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( l I ( Tx.t-t P l ' J ' 1 • I * •• [ .. .. l , l Y < I • V ( •' l FINAL APPROVAL INSP.::&1 7 DATE ~., f-11 CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Paltnas Dr., Carlsbad, CA 92009 (619) 438-1161 (_ r 1r 131,, PERMIT APPLICATION PLAN CHECK NO. f& -L 1-..,~ I City of Carlsbad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 EST. vAL I~, 1 ol PLAN CK DEPOSIT 1 ,;, C. c,C I. PmtMII li'PE VALID. BY lANU l From Llst 1 (see back) give code of Pennit-Type: _ .. e .... a..,o~I ..... ______ _ DATE I l/, r /c,t; For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJECf INFORMATION FOR OFFICE USE ONLY Address .;). <(j' I '-f Lev' ll n t-e... Bu1idmg or Suite No. Nearest Cross Street i.EGAL DESCRWI ION Lor No. Subd1V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF S0BMII IED: □ 2 Energy Cales D 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL .2 Ha -iil,3 0 -c., S: EXISTING USE j p,e_ PROPOSED USE APP Pao c... .,_ 3PA DESCRIPTION OF WORK r c,O l ~ sp f.- # OF STORIES # OF BEDROOMS # OF BA1HROOMS 1 1 eren ram app ,can NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPLICANI OCON I RAC I Ok <Z]AGENI FOR CONIRACIOR uuwNtK DAGEN I FUR OWNER NAME(lastnamefirsc) Si/le~, (!yt1fh,a..ADDRESS 'it~S. l'lndre4.Sf'n -'"IOI CI1Y Esc.otvDloo STATE ( 4 ZIP CODE 9.u,.;2_ DAY TELEPHONE '//Jl"i 73f-93-;i..)-. NAME (last name first) klande, .Bobby ADDREss :?_ g;,; fev.:tnl-e_ □1Y)IJ.. C.osf-A STATE (",4 ZIP CODE ~f),.00 '7 DAY TELEPHONE I/ 34;, -6 .1;1 YO 6. rnN i'RXt iuk /j Ive 1./Aven ~6 ADDRESS 1/J,}. 5, J:lndre~sen #/0/ NAME (last name first) CI1Y /::-5{ot,/l)iD'b STATE (A ZIP CODE 9oW2-'1 DAYTELEPHONE 7U-93")..;)... STATE LIC. #S7/7ifl 3 LICENSE CLASS Ls-...3 CI1Y BUSINESS LIC. # DESIGNER NAME (last name hrst) /n p, # 9 )-ADDRESS □1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' wMPl!NSX:liuN Workers' Compensauon Declarat1on: I hereby afbrm that I have a cert1hcate of consent to self-msure issued by die Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCECOMPANY C/1<-· ComP, POLICYNo.lt9b.;tl~3~1rEXPIRATIONDATE ..:2-7-"J DATE /l·;J.~ -9(&, Uwner-Bu!Jder Declaration: I hereby afhrm that I am exempt from the Contractor's license Law for the followmg reason: □ 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 Llcense 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.). □ 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). □ I am exempt under Section ________ Business and Professions Code for this reason: (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, commencing 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). SIGNA11/RE DATE COMPLE IE I ms SECI ION FOR NON-RESIOEN I !AL BUILDING PERMI Is 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANYOF1HEANSWERS ARRYES, A FINAL CERTIFICATE OF oa:uPANCY MAY NOT Bl! I!iSllfill AFTER JULY 1, 1989 UNIJ!SS 1HEAPPUCANT HAS MET OR IS MEFilNG 1HE REQUlREMENTS OF 1HE OFFICE OF EMERGENCY SERVICES AND 1HE AIR POLLUTION mNTROL rnsnucr. 9. WNSIROCIION LENDING AGRNCY I hereby affirm that there 1s a construction lending agency for the peiformance of the work for which ibis permit 1s issued (Sec 3097(1) C1vU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCAN I CFJUtFICAliUN I certify that I have read the apphcat1on and state that the above miormat1on 1s correct. I agree to comply with all Ctty 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 AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS 1HE CflY OF CARISBAD AGAINsr AIL LIABIIJTIES, JUDGMENTS, CDSTS AND EXPENSES WlllCH MAY IN ANY WAY ACCRUE AGAINsr SAID CflY IN mNSF.QUENCE OF 1HE GRANTING OF nns 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 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 of 180 days (Section 303(d) Uniform Bui~ng Cod~. APPLICANrs SIGNATURE ~,(._ ~ DATE: -,?(,V,. WHITE: File YELLOW: Applicant PINK: Finance , PERMlT# CB962281 DESCRIPTION: 485 CITY OF CARLSBAD INSPECTION REQUEST FOR 03/19/97 SF POOL AND SPA TYPE: POOL JOB ADDRESS: 2814 LEVANTE ST APPLICANT: SILLER, CYNTHIA CONTRACTOR: PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK# CB962281 CCC GRP CONSTR. TYPE VN STE: LOT: 619 738-9322 OWNER: REMARKS: BJN/DAWN/738-9322 SPECIAL INSTRUCT: INSPECTOR -Y~'-7"---------- TOTAL TIME: CD 59 LVL DESCRIPTION SW Final Pool ------------------------------------ ------------------ ***** INSPECTION HISTORY***** DATE 031297 010997 010997 010997 010297 122696 DESCRIPTION Fence/Pre-Plaster Gas/Test/Repairs Underground Plumbing Electric/Conduit/Wiring Excav/Steel/Bonding/Fence Excav/Steel/Bonding/Fence ACT INSP AP PD AP PD AP PD AP PD AP PD CO PD COMMENTS CONDUIT City of Carlsbad ■¥1,1·11,1#4 I 1,1·1 •JA•i=I 4;, ,14,il BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB% ef ol f j BUILDING ADDRESS: d.8 / 4-: a&«4'-1iZl .. ~ssi-- PROJECT DESCRIPTION: Pool --'---'-'-'------------- ASSESSOR'S PARCEL NUMBER: 62, //; -qi ,X) -0,5 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. By:~ Date: ATTACHMENTS □ Grading Pennit Application □ Grading Pennit Checklist □ Right-of-Way Pennit Application □ Right-of-Way Pennit Submittal Checklist and lnfonnation Sheet l -Z... / 1 .,__/91:, ( 7 G:\I..IBRARY\ENG\WORO\OOCS\CHKLST\Pool Building Planctwc:lc Clclll CHK24 Fann MM.doc DENIAL Please see the attached report of deficiencies marked with VMake necessary corrections to plans or ~cations for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: Date: -------- By: Date: ------~- ENGINEERING DEPT. CONTACT PERSON NAME: MICHELE MASTERSON City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1161, ext. 4315 2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 □ □ □ □ □ □ □ □ □ □ □ BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN ,!_ tt-Cosf-tL (:;t:)<-t+£ l{11r+-4-, Lo-t-,;J.J/ 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow~ C. Property Lines t.-- 8. Existing & Proposed StructuresL,...,--D. Easements 1---~ ~ 2. Show on site plan: ~ ~ A. Drainage Patterns ~icate what will happen with B. Existing & Proposed Slopes soil excavated from pool area C. Existing Topography E. Retaining Walls r;;:~:~~va~ed so~; ,:~~;;:~~~~-re;,';ded 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 title sheet: _____ Applied for ____ Approved A. Site Address B. Assessor's Parcel Number C. Legal 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: _________ Date: GRADING PERMIT REQUIREMENTS The conditions that invoke the need for grading permit are found in Section 11.06.030 of the Municipal code. Sa. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, export). Sb. 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 Page1of2 G:\l.18RARY\ENG\WORO\DOCS\CHKLST\Pool !Wlclng Pllmctlldl Cldtt CHK24 Form t.11.4.doc Rw. 81221119 1sT✓ 2ND✓ 3RD✓ □ □ □ Sc. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: □ □ □ 5d. No Grading Permit required. MISCELLANEOUS PERMITS ~\fY6 □ 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. ·ssued by the Engineering Departmen for the following: ' 1 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 2 of 2