HomeMy WebLinkAbout2195 Avenida Toronja; ; CBR2017-0057; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 06/14/2017 Residential Permit Permit No: CBR2017-0057
www.carlsbadca.gov
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
Applicant:
2195 Avenida Toronja
BLDG-Residential
2552615800
$19,908.20
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
DESANTIS: 380 SF POOL & SPA// GAS FIRE PIT & GAS BBQ
Owner:
Pool
SUE MONGOVEN
197 Woodland Pkwy, Suite 104
SAN MARCOS, CA 92069-3021
760-271-1618
COOWNER DESANTIS JOSEPH A&SOPHIA T
2195 Avenida Toronja
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
CARLSBAD, CA 92009
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
581473 BUILDING STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1-Medium
SWPPP PLAN REVIEW FEE TIER 1-MEDIUM
Total Fees: $726.81 Total Payments To Date: $726.81
Status:
Applied:
Issued:
Fina led:
Inspector:
Co-Applicant:
ZIER ~OLS INC
321 Sunbird Ct
San Marcos, CA 92069-6895
760-290-414 7
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 capacity 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 limitation has previously otherwise expired.
Closed -Finaled
01/09/2017
01/13/2017
JWest
$0.00
$203.66
$142.56
$41.00
$49.00
$1.00
$2.59
$232.00
$55.00
,· THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BUILDING
('atyof
Carls Dad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEI/SPACEI/UNITt
Date
CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Fi t of Affected Area(s)
(pwJ~ le-of /~I/'
~~/f
EXISTING USE GARAGE (SF)• PATIOS (SF) DECKS (SF)
CITY
PHO
CONTRACTOR BUS. NAME
ADDRESS~
CITY
PHON
EMAIL EMAIL
STATE UC.#
OFIRE QHEALTH QHAZMAT/APCD
a -/JO
OCC. GROUP
(Sec. 703 .5 Business and Professions Code: Any City or County whic requires a permit to construct, alter, improve, demolish r 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 of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for v.urkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date _________ _
)
section need not be completed ~ 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
omia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred housand dollars (&100,000), in
addition to the cost of compensati amages provided f in Secti 3706 of the Labor code, interest and attorney's fees. , /
,6 CONTRACTOR SIGNATURE AGENT DATE tr'SJ
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
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).
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).
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. 0Yes 0No
2. I (have I 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 I phone I 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 I address I phone I 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 I address I phone I type of work):
,6 PROPERTY OWNER SIGNATURE 0AGENT DATE
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 Acri O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districrl O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes o 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.
I certify that I have read the application and stile 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 rep-esentative of the City of Carlsbad to enter u~ the aoove mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is requied for excavations over 5'0' deep and demciltoo or ronstructoo of structures over 3 stones i1 height.
EXPIRATION: Every permit issued by the Building Offcial under the provisoos of lhis Code shall expire by Imitation and become null and void ~ the txJilding or v.ork authorized by such permit is not commenced 'Mthin
100days from the date of such permit or if the ooildilg orv.ork authorized by such permit is suspended or abandoned at any time after the v.ork is rommenced for ape · of 100days (Sedoo 100.4.4 Uniform Building Code).
Ji6 APPLICANT'S SIGNATURE DATE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C l (l : I F J C r'\ T ! 0' 0 C CU f' A rJ CY / C o rn r.1 c r c i .1 I f' r o I c c t •, 0 n l j J
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
0 PICK UP: o CONTACT (Listed above) o OCCUPANT {Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#
0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
0 MAIL/ FAX TO OTHE~:
D CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
;!;J ";.,.,
PERMIT INSPECTION HISTORY REPORT (CBR.2017-0057)
Permit Type: BLDG-Residential Application Date: 01/09/2017 Owner: COOWNER DESANTIS JOSEPH
A&SOPHIAT
Work Class: Pool Issue Date: 01/13/2017 Subdivision: CARLSBAD TCT#88-03-02 UNIT#02
Status: Closed -Finaled Expiration Date: 12/11/2017 Address: 2195 Avenida Toronja
Carlsbad, CA 92009-8707
IVR Number: 1347
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete ____ ,,
06/13/2017 BLDG-Final 026394-2017 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
02/22/2017 02/22/2017 BLDG-23 014279-2017 Passed Jonathan West Complete
Gas/Test/Repairs
BLDG-31 014280-2017 Passed Jonathan West Complete
Underground/Condu
it-Wiring
BLDG-51 014278-2017 Passed Jonathan West Complete
Excav/Steel/Bondlng
/Fence(Pools)
03/22/2017 03/22/2017 BLDG-51 017287-2017 Passed Jonathan West Complete
Excav/Steel/Bonding
/Fence(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Equipotential bond. Yes
06/01/2017 06/01/2017 BLDG-51 024974-2017 Passed Jonathan West Complete
Excav/Steel/Bonding
/Fence(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
06/14/2017 06/14/2017 BLDG-55 026266-2017 Passed Paul Burnette Complete
Fence/Preplaster
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
June 14, 2017 Page 1 of 1
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
-~Gl1-<.o5]
STORM WATER POLLUTION PREVENTION NOTES BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Tracking Non-Slonn Water Waste Management and Materials t:ros1on 1,;onuu1 Sediment Control BMPs
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE BMPs Control BMPs Management BMPs Pollution Control BMPs
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION C:
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN C: C: 0 ..... ..... 0 0 :;:; C C: -0 :;:; :;:; O> C Q) -0 Cl) -0 IS EMINENT. (I) C: () () C: O> E C: E C: C: C ..... C -::, ::, 0 'c ·;:: .9-C C E .... .... :;:; .... Cl) Cl)
THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION ::E -0 (I) c,, L. Q) -..... C '-::, >, O> ..... 2. C: Cl) L. .5 Cl) £ (I) (I) (I) ~ ·;:: CT L. C C (I) Cl) O> Ccj Q. Q) ·;:: C: (I) C: L. I.LI -~ 0 C .....
Best Management Practice* ~ .!: C co Q. L. (!) Q) C: (I)
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION (I) L. 0 Q) 0 Cl) Q) C :;:; ..... 3: ..... c ..... (I) 3: ~ (I) C C: (..) ..... ..c: C: E (..) L. (I) i -0 cu (I) ::E C: Cl) C: C: 3: C:
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING (BMP) Description ~ (I) () Cl) en '5 Cl) ..!!? O> Cl) O> CD ·5 C: O> C: -0 (I) C Cl :::::, ~ ..... Cl) (I) Cl) Cl) Cl) "'5 ~ Cl) L. () ..... C 0 C 3: C: L. 0 ~~ -0 >, 0 (I) C C: C c, Cl) ~E ::, E a, E = C: Cl CD en·-c,, Cl :;:; (..) Q) Co Cl)
RAINFALL. ..... ::E 0 O> Cl C Cl) a::: E C N (I) ~c () c,,Z Cl) QI C c Q) c '5. .__ 3: Cl) 0 Cl) ..... Cl) X C Cl> E .:,£ ] ..... ::, ..c E~ = (I) = 3: :v:.;;; :0 u·c ·-O> ·;:: a.. e O> "E c,, e O> Cl) Cl) ..... cC .._ C .:,£ ..... -0 ..C: C () .... Cl)::, -0 ·-Cl) ·--0 C Cl) .... Cl) () _ ..... -0 C cc 0 C 0 -·-Q. 'c Cl) Cl) () ......... ..c L. ..C C ..... () 'i; 8 •-C ..... •-C N C: C: C: THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION 0 L. C -Cl) C C: 00 CO> .B 0 cC ..... ..c: Cl) ..... 0 0 '5. 8 3. Cl) ~ C .._ 0 = Cl) ..c: ..c .... '-C C ........ 0 ~u c ..... C ..... oc cc 0 C (!) L,,J Cl en en en (..) G: (!) V>> en en a.. V>.E en a::: 3: it a..o a.. ::E en ::E en en u en ::e :::c ::E (..) ::E
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR CASQA Designation ~ r-.... IX) O> -I"") "<I' LO tO r-.... IX) 0 N I"") r-. co ' N I"") "<I' LO tO IX) --' ' ' I I I I I I UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. I I I I I I I I I I I I I I I
(..) (..) (..) (..) L,,J L,,J L,,J L,,J L,,J L,,J L,,J L,,J ~ ~ en en en en i i i i i i i Construction Activity L,,J L,,J L,,J L,,J en en en en en en en (/) z z z z . -I 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE Grading/Soil Disturbance ~, .'-L X ::::::>< 'x ~ "'X .x.. ~
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) Trenchina/Excavation , ........ ------DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PE CENT Stockpilina
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER Drillina/Borina
EACH RAINFALL. Concrete/Asphalt Sawcuttino
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM Concrete Flatwork
Pavina AGGREGATE. Conduit/Pipe Installation
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER Stucco/Mortar Work
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST Waste Disoosal
BE INSTALLED AND MAINTAINED. Staaina/Lav Down Area
Eauioment Maintenance and Fuelina
7. THE CITY INSPECTOR SHALL HA VE THE AUTHORITY TO ALTER Hazardous Substance Use/Storaae
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED Dewaterina
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY Site Access Across Dirt
REGULATIONS. Other (list):
Instructions:
1. Check the box to the left of all applicable construction activity (first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresrionding California Stormwater Quality Association (CASQA) designation number. Choose one or more BMPs you intend to use during construction from the list. Check he box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION PROJECTINFORMATION I ...-<_ , ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
Site Address, '2-/'tt: lliftulA 7l7JM~ THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, Assessor's Parcel Number: kl~ 'Id~
COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES Emergency Contact:
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED Name: 1.,k/~ BY THE CITY OF CARLSBAD.
<;u£ /Ml>t16o Vc7J 24 Hour Phone: 1~0-6ZZ.-9J'S[} .l OWNER_(S)/OWNER S AGENT NAME (PRINT) Construction Threat to Storm Water Quality
OI\N~¥ETslGNA1URE)
(Check Box) ~
0 MEDIUM LOW
E-29 Page 1 of 1 .
REV 02/16
I