HomeMy WebLinkAbout2350 Geode Ln; ; CBR2018-3471; Permit(city of
Carlsbad
Print Date: 05/14/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2350 Geode Ln
BLDG-Residential
2132720800
$20,222.54
Residential Permit
Work Class: Pool
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: BLANKEN HORN: 386 SF POOL// GAS & ELEC TO BBQ & FIREPIT
Applicant: Owner:
SUE MONGOVEN
197 Woodland Pkwy, Suite 104
SAN MARCOS, CA 92069-3021
760-271-1618
COOWNER BLANKENHORN TOM ANO
CANDACE A
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
2350 Geode Ln
CARLSBAD, CA 92009
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-MEDIUM
Total Fees: $758.93 Total Payments To Date: $758.93
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 capacity 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 limitation has previously otherwise expired.
Permit No: CBR2018-3471
Closed -Finaled
12/17/2018
01/02/2019
AKrog
5/14/2019 10:53:41AM
$0.00
$212.53
$148.77
$41.00
$49.00
$1.00
$2.63
$246.00
$58.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
{cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan CheckC'f:£.2.D\~-3-'\-JI
Est. Value 20, .2...2..?-
PC Deposit---------
D ate ....:l,:::2..=-.-__,_17----'--____._fS.L..---
Job Address ---"·~---'-""..::.0_G=a.--'-"-''/l6'==-td-'------·Suite: ___ APN: 7/7-272 -Off,,o-o
CT/Project #: __ ___./:c...>Jc..-Oc.:~c...3',,,___ Lot#: 3£ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: ~$" /~/ $/?I ~X/,£ ~ b fat& /Jl:77"'ilt
-6M ~~tf ~ F~lh:
I 0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
,, Pool/Spa: ?If h SF Additional Gas or Electrical Features? GAS ~t?t' -/-G"'5 fiw IJ'
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ___________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: __________________________________ _
APPLICANT (PRIM~ dm}tfjJ
Name: 5tlt
PROPERTY OWNER
Name: 1J2}M-tc,Al-,t}'f f3tA-rJttet-JftoT1tl
Address: 2-z>O &;@0/J~ lJ.-t..l&: Addrs;J_~,t.{2 ?{'
City: ~--=-,.:.:.=~c.:;,<--State: G4: Zipf} 1/J{t, tf
Phone: -'J~(~~ 1fl~ 1
Email: =c:i-~ Cdi.nd
City: ~IJO State:CA-Zip: 1viz11
Phone:~ £-z,5:, 7tJ:Z---:
Email: ___________________ _
DESIGN PROFE. SSIONAL ~ CONTRACTOR BUSINESS /J. .!:
Name: ~ut,W rlY[}vl/~--/ Mnkc Name: @Y1Jf1Jd-~~l~/2_ ~C
Addres~~[)J, 1Mjfl_~ Address: ~/ ~))!2£,. d(--
City: .t\,-JA11tjl"\ State: s,{ Zip: q1$0'f City: 'Si,f/~tat.e~_L!.-'2ip: -j2Uef
Phone: 1/'f,,.{,~~/oZ> Phone: "76t?"b12-: --qp
Email: __________ ~------
Architect State License: _,.l:e::.$r,u,'2J.ffii<.Ll/'-------
Email:---~-==~--------~-~
State Licensea]:-9J6GW Bus. License: /ff"~
(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/she 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/she 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 {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby 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 provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
0 I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _
Policy No. ______________ Expiration Date: _________ _
'Q1certificate 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 be come
p:!oject 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: -~~O<...LI'-"=-'ff-_;_::'------------1~AGENT DATE: !¥J::///
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License law for the following reason:
□ 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).
□ 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).
□ 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. □ Yes □ No
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/ 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/
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/ type of work):
OWNER SIGNATURE: ___________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY. IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ______________________ Lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING 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 Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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.
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 representative 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 commenced within 180 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 106.4.4 Uniform Building Code),
APPLICANT SIGNATURE: ~~
1635 Faraday Ave Carlsbad, CA 92008~=Fax: 760-602-8558
DATE: -+t-'-W'-"'<-/!te/4:.t..lLf __
Email: Building@carlsbadca.gov
B-1 Page 2 of 2 Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2018-3471)
Permit Typo: BLOG-Residential Application Date: 12/17/2018 Owner: COOWNER BLANKENHORN TOM
AND CANDACE A
Work Class: Pool Issue Date: 01/02/2019 Subdivision:
Status: Closed -Finaled Expiration Date: 11/04/2019 Address: 2350 Geode Ln
Carlsbad, CA 92009-1736
IVR Number: 16083
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
03/05/2019 03/05/2019 BLDG-51 085248-2019 Passed Andy Krogh Complete
ExcavlSteel(Pools)
BLDG-52 Pool 085249-2019 Passed Andy Krogh Complete
Plumbing
BLOG-53 085371-2019 Passed Andy Krogh Complete
Elec/Conduit/Wirlng(
Pools)
BLOG-54 085250-2019 Failed Andy Krogh Reinspection Complete
Equipotential
Bond(Pools)
04124/2019 04/24/2019 BLDG-54 089793-2019 Passed Andy Krogh Complete
Equipotential
Bond(Pools)
05/08/2019 05/08/2019 BLDG-55 091165-2019 Passed Tim Frazee Complete
Fence/Preplaster
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
05/14/2019 05/14/2019 BLDG-Final 091701-2019 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
May 14, 2019 Page 1 of 1
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PE CENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE Tl1AT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO Tl1E MAXIMUM EXTENT PRACTICABLE TO AVOID
Tl1E MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID Tl1E EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
COMPLY WIT11 Tl1IS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
Tl1ROUGHOUT Tl1E DURATION OF Tl1E CONSTRUCTION ACTIVITIES
UNTIL Tl1E CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY Tl1E CITY OF CARLSBAD.
f,l¢11MJJ8&(2},
----•-• 10WNER'S AGENT NAME (PRINT)
iAbUJ~
OWNER{S)/OWNER'S AGENT\NAME {SIGNATURE)
ri//h(/$
DATE
V
E-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
CB \2.2018-B47 I
SW_
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control
BMPs Sediment Control BMPs Tracking I Non-Storm Water I Waste Management and Materials
Control BMPs Management BMPs Pollution Control BMPs
Best Management Practice*
(BMP) Description ➔
CASQA Designation ➔
Construction Activity
Gradinq/Soil Disturbance
Trenchinq/Excavation
Stockpiling
Drillinq/Borina
Concrete/Asphalt Sawcutting
Concrete Flatwork
Paving_
Conduit/Pipe Installation
Stucco/Mortar Work
Waste Disposal
Staqinq/Lay Down Area
Equipment Maintenance and Fueling
Hazardous Substance Use/Storaqe
Dewaterin_g_
Site Access Across Dirt
Other (list):
Instructions:
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1. Check the box to the left of all applicable construction activity {first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association {CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
SHOW THE LOCA T/ONS OF ALL CHOSEN BMPs ABOVE
ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN.
SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE
EROSION CONTROL PLAN.
-BMP's are subject to field inspection-
PROJECT INFORMATION
Site Address: ·Z-10 {;E[l'JIG /,/J
Assessor's Parcel Number: 1{ 7.,...-2,11,, -Of .,;01)
Emergency Contact:
Name: 11h( Jte)'[,-
24 Hour Phone: J/dJ-?-,1k ✓2aro
Construction Threat to Storm Water Quality
(Check Box)
□ MEDIUM It' LOW
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Page 1 of 1 REV 02/16