HomeMy WebLinkAbout2847 CAMINO SERBAL; ; CB052193; Permit06-23-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No: CB052193
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
itle:
2847 CAMINO SERBAL CBAD
POOL
2552812000 Lot#:
$14,000.00 Construction Type:
OGRADY RES 400 SF POOL
0
NEW
Status: ISSUED
Applied: 06/13/2005
Entered By: SB
Plan Approved: 06/23/2005
Issued: 06/23/2005
Inspect Area:
L CONSTRUCTION CO
EL CAJON BLVD
LA MESA CA 91941
Owner:
OGRADY TIMOTHY J
2847 CAMINO SERBAL
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
$130.49
$0.00
$84.82
$0.00
$20.00
$27.00
$1.40
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $263.71
Total Fees:$263.71 Total Payments To Date:$84.82 Balance Due:$178.89
1267 06/23/05 0002 01 02
CC3P 178.
BUILDING PLAN <
STORAGE
ATTACHED
Inspector: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 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 been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
06-23-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Right of Way Permit Permit No: RW050195
Job Address:
Permit Type:
Parcel No:
Start Date:
Insurance Expire:
2847 CAMINO SERBAL CBAD
Reference*:
Location:
Project Title:
DescrJDtion:
ROW
2552812000
Subtype: MINOR
10/01/2005
Liability Insurance: Y
Lot#:
Est Complete Date:
Traffic Control Plan:
GOP:
CB 05-2193
2847 CAMINO SERBAL
O'GRADY RESIDENCE
POOL/SPA
L CONSTRUCTION CO
:AJON BLVD
CA91941
Status: ISSUED
Applied: 06/23/2005
Issued: 06/23/2005
Expired: 09/30/2005
Entered By: KMF
Total Fees:$265.00 Total Payments To Date:$0.00 Balance Due:$265.00
Permit Fee
Additional Permit Fee
Other
Additional Fees
TOTAL PERMIT FEES
$265.00
$0.00
$0.00
$0.00
$265.00
1267 06/23/05 '0002 01 02
COP 265-00
This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion
of the work or if the work does not meet City Standards. The applicant may be billed for the cost of any corrective work that the
City must perform.
Permit Release Date Released Cash Deposit?.
YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK.
UNDERGROUND SERVICE ALERT NO.
IF ANY EXCAVATION OR BORING IS DONE.
. THIS PERMIT IS INVALID WITHOUT THIS NUMBER
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
FOR OFFICE USE O
PLAN CHECK NO.
EST. VAL. ' \<f^
Plan Ck. Deposit
Validated,ByJ
Date
06/i:J/yD
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description i - -2,0 Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel #Pool Existing Use
12$
Proposed U
"TO
Description of Work
2. CONTACT PERSON 0f different from applicant)
SQ. FT.#of Stories ff of Bedrooms # of Bathrooms
Name
3. APPLICANT Q Contractor
Address City
ent for Contractor Q Owner Q Agent for Ownar
State/Zip Telephone tt Fax #
Narfie
4. PROPERTY OWNER
State/Zip
Name ^ Address " City State/Zip Telephone #
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]).
lalori
Name
State License # V)fl7
Address
License Class ft • V O
City State/Zip
City Business License #
elepnone #
Designer Name
State License #
Address City State/Zip Telephone
10/01 j OS
Workers' Compensation 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.
p3l 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 ^"\C^J\~f_^ rL^i Y~)(A Policy No. \ S Cl0&l0t~(Q'^ Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
" 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
Become subject ty the Workers' Compensation Laws of California.
WARNING: Failanrto seiurjjymkati' compensation covejaae j* unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dolla®G1 M-OwDJJR addition to the cM o^n/pdnaMonLibrnages as provided for in Section 3706 of the Labor.code, interest and attorney's fees.
SIGNATURE Y^Jjtf^ \\J A-^^ IV \1^^5C/ J DATE ' ~ "
7,
at the following reason:
t DECLARATION
I hereby affirm thai I am exempt from the Contractor's Licens'
[3 I, as owner oisjhe 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, BusinessSind Professions Code: The Contractor's License Law does not apply to apr owner of property who builds or improves thereon, and who does
such work himself or throbghhis own employees, provided that such improvements are no>trftended or offered for sale. If, however, the building or improvement is
sold within one year of compt&tiojT, the owner-builder will have the burden of proving^HSthe did not build or improve for the purpose of sale).
Q I, as owner of the property, arrT-ejsclusively contracting with licensed^oofifractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not applyto^n owner of property^itwJouilds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
Q I am exempt under Section Businessxdfid Professions Code for this reason:
1. I personally plan to provide the major laboramJrnaterials fo>tpnstruction of the proposed property improvement. Q YES
2. I (have / have not) signed an applicatiarfTor a building permit for mBvprpposed work.
3. I have contracted with the foljpoving person (firm) to provide the proposSti<4£onstruction (include name / address / phone number / contractors license number):
4. I plan to provide porjiafis of the work, but I have hired the following person to coordiitate^supervise and provide the major work (include name / address / phone
number / contractorsjieense number): ^*"*~^
5. I will provide some of the work, but I have contracted (hired) the following persons to provide thewSrk indicated (include name / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? 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? O 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.
», 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(1) 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. 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 tit 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 comfnenced fpr afpeppd qj 180 days ($epfjonf OoTt.^jUniform Building Code).
APPLICANT'S SIGNATURE ^\ lkM\JLS^S ' TV WJt-J^l- DATE (flf'(?
WHITE: File PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 12/22/2005
Permit* CB052193
Title: OGRADY RES 400 SF POOL & GAS
Description. & ELECT TO FUTURE FIREPLACE
Sub Type:
2847 CAMINO SERBAL
Lot 0
Type: POOL
Job Address:
Suite:
Location:
APPLICANT AZURE POOL CONSTRUCTION CO
Owner: OGRADY CHRISTINE L
Remarks:
Inspector Assignment: PC
Phone: 6196973363
Inspector:
Total Time:
CD Description
59 Final Pool
Requested By: OSCAR
Entered By: CHRITINE
Act ~ Comment
Com ments/Notices/Hold
Associated PCRs/CVs
Date
12/15/2005
07/28/2005
07/28/2005
07/28/2005
07/28/2005
07/22/2005
07/21/2005
07/20/2005
07/20/2005
Inspection History
Description
55
21
23
31
51
51
51
23
53
Fence/Pre-Plaster
Underground/Under Floor
Gas/Test/Repairs
Underground/Conduit-Wiring
Excav/Steel/Bonding/Fence
Excav/Stee I/Bonding/Fence
Excav/Steel/Bonding/Fence
Gas/Test/Repairs
Electric/Conduit/Wiring
Act
AP
AP
AP
AP
AP
CO
CO
PA
PA
Insp
PC
PC
PC
PC
PC
PC
PC
PC
PC
Comments
SEE LIST ATTACH.
TO F.P.
City of Carlsbad Bldg Inspection Request
For: 07/22/2005
Permit* CB052193
Title: OGRADY RES 400 SF POOL & GAS
Description: & ELECT TO FUTURE FIREPLACE
Inspector Assignment: PC
2847 CAMINO SERBAL
Lot 0
Type: POOL Sub Type:
Job Address:
Suite:
Location:
APPLICANT AZURE POOL CONSTRUCTION CO
Owner: OGRADY TIMOTHY J
Remarks:
Phone: 6196973363
Inspector:
Total Time:
CD Description Act Comment
51 Excav/Steel/Bonding/Fence
Requested By: ALICIA
Entered By: CHRISTINE
us>y
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
07/21/2005 51 Excav/Steel/Bonding/Fence CO PC SEE LIST ATTACH.
07/20/2005 23 Gas/Test/Repairs PA PC TO F.P.
07/20/2005 53 Electric/Conduit/Wiring PA PC
fl-1
City of Carlsbad Bldg Inspection Request
For: 07/21/2005
Permit* CB052193
Title: OGRADY RES 400 SF POOL & GAS
Description. & ELECT TO FUTURE FIREPLACE
Inspector Assignment: PC
2847 CAMINO SERBAL
Lot 0
Type: POOL Sub Type:
Job Address:
Suite:
Location:
APPLICANT AZURE POOL CONSTRUCTION CO
Owner: OGRADY TIMOTHY J
Remarks:
Total Time:
CD Description
51 Excav/Steel/Bonding/Fence
Act Comment
Phone: 6196973363
Inspector:
Requested By: OSCAR
Entered By: CHRISTINE
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
07/20/2005 23 Gas/Test/Repairs PA PC TO P.P.
07/20/2005 53 Electric/Conduit/Wiring PA PC
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE
NOTICE (760)602-2700 I
1635 FARADAY AVENUE ]l
TIME
LOCATION
PERMIT NO.
FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? I I YES
FOR FURTHER INFORMATION, CONTACT \$&L —C- |
PHONE
BUlt5JNG INSPECTOR CODE ENFORCEMENT OFFICER
City of Carlsbad
Public Works - Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB
BUILDING ADDRESS:
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/rfeyfew carefully all comments attached,
as failure- to coprfply wmh instructions in this report can
result in^uspgAsierfof permit to build.
By:
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:
Date:
Date:
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 92008-7314 • (76O) 602-2720 • FAX (76O) 602-8562
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
D D 1. Provide a fully dimensioned site plan drawn to scale. Show:
North Arrow /C. Property Lines
V Existing & Proposed Structures ' X5. Easements
2. Show on site plan:
A/* Drainage Patterns A). Indicate what will happen with
Jay Existing & Proposed Slopes / soil excavated from pool area
fz. 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 '
D D 3. Include on title sheet:
A. Site Address
B. Assessor's Parcel Number
C. Legal Description
D. Grading Quantities Cut Fill Import/Export
D 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.
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
5c. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
D 5d. No Grading Permit required.
MISCELLANEOUS PERMITS
D 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 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
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB ~ 2/7 3 DATE
RESIDENTIAL ADDITION MINOR
«$10,OOO.OO)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER DATE
ENGINEER DATE
10/04/2004 16:26 FAX 6196991372 DRIVER ALLIANT 1001/001
PRODUCER
Driver Alliant Insurance
Cory Doucette
1620 Fifth Avenue
San Diego, CA 92101
619-238-1828 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 Interstate Fire & Casualty Co.
INSUR
Azure Pool Construction, Inc.
7423 El Cajon Blvd.
La Mesa CA 91941-3401
COMPANY
B Golden Eagle
COMPANY
C State Compensation Ins. Fund
COMPANYD
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 CLAIMS. .
COLTR TYPE OF INSURANCE POLICY NUMB POLICY EFFECTIVE
DATS (MM/DD/YV)
POLICY EXPIRATION
DATE IMNUPP/YY)UIWTS
GENERAL UAU1JTV
COMMERCIAL GENERAL LIABILITY
CLAIMS MACS | X | OCCUR
OWNER'S & CONTRACTOR'S PROT
CLP6266B3B 10/01/0*10/01/06 GENERAL A66RE6ATE
PRODUCTS - COMP/QP AGO
PERSONAL * ADV HuURY
EACH OCCURRENCE
FIRE PAMASf (Any one Hrel
MED EXP (Any on* ywrn)
3000000
2000000
1000000
1000000
100BOO
5000
AUTOMOBILE LIABILITY CBP9895046 10/01/04 10/01/05
ANY AUTO
ALL OWN ED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NOrtOWNED AUTOS
COMBINED SINGLE LIMIT 1000000
BODILY INJURYIPwpwionl
BODILY INJURY
PROPERTY DAMAGE
OARAOe LIABILITY
ANY AUTO
AUTO ONLY - 6A ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY
UMBHfLLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
169068403 10/01/04 10/01/05
ELJACH ACCIDENT 1000000
THE PROPRIETOR/PARTNERS/EXECUTIVE
OFPIC»« ARE:
INCL
EXCL
EL DISEASE • POLICY LIMIT 1000000
EL DISEASE-EA EMPLOYEE I 1600000
OTHER
DESCRIPTION OF OKRATIONg/lOCATlONS/VEHICLE«/SPECNU.|TEMS
PROOF OF INSURANCE.
FOR INFORMATION PURPOSES ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 0G CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30. PAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH6 LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANX JUNO JJPOM THt COMPANY. ITS AGENTS OR REPRESENTATIVES.
issIis1 cI LU C
V) LL IS
O O 08
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