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HomeMy WebLinkAbout2641 LA GRAN VIA; ; CB032400; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB032400 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2641 LA GRAN VIA CBAD POOL Status: Lot#: 0 Applied: Valuation: 2162503500 $28,656.00 Construction Type: NEW Entered By: Reference #: Project Title: MANN RES 875 SF POOL/SPA Applicant: SOUTHLAND POOL CONSTRUCTION STE#A 1132 EVERGREEN DR 92024 760-944-2808 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 Plan Approved: Owner: MANN DAVID B 2641 LA GRAN VIA CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 08/29/2003 SB 09/09/2003 09/09/2003 PD $237.43 $0.00 $154.33 $0.00 $20.00 $27.00 $2.87 $118.72 $0.00 $0.00 $0.00 $560.35 Total Fees: $560.35 Total Payments To Date: $441.63 Balance Due: $118.72 1913 09/24/04 0002 }.:. Inspector: FINAL Date: C~GF" Clearance: NOTICE: Please take NOTICE 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 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 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 I I x i f hi h I n I Tl imil r whi h h limi I h rwi :)2 U.B,· 72 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include Bldg/Suite #) ltt 4Llb Alo. oi,61,,t, ..., Business Name (at this add 08/29/03 ~ij~1 02 154-33 Legal Description ' Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ? /,6 -1-ie-sa -oc 'S'ER Assessor's Parcel # eccpl 1 $"" Existing Use $JS: Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # l1@2ill!li1i!l!lffl®Bl . · Name (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 penalty of not more than five hundred dollars ($600]). >?Ytbl 0• L Pool G» .. ,;1-<,..d,l,,, u:,z.,p,1~ ..1c, €iu, t.6/J/~yf,f ~:15 ~--t.<!l£O Name Address City tate/Zip elephone # State license# <lldl-ft,l-license Class l,5 3'. City Business license# I :2,{J'13:0 Designer Name Address City State/Zip Telephone State license # _________ _ iffl1l~llWeRa~Glt~lllNZ:t"llik4;??~¼K~i2til&tfa\]1f~'ilJ;;:.1~iP.'.'. ~ . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one ~ 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 ~he work for which this permit is issued. w:l: 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 co'!!Pensation Insurance carrier and policy number are: Insurance Company <,~J;M). < Policy No. '2,'1'$6 2 -Z(203 Expiration Date L/ -c> I --Z,.,0(..,/ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) il. 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. coverage la unlawful, and •hall aubject an employer to crlmlnal penaltlea and civil fine• up to one hundred of compenaatlon, damagea aa provided for In.Section 3706 attor,1av's feea. SIGNATURE DATE --11)---.il!l@iiii I hei'eby affirm that I am exempt from the 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 intended or offered to~, 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). D 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). D 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. D YES ONO 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 / 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 I type of work): __________________________________________________________ _ 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? D YES O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 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 r$JWiffl!laii.Nff:7f:flflTIE(ORQD'~-¥@l<l;~lt:.!ii&L¼b'WclMPBEit~~4r,1:tt:/3/1;;1it±~\t1ci:t,J;JE~~~t0&;'itW1'.f,~Yi+l:~'%¥F:il¥i\:;¼dl;;;;-;;:c;:YJ:i0'.'., 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. l 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the bull ·ng Official under the rovisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not co me ed in 180 days m t date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comm' period of 180 ays action 106.4.4 Uniform Building Code). APPL •:ANT'S SIGNATURE DATE -S~-~V..~5~--"0~J..,,._ __ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/27/2004 Permit# CB032400 Title: MANN RES 875 SF POOLJSPA Description: Type: POOL Sub Type: Job Address: Suite: Location: OWNER 2641 LA GRAN VIA Lot MANN DAVID B Owner: MANN DAVID B Remarks: Total Time: 0 Inspector Assignment: PD --- '"'~&' Inspector· Requested By: ROBERT Entered By: ROBIN CD Description Act Comment 59 ~Fin~alP-oo_l~~~~-1£ l.t<ilf1"5 $tr~lr, (l,t MlhJ '!CO Associated PCRs/CVs lns~ection Histo[Y Date Description Act lnsp Comments 08/23/2004 59 Final Poot NS PD OKTO EXPIRE 02/11/2004 55 Fence/Pre·Plaster AP PD 02/09/2004 55 Fence/Pre-Plaster NR JM COMPLETE ALL ELECTRICAL 02/09/2004 55 Fence/Pre-Plaster co PD 12/0212003 52 Underground Plumbing AP PD GAS 12/02/2003 53 Electric/Conduit/Wiring AP PD 11/25/2003 51 Excav/Steel/Bonding/Fence AP PD 11/25/2003 52 Underground Plumbing AP PD • City of Carlsbad l:lfibli@:a.,att4113,1·11,14411,1·1 BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB do-;J,L/60 BUILDING ADDRESS: {q(pt/ / la l8Cl1 V1 U 1q PROJECT DESCRIPTION: _P'--'o'-'o"--1 ________ _ 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 in suspension of permit to build. By#~ Date: p'qs ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet DENIAL Please see the attached report of deficiencies marked with D. 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. By: 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:'Developrnenl SeNleea\MASTERS'FORMS-ICHECKLISTS -18UILOING PI..ANCHECK CKLIST FORM. POOLS.doc Rev. 8/22/96 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @ • Q Q Q Q Q Q Q Q Q Q Q tr¼l?~? ~ 17-o-~-+ BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1. 2. Provide a fully dimensioned site plan drawn to scale. Show: XNorth Arrow .e:-, Property Lines .S-:--Existing & Proposed Structures ...Q...-&sements Show on site plan: XDrainage Patterns £Existing & Proposed Slopes ~sting Topography D. 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 ~essor's Parcel Number :::e:--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. Sa. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, export). Sb. 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 3 H:\Oevelopment ServiceslMASTERSIFORMS-\CHECKLISTS-\BUJLOING PLANCHECK CKLIST FORM• POOLS.doe Rev. 8122/96 -------------- • .. D D D D D D D Sc. A Grading Permit has been applied for: PE2 Grading Inspector sign off by: 5d. No Grading Permit required. MISCELLANEOUS PERMITS DWG --------Date: 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 the 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 Page 3 of 3 H:\Development ServlceslMASTERSIFORMS-\CHECKLtSTS -\BUILDING PLANCHECK CKLIST FORM• POOlS.doc Rev. 8122196 -----· ·•· ... •·-····- PLANNINC/ENGINEERINC APPROVALS PERMIT NUMBER CB O 3-2~A Q() DATE Q-LJ -o~ ADDRESS 2-loY ( /_.()" \:) cw O \J \C',__ RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR r < $10,000.00> ENCINEER --------- ooCSJMisforms1P1anning Engineering Approvals PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING • , ... , : p ' . ' ✓., --DATE C/--<__J -c<3 ---'------ DATE -------