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Home My WebLink About2793 CREST DR; ; CB031589; Permit07-08-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB031589 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2793 CREST DR CBAD POOL 1561523900 Lot #: $21,700.00 Construction Type: DAVIS RESIDENCE 620 SF POOL & SPA 0 NEW Status: ISSUED Applied: 06/09/2003 Entered By: MDP Plan Approved: 07/08/2003 Issued: 07/08/2003 Inspect Area: Applicant: NORTH COUNTY POOLS 975 BUENA PL CARLSBAD CA 92008 760 439-5802 Owner: DAVIS CHARLES H&SUZANNE R 2793 CREST DR 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 $192,09 $0.00 $124.86 $0.00 $20.00 $27.00 $2.17 $0.00 $0.00 $0.00 $0.00 $366.12 Total Fees: $366.12 Total Payments To Date:$124.86 Balance Due: QK71 $241.26 241-26 Inspector: FINAL APPROVAL Date: 2 ~T W 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 fees/exactions. If you protest them, you must lollow 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 (ees 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 fees/exactions of which vou have oreviouslv beeaaiyen a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ~rm> PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suijp.#) Legal Description Business Name (at this address) Name Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units 2 Q6/Q9/03 '100? 01 Proposed Use r^mF^ \ Address City ur Contractor , O.Gwner O Agent for Owner State/Zip Telephone # Fax # Name _^ City State/Zip Telephone # Name Address City State/Zip Telephone # (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^plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name ^ Address State License # ^""Sl ^i^l I License Class <!. City State/Zip Telephone # '^» i S~b ^ City Business License # t~L-£? fc^l Or 1 Designer Name Address State License # City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: P 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. Q 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 i~^"YJfi'"Yf ', ^i^-^-^.^*^ Policy No. V^^j^ ^f\ ^> ~*C*2>— Expiration Date ^"p (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ucure workers' compensation coverage i> unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 10jMUlO), in addition to tbe cost of compensation, damages as provided for in Section 3706 of the Labor cgbejnterest-and attorney's fees. SIGNATURE DATE I hereby affirm that I an/exempt from the tfontfactor's License Law for the following reason: Q 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). Q 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). [3 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. Q YES O^O 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): 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 / type of work): PROPERTY OWNER SIGNATURE 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fj YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971!) 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. 1 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 commepeed within 180 days, from the date of such permit or if the building or work authorized by such perrrjit is suspended or abandoned at any time after the work is commenepd for a period of (80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/04/2004 Permit* CB031589 Title: DAVIS RESIDENCE Description: 620 SF POOL & SPA Inspector Assignment: PD Type: POOL Sub Type: Job Address: 2793 CREST DR Suite: Lot 0 Location: APPLICANT NORTH COUNTY POOLS Owner: DAVIS CHARLES H&SUZANNE R Remarks: Phone: 760. Inspect Total Time:Requested By: TONY Entered By: CHRISTINE CD Description 59 Final Pool Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 01/06/2004 55 Fence/Pre-Plaster AP PD 09/09/2003 23 Gas/Test/Repairs AP PD 09/09/2003 51 Excav/Steel/Bonding/Fence AP PD 09/09/2003 52 Underground Plumbing AP PD 09/09/2003 53 Electric/Conduit/Wiring AP PD City of Carl's bad Public Works BUILDING PLANCHECK CHECKLIST POOLS Engi neeri ng BUILDING PLANCHECK NUMBER: CB 0 BUILDING ADDRESS: PROJECT DESCRIPTION: Pool ASSESSOR'S PARCEL NUMBER:' 39 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 revj^carefully all comments attached, as failure to corrosfy wth instructions in this report can result in suspecisioiyof permit to build. By:Date: DENIAL Please see the attached report of deficiencies marked with UMake 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: By: By: Date: Date: Date: ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet 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 92OO8-7314 • (760) 6O2-272O • FAX (760) 6O2-8562 RD/ Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: Arrow & Proposed Structures E roperty Lines asements 2. Show on site plan: Patterns//0TxExisting & Proposed Slopes C: Existing Topography r"Tndicate what will happen with soil excavated from pool area £^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: -^ rite Address Assessor's Parcel Number .egal Description D. 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: GRADING PERMIT REQUIREMENTS Date: 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 1 of 2 . ,|SV Of ' >RD/ a a 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 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:«flvetopnwnt $wvk*t\MASTERS\CHECXUSTS\BuMna Ptandwck CMM Form- POOLS Joe PLANNING/ENGINEERING APPROVALS PERMIT NUMBER ADDRESS DATE RESIDENTIAL RESIDENTIAL ADDITION MINOR «$1O,OOO.OO> THUANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE to ENGINEER DATE SD COMPENSATION IN SURANCE FUND P.O. B6XV807, SAN FRANCISC6,CA 941O1-0807; ISSUE DATE: O8-05-O2 CERTIFICATE OF ^WORK£RSr COMPENSATION INSURANCE ' 1 : / POLICY NUMBER: 1647493 - 02 ,* •*•- '.,.-' CERTIFICATE EXPIRES: OS-OS-03 CONTRACTORS STATE LICENSE BOARDWORKERS:COMPENSATION UNIT P 0 BOX 26000; \ '', •:•-•• •• - '\ SACRAMENTO CA^9582& .r Vr JOB: #481591 ; INCEPTION DATE: OS-05-02 : D.O.: SAN DIEGO This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurancej Commissioner to the employer named below for the Policy p.eriod indicated . •-VThis policy is not subject to [cancellation i:by^^^ the 'employer.*5 We will also give you •)o/days' advance notice should this policy be cancelled prior to its normal expiration. '" '**!.". .'•'... " ' - This certificate .of insurance is not an insurance policy and does not amend, extender alter the coverage afforded by the pplicies.listed he^eirL'No'tyvithstaniiing any requirement, term. or.condition'of any'contract-or'other.document with respect--to which this "cerfff icate of, insurance^ p^ivLbS Issued or may ^ertaia :the insurance afforded,by the i" '" policies described herein is subject to all the termis. exclusions and conditions of such policies. . ': ; «'^ • i i - i. . - - ••! S "-« " . " 5' .- PRESIDENT EMPLOYER'S'LIABILITY LJMJT INCLUDING DEFENSE COSTS: $tlOpOLoOO.OO PER ;DCCURR£NCE. STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBANp A>«3 WIFE/EMPLOYERS ARE'NOT ELIGIBLE FOR BENEFITS AS "EMPLOYEES UNDER THIS-POLICY. \ ,/ •* "'"" "' .? - I^^^^^^^S^^?^^^^^!? "::* -^ " ;:^r :-£s^i*^^: ^ EMPLOYER LEGAL NAME NORTH COUNTY POOLS :.- •• - . . 19915 FORTUNA^DtL ESTE--"-•. ESCONDIDO CA 92029 r I I SWIRSKY/ ANTHONY AND SWIRSkY," RHONDI I eU 1 ^A ^ » ** Q - o9 5 S 'O O to 'v® k & & c£ Oo <V> \3 8 CD1 r^