HomeMy WebLinkAbout2847 CAMINO SERBAL; ; CB001583; Permit05/09/2000
City of Carlsbad
Pool Permit Permit No:CB001583
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2847 CAMINO SERBAL CBAD
POOL
2552812000 Lot#: 0
$2,460.00 Construction Type: NEW
SHERBOURNE MODEL
80 SF SPA
Applicant:
AZURE POOL CONSTRUCTION CO
7423 EL CAJON BLVD
LA MESA CA 91941
Total Fees: $134.34
Status: ISSUED
Applied: 04/25/2000
Entered By: MDP
Plan Approved: 05/09/2000
Issued: 05/09/2000
Inspect Area:
Y-CARLSBAD L P
1400
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
TOTAL PERMIT FEES
Due: $100.33
.33
.00
.01r$o.oo
"^20.00
".* ,-;:>*"T $27.00
*-&'Jv $100
$0.00
$0.00
$134.34
BUILDING PLANS
_^_IN STORAGE
ATTACHED
Inspector:Date: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
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 capacfiy
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 been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
05/09/2000
City of Carlsbad
Right of Way Permit Permit No: RW000196
Job Address: 2847 CAMINO SERBAL CBAD
Permit Type: ROW Subtype: MINOR
Parcel No: 2552812000 Lot#: 0
Start Date: Est Complete Date:
Insurance Expire: 09/01/2000
Liability Insurance: Y
Referenced: CB001583
Location:
Traffic Control Plan: Y
GOP:
Status: ISSUED
Applied: 05/08/2000
Issued: 05/09/2000
Expired: 11/08/2000
Entered By: GMF
Project Title:
Description:
SHELBOURNE MODEL HOME
Applicant:
AZURE POOL CONSTRUCTION CO
7423 EL CAJON BLVD
LA MESA CA 91941
Total Fees: $210.00
Permit Fee
Additional Permit Fee
Other
TOTAL PERMIT FEES
$210.00
00
This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion
of the work or if the work does not meet City Standards. The applicant may be billed for the cost of any corrective work that the
City must perform.
Permit Release Date Released
YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK.
UNDERGROUND SERVICE ALERT NO.
IF ANY EXCAVATION OR BORING IS DONE.
. THIS PERMIT IS INVALID WITHOUT THIS NUMBER
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO<££i_j
EST. VAL. ^
•-S3
Plan Ck. Deposit.
Validated By
Date
U.fa
- Loi C
Address (include Bldg/Suite #)Svv^bv e VfcVA\\>.C
Business Name (at this address)
Legal Description
Assessor's Parcel ft
Description of Work
Lot No. Subdivision Name/Number
Existing Use
SQ. FT. #of Stories
Unit No. Phase No. Total tt of units
5581 04/25/00 0001 01 iP
Proposed Use
# of Bedrooms
C-PRMT 34»0i
# of Bathrooms
2, CQITTACT PERSON JifdHferent
Name
3, APPLICANT Q Contractor
Address " City
for Contractor Q Owner Q Agent for Owner
State/Zip Telephone fFax!
Name
4, PROPERTY OWNER
Address City State/Zip Telephone tt
(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 dollar "
Name
State License #6ffLA 9. V
Address
License Class " \ CV'v'jt
City State/Zip
City Business License #
Telephone #
Address City State/Zip Telephone
State License #
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
G 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.
N/ 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 \K\Sv( AW jLJ Policy No. "*(^ 60 ^*((/?M> jfft^s. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
G 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 as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE DATE
7, OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
G IF 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
.soldIwithin 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).
pi I 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
NO
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? fj 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 l~l
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q 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.
a, CONSTRUCTION LEN&ING 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 ADDRESSLENDER'S NAME
9. APPLICANT 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 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 ifcmjnmanced for-aop«jd of 180 days; (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE^<AUl fU flfn AT^ 1 k . DATE
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 6/16/2000
Permit# CB001583
Title: SHERBOURNE MODEL
Description: 80SFSPA
Type: POOL Sub Type:
Job Address: 2847 CAMINO SERBAL
Suite: Lot 0
Location:
APPLICANT AZURE POOL CONSTRUCTION CO
Owner:
Remarks:
Inspector Assignment: TL
Phone: 7609424358
Inspector:
Total Time:
CD Description
59 Final Pool
Requested By: JORDIE
Entered By: ROBIN
Comments
Associated PCRs
Inspection History
Date
6/9/2000
6/8/2000
5/18/2000
5/18/2000
5/18/2000
5/18/2000
5/16/2000
5/16/2000
5/15/2000
5/15/2000
Description
55 Fence/Pre-Plaster
55 Fence/Pre-Plaster
23 Gas/Test/Repairs
51 Excav/Steel/Bonding/Fence
52 Underground Plumbing
53 Electric/ConduifWiring
1 1 Ftg/Foundation/Piers
51 Excav/Steel/Bonding/Fence
51 Excav/Steel/Bonding/Fence
52 Underground Plumbing
Act
CA
CO
AP
AP
AP
AP
we
CO
CO
CO
Ins
TL
TL
TL
TL
TL
TL
TL
TL
TL
TL
Comments
INSPECTED 6/8/00 W/CO
SEE NOTICE ATTACHED
CONDUIT ONLY
NEED FENCING
City of Carlsbad Bldg Inspection Request
For: 06/08/2000
Permit# CB001583 Inspector Assignment: TL
Title: SHERBOURNE MODEL
Description: 80 SF SPA
Type: POOL Sub Type:
Phone: 6195480810
Job Address: 2847 CAMINO SERBAL
Suite: Lot 0
Location: Inspector: _^
APPLICANT AZURE POOL CONSTRUCTION CO '
Owner:
Remarks:
Total Time: Requested By: N/A
Entered By: ROBIN
CD Description Act Comments
55 Fence/Pre-Plaster /_Q
Associated PCRs
Inspection History
Date Description Act Insp Comments
05/18/2000 23 Gas/Test/Repairs AP TL
05/18/2000 51 Excav/Steel/Bonding/Fence AP TL
05/18/2000 52 Underground Plumbing AP TL
05/18/2000 53 Electric/Conduit/Wiring AP TL CONDUIT ONLY
05/16/2000 11 Ftg/Foundation/Piers WC TL
05/16/2000 51 Excav/Steel/Bonding/Fence CO TL
05/15/2000 51 Excav/Steel/Bonding/Fence CO TL NEED FENCING
05/15/2000 52 Underground Plumbing CO TL
CITY OF CARLSBAD
BUILDING DETRIMENT
DATE
NOTICE (760) 602-2700
1635 FARADAY AVENUE
LOCATION
PERMIT NO.
To
(i I/I/O
'/t'-C
FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? I YES
=1THER INFORMATION, CONTACTFOFUEUFT
PHONE
CODE ENFORCEMENT OFFICER
City of Carlsbad Bldg Inspection Request
For: 5/16/2000
Permit# CB001583
Title: SHERBOURNE MODEL
Description: 80 SF SPA
Inspector Assignment: TL
Type: POOL Sub Type:
Job Address: 2847 CAMINO SERBAL
Suite: Lot 0
Location:
APPLICANT AZURE POOL CONSTRUCTION CO
Owner:
Remarks:
Phone: 7609424330
Inspector:
•• —
Total Time:
CD Description
11 Ftg/Foundation/Piers
51 Excav/Steel/Bonding/Fence
Act Comments
Requested By: ROBERT
Entered By: CHRISTINE
Associated PCRs
Inspection History
Date Description Act Insp Comments
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER:
BUILDING ADDRESS: -£Wf-4> CM-IIUO
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 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:
DENIAL
Please see the attached report of deficiencies
marked with 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.
By:
By:
By:
Date:f.
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:GREG FERNANDEZ
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE:(760) 602-2773
H:\WORD\DOCS\CHKLST\PQol Budding Plancneck Cklisl CHK24 Form BE .doc Rev 8/22/96
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-272O • FAX (76O) 6O2-8562
cr 50-03 - 3 3 25 -
BUILDING PLANCHECK CHECKLIST - POOLS rfP
SITE PLAN
gRD/
Q 1. Provide a fully dimensioned site plan drawn to scale. Show:
orth Arrow jSr^Property Lines
T Existing & Proposed Structures D. Easements
2. Show on site plan:
^ Drainage Patterns ^BT^ Indicate what will happen with
JSf^ Existing & Proposed Slopes soil excavated from pool area
j£ 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
Q Q Q 3. Include on title sheet:
jf Site Address
J&. Assessor's Parcel Number
JZ. Legal Description
D. Grading Quantities Cut Fill Import/Export
a) If grading is not required, write "No Grading" on plot plan.
Q Q Q 4. Project does not comply with the following Engineering Conditions of approval
for Project No.
Conditions were complied with by: Date:
GRADING PERMIT REQUIREMENTS
M IA-The conditions that invoke the need for grading permit are found in Section 11.06.030
of the Municipal code.
G G G 5a. Inadequate information available on Site Plan to make a determination on
grading requirements. Include accurate grading quantities (cut, fill, import,
export).
G G G 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 2
H:\WOROU3OCS\CHKLST\Pool BuWIng Plancheck CUM CHK24 Form BE.OOC Rev. O22/96
3RIV
Q 5c. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
Q Q 5d. No Grading Permit required.
MISCELLANEOUS PERMITS
Q Q 6. A RIGHT-OF-WAY PERMIT is required to do work in City Riaht-of-Wav 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
H:\WORO\DOCS\CHKLST\Pool Building Plancheck Cklist CHK24 Form BE .doc
'r-fi€t)RD_ CE.RTIFICATE OF LIABILITY INSURANCE*^ -**** '
PRODUCER
Wate ridge Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
Michael S. Galloway
phoneNo. 858-452-2200 F«NO. 858-452-6004
INSURED
Bob Kelly
DBA: Azure Pool Construction
7423 El Cajon Blvd.
La Mesa CA 91941
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A INSCORP - Ins Corp of NY
COMPANY
B Legion Insurance Company
COMPANYc
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
COLTR
A
A
A
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
If; | CLAIMS MADE ["x"] OCCUR
X OWNER'S & CONTRACTOR'S PROT
X $1,000 PD DED.
PER OCCURRENCE
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
X SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LI ABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
AND
IINCL
X EXCL
POLICY NUMBER
CAIC10017209
CAIC10017209
HC20916343
POLICY EFFECTIVE
DATE (MM/DO/YY)
09/01/99
09/01/99
10/01/99
POLICY EXPIRATION
DATE (MM/DD/YY)
09/01/00
09/01/00
10/01/00
LIMITS
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGO
PERSONAL A ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MED EXP (Any on* person)
COMBINED SINGLE LIMIT
BODILY INJURY(Perpmon)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
X I WC STATU- I IOTH-ITORYLIMITS 1 1 ER
EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT
EL DISEASE • EA EMPLOYEE
$2,000,000
$2,000,000
$1,000,000
$1,000,000
$ 50,000
$ 50,000
$1,000,000
$
$
$
$
$
$
t
S
$
$1,000,000
$1,000,000
$1,000,000
DESCRIPTION OF OPERATKWS/LOCATnNSn/EHICLES/SPECIAL ITEMS
*EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. 83' CHEVROLET TRUCK I.D.
«3802. FAX TO: 697-3790.
CERTIFICATE HOLDER
PROOF02
PROOF OF INSURANCE
INDIVIDUAL CERTIFICATES ISSUED
UPON REQUEST
ACORD 25-S (1/95)
CANCELLATI
SHOULD ANY
EXPIRATION
*30 DAY
BUT FAILURE
OF ANY KIND
ON
OF THE ABOVE DESCRIBED POLICIES BE CANCELLE
3ATE THEREO^^SSrtl^olSwSCSNMi/
S WRITTEN NOTICE TOlBE caMlCB&ROLCJpft NA
UPON THE COMPANY, ITS AGENTS OR REPRESENT*
D BEFORE THE
iVORTOMAIL
MED TO THE LEFT, jf
>N OR LIABILITY ,f i
TOES. ^/^ 1
^^^^5^^^ A
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w a."(- w ag|£ Sacs= ^ S * UJ fO§JH<N i osg< f- yU.XX O CD
TO FROMAPF'JCANT APPLICANTa.LU
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CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE.
NOTICE
LOCATION
PERMIT NO.
(760) 602-2700
1635 FARADAY AVENUE
*"")'TIME 0< •V""y/7
:Z/x( f
)
\s
xfr-/
FOR INSPECTION CALk (760) 602-2725. RE-INSPECTION FEE DUE?YES
PHONE
_
/" ' ' ''BUILDINGTNSP^TOR CODE ENFORCEMENT OFFICER