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HomeMy WebLinkAbout2150 CORTE CIDRO; ; CB032863; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-29-2003 Pool Permit Permit No CB032863 Building Inspection Request Line (760) 602-2725 Job Address 2150 CORTE CIDRO CBAD Permit Type POOL Status ISSUED Parcel No 2552500300 Lot# 0 Applied 10/17/2003 Valuation $29,475 00 Construction Type NEW Entered By RMA Reference # Plan Approved 10/29/2003 Issued 10/29/2003 Project Title BELL RES-900 SF POOL Inspect Area Applicant Owner SUNDANCER POOLS BELL MICHAEL J&AMY L 728 INPIRATION 2150 CORTE CIDRO ESCON DI DO CA 92025 CARLSBAD CA 92009 760-489-5850 Building Permit $242 99 Add'l Building Permit Fee $0 00 Plan Check $15794 Add'l Plan Check Fee $0 00 Electrical Fee $20 00 Plumbing Fee $27 00 Strong Motion Fee $2 95 Renewal Fee $0 00 Add'l Renewal Fee $0 00 Other Building Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $450 88 Total Fees $45088 Total Payments To Date $15794 Balance Due $29294 7550 10/29/03 0002 01 02 CGP 292-94 DATE JJ /] CLEARANCE. SIGNATURE \ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATI FOR OFFICE USE ONLY PLAN CHECK NO EST VAL M_ff./ Plan Ck Deposit Validated By / Date (ft (lj / Z2Z Bldg/Suite tt) ivision Name/Number Business Name (at this address) Unit No Phase No Total # of units Description of Work A$ Li; CONTACT PERSON Of different from applicant) Proposed Use 6779 10/17/03 0002 01 m tt of Bedrooms tt of Bathrooms .CGp 157-94 Name 3 APPLICANT Narrv Address City Contractor :vJ3?Agent for..Contractor:; :•• fj| Owner %Q Agent for Owner;..*&.: State/Zip Telephone i Fax # Address City State/Zip Telephone tt £A (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 Sectioru7031,5-by-any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars[$500]) Address License Class 1201 Clty State/Zip City Business License # Address City State/Zip Telephone V/ 4-Designer Name State License tt 6 WORKERS' COMPENSATION ":' ""'" ";ft i '™ a *-^., h ; •"•.. • , .^. :,. a.,, 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 ihe work for which this permit is issued .tSv 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 earner and policy number are —» ****-•, ,—• f~\ -*i,—• /''.L^flrf-vp ""I.-7I frt /<?(/ ffl^f—)^ /^~5Insurance Company ^y\LA^A r — \ M->* UL^V _. Policy No (—' L_/*—' S I-—^ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) d CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars <$l6o,000)yin addifcop-ttrtjwcost of (taaipeflsation damages as provided for in Section 3706 of the La^or^ode, ipterest andjittorney s fees 7 OWNER-BUILDER DECLARATION C_)" ' t Labor code, im. _ I hereby affirm that I am exempt from the Contractor's License Law for theTOlUrwing reason |~| 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) ner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The pntract/r 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 'to the Contractor's License Law) i exempt under Section _ Business and Professions Code for this reason l personally plan to provide the major labor and materials for construction of the proposed property improvement l~| YES FlNO / have not) signed an application for a building permit for the proposed work ve contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) I pla\ 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 fiumber / contractors license number) __ __________ J5 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 SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ; JJ-": 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? d YES Q NO \le the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' [U YES d NO /IsVhe facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO / IF fflNY 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 *\J 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) I S NAME LENDER'S ADDRESS APPLICANT CERTIFICATION : %Mf: "I!?"' " ".?? " ..... ""i|s: 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 commenced for aaenod of 180 days) (Section 106 4 4 Uniform Building Code) ( . _ APPLICANT'S SIGNATURE ^0 J^LUL ^7^ Jl^D ~7ki^T DATE /Q. Finance City of Carlsbad Bldg Inspection Request For 03/02/2004 Inspector Assignment PDPermit* CB032863 Title BELL RES-900 SF POOL Description Type POOL Sub Type Job Address 2150 CORTE CIDRO Suite Lot 0 Location APPLICANT SUNDANCER POOLS Owner BELL MICHAEL J&AMY L Remarks Phone 7604895850 Inspect Total Time CD Description 59 Final Pool Act Comment Requested By JOHN Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 02/18/2004 55 Fence/Pre-Plaster AP PD 12/04/2003 51 Excav/Steel/Bonding/Fence AP PD 12/02/2003 51 Excav/Steel/Bonding/Fence CO PD FENCING City of Carlsbad Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER BUILDING ADDRESS Q\ Kjfl 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 susjaension 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 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 Taniya Barrows City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2773 H \Developmenl Setvices\MASTERS\FORMS CHECKLISTS \BUILDING PLANCHECK CKLIST FORM POOLS doc Rev 8/22/96 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-272O • FAX (760) 6O2-8562 *""? BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN • ST/ "" 1 Provide a fully dimensioned site plan drawn to scale Show ^ Arrow jQ^Property Lines -Bx"'Existing & Proposed Structures D^^-Easements Q 2 Show on site plan J< Drainage Patterns _Ji^Hfidicate what will happen with '•EnExistmg & 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 _ Q 3 Include on title sheet Address .^''Assessor's Parcel Number C Legal Description D Grading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan 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 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 H \Development ServicesVMASTERSTORMS CHECKLISTS \BUILDING PLANCHECK CKLIST FORM POOLS doc A sv 2ND/ 3RD/ Q Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date 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 to the public Right-of-Way A separate Right-of-Way issued by the Engineering Department is required "2> 10 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 3 of 3 H \Development Services\MASTERS\FORMS ^CHECKLISTS BUILDING PLANCHECK CKLIST FORM POOLS doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE 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 DocsJMisforms/Planning Engineering Approualf COMPENSATION INSURING I P.O BOX 807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE ISSUE DATE: O4-11-2O03 CfcTY OF ENtftiltAS ATTirBUItptNG DEPT 505 S VULCAN AVEt ENCINJTAS CA 92024, WORKERS' COMPENSATION INSURANCE so \ GROUP. POLICY NUMBER: O73S975-2OO3 CERTIFICATE ID: 31 CERTIFICATE EXPIRES: O4-11 - 2OO4 O4-11-2OO3/O4-1I-2004 JOB; ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California 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 36 days' advance notice should this policy be cancelled prior to its normal expiration. "• 'r f & j* - r, i- f" This certificate of insurance is not an insurance policy and does not amend, extend' or after the coverage afforded by the policies listed herein. "Notvyithstanding any requirement, term, or condition*' of any contract or other document with respect to yvhich this "certificate oft insurance' fnayv toe, issued or may pertain, the insurance afforded by the ;™ policies described herein is subject to all the te^ms. exclusions and conditions of such policies. ' > 1 * * i v •. "• • ' * AUTHORIZEDREPReSEMtATIVE PRESIDEfjfT . . - •• EMPLOYER' S LIABILITY LIMIT XKMXUDIMB DEFENSE COSTS: $i,OOO^,OOO.OO PER^OCOJftRENCE. '' - * - "•-' - EXCLUSION: INDIVIDUAL- B4PLOYERS AND HUSBAND: AND WIFE EMPLOYERS AREf NOT ELIGIBLE. FOR BENEFITS AS EMPLOYEES UhBOER THIS, POLICY. ''. ' i , - ?K >' i "* * - ' ;, \ :" ~, ENDORSEHENT #2O6S ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 04-11-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY.; 5. ,^,.~ .. . , * ' s-^ .;^ ' i '-" \ EMPLOYER LEGAL NAME ; SUNDANCER , t /728%IMSP|RATION IN ESCONDIDO'CA " ^~ HiLLIAHS, DAVID A AND WILLIAMS. SUSAN c PRINTED: <*-17-20O3 P0410 g u IU ;CL LU D Z in IS m LUo ID > N