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2206 Azurite Pl; ; CBR2017-0118; Permit
Print Date: 10/06/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2206 Azurite Pl BLDG-Residential 2132402100 $7,258.05 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Pool Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: OLESKI: 99 SF GUNITE SPA// GAS & ELECTRIC TO FIRE PIT & BBQ Applicant: GREEN LAND CO JAY PEBDANI 760-889-8000 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) Owner: COOWNER OLESKI 2206 Azurite Pl Carlsbad, CA 92009-1710 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 BLDG Total Fees: $489.21 Total Payments To Date: $489.21 Status: Applied: Issued: Finaled: Inspector: Contractor: GREEN LAND CO 760-432-9999 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. Permit No: CBR2017-0118 Closed -Finaled 01/18/2017 02/09/2017 PB urn $0.00 $97.22 $68.05 $41.00 $49.00 $1.00 $0.94 $232.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILOING OFIRE OHEALTH 0HAZMAT/APCO C cicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. 2011-0( l~ JOB ADDRESS CT/P JECT # LOT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) q~ I// EXISTING USE PROPOSED USE APPLICANT NAME - Primary Contact J Est. Value , 2'5t) - Plan Ck. Deposit Date -I -l-:f. SW PPP SUITEt/SPACEt/UNITI TEN NT BUSINESS NAME °'e.rnovt q ?0=!10 eo-J~ / <oc..opt, q -\ '5-11 f?t-7i·O c?v r)£:/._' /2 )( /'f / C,1-S ~ Cll--s" ro ;=tA'-E'j=? r GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER NAME AIR CONDITIONING vEs O NoD OCC. GROUP CITY ZIP'fZ....0£? 9 PHONE 7 0 6 g-3 1 'llfJ FAX PHONE EMAIL EMAIL DESIGN PRO CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP ZIP92£>& PHONE FAX EMAIL STATELIC. # ClASS CITY BUS. LIC. # CS3 (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 or the Contractor's License Law {Chapter 9, commending with Section 7000 or D1v1sion 3 or the Business and Professions Code) or [hat he is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS ' COMPENSATION Workers' Compensation Declaration: I hereby alfiml under penalty of perjll)' 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 ol the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the WOik for which lhis DelTTllt is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date--------- J!!§, section need not be compleled ~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify lhat in the performance of wo r 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' compensa · overa e Is uni wful, and shall subject an employer to criminal penalties and civil fines up to onelund ad thousa dollars (&100,000), In addition to the cost of compensation, dama as p dad f in · 3 o e Labor code, interest and 1ttomey's fees. KS CONTRACTOR SIGNATURE D AGENT DATE I l"J I I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of lhe property or my employees wilh wages as lheir sole compensation, will do lhe 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 himseH or through his own employees, provided lhat such lmprovemenls are not intended or offered for sale. If, however, Iha building or improvement is sold wilhin one year of completion, the owner-builder wiH have Iha burden of proving lhat he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting wilh licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of propetly who builds or improves thereon, and contra:ts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). t am exempt under Section Business and Professions Code for lhis reason: 1. I pe1SOnally plari to provide lhe major labor and materials for construction of the proposed property improvement O ves 0 No 2. I (have I have not) signed an application for a building permit for Iha proposed work. 3. I have contracted with lhe following person (f11111) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan lo provide portions of lhe work, but I have hired lhe following person to coordinate, supervise and provide the major work Qnclude name I address I phone I contractors' license number): 5. I will provide some of lhe work, but I have contracted (hired) the following persons to provide lhe work indicated Qnclude name I address I phone I type of work): KS 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 Act'? Yes No Is the applicant or future bt.ilding occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the fadbty to be constructed within 1,000 feet of the outer bounda,-y of a school site? Yes 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 thatl have read the application and state that the above Information is conect and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State la\\S relating to building construction. I herel)oJ aulhorize repesentaliYe of the Cityof Cal1sba:l klenterufX)ll the alxlYe menliooed projX!lfy iY ilspedm ~JJX)SeS. I At.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD AG6JNST ALL LW31LITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA permit is requred iY excavations over SC! deep and demolioon · of structures over 3 sklries n heg)L EXPIRATION: Every perm~ issued by the Building Offcial under the pro"1Sons of II expire fmitaoon and berome nun and voo ~ the building ex \\00( authorized by such permit is not commenred v.ithin 100days tom the date of such perm~ ex if the buildng ex authorized by such abandoned at any time after the l',00( is COIMleOCad iY penod of 1 days (Seeton 100.4.4 Uniform Building Code). ,I$ 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 ,. ! ~ ! ' ·\ J f 01 0 C. C U fl /\ r., C Y 1 Con• 11' ( r c . ,' J r, r u J t c t (1 r1 I Fax (760) 602.a560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I 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 PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION A! APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-0118) Permit Type: BLDG-Residential Application Dato: 01/18/2017 Owner: COOWNER OLESKI Work Class: Pool Issue Date: 02/09/2017 Subdivision: CARLSBAD TCT#02-24 LA COSTA GREENS NEIGHBORHOODS 1.11,1.13&1.14 Status: Closed -Finaled Expiration Date: 11/28/2017 Address: 2206 Azurite Pl Carlsbad, CA 92009-1710 IVR Number: 1482 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 02/10/2017 02/1012017 BLDG-21 013348-2017 Passed Peter Dreibelbis Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-51 013349-2017 Passed Peter Dreibelbis Complete Excav/Steel(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 05/2612017 05/2612017 BLDG-55 024597 -2017 Failed Paul Burnette Reinspection Complete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency No 06/01/2017 06101/2017 BLDG-55 025051-2017 Passed Paul Burnette Complete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 10106/2017 10/06/2017 BLDG-Final 037047-2017 Passed Paul Burnette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final Yes BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final Yes October 06, 2017 Page 1 of 1 STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FlVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 40"}. Sil T AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEOUA TE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFJCATE: I UNDERSTAND AND ACKNO'M.IDGE lHAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO lHE MAXIMUM EXTENT PRACTICABLE TO AVOID lHE MOBILIZATION Of POU.UTANTS SUCH AS SEDIMENT AND TO A VOID lHE EXPOSURE Of STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT AU TIMES, COMPLY WllH lHIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP lHROUGHOUT THE DURA 110N Of lHE CONSTRUCTION ACTIVITIES UNTIL lHE CONSTRUCTION WORK IS COMPLETE AND ~ROVED BY lHE CITY Of CARLSBAD. STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 csRW\'1-a\\~ SW BEST MANAGEMENT PRACTICES {BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Stoon Water Waste Management and Materials BMPs ControlBMPs Management BMPs Polulion Control BMPs ] -~ -~ c i "' 0 "' c " "' "' ~ C 1 -~ .5 ·E E C lj C 0 .; .5 .5!-0 " "' "' .. i "' ~ I j l ::, >, g, a ~ "' CI> a. .5 :s 6: ,§ er ~ Best Management Practice' ~ .Ii "o 0 m a. "E .... a ., 0 ii ". " ~ ll c,, 0 .5 0;, I "' 'ii I .e] 31:- (BMP) Description ~ " .. V) .Ii .. E " "' m ~~ a" "'" a 0 :::, "' l! "ii i 3 ~~ ~ u i " 'is 0 :1 il~ ]i li a l'l E 8 lj "' 0 m "' 04' "' .... ii "' 0 No, O'I~ " lg' 15 i ~] 31:" i ~-~ lL . !; ... 1 .c Si :.=c,, ~ :3 JS ~--"ii "' ~~ "' 8-u ~ .. ::, .., :a f =.., ·i ~ " ii "'" l ~~ ~ .., " ~ ~g ~ ""' 28 bg 0 -a c " -a :H NC ~ li'I .,: 6 vi ct vi C 31:0:: J?.8 "-vi ~o "" V>> V)"' <l. >0 "'V) "' ::C:2 CASOA Designation ~ ..... "' en .., • .,., "' ..... co 0 "' .., ..... co 'i "' .., • "' "' I I I 'i 'i I I I I I I 'i 'i I 'i I I I I I I I I 0 0 0 0 tx tx tx tx tx tx tx tx I!: I!: V) V) V) V) i i i i i i Construction Activity .... .... .... .... z z z z Grodina/Soi Disturbance ..... T renchino/txcovolion Stocmmna Drillin"'""'ina Conaete7Asoholt Sowcuttina , Conaete Flotworlc v Povino Conduit/Pioe Installation Stucco/Mortar Work Waste Di!lllOSOI Staain" II av Down Area E-·"'ment Wointenonce and Fuelinn Hazardous Substance Use /Star~ Dewoterina Sile Access Across Dirt Other llistl: Instructions: 1. Check the box lo the left of all applicable construction activity (first column) expected to occur during construction. 2. Located along the top of the BMP Tobie is a list of BWP's with It's corresponding Colifomio Stormwater Quality Associotion (CASOA) designation number. Choose one or more BWPs you Intend to use during construction from the list Check the box where the chosen activity row intersects with the BWP column. 3. Refer lo the CASQA construction handbook for information and detois of the chosen BWPs and how to apply them lo the project. SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONTROL PLAN. PROJECT INFORMATION Site Address: Z2n~ Assessor's Parcel Number. -------- Emergency Contact: • ? · Name: v~,?e:/51 !9-/W 24 Hour Phone: :76'2 ffC71 $r.QOO Construction Threat to Storm Water Quality (Check Box) 0 WEDIUW }!! LOW ~ ~i .e lj b~ a:s 02 "' I i Page 1 of 1 REV 02/16 X)f_ () _xx xx ~ SCALE: xx -~-y IEUM:£ ... --.JZ.64 IJASEJIENrff"-zl.&I -_,,....na, -;:__ SI.Or DIWN \ \ / I.Hr PNlOICr,,,ru,,c \ (!~)~\ LEGEND •DlfG.NO. SYMBOL _9_UANTITY PROPERTY UNf N4S4,S'45"W SILT FfNCf Sf-1 -0------0--- FIBOI ROLL Sf-5 -x-x-x-x- PRfSERVATION OF DI/STING f:C-2 1222722221 IN/.£r PROTE:CTION Sf-10 ©B GRAl'El. B4G BfRIII/BARRIFJI Sf-6 c:x::x:::x:x::: 0/RfCTION/COURSE OF Fl.OW -- HYC/RAUUC IIULCH/HYDROSEED f:C-1. f:C-4 ~ STABIL/ZfD CONSTRUCTION fNTRANCf TR-I ~IEII~ W.m1tALS DEI.MRY AND STORAGf ARfA ltM-1 I 11'11-1 I TE:IIPORARY TRASH/SOL/0 WASTE: Wll-5 I WIJ-5 I HAZARDOUS AND CONCRfTE: Wll-6, IIM-8 I Wli-6 I WASTE: IJANAGDtfNT WIJ-8 SANlrAFrY WASTE: Wll-9 I IIM-9 I (PORTABI.£ TO//.£r) •STANDARD DRAWINGS (Sf-5, ltM-5, F:TC.) CAN 8£ FOUND AT Tl/f CAUFORNII. STORJIWATE:R QUALITY ASSOCII.TION (~) WfBSITE:: , http://www.cabmphondbot>ks.com/ ..,,..,