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HomeMy WebLinkAbout2820 CARRILLO WAY; ; CB053076; Permit09-13-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB053076 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2820 CARRILLO WY CBAD POOL 2226622000 Lot #: 0 $1,632.00 Construction Type: NEW NERI RES- 48 SF SPA Status: ISSUED Applied: 08/26/2005 Entered By: LSM Plan Approved: 09/13/2005 Issued: 09/13/2005 Inspect Area: Applicant: KNOLL DESIGN/DEVELPOMENT G-1 5751 PALMER WY 92008 Owner: NERI BRUCE P&BARBARA P 2820 CARRILLO WAY CARLSBAD CA 92009 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 $33.09 $0.00 $21.51 $0.00 $20.00 $27.00 $1.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $102.60 Total Fees:$102.60 Total Payments To Date:$102.60 Balance Due:$0.00 BUILDING _*LjrfN STORAG! 4Jr.ATTACHET Inspector: FINAL APPROVAL Date: 101U Clearance: NOTICE: Please take NOTICE fiat 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 fees/exactions of which you have previously bean given a NOTICE similar to 1his. or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATIO CITY OF CARLSBAD BUILDING DEPARTMfNj 1635 Faraday Ave., Carlsbad, CA 92008 1, PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. (2/3 0 S" EST. VAL. £ Plan Ck. Deposit Validated By. Date Address (include Bldg/Suite #)Business Name (at this add$$gp OOP? Ol Tbtal iLegal Description Lot No.Subdivision Neme/Number Unit No.Phase No. CGF ! units Assessor's Parcel Existing Use Proposed Use Description of Work (SMNJlTl?. id -Gftb jTPAr Kf. -»y2. CONTACT PERSON (if different from dpfflcarrt) SO. FT..s ft #of Stories # of Bedrooms It of Bathrooms Name 3. APPLICANT J, Address Contractor Qt Agent.for Contractor D Owner City Agent for Ownar State/Zip Telephone #Fax # Telephone #Name Address 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]). Name State License # Address License Class City State/Zip City Business License # I ^2 Telephone * Designer Narriev ' Address City State/Zip Telephone State License tt 8. WORKERS'COMPENSATION Workers' Compensetion Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. S2T 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 carrierand policy numberare: O / t£(%OQ3l3&f &/*?/®^ Insurance Company J^I>jJ^t'iS "\*^ h JQ • VfcJf. C^- Policy No. (l ^~jl\ " O ®t- \ rf\ \ Expiration Date fe/30/OT^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) / / l~) 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)Jfl addition to the cost otj»ompeiAa*ion, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ^7 ^df ^~~* J< £f^t^ DATE UTION " f I hereby affirm that I am exempt from the Contractor's License Law for the following reason: l~l 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). l~l 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. l~l YES l~lNO 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 ft, APPLICANT CERTlFtCATION ' :. . , ....... t". 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 CitV 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 (Sectipn 106.4.4 Uniform Building Code). /*, d* s DATEAPPLICANT'S SIGNATURE YELLOW: Applicant PINK: Finance Permit* CB053076 Title: NERI RES- 48 SF SPA Description: City of Carlsbad Bldg Inspection Request For: 10/07/2005 Inspector Assignment: JM 2820 CARRILLOWY Lot 0 Type: POOL Sub Type: Job Address: Suite: Location: APPLICANT KNOLL DESIGN/DEVELPOMENT Owner: NERI BRUCE P&BARBARA P Remarks: FINAL SPA Total Time: Phone: 7608016276 Inspector: Requested By: JERRY Entered By: CHRISTINE CD Description 59 Final Pool Act Comment Associated PCRs/CVs Inspection History Date 10/04/2005 10/03/2005 10/03/2005 09/14/2005 09/14/2005 09/14/2005 09/14/2005 Description 55 Fence/Pre-Plaster 51 Excav/Steel/Bonding/Fence 55 Fence/Pre-Plaster 23 Gas/Test/Repairs 31 Underground/Conduit-Wiring 51 Excav/Steel/Bonding/Fence 52 Underground Plumbing Act AP we CO AP PA AP AP lns| JM JM JM JM JM JM JM OK TO PLASTER COMPLETE ELECTRICAL / GATES. DOOR ALARMS OK. FIREPLACE / BBQ/ EQUIP OK TO GUINITE / LIGHT / EQUIP City of Carlsbad Bldg Inspection Request For: 10/03/2005 Permit* CB053076 Title: NERI RES- 48 SF SPA Description: Inspector Assignment: JM 2820 CARRILLOWY Lot 0 Type: POOL Sub Type: Job Address: Suite: Location: APPLICANT KNOLL DESIGN/DEVELPOMENT Owner: NERI BRUCE P&BARBARA P Remarks: Phone: 7608016276 Inspector: Total Time: CD Description Act Comment 51 Excav/Steel/Bondjng/Fence Requested By: JERRY Entered By: JANEAN l/4Qr 'Associated PCRs/CVs Inspection History Date Description Act 09/14/2005 23 Gas/Test/Repairs AP 09/14/2005 31 Underground/Conduit-Wiring PA 09/14/2005 51 Excav/Steel/Bonding/Fence AP 09/14/2005 52 Underground Plumbing AP Insp Comments JM FIREPLACE / BBQ/ EQUIP JM JM OK TO GUINITE / LIGHT/ EQUIP JM CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE LOCATION. PERMIT NO - FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE CODE ENFORCEMENT OFFICER City of Carlsbad Public Works BUILDING PLANCHECK CHECKLIST POOLS Engi neeri ng BUILDING PLANCHECK NUMBER: BUILDING ADDRESS:LO 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 continue^cdnformance with applicable codes. Please review carefully all comments attached, as failure ter'corndfy wjjk'instructions in this report can result iny^sperBfoo-efpermit to build. By:Date DENIAL Please see tbe zrttached report of deficiencies marked witn D./Make necessary corrections to plans or ^specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. 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: Taniya Barrows City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE:(760) 602-2773 H:\Devetopment SovicesVMASIERSVFORMS -"CHECKLISTS JflUILOING PLANCHECK CKLIST FORM - POOLS.doc 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (76O) 6O2-8562 Q 3' Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN CT Lei- 1. Provide a fully dimensioned site plan drawn to scale. Show: -^Property Lines JBf EasementstNorth Arrow Existing & Proposed Structures 2. Show on site plan: ^(T Drainage Patterns ^/^f D ./Indicate what will happen with sting & Proposed Slopes ^—''soil excavated from pool area ^ Existing Topography E. 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: Address<33r~£6sessor's Parcel Number ^2: Legal Description D. Grading Quantities Cut Fill Import/Export 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: 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 2 of 3 H:\Devetopment S«tvicw\MASTERS\FORMS -\CHECKUSTS -VBUILDING PLANCHECK CKUST FORM - POOLS.doc Q Q 3 Q 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:\Devetopment SwvlotfiMASTERSFORMS -CHECKLISTS -\BUILDING PLANCHECK CKLIST FORM - POOLS.doc Rev. 8122/66 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER DATE ADDRESS 111 RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE S ENGINEER DATE oocs/Mlsf orms/Pbnnina Engineering Approvals ACORD CERTIFICATE OF LIABILITY INSURANCE ^B&\ "XZ^ PRODUCER "^ Wateridge Insurance Services 10717 Sorrento Valley Rd. San Diego CA 92121 Shone: 858-452-2200 Fax: 858-452-6004 INSURED Knoll Design/Development, Inc.5751 Palme? Way, Suite 6-1CarlsbadCA 92068 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A: Clarendon Hat'l Innmno* Co. INSURER B: INSURER C: INSURER ft INSURER E: NAIC* COVERAGES MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR KDD1LTH INSRC A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ^J CLAIMS MADE | j OCCUR GEN1 AGGREGATE UMfT APPLIES PER: "HpouwnSBft HLOC ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS OARAGE LIABILITY ANY AUTO EXCESSAJMBRELLA LIABILITY | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If ye*, dMcribe under SPEQAL PROVISIONS below OTHER POLICY NUMBER • d 01KR0031384 •D^TM^^Y? ^-^^ ^ 08/30/05 POLICY EXPIRATIONDATE (MM/DD/YY) 08/30/06 M LIMITS EACH OCCURRENCE LJANlAub 1 \J KKN 1 CL?PREMISES (E« occurenee) MED EXP (Any on* pamon) PERSONAL ft ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (E« accident) BODILY INJURY (Per person) BODILY INJURY (Per eccident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN ^ ACC AUTO ONLY: AQG EACH OCCURRENCE AGGREGATE X I WU'SIAIU- f (UlH-iTORYUMtTS 1 I ER E. LEACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L DISEASE • POLICY LIMIT $ $ t t $ $ $ $ $ $ S $ $ $ t t $ $ $ 1000000 $ 1000000 $ 1000000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation in the event of non-payment of premium Re: License f 835686 CERTIFICATE HOLDER CANCELLATION CONTRA2 CONTRACTORS STATE LICENSE BOARD PO BOX 26000 SACRAMENTO CA 95826 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE John A. Clanton ACORD 25 (2001/08)© ACORD CORPORATION m iI!m;CO' CO O CO 25 m