HomeMy WebLinkAbout2341 LAPIS RD; REC CENTER; CB044699; Permit02-03-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No CB044699
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2341 LAPIS RD CBAD
POOL
0000000000 Lot # 0
$129,54000 Construction Type NEW
LA COSTA GREENS- POOL
3505 SF POOL 305 SF WADER
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Applicant
AQUATIC TECHNOLOGIES
STEA
32244 PASEO ADELANTO
SAN JUAN CAPISTRANO CA
949 493-9548
Owner
92675
ISSUED
12/28/2004
LSM
02/03/2005
02/03/2005
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
Additional Fees
S638 96
SO 00
$41532
$000
$2000
$2700
$1295
$000
$000
SO 00
$000
TOTAL PERMIT FEES $1,11423
Total Fees $1,11423 Total Payments To Date $415 32 Balance Due $698 91
BUILDING PLANS
STORAGE
ATTACHED
1056 02/03/05 0002 01 02
CGP 698-91
FINAL
Date {-Clearance
NOTICE Please tatrtrTTOTICf'lhatapproval of your project includes the Imposition/of tees dedications reservations or other exactions hereafter collectively
referred to as "fees-'exaclions" You have 90 days from the date this permit was issuea 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 w:tn Carlsbad Municipal Code Section 3 32 030 Failure lo timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul tneir imposition
You are hereby FURTHER NOTIFIED ;hai your right lo proiest 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 proiect NOR DOES IT APPLY to any
fees/exaciions of which you have previously been given a NOTICE similar lo ihis. or as to which (lie statute o'- limitations has previously otherwise expired
PERMIT APPLICATI
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA i
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By_
Date li
: 331
8469 12/28/04 0002 01 02
Address (include Bldg/Suite #)Business Name (at this address)CGP 415=32
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
-Assessor s Parcel #
TcoU V f/
Proposed Use
Description of Work SQ FT #of Stones # of Bedrooms # of Bathrooms
2 CONTACT PERSON (if different! from applicant)
Address
Q]: Agent for Contractor
City State/Zip Telephone tt
3.2
lent for (
£M»L
Fax #
Name
,4 PROPERTY OWNER
Address City Telephone #
Name
5 ^CONTRACTORS COMPANY NAME
(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
gxemption 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])
^ veJ>
Name Address
State License # )MM 1 I""") License Class C_'S> 5 . K
Pf>4 C aOr? f»V/^ *O~-»
Designer Name Address
State License #
City State/Zip Telephone #
City Business License # 1& 1 !2_( \ ^ L^ fc
City State/Zip Telephone
6 M WORKERS' COMPENSATION" '"'t^u "%. ':: ..-•:. : ;;i ••?:&;;.-:/ J: " :n""N=f~~-»" ^u^B-i
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
Si 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
(~1 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 vfTj&~7/^ Cfo/^/^ feiM^? Policy No .Q I >ot.33H JO*"? Expiration Date * I £-~/Q^£
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT
D CERTIFICATE OF EXEMmON^ofertify that in th
to become subject to the Workers^Coinpensation Law:
WARNING Failure to Secure wJBrk^rs compensation
thousand dollars ($10p OOOJi^jn^addition to-ihe cost of c
SIGNATURE
R ONE HUNDRED DOLLARS [$100] OR LESS)
nee of the work for which this permit is issued I shall not employ any person in any manner so as
a
unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
ition damages as provided for in Section 3706 of the Labor code interest and attorney s fees
DATE
OWNER-BUILDER DECLARATION
I hersbv affirm that I am exempt from the Contractafs/tfcense Law for the following reason
0 '• as*i»«mer 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, BuSmess 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 oftljrough 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 comflletion, 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 propertyT^sm exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The
Contractor's License Law does not applv^o 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)
t~l I am exempt under Section SOsmess and Professions Code for this reason
1 I personally plan to provide the major labor and materialsTbfsConstruction of the proposed property improvement l~| YES FlNO
2 I (have / have not) signed an application for a building permit for tftesiroposed work
3 I have contracted with the following person (firm) to provide the proposea-ooQstruction (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, supef
number / contractors license number)
and provide the major work (include name / address / phone
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (iR
of work)
iname / address / phone number / type
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY :
ilicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention
program undeTs"ecTrene^5_505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' Q YES O NO
Is the applicant or future building occTjp3nrre<nmgdto obtain a permit from the air pollution control district or air quality management district' l~l YES l~l NO
Is the facility to be constructed within 1,000 feet of the oute7"BOnftdaty_ofa school site? d YES Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCYTPrBY-NOLBEJ^SUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONT
<8. CONSTRUCTION LENDING AGENCY rfc> ai,;
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
9::: ' APPLICANT CERflFICATiON ::: :' J::. „„...;:„..;. ^ ; ;:K,.
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 tohmWtfW construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned
property for inspection purposes I ^t£o AGrjjpE JO SAVE, INDEMNIF>-^FiD\KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
ANY WAY ACCRU^AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMITJUDGMENTS, COSTS AND EXPENS
OSHA An OSHA permit is required for exca
EXPIRATION Every permit iss
authorized by such permit is notfcommencerj
at any time after the work is com
APPLICANT'S SIGNATURE
er 5'0 deep anydemohtionXr construction of structures over 3 stories in height
fficial under the pr8Msiorls"oT this Code shall expire by limitation and become null and void if the building or work
M80 days from the date^f such permit or if the building or work authorized by such permit is suspended or abandoned
i 4 4 Uniform Building Code)
WHITE File YH<COW Applicant PINK Finance
DATE
City of Carlsbad Bldg Inspection Request
For 12/05/2005
Permit* CB044699
Title LA COSTA GREENS- POOL
Description 3505 SF POOL 305 SF WADER
Inspector Assignment PS
Type POOL Sub Type
Job Address 2341 LAPIS RD
Suite Lot 0
Location
APPLICANT AQUATIC TECHNOLOGIES
Owner
Remarks Can you final pool7
Phone
Inspector
Total Time
CD Description
59 Final Pool
Comments/Notices/Hold
Associated PCRs/CVs
eminent
Requested By CHRISTINE
Entered By CHRISTINE
Inspection History
Description Act Insp CommentsDate
07/05/2005
03/30/2005
03/30/2005
03/29/2005
03/17/2005 52 Underground Plumbing
55 Fence/Pre-Plaster
51 Excav/Steel/Bondmg/Fence
52 Underground Plumbing
51 Excav/Steel/Bondmg/Fence
PA PS OK TO PLASTER
AP PS
AP PS
CO PS
PA PS
City of Carlsbad
PubIic Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER
BUILDING ADDRESS "i^(l
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 changesxt6"Tftese items after this date,
including field modrfrcations./must be reviewed by this
office to insure continued oonformance with applicable
codes Please/review ca/efully all comments attached,
as faiKife to opmply vvjjn instructions in this report pan
resujft in suspfensionxJi permit to build
By Date
DENIAL
Please see the attached report of deficiencies
marked with DMake 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
Date
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
ADDRESS
PHONE
Kathleen M Farmer
City of Carlsbad
1635 Faraday Avenue
Carlsbad, CA 92009
(760) 602-2741
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-2720 • FAX (760) 602-8562
oND/ oRI^ O
Q Q
Q Q
Q Q Q
Q Q Q
Q Q Q
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
1 PrqyfSe a fully dimensioned site plan drawn to scale Show
North Arrow
B Existing & Proposed Structures
Show on site plan
A /Drainage Patterns
ByExistmg & Proposed Slopes
/Q! Existing Topography
C/Property Lines
Easements
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
A Site Address
B Assessor's Parcel Number
C Legal Description
D 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 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
Note1 The Grading Permit must be issued and rough grading approval
obtained prior to issuance of a Building Permit
Page 1 of 2
jST/ oN[V rjRD/1401 ' • 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 City Right-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
Q Q 7 Remarks
Page 3 of 3
H \Developmcnt Serviccs\MASTERS\CHECKLISTS\BuikJing Plancheck Cklist Form POOLS doc
ACORD. CERTIFSCATE OF LIABILITY INSURANCE'S^ T^T,^
PRODUCER
Wateri.dge Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
Michael S. Galloway
Phone NO 858-452-2200 Fax NO 858-452-6004
INSURED
Aquatic Technologies, Inc.
DBA- Aquatic Services, Inc.
32244 Paseo Adelanto, Suite A
San Juan Capistrano CA 92675
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
A Clarendon America Insurance Co
] COMPANY
B State Compensation Fund
COMPANYc
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
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
A
B
i
TYPE OF INSURANCE
IGENERAL LIABILITY
X ~r>MMERCIAL GtNERAL LIABI,. . ,
| CLAIMS MADE [ Xj OCCUR
X OWNER S & CONTRACTOR S PROT
X i per project
I aggregate
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
| SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
"1
GARAGE LIABILITY
~~j ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
THE PROPRIETOR/ 1 |NCL
OFFICERS ARE X | EXCL
OTHER
POLICY NUMBER
A001000252
0461334104
POLICY EFFECTIVE
DATE (MIWDD/YY)
07/01/04
07/08/04
POLICY EXPIRATION
DATE (MM/DD/YY)
07/0^.05
07/08/05
LIMITS
GENERAL AGGREGATE
PRODUCTS -COMr-,Oi AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MED EXP (Any one person)
COMBINED SINGLE LIMIT
BODILY INJURY(Per person)
BODILY INJURY(Per accident)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
v I we STATU- i IOTH-.* J.TORY LIMITS j |._ER
EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT
EL DISEASE - EA EMPLOYEE
$2,000,000
*2,00'>,000
$1,000,000 i
$1,000,000
$ 100,000
$ 5,000
$
$
$
$
S
$
$
$
$
$
$ 1, 000, 000
$1.000,000
$1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
•EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM.
CERTIFICATE HOLDER CANCELLATION
PROOFOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
3 0 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
**PROOF OF INSURANCE ONLY**
ACORD 25-S (1/95)
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE S
Michael S. Gallowajf/i^^^^'*^ ^x'^'z'^^/' s
<^' /^ ACORD CO^PO^TION 1988
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