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2176 CORTE LIMON; ; CB983208; Permit
BUILDING PERMIT Permit No CB983208 10/05/98 12.18 Project No A9804189 Paqe 1 of 1 Development No Job Address 2176 CORTE LIMON Suite- Permit Type GUNITE POOLS AND SPAS Parcel No 255-251-49-00 Lot# Valuation 16,605 Construction Type- NEW Occupancy Group Reference* Status ISSUED Description 540 SF POOL & SPA Applied 09/23/98 Apr/Issue 10/05/98 Entered By• RMA Appl/Ownr MISSION VALLEY POOLS 619 695-2000 8284 MIRAMAR RD SANDIEGO CA 92126 *** Fees Required *** ,..**"* Fees Collected & Credits *** Fees Adjustments Total Fees- Fee description Building Permit Plan Check Strong Motion Fee 338 OO/' ,o'b /, 338/00 '0 '' (\/ ,—' \ /' ''•-.._ , "•-•-. / ! n- "n / \ '*•" y '• v, .. ( ' '"": ' .'••— -^. \ ^'"- -Tdta: '••.))'"' Total />} ...N- 1874 1 ,',Crec3its :\ Payment's-: x " "'" ^-' '"'Z-. Balance'^Due.: % \ ,.-''' '''"'''•;-, Units N\Fee;/UHit^ t ' ' ', * " ' , '•-.-.> -•' .-..-• . ^ "'"" •'.:••• J""",-'1-" :" "'',''"• Enter "Y" for Electrica^;;:F,ee; ,,,t?x s-? / Enter "Y" for Plumbing Fee '' • * BUILDING TOTAL \ • ^ '. * - ;' " "M- 'I'-i- ':; ']•'!: \ . x- •"' f '' •' ' ^ \ \ ' // , -i • >' ~V .' ' 4 '• ' "r*-x ' "" .' ( if-'*"*: '~S/ 10/05/98 0001 01 r* _^prj tit iftj "y ^rT I 114 00 224 00 02 Ext fee Data \ \ 175 00 \ 114 00 ' 2 00 j 20 00 Y ; 27 oo Y / 338 00 224=00 OLE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 1 PROJECT INFORMATION :'••""" - FOR OFFICE USE ON PLAN CHEC EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #) -2V76 Business Name (at this address) Legal Description Lot No Unit No Phase No Total # of units Assessor s Parcel Use Proposed Use Description of Work SO FT /^0&6 2 ^CONTACT PERSON (if different from applicant)" #of Stories # of Bedrooms # of Bathrooms Name Address APPLICANT Q poritractor 3-Agent for Contractor D Owner ' (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 Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty ofnot more than five hundredjollars [$500]) '-^J. Name n,/ Address State License # iF w e «5 »<** License Class C. City State/Zip Telephone # J*'-?*-' City Business License # Designer Name Address State License # City State/Zip Telephone ?6Fr WORKERS' COMPENSATION „•• J" . ...'..""•"" :.,»," - • : „..-•-^ ' ,. .. '" . ;:l ' ,'t>M Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations |~| 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 JiJ. 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 carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~] 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 ($100^2)0). in additionj»>the costg&compensation, damages as provided for in Section 3706 of the Labo^code inleres^rujjattorney's fees SIGNATURE f\ . L.. ^--^^^/^f DATE ^^£-^ "* g 7 DOWNER-BUILDER DECLARATION^^'^ ^/f JiF ;.ii*" P^ :' : 'Tflfc. , '":1ftf;- J I hereby affirm that I am exempt frqpi«ne Contractors License Law for the following 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) |~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) 0 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 C]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 / typ\ of work) ) PROPERTY OWNER SIGNATURE DATE ^COMPLETE THIS SECTION fOK NON-RESIDENTIAL BUILDING PERMITS ONLY : _iNi ;S ,;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 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' O YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q] YES fJ 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. CONSTRUCTIpNiLENDING AGENCY •-•*! ...... ' . ,;; ^-\^' . ^*"™" ' ' ^.i ,;.... . '" Js ..... , 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 _ •9.t ..... APPLICANT^CERTIFICATION i ;„ .. "" W" ii-,...' '"': -A. li- .. .*' '':E : ..5 JJ.'^'-"" .. ::1:;jH!- 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 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 wojk is commenced for a period o/ 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE YELLOW Applicant PINK Finance PERMIT* CB983208 DESCRIPTION: 540 SF POOL & SPA TYPE: POOL JOB ADDRESS: 2176 CORTE LIMON APPLICANT: MISSION VALLEY POOLS CONTRACTOR: OWNER: REMARKS: C/NAREEN SPECIAL INSTRUCT: CITY OF CARLSBAD INSPECTION REQUEST FOR 12/17/98 PHONE: PHONE: PHONE: INSPECTOR AREA DH PLANCK# CB983208 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 695-2000 INSPECTOR TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION 59 SW Final Pool PERMIT# RW980299 TYPE ROW STATUS ISSUED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 121098 Fence/Pre-Plaster AP DH 120998 Fence/Pre-Plaster CO NF 120798 Fence/Pre-Plaster CO DH 110998 Electric/Conduit/Wiring AP DH 102398 Excav/Steel/Bonding/Fence AP DH COMMENTS DOOR ALARMS NOT ON ALARMS ON DOORS PERMITtf CB983208 DESCRIPTION: 540 SF POOL & SPA TYPE: POOL JOB ADDRESS: 2176 CORTE LIMON APPLICANT: MISSION VALLEY POOLS CONTRACTOR: OWNER: REMARKS: C/NAREEN/619/695-2007 SPECIAL INSTRUCT: CITY OF CARLSBAD INSPECTION REQUEST FOR 12/07/98 INSPECTOR AREA DH PLANCK* CB983208 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 695-200^ PHONE: PHONE: INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT! TYPE STATUS CD 55 RW980299 ROW ISSUED LVL DESCRIPTION ACT COMMENTS SW Fence/Pre-Plaster ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 110998 Electric/Conduit/Wiring AP DH 102398 Excav/Steel/Bonding/Fence AP DH COMMENTS NOTICECITY OF CARLSBAD " ^ ^^ " " ^^ m^ (760)438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE J27X «y "DATE S*f ' / / V TIME. LOCATION. PERMIT NO FOR INSPECTION CALL (760) 438-3101 RE-lN£PECTIO/M;FEE DUE? I YES FOR FURTHER INH^ATIQ^CONTACT. 'HONE "2- CODE ENFORCEMENT OFFICER t City of Carlsbad Engineering Department BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS 2 Q <~W~ L.', PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER ' 3- -5"' - 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 Please s> markecKwi plans orvs DENIAL ched report of deficiencies Mdike necessary corrections to itions for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review By By Date Date ATTACHMENTS D Grading Permit Application D Grading Permit Checklist 0 Right-of-Way Permit Application D Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT. CONTACT PERSON NAME DANNA TRIGS City of Carlsbad ADDRESS 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE (7fcO) 438-1161, ext 4374 H \WORD\DOCS\CHKLST\Pool Building Plancheck Cklist CHK24 Form BE doc 2075 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (ifco) 438-1161 • FAX (VfcO) 438-O894 BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN / pND/ Q 3RD/ Q 1 ProvijefeProvide a fully dimensioned site plan drawn to/scale Show X North Arrow Er Exisjmg & Proposed Structures 2 Show oXsite plan \/ / A /Drainage Patterns fe^^osting & Proposed Slopes &r Existing Topography 'roperty Lines 'Easements Indicate what will happen with soil excavated from pool area 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 te Address E&yAssessor's Parcel Number (7 Legal Description D Grading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan Project does not comply with the following Engineering Conditions of approval for Project No Conditions were complied with by GRADING PERMIT REQUIREMENTS Date 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 \\LASPALMAS\SYS\LIBRARY\ENG\WORD\DOCS\CHKLST\Pool Building Planctieck Cklist CHK24 Forni BE Ool •iSTV Q 2ND/ Q Q Q Q Q Q Q Page 2 of 2 5c A Grading Permit has been applied for PE2 Grading Inspector sign off by 5d No Grading Permit required MISCELLANEOUS PERMITS DWG Date 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 for the following ft( 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 H WVORD\DOCS\CHKLS'nPool Building Plancheck Cklisl CHK24 Forni BE doc ACORD CERTIFICATE OF INSURANCE PRODUCER CONROYS BUSINESS DYNAMICS CRISANNM CONROV 7825 FAY AVENUE, SUITE 200 LAJOLLA, CA 92037 (619)459-4939 INSURED ISSUE DATE (MM/DD/YY) 06/11/98 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER UNICARE COMPANY LETTER B MISSION VALLEY POOLS AND SPAS, INCORPORATED 8284 MIRAMAR ROAD SAN DIEGO, CA 92126 COMPANY LETTER COMPANY LETTER COMPANY LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE | | OCCUR OWNER'S & CONTRACTOR S PROT GENERAL AGGREGATE PRODUCTS-COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXPENSE(Anyoneperson) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS SD50-0798-12623 07/01/98 07/01/99 EACH ACCIDENT DISEASE-POLICY LIMIT *i,onn,nnn. DISEASE-EACH EMPLOYEE si.mn.onn OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ALL OPERATIONS CERTIFICATE HOLDER CANCELLATION DAVE STAPLETON DIMENSIONS IN WATER 1967 WILBUR AVENUE SAN DIEGO. CA 92109 ACORD 25-S (7-90) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL oO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1990