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HomeMy WebLinkAbout2565 DOGWOOD RD; ; CB062478; Permit09-20-2'006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB062478 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2565 DOGWOOD RD CBAD POOL 2131701400 Lot# 0 $1 900 00 Construction Type NEW SLATERRY RES- 50 SF SPA Status ISSUED Applied 08/29/2006 LSM 09/20/2006 09/20/2006 Entered By Plan Approved Issued Inspect Area Applicant RQL DESIGNS 2201 HALLADAY ST SANTA ANA 92707 7147853323 Owner MELLOR FAMILY TRUST 10-28-99 2565 DOGWOOD RD CARLSBAD CA 92009 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 $3645 $000 $2369 $000 $2000 $2700 $1 00 $000 $000 $000 $000 TOTAL PERMIT FEES $108 14 Total Fees $108 14 Total Payments To Date $108 14 Balance Due $000 DING PLANS N STORAGE ATTACHED Inspector FIN Date 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 fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you mu t 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired 09-20-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Right of Way Permit Permit No RW060344 Job Address Permit Type Parcel No Start Date Insurance Expire Liability Insurance Reference* Location Project Title Description 2565 DOGWOOD RD CBAD ROW 2131701400 09/30/2006 Y Subtype Lot# Est Complete Date Traffic Control Plan GOP SLATERRY RESIDENCE SPA Applicant RGL DESIGN AND CONSTRUCTION 202 WOODLAND PARKWAY #116 SAN MARCOS CA 92069 760-591-4235 MINOR 350 Status ISSUED Applied 09/13/2006 09/20/2006Issued Expired 09/30/2006 Entered By LO Total Fees $300 00 Total Payments To Date $300 00 Balance Due $000 Permit Fee Additional Permit Fee Other Additional Fees TOTAL PERMIT FEES $300 00 $000 $000 $000 $300 00 This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion of the work or if the work does not meet City Standards The applicant may be billed for the cost of any corrective work that the City must perform Permit Release Date Released Cash Deposit? YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK UNDERGROUND SERVICE ALERT NO IF ANY EXCAVATION OR BORING IS DONE THIS PERMIT IS INVALID WITHOUT THIS NUMBER PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 "PROJECT INFORMAT ION" PERMITS $23 69 PLAN CHECK NO 33 EST VAL Plan Ck Deposit Validated By Date g.Q iPA- Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel ft Existing Use Proposed Use Description of Work SO FT #of Stories # of Bedrooms # of Bathrooms 2 CONTACT PERSON (if different from applicant) Name APPLICANT .-ID "Contractor Address Q Agent 'for Contractor31^ " * City DjAgent f oriOwiner State/Zip Telephone Fax # Name 4;]i*;;-eB.6PERf Y OWNER Address City State/Zip Telephone # u X- fe Name Address State/Zip Telephone* 5f; CONTRACTOR COMPANY NAME: " ..'" •«• • :ig (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any strui ture 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 basi 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]) f_Q (_ c-\e.s\ nv> t Ct>r>o"T- z. 2O( •& /fallac]^ ssr~ 5~»/iOTZ* /^na d& ^>g.o fe Name State License #^ «Z3i Address License Class 2-Z-Ol £> City State/Zip City Business License # Telephone # J^'S" Address City State/Zip TelephoneDesigner Name State License # (g Sj; WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 l~l 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 Mv worker s compensation insurance carrier and policy number are *-- ./ ill jii^CCInsurance Company IQ VSOQl^CMCi-o^ Policy No OCKT i X error il^yV tvOUl * Expiration Date *~*rP 5O i tQO £ Vth V^s (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) l~l 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 any 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 additioryto th4 cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees IGNATURE C^yC^I DATE Sfp ZQ I Z.C&(b sTl; OWNERJBUiLDEF[pECLARAT)ON :,Ui:! ..JiEf •-""" ,. .7" !..;.£! : 721.. ,.'. . ^i../. :i,. . fe.»...: .,.:!...„ I hereby affirm that I am exempt from the Contractor s License Law for the following reason n 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 01 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) n I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Profes ions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contiactor(s) licensed pursuant to the Contractor s License Law) 0 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 d 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 / contractois 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? C] YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~) NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~| YES l~l 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 V CONSTHUCTIOJN LENDING AGENCY . '™i7^? """" .« " JE:I ; ^C ,* ••' ]mi 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 I9"a APPLICANT CERTIFICATION : :. • :;* 7,. '" :%„'%.., •', "' 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 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 S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance Inspection List Permit* CB062478 Type POOL SLATERRY RES- 50 SF SPA Date Inspection Item 07/30/2007 59 Final Pool 03/09/2007 53 Electric/Conduit/Winng 03/09/2007 55 Fence/Pre-Plaster 03/06/2007 53 Electnc/Conduit/Winng Inspector Act PC Fl PC WC PC AP PC CO Comments 02/12/200759 Final Pool PC CO 02/12/200792 Compliance Investigation PC AP 09/27/2006 23 Gas/Test/Repairs PC AP 09/27/2006 51 Excav/Steel/Bondmg/Fence PC CO 09/27/2006 52 Underground Plumbing PC AP 09/27/2006 53 Electric/Conduit/Wiring PC AP PERM GATE TO OPEN OUT BY FINAL 1 )ground wire @ light 2) water in elect panel 3) gate opens in NO PRE PLASTER APPROVED 1)INSTALL FENCE/GATE 2) INSTALL BOND Monday July 30 2007 Page 1 of 1 City of Carlsbad Bldg Inspection Request For 03/09/2007 Permit* CB062478 Title SLATERRY RES- 50 SF SPA Description Inspector Assignment PC 2565 DOGWOOD RD Lot Type POOL Sub Type Job Address Suite Location OWNER MELLOR FAMILY TRUST 10-28-99 Owner MELLOR FAMILY TRUST 10-28-99 Remarks UNSURE OF WHAT IS NEEDED Phone 7606449561 OR 51 Inspector Total Time Requested By ALBERTO Entered By CHRISTINE CD Description 53 Electric/Conduit/Wiring Act Comment (JJC Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 03/06/2007 53 Electric/Conduit/Wiring 02/12/2007 59 Final Pool 02/12/2007 92 Compliance Investigation 09/27/2006 23 Gas/Test/Repairs 09/27/2006 51 Excav/Steel/Bondmg/Fence 09/27/2006 52 Underground Plumbing 09/27/2006 53 Electric/Conduit/Winng Act Insp Comments CO PC 1)ground wire @ light 2) water in elect panel 3) gate opens in CO PC NO PRE PLASTER APPROVED AP PC AP PC CO PC 1)INSTALL FENCE/GATE 2) INSTALL BOND AP PC AP PC City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS £565 BQ^/\[QQb 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 review carefully all comments attached, as failure to comply with instructions in this report can result m^fcySp^nsion of permit to build I^FMIAI Please seethe attaemed report of deficiencies marked with LT/^Make necessary corrections to plans at-—speafications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review ATTACHMENTS ENGINEERING DEPT CONTACT PERSON Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet NAME Linda Ontiveros City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2773 C \Save stuff heraBUILDING PLANCHECK CKLIST FORM POOLS doc 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (760) 6O2-272O • FAX (76O) 602-8562 Q Q Q Q Q Q RD/ Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 Pro\lHe a Jully dimensioned site plan draw h Arrow isting & Proposed Structures Shqy/ on site plan amage Patterns xistmg & Proposed Slopes Existing Topography operty Lines asements jidicate what will happen with soil excavated from pool area E 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 ite Address Assessor's Parcel Number C Legal Description D Grading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan 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 Note The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit Page 2 of 3 C \Save stuff nereNBUlLDING PLANCHECK CKLIST FORM POOLS floe 1 Q STV QiMI Q 3 Q RD/ 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date 5d No Grading Permit required^ MISCELLANEOUS PERMITS 6 A 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 Department is required for the following lease complete attached Right-of-Way application form and return to the Department together with the requirements on the attached Right- heckhst, at the time of resubmittal Permit and Pool Building Permit will be issued simultaneously Page 3 of 3 C \Save stuff here\BUILD!NG PLANCHECK CKUST FORM POOLS doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER ADDRESS u RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNE DATE ENGINEER DATE Docs/Mtsforms/Plannmg Engineering Approvals BOUOOOOB CERTIFICATE OF LIABILITY INSURANCE 09/20/2006 Pho«ei (819)260-0660Contractors First Ihsurance Services, Inc 1419 North San Fernando Bhsd Suite 210 Burbank, CA 91*U License*. OE61983 INSURED RGt Design and Construction 202 Woodland Parkway #116 San Marcos, CA 9^069 THIS CCRTIF1CATE 13 ISSUED A3 A MUTTER OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIEB BELOW INSURERS AFFORDING COVERAGE Burlington Insurance Co INSURER e Virginia Surety Company, INSURER C Inc. INSURER 0- INSURER 6, ^ranr COVERAGES i CSRTIFH THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED ANY REQUIREMEMT TESM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. POLICIES AGGREGATE LIMITS SHOfoM MAY HAVE BEEN REDUCED BY PAID CLAIMSi_L-'alJL-l-1 ' •"•"• " ...•—.^—^ L.. „, r __^^ • i> >• — i __.-.^ia'Ti NOTWITHSTANDINGGATE MAY BE ISSUED OR EXCLUSIO JS AND CONDITIONS OF SUCH GENERAL LIABILITY CLAIMS MADE [Xj 06 POLICY NUMBER 539B002134 :CUR GEN L AGGREGATE IJMIT APPLIES PER: JTl POLICY I ISS^ n^o AUTOMOBILE LIABILITY ANY AUTO SCHEDUIJSD AUTOS HIRED AUTOS NON-OWNEOAUTOS GARAGE UABIUTY I ANY AUTO 09/30/2005 LIMTTS 09/30/2009 EACH OCCURRENCE MED6XP(Any< PERSONAL » fO INJURY PSOOJCTS COUP/OP MK? COMBINED SINO E LIMIT 1.000.000 UJ!PiQOO_ 5 5.000 1.000.000 1.000.000 Included BOO LY INJURY (P»r acooerej i PROP6RTYOAM.(Per OE AUTO ONLY 6« «XJIO|Mr OTHER THAN AUTO ONLY- FA ACC IOCCUR I | CLAIMS MKDE EACH OCCURRE ICE AOORBQAT6 B OCDUCT1BLS | RETENTION t WORKERS COMPENSATION AND ( [\ eMPl0VEHS> LIABILITY \ I \ ANY PROPHIBTOIWAflTNeR«>«CUTiV(LlOFFlCER/MBUBFR 5WLUOE07 p-~^ b?IQ» [_ 11/2006 03/01/2007 E L EACH ACCP Ml i 1.000.000 E L DieeACE E/1.000.000 E L. OlSEASe POUCY LIMIT s 1 WTH6R I OeSCWPTION Of OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS AOOCO BY ENDORSEJMNT (SPECIAL PROVT9tO«9 Ceitincale holdwr» ndnied Additional insured as respects to tne General Llaoiiity Policy Endorsement Attached •10 Day Notice of Cancellation in the Event of Non-payment of Premium I CERTIFICATE HOLDER CANCELLATION City of Carlsbad ' 1635 Faraday Avenue Carlsbad, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE OAMCCUED BEFORE TUB EXPIRATION DATE THEREOF THE ISSUING USURER WU ENOEAVI It TO HUM. 10 DAVIS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Eft, HUT FAILURE TO DO SO SHALL ITtON OR UABUTY Or ANY Mlf* PON THE W SUREB, ITS AOENTS OR ACORD 25 (2001/08)SACOR Printed by EAVon S ATtfHJ 2006 fll 10 19AM 1 CO; LU<ce •5) -a