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2645 OBELISCO PL; ; CB991640; Permit
City of Carlsbad 05/18/1999 Pool Permit Permit No:CB991640 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: 2645 OBELISCO PL CBAD POOL 2154400100 Status: Lot#: 0 Applied: Valuation: $1,722.00 Construction Type: NEW Entered By: Reference #: Project Title: INTERIOR SPA 56 SF-GUNITE Applicant: MISSION POOLS OF ESCONDIDO INC 755 W GRAND AVENUE ESCONDIDO, CA 92025 619-7 43-2605 Plan Approved: Issued: Inspect Area: Owner: WILSON TRUST 09-23-95 7172 ESTRELLA DE MAR RD CARLSBAD CA 92009 ISSUED 04/29/1999 JM 05/18/1999 05/18/1999 Total Fees: $113.65 Total Payments To Date: Balance Due: $87.79 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 TOTAL PERMIT FEES Inspector: FINAL APPROVAL Date: .5-,. .2..S-... ~ $39.79 $0.00 $25.86 $0.00 $20.00 $27.00 $1 .00 $0.00 $0.00 $0.00 $113.65 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter ccllectively referred to as 'fees/exactions." You have 90 days from the date this permtt 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 capactiy 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 Qiven a NOTICE similar to this or as to which the statute of limitations has previously otheiwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERl\,'IIT APPLICATION . CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 1 . PROJECT INFORMATION FOR OFFICE USE ONLb! PLAN CHECK No.:j;/i{;Lff) EST. VAL. l 1 / Plan Ck. Deposit ______ .....,;.....i~-=+- Validated By __ c.....:...1e-""---."~,..,..-=---fr"n'~ Date _________ -4-,,._.c.c..-+:4'-->L-f- Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units 9157 04/?J/99 0001 01 02 Existing Use C-PRffT 25-86 Description of Work ~ 6, ~ t,tr!il ~ 2. ~~CT PERSON (i different from applicant) /lof Stories II of Bathrooms c. State/Zip Telephone II Fax # '9"~as 7~-?'lo~ State/Zip Telephone II 5. CONTRACTOR • COMPANY 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 Any violation of ction 7031.5 by any applicant for permit subje e applicant to a civil penalty of not more than five hundred dollars ($500]). · ~ ~ ~ 7 6- Name State License 11,~{p 2&:zO License Class ,6k Q.5 City State/Zip Telephone II City Business License ~na2 Designer Name Address City State/Zip Telephone State License II ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm 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 i he work for which this permit is issued. 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 ~ompensati?n Ins ranee carrier and policy number are: . J /.. Insurance Company Policy N2.t?~O t:./ Expiration Dateo/a/00 K. SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 come subject to the Workers' Compensation Laws of California . SIGNATURE•J!..~~~~~~~(..,_.,<;;;_.A~2,d~~~:;,,,...----------~ 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 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 I address I phone number I 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 I address I phone number I 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 I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ----------------------- COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS ONLY 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 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. B. 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 -------------- 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 the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after e work i commenced for eriod of 18 ys (Section 106.4.4 Uniform Building Code). / . /,. APPLICANT'S SIGNATURE DATE c/fcxctL99 WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB991640 Type: POOL Date Inspection Item 5/25/2000 59 Final Pool 6/22/1999 51 Excav/Steel/Bonding/Fence 6/4/1999 31 Underground/Conduit-Wirin 6/4/1999 51 Excav/Steel/Bonding/Fence 5/28/1999 51 Excav/Steel/Bonding/Fence Thursday, May 25, 2000 Inspector RB RB RB RB RB INTERIOR SPA 56 SF-GUNITE Act Comments AP FINAL DONE ON 317/2000 AP ADDED BONDING FOR HEAT PUMP AP ADDED LIGHT TO SPA AP ADDED BNDG TO LITE & GRAB BAR AP BNDG FOR LADDER & GRAB BAR INCLUDED Page 1 of 1 City of Carlsbad M#i ,f·ii,t44 Qi ,f. I •l4·ki U,,t4,il BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB '1'9 I 6 Vo • BUILDING ADDRESS: ~ 6 7"5 O,~e I cs co r?lc...cce PROJECT DESCRIPTION: Pool ~...:....:.~~~~~~~~~~~~ ASSESSOR'S PARCEL NUMBER: a.ts -t./C(o ADI ENGINEERING DEPARTMENT APPROVAL DENIAL 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. Please see the attached report of deficiencies marked with O. 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. d~ '.... Date s/cs)n .5 . t t By: Date: By: Date: By: Date: ~~s ~ ~~~~~) ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet NAME: JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1161, ext. 4510 \\I.ASPAt.MASISVSILIBRARV\ENG\WORO\OOCSICHKLST\Pool Bulkl"1Q Planche<:I< Ckll$1 CHK24 Fom, JJ.dOC Rev 8122196 2 075 L a s Palmas Dr.• Carlsbad. CA 92009-1576 • (760) 438-1161 • FAX (760) 431-5769 BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1 ST./ 2 ND./ 3 RD./ 0 0 0 1. Provide a fully dimensioned site plan drawn to scale. Show: 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A. North Arrow B. Existing & Proposed Structures 2. Show on site plan: A. Drainage Patterns B. Existing & Proposed Slopes C. Existing Topography C. Property Lines D. Easements D. Indicate what will happen with soil excavated from pool area E. Retaining Waifs (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 waifs are over 4' in height, a separate permit is required. Retaining Waif Permit CB -----Applied for ----Approved 3. Include on title sheet: A. Site Address B. Assessor's Parcel Number C. 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 I\Usoalmas\Sys\l.lBRARYIENG\WOROIDOCS\CHKLST\Pool lluldn;i -Cl<IGI CHK2• Form BE doc Rev 8l22J9S '1 ST./ 2NO./ 3RD./ ~ 0 0 5c. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: 0 0 0 5d. No Grading Permit required. MISCELLANEOUS PERMITS 0 0 0 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. 0 0 0 7. Remarks I\Uspalmoslsysll.lBRARYIENGIWORDIOOC5'CHKlSl'Poo1 B<Jild,ng Ptancned< Qlis1 CHK24 Fonn BE doc Rev 8.'22/9e At~4t1Ht® CERTIFICATE . OF INSURANCE ISSUE DATE (MMJtlD/YY) 03/18199 PRODUCER TIMOTHY S. MIU.S INSURANCE SERVICES, INC. P.O. BOX 86259 SAN DIEGO CA 92138-6259 INSURED Mission Pools of Escondido Inc Dunn Brothers Leasing, Et al 755 West Grand Avenue Escondido CA 92025-9990 W~r.ann"'-" 11-IIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TEA THE COVERAGE AFFORDED BY lliE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A LElliR Zenith Insurance Company -.. COMPANY B L.ElTER .. --... COMPANY C LEmR COMPANY D LEmR COMPANY E L.ElTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY COITTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR A TYPE OF INSURANCE GENERAL I..IABIUTY COMMERCIAL GENERAL LIABILITY ClAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY EXCESS LIABIUT)' UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' UABIUTY OTHER POLICY NUMBER Z042038804• DESCRIPTION OF OPERATIONSA.OCATIONSNEHICU:SISPECIAL ITEMS Re: Al I Opera1 ions of the Named Insured . ·10 Days Notice of Cancellation for Non -Payment of Premium . POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MMJtlO/YY) 04 /05 /99 04/05/00 GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE LIMITS $ $ s $ FIRE DAMAGE (Any one fim) S MED. EXPENSE (Any one person) $ COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accidenl) s $ $ PROPERTY DAMAGE $ EACH OCCURRENCE AGGREGATE X STATUTORY LIMITS EACH ACCIDENT DISEASE • POLICY LIMIT DISEASE • EACH EMPLOYEE $ $ $ $ $ 1,000,000 1,000, ODO 1, ODO, ODO CERTIFICATE HOLDER CANCELLATION City of Carlsbad Attn: Helen, Engineering Depl 2075 Las Palmas Drive Carlsbad CA ACORD 25..gr (7/90) 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EN~~xxxxxxxx MAIL ~*DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, B~~~~ioootx~~~~~m~~~xxxxxxxxxx ~~~~~~~>l~~~~~llXXXXXXXXXXXX 'EXCEPT 10 DAYS FOR NON PAYMENT OF PREMIUM / AuntORIZED REPRESENTATIVE \ '-~ / Tom James, CPCU, CIC ~ -! .Ll _/ ©ACORD CORPORATION 1990