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Home My WebLink About2860 CAMINO SERBAL; ; CB022016; Permit07-16-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB022016 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: LARRY WHARTON 639 BISON CT EL CAJON CA 92019 619-993-2244 2860 CAMINO SERBAL CBAD POOL 2552812700 Lot#: $17,128.25 Construction Type: 0 NEW RUDMAN RES/ 523 SF GUNITE POOL &SPA Owner: RUDMAN JOSEPH&TRACEY 2860 CAMINO SERBAL CARLSBADCA92009 Status: ISSUED Applied: 07/08/2002 Entered By: CB Plan Approved: 07/16/2002 Issued: 07/16/2002 inspect ^6707/16/02^0201 CGF" 02 163-00 Total Fees:$267.84 Total Payments To Date:$104.84 Balance Due:$163.00 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 $161.29 $0.00 $104.84 $0.00 $0.00 $0.00 $1.71 $0.00 $0.00 $0.00 $0.00 $267.84 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1i. W^CTWWRSiATION1$W Qsu**. FOR OFFICE USE ONLY PLAN CHECK Plan Ck. Deposit Validated By Date 0782 07/08/02 0002 01 02 Address (include Bldg/Suite #)Business Name let this eddress) Phase No7 ^Total # of urlrfe4" 84LegalLot No.Subdivision Name/Number Unit No. Assessor's Existing Use -5-2-3 Proposed Use Description of Work at SQ. FT.#of Stories # of Bedrooms # of Bathrooms Name Address Contraoto^ i$ Agent for ^ ity State/Zip Telephone #Fax # Name Address City State/Zip Telephone # MOpERtv OWNER Name Address City State/Zip Telephone # 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 exe/nptiorv Any violation of Section 7031.5 by anyfpplicant for a permit subjects the applicant to/a civil penalty oi<iot more than five hundred dollars" id TTff* Name State License » f£}$0Jr^ Address 2— License Class £? City State/Zip City Business License # ^f Telephone # 2^%? Designer Name State License f Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l~l 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 cornpensatjpn insurance carrier andjjolicy number are: « .trid?&t£2'£> fInsurancePo|iCy Ko.Expiration Date (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 ID Secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (y 00/000). In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ~~^^BtGF^%- _ DATE _ 7; - QWNteB/KDEHDECtARATlON ' ~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n 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). C] 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. Q YES QNO 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 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. 8. CONSTRUCTION tENDING 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 _ •$r~ *ertj(»^*ii^ft«^ts>r - • ' .... 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/CV 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 ISO/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 com/en^d for a^ejtod/qfnSO days (Sfcction 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/16/2002 Permit^ CB022016 Title: RUDMAN RES/ 523 SF GUNITE POOL Description: &SPA Inspector Assignment: SR Type: POOL Sub Type: Job Address. 2860 CAMINO SERBAL Suite: Lot 0 Location: APPLICANT LARRY WHARTON Owner: RUDMAN JOSEPH&TRACEY Remarks: Phone: 8582718822 Inspector: Total Time: CD Description 59 Final Pool Requested By: CHERYL Entered By: CHRISTINE Act Comments Associated PCRs/CVs Inspection History Date Description Act Insp 10/04/2002 55 Fence/Pre-Plaster AP SR 10/03/2002 55 Fence/Pre-Plaster AP SR 10/01/2002 55 Fence/Pre-Plaster CO SR 08/23/2002 23 Gas/Test/Repairs AP SR 08/23/2002 52 Underground Plumbing AP SR 08/20/2002 23 GasHest/Repairs CO SR 08/20/2002 52 Underground Plumbing AP SR 08/20/2002 53 Electric/Conduit/Wiring AP SR 08/01/2002 51 Excav/Steel/Bonding/Fence AP SR 08/01/2002 52 Underground Plumbing AP SR Comments OK TO PLASTER NO ONE HOME TO CHECK ALARMS. ALL ELSE OK/WENT BACK TO CHECK ALARMS-OK TO PLASTER HOMEOWNER SD THEY ARE NOT READY FOR INSPECTION. FENCE NOT 5 FT AT NEW WALL. EQUIPTMENT NOT WIRED. NEEDS 10 PSI/HAS 6 PSI/SEE NOTICE ON PERMIT CARD OK TO GUNITE City of Carlsbad Public Works Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS: Ur 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 injhis result in^uspension of permit to buili 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: Karen Saul City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE:(760) 602-2775 H:\Ctovetopment Services\MASTERS\FORMS -\CHECKUSTS 4BUILDING PLANCHECK CKUST FORM - POOLS.doc Rev. 8/22/96 1635 Faraday Avenue • Carlsbad, CA 92OO8-73^4 - (76O) 6O2-272O • FAX (760) 602-8562 •>ND/ Q 0 a a a a a BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 . Provide a fully dimensioned site plan drawn to scale. Show: North Arrow . Existing & Proposed Structures 2. Show on site plan: Drainage Patterns ~, Existing & Proposed Slopes x5. Existing Topography Property Lines Easements ndicate what will happen with [soil excavated from pool area etaining 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: —7-^ / ,—^7rVO\Atk Slope-Site Address f I, Assessor's Parcel Number Legal Description ^Grading Quantities Cut Fill Import/Export $ 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:\Devetopmer* s»vice«*«ASTERS\CHECKLISTS\Buildlng Plancheck CWist Fomv POOLS.doc * ST/ Q Q 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 TW SJftQl \S SE>'. S* ool U oo ~W\x •bloc . /S~' <-.4SUli <&rf> ' S u</^ ^ehfi? • ^Doua^v-*L Page 3 of 3 H:\Dovelopnenl S«vlces\MASTERS\CHECKUST5\BiJkllna Plandwck Cklln Form- POOLS.doc APPRO. CERTIFICATE OF LIABILITY PRODUCER' Wateridga Insurance Services 10525 Vista Sorrento PJcwy #300 San Diego CA 92121 Michael S. Galloway 858-452-2200 F«NO. 858-452-6004 DATE'(MM/DD/YY) . 03/27/02 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 COMPANYA State Compensation Fund INSURED COMPANYB INSCORP - Ins Corp of NY Pool N1 Spa Center, Inc. DBA: Pacific Sun Pool N' Spa 8550 Production Avenue San Diego CA 92121 COMPANY C American States Insurance Co COMPANY D COVERAGES THIS IS TO CE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY)LIMITS B GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE | X| OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE CAIC1001769607 04/01/02 04/01/03 PRODUCTS - COMP/OP AGG PERSONAL * ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any am flra) MED EXP (Any on* pwson) $1,000,000 $1,000,000 11,000,000 $1,OOP,OOP $50,000 $5,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 01CG01301310 04/01/02 04/01/03 COMBINED SINGLE LIMIT SI,000,000 BODILY INJURY(Pcrptraon) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X WC STATU- [OTI TORY UMITS I I El EL EACH ACCIDENT THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: INCL EXCL 46764201 04/01/02 04/01/03 $1,000,000 EL DISEASE - POLICY LIMIT $1,000,000 EL DISEASE • EA EMPLOYEE $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS *10 days notice of cancellation due to non-payment of_premium. THE _,CERTHOLDER IS ADDITIONAL INSURED AS RESPECTS TO OPERATIONS BY OR BEHALF OFTHE NAMED INSURED. FAX TO 760-438-0894.MAR 2 8 2002 CERTIFICATE HOLDER COFCARL CITY OF CARLSBAD Jo Anne 1635 Faraday CARLSBAD CA 92008 ACORD 25-S (1/95) CANCELLATION „ , SHOULD ANY OF THE ABOVE DESCRIBED POLICIESWCANGGLLED BEFORE THE" ' EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZEOJ Mich?Sway ACC 3RATION 1988 January 14, 2002 City of Carlsbad To Whom It May Concern: This letter will serve as verification that Permits Us is authorized to pull building permits for Pacific Sun Pool 'N Spa. This authorization remains in effect indefinately unless revoked in writing. Sincerely, Robert C. Ault III President z £L 5. 5> 5 lOSf-ffo r~&< i 0> w:I g 0= L_IO.UJEX xi oS:- < sjffiy i - 111 CO O CL (D ^ ^-Q \_) NJ < ^-P 3 Q N