HomeMy WebLinkAbout2165 CORTE ACEBO; ; CB992778; Permit08/04/1999
City of Carlsbad
Pool Permit Permit No CB992778
Building Inspection Request Line (760) 438-3101
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2165 CORTE ACEBO CBAD
POOL
2552600800 Lot # 0
$1,40700 Construction Type NEW
SPA42SF-GUNITE
Status ISSUED
Applied 07/22/1999
Entered By JM
Plan Approved 08/04/1999
Issued 08/04/1999
Inspect Area
Applicant
SHAFFER POOLS
730 NORDAHL
SAN MARCOS CA 92069
619-850-0629
..Owner ._.
ACACIA CREDIT-FUND 5-A L L C
C/O:RICK\MALOUF\ 256? oe/04/9? 0001 01
400 E VAN. B.UREN ST '#6.50 C-PRMT
PHOENIX AZ.85004:i \
02
TV.)\
82.00
Total Fees $104 10 / /f Total payments fofaatej^>" $22 10 \V/'Balance Due $8200
Building Permit
Add'l Building Permit Fee I
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
^ 00
$0 00
$22 10
$000
$2000
/$27 00
$1 00
$0 00
$000
$000
$10410
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE 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(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
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
Si PROJECT-INFORM
FOR OFFICE USE ON
PLAN CHECK NO
EST VAL
Plan Ck Deposit.
Validated By_
Date
I/U
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description /as Subdivision Name/Number Unit No Phase No Total # of units
Assi /338k Proposed Use
Description of Work t f\ . SQ FT
:2 CONTACT PERSON (if different from applicant)
of Bedrooms # of Bathrooms
Name
3 "
-' Address City
5J Contractor!; ^Agent for Contractor D "Owner Q; Agent; for Owner;
Fax tt
Name
4
Address City State/Zip
OA
Telephone #
Name "Address City State/Zip Tele'phone #
(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.violatioa.of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
9 o/O
Name
State License #
:on35!
Address
License Class
l A/ -
City State/Zip
City Business License «
Telephone #
Designer Name
State License #
e
Address City State/Zip Telephone
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
l~l 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
^21 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 comgensation insurance carrier and policy number are O"-2 /") s~i
Insurance Company .'^fZL'tg- LJOYV^f) ( KtS FlU^KA Policy No OVfe ~ QOD%C(al Expiration Date I ~~( - OO
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS!
n 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 ($100,000) in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
SIGNATURE 9J J^Ld O^j~ _ DATE 7
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
f~1 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)
l~l 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 l~l YES I~|NO
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
ICpMPLETljTHIS SECT^ '•' '"•""' '""' ....... " ^'"^iZ .......... ""*"" "™ •.*-"' ' "V^' """
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? fj YES [H NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~l YES f~l NO
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site' Q YES d 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
1 H^ P^STRUCTIONLENJijJNG: AGENCY j^;isi ____ _ .,.,-, :......". ...LI. ,. _ Ji :.... . „.*..: ...-ffldlS ' " ~
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)
. f A
LENDER S NAME _ f^1 ** _ 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 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 work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Inspection Request
For 10/20/99
Permit* CB992778
Title SPA 42 SF-GUNITE
Description
Inspector Assignment SR
2165 CORTEACEBO
Lot 0
Type POOL Sub Type
Job Address
Suite
Location
APPLICANT SHAFFER POOLS
Owner GELLER MICHAEL
Remarks
Phone 7608399010
Inspector ,28,
Total Time
CD Description
59 Final Pool
Requested By SHAWN
Entered By CHRISTINE
Act Comments
Inspection History
Date
10/6/99
9/30/99
9/30/99
9/30/99
9/28/99
9/28/99
9/28/99
9/8/99
9/8/99
9/8/99
8'31/99
Description
55 Fence/Pre-Plaster
23 Gas/Test/Repairs
52 Underground Plumbing
52 Underground Plumbing
23 Gas/Test/Repairs
52 Underground Plumbing
53 Electric/Conduit/Wiring
51 Excav/Steel/Bondmg/Fence
52 Underground Plumbing
53 Electric/Conduit/Wiring
51 Excav/Steel/Bonding/Fence
Act
AP
AP
AP
AP
AP
we
CO
AP
AP
CO
CO
Insp
SR
SR
SR
SR
SR
SR
SR
SR
SR
SR
SR
Comments
OK TO PLASTER
AP ON 9/28
AP ON 9/8
AP ON 9/30
NEED TO HAVE A LINE IDENTIFIED
NONE TO INSPECT
NEEDS MORE STEEL IN DEEP END(ND FENCE)
'1
City of Carlsbad Inspection Request
For 8/31/99
Permit# CB992778
Title SPA42SF-GUNITE
Description
Inspector Assignment
2165 CORTE ACEBO
Lot 0
Type POOL Sub Type
Job Address
Suite
Location
APPLICANT SHAFFER POOLS
Owner ACACIA CREDIT FUND 5-A L L C
Remarks
Phone 7608399010
Inspector
Total Time
CD Description Act Comments
51 Excav/Steel/Bondmg/Fence C_Q
Requested By SUE
Entered By CHRISTINE
Inspection History
Date Description Act Insp Comments
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE
DATE Q/O/
LOCATION a Ib6
PERMIT NO
(760)438-3550
2075 LAS PALMAS DRIVE
TIME
C^^
FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE? I ._ YES
FQR FURTHER INFORMATION, CONTACT
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER CB
BUILDING ADDRESS «=^U G>5
PROJECT DESCRIPTION £oeT C.T
ASSESSOR'S PARCEL NUMBER -& ^- O O
ENGINEERING DEPARTMENT AA
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 suspe'fision/tft permit to build
By Date
DENIAL
Please see the attached report of deficiencies
marked with DMake 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 DONNA HARVEY
City of Carlsbad
ADDRESS 2075 Las Palmas Drive
Carlsbad, CA 92009
PHONE (619) 438-1161, ext 4324
H \WORO\Hawey\ENGINE6RING COUNTER SERVlCES\Pool Building Plancneck Cklist CHK24 Form MM doc
Rev a'22/9C
2075 Las Palmas Dr • Carlsbad, CA 92009-1576 • (760) 438-1161 • FAX (760) 431-5769 ®
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
pND/ 3RDjr
Q Q 1 Provide a fully dimensioned site plan drawn to scale Show
As North Arrow .^Property Lines
1& Existing & Proposed Structures &* Easements
Q Q 2 Show on site plan
st\ Drainage Patterns g^fndicate what will happen with
Existing & Proposed Slopes soil excavated from pool area
Existing Topography B^Retammg Walls
(location and height)
Note- If excavated so// 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
\if Q Q 3 Include on title sheet
Address
B/'Assessor's Parcel Number
G/Legal Description
D Grading Quantities Cut Fill Import/Export
I 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 1 of 2
A STV pND/ oRD/
H \WORD\Haivey\ENGINEERING COUNTER SERVICES\Pool Buikling Planctieck Cklist CHK24 Form MM doc
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
^/^j \ £lc)lO'atC:~)U 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
Q Q Q 7 Remarks
Page 2 of 2
H «A/ORD\Han/ey\ENGINEERING COUNTER SERVICES\Pool Building Planctieck Cklist CHK24 Form MM doc
8'22/S6
FEB-09-99 05:13 PM SHAFFER POOLS 760 839 9020 . 02
y^C;,
' ' f,* •
PO'66X420807 SAN FRANCISCO CA34142-GB07
'-' CERTIFICATE OF WORKERS' COMPENSATION INSURANTS'
' '^
CERTIFICAT6 6XWRE.
P.,0. . BOX
StflTE LICENSE: BOflRD
Cft. 958P6
JOBi'» 605439-
SKDO
Tflc s to certify that we ha«.e issu'-l a valid Wo-Vcis Companitat-on insurance .policy In j <Q<I.I snpn ve<J b> I'JB Cali'"rti.
InJucjinea COiT»nlss.onar tc the eiitp'oye' na"Wd belcw 'of the policy pc'lotf u
, "Trfc policy is riot sufcioct to canr citation by the Fund ercctp* uponien days' advarce w~#<><% oo"e« v <h« cmu'c^r
Vis vill Bias give you TEN days' advance notice should * s policy be cancelled prior (o rts noriral cxpi'atic'
Thfc cc'» ficatc of msurarca o not an insurance policy rnd does not anend extend or J<*e l^s oc vy?gf
pofic-Ks. listed hersi" No'KiV^anding any requ sxnant. (ef<n cr condition ot ary -acn'ra"! or -odter docu*"sn( with
recpoct to which thte'ceilificclH of insurance may be Issjed or ma/ patair, lite insurance aifoitfeo ty J
' desC'-Oed herein is subjsc'c la an the terms exclusions and condil.ons of such pdiclta
AUTHORIZED ReP
LIRBILITY LIW1T UCLUDIN5 DEFENSC COSlSs PER OCC'jRPh(C£.
fHPLOYER
POOLS' INC.
41790 WNOESTER RD 4D
; Cft