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2604 COLIBRI LN; ; CB072031; Permit
08-23-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB072031 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2604 COLIBRI LN CBAD POOL 2155340600 Lot# $16 150 00 Construction Type INTOCI RES-425 SF POOL/SPA 0 NEW Status ISSUED Applied 08/01/2007 RMA 08/23/2007 08/23/2007 Entered By Plan Approved Issued Inspect Area Applicant CAL-WEST POOLS & SPAS 41490 LOS ALAMOS RD 92562 909 677-6665 Owner INTOCI CATHERINE A 44 PEPPERMINT RD COMMACKNY 11725 Building Permit Add'l 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 $15359 $000 $9983 $000 $2000 $2700 $1 62 $000 $000 $000 $000 TOTAL PERMIT FEES $302 04 Total Fees $302 04 Total Payments To Date $302 04 Balance Due $000 JL Inspector FINAL APPROVAL Date ////5.A7 Clearance NOTICE Please take NOTICt 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 -hese fees/exaclions 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 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 sot aside void or annul their imposition You are hereby FUR FHER 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 fees/exaclions of which vau have previously been given a NOTICE similar lo this, or as lo which the statute of limitations has previously otherwise expired City of Carlsbad If535 Faraday Ave Carlsbad CA 92008 7606022717/2718/2719 Fax 7606028558 Building Permit Application JOB ADDRESS DESCRIPTION OF WORK 7)Q.O "t~- "' J ^ ' i SUITE#/SPACE#/UNIT# S OF UNITS '" #BEDROOMS # BATHROOMS TENANT "BUSINESS NAME'CONSTR TYPE I OCC GROUP EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES O #NO Q AIR CONDITIONING YES Q NO D FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom Applicant) fADDRESS'" ~ APPLICANT NAME (Tfc^k 1 /Xl V ADDRESS STATE ZIP PHONE FAX CITY PHONE STATE ZIP EMAIL EMAIL trn- PROPERTY OWNER NAME CONTRACTOR BUS NAME _U5_ ADDRESS 1 CITY TPHONE ADDRESS STATE Sv FAX" ZIP CITY PHONE STATE cA fc/Q "zjp-- FAX : EMAIL u EMAIL ^rftARCH/DESIGNER NAME & ADDRESS STATE LIC # 3 CITY BUS (Sec 70315 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 fMa/gned statement [Hat N 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 itleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations O 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 GJ^f 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 cajier and policy number are Insurance Co .C-CTgyT ^L_ &• -> >^^O ___ Policy No \€kj5*'3Z'7 ^-^^ Expiration Date CT~l - This section need not be completed if the permit is for one hundred dollars ($100) or less n 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 addition to the cost of compensation damagesasjuowds^ forinSection 3706 of the Labor code interest and attorney s fees J&> CONTRACTOR SIGNATURE f ^ fi() J _ DATE TjS ~ \ ~ ^ ~7 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 mtendec 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 (he 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) O 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) JO 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 El Yes O No 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 / contrar. tors 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' 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 / 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 AcP O Yes n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 O Yes a No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender s Name Lender's Address ;^i^2^T-^^fiy^^"f:^^fM'&Sf'i:& -•••••• •si-* <•'••• ' • 5?™="^•^''•S£:^-<! I hereby authorize representative of the City of Catlsbad 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 stones in height 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any tone after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANTS SIGNATURE /^"^ /^DATE ~ City of Carlsbad Bldg Inspection Request For 11/07/2007 Permit* CB072031 Title INTOCI RES-425 SF POOL/SPA Description Inspector Assignment PY 2604 COLIBRI LN Lot Type POOL Sub Type Job Address Suite Location APPLICANT CAL-WEST POOLS & SPAS Owner INTOCI CATHERINE A Remarks Phone 9516776665 Inspector Total Time CD Description 59 Final Pool Requested By CINDY Entered By CHRISTINE omments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 10/24/2007 31 Underground/Conduit-Wiring 10/24/2007 52 Underground Plumbing 10/22/2007 55 Fence/Pre Plaster 09/05/2007 23 Gas/Test/Repairs 09/05/2007 51 Excav/Steel/Bondmg/Fence Act Insp Comments AP PY OK TO PLASTER WC PY CO PD GATES / ALARMS OK AP AP PY PY City of Carlsbad P u b I i c Wo f ks — E n gin e er 1 n g BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB 0")^fb BUILDING ADDRESS C$ll(xr PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER $.(£~ S3*/ 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 in suspension of permit to build By Date DENIAL Please see \he jjta€hed report of deficiencies marked with^T Make necessary corrections to plans or' specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT CONTACT PERSON NAME JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2775 H \WORD\DOCS\CHKLST\Pool Building PlafictlK* Cklisl CHK24 Form BE.dOf 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 6O2-2720 • FAX (76O) 6O2-8562 Q Q Q Q Q Q RD/ Q Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN Provide a fully dimensioned site plan drawn to scale Show or 73- North Arrow ' B ) Existing & Proposed Structures •—/ 2 Show on site plan Drainage Patterns Existing & Proposed Slopes Existing Topography Property Lines - Easements- ([^Indicate what will happen with s—^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 Site Address Assessor's Parcel Number 1 Legal Description 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 2 H \WORD\DOCSVCHKLST\Pool Building Plancheck Cklist CHK24 Form BE doc •|STV Q oN Q 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 Please complete attached Right-of-Way application form and return to the Engineering Department together with Ihe requirements on the attached Right- of-Way checklist, at the time of resubmittal Right-of-Way Permit and Pool Building Permit will be issued simultaneously 7 Remarks H \WORD\DOCS\CHKLST\Pool Building Plancheck Cklist CHK24 Form BE doc License Detail Page 1 of2 California License Detail Contractor License # 688893 CALirORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P.7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the hn button to obtain complaint and/or legal action information • Per B&P_7Q71_17, only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 08/01/2007 Business Information * * * CAL - WEST POOLS AND SPAS INC P O BOX 890898 TEMECULA, CA 92589 Business Phone Number (951) 453-2924 Entity Corporation Issue Date 05/13/1994 Reissue Date 05/06/2005 Expire Date 05/31/2009 * * * License Status * * * This license is current and active All information below should be reviewed * * * Classifications * * * Class Description C53 SWIMMING POOL D35 POOL AND SPA MAINTENANCE * * *Bonding Information * * * CONTRACTOR'S BOND This license filed Contractor's Bond number 100002965 in the ai http //www2 cslb ca gov/CSLBJLIBRARY/License+Detail asp 08/01/2007 ^ V s s s 606 DD D D PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner APN Address C*L\/®£\ Gma Ruiz Phone (76(3) 602-4675 Type of Project & Use Zoning \~C> General Plan CFD (in/out) #_Date of participation Net Project Density DU/AC Facilities Management Zone Remaining net dev acres Circle One (For non-residential development Type of land used created by this permit ) Legend £3 Item Complete Q Item Incomplete - Needs your action Environmental Review Required YES NO 2l TYPE DATE OF COMPLETION Compliance with conditions of approval9 If not, state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL/RESO NO PROJECT NO YES NO X TYPE DATE OTHER RELATED CASES Compliance with conditions or approval? If not, state conditions which require action Conditions of Approval D D D Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES CA Coastal Commission Authority? YES NO. NO X If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402, (619) 767-2370 Determine status (Coastal Permit Required or Exempt) . 1 Habitat Management Plan Data Entry Completed? YES NO' X ' If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type impacted/taken, UPDATE') ' '' ' Inclusionary Housing Fee required YES NO (Effective date of Inclusionary Housing Ordinance - May 21; 1993 ) Data Entry Completed? YES.NO (A/P/Ds,,Activity Maintenance,' enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 3/06 Site Plan Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes) Provide legal description of property and assessor's parcel number Policy 44 - Neighborhood Architectural Design Guidelines D D 1 Applicability YES NO ' D D 2 Project complies YES NO DD an a a Zoning 1 Setbacks Front Interior Side Street Side Rear Top of slope 2 Accessory structure setbacks Front Interior Side Street Side Rear Structure separation 3 Lot Coverage 4 Height W/A Required ' Required | Required Required Required ks Required K Required t Required Required Required Required IsV Shown V*T tfj/r Shown ? Shown *7 Shown ^ Shown YA Shown x Shown ? Shown ^ Shown D' Shown !&/ Shown Required.Shown Spaces Required Shown5 Parking (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments =M *7$OW £AU/?i/r UM£ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 3/06 License Detail Page 2 of 2 $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I) The Responsible Managing Officer (RMO) RON PHILLIPS certified that he/she owns 10 percent or more of the voting stock/equity of the cor A bond of qualifying individual is not required Effective Date 05/06/2005 * * * Workers Compensation Information * * * This license has workers compensation insurance with the SI A T E COMPENSATION INSURANCE F UNO Policy Number 1853275 Effective Date 07/01/2007 Expire Date 07/01/2008 Workers Compensation History * * * Miscellaneous Information * * * Date j Description Personnel List License Number Request Contractor Name Request [Personnel Name Request • Salesperson Request • Salesperson Name Request © 2006 State of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 08/01/2007 g m CO en GO