HomeMy WebLinkAbout2640 Wadsworth St; ; CBR2017-0249; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 10/19/2017 Residential Permit Permit No: CBR2017-0249
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2640 Wadsworth St
BLDG-Residential
2081931200
$15,717.00
MERCER: INSTALL 300 SF POOL & SPA
Owner:
www.carlsbadca.gov
Work Class: Poot
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#:
Status:
Applied:
Issued:
Fina led:
Inspector:
Co-Applicant:
Closed -Finaled
02/06/2017
04/21/2017
JWest
COOWNER JUSTIN & AMANDA MERCER
2640 Wadsworth St
INACTIVE-PREMIER POOLS SPAS AND
PATIOS
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
Carlsbad, CA 92010-5603
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 BUILDING STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1 -Medium
SWPPP PLAN REVIEW FEE TIER 1-MEDIUM
Total Fees: $665.95 Total Payments To Date: $665.95
6876 Embarcadero Ln
Carlsbad, CA 92011-3227
760-476-0008
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to 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 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
$168.18
$117.73
$41.00
$49.00
$1.00
$2.04
$232.00
$55.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMAT/APCD
( City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
f----,,b-'~~~~1
Est. Value
JOB ADDRESS
CT/PROJECT# LOT# PHASE#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE
APPLICANT NAME
Prtna Contac
ADDRESS
AOORESS
CITY
PHONE
EMAIL
/J ti: 3'S 1-Z
STATE
FAX
Date c9-_
SUITEf/SPACE#/UNIT#
# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
GARAGE (SF) PATIOS (SF) OECKS (SF) FIREPLACE
YES[]#
ZIP qz 27
ADDRESS G '3 I
ZIP cit av/51:;dr)
PHONE 7 {p(j, .. 7 -tJ(f(j</
EMAIL
I J@$w/-f:t
STATE UC.# STATE UC.# f//l 7/Lf
11..
CONSTR. TYPE OCC. GROUP
ZIP
'1 loof
/1(111 rh ·<" o ""' { 0 J CITY s2 UC.#
FIRE SPRINKLERS
YES0 N00
(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 sil(ned 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 !hat 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 penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
Wor1ms' Compensation Declaration: I hereby affi,m under penalty of perjury one of the following declarations: 0 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.
~ I have and will maintain workers' compensation, irequired by Section 3700 of the Labor Code, for the performance of thebrk for ~fl/rmit is issued. My wor1<ers' compensa,nsura;i:amer and policy
number are: Insurance Co. Eve V CJ A/ qf ) Polk:y No. I ()O(J Z Expiration Date 'C 28'. I ) r • ,
~ sectiOn need not be completed H the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify 1hat In the performance of the wor1< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers' 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, da es as provi ed for In Section 3706 of the Labor code, Interest and attorney's fees.
2S CONTRACTOR SIGNATURE
I hereby affitm that I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< 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 wor1< hlmsett 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 thal he did not build or improve for the purpose of sale).
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 contraclS for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
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 0 No
2. I (have I 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 I phone I contractors' license number):
4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address I phone I contraclors' license number):
5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wor1< Indicated (include name I address I phone I type of wor1<):
2S PROPERTY OWNER SIGNATURE 0AGENT DATE
---COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required 10 submit a business plan, acutely hazardous materials registration form or risk maiagement and prevention program under Sections 25505, 25533 or 25534 of the
Presley-TaMer Hazardous Substance Account Act? 0 Yes O No
Is the applicant or future building occupant required to obtain a permit from the a~ 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.
I certify that I have read the application and state that the above Information is conectand that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating tD building construction.
I hereb'f authonze reixeseotative ct the City of Ca1sbad kl enter upon the alxlve menooned property l:Jr inspectm purJX>OOS. 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 permtt is required l:Jr excavations over 5'0' deep and demolioon or constn.dion of slrooures over 3 stories 11 heghL
EXPIRATION: Every permtt issued by the Building CXfcial under the provisbns of lhis Cede shall expire by initaoon and bocome nul and \Oc l the building or wcx1( auttoozoo by such perrrit is not C001TlellCed wilhn
180 days from the date of such perrrit or Wlhe building orwo.1( au · by such penmtt is suspendoo or abandoned at any tire after the wcx1( is commenced l:Jr a perxxl of 180 days (Secoon 106.4.4 Unibm Buildrig Cede).
2$ APPLICANT'S SIGNATURE DATE I
PERMIT INSPECTION HISTORY REPORT (CBR2017-0249) .
Permit Type: BLDG-Residential Application Date: 02/06/2017 Owner:
Work Class: Pool Issue Date: 04/21/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 03/26/2018 Address:
Scheduled Actual
Date Start Date
04/21/2017 04/21/2017
05/11/2017 05/11/2017
08/28/2017 08/28/2017
09/26/2017 09/26/2017
10/19/2017 10/19/2017
October 19, 2017
IVR Number: 1805
Inspection Type Inspection No.
BLDG-51 020801 -2017
Excav/Steel(Pools)
Checklist Item
BLDG-Building Deficiency
BLDG-31 022968-2017
Underground/Condu
it -Wiring
BLDG-51 032879-2017
Excav/Steel(Pools)
Checklist Item
BLDG-Building Deficiency
BLDG-55
Fence/Preplaster
035773-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
038099-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Inspection Status Primary Inspector
Passed Jonathan West
COMMENTS
Passed Jonathan West
Passed Chris Renfro
COMMENTS
Inspected equipotential bonding. Ok
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
COOWNER JUSTIN & AMANDA
MERCER
2640 Wadsworth St
Carlsbad, CA 92010-5603
Reinspection Complete
Complete
Passed
Yes
Complete
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Yes
Yes
Page 1 of 1
STORM WATER POLLUTI ON PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MA TERIALS SHALL BE
AVAILABLE ON SITE TO FACJLI.TATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
JS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SA TJSF ACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
A VOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY THE CITY OF CARLSBAD.
Vavrd Jones
OWNER(S)/bWNE:R'S AGENT NAME (PRINT)
7)~~ ~----·-OWNER(S)/OWNER'SA~T NAME (SIGNATURE)
E-29
1!~ 1A}7 ~
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-·2 9
0312_
-&W tJ.017 -OJJ-/ S
BEST MANAG EMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials BMPs Control BMPs Management BMPs Pollution Control BMPs
C: +-' C: C: 0 +-' 0 0 +-' C: C: '"O :;:; :;:; 0 Q) '"O Q) C: O'> E C: '"O (/J u u C: C: O'> E +-' 0 ::, ::, ·o ·c: 0. 0 C:
0 E ...... .... .... '6 .... Q) 0
2 '"O (/J O'> .... Q) +-' +-' ...... C: "-::, >, O'> C: Q) 0. .... C: Q) c (/J (/J (/J 0 ·c: er \... 0 C: O'> Oo Q) ·;:: -C: (/J C: > I... w Q) 0 Best Management Practice* ~ C: 0 CD 0. .... 0 Q) 0 .... c., <I) > C:
(/J 3: Cl) .... <I) 0 C Q) ...... <I) 0 ...... ..., ..c: C: ....... E <I) O'> ·o c: (.) \... (.) (/J '"O (/J 0 '"O Q) (/J 2 C: <I) C:
(BMP) Description ~ (/J u <I) Vl 'ci <I) (/J O'> CD O'> C: 3:: C: 0 ::) <I) ...., Q) <I) ::i ~ <I) .... u ..., 0 0 0 3: C: .... 0 '"OW '"O >, 0 Cl) C: C: 0 Q) > g) E :;:; 0 C: C: 0 CD Vl ·-O'> 0,-<I)......__ ~ 0 (.) <I) 0 0 O'> :§ ~ <I)
X 2 0 O'> <I) <I) 0::: E 0 -N en u en:;:; <I) Q) C: 0 0. '--3:: <I) 0 .~ .::£ Q) ..., ::, .0 E al :.= en = 3: 7i u·c ·c: Cl.. 0 O'> <I) <I) LL. L:;:; C: 0 \... 0 .::£ b -'"O ..c: C: u \... > Q) ::, '"O ·-Q) ·-'"O <I) u ·-\... .3 <I)\... <I) u '"O 0 0 0 -·-Q. '"O Q) <I) <I) u C: .... ..., .0 \... .0 0 +-' 0 > <I) ·-0 +-' 0 -:=:c ·-C: \... 0 ..... 0 0 0 0 O'> ..c: <I) 0 <I) 0 0 .... 0 Q) ..c: .0 \... bo 0 ...... \... .3 0 0 \... 0 0. 0 <1>-o ..... 0 in 0. 0 oo c., 3:: WO V5 en Vl (.) ~ c., V>> Vl Vl Cl.. in C: Vl 0::: 3:: Cl.. Cl...0 Cl.. > (.) 2Vl 2 Vl (.) Vl2
CASQA Designation ~ r--co en ~ ,,.., v l.{) co r--co 0 N ,,.., r--co ~ N ,,.., v l.{) ~ I I I I I I I I I I I I I I I I I I I I I I I
(.) (.) (.) (.) w w w w w w w w 0::: 0::: Vl Vl Vl Vl 2 2 2 2 2
Construction Activity w w w w Vl Vl Vl Vl Vl Vl Vl Vl ....... ....... z z z z 3:: 3:: 3:: 3:: 3::
i.J Grading/Soil Disturbance • , -II Trenchinq/Excavation
Stockpilinq
Drillina/Borinq
Concrete/ Asphalt Sawcuttinq
• Concrete Flatwork
Pavinq
• Conduit/Pipe Installation
Stucco/Mortar Work • HI Waste Disposal -M Staqinq/Lay Down Area • Eouioment Maintenance and Fuelinq
Hazardous Substance Use/Storaqe
Dewaterinq
Site Access Across Dirt
Other (list):
Instructions:
1. Check the box to the left of all applicable construction activity ( first column) expected to occur during construction.
2. Located along th e top of the BMP Tobie is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation numb er. Choose one
or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
PROJECT INFORMATION
Site Address: -Z ~Li O Wqg.Swa(ffi ~t .
Assessor's Parcel Number: tQ~ -/ j 3-fl -C,e>
Emergency Contact:
Name: AtoV\ T-eVVll'YI e
24 Hour Phone: tloQ--LfTU? -<:u6'6
Construction Threat to Storm Waler Quality
(Check Box)
0 MEDIUM O LOW
Q)
+-' (/J
0 3:: ......
C: (/J <I)
::i E 0 <I) 1: O'> 0 0 N C: 0 0 :r:2
co I
2 3::
Q)
+-' (/J
O+-' 3:: C: Q)
<I) E ..., <I) e O'> U 0 C: C:
O 0 (.)2
co I
2 3::
Page 1 of 1 REV 02/16