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HomeMy WebLinkAbout2573 GORGE PL; ; CB023403; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-09-2002 Pool Permit Permit No: CB023403 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 3573 GORGE PL CBAD POOL 1682920200 $14,738.00 Lot#: 0 Construction Type: NEW ABSHIER RES-450 SF VINYL LINED POOL-IN GROUND Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/12/2002 RMA 12/09/2002 12/09/2002 CAL-WEST POOLS & SPAS ABSHIER JERRY D&CHRISTI 2992 12/09/02 0002 01 CGP 41490 LOS ALAMOS RD 92562 909 677-6665 Total Fees: $276.48 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Inspector: 3573 GORGE PL CARLSBAD CA 92008 Total Payments To Date: $89.82 FINAL APPROVAL Date· O*\\,--s;,".'2 Balance Due: Clearance: $138.19 $0.00 $89.82 $0.00 $20.00 $27.00 $1.47 $0.00 $0.00 $0.00 $0.00 $276.48 $186.66 oval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exacti ." You a 90 days from the date this permit was issued 10 protest imposition ol these fees/exactions. If you protest them, you must follow the protest procedures set fort n 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 lo 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 02 186 .. 66 FOR OFFICE USE ONLY ~ C) PERMIT APPLICATION PLAN CHECK NO. 0 2, 3' lg EST. VAL. _._'-(~--L-..:::r-U----,,..-x CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 c..(i_ u.. -9 a °' -4 s s r"' 2.-9 2 '-\ Plan Ck. Deposit -----""7'1-fr-......,. f 2- Validated By_.,.....,...4-...,.........,....----¼,P..,<.q..-- 1. PROJECT INFORMATION ddress (include Bldg/Suite #) 1 ~ oe...Co<[__ '\>(_ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use ~ Description of Work \J \ f-,J\.....I_ \..... ~ l (\"\ f"' ~'a E'00<....... SO. FT. -...> #of Stories # of Bathrooms 2. CONTACT PERSON (if different from applicant) Name Address 3. APPLICANT O Contractor O Agent for Contractor O Owner Name Address Y.. 4. PROPERTY OWNER ~r.JL~'--1 A ~ S\-\ 1 'V'- Name Address 6. CONTRACTOR • COMPANY NAME -IV\ City 0 Agent for Owner City City State/Zip Telephone# Fax# State/Zip Telephone# CR 9 < ~ tl 7/cA -~ '3 '-l. ~ l.cf;3 "-1 State/Zip Telephone # (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 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 civil penalt,y of not more than five hundred dollars ($500]1. c..e 1....-w ~ :1 ?-?cu. '\ ~l>r '!, 4l I..\ 0i a ~ B U¥"'1~ ~ en\.:> llN ir. --rA c.A qi :J (:, "--90i -<c r,, ~fo'-,.5 Name Address City State/Zip Telephone # State License # b '3 ~'89 ~ License Class C..-'S '3 City Business License # -------- Designer Name Address City State/Zip Telephone rj State License # 6. WORKERS' COMPENSATION ~rs' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: -g 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. ff 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 worker's compensation insurance carrier and policy number are: Insurance Company ';;;. TA.::Z G-~ LJ l,.._JP Policy No. C ()(:::, lSs) Expiration Date N C'.'I H,:: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS] 0 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 ($1 000), In addition the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. :J.. SIGNATURE--6~:::...._~-',!,,,.,£..--==-----------------DATE //_ /"L-U \_ 7. OWNER-BUILDER DECLARATION -------;;:==-~-~~~~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). 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. 0 YES ONO 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 / 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 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 -----------COMPLETE THIS 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. CONSTRUCTION LENDING AGENCY 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 ________________________ _ 9. 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 representatives of the Citt 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 Iha building Official under the provisions of this Code shall expire by limilalion and become null and void if lhe building or work authorized by such permit is not commenced wilhin 180 days from lhe date of such permit or if lhe building or work aulhorized by such permit is suspended or abandoned at any time afler lhe work is commence or a period of 180 (Section 106.4.4 Uniform Building Code). (Y-PPLICANT'S SIGNATURE DATE __ l _l_-_l _'Z._. D_7.,,,--""'-,,-,--- WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB023403 Type: POOL Date Inspection Item 04/1 0/2003 59 Final Pool 04/01/2003 55 Fence/Pre-Plaster 04/01/2003 55 Fence/Pre-Plaster 03/14/2003 54 Equipment/Anchorage 03/14/2003 55 Fence/Pre-Plaster 12/31/2002 11 Fig/Foundation/Piers 12/31/2002 21 Underground/Under Floor 12/31/2002 23 Gas/Test/Repairs 12/31/2002 31 Underground/Conduit-Wirin Friday, April 11, 2003 Inspector Act JE AP RI JE AP JE WC JE co JE AP JE AP JE AP JE AP ABSHIER RES-450 SF VINYL LINED POOL-IN GROUND Comments FINAL FENCE INTEGRITY INSPECTION FENCE OK, MOVE RECEPTACLE MIN 10FT-NOR MORE THAN 20FT AND BRACE LIQUID DTE SEE NOTICE ATTACHED (5) ON LIST BRING SOILS REPORT TO CITY BEFORE BACKFILL CALL FOR FENCING INSPECTION BEFORE FILLING POOL WITH WATER Page 1 of 1 UNSCHEDULED BUILDING INSPECTION DATE 0~-\0--0"3> PERMIT# _c_:s?._o_-z.._'3_Cf''Cl '3 INSPECTOR _____ _ . PLAN CHECK# ____ _ JOB ADDRESS -....... 6'~$£_-..,_7_::3::___&a_o_~_c,..._-e..-__ "?_<--__ ..c2::. ______ _ DESCRIPTION __________________ _ CODE DESCRIPTION ACT COMMENTS t=: \ 11'.-v\ ? .-O l hlAJ ' City of Carlsbad l:lftb •IA&·lltt•4•1·11,i4411,i·I BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB09.-31o3 BUILDING ADDRESS: 3-f:13 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 i~pension of permit to build. B~~~ Date: 1:J/'{/oJ- ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet DENIAL Please see~ttached report of deficiencies marked wit D. Make necessary corrections to plans or cifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. Date: By: Date: --------- By: _________ Date: ENGINEERING DEPT. CONTACT PERSON NAME: Taniya Barrows City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE: (760) 602-2773 H:\Oeveloflment Sllf'ViCM\MASTERSIJ'ORMS -\CHECKLISTS -\BUILDING PLAt«<;HECK CKUST FORM. POOLS.doc Rev.8122(96 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @ ' • • • • • • • • C-:(~J-19 BUILDING PLANCHECK CHECKLIST • POOLS SITE PLAN l.6 f-/{p~ '0wlh 3dl-f,4 1. Provide a fully dimensioned site plan drawn to scale. Show: ..A-North Arrow B. Existing & Proposed Structures 2. Show on site plan: r1f!> Drainage Patterns 'lf Existing & Proposed Slopes ~ Existing Topography © Property Lines -0: Easements @ Indicate 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 3. Include on title sheet: _____ Applied for ___ Approved K.' Site Address aD Assessor's Parcel Number © 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: _________ Date: GRADING PERMIT REQUIREMENTS 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 Page2 of 3 H:\Oevelopment Servlc:e5\MASTERS\FORMS-\CHECKUSTS-\BUILOING PLANCHECK CKLIST FORM -POOLS.doc ' Cl Cl Cl 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. See, ±t= "+-9G\0-JA separate Right-of-Way issued by the Engineering Department is required for the following: 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 Building Permit will be issu.ed simultaneously. Page 3 of 3 H:\Development Services\MASTERS\FORMS ·\CHECKLISTS -\BUILDING PLANCHECK CKLIST FORM. POOLS.doc Rev. 8122196 PLANNINC/ENCINEERINC APPROVALS PERMIT NUMBER CB o~ -3,1-1 C>:3 ADDRESS ~,s:-7 3,. ,,,0-F:4-E, ?\ Ace RESIDENTIAL RESIDENTIAL ADDITION MINOR < < $10,000.00) DATE \~ I P•tC>2. t TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER _ __,_~~_L-_________________ _ PLANNER 1s . N;i;:c:.. 1-!<>i.;:s DATE ~I l 1 ~ I r>-Z. ENGINEER ________ _ DATE ------- DoCS1MISfOm1!1Planntng Engineering Approvats