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 /
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11/24/98
12/07/98
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ie Data
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Building Permit /
Plan Check /
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Enter" "Y" for ElecJ:
Enter "Y" for Plurijb
* BUILDING TOTAL .
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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 ,,