The URL can be used to link to this page

Home My WebLink About2075 LINDA LN; ; CB020124; PermitJ 01-17-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB020124 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2075 LINDA LN CBAD POOL 2051604700 Lot# 0 $18,99500 Construction Type NEW WORTMAN RES 580 SF POOL/SPA Status ISSUED Applied 01/10/2002 Entered By RMA Plan Approved 01/17/2002 Issued 01/17/2002 Inspect Area Applicant HALLMARK POOLS 12580 STOWEDR 92064 858391-3434 Owner WORTMANN CHRISTOPHER R&SUSAN E 2075 LINDA LN CARLSBAD CA 92008 3 CAP Total Fees $327 73 Total Payments To Date $109 84 Balance Due $21789 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 $16899 $000 $10984 $000 $2000 $2700 $1 90 $000 $000 $000 $000 $327 73 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICB-that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as lees/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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORJWTION FOR OFFICE USE ONL,Y PLAN CHECK NO EST VAL <• c_> / Plan Ck Deposit Validated Bvy . Date /^_ SwETress (include Bldg/Suite #) Lega Business Name (at this address) Subdivision Name/Plumber Phase No Total # of units 01/1Q/02 QQQ2 01 02 Assessor Existing Use Proposed Use CGP 109 84 Description of Work CONTACT PE SO FT #of Stories # of Bedrooms # of Bathrooms if differeht|from applicant) Name 3 I APPLICANT Address ContracwriiiEj! Agent foTclnScto \r VG\te> * * State/Zip Telephone #Fax # Address City State/Zip »3PERTY O' £^_ Telephone # Address City State/Zip Telephone #Name *5 CONTRACTOR COMPANY NAME (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 pption Any violatiqn of Sffc^ion ^031 5 Ijy^ny applicant {graypermit subjept^the apfrtfyant to a civil pepalty of not pnore than five hundred dollars [$5091) >o Name : State License # *-VOPV^>% Address r\ -^ ^_ \£) License Class^- — — ^>~J i City Cj City Business State/Zip License # I ~H Telephone # >S.O\5rv fjp^r\ Designer Name State License # 6 "*~WORKERS COMPENSATIO Address N ~"*~IiB ~ * "™"1 City State/Zip •••«• Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations JfQ^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 f of the work for which this permit is issued l~l I have and will maintain workers comaepsation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s_co/npensation insucanceycaVier and policy number are ^_^ -, Insurance Companv^_^iSc3^ ^^v-~Nj Policy No \ :^»V O Q^S~ CJ Cj Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) C] 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-ffTDfyOOO) in addition to fhqcost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE V OsOXax^JL C^J) V/\M^ DATE \~~ \ Q " C^" 7 OWNER BUILDER DECLARATION"""^^^\^^ i^ ^ "• ^ 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) 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) l~l 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 l~lNO 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 COMPLETE THIS SECJ10N FOR NON RESIDENTIAL BUILDING PERMITS ONLYfeiHU ^Itlfc^ i 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 fj] 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' 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 8" CONSfiljCTIo¥IiNDllA^liGlNCYslJ^ „ „,_, "^ *__, r ua^ ^ t* 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 9 APPLICANT CERTIFICATION " T— **«*^ ,,.ji.^ ^ *. » v ^ 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 stones in height EXPIRATION Every pijtmrt-ts&ued 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 pafmit is not commenced within 180 days (row th^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 commenced for a peqod oLiahaays (Section 106 4 4 Uniform Building Code)^^ =* APPLICANT S SIGN DATE WHITE File ELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 07/26/2002 Permit# CB020124 Title WORTMAN RES-580 SF POOL/SPA Description Inspector Assignment RGB Type POOL Sub Type Job Address 2075 LINDA LN Suite Lot 0 Location APPLICANT HALLMARK POOLS Owner WORTMANN CHRISTOPHER R&SUSAN E Remarks Total Time Phone 8585188448 Inspector i Requested By RON Entered By CHRISTINE CD Description 59 Final Pool Act Comments Associated PCRs/CVs Date 05/13/2002 03/01/2002 03/01/2002 03/01/2002 02/15/2002 02/15/2002 02/15/2002 02/11/2002 Insoection Historv Description 55 23 52 53 51 52 53 51 Fence/Pre Plaster Gas/Test/Repairs Underground Plumbing Electric/Conduit/Wiring Excav/Steel/Bondmg/Fence Underground P'dmbmg Electric/Conduit/Wiring Excav/Steel/Bondmg/Fence Act AP AP AP AP AP AP PA NR lns[ RC PD PD PD RC RC RC RC Comnie ts ALARMS OK OK TO PLASTER FENCES GATES OK AT POOL LIGHT ONLY WORKERS STILL WORKING City of Carlsbad PubIIc Wor ks:— Eng i n e e r i n g BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS L-l PROJECT DESCRIPTION Pool ASSESSOR S PARCEL NUMBER — /&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 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 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 TANIYAWADE City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad CA 92008 PHONE (760) 602 2773 H \WORD\DOCS\CHKLS'nPool BuiMirw Plancheck Cklist CHK24 Form PMH dnr.Pou RmiOK 1635 Faraday Avenue • Carlsbad CA 92OO8 7314 • (760) 6O2 272O • FAX (76O) 602 8562 7 \ ^ BUILDING PLANCHECK CHECKLIST POOLS SITE PLAN s 1s/' 2 3 0 Q Q 1 Provide a fully dimensioned site plan drawn to scale Show North Arrow ^^Property Lines Js Existing & Proposed Structures ^J^Easements „ y^>^> fir Q Q 2 Show on site plan A^brainage Patterns ^^^Indicate what will happen with fe Existing & Proposed Slopes ,^-SO1' excavatec' from P°°l area J>^Existing Topography ^/E^Retaming 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 Address Parcel Number 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 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 -i ST/ 2ND'/ 3KD^ Q Q Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q Q 5d No Grading Permit required MISCELLANEOUS PERMITS 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 _ r\ S~*\(O A separate Right-of-Way issued by the Engineering Department is required (J(J ^— 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 Q 7 Remarks Page 2 of 2 PLANNING/ENGINEERING APPROVALS PERMIT NUMBEB CB \ Tk^A DATE \ ADDRESS \ RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER t PLANNER DATE \ ENGINEER DATE Oocs/Mlsforms/Plannmg Engineering Approvals Oct 02 01 09 15a \ SD COMPENSATIONINSURANCE PO BOX 807 SAN FRANCISCO CA 94101-0807 F-UISID CERTIFICATE OF WORKERS COMPENSATION INSURANCE,, ISSUE DATE 10-01-01 POLICY NUMBER 1590838 - 01 CERTIFICATE EXPIRES 1O-01-02 CONTRACTORS STATE LICENSE BOARD ATTN WORKERS' COHP UNIT BOX 26000 SACRAMENTO CA 95826 JOB #489610 INCEPTION DATE 10-01-01 DO SAN DIEGO This is to certify that we have issued a valid Workers Compensation insurance policy Jh a form approved by the C Itforma Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer We will also give you 30 day advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or after the coverage afforded by the policies listed herein Notwithstanding any requirement term or condition pf any contract or other document with respect to which this certificate oi insurance may be issued or may pertain the insurance afforded toy the policies described herein is subject to all the terms exclusions and conditions of such policies PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1 000 000 00 PER OCCURRENCE ENDORSEMENT #2065 ENTiTLED CERTIFICATE HOLDERS NOTICE EFFECTIVE 10/01/O1 IS ATTACHED JO AND FORMS A PART OF THIS POLICY EMPLOYER LESjAL NAME HALLMARK POOL.S 12580 STOWE DR PQWAY CA 92064 HALLMARK POOLS (A CORP)AND/OR, POOL MAX XA CQRP)