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HomeMy WebLinkAbout2703 PALMETTO DR; ; CB053026; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-13-2005 Pool Permit Permit No: CB053026 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2703 PALMETTO DR CBAD POOL Status: Lot#: 0 Applied: Valuation: 2131801400 $1,666.00 Construction Type: NEW Entered By: Reference #: Project Title: KRATKA RES-49 SF GUNITE SPA Applicant: RICHARD WAGNER 3607 BARRANCA CT 92008 (760) 720-1622 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: KRATKA PAUL C 2703 PALMETTO DR CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 08/23/2005 AMA 09/13/2005 09/13/2005 $33.09 $0.00 $21.51 $0.00 $20.00 $27.00 $1.00 $0.00 $0.00 $0.00 $0.00 $102.60 Total Fees: $102.60 Total Payments To Date: $102.60 Balance Due: Inspector: FINAL 1PJ".:f!CWAL Date: //JI j/7 J. Clearance: $0.00 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 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 • -• .. ,L,:L ' • ' • • -• -· • • • • • ·• • ' v:ERJIT ~PSQTION °~s CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJJ;CT 1NFOJlMATI0N _n~ A ;z?o3 t-> .al Nl ~ 770 L£ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number ;;i..1 .-~o ... l -oo Assessor's Parcel # · ~ST~«tcn.:i. * ~ Proposed Use Description of Work # of Bedrooms 2. CONTACT PERSON (If different from applicant) S.,t c.f-fACLo wAE>""°R # of Bathrooms Name Address City State/Zip Telephone # Fax # 3. APPLICANT .tJ Contractor PR~AM f®L..6 0 Agent for Contractor O Owner O Agent for Owner I)~ A MO $ P@s .$ o (-$A U-0 I S-60 3'()? d4A&IA144 £..T CA~Ls&r,0 eA 'IJAOr ')1,o /~Z?. Name Address City State/Zip Telephone # 4 . PROPERTY OWNER e~uL K,l.AT¥-.A 2--Joj PA 1..M 6'TTO IJtl. Name Address City State/Zip Telephone # 6. 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 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)). l'l A ~ R. "l o 1 <' 62 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the f ollowing 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. 0 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 ____________________ _ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) ri( CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ~ become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 0,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE <f/~~111 r SIGNATURE _ _,&_~~t__.~~~,c::=:: ________________ _ 7. OWNER•BUILDER OECl,ARATI N 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 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 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): ______________________________________________ _ 6. 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 NQN-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 7 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 ANO 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 s·o· 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any lime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ #~ DATE WHITE: File YELLOW: Applicant PINK: Finance m City of Carlsbad Bldg Inspection Request For: 10/31/2005 Permit# C8053026 Title: KRATKA RES-49 SF GUNITE SPA Description: Type: POOL Sub Type: Job Address: 2703 PALMETTO DR Suite: Lot 0 Location: APPLICANT RICHARD WAGNER Owner: KRATKA PAUL C Remarks: Total Time: CD Description Act Comment Inspector Assignment: TP --- Phone: 8582136029 Inspector: ----- Requested By: RICHARD Entered By: JANEAN 59 Final Pool 1:JL _________ _ -------- Associated PCRs/CVs lns(lection Histo[Y Date Description Act lnsp Comments 10/25/2005 55 Fence/Pre-Plaster AP PC 09/20/2005 51 Excav/Steel/Bonding/Fence AP TP SPA 09/20/2005 52 Underground Plumbing AP TP City of Carlsbad l@NIIW+:;.;;oo•;,1.;;,;44;;,;.; BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: BUILDING ADDRESS: CB O ~--~"U.:1 ()J_~~ 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 ttached, as failure t mply with instructions in this epo/4,n ,..- ::ult in spension of permit to build~-f J/ O j DENIAL Please see the attached report of deficiencies marked with □. Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifica · s to this office for review. Dat:J,b v ! Q j By: Date: By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: Kathleen M. Farmer City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92009 PHONE: (760) 602-2741 _..-/ 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @ □ □ □ □ □ □ BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN □ 2. Show on site plan: □ □ □ ~inage Patterns ~ate what will happen with ~ting & Proposed Slopes ~ soil excavated from pool area ~sting Topography ~ng 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 titl heel: _____ Applied for ___ Approved Site Address " l 2 l O D I L/ Assessor's Parcel Numbe~ c,,-.;;> -b ' . Legal Description-t,..___o-==r-Y 3 r . Grading Quantities Cut ____ Fill ___ Import/Export 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 Page 2 of 3 .1ST~ 2ND~ 3RD~ D D D D D D D D D D 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 tot he 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 PLANNINO/ENCINEERINC APPROVALS PERMIT NUMBER CBO5 3QQ Cc DATE 0/ cil:3 /,:5 ADDRESS :i:zo,3 Pa I rvtt__,:tlc, Or RESIDENTIAL ADDITION MINOR ( < $10,000.00) OTHER spa PLANNE~ . 0exi(ty\.,. ENCINEER -------- Docs/MISfonns/Planning EnglnHfing ApprovalS TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAC& FAIRE COMPLETE OFFICE BUILDINC DATE 0/ 2'3 / S DATE -------