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Home My WebLink About2709 MATEO PL; ; CB971262; PermitPERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1, PROJECT INFORMATION P \o ct-E' FOR OFFICE USE ONLY PLAN CHECK NO. 'f]-[G~ L EST. VAL. I 1.( 5:l ( Plan Ck. Deposit ~ ql{v .,.6 Validated By t 111 Date )_ l'{ f} Z-7 OS h'x(:\:E'.C? Address (include Bldg/Suite #) 66(:f{ Business Name (at this address) Legal Description :::Z th-7 .51-3 3 Subdivision Name/Number ,SF-R Unit No. Phase No. Total # of units Assessor's Parcel # <j>':V\ Proposed Use Description of Work Existing Use t'I\ Lt <:\5ILU SQ. FT. #of Stories # of Bedrooms # of Bathrooms ~-CONTACT PERSON (If different from applicant) M:\ S>t21 oo i?a:A--,/fu .-£ :>e ~ Name Address City State/Zip Telephone # Fax # 3. APPLICANT _montractor Agent for Contractor O Owner O Agent for Owner MAMJttro ~\.-::2 755 v-,) i:nf"<.-<l(\c.\ 0-..~-f .SC Name Address City State/Zip Telephone# 4 . PROPERTY OWNER City State/Zip Telephone# C\Ll'-{-osq 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 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 [$5001). tv\1.::'P,an 0:2\:2 755 w, bim,= o c..u.e {tfl6. u\-, Ro?$'. Jlt.3-chos Name Address City State/Zip Telephone # '&2...6 t {D License Class ?{c..-.S':) City Business License# "Z..Lj k>l5 Designer Name Address City State/Zip Telephone State License # _....;:11,~_.,_l \.._J..._1-'-'11-, __ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O f 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. f9._ 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 :Z,e,,, •,+b. Policy No. :z.c,i-\Z C 3?R:Y)"Z-Expiration Date 4 -S 4 l? (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) O 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, damages rov· ed for In Section 3706 of the Labor code, interest and attorney's fees. • DATE ---VI b Jq;'J SIGNATURE 7. OWNER-BUILDER DECLAR_o;rlON I hereby affirm that I am exempt from the 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busine and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contr c projects with contractor(sl licensed pursuant to the Contractor's License Law). I am exempt under Section _____ _ I personally plan to provide the major labor and materials for construe · I (have / have not) signed an application for a building permit ONO ? D 1. 2. 3. I have contracted with the following person (firm) to ide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, b ave hired the following person to coordinate, supervise and provide the major work (include name I address / phone number/ contractors license number)'.;:,,....;:_ ____________________________________________ _ 5. , but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIIU,, BUILDINO 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 feiee::t~o:f;th:e~o;ut~e;r~b~o~u~nd~a~r;y~o~f:ia~:::::-::::e-s---o NO IF ANY OF THE ANSWERS ARE YES, A FINAL C TE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE NCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. LENDER'S NA:_:,M~E:_::;;:;;:;:;;;:;:::::;::::::;:;;:::=;:;::-=------:::-- 9. Af!PI.ICANT 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 Cit\! 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 the work is commenced for a period ~f 1 80 days (S tion 10 .4.4 Uniform Building Code). DATE _ _,:.5q:;/,_c:::h;.;..)___,~'-]L__ __ _ ~, YELLOW: Applicant @ PERMIT# CB971262 DESCRIPTION: 445 SF POOL CITY OF CARLSBAD INSPECTION REQUEST FOR 09/12/97 INSPECTOR AREA NF PLANCK# CB971262 OCC GRP TYPE: POOL JOB ADDRESS: 2709 APPLICANT: MISSION CONTRACTOR: OWNER: MATEO PL POOLS }/1. ...,/C,'J STE: CONSTR. TYPE VN LOT: PHONE: 760 743-2605 PHONE: PHONE: REMARKS: C/TOM/438-4000 WORK INSPECTOR )JF SPECIAL INSTRUCT: HOME 944-9059 PLEASE INSPECT AFTER 1PM PLEASE TOTAL TIME: --RELATED PERMITS-- CD 59 LVL DESCRIPTION SW Final Pool PERMIT# TYPE RW970122 ROW STATUS ISSUED ACT COMMENTS Af _____ _ ------------------ DATE 081997 080797 073197 071197 062697 062597 ***** INSPECTION HISTORY***** DESCRIPTION Final Pool Final Pool Fence/Pre-Plaster Electric/Conduit/Wiring Excav/Steel/Bonding/Fence Excav/Steel/Bonding/Fence ACT INSP CA NF CO NF AP PY AP NF AP DC CO DC COMMENTS CANCELLED BY OWNER OK TO PLASTER SEE INSPEC NOTES NEED 35 PSI City of Carlsbad ■ 4 ,I· I I ,14441,1· 1 ·l4·6141, ,14,11 BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB q 7 -/ 2 (o 'L. BUILDING ADDRESS: 2 ') o 7 PROJECT DESCRIPTION: _P_o_o.:....I ________ _ ASSESSOR'S PARCEL NUMBER: 2Llz -,'J..s1-3 3 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. B/JJ~Date::?5z/7 ATTACHMENTS D Grading Permit Application D 9t'ading Permit Checklist B" Right-of-Way Permit Application D Right-of-Way Permit Submittal Checklist and Information Sheet \\Uspalmas\sysll.lBRARY\ENG\WORO\DOCSICHKLST\Pool Building Planehl!ck Cklist CHK24 Foml MM.doc Rev. &122196 DENIAL Please see ~ttached report of deficiencies marked wi~ake 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:e<U Date: qu_/17 By: ________ Date: By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: BRUCE EUBANK City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1161, ext. 4374 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 C 7 ~NO✓ 0 0 0 0 0 0 0 0 0 0 0 BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: ~North Arrow ~roperty Lines ....-el. Existing & Proposed Structures LA5. Easements {;-R-- 0 ,-c, {'--'A/ 2. ~how on site plan: 1 ~ , r) /L-rfto!,, 1?:,,, ~, ?.r oll--(A) Drainage Patterns~""~~ @ndicate w~~l 1 ~~ith 0if. .,.Existing & Proposed S10'5 ~~-soil excavated from pool area --e-: Existing Topography r,:J . 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 . Legal Description /J / fr" D. Grading Quantities Cut Fill Import/Export ~\:· 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 \\Laspalmas\Sys\LISRARY\ENGIWORDIDOCS\CHKLSTIPool Bui4dir.g Plaocheek Cklist CHK2-4 Form BE.doe Rev. 8122196 ', 1 sr ✓ 2ND✓ 3RD✓ Page 2 of2 O □ O 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 tot he public Right-of-Way. A separate Right-of-ay i sued 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 \\l.aspa\mas\sys\LIBRARY\ENG\WORD\DOCS\CHKLST\Pool Building Planclieek Cklisl CHK24 Fo,m BE.doc Rev. aJ22f96