HomeMy WebLinkAbout2342 KEATS PL; ; CB971759; Permit'J .. D I N G ?Ef.M.,...., ~-~l ~ ,. ,.
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App"/Ownr : MISSION POOLS
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. '"P. FINAL APPROVf . 7
i) ,_ /4;i3 DATE£?-;,~
l -lEARANce ____ ~------~====---J
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
97
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FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. q ] ,. 759
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL.----------+--
1 • PROJECT INFORMATION
Address (include Bldg/Suite #) S
l..MZ. ~ec 2
Business Name (at this address)
Legal Description • Lot No.
\blo
Unit No. Phase No. Total # of units
Assessor's Parcel #
""Z-\'2..-\~-2.,.\
Subdivision Name/Number
\3\~ Existing Use Proposed Use
Description of Work #of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (if different from applicant)
I
Name
3. APPLICANT [j(s:ontractor
Address 7.55 'N L,_~l, 0.,\,Q City ~ 1,
0 Agent for Contractor O Owner O Agent iorOwner
Telephone 'zlf3-~s
M11>:'210o ftr:l:2 :i~ ~> \Ai b.riv'"". v...'rf f ::x cn,,). , ~<> <'.A, 1U>2 5
Name Address City State/Zip Telephone 11~3 UoS
Address Zo'\ City~
5. CONTRACTOR. 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 Codel 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 applicant to a civil penalty of not more than five hundred dollars ($5001).
M, :,:5 i ◊Y\ fh-:1.:S :::vzs "1 bo,.r.c\ "'ri f.:.,L, , e.-,5:zozs
Name Address City State/Zip Telephone # "'f 4 3 -7-t0 S
State License# ,3Z.&JbD License Class P..,/c -5:::, City Business License# '2;.':\,\o\S .
Designer Name ~ c_o \<'-Address ... City State/Zip Telephone
State License # \\.TI\
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
~ 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 :z..e_.v.._"" ±b Policy No.:2:Q<oa ,?,l,19:;,fZ Expiration Date 4--5 -J ~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
0 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 eny manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the cost of compensation, da s provided for in Section 3706 of the Labor code, Interest and attorney's fees.
DATE 6 -Z.t,-C(J
I hereby affirm that I am exempt from the
0 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).
0 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).
O 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 . 0 YES ONO
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): ______________________________________________ _
6. 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 -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is e 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 CERTIFICATION
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 Cit,, 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 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 after the work is commenced for a period of 180 days (Section ~4. Uniform Building Code).
APPLICANT'S SIGNATURE • • 1r,; DATE ___,b...._-21, ____ -_j.L.7.._ _____ _
PERMIT# CB971759
DESCRIPTION: 539 SF POOL
TYPE: POOL
JOB ADDRESS: 2342 KEATS PL
APPLICANT: MISSION POOLS
CONTRACTOR:
OWNER:
REMARKS: C/KATHLEEN/431-0050
SPECIAL INSTRUCT: AM PLEASE -
ARRIVES THE
TOTAL TIME:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/22/98
PHONE:
PHONE:
PHONE:
--RELATED PERMITS--PERMIT# TYPE
RW970162 ROW
STATUS
ISSUED
INSPECTOR
PLANCK# CB9
OCC GRP
CONSTR. TYPE
STE: LOT:
619 743-2605
NEW
CD LVL DESCRIPTION ACT COMMENTS
55 SW Fence/Pre-Plaster /Jr .571...------------~----------~ ------------------------------------
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
051998 Fence/Pre-Plaster co RB SEE NOTICE
032398 Fence/Pre-Plaster co RB GATES,DOOR@GAR&SE NOTICE AT'I
080197 Electric/conduit/Wiring AP PY
080197 Underground Plumbing AP PY OK TO PLASTER
071897 Excav/steel/Bonding/Fence AP PY NON METAL COND TS
071697 Excav/steel/Bonding/Fence CA PY
City of Carlsbad
-1¥1,1·11,14411,1·1·24·8141,,i§,il
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB 9717SCJ
BUILDING ADDRESS: 2 31/2.
PROJECT DESCRIPTION: Pool ,b Se"--
ASSESSOR'S PARCEL NUMBER: 2 / 2. -/So -::l. /
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 suspensio of per ii to build.
ATTACHMENTS
D Grading Permit Application
□ ~ading Permit Checklist
~Right-of-Way Permit Application
□ Right-of-Way Permit Submittal
Checklist and Information Sheet
\\Laspalmas\5ys\LIBRARV\ENG\WORD'llOCS\CHKLSnPool Building Pl•ncneck. Cklist CHK24 Form BE.doc
Rev. 8122196
DENIAL
attached report of deficiencies
marked -""'°~'~. Make necessary corrections to
plans or cifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
By: Date:
By: Date: ---------
By: ---------Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: BRUCE EUBANK
City of Carlsbad
ADDRESS: 2075 Las Palmas Drive
Carlsbad, CA 92009
PHONE: (619) 438-1161, ext. 4374
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
✓□
□
□ □
□
□
□
BUILDING PLANCHECK CHECKLIST -POOLS
SITE PLAN
1. Po/de a fully dimensioned site plan drawn to scale. Show:
I/;( _,,North Arrow ' / Property Lines
•vl!'. Existing & Proposed Structures i§ Easements
2. Show on site plan:
v::· Drainage Patterns
....-S7 Existing & Proposed Slopes
'-'C. Existing Topography
✓c:1nfat~~a~
1 soil excavated from pool area
fJ Jr 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. ln,de on title sheet:
~ A ite Address
.
Assessor's Parcel Number
C. Legal Description tJ/ JJ· Grading Quantities Cut Fill Import/Export ---
□ ~1 i:-Project does not comply with the following Engineering Conditions of approval
for Project No.
□
Conditions were complied with by: Date: ---------
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for grading permit are found in Section 11.06.030
of the Municipal code.
Sa. Inadequate information available on Site Plan to make a determination on
grading requirements. Include accurate grading quantities (cut, fill, import,
export). ·
Sb. 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\Laspalmaslsys\LIBRARY\ENG\WORO\OOCSICHKLST\Pool Bunding Pltmcheck Cld!st CHK24 Form BE.doc Rev. 15122196
Page 2 of2
1 sr✓ . 2ND✓ 3RD✓
Q Q Q Sc. 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-Way and/or
private work adjacent tot he public Right-of-Way.
A separate Right-of-Way issued by the Engin
for the following: () ;,,JZ G, '
ng Qepartment is required
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 Q 7. Remarks
111.aspalmas\sys\L.IBRARYIENGIWORDIDOCS\CHKLST'l'OOI Buikling Pllincheck Cklist CHK24 form BE.doc RltV. 8/22196
1200 ELM AVENUE
CARL5BAD, CALIFORNIA 92008
TELCPHONE,
(714) 729-1181
<!titp of QCarLsbab
Tbis document will certify that I am aware of the provisions of the
California Administrative Code, Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL #297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at cr#';)---K.:ss,,J"y"V P/,,4cg
(site address) I certify that all of the following requirements
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with.a rool cover.
for
2. ON-OFF switch on outside of heater to allow shutdown. without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January 1, 1982, new heaters installed must have 75%
thermal efficiency.
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name:
Owners Signature: Date: ft·cl-97
Print Contractors Name:
Contractors Signature:
Address:
B~ JP~ '--c::3-(1~~ate: 1:,-(§sll
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