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Home My WebLink About2769 AVALON AVE; ; CB041740; Permit05-20-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Pool Permit Permit No: CB041740 I Job Address: Permit Type: POOL Status: ISSUED Parcel No: 1675630600 Lot #: 0 Applied: 0511 312004 Valuation: $23,646.00 Construction Type: NEW Entered By: SB Reference #: Plan Approved: 0512012004 Issued: 0512012004 Project Title: OFFERMAN RES 722 SF POOUSPA Inspect Area: 2769 AVALON AV CBAD Applicant: AKS LANDSCAPE & DESIGN 825 COLLEGE BLVD OCEANSIDE CA 92057 STE 102-401 760-433-3252 Owner: OFFERMAN JANE M 2769 AVALON AVE CARLSBAD CA 92008 Building Permit Add’l Building Permit Fee Plan Check Add’l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Renewal Fee Add’l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $207.49 $0.00 $134.87 $0.00 $20.00 $27.00 $2.36 $0.00 $0.00 $0.00 $0.00 $391.72 Total Fees: $391.72 Total Payments To Date: $134.87 Balance Due: $256.85 Inspector: 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 to protest imposition of these feeskxactions. 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. 1 635 Faraday Ave., FOR OFFICE USE PLAN CHECK NO. EST. V: vz;7rd: qbS ~ , s7 Plan Ck. Deposit Validated B Date . .. Legal Description Lot No. Subdivision NamdNumber Phase No. Total # of units Unit No. Aksessor's Parcel # Existing Use 1: I ;F -7. .' Proposed Use / b7 - Sb 3 - Ob 001 Ad SOCl - Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms (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 I$50011. Name State License # 6654SC/ License Class C-27. C-k, (- 53 Designer Name Address City State/Zip Telephone - w1-Sbqe- od <k# OtenhQdQ C /t/9%%a Tho YobS OmndQ 8( . Telephone # city State/Zip City Business License # Address A ws State License # 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 of the 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 compensation insurance carrier and policy number are: Insurance Company C \GC<nd~n h)ct ' I L%~3nCO CQ. Policy No. wc ! aE ?v (nC( Expiration Date 05/01 105 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS) 0 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 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). [7 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): Business and Professions Code for this reason: ~~ ___~ ~~ ~ 4. number / contractors license number): 5. of work): 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 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 PROPERTY OWNER SIGNATURE DATE IS SEClTfON FOR 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 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. YES NO 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 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 City 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 180 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 of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE SlI.t,lOCl WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/09/2004 Permit# CB041740 Inspector Assignment: JM Title: OFFERMAN RES 722 SF POOUSPA Description: Type: POOL Sub Type: Job Address: 2769 AVALON AV Suite: Lot 0 Location: APPLICANT AKS LANDSCAPE i? DESIGN Owner: OFFERMAN JANE M Remarks: Phone: 760941 5648 Inspector: 34A Total Time: CD Description 59 Final Pool Requested By: STACY Entered By: ROBIN Associated PCRs/CVs lnsoection Historv Date Description Act lnsp Comments 07/29/2004 55 FencdPre-Plaster AP PD 0711 512004 23 Gas/Test/Repairs AP JM NO RECORD CARD 07/15/2004 52 Underground Plumbing WC JM 07/15/2004 53 ElectricIConduiVWiring NR JM 06/11/2004 51 Excav/Steel/Bonding/Fence AP JM OK TO GUNITE (2) LIGHTS/EQUIP 06/11/2004 52 Underground Plumbing AP JM c - City of Carlsbad BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CBBy'/74/ 0 BUILDING ADDRESS: PROJECT DESCRIPTION: Pool ASSESSOR'S PARCEL NUMBER: 7- 363-06 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 i&! suspension of permit to build. Date: 1 ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-way Permit Application Right-of-way Permit Submittal Checklist and Information Sheet plans andlor specifications to this office for review. Date: </?$ ) Date: I BY: Date: E.NGlNEERlNG DEPT. CONTACT PERSON NAME: JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE: (760) 602-2775 H:\WORMDOCS\CHKI Bui 1635 Faraday A:::": '-e;O2-8562 @ BUILDING PLANCHECK CHECKLIST - POOLS ccf%c(-‘? s SITE PLAN I. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow oroperty Lines -9 tr+ Y 6. Existing & Proposed Structures D. Easements Cc;w. 2. Show on site plan: r @ Existing & Proposed Slope& Retaining Walls L- soil is not io be removed from propefiy but regraded on ’c/ A. Drainaae Patterns A~P D. Indicate what will hamen with 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: A. Site Address B. Assessor’s Parcel Number Legal Description Grading Quantities Cut Fill ImporVExport 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 Site Plan to make a determination on grading quantities (cut, fill, import, grading requirements. export). H:\WORMDOCSWKLSTI BuWi Planchedr Cktlrt CHK24 Form BE.& Page20f2 i Rev. ac?as-3 r i - 1STJ' 2NDJ 3RDJ a 0 D 5c. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: a D D 5d. No Grading Permit required. MISCELLANEOUS PERMITS Q 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: a 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 H:\WORD\WCS\CHKLST\Pwl Buildha Pm Cklist CHKZ4 Form =.doc Rev. 8R2198 FROM :WFITERIDGE INSURANCE FAX NO. :E584526004 May. 13 2004 LI:BW P 2 M&TS UPON THE CERrlFlClPTE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVEFUa AFFORDED 6Y THE POLICIES =LOW. I COMPANIES AFF?RDINQ CWmgE j-” OF mzMxDM. WVWLLCNU ;k! . .. . .. .. J