HomeMy WebLinkAbout2211 MASTERS RD; ; CBR2017-1915; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 12/28/2017 Residential Permit Permit No: CBR2017-1915
www.carlsbadca.gov
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
Applicant:
2211 Masters Rd
BLDG-Residential
2121413700
$23,575.50
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
ROSSALL: 450 SF POOL/SPA// GAS & ElEC TO BBQ
Owner:
Pool
SUE MONGOVEN
197 Woodland Pkwy, Suite 104
SAN MARCOS, CA 92069-3021
760-271-1618
TRUST OLAUGHLIN LIVING TRUST 03-18-03
2211 Masters Rd
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
CARLSBAD, CA 92008
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
5B1473 BUILDING STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-MEDIUM
Total Fees: $787.60 Total Payments To Date: $787.60
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
ZIER POOLS INC
321 Sunbird Ct
San Marcos, CA 92069-6895
760-290-4147
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
08/21/2017
AKrog
$0.00
$239.14
$167.40
$41.00
$49.00
$1.00
$3.06
$232.00
$55.00
.(City of
Carlsbad·
JOB ADDRESS 2-Z-I /
Cf/PROJECT# LOT# I
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.cartsbadca.gov
SUITEI/SPACEI/UNlTJ
PHASE# # BATHROOMS
DESCRIPTION OF WORK: Include Squ 18 Feet or Affected Area(s)
..,, ~Ct,µ17& /tJo ( /sf'4 ?I>< 19
/ 6/r/~ ~lftf.p
EXISTING USE
CITY
PHON
EMAIL
ADDRESS
CITY
EMAIL
PATIOS (SF) DECKS (SF)
PROPERTY OWNER NAME
ADDRESS
CITY
EMAIL
CONTRACTOR
ADDRESS
STATE LIC.
FIREPLACE
vesO
AIR CONDITIONING
N,0 vesONoO
FIRE SPRINKLERS
vesONoO
(Sec: 7031.5 Business and Prof ssions Code: Any City or County which reQulres a permit to construct, alter, Improve, demolish or repair any: structure, prior to its Issuance. also requires the apphcant for such per.mlt to file a signed statement Uiatlle 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 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
1• ~ , ~ ~ , •---,,-•-,ca , , ~-, ~ '-,,~,-,....,,,.,r _, ,.. • ,,,.,, t w,o R K E R S ' C O M PE N S A T I O N ,, ,.,,, ;;·. ·, ~.;; ;, , , , ,1 • , •~ " • , '✓-<'t;•iJ t...r , , < • _ • • _ 11,. • ~ , "" :?~M,~"l-<il.'ii"fil,\11 J>"'-,~~ "' ,d,!i:J.0;; ,., •. ,,, , & "'"';,. i ,....,.._,,., •• _...Ji'iLll
Workers' Compensation Declaration: I hereb'/ affirm under penalty or pe,jury one of the following declarations:
B 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.
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 workers' compensation insurance carrier and policy
number are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _
his 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 pennit is Issued, I shall not employ any person in any manner so as to become subiect to the Worllers' Compensation Laws of
alifomla. WARNING: Failure to secure workers' compensation COftl"lge is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hun red thousand dollars {&100,000), in
addition to the cost of comptnsatlon amages provided f In Section 3706 of the Labor code, Interest and attorney'& fen.
/15 CONTRACTOR SIGNATURE --,,v A' U I.L.~ -//., J --_ __. DATE ~ ~ ~
I hereby affirm that I am exempt from Contractots License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, wm do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlracto(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 oonstruct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who builds or improves thereon, and contrids 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 lo provide the major labor and materials for construction of the proposed property improvement Oves []No
2. I {have/ have not) signed an application for a building pennit for the proposed wolk.
3. I have contracted with the following person (firm) to provide the proposed construction (Include name address/ phone/ oontractofS' license nwnber):
4. I plan to provide portions of lhe work, but I have hired the following person to coordinate, supervise and provide the major 'Mlrk (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted {hired) the following persons to provide the wolk inlficated (include name/ address I phone I type of wolk):
_.e! PROPERTY OWNER SIGNATURE □AGENT DATE
Is the appllcantorfuture building occupant required lo 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 HazardJus Substance Account Act? □ Yes □ No
Is the appllcant or future building occupant required to obtain a permit from the air pollution control district or air quaUty management district? □ Yes D No
Is the ta=illty to be constructed within 1,000 feet of the ooter boundary of a school site? □ Yes □ No
IF N4Y OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 15 MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certlfy1hatl have read the application and state that the atx,,,e lnfomlatlon Is com:tand that the information on the plans Is accuma.1 agiee to complyv.fth all Cif¥on:f1Nm1Sand State laws relating ID bulking construdlon.
I heretr; au1hoiize """"""latiw of the Clty of Callsbi,j kl enler -le abo"' mentioned IJ1lP8l1y br ns)>lCfion pwposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSPAO
AGAINST ALL LIAEIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGANST SAID CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pem,~ is requilad tr excavations over 5'0' deep and demolitioo or CXll'ISlruCtk>n of strudl.Jres O\ler 3 stories in heglt
EXPIRATION: E""Y penni issued by the &icf,ng Ofldaf under the p!!MSions of~• Code shaft expie by imitaion and become nul and void rr lhe llu~lng c, aufholi2ed by sudl pennl o oo1 coovrenced IMlhin
100daysiomfhedaeofsudl pennit · buicf,ng v.orkaufholi2edbysudlpennlosuspendedocabandoredatanyfirreaflerfhev.orkooornmenaid a · of 100days (Seclkln 106.4.4 Un-81Jikfi1gCode).
,@$' APPLICANT'S SIGNA TORE DATE [
. .
' . · PERMIT:' INSPECTION Hl,TORY REPORT (CBR201'l-1915) ' ,.,, ' " '
Permit Type: BLDG-Residential Application Date: 08/21/2017 Owner: TRUST OLAUGHLIN LIVING TRUST
03-18-03
Work Class: Pool Issue Date: Subdivision: CARLSBAD TCT#91-03
Status· Closed -Finaled Expiration Date: 06/11/2018 Address: 2211 Masters Rd
Carlsbad, CA 92008-3849
IVR Number: 5821
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
09/26/2017 09/26/2017 BLDG-23 035918-2017 Passed Andy Krogh Complete
Gas/Test/Repairs
BLDG-51 035917-2017 Partial Pass Andy Krogh Reinspection Incomplete
Excav/Steel(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Pool steel Yes
BLDG-52 Pool 035732-2017 Passed Andy Krogh Complete
Plumbing
BLDG-54 035733-2017 Failed Andy Krogh Reinspection Complete
Equipotential
Bond(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Wrong code No
BLDG-SW-Pre-Con 035919-2017 Passed Andy Krogh Complete
11/15/2017 11/15/2017 BLDG-54 040567-2017 Passed Andy Krogh Complete
Equipotential
Bond(Pools)
12/11/2017 12/08/2017 BLDG-55 042807-2017 Passed Chris Renfro Complete
Fence/Preplaster
Chock list Item COMMENTS Passed
BLOG-Building Deficiency Yes
12/28/2017 12/28/2017 BLDG-Final 044566-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
BLOG-Structural Final Yes
BLDG-Electrical Final Yes
December 28, 2017 Page 1 of 1
STORM WATER COMPLIANCE FORM Cl,R2017-191~ TIER 1 CONSTRUCTION SWPPP
-SW I -I
STORM WATER POLLUTION PREVENTION NOTES BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials
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 ., .,, ., .,, IS EMINENT. "' C: " " C: £ "' E C: E C: -0 -C, C, 0 ·c: a_ 0 0 0 E ., L L :.:; .,, L ·5 ., .,
:::a .,, "' "' L --C: >, c> -2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION C: ., L C: ., c "'"' "' 0 ·c: '-CT L 0 C: "' .,
"' a_ ., ·c: C: > L -~ .2 -Best Management Practice* <'<! 0"5 0 ·0--C: "' L c:, w C: 0 "' CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION .5 "' 00 L 0 " 0 ., " " 0 --~-o-"' "' ,= " 0 C: (.) L <.) -.c C: E ., "' •c C "' .,, "' ~ .,, al "' :::a C: " C: C: ~ C:
(BMP) Description ➔ "' ~ ., en ·a " "' "' 00 "' C: C: Cl ::::, !!/ -., "' ., .,
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING ., ~ OJ -0 'is 0 "' C: L 0 ~~ .,, >, 0"' C: C:
0 "' :g E " E " E :;:; C, L u C: Cl 00 en·-"' Cl:;:; :!lo u l'l Co ~ .,
RAINFALL. :::a Cl o, Cl C: ., ct:: _E 0 Nu, o,:;:; ., c" c ·0-L-~., 0 ., -., X ~ E~
., C: 0.. 0 1: O> ~ O> ., 0 ., E -" ~ ., C, ..0 = ID !::3= L•-C: 0 :a u·c ·cg ~ -" L O> -.,, .c C: u L ., C, .,, ·-.,, ~ ti •-L 0 Q> L " --.,, 0 oO " 0 0 0 -·-a_ ,, ., ., C: L-..0 L ..0 0 ~8 ·-0 -o = C: ~§ N C: C: C:
THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION L 0 -~ L 0 00 0 "' Bo 00 15 .c ., 0 3. ., ~ 0 L 0 ., .c ..0 -o 0 -L VJ C: ~ct ~u o_ 0 -a_ 0 0 0 0 0
'-' WO vi vi en <.) G: en> en en 0.. en ct:: 0..0 0.. :::a en :::a VJ en u en ::e I ::,e u ::e
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR CASQA Designation ➔ ,..._ "" a, ,.., .... "' <D ,..._ 00 0 . N ,.., ,..._ "" N ,.., .... "' <D "" I I I 'T 'T I I I I I I I I I I I I I I I I I I I I
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. <.) <.) <.) <.) w w w w w w w w ~ ~ VJ VJ VJ VJ i i i i i i i Construction Activity w w w w VJ VJ en VJ VJ VJ VJ en z z z z
'
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE Gr□dinn /Soil Disturbance 1..-~ s.,-.,,... '>< '--'-.,, 7 ~<..L 7'---.
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) Trench inn /Excavation C7 -'
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT Stockoilina
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER Drillinn /Barino
EACH RAINFALL. Cancrete/Asohalt Sawcuttina
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM Concrete Flatwork
Pavina AGGREGATE. Conduit/Pioe Installation
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER Stucco/Mortar Work
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST Waste Disoasal
BE INSTALLED AND MAINTAINED. Staainn /Lav Down Area
Eauinment Maintenance and Fuelina
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER Hazardous Substance Use/Storane
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED Dewaterina
TO ENSURE COMPLIANCE 'MTH CITY STORM WATER QUALITY Site Access Across Dirt
REGULATIONS. Other /list l:
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 corres~onding 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 PROJECT INFORMATION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
Site Address: Z-"2--// m&[eJt-S# THE MOBILIZATION OF POLILUTANTS SUCH AS SEDIMENT AND TO
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION 212---IVI ---777JJJ RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, Assessor's Parcel Number:
COMPLY WITH THIS CITY APPROVIED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES Emergency Cont\: ,Jt--
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVIED Name: 1._lt't. "J,,,J(a
BY THE CITY OF CARLSBAD.
24 Hour Phone: 1£;.fJ ,472-,./ qr51J '5JLG J410N 6-m)t;:,l\)
g;/4~2 OWNER~j_iWNE , S AGE T NAME (PRINT)
(.t1 ~ , ,-2 Construction Threat to Storm Water Quality , (Check Box) -
OWNER(S)/OWNER0S AGt NAME (SIGNATURE) DATE □ MEDIUM 'JlfLow
E-29 \_, Page 1 of 1 ' REV 02/16