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2854 CORTE PAPAYA; ; CB013718; Permit
06-19-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB013718 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2854 CORTE PAPAYA CBAD POOL 2553111800 Lot# $14,73800 Construction Type KAPLANEK - POOL & SPA 450 SF 0 NEW Status ISSUED Applied 12/03/2001 JM 01/04/2002 01/04/2002 Entered By Plan Approved Issued Inspect Area JC Applicant SAN DIEGO POOLS 2430 CAMINO DEL VECINO ALPINE CA 91901 519-445-1877 Owner KAPLANEK GREGORY J&BIANCA M 96262854 CORTE PAPAYA CARLSBAD CA 92009 2 000^ 01.. WU_ <J1 CGP 60 - 00 Total Fees $336 48 Total Payments To Date $276 48 Balance Due $6000 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 TOTAL PERMIT FEES $13819 $000 $8982 $000 $2000 $2700 $1 47 $000 $000 $6000 $000 $336 48 /I Inspector FINAL APPROVAL 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" TOU 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 sar 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NoQ/Jti ~>( l& EST VAL Plan Ck Deposit Validated Bv/ffi/? Date ft*/ / Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parce Existing Use Proposed Use Description of Work 2 CONTACT PERSON (if different from applicant)^ SQ FT #of Stories 0002 *0l Bath02ms CGP 89-82 Name jF'r; AVpLll. BitI Address City State/Zip ' Telephone #.Ewe*- ontractor CD,Agent for Contractor CD Owner CD Agent for Owner Name ••4 PROPERfVOWNER ; Address City State/Zip Telephone # Address City State/Zip Telephone #Name S'"'CONTRACTOR r COMPANY NAME -^ si; h ^ -*s .: N:° I" ir;; • • ° 'l;,,^. • """".. ";;*• (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 basts for the alleged exemption Arwrw>lation of Section 7031 5 by any appjicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])cS/3/\/ U/F7to yt&lz fe tW .5ov/ lUocu ,W*k-- OB-^206-) Name ..-._. / State License # O/ 2-7^< 1 Address — ' License Class C-63 City State/Zip City Business License # Telephone # ^/£)/v"7^ Designer Name State License 9 Address City State/Zip Telephone 6 WORKERSKCOMPENSAtlON ..,.,.,,• .ft ; in::fc .. V •.: ...a::,,,,::r-"":: v-hLr '" ' . Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations |~1 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 p0^_ 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 V t I lo/Ocx/A f^-\^L>(Pv^(-E~ Policy No pi£- jCf^^ 7?>S Expiration Date 5>^/^&& (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) C] CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to s^iuref worK$rs^compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 QOOl/in addjSolvto the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE / IY^'] ^^^ - DATE / ?-~~^>'~C' / 7 OWNER-kuiLDjzl(DECLARATION •:«*" ~.~~: • .,^A " . . : *'••* I hereby affirm thafTam exempt from the Contractor's License Law for the following 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 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) 0 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 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement l~l YES I~|NO 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 COMPLETE THIS SECTION fQfrNQN-RESiDiENTIAI. BUILDHyJGTpERMITS ONLYjlF T: ; ' *A: "'JjiF ;™ 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? D YES fj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' f~l YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES l~| 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 ] S i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 APPLICANT'CERTIFICATION"'"' .!:::t"" .. '4.'" ;I; . 'i::;i::' : '•'• '" "". ""•:.;:' ' ,,'fV^""" v"" "^ :::ipy- 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 oveToAO' deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by th^jbuilamg (Micial Jnder 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 comme^cefd wflhm 1 Su^a^s 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 fpr a^ieriojj-flfiro-days (Section 106 4 4 Uniform Building Code) (I _ ^Js~~- DATE WHITE File YELLOW Applicant PINK Finance APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For 07/03/2002 Permit# CB013718 Title KAPLANEK-POOL & SPA 450 SF Description Type POOL Sub Type Job Address 2854 CORTE PAPAYA Suite Lot 0 Location APPLICANT SAN DIEGO POOLS Owner KAPLANEK GREGORY J&BIANCA M Remarks Inspector Assignment JC Phone 6195855868 5# Inspector Total Time Requested By LILLY Entered By CHRISTINE CD Description 59 Final Pool Act Comments Associated PCRs/CVs Inspection History Date 06/20/2002 06/17/2002 06/13/2002 06/13/2002 05/16/2002 05/16/2002 05/16/2002 02/15/2002 02/15/2002 02/14/2002 02/14/2002 02/12/2002 Description 55 Fence/Pre-Plaster 55 Fence/Pre-Plaster 55 Fence/Pre-Plaster 55 Fence/Pre-Plaster 23 Gas/Test/Repairs 52 Underground Plumbing 53 Electric/Conduit/Wmng 21 Underground/Under Floor 51 Excav/Steel/Bonding/Fence 51 Excav/Steel/Bonding/Fence 52 Underground Plumbing 51 Excav/Steel/Bonding/Fence Act AP NR NR NS AP AP AP PA AP CO AP CO Insp RB RB RB RB RC RC RC JC JC JC JC JC Comments NR - AGAIN - PAY REINSP FEE SEE C O SEE NOTICE ATTACHED LILY SAID THIS WAS SUPPOSED TO BE INSPECTED FRIDAY TEST - OK GAS PIPING - OK OKTOGUNITE GATES/FENCES GATES & FENCES UNSCHEDULED BUILDING INSPECTION DATE INSPECTOR PERMIT #PLAN CHECK # JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT f COMMENTS ( CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE LOCATION PERMIT NO '"" *»f/j: *« o*r &/6*(S Or jS&s *4?f~ FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE CODE ENFORCEMENT OFFICER ® City of Carlsbad Bldg Inspection Request For 06/13/2002 Permit# CB013718 Title KAPLANEK - POOL & SPA 450 SF Description Inspector Assignment JC 2854 CORTE PAPAYA Lot 0 Type POOL Sub Type Job Address Suite Location APPLICANT SAN DIEGO POOLS Owner KAPLANEK GREGORY J&BIANCA M Remarks Phone 6195885866 5# Inspector Total Time CD Description 55 Fence/Pre-Plaster Requested By LILLY Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description 05/16/2002 23 Gas/Test/Repairs 05/16/2002 52 Underground Plumbing 05/16/2002 53 Electric/Conduit/Wiring 02/15/2002 21 Underground/Under Floor 02/15/2002 51 Excav/Steel/Bonding/Fence 02/14/2002 51 Excav/Steel/Bonding/Fence 02/14/2002 52 Underground Plumbing 02/12/2002 51 Excav/Steel/Bonding/Fence Act AP AP AP PA AP CO AP CO Insp RC RC RC JC JC JC JC JC Comments TEST - OK GAS PIPING - OK OK TO GUNITE GATES/FENCES GATES & FENCES CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO (760) 602-2700 1635 FARADAY AVENUE TIME &&,J> >^ FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For 02/12/2002 Permit# CB013718 Title KAPLANEK-POOL & SPA 450 SF Description Type POOL Sub Type Job Address 2854 CORTE PAPAYA Suite Lot 0 Location APPLICANT SAN DIEGO POOLS Pf Owner KAPLANEK GREGORY J&BIANCA M Remarks Inspector Assignment // ' Phone 61 97780499 EX 5# Inspector Total Time CD Description Act Comments 51 Excav/Steel/Bondmg/Fence Requested By LILLY Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE TIME LOCATION PERMIT NO FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? I _ i YES FOR FURTHER INFORMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB O \ BUILDING ADDRESS (j.g)H<± ^< PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER ~2?i ' ~ 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 iwith instructions in this report can result in suspensipryof permit to build 1CBy 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 Date Date ATTACHMENTS D Grading Permit Application D Grading Permit Checklist D Right-of-Way Permit Application D Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT. CONTACT PERSON NAME Adnana Ojeda City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2775 H '.Development SewicesVMASTERS'.CHECKLISTS'.BuiWing Plancheck CMist Form POOLS doc Rev 8/22/96 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 6O2-272O • FAX (760) 6O2-8562 Q Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show North Arrow & Proposed Structures © Property Lines Bf Easements 2 Show on site plan x"A"^JDramage Patterns Existing & Proposed Slopes 'Existing Topography what will happen with soil excavated from pool area 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 Site Address Assessor's Parcel Number (tT) 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 \Development Services\MASTERS\CHECKLISTS\Building Plancheck Cklist Form POOLS doc A STy 2ND/ o Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q Q Q 5d No Grading Permit required MISCELLANEOUS PERMITS 0 Q Q 6 A RIGHT-OF-WAY PERMIT is required to do work in City Right-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 A for the following *0 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 Q Q 7 Remarks Page 3 of 3 H \Development Services\MASTERS\CHECKLISTS\Building Planctieck Cklist Form POOLS doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE 'or ENGINEER DATE Docs/Misrorms/plannmg Engineering Approvals .• % I 11 l_lf M_*lh.l I I PRODUCER Wateridge Insurance Services 10525 Vista Sorrento Pkwy #300 San Diego CA 92121 HDR Insurance Services Phone NO 858-452-2200 Fax NO 858-452-6004 COMPANY A it ^iwwi xr-vi MWI 'FTJT0RE1 05/07/01 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD ER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTEFt THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE Villanova Insurance 1NSUREO COMPANY B | Future Therapeutics, Inc. DBA: San Diego Pools P.O. Box 304 Rancho Santa Fe CA 92067 COMPANYc COMPANiHPANV D ! COVERAGES THIS IS TO CE 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 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS THE INSURANCE AFFORDED BY THE POLICIES DESCRI JED HEREIN IS SUBJECT TO ALL THE TERMS TYPE OF INSURANCE POLICY NUMBER POLICY EXPIRATION ' DATE (MM/DD/YY) | ...,_„LIMIFS ; GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY : ! ' ' CLAIMS MADE • ' OCCUR '< '• OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE | PRODUCTS - COMP/OP AGG i $_ PERSONAL & ADV IN JURY ! _$_ SEACH OCCURRENCE FIRE DAMAGE (Any one fire) I $ MEDEXP (Any one person) • S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOSi \ SCHEDULED AUTOS 1 HIRED AUTOS • NON-OWNED AUTOS COMBINED SINGLE LIMIT ! BODILY INJURY (Per person)!$ BODILY INJURY(Per accident) PROPERTY DAMAGE s GARAGE LIABILITY ANY AUTO I AUTO ONLY EA ACCIDENT ;$ OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE ! i EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE I* I AGGREGATE i $ 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY EL EACH ACCIDENT THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE is 1,000,000 . )NCLi ' X EXCL 05/01/01 05/01/02 j EL DISEASE-POLICY LIMIT |$1,000,000 i ELDISEASE EAEMPLOYEE | $ 1, OOP, OOP OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 'EXCEPT 10 DAYS NOTICE FOR NONPAYMENT OF PREMIUM ORPAYROLL. CONTRACTORS STATE LICENSE #512408. RE: ALLOF THE NAMEP INSURED. WON- REPORTING OFCALIFORNIA OPERATIONS CERTIFICATE HOLDER CONTRAC CANCELLATION SHOUt-6 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Ranch And Coast Development LLC P.O. Box 1656 Rancho Santa Fe CA 92067 ACQB.D 25-S {1/95> EXPIRATION DATE THEREOF 30* THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FA LURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY) KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES HDR Insurance ACORD CORPORATION 1 988 o «> D mao T)oo V) >2> i