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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 H:\WORD\Hlwve/£NGINEERING COUNTER SERVICESPool Buttling PtancMcfc CUM CHKJ4 Forni MM.doc 8/22/9S -3WHT •B-V :?s1 V56.09' 383 00O) 398 <o O 'RODUCtR 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