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
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