Description: SPA W/GAS 8, ELECTRIC Type: POOL Sub Type: Job Address: 1797 ANDREA AV Suite: Lot 0 Location: APPLICANT MULLIGAN LANDSCAPE Owner: ARTWOHL KATHLEEN I Remarks: FINAL SPA Total Time: CD Description 59 Final Pool Phone: 7607291054 Inspector: Requested By: TOM Entered By: CHRISTINE ~_______ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 11/08/2005 23 GasKesVRepairs AP PY 11/08/2005 31 UndergroundlConduit-Wiring PA PY CONDUIT ONLY City of Carlsbad BUILDING PLANCHECK CHECKLIST POOLS - BUILDING PIANCHECK NUMBER: CB os-- 3 (3 3 PROJECT DESCRIPTION: Pool iv \- I /A w [ ( I' 1, ASSESSOR'S PARCEL NUMBER: 2437 -1 -// up 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; DENIAL Please see the attached report -f d-ficiencies marked with 0. 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: Date: By: Date: By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: Kathleen M. Farmer City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92009 PHONE: 1760) 602-2741 1635 Faraday Avenue Carlsbad, CA 92008-7314 (760) 602-2720 FAX (760) 602-8562 @ BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: roperty Lines &North Existing Arrow & Proposed Structures 9 Easements , 0 i. Show on site plan: Indicate what will happen with oil excavated from pool area /’ @ 9 Retaining Walls rainage Patterns xisting & Proposed Slopes Existing Topography Note: If excavated soil is not to be removed from property but regraded on site, show proposed elevations and slopes. (location and height) ’ / If any portion of retaining walls are over 4’ in height, a separate permit is required. Retaining Wall Permit CB Applied for Approved f 0 3. Include on title sheet: ,,a A. Site Address B. Assessor’s Parcel Number C. Legal Description D. Grading Quantities Cut Fill ImportIExport 0 0 0 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. 0 0 0 0 0 0 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 0 0 2NDO 3RDm 0 0 5c. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: 0 0 5d. No Grading Permit required. 0 MISCELLANEOUS PERMITS 0 0 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. 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. 0 0 7. Remarks Page 3 of 3 PLANNINGIENGINEERING APPROVALS RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL ( < $10,000.00) CARLSBAO COMPANY STORES VILLAGE FAlRE COMPLETE OFFICE BUILDING OTHER 8 e, I ENGINEER DATE ]SPA EQUIPMENT] c UNDERGROUND GAS AND ELECTRIC LINES HOUSE il 1 'I I I I I 1797 ANDREA AVE \/ I 05/17/2005 PRODUCER (5 59) 650- 3 5 5 S FAX (559)650-3558 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 3NFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AMEND. EXTEND OR Landscape Contractors CLic#O755906) Insurance Services, Inc. ONLY AND C( ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HOLDER. THI-a L Fresno,, CA 93727 INSURED Tom Mulligan Landscape Construction 2777 Wilson Avenue Carlsbad, CA 92008 TYPE OF INSURANCE PDD’L I INSURERS AFFORDING COVERAGE 1 NAIC # POLICY NUMBER 1 ~NSURERA: Everest National Insurance EACH OCCURRENCE DAMAGE TO RENTED PI MED EXP (Any one penon) INSURER B: INSURER C. INSURER 0 s 0 5 I INSURER E: I GENERAL LIABILITY 1 COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE OCCUR COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 04/01/2006 - INS Lu I X I E${Ta I 10:;- E.L. EACH ACCIDENT b 1,000,O~ E.L. DISEASE - EA EMPLOYEE I 1,000, o( E.L. DISEASE - POLICY LIMIT S 1 ,000, o( a***rs**This revises certificate dated 04/13/05********* - LOC AUTOMOBILE LIABIT 1 ANYAUTO Contractors State License Board Workers Comp Unit P.O. Box 26000 Sacramento, CA 95826 ALL OWNED AUTOS S6l&DULED AUTOS HIREP AUTOS NON-OWNED AUTOS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAlLURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE hd//i k” ,&&k Mnrarl;+h mrr-isk /cTwv ANY AUTO EXCESMUMBRELLA WUP, OCCUR CLAIMS, DEDUCTIBLE RETENTfON WORKUW COMPENSATION AND EMPLOYERS hBlLlTY ANY PF!OPRIETOR/PARTNEWEXECUTlVE OFFICERMEMBER EXCLUDED? 3800001296-051 If yes. describe under SPECIAL PROVISIONS below OTHER I UPTlON OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSE1 nse # 358376 POLICY EFFECTIVE - 04/01/2005 NT I SPECIAL PROV I PERSONAL 8 ADV INJURY I S GENERAL AGGREGATE 0 PROWCTS ~ WMPWAGG I S COMBINED SINGLE LIMIT (Ed accident) BOMPY ~NJURY (Per person) BODILY INJURY (Per accident) I PROPERty DAMAGE (Per acadeng AUTO ONLY EACH OCCURRENCE I Is DNS i I Y 0 -4