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HomeMy WebLinkAbout2240 CORTE CICUTA; ; CB984070; PermitE LI I L D I N G PER M I T Permit No 12.06 Project Wo Page 1 of 1 Development No Job Address- 2240 CORTF. CICUTA Suite Permit Type GUNITE POOLS AND SPAS Parcel No- 255-270-30-00 Lot# Valuation. 14,760 Construction Type Occupancy Group Referenced Status Description POOL AND SPA 480 SF Applied Apr/Issue Entered By Appl/Ownr Azure POOLS 619 697-3363 7423 EL CAJON BLVD LA hESA CA 91941 * * * Fees R e a u i r e d * * t. ..,.- - -' * A •»• " F <? es CB984070 A9&U5293 Fees Adjustments Total Fees Fee description / • -- •-• ^- , -> T>® ^ a 1 / f.' red i -t s 'o t ;t.l ^ < ?. y merit ' ,/ NEW ISSUED 11/24/98 12/07/98 JM rtO A" x A -6-PRMT 205-00 102 2 0 5 Ext fc 00 00 00 ie Data / Building Permit / Plan Check / Stronci Motion Fee | Enter" "Y" for ElecJ: Enter "Y" for Plurijb * BUILDING TOTAL . :'/--">-•• , ( ' r~i i n "cal g 7 -?- - _*j v- c~ "^^r^"".. t~ ~~ ' -,-.. .. . .., ... .-r \ V, --^ A : X.% v" /rf" _/"f n\ vr,'"--:- •. '• Fee .A/"' .> ":••.•':" ,/' ., '''- ' ; x-" -'•' • e.e ':"".;!'', > u-"- .;' •••''•" .%"•,'• /' • ' 157 102 1 20 27 307 00 00 00 . 00 00 00 Y y FIJMAL APPROVAL •JSP/ l/ff^~ HATF CLEARANCE. 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 PROJECT INFORMATION 22.HO FOR OFFICE USE ON PLAN CHECK NO EST VAL Plan Ck Deposrt Validated By. Date WJ3/L Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units 3786 11/24/98 0001 01 02 Assessor s Parcel # ^ Existing Use Proposed Use C~PRMT 102-00 Description of Work 2 CONTACT PERSON (if different from applicant) SQ "FT #of Stories # of Bedrooms # of Bathrooms Name II r Address City 13 APPLICANT (Q Contractor l*5^A9entfor Contractor D Owner Q Agent for Owner Irxora- ~ " State/Zip Telephone #Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone # Name Address City State/Zip Telephone # (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 apAhcant to a civil penalty ofjiot more than/fiveJiindred^dllars [$500]) - xemp A? Name State License # C!^C^<^"|?o\ Mjr*) M-F-, Designer Name IWIVT^S State License # Address '-Jr\ i s\ t^^ *y License Class D-\ \ ~— ?•-_? Address City State/Zip City Business License # City State/Zip ^Telephone # Telephone .eMIWORKERS' COMPENSATION " '-I.^SZiM^., ™~-"::-' ' "" _ ••-v^jr-- 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 tne performance rif the work for which this permit is issued JST 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 VSlCOCjP <O^OSg_^ \ ^gSJ^^TGXjT'lCJL.Policy No _ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l 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- 4o secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars it WO 000) fufddh&n to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE M^^/(^J>fi\^JJ^^?^\^. _ DATE ///&V/?£S 7 ; OWNER-WILDER DEC^ARATToiN y ^t I* f I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) l~l 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 [~lNO 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 COMPLETEI'THIS SECTION FOR NON-RESIDENTIAL BUILD!NGlFf RMITSiONLY - B 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l~l /ES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? n 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 r8" CONSTRUCTION LENDING AGENCY * lis .3' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER S ADDRESS I9: APPLICANT CERTIFICATION „„ :1: " , .*-••' *':" " ",...„:;- ^f- ".. .:;„ ••,. ~ 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 stones 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 permrt/fls 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 ajjer frje work/is-'^orrjiflenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE IHITE File YELLOW Applicant PINK Finance City of Carlsbad Inspection Request For 4/12/99 Permit# CB984070 Inspector Assignment PY Title POOL AND SPA 480 SF Description Type POOL Sub Type Phone 7606973363 Job Address 2240 CORTE CICUTA Suite Lot Location Inspector APPLICANT AZURE POOLS Owner SHEA HOWIES LTD PARTNERSHIP Remarks Total Time Requested By RICK Entered By CHRISTINE CD Description Act Comments 59 Final Pool Inspection History Date Description Act Insp Comments 2/11/99 55 Fence/Pre-Plaster AP PY 12/18/98 23 Gas/Test/Repairs AP PY 12/18/98 51 Excav/Steel/Bondmg/Fence AP PY 12/18/98 52 Underground Plumbing AP PY 12/18/98 53 Electric/Conduit/Wiring AP PY N/M CONDUIT City of Carlsbad Engineering Department BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS ^2- 4O PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER 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 Da,e DENIAL Please see—Jbe-»aitached report of deficiencies markedxwlfh D Aflake necessary corrections to plans W—speelfications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review By By By 0 Date Date Date ATTACHMENTS D Grading Permit Application D Grading Permit Checklist HI 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 (7^0) 438-1161, ext 4374 H \WORD\DOCS\CHKLST\Pool Building Plancneclc Cklist CHK24 Forni BE doc 2075 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (ifeo) 438-1161 • FAX (-7bO) 438-O894 Q Q Q Q Q Q Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show B-^Existmg & Proposed Structures 2 Show on site plan _, 'roperty Lines . Bi^tasements Patterns B^Existmg & Proposed Slopes GXExisting Topography 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 Je Address (ssessor's Parcel Number (Legal Description ading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan 4 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\UBRARY\ENG\WORD\DOCS\CHKLST\Pool Building Plancheck Cktet CHK24 Form BE dot Page 2 of 2 * STV 2ND/ 3RD/ Q Q Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q Q 5d No Grading Permit required MISCELLANEOUS PERMITS Q Q 6 A RIGHT-OF-WAY PERMIT is required to do work in Citv Riaht-of-Wav 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 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 7 Remarks H \WORD\DOCS\CHKLST\Pool Building Plancheck CKItst CHK24 Form BE doc ACQBD. CEJ^K^EgjFpAB PRODUCER Waterrdge Insurance Services 10525 Vzsta Sorrento Pkwy #300 San Diego CA 92121 Michael S. Galloway ptwMiMo 619-452-2200 ftxi*, S19-452-6004 INSURED Bob Kelly DBA.: Azure Pool Construction 7423 £1 Ca^on Blvd. La Mesa CA 91941 III-tTVr*llMfjfl^1^W'lEfBlf*'' o*T.= (M(lw«xrr,IIM^T 'F'y^GglfL^BBigiL- ,,__ 10/o5/98 : THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES MOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A INSCORP - Ins Corp of NY COMPANY B Legion Insurance Company COMPANYc COMPANY D COVER»GCS:~r~ "- -, -';»>"- C: V^vJ* ;K ,<:C V->rv «.. ""I :~-~~ v - „- -:'->V,' : ~->"-~^ :--;",_..•; ? '•'•-'.' "-"-'-'' INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDTnON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH IXIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED 6Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES UMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR A A A TYPE OF INSURANCE GENERAt LIABILITY X X X AU1 X X X COMMSROW. GENERAL UABIUTY | CLAIMS MADE | XJ OCCUR OWNERS & CONTRACTOR'S PROT $1,000 PD DKD. PER. OCCURRENCE rOMOBILE LIABILITY ANY AUTO ALL OWNED ALTTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS UABHJTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPEHSATION ANP EMPLOYERS' UABlLITT THEPHOPftlfcTOR/ 1 \INCL PARTNERS/EXECUTIVE 1 OFFICERS ARE. [ X 1 EXCL OTHER POLICY NUMBER CAIC10017209 CA1C10017209 WC20916343 POLICY EFFECTIVE DATE(MIWDD/YY) 09/01/98 09/01/98 10/01/98 POLICY EXPIRATION tMTE(MM/nvrY) 09/01/99 09/01/99 10/01/99 LIMITS GENERAL AGGREGATE PRODUCTS - COMP/OP AG6 PERSONAL S AOV INJURY EACH OCCURRENCE FIRS OAMAGE (Any one ure) WE& EXP (Any one person) COMBINED SINGLE LIMIT BODILY INJURY (Perpmsofi) BODILY INJURY (PW accident) PROPERTY DAMAGE AUTO ONLY . EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT | AGGREGATE EACH OCCURRENCE AG6REGATE « IWCSTAIU- 1 IOTH-X ) TORY LIMITS 1 1 £R_ EL EACH ACCIDENT B. DISEASE POLICY UMfT EL DISEASE - EA EMPLOYEE 52,000,000 £2,000,000 $1,000,000 *1 ,000, 000 s 50,000 ; 50,000 $1,000,000 5 S S 5 '• S % S S S J 1.000 ,000 ,* 1,000^000 $1,000,000 DESCRIPTION OF OPE^ATlONS/LOCATIONS/VEMieLEaSFECUU. ITEMS *EXCEPT 10 DAIS NOTICE FOR NON-PAYMENT or PREMIUM. RE. ALL as GOING OPERATIONS OF THE NAMED INSTOED. THE CERTHOLDER IS ADDITIONAL INSURED PER ATTACHED CG2124 ENDORSEMENT. CE*TIFJCA73HOtBE(r * CITY OF SAN DIE BUILDING DEPART! 1222 FIRST STRE SAN DIEGO CA 92 ACORP 36-frtiaS) •"• v * '** •• -f •• y ff ir ¥<• SANDOO SO WENT r ET V. 101 "-* ,.C*NCEL.EAtlOM:;> '- - , -- - I SHOULD ANY OF THE ABOVE DESC EXPIRATION DATE THEREOF THE W 3O* DAY&WRtREM NOTICE TO RIBEDPOUCU& BE CANCELLED 9EFORBTHE THE CERTIHCAT6 HOUJER NAMED TO THE LEFT / - / / oV^ / AUTHORkKOR^PRESENTATIVB \ 0 / 1 ( Michael S /Galloway Av^7^k^7/-^--«-N - '" - " "=-' V ^^ ft&fc&L^ -Sc^Bc^oSSrjw ,,