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Home My WebLink About1873 HIGH RIDGE AVE; ; CB054265; Permit (2)01-13-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB054265 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1873 HIGH RIDGE AV CBAD POOL 2073853800 Lot #: 0 $11,400.00 Construction Type: NEW LEVINE RES- 300 SF POOL/SPA Status: ISSUED Applied: 12/16/2005 Entered By: LSM Plan Approved: 01/13/2006 Issued: 01/13/2006 Inspect Area: Applicant: POOL'N SPA CENTER 8550 PRODUCTION AVENUE SAN DIEGO, CA 92121 619-271-8822 Owner: LEVINE MICHAEL H&JAN J 1873 HIGH RIDGE 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 $115.09 $0.00 $74.81 $0.00 $20.00 $27.00 $1.14 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $238,04 Total Fees:$238.04 Total Payments To Date:$238 04 Balance Due:$0.00 BUILDING PLANS — JKL IN STORAGE ATTACHED 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 Ihe 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 6$020(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 ofwMcJLvou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 01-13-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Right of Way Permit Permit No: RW060011 Job Address: Permit Type: Parcel No: Start Date: Insurance Expire: Liability Insurance: Reference*: Location: Project Title: Description: Applicant: 1873 HIGH RIDGE AVCBAD ROW 12/20/2006 Y Subtype: Lot#: Est Complete Date: Traffic Control Plan: GOP: MINOR 0 Status: ISSUED Applied: 01/11/2006 Issued: 01/13/2006 Expired: 06/01/2006 Entered By: KMF LEVINE RESIDENCE POOL/SPA Total Fees:$290.00 Total Payments To Date:$290.00 Balance Due:$0.00 Permit Fee Additional Permit Fee Other Additional Fees TOTAL PERMIT FEES $290.00 $0.00 $0.00 $0.00 $290.00 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 Deposit? 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 APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO.EST. VAL. // MOOPlan Ck. DepositValidated ByDateBusiness Name (at this address) Owner QfAgerif forOwnef (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^ivil penalty of not more than five hundred dollars [$500J). State/Zi City Business License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. Qfl 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 compensation insurance carder and policy number are: i _ ^^j Insurance Company ^frfa^ P^UtbO Policy No. *2ff W£f I AlJfiOu Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($#00,000), MAddition^tp the ccwt of cfynojnaation, damages as provided for in Section 3706 of the Labor yode, ljnerea>cmd attorney's fees. SIGNATURE 7U t /M4>t*Z^^/'6'7^Uy^ DATE - '" * ^^ I hereby affirm that I am exempt from tp£ 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). Q 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). Q 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. Q 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 iSSHIi^^ 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 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? Q YES fj 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 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 comrojjffcejj f§r ^j^iod of 1gp days^Section ^^.4^Uniform £yilding Code). APPLICANT'S SIGNATURE WHITE: File YELLOW; Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/18/2006 Permit* CB054265 Title: LEVINE RES- 300 SF POOL/SPA Description: Inspector Assignment: PC 1873 HIGH RIDGE AV Lot 0 Type: POOL Sub Type: Job Address: Suite: Location: OWNER LEVINE MICHAEL H&JAN J Owner: LEVINE MICHAEL H&JAN J Remarks: Phone: 8582718822 ex 302 Inspector: Total Time: CD Description 59 Final Pool Act Comment PsfL Comments/Notices/Hold Requested By: CHERYL Entered By: CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/07/2006 55 Fence/P re-Plaster AP PC 02/06/2006 23 Gas/Test/Repairs AP PC 02/06/2006 31 Underground/Conduit-Wiring AP PC 02/06/2006 51 Excav/Steel/Bonding/Fence AP PC TEMP FENCE IN PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB_ ADDRESS U DATE s^~~ ~^RESIDENTIAL RESIDENTIAL ADDITION MINOR (< $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS: PROJECT DESCRIPTION: Pool ASSESSOR'S PARCEL NUMBER:cr 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 modificatiop&rrrnjst be reviewed by this office to insure contorted confprmance with applicable codes. Please reyfew carefully all comments attached, as failue/fo confly with instructions in this report can . built 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: ENGINEERING DEPT. CONTACT PERSON NAME: Kathleen M. Farmer City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad. CA 92009 PHONE:(760) 602-2741 1635 Faraday Avenue * Carlsbad, CA 92008-7314 • (76O) 602-272O • FAX (76O) 6O2-8562 D D D D BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: ;h Arrow isting & Proposed Structures on site plan: A. Drainage Patterns xisting & Proposed Slopes . Existing Topography C. Property Lines tasements r Indicate what will happen with soilexcavatedfrom pool area raining Walls (location and height) / /lote: 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 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 Q a a 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 tot he public Right-of-Way. A separate Right-of-Way issued by the Engineering Department is required for the following: P 7. 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. Remarks Page 3 of 3 ACORD. CERTIFICATE OF LIABILIT PRODUCER AIMS Insurance Program Manager 4646 E. Van Bur en #210 Phoenix AZ 85008 Phone:602-273-1675 INSURED Pool 'n Spa Center Inc.Pacific Sun Pool n spa 8550 Production Avenue San Diego CA 92121 Y INSURANCE ^j^DATE (MM/DD/YYYY) 04/01/05 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. INSURERS AFFORDING COVERAGE INSURER A: Arch Insurance Company INSURER 8: INSURER C: NAIC# 11150 INSURER D: | INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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 CONCI7.0NS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR (NSRD TYPE OF INSURANCE j GENERAL. LIABILITY COMMERCIAL GENERAL LIABILITY | ] CLAIMS MACE J OCCUR i i i i GEN'L AGGREGATE LIMIT APPLIES PER. ! ! POLICY ! JECT 1 1 LOG 1 AUTOMOBILE LIABILITY 1 • ANY AUTO ALL OWNED AUTOS SCHEDULED A'JTOS ; HIRED AUTGS ; NON-OWNED AJTOS 1 GARAGE LIABILITY i ANY AUTO EXCeSSrfUMSRELLA LIABILITY OCCUR i CLAIMS MACS , DEDUCTIBLE : ' RETENTION 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANYPRQPRIETOR.PARTSEREXECUTY. 5 CFFiCER, MEMBER EXCL'JCED? i" '53. CS5Cf!t6 Ljnu3f SPECIAL PROVISIONS ~-i ::•• POLICY NUMBER ZAWCI9013900 POLICY bH-kCNVt HULIL-Y bAPIKAMUNDATE (MMIDO/YY) ! DATE (MM/DD/YY) \ LIMITS ; i EAC^ OCCURRENCE • PREMISES <Eaoccurencei \ MEO EXP (An/ ore parser) . j PERSONAL i ADV INJURY I GESsRAL AGGREGATE : PRCGUCTS-COMP.OPAGG S S 3 S 5 S ; ! CC'.'B.NED SINGLE LIMIT •E35:;i<!eni) BCC _Y INJURYPS' :?'53nJ ec: .Y INJURY;P;-=:::«rt) : F?C=ERTY DAMAGEi'P=-a:c!dent) AL~: ONLY -EA ACCIDENT OT-=RTHAN EAACC A'.': ONLY: ,-rA jG F,-;- OCCURRENCE ..'^ biAilj- i „ „ i«-~z?;< LIMITS x =R 04/01/05 04/01/06 E - EACH ACCIDENT E '- r'SEASE - EA EMPLOYEE E - :;5EASE- POLICY LiMIT 3 3 S 3 3 3 3 3 3 5 3 3 3 1000000 3 1000000 slOOOOOO I OTHER . DESCRIPTION OF OPERATIONS ' LOCATIONS I VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PRQV.S'.CSS *Except for ten (10) days notice of cancel for non payment of premium, except for Vlorkers Compensation coverage. Fax: 858-281-9320 CERTIFICATE HOLDER CANCELLATION CITC039 City of Carlsbad Engineering Dept 1635 Faraday Avenue Carlsbad CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATiCV DATE THEREOF. THE ISSUING INSURER WLL ENDEAVOR TO VAIL 3 0 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORI2Eyafl£a£S£NTATIVE ^~-. * S /? ^^2T^> ^^i^ ^ACORD 25 (2001/081