HomeMy WebLinkAbout2863 CAMINO SERBAL; ; CB021696; Permit06-12-2002
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No: CB021696
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2863 CAMINO SERBAL CBAD
POOL
2552811600 Lot#: 0
$20,730.00 Construction Type: NEW
SONITEN RES-633 SF POOL/SPA
Status: ISSUED
Applied: 06/04/2002
Entered By: RMA
Plan Approved: 06/12/2002
Issued: 06/12/2002
Inspect Area:
Applicant:
MISSION POOLS OF ESCONDIDO INC
755 W GRAND AVENUE
ESCONDIDO, CA 92025
319-743-2605
Owner:
LACOSTA VALLEY-CARLSBADJ-P ,
C/0 HEARTHSTONE ™6 06/12/02 0002 01
161 33 VENTURA BLVD #1400
ENCINOCA 91436
02
Total Fees:$353.31 Total Payments To Date:$119.85 Balance Due:$233.46
Building Permit
Add! 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
$184.39
$0.00
$119.85
$0.00
$20.00
$27.00
$2.07
$0.00
$0.00
$0.00
$0.00
$353.31
Inspector:
FINAL APP
Date: \\
OVAL
Clearance:\\-~2J-.Ct~t*'
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 (he 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
tees/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.
06-12-2002
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Right of Way Permit Permit No: RW020138
Job Address:
Permit Type:
Parcel No:
Start Date:
Insurance Expire:
Liability Insurance: Y
Reference*: CB021696
Location:
2863 CAMINO SERBAL CBAD
ROW Subtype: MINOR
2552811600 Lot#: 0
Est Complete Date:
Traffic Control Plan: Y
GOP:
Project Title:
Description:
2863 CAMINO SERBAL
SONKEN RESIDENCE
POOL & SPA
Applicant:
MISSION POOLS OF ESCONDIDO INC
755 W GRAND AVENUE
ESCONDIDO, CA 92025
619-743-2605
Status: ISSUED
Applied: 06/06/2002
Issued: 06/12/2002
Expired: 12/06/2002
Entered By: KSS
9046 06/12/02 0002 01 02
CGP 230-00
Total Fees: $230.00 Total Payments To Date:$0.00 Balance Due: $230.00
Permit Fee
Additional Permit Fee
Other
Additional Fees
TOTAL PERMIT FEES
$230.00
$0.00
$0.00
$0.00
$230.00
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
ERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
FORf OFFICE USE ONLY
PLAN CHECK
EST. VAL.
Plan Ck. Deposit
Validated/By^
Date f^.
Address (include Bldg/Suite ,Business Name (at this addi
r^QQQ2 Ql Q2
Lot No.Subdivision Name/Number Unit No.Phase of u
Assessor's Par Existing Use Proposed Use
iscription of SO. FT.(Cof Stories # of Bedrooms # of Bathrooms
Name Address City.
«w* "*APPLICANT D Contractor f\ Agent for Contractor D Owner Q Agent for Owner
State/Zip Telephone #Fax #
Name
4. PROPERTYflWNER
Address City State/Zip
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 fota permit subjects the applicant to a civil panalty of not more than five hundred dollars [$500]).
-
Name
State License *,
Address
License Class
/
X/C C3 <-3
City State/Zip
City Business License # t
Telephone #
Designer Name 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:
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.
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
sued. My worker's compensation insurancecjrrier and policy number are:
Insurance Company faJ^L Lf'/' £ $. &1 <*f Policy Ko j Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF tH^PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
PI 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 (£1 OO.OOOf, in addition to the cojf of rnmpnmntipn rtatnngmt as provided for in Section 3706 of the Labo/code, interest and attorney's fees.
SIGNATURE ffcZ^L?£%£&. ^/_)kf7^TLSf^/./S\_ DATE l^)/^^)/^^ f^(.
7, OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
l~l 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).
l~l 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. f~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
' • ' '
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 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? 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.
8. 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(0 Civil Code).
LENDER'S NAME LENDER'S ADDRESS
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 is commenced forji period of 180 days (Section 106AA Uniform Building Code). / /
APPLICANT'S SIGNATURE ^^Z-^^^^^^ ^^f?^L^^^^_^ DATE C^^/e^£}/{J<=3^
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/25/2002
Permit^ CB021696
Title: SONITEN RES-633 SF POOL/SPA
Description:
Inspector Assignment: SR
2863 CAMINO SERBAL
Lot 0
Type: POOL Sub Type:
Job Address:
Suite:
Location:
APPLICANT MISSION POOLS OF ESCONDIDO INC
Owner: SONKEN GREGG M&TERRY L
Remarks:
Phone: 7607432605
Inspector:
Total Time:
CD Description
59 Final Pool
Requested By: MICHELE
Entered By: KAREN
Act Comment
Associated PCRs/CVs
Inspection History
Date Description Act Insp
11/15/2002 29 Final Plumbing AP SR
11/15/2002 39 Final Electrical AP SR
11/13/2002 29 Final Plumbing CO SR
11/13/2002 39 Final Electrical CO SR
10/30/2002 55 Fence/Pre-Plaster AP SR
08/01/2002 23 Gas/Test/Repairs AP SR
08/01/2002 51 Excav/Steel/Bonding/Fence AP SR
08/01/2002 52 Underground Plumbing AP SR
08/01/2002 53 Electric/Conduit/Wiring AP SR
Comments
GFI NOT TRIPN POOL LITES/ELECT OUTLET CLOSER THAN 10FT
TO WATER/LITE CLOSER THAN 5FT TO WATER/GATE SPRINGS ON
BOTH SIDE ND ADJ./LATCH ONLY @ 55IN ON S SIDE
NEEDS TO CAP 2 ELECT. OUTLETS CLOSER THAN 10FT FOR FINAL
OK TO GUNITE
CONDUIT ONLY
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER:
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 review carefully all comments attached,
as failure to comply with instructions in this report can
result irtsuspension of permit to build.
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:\Devetofjlnert Serv!c«\MASTERS\FORMS -\CHECKUSTS -\BUILOING PLANCHECK CKLIST FORM • POOlS.doc
RBV. W22/96
1635 Faraday Avenue • Carlsbad, CA 92008-7314 - (76O) 602-272O • FAX (76O) 602-8562
3Rtv
CK Q
Q Q
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
North Arrow
r. Existing & Proposed Structures
2. Show on site plan:
Property Lines
Easements
rainage Patterns
Existing & Proposed Slopes
. Existing Topography
Indicate what will happen with
I excavated from pool area
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
3. Include on title sheet:
Site Address
lessor's Parcel Number
1 Legal Description
). 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:\Devetopmert Swvicss\MASTERS\CHECKLISTS\Bu<kiirxi Plsnclwck CMnt Form- POOLS.doc
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
Page 3 of 3
WOevetopnent S«vlce>\MASTERS\CHECKUSTS\Bulldlng Plancfwck CUM Form- POOLS.doc
O-
.S-.S-.8-
£ S 2
IIIO. O. 0.
ODD
ODD
D D D
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB £>£-
Planner £> ^
APN:
Address
Phone (760) 602-
Type of Project & Use:
Zoning: ^ General Plan:_
CFD (in/out) #_
Circle One
.Date of participation:.
et Project Density: DU/AC
Facilities Management Zone: .J3.
Remaining net dev acres:
(For non-residential development: Type of land used created by this
permit: )
Legend: [x] Item Complete [~| Item Incomplete - Needs your action
Environmental Review Required: YES NO TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required:
APPROVAL/RESO. NO.
PROJECT NO.
YES NO
DATE
TYPE
OTHER RELATED CASES:
Compliance with conditions or approval? If not. state conditions which require action.
Conditions of Approval:
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES
CA Coastal Commission Authority?
NO X
YES _ NO _
If California Coastal Commission Authority: Contact them at • 3111 Camino Del Rio North, Suite 200. San
Diego CA 92108-1725; (619) 521-8036
Determine status (Coastal Permit Required or Exempt): _
Coastal Permit Determination Form already completed? YES
If NO, complete Coastal Permit Determination Form now.
Coastal Permit Determination Log #: _
NO
Follow-Up Actions:
1 ) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor
Plans).
2) Complete Coastal Permit Determination Log as needed.
H:\ADMIN\COUNTER\BldgPlnchkRevChklst
MON 12:05 FAX 858 452 6004 WATERIDGE INK.l 002
ACOKD. CERTIFICATE OF LIABI
PRODUCER
Wateridge Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
Tony Yahyai
rhoniNo. 858-452-2200 F«NP. 858-452-6004
INSURED
Mission Peels of Eseondido
755 West Gr«nd Avenue
Eseondido CA 92025
LITYINSURANCI*^ 7=
THIS CERTIFICATE IS ISSUED A$ A MATTER OF INFORMATION "
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIRCATB OpE$ NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY •
A INSCORP-Ins. Corp. of New York
COMPANY
B State Compensation Fund
COMPANYc
COMPANY
D
jeewnfY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
, SOTWITHiTANDWO ANY REQUIREMENT, TERM OR CONDOION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
MS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERON IS SUBJECT TO ALL THE TERMS,
COLTR
A
A
B
TYPE OF INSURANCE
GENERAL UAWUTY
X COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE | X| OCCUR
OWNER'S » CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
X
IF
GAI
,
_r»-
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
WGEPAWUTY
ANY AUTO
QTHE* THAN UMBRELLA FORM
WORKER9 COMPENSATION AND
EMPLOYERS' LIABILITY
THE
PAR
Off
PROPRIETOR/ mCL
ICERSARE: X EXCL
OTHER
POLICY NUMBER
CAIC10016054
CAIC10016054
.i
559180BGP
POLICY EFFECTIVE
DATE(MM/DO/YY>
04/01/02
04/01/02
04/05/02
POLICY EXPIRATION
DATE(MM/DUYY)
04/01/03
04/01/03
04/05/03
UNITS
GENERAL AGGREGATE
pRoaucrs - COMP/OP AOG
PERSONAL C ADV INJURY
EACH OCCURRENCE
fOIK DAMAGE (Any am fin)
MED EXP (Any on* ptnon)
COMBINED SINGLE LIMIT
BODILY IN JURY(Pcrpcnon)
BOM.Y INJURY
(PWaecfctertl)
PROPERTY DAMAGE
AUTO ONLY • EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
1 TOTYTUMITS I^ER"
EL EACH ACCIDENT
EL DISEASE • POLICY LIMIT
EL DISEASE . EA EMPLOYEE
12,000,000
* 2, 000, 000
11,000,000
* 1,000, 000
$ 100,000
* 5,000
11,000,000
»
$
s
s
s
$
$
l
s ' t -
11,000,000
$1,000,000
*1, 000, 000
DESCRIPTION OF OPERATIONSO.OCATIONS/VEMCLE3/SPECIAL ITEMS
*Except.10 day notice.for.nonHolder is named additionallyrespects to operations of the ns
ent. RE: All Operations. Certificate, as their interests may appear asinsured, par attached.
CERTIFICATE HOLDER
CITYOFS
City of San Diego
CANCELLATION
WOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL MAIL
30* PAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
D D Inclusionary Housing Fee required: YES
(Effective date of Inclusionary Housing Ordinance - May 21. 1993.)
NO
Data Entry Completed? YES
(A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, Housing Fees. Construct Housing Y/N. Enter Fee. UPDATE1 >
NO
Site Plan:
EH CD ^ • Prov'de a fully dimensional site plan drawn to scale. Show: North arrow, property
lines, easements, existing and proposed structures, streets, existing stree
improvements, right-of-way width, dimensional setbacks and existing topographica
lines.
Q Q 2. Provide legal description of property and assessor's parcel number.
D D D
Zoning:
1. Setbacks:
D D D
D D D
D D D
D D D
W)L] D:x
Front: Required
Interior Side: Required
Street Side: Required
Rear: Required
2. Accessory structure setbacks:
Front: Required
Interior Side: Required
Street Side: Required
Rear Required
Structure separation: Required
3. LotCoveraqe: Required
4. Heiqht: Required
5. Parkinq: Spaces Required
Guest Spaces Required
Additional Comments \i /\ a \J VCM^ ri 9 A^ \ 0 > /
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OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE
H:\ADMIN\COUNTER\BldgPlnchkRevChklst