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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 co O w a."(- w ag|£ Sacs= ^ S * UJ fO§JH<N i osg< f- yU.XX O CD TO FROMAPF'JCANT APPLICANTa.LU Xoen Ou. ^ U^a._jto sI V Vj 1 rl "^" •vi w ^£ <i ^v>- 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