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Home My WebLink About2876 CAMINO SERBAL; ; CB013867; Permit12-31-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No:CB013867 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2876 CAMINO SERBAL CBAD POOL 2552813100 Lot#: 0 $2,456.00 Construction Type: NEW YOUNGER - GUNITE SPA 75 SF Status: ISSUED Applied: 12/18/2001 Entered By: JM Plan Approved: 12/31 /2001 Issued: 12/31/2001 Inspect Area: Applicant: SHAFFER POOLS 730 NORDAHL SAN MARCOS CA 92069 619-850-0629 CIO HEARTHSTONE 16133 VENTURA BLVD #1400 ENCINOCA91436 02 93.79 Total Fees: $123.55 Total Payments To Date: $29.76 Balance Due: $93.79 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 $45.79 $0.00 $29.76 $0.00 $20.00 $27.00 $1.00 $0.00 $0.00 $0.00 $0.00 $123.55 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ON PLAN CHECK NQ^ EST. VAL. Plan Ck. Deposjt^ Validated By J\A Date Business Name (at this address) Lot No.Subdivision Name/Number Assessor's Parcel *Existing Use Proposed Use ijiption of Wi ZTUSlt.r eoiflrACf SQ. FT.__ . —-75 * ""' H of Bedrooms # of Bathrooms State/Zip Telephone #Fax # Naffw"Address City State/Zip Telephone * A6dress City State/ZipName B. 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 ejMrnption. Ao/f violation/eft Section 7031.5 bv any applicant for/ permit subjects the applicanyo a civjl penalty of not mpfe.thaij^/e. hundredjiplla/s ICA Name State License * ^-/^ KDH L&PJiU ddress License Class City IZ&t TelephoneDesigner Name Address ' ' City State/Zip State License # 6. WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: n 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 thaxwork for which this permit is issued. \A 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 comjjensation insurance carrier and^policy number are: /-!///'" ti f~) -> C/ y«v / /S / 'Qi O 3L£>O Expiration Date d)l » DIInsurance Company Policy No I shall not employ any person in any manner so as (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I 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/Mt)0,ObO),- hiladdffion to th» cofct of comDCTisation. damages as provided for in Section 3706 of the Labor Cp<te, interest and attorney's fees. 7. OWNER-BUtof R DECLARATJi^ ^ I hereby affirm that I am exempt frornthe Contractor's License Law for the following reason: O 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 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^uil4s~oT~!7hproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business aj>d*Prbfessions Code for this reason: 1. I personally plan to provide the major labor apdomaterials for construction of the proposed property improvement. CD YES []NO 2. I (have / have not) signed an applicatiofKfor 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 / contractorsjie^nse number): 5. I will proyjd£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):.x^_ 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^r 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES D NO Is the applicant or future buildingoccupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES ("I 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENJSTOF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hejfeby 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 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 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, 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 comnXenced within 1 80 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 cor^rne/toedJaL* periodof/80 days (Section 106.44 Uniformfuilding Code). APPLICANT'S SIGNATURE DATE HITE: File YELLOV pplicant PINK: Finance City of Carlsbad Bldg Inspection Request For. 04/25/2002 Permit^ CB013867 Title: YOUNGER - GUNITE SPA 75 SF Description: Inspector Assignment: RGB Type: POOL Sub Type: Job Address: 2876 CAMINO SERBAL Suite: Lot 0 Location: APPLICANT SHAFFER POOLS Owner: Remarks: Phone: 7608399010 Inspector: Total Time: CD Description 59 Final Pool Requested By: TONY Entered By: CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act 04/02/2002 55 Fence/Pre-Plaster AP 02/01/2002 53 Electric/Conduit/Wiring AP RC 01/23/2002 51 Excav/Steel/Bonding/Fence AP RC 01/23/2002 52 Underground Plumbing AP RC 01/23/2002 53 Electric/Conduit/Wiring PA RC 01/22/2002 21 Underground/Under Floor AP RC 01/22/2002 23 Gas/Test/Repairs AP RC 01/22/2002 51 Excav/Steel/Bonding/Fence CO RC Insp Comments RC ALARMS OK OK TO COVER OK TO GUNITE AT POOL LIGHTS ONLY UNDERGROUND WATER OK TO COVER SIDE YARD FENCING REMOVED - DO NOT GUNITE City of Carlsbad Public Works BUILDING PLANCHECK CHECKLIST POOLS Engineering BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS:i r> r>bo>J 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. 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 0 Right-of-Way Permit Application D Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT. CONTACT PERSON NAME: Adriana Ojeda City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE:(760) 602-2775 SCHECKUSTS\BuMlng PKnchack CUM Fomv POOLS doc RW.V22/M 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 602-272O • FAX (760) 6O2-8562 ..ST/1 Of BUILDING PLANCHECK CHECKLIST - POOLS D<Jtt - 32^- 3 A ^-j SITE PLAN 1 . Provide a fully dimensioned site plan drawn to scale. Show: Arrow ^jQr"13roperty Lines Existing & Proposed Structures Z? Easements 2. Show on site plan: ainage Patterns ^D^fndicate what will happen with ting & Proposed Slopes soil excavated from pool area ^^Cxisting Topography -EfRetaining 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: ite Address essor's Parcel Number ^ 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: 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 Rev. S/22/96 3RD/ 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 CT Q Q 6. A RIGHT-OF-WAY PERMIT is required to do work in Citv 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. Q Q Q 7. Remarks Page 3 of 3 H:\CWvetopmert SefVicetiMASTERSVCHECKLISTSVBlJ«ding PteldlKkCHM Forni- POOLS.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB -^g£2 DATE ADDRESS TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE Docs/Mlsfonrw/Wannina Engineering Approvals FEB-22-01 01:23 PM SHAFFER POOLS HEB-22-B1 02:28 F'l-1 SH«FFEK POOLS 760 839 9020 909 296 3fe6U P. 01 P. 01 ^V*^ •* "^ » • BMB1H COMPENSATION ". O. BOX 420807. SAN rttANCISCO. CA 94142-0807 • »•»• r- «<wrv * «^ FTI (• ^J t J B| ^L 1^ f^ ev P*J N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCEFtWi)*RY :«0, root Oflt-01 TOLIOV NUMBEft: VI-02 CERTIFICATE EXPIRES: COUNT if Of 3AM CrtGO fiif'il P'jFFfN RO »»B SAM DIEGO CA 92123 Ut.'. L Tftl» la to ctrtify trtat w« h«v* Isaued a valid Wooers' Compansation iniurancs policy in * fO'^ approved by the California r to th« umpfoyer named below forth* polley period indicated. 0006369 Th« policy » noi suBjacl to cancellation by the Fund except upon ten days' adverse written notlo* to th« Bmployef. We will also fllve you TEN days ad'vnnce notic* Ihou^d this policy toe cancelled p^or -.o its no'^na! expiration Thte certilicale of maurance is net an insurar-c* policy and does rot amend, axlenc or ato'the fioveraga afforded by the policies listed herein. Notw thatacdir.g any requirement, wm, or oonditiof of any contract or other document wttr> reipect to which this c«rti<lcatB of insurarce may be Issued or may ps'tain. the insuranca afforded by tie policies d«»crlb»d ner»ir i« •ub.se: to all theterm«, exclusions and conditions of inch policies AUTHCHl/ LIABILITY I.IH) • 1NCLUI»--NB ai" tOSTt-i »J,000,000 PER OCC\JRPENCE . r ft »ooi.1 inf. C» WINCHES r.» RD HO DOCUMENT HAS A BLUC PATTCHNCn RACKGnOUNn