HomeMy WebLinkAbout2002 CUMBRE CT; ; CB981572; Permit\ . „..„ BUILDING PERMIT Permit No CB981572
05/27/98 14 22 Project No A9802084
/ Page 1 of 1 Development No.
Job Address 2002 CUMBRE CT Suite
Permit Type. GUNITE POOLS AND SPAS
Parcel No 216-491-21--00 Lot#
Valuation 18,450 Construction Type NEW
Occupancy Group Reference* 7451 05/27sTaWj&IS
Description 600 SF GUNITE POOL & SPA Applle<3 '' 05/21
Apr/Issue 05/27/98
Entered By RMA
Appl/Ownr HALLMARK POOLS 619 674-7676
12070 CARMEL MOUNTAIN RD
SAN DIEGO CA 92128
*** Fees Required *** • .... ••*'*"* Fees .Collected & Credits ***
•w
Fees
Adjustments
Total Fees
Fee description
366 PO :;".•-.
/.'oo /.V\\ -•!
366. CO1' • •• •''' •'To t a 1 •- Payment s \
5-arlarK.e.! pu,e: \
Units"'.. ' Fee/Unit
. 00
125 00
241 00
Ext fee Data
Building Permit / '> o ,
Plan Check ' C--'~.T.:^: •'
Strong Motion Fee ' '7 , •-••. ^
Enter "Y" for Elect;rica-r,'Tiee
Enter "Y" for Plumtilng" Fees c
* BUILDING TOTAL \ ' \-•
iNf
192 00
125 00
2 00
20 00 Y
21 00 Y
366 00
VAL
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
/5Z3
PERMIT APPLICATION
• K. •»
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO l
EST VAL
Plan Ck Deposit
Validated By_
Date
J5E
Business Name (at this address?? 05/21/98 0001 01
C--PRHT '
Address (include Bldg/Suite tt)
LICANT Contrac
Address City
ient:fo:NContractbr:::s,;- ED 0wneLi;!!!: D:A9emJ^°r.Owner;"
Fax #
State/Zip Telephone tt.PROPJJRTY OWNE
Name •Z-jyb'Ly £^3»^<^dd®f"^ dfijI-t^S GAG ?>£,airf __ state/z,P
5 CONtRACfpR -COMPANY NAME „ '" .." f ".. ,""" ::...;,:"" .•*.,.' J
(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 notjjjore than five hundred dollar§.[$J>00]J
Name ' ' Cu£
State License # *"T O '
Designer Name
State License #
6 WORKERS' COMPENSATI
5 . Address "t / s/< /•* _ •*T"^Uf f (J License Class * — \S — '
Address
ON '^' ;" . "•"' »:fK: ..•"""
City State/Zip
City Business License tt
City State/Zip
' 'VS-iA • ^V ; '.I.:', ^.••'''•"jj: i
Telephone tt
Telephone
:i .-• . - -f • Tf ?}:[,- ::::- <=
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
[~| 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
GS 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 carrier and poJfty number are . Q
Insurance Company {l.^rt-*''(*f^ G&S**^I • Policy No CsUciff \*-^' * LJ Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
Q 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 workei/ compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (SIOttiffiQ), in atUJKion to the cost of compensation damages as provided for in Section 3706 of the Labor code, interesting attorney s fees
SIGNATURE ^6l—*£Zs**t ^lA ^S .Si W^L. _ • DATE
S57:v;;;iOWNERtB
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
l~l 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)
n 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 ON0
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
•COMP'LETE THJS SECTION FOR Wdly->JFS//?MTMi;ByiLD!ING PERMltSJJNLY , ..Siff . . .. .... .... ,.,... Vfm,:- ::tt..,.:->™». ' f
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 l~l NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 1~1 YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES l~l 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
jg7fl|e6ftsfMfcTO^ •"-- ••?-• --P 'TErVT'ZT"'"" ::"'SS;^ , .,.„..„!..:. :" ^::.h:, ',„,,.. 3,.,. crijJ71,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(0 Civil Code)
LENDER'S NAME LENDER S ADDRESS
19 APPLICANT CERtJFICAtlONV ." V "•-'"•"K^ ", ^~-Vf '• •• ^ •• '>" ::' .- ' ". " "" ~-~~.^~~
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 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 365 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 vtorkutt/uuDB/xedlgra period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE ^TJ irT^WTT -ft ^L<4_ -rf.- — DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Inspection Request
For 1/14/99
Permit# CB981572
Title 600 SF GUNITE POOL & SPA
Description
Inspector Assignment PY
2002 CUMBRE CT
Lot
Type POOL Sub Type
Job Address
Suite
Location
APPLICANT HALLMARK POOLS
Owner TODD ROBBIN S R
Remarks AM PLEASE- HOMEOWNER WILL BE HOME
Phone 6199910503
Inspector
Total Time
CD Description
59 Final Pool
Requested By CHRIS
Entered By CHRISTINE
Act Comments
City of Carlsbad
Engineering Department
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER CB
BUILDING ADDRESS £&)£ Cj"
CJA,
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 the attached report of deficiencies
marked withjSfivlake necessary corrections to
plans or specifications for compliance with
applicable codes and standards Submit corrected
plans and/or specifications to this office for review
\ A^x^^L^a^N
T>
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 2075 Las Palmas Drive
Carlsbad, CA 92009
PHONE (619) 438-1161, ext 4510
\\LASPALMAS\SYSMJBRARY\ENG\WORD\DOCS\CHKLST\Pool Building Plancheck Cklist CHK24 Form JJ doc
Rev 8/22»6
2075 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (76O) 438-1161 • FAX (76O) 431-5769
637*)l
BUILDING PLANCHECK CHECKLIST - POOLS C-T 7S'~7
SITE PLAN
iSTV ^X oND/ 2RD^ *
Q 1 Provide a fully dimensioned site plan drawn to scale Show
iK\/North Arrow .GK^Prjoperty Lines
B Existing & Proposed Structures iD^Easements
Q 2 Show on site plan
/I- 7H /Drainage Patterns j^/lndicate what will happen with
e^JExisting & Proposed Slopes soil excavated from pool area
£X Existing Topography (EKRetammg 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
Q 3 Include on title sheet
Site Address
iBx^ssessor's Parcel Number
Q^\ega\ Description
D^Gradmg Quantities Cut Fill Import/Export
a) If grading is not required, write "No Grading" on plot plan
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 2 of 2
\\Laspalmas\sys\LIBRARY\ENG\WORD\DOCS\CHKLST\Pool Building Plancheck Cklist CHK24 Form BE doc
•iST/
Q
jRD/
Q Q 5c A Grading Permit has been applied for
PE2
Grading Inspector sign off by
SeT^No Grading Permit required
MISCELLANEOUS PERMITS
DWG
Date
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
Remarks
A—V— y\ f~3 (b*~-£j) £-xv_x U\Jt^n (~Q {-*J\XA
log.v
\u_aspalmas\sys\IJBRARY\ENG\WORD\DOCS\CHKLST\Pool Building Plancheck Cklisl CHK24 Form BE doc
ACORfr CERTIFICATE OF INSURANCE CSR JFHALLMA1
PRODUCER
Wateridge Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
John A. Clanton
Phon. NO 619-452-2200 pa,NO 619-452-6004
DATE (MM/DD/YY)
09/30/97
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
COMPANY
A California Compensation Ins.
COMPANY
B
Hallmark Pools
12070 Carmel Mountain Rd #296
San Diego CA 92128
COMPANYc
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT 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 CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE | | OCCUR
OWNER S & CONTRACTOR S PROT
GENERAL AGGREGATE
PRODUCTS COMP/OP AGO
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MED EXP (Any one person)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY EA ACCIDENT
OTHER THAN AUTO ONLY
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
X STATUTORY LIMITS
EACH ACCIDENT
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE
INCL
EXCL
W97A129813 10/01/97 10/01/98
51,000,000
DISEASE POLICY LIMIT »1,000,000
DISEASE EACH EMPLOYEE $1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
*EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM.
CERTIFICATE HOLDER
DIMENS1
DIMENSION IN WATER
DAVE STAPLETON
1967 WILBUR AVENUE
SAN DIEGO CA 92109
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES
AUTHORIZES REPRESENTATIV]
johim.
ACORD 25-S (3/93)® ACORD CORPORATION 1993