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HomeMy WebLinkAbout201 GRAND AVE; ; CB991229; Permit04/05/19^9 City of Carlsbad Pool Permit Permit No:CB991229 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 201 GRAND AV CBAD POOL 2032321500 Lot#: $26,137.50 Construction Type: POOL AND SPA 850 SF CARLSBAD BY THE SEA 0 NEW Status: ISSUED Applied: 03/31/1999 Entered By: JM Plan Approved: 04/05/1 999 Applicant: MISSION POOLS OF ESCONDIDO INC 755 W GRAND AVENUE ESCONDIDO, CA 92025 619-743-2605 Total Fees: $474.37 Owner: Inspect Area: THERAN HOMES INC E 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 7.43 0.00 7.33 0.00 20.00 27.00 $2.61 $0.00 $0.00 $0.00 $474.37 02 $307.04 Inspector? FINAL APPROVAL . IWLWDate:Clearance: NOTICE: Please take NOTtGff 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(3), and fite 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 capactjy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONJ. PLAN CHECK NO. fF EST. VAL. Plan Ck. Deposit Validated Bv C^TT W Date ^ ?flUf I (4 1 * i/LX / /mil*v I ( Business Name (at this address)Address (include Bids/Suite #) C-PRHT 167-33 Legal Description Lot No.Total # of units Name Address City State/Zip Telephone # r-^&ijur- - _^U* 4MB -£*'>•&& '<Z. S&M4fr*afr/W. V^^T^A Fax* State/Zip Telephone #Name Address City (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 emption. Any violation of .Section 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundorff dollars ($6001).it subj Name State License 9^ip\fff sfe Address y ^? License Class ^r£-~ &^? City State/Zip City Business License 1t*y}A. Telephone ft 77X7,0 Designer Neme State License # Address City State/Zip Telephone Workers' Compensation Declaration: ( hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain s 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. H I have and will maintatn 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 policy number are: Insurance Company ^&/f{.f7\^ Policy Nn^j/^^?^^^&&£f Expiration {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: FaHura to secure workers' compensation coverage is unlawful, and shaft subject an employer to criminal penalties and dvH fine* up to one hundred thousand dallany* 100,000), in addition tcwflto cost of compensation, damage* as provided for In Section 3706 of the Lajfor code;, tatwvtt and attorney's IMS. SIGNATURE, 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). 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 Lew 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). D 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 if work): _.._ PROPERTY OWNER SIGNATURE DATE 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 2S60S, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q 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 Q NO Is the facility to be constructed wrthin 1,000 feet of the outer boundary of a school site? D 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. I 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 Citt 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 works commenced for ^period of 180'days (Section 106.4.4 Uniform Building Cods). APPLICANT'S SIGNATURE DATE . WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 10/26/99 Permit# CB991229 Title: POOL AND SPA 850 SF Description: CARLSBAD BY THE SEA Inspector Assignment: SR Type: POOL Sub Type: Job Address: 201 GRAND AV Suite: Lot 0 Location: APPLICANT MISSION POOLS OF ESCONDIDO INC Owner: INTERNEXT GROUP Remarks: Phone: 7607432605 Inspector: Total Time: CD Description 55 Fence/Pre-Plaster 21 Requested By: DENNY Entered By: BARBARA Act Comments Inspection History Date Description Act Insp Comments 9/23/99 23GasfTest/Repairs 9/23/99 52 Underground Plumbing 9/23/99 53 Eiectric/Conduit/Wiring 9/16/99 51 Excav/Steel/Bonding/Fence NR PY NR PY NR PY AP PY OK TO GUNITE City of Carlsbad Engineering Department BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS:M GfcwIL 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 submrttal; 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, asjEailucaJo comply with instructions in this report can result in suspension of permit to build. Date:By: 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: ATTACHMENTS D Grading Permit Application D Grading Permit Checklist D Right-of-Way Permit Application D Right-of-Way Permit Submrttal Checklist and Information Sheet ENGINEERING DEPT. CONTACT PERSON NAME: DAVID RICK City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE:(619) 438-1161, ext. 4324 2Q75 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 BUILDING PLANCHECK CHECKUST - POOLS SITE PLAN Of 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. Drainage Patterns D. Indicate what will happen with B. Existing & 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 U 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 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 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 a\LiMAirv\ENawro«Dtf>ocso«asivHrt -ST/ 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. 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 2 of 2 AOORII. CERTIFICATE OF INSURANCE ISSUE DATE (MUDO/YY) 03/18/99 PRODUCER TIMOTHY 8. MILLS INSURANCE SERVICES, MC. Pa BOX 86259 SAN DIEGO CA 021384250 THIS CERTWCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RK3HT8 UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY LETTER Zantti Insurance Company atSURED Dum Breton Lentog, B at 755 West Grand Avenue EacondUo CA 020254000 COMPANY LETTER B COMPANY LETTER COMPANY LETTER COMPANY LETTER COVbHAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE MSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCR8ED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. CO LTR TYPE OF INSURANCE GENERAL UAWJTY COMMERCW. GENERAL UABUTY CLAIMS MADE OCCUR. OWNERS 4 CONTRACTORS PROT. AOTOMOBtE UABUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOWNEO AUTOS GARAGE UA8IUTY EXCESS UABUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' UABUTY OTHER POLICY NUMBER POLICY EFFECTIVE DATE POUCY EXPRATKMDATEpftUXVYY)UMTT8 GENERAL AGGREGATE PERSONAL 1 ADV. NURY EACH OCCURRENCE FIRE DAMAGE (hy am In) MED. EXPENSE tfw* Qt* pmm} $ $COMBHED 8MQLEUUfT BODLYHJURY (Pw pwwn) BODLY INJURY (PWKtiftnQ PROPERTY DAMAGE EACH OCCURRENCE AGGREGATE Z042036B04*04/05/99 04/05/00 X STATUTORY UMTTS EACHACCDEHT * DISEASE - POLICY IMT f DISEASE • EACH EMPLOYEE $ 1,000.000 1,000,000 1,000,000 MO Days Notice of Cancellation for Non-Payment of Premium. CERTIFICATE HOLDER Cfty of Caitebsd Atbu Heten, Engineering Dept 2075 Las Paknas Drive Carlsbad CA ACORD 2W(7/BO) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENOjBWRftOWmXXXX MAR. M-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BMbWWB&XfcttM^^umcg&cj&Me^ 92008 Tom James, CPCU, CIC ©ACORD CORPORATION 1000 T <