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Home My WebLink About2357 MICA RD; ; CB112650; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-27-2011 Pool Permit Permit No: CB112650 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 2357 MICA RD CBAD POOL 2132821500 $13,845.00 Lot#: 0 Construction Type: NEW Project Title: KHURY RES-340 SF POOL.ISP GAS & ELECT TO BBQ Applicant: WATERWORKS POOL CONCEPTS 209 OCEANSIDE BLVD OCEANSIDE CA 92054 760 966 1036 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: Total Fees: $344.70 Total Payments To Date: Inspector: Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/16/2011 LSM 12/27/2011 12/27/2011 $166.07 $0.00 $116.25 $0.00 $30.00 $30.00 $1.38 $1.00 $0.00 $0.00 $0.00 $0.00 $344.70 $344. 70 Balance Due: z..._ Clearance: $0.00 NOTICE: Please take NO approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You ~ave 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 fcr1h 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 Jlnnul the•, 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, gradit1g or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-27-2011 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW110457 Job Address: Permit Type: 2357 MICA RD CBAD SWPPP Status: Parcel No: 2132821500 Lot #: 0 Applied: ISSUED 12/16/2011 LSM 12/27/2011 Reference #: CB#: 11-2650 Project Title: KHURY RES-340 SF POOL./SPA Applicant: WATERWORKS POOL CONCEPTS 209 OCEANSIDE BLVD OCEANSIDE CA 92054 760 966 1036 Emergency Contact: KIM MANNIGEL 760-492-5200 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Entered By: Issued: Inspect Area: Tier: 1 Priority: M Owner: TAYLOR MORRISON OF CALIFORNIA LL C 15 CUSHING IRVINE CA 92618 $50.00 $210.00 $0.00 $260.00 Total Fees: $260.00 Total Payments To Date: $260.00 Balance Due: $0.00 <<1~ Building Permit Application 1635 Faraday Ave .• Garlsbad. CA 92008 760-602-2717 / 2718/ 2719 Plan Check No.C!..5 I ~ !:>-0 ~ CITY OF CARLSBAD JOB ADDRESS 2..---ss-, CT/PRO.JE T # EXISTING USE PROPOSED USE TATE U"r Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Datet 1(0 I I APN .,,, !> # BEDROOMS # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) FIREPLACE e..DO IIG,.~ SWPP / CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES D NOD (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he is licensed pursuant to the provIsIons of the Contractor'_s License Law /Chapter 9, commending with Section 70_00 of Dlv1s1on 3 of the Business and Professions Code) or that he Is exem_P.t 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)). WQRKERI' COMPEIIISATIOIII Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: ~JP"' and will maintain a certificate of consent to self-insure for wo_rkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issll8d. y-1 have and will maintain workers' comJien§Ptlon, as require by Secbo~ 3700 of the Labor Cz!e, for the performan:\.~e work f9J' j(l']iit17\pt~s issued. My workers' compens!°n insurance camp~ policy numberare:lnsuranceCo. ,"T"l:._ \4.,\ ,.J,.{;6\"(C,N ~ Policy No. 2~'g-OO\~ Expiration Date 1r....-2"? -,· ~ This section need not be completed rt the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I sh employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' comp ens coverage is unlawful, and shall s ect a employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages rovld or S Ion 37. of the Labor coda tere nd attorney's fees. ~ CONTRACTOR SIGNATURE o~c -lb-' I hereby affirm that I am exempt from Contractor's Ucanse 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 o'M1er of property who builds or improves thereon, and 'Mlo does such work himselt' 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 applicaHon for a building permit for the proposed work, 3. I have contracted with the followlng person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plall 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 I address /phone/ type of work}: ~ PROPERTY OWNER SIGNATURE □AGENT DATE ( ---** * lllQlilll"!;ITI! HHS Sl!CHON l'OR I\ION-RIIUOlit,ntt,a, IIUU,DIN!f l!l!RMIT$ Ol\llY Is the applicant or Mure 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the alxwe lnfonnatlon is correct and that the infonnatlon on the plans is accurate. I agree to compt, v.ttt, all City on:llnances and State laws relating to building construction. rty tJr inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CT' CARLSBAD AY ACCRUE AGAINST SAID CITY IN CONSEQUENCE CT' THE GRANTING OF THIS PERMIT. struct n of structures over 3 stories in height. r the visions oflh' s II expire by limitation and become null and void if the building or v.ork authorized by such pennrt is not oommenra:J 'Mlhin au rized by such rmlt is spended or abancbned at anytime after the v.ork is commenra:J for a peood of 1&)days (Sectk'.Jn 106.4.4 Uniform Building Code). ,l!APPLICANT'SSIGNATURE --~----DATE Oh.-(_ -( {;,-I <<~~ Building Permit Application Plan Check No. • 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~-CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date iswPP JOB ADDRESS SUITE# /SPACE#/UNITI¥ IAPN --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I CCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Araa(s) EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) I ·FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □# __ NOD YES O NO □ YES □ NOD APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CllY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX c.1v1AIL ""'AIL .. PROPERTY OWNER NAME I CONTRACTOR BUS. NAME RI~<}<.-~le.. 'P.ceLS, ( µ(.... ADDRESS 7 ADDRE~S S,w p<tt!,u> 't>/2-. CITY STATE ZIP CITY STATE ZIP -s,...,., /1/V,l-'-"S ~ 9 2,,07 'j' PHONE I FAX PHONE I FAX 71,,o ~o-z. (i;,3-5°i 1 c.1v1AIL TtMAIL 1),,,,J@.. g(.A<.k-(2«k.. pc,:/ 5. C..OIYI ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # \ Z~3·-· 13~1P,1, I CLASS C. S"3 l'"yi~~ 0,1,,/.,.,/ Sec. 7031.5 Business and Professions Code: An Ci or Coun which re uires a ermit to con~ uct, alter, im rove, demolish or re air an structure rior to its issuance, also re uires the Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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 workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ _ Expiration Date __________ _ Th" ction need not be completed if the permit is for one hundred dollars ($100) or less. rtificate 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 lo 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 clvil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE~ ~ ~ □AGENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). D 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). D 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 I 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 I phone I 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 I address/ phone I 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 I address / phone I type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE Inspection List Permit#: CB112650 Type: POOL Date Inspection Item 06/18/2012 59 Final Pool 06/18/2012 59 Final Pool 05/24/2012 55 Fence/Pre-Plaster 05/18/2012 55 Fence/Pre-Plaster 03/23/2012 11 Ftg/Foundation/Piers 01/30/2012 51 Excav/Steel/Bonding/Fence 01/25/2012 31 Underground/Conduit-Wirin 01/25/2012 51 Excav/Steel/Bonding/Fence 01/25/2012 52 Underground Plumbing 01/24/2012 51 Excav/Steel/Bonding/Fence 01/24/2012 52 Underground Plumbing 01/09/2012 23 Gas/Test/Repairs 01/09/2012 31 Underground/Conduit-Wirin 01/06/2012 23 GasfTest/Repairs 01/06/2012 31 Underground/Conduit-Wirin Monday, June 18, 2012 Inspector Act RI PY AP PY AP PD co PD AP PY AP PY PA PY co PY AP PY co PY co PY AP PY AP PY CA PY CA KHURY RES-340 SF POOL.ISP GAS & ELECT TO BBQ Comments POOL DECK BONDING OK TO COVER CONDUITS BOND LIGHT@ NICHE NEED FENCE Page 1 of 1 .. «~f'· ~· CITY OF CARLSBAD BUILDING PLANCHECK Pool/Retaining Wall CHECKLIST E-37 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov ENGINEERING Plan Check for CB 11-2650 Project Address: 2357 Mica Road Project Description: 340 SF POOL & SPA ENGINEERING Contact: Linda Ontiveros Phone: 760-602-2773 Review# 1 Date: December 27, 2011 APN 213-282-15-00 Valuation: 13,845 Email: linda.ontiveros@carlsbadca.gov Fax 760-602-1052 Any outstanding issues will be marked with [ X '. Please make the necessary corrections to the plans or specifications for compliance with applicable codes • and standards. Submit corrected plans and/or specification to the Building division for resubmittal to the Engineering Division. Items that conform to permit requirements are marked with ✓ ATTACHMENTS: . Engineering Application Storm Water Forms I. . . ~I-of-Way Application/Info. Sheet ; ~ Reference Documents r .. -.. -.. -. ' -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. l OFFICIAL USE ONLY BV,~•o, ~NG A",ao,.,.;,ON ro "'"' BUOCm~::, ... r 2fi 7 ( \ REMARKS: ( { Notification of Engineering APPROVAL has been sent to via on -··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-· E-36 Page 1 of 4 REV 5/23/11 CB 11-2650 1. SITE PLAN Provide ifu y dimensioned site plan drawn to scale. how: : X · · 'ff!_rth arrow l X · Y, :xisting & proposed structures r X Property lines (show all dimensions) Easements Show on site plan: ✓ Drainage patterns ✓ Existing & proposed slopes ✓ Existin topography etaining Walls (location and height) X Indicate what will happen with soil excavated from pool area. Include on title sheet: see below, include, X i lot no., map no., '-··-.. ' ✓ :~e address : / Assessor's parcel number and Subdivision I )(-4~-i--Legal description/lot number no. i Grading: Quantities of Cut. Fill Import Export Review# 1 · Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: Lot I Map No.: Lot no. 41 / Map no. SubdivisionfTract: CT 04-16 / La Costa Greens Reference No(s): DWG 427-7A, sheet 13 Page2of4 Date: REV 5/23/11 1 ' CB 11-2650 E-37 Review# 1 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial). This information must be included on the plans. If no grading is proposed write: "NO GRADING" · Grading Permit required. NOTE: The grading permit must be issued and rough grading approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. : A grading permit has been applied for: DWG . {. : No grading permit required. 3. MISCELLANEOUS PERMITS ✓ RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way . . ✓ A separate right-of-way issued by the engineering division is required for the following: SEE RW 11-246 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 permit will be issued simultaneously. Page3of4 REV 5/23/11 ·, .. ' CB 11-2650 E-37 Review# 1 4. STORM WATER Construction Compliance ✓ Project Threat Assessment Form complete. Enclosed Project Threat Assessment Form incomplete/incorrect. Please make corrections, re-sign a new form and resubmit with next submittal. : ✓ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 11-457 ) Post-Development {SUSMPI Compliance ✓ Storm Water Standards Questionnaire complete. Storm Water Standards Questionnaire incomplete. Please make the corrections, re-sign the questionnaire and resubmit with next submittal. Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/business/building/Documents/EngStandsw-stds-vol4-ch2.pdf Disconnect discharges per SUSMP. Do not connect runoff from impervious surfaces to storm drains without first discharging water over landscape areas. See SUSMP Minimize use of impervious surfaces per SUSMP. Redesign to reduce the excessive use of impervious area (pavement) on project. Use a balanced design of pervious surfaces (landscape area, planters, etc.) and impervious surfaces. See SUSMP 5. ADDITIONAL COMMENTS Page 4 of 4 REV 5/23/11 «~~; ~ CITY OF PLANNING DIVISION BUILDING PLAN CHECK APPROVAL Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov CARLSBAD P-29 PERMIT NUMBER CB112650 DATE 12/16/11 ADDRESS 2357 MICA RD RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE OTHER __ PLANNER GINA RUIZ P-29 IPOOUSPAj TENANT IMPROVEMENT COMPLETE OFFICE BUILDING SOLAR PANELS DATE 12/16/11 Page 1 of 1 07/11 City of Carlsbad 1635 Faraday Ave. Carlsbad, CA 92008 To Whom It May Concern: 5-16-12 RECORD copy The purpose of this letter is to authorize Dan Dougherty and Black Rock Pools, Inc. to assume or take over the combination building permit for the pool / spa project located at 2357 Mica Rd. Carlsbad, CA 92009 Thank you for your help with this matter. Sincerely, Bianca and Ricardo Khury Property Owners 2357 Mica Rd. Carlsbad, CA 92009