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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