HomeMy WebLinkAbout2255 CAMINO ROBLEDO; ; CB993610; Permit10/14/1999
City of Carlsbad
Pool Permit Permit No:CB993610
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2255 CAMINO ROBLEDO CBAD
POOL
2552727000 Lot#:
$861.00 Construction Type:
VAN WINTER / GUZAMEN RES.
28SFGUNITESPA
0
NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/30/1999
MDP
10/14/1999
10/14/1999
Applicant:
BLUEWATER POOLS
1315ENC1NITASBLVD
ENCINITASCA 92024
760 753-6369
D PARTNERSHIP
00
Total Fees:$84.99
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
TOTAL PERMIT FEES
ice Due: $84.99
2.42
0.00
4.57
0.00
20.00
$27.00
$1.00
$0.00
$0.00
$0.00
$84.99
Inspector:
FINAL APPROVAL
*& last PRDate:Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as f ees/exactions." 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 capactiy
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 limitations nas previously otherwise expired.
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
FOR OFFICE USE ONLY
PLAN CHECK NO.,
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Address (include Bldg/Suito #)Business Name (at this address)
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of units
Assessor's Parcel #
iZ^Description of Work
Existing Use
SQ.FT.#of Stories
Proposed Use
# of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone * Fax #
State/Zip Teephone it
(Sec. 7031.5 Business end 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 (s 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 [$500]).
Name " Address
State License # C*™7 i"3^ 0 License Class /O
Designer Name Address
State License t
City State/Zip Telephone #
City Business License # /rto5*^/ K?
City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q I have end will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
Q^l have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are: /
Insurance Company /Wa^40 Policy No. QjQ Gf*7 ^fr *3 Expiration Date O "3/Q /
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [9100] OR LESS)
Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to Mcunt workers/ compensation coverag* Is unlawful, and ahafl subject an employer to criminal penalties and dvK fines up to one hundred
thousand doHan ($ 100,000), hi adqraof to*thf cost of compensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney's fees.
SIGNATURE C-^OujL AJL^JUU4V> DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
Q 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).
Q 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 contractors) 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. Q YES QNO
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
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? D YES Q NO
Is the applicant or future building occupant required to obtain a permrt from the air pollution control district or air quality management district? Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
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 stories 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 permit is not commencedjvithin 365 days from the date of such permit or if the building or work authorized by such permrt is suspended
or abandoned at any time aftapthe work i&commencafl for a^period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
CNyifCtrtsbit
Final Building Inspection
Dept: Building En
Ran Check ft
Planning CMWD StLite Fire
, _ Date:12/17/1999
Permit*
Project Name:
Address:
Contact Person:
oBwer uist:
Inspected
Bv: STIC
Inspected
Bv:
Inspected
Bv:
Comments:
CB993610 1 v » l
VAN WINTER / GUZAMEN RES. ^ '- "
28 SF GUNITE SPA
2255 CAMINO ROBLEDO
CHUCK Phone: 7607536369
LC Water Dist: O
Date
/7//W-/OM Inspected: /Z'ZO'
Date
Inspected:
Date
Inspected:
Permit Type: POOL
1^- Sub Type:
Lot: 0
^"Approved: *^ Disapproved:
Approved: Disapproved:
Approved: Disapproved:
City of Carlsbad Inspection Request
For: 12/17/1999
Permit# CB993610
Title: VAN WINTER / GUZAMEN RES.
Description: 28 SF GUNITE SPA
Sub Type:
2255 CAMINO ROBLEDO
Lot 0
Inspector Assignment: SR
Type: POOL
Job Address:
Suite:
Location:
APPLICANT BLUEWATER POOLS
Owner: VANWINTERINGRID T
Remarks: LIGHTS ARE FIBER OPTIC/NO GFCI REQ.
Phone: 7607536369
Inspector:
Total Time:
CD Description
59 Final Pool
Requested By: CHUCK
Entered By: BARBARA
Act Comments
Associated PCRs
Date
12/15/1999
11/4/1999
11/4/1999
10/21/1999
10/21/1999
10/18/1999
10/18/1999
10/18/1999
Inspection History
Description
55 Fence/Pre-Plaster
51 Excav/Steel/Bonding/Fence
52 Underground Plumbing
23 Gas/Test/Repairs
53 Electric/Conduit/Wiring
23 Gas/Test/Repairs
52 Underground Plumbing
53 Electric/Condult/WlrIng
Act
AP
AP
AP
AP
AP
CO
NR
NR
lns|
SR
SR
SR
SR
SR
SR
SR
SR
Comments
OK TO PLASTER
NOTAT18IN. NOPSI
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB
BUILDING ADDRESS:
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 reviewi carefully all comments attached,
as failure to cofnhty Awh instructions in this report can
result in suspe/isiop/of/ permit to build.
By:Date:
DENIAL
Please see Jtba attached report of deficiencies
marked witlAQf4ake necessary corrections to plans
or specifications for compliance with applicable
codes and standards. Submit corrected plans
and/or specifications to this office for review.
By:
By:
By:
ate:
Date:
Date:
ATTACHMENTS
Grading Permit Application
Grading Permit Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal
Checklist and Information Sheet
ENGINEERING DEPT. CONTACT PERSON
NAME: DONNA HARVEY
City of Carlsbad
ADDRESS: 2075 Las Palmas Drive
Carlsbad, CA 92009
PHONE:(619) 438-1161, ext. 4324
H:\WORD\Hanwy\ENGINEERING COUNTER SERVTCE3\Pool BuHdfna PUncfMdt CkW CHK24 Pom MM.docRw. BI22M
2O75 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (760) 438-1161 • FAX (760) 431-5769
Q Q
Q
Q
Q
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
^Property Lines
sod-Structures Xf, Easements
2. Show on site plan:
Patterns
isting & Proposed Slopes
Existing 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:
ddress
season's Parcel Number
Legal Description
Grading Quantities Cut Fill Import/Export
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 1 1 .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
I STV ND/
Page 1 of 2
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Wateridge Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
Michael S. Galloway
858-452-2200 F«NO 858-452-6004
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY •' ^ VA INSCORP - lasXJojf~ . > -of NY
INSURED COMPANY *-' "OB Legion Insurance Company
Del Rancho Pool £ Spa Supply
dba: Blu* Water Pool*
1315 Encinitas Blvd.
Encinitas CA 92024
COMPANY
C
COMPANY
D
COVERAGES
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)LIMITS
GENERAL LIABHJTY GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY CAZC10000 08/18/99 08/18/00 PRODUCTS - COMP/OP AGG
CLAIMS MADE OCCUR PERSONAL ft AOV INJURY
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE
RRE DAMAGE (Any om firs)
MED EXP (Any orw pwwn)
il,000,000
si,OOP,000
si,OOP,000
51,000,000
s100,OOP
s5,000
AUTOMOBILE UABILrTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY
(P*rp«f«on)
BODILY INJURY(P«f accident)
PROPERTY DAMAGE
OARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS1 LIABILITY TORY LIMITS
EL EACH ACCIDENT
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
INCL
EXCL
WC209B7383 03/01/99 03/01/00 EL DISEASE - POLICY LIMIT
OTH-ER . , .
sl,OOP,OOP
*IT $1,000,000
EL DISEASE - EA EMPLOYEE
* j. , wv ,uw
$1,000,000
s1,000,000
OTHER
DESCRIPTION Of OPERAnoNSft.OCATK>MSWEHia.ES/SPEClAl. ITEMS
CERTIFICATE HOLDER
INSURED
INSURED'S COPX
ACORD 25-S (1/95)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
_3P* DAYS WRITTEN NOTICE TO THE CERTIFJCATE HOLDER1 NAMED TO THE LEFT_^—^ L iBUT FAILURE TO MAIL SUCH NOTTEESHAttJIMPOSE NO OBUSATION OR LIABILITY
THE COMPAY. ITS AGEy4 qR REPRESENTATIVES
EPRESENTATTVE
S., Gal lot
TION 1988