HomeMy WebLinkAbout257 JUNIPER AVE; ; CB111744; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-22-2011 Pool Permit Permit No: CB111744
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
257 JUNIPER AV CBAD
POOL Status:
Lot#: 0 Applied:
Valuation:
2042402900
$20,360.00 Construction Type: 5A Entered By:
Reference #:
PC#:
Project Title:
Applicant:
MONTI ANTHONY
621 PALM AVE
92543
951-392-2205
Building Permit
FOURMONT RESIDENCE
500 SF POOL AND SPA
Add'I Building Penni! 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
Plan Approved:
Issued:
Inspect Area:
Owner:
FOURMONT PAT P&MICHELLE E
257 JUNIPER AVE
CARLSBAD CA 92008
ISSUED
08/11/2011
MOP
08/22/2011
08/22/2011
$217.91
$0.00
$141.64
$0.00
$20.00
$27.00
$2.04
$1.00
$0.00
$0.00
$0.00
$0.00
$409.59
Total Fees: $409.59 Total Payments To Date: $409.59 Balance Due:
Inspector: Date: Clearance:
$0.00
hat 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 lo 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 inlormation 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 lees 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
. n hi
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-22-2011
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW110323
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant:
MONTI ANTHONY
621 PALM AVE
92543
951-392-2205
Emergency Contact:
DAN DOUGHERTY
760 802-6359
257 JUNIPER AV CBAD
SWPPP
2042402900
11-1744
FOURMONT RESIDENCE
500 SF POOL AND SPA
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Owner:
FOURMONT PAT P&MICHELLE E
257 JUNIPER AVE
CARLSBAD CA 92008
ISSUED
08/11/2011
MDP
08/22/2011
Priority:
$45.00
$54.00
$0.00
$99.00
L
Total Fees: $99.00 Total Payments To Date: $99.00 Balance Due: $0.00
FINAL. ,4PPROVAl
DATE 0o/7A 2-cLi:I>.
SIGNATURE ·-· ---·-·-----~~-C.-·····--···-·
c.,.) •51:' ,....
Plan Check No.(' Js ( \ · \t \..( I/ Building Permit Application
Est. Value 20 I 3 i;_v \
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 271812719 .
Fax 76~02-8558 Plan Ck. Dep islt
www.cansbadca.gov Dates;_-/( IC SWPPP l \. "'.S
JOB ADDRESS :2.51 Ju"'' P-<=Y-Av.t;/. ::>UlTE#/:;;P~ .. #/UNII# IAPN I , ---
CT/PROJECT#
'LOT#
I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. 1'VPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Atrected Area(•)
?oo \ ;.-Sfo... t,;;oo .P \IV\ ' r. -ti,. 9 "2.
EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDffiONING IARE SPRINKLERS Sr~ S, ~f2. YES[], "'° YES□No □ YES□No□
APPLICANT NAME./4."rhnary Contact) ,
n.Tol'\,O Mo"t, APPLICANT NAME ($econdar1 Contact)
ADDRESS ADDRESS l,-Z( s. P«l ....... /'tv~
CITY r\ e .,___ <--t-STATE ZIP CITY STATE ZIP
GA_ 9,z_5q.. 3
PHONE I FAX PHONE !FAX "I!,'{ -392.-zz o,;; 7 I.CJ -LJ,'t:5-~ 117
EMAIL
D'<'"'-"-' L\-v 1.. e3 9) "'"'-\ l, c:,o,.,.,,
EMAIL
PROPERTY OWNER NAME Pa+-~ \4,c(,,.-e ( l e fb., ,.,._" "-t CONTRACTOR BUS. NAM£ 6 \ ..,de.. l<.oc.\c 'Pool~ l...c
ADDRESS ADDRESS
<;,o._,,.___ 't>"'-la lo "LS7 .\..,,,;, o-e,,. A\J...,_ ~(.,~
CITY Co. -,,-l., 1.,,,._J STATE ZIP CITY STATE ZIP
CPr 92-008 S.a"' \"\ o.. \C"C4 5 CA-9-z..o "18
PHONE I FAX PHONE I FAX ,~0-802--,:;,3s-9
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS 15TATE UC.# STATE LIC.# I CLASS 1\ITY'Z,~q~( q ') 8 c,, 1 "' c..,;-7
(Sec. 7031.5 Busmess and Professions Code: Any City or County which requires a permit to construct, alter, improve, demotiSh or repair any structure, prior to its issuance, also requires the
applicant for sueh permit to file a signed statement tnat 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a cMI penalty of not more than five hundred dollars {$500}).
Worbn' Compenutfon Declaration: I hereby affirm under penaly of petju,y one of th& following declanrlion3: B I have and wlD malntakl a certfflcm of consent to Hlf.intuN for worker.;' compensation as provided by Section 3700 of the Labor Code, for the performance of the WM( for which !his petmit is issued.
I have and will malntafn workers' COffll)8Mltlon, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which Um permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Policy No. Expiration Date
~section need not be completed if the permit is for one hundred dollars ($100) or less.
Certifk:119 of Eumption: I certify th81 in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failu19 ID secure workers' com,enution coverage ii untawful, and shall sui,;.ctan employer ID criminal penaltin and civil fines upto one hundred thoutand dollarl (&100,000). in
addition to lht colt of compensation, dam1911 •• proyldtd for In Section 3706 of the Labor code, Interim and attorney's fen.
,l!5 CONTRACTOR SIGNATURE ~_p -~ -@AGENT DATE B/ l<> 1-zo <t
I h6teby Bfflrm that I am exempt from Contrador'$ Llcen$6 Lew for the following teeSOII:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work aod 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 improvoo 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 bulld!ng or improwment is sold within one year of completion, the owner-bullderwll have the burden of proving th8t he did not build or improve for the purpose of sale).
□ t, as owner of the property, am exclU5ively contracting with lioonsed COl'ltraclors to construct the prOf8(t {Sec. 7044, Business and Profesb)IJS Code: The Conlracior's Licellse 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 Contracto(s License Law).
□ I am em1lf)I under Section Business and Professions Code for this reason:
1. I pe,,ooelly plan to pro.,;a, the major labor and materials klrCO!JSlruciion of.,. proposed properly inpro,ement. Oves Do
2. I (haw I haw nol) -an application kJr a --klrffle proposed-.
3. I have cootraded with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license numbef'):
4. I plan to pro,lde portions of ffle -. but I haw "'8d the followmg pe,,oo lo cooroinate, ,upemse and provide ffle major -(Include """"' I address I phone I conlraclDI," _,, number),
5.1 will provkle some of the WOik, but I hai.e contracted (hired} the follcMing persons to prowle the wor1t indicated (include name I address/ phone /type of work):
,l!5 PROPERrY OWNER SIGNATURE □AGENT DATE
ts the applk:ant or future buidlng occupant required to submit a business c:f' acutely hazardous matertats registration form or risk management and pmventilll PtolJram under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ail"~lity management dlslflct? [Jves 0No
ts lhe facility to be cooslrucled within 1,000 feet of the outer bowlda,y of a school site? [JYes No
IF Nrf OF lHE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS lHE APPLICANT HAS IIET OR IS IIEE11NG lHE REQUIREMENTS OF lHE OFFICE OF
EMERGENCY SERVICES AND lHE AIR POLLU110N CONTROL DISTRICT.
I hereby affirm lhal there is a construction kanding agency for the performance of the v«>rk lhis permit is issued (Sec. 3097 ~) Civil Code).
Lender's Name N/~ Lender's Address
lcertl(ylhatlha,ereadlheappllcallooand-lhatlheai>o,einbmatlooisCOl19Clandlhatlheli-.oolheplansis8CCIIBII.I_ID_wllllallCllronllnaooesandStablla,o~IDbul~ingconstnJclioo.
I he:eby aithcli2e-"""' of lhe City of~ lo-L!)Oll lhe aboYe menliooed p!0!1811yfor nspedixl pul])(lS8S. I ALSO AGREE TO SAVE, INDEM-llFY 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 THS PERMIT.
OSHA: /vi OSHA pe!Tl1it is requiffid forexcavalions,,,.,, 51Y deep and-orcommJdion of slrudures rNfJf 3-ln height
EXPIRATION: E""Y pemil-by lhe lloiiing Offidal underlhe pn,,isiorJs of lhisCodeshall e><piroby Olilaoon "1d become aui ,m ,Jid llhe bliking °''"'"' -by Slrlt pemil is rdcormienced ,;it;n
180 days fnxn lhedaleof Slrlt pemil or Wlhe btJ~ or""'1< aJlho!lzlld by such pe!Tl1it is susper<!ed or-" a,ytime alt"lhe'"'"' iscomrnenred for a penod ci 180 days (Sedion 100.4.4 lkjform Bliklrll Code).
,I!$ APPLICANT'S SIGNATURE ~ DATE 3/ to/ ?,.o q
City of Carlsbad Bldg Inspection Request
Permit# CB111744
Title: FOURMONT RESIDENCE
Description: 500 SF POOL AND SPA
For: 01/10/2012
Type:POOL Sub Type:
Job Address:
Suite:
257 JUNIPER AV
Lot: 0
Inspector Assignment: PY ---
Phone: 7608026359
Location: Inspector:
OWNER FOURMONT PAT P&MICHELLE E
Owner: FOURMONT PAT P&MICHELLE E
Remarks:
Total Time:
CD D_e_s_c_r-ip-ti-on ________ t;-aComments
59 :inal Pool ~ -
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lnsQection Histo[Y
Date Description Act lnsp Comments
11/15/2011 53 Electric/Conduit/Wiring AP PY
11/15/2011 55 Fence/Pre-Plaster AP PY
-----
Requested By: DAN
Entered By: JANEAN
10/25/2011 31 Underground/Conduit-Wiring AP PY BONDING@ DECK
09/20/2011 23 Gas/Test/Repairs AP PY
09/20/2011 52 Underground Plumbing AP PY
09/20/2011 53 Electric/Conduit/Wiring AP PY
09/14/2011 51 Excav/Steel/Bonding/Fence AP PY
09/14/2011 52 Underground Plumbing AP PY
09/14/2011 53 Electric/Conduit/Wiring AP PY