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Home My WebLink About1380 PUFFIN PL; ; CB970965; PermitM T V I E A D S A 0 AL D, :TE )_---/6 1.J_ C_L· :!\R.l\NC ~:._ --~· ....... -.. ,,,__----_ ....... -,--· - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 - 7 4 7 7 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 "1/i / I. . /)/ . /38 1✓um'1 jtv(~ 1. PROJECT INFORM . TIOl'i-... ~ I" n ! ~"W: o:f r'½~t"h r\o...c\2, CW\~ FOR OFFICE USE ONLY PLAN CHECK NO. C/]07~ 5 EST. VAL. ---'2.J"'--......... ----+~---,--- Plan Ck. Deposit -::,,__.,,............,.;.,"f=>ob-"--- Validated By_-hL,IC;,~..,__ _____ _ Date ____ u,...-;_c.~~+----- 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 Parcel # Existing Use Proposed Use Z.~-Po-06 !IE #of Stories ~ 8oct\)· # of Bathrooms c.14:, S7,,zs (:zt-0) JLf.:>·:u.os State/Zip Telephone # Fax # Name State/Zip <.~, ~ IJ~oState/Zip~, Telephone# '!Sb-I l'?>T (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 [$5001). Mts~l011,P""16 'Jl,6 6'J L,p., .. J 4,.,e.,, b<., LA, SzNS (··11,oJ :z43-'2bo~ Name Address City State/Zip Telephone # State License# 32..& 7 bb License Class <:..-S":!,/13, City Business License# ?:\ b\5 j Designer Name Address City State/Zip Telephone State License # ---'---'--"'--~1----- 6. ViQBJ(ERS' COMe{NSA l'jgN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company z, Y\ 't:f:t.:, Policy No. e o L.f2D3m:-,z._ Expiration Date ~S-4~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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 ($100,000), In addition to the cost of compensation damag a as provided for in Section 3706 of the Labor code, Interest and attorney's fees. • DATE t.tlz,,,A /9-, ~ ,. 0 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 (Se , usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, a racts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section _____ _ 1. ONO 2. 3. 1rm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portio e work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone e number): _______________________________________________ _ 5. some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINQ 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? 0 YES D NO 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 6'0" 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 365 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 for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE I!,......,. s .... "Qi; t:: ~ ~ DATE ':I /z. !, I "1] J t W I : File YELLOW: Applicant PINK : Finance lnsp'ection List Permit#: CB970965 Type: POOL POOL AND SPA 889 SF, GUNITE Date Inspection Item Inspector Act Comments ---- 5/28/98 55 Fence/Pre-Plaster NF co 8/13/97 53 Electric/Conduit/Wiring NF AP 6/16/97 51 Excav/Steel/Bonding/Fence PY AP 6/11/97 51 Excav/Steel/Bonding/Fence PY co ND FENCE Thursday, March 04, 1999 Page 1 of 1 .. • City of Carlsbad ■ §, 1• 1 i ,f44; i ,,. 1 ·24 ·Ei I I, ,f§ ,ii BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB Cf 7 0 CJ (p S- BUILDING ADDRESS: j 3 f-o ~ u. ff ; b 'p \ tl..<.. e PROJECT DESCRIPTION: Pool J.. S t0 f\ -----=...:.......:....------- ASSESSOR'S PARCEL NUMBER: :).. ) S -? .:2. 0 -0 !{ 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 pen~of P, rmit to build. By: . Date:~ ATTACHMENTS D Grading Permit Application ding Permit Checklist -...-,.-:;,6,~......; ht-of-Way Pennlt Appllcatio ight-of-Way Permit Submittal Checklist and Information Sheet DENIAL Please see~ attached report of deficiencies marked witli..9; 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: Date: ~!?,h / ________ Date: ________ Date: ENGINEERING DEPT. CONTACT PERSON NAME: MICHELE MASTERSON City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1161, ext. 4315 A.,, ll22ID8 2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619 ) 4 38-0894 ® □ □ □ □ □ □ a □ □ □ BUILDING PLANCHECK CHECKLIST • POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: ·/4. North Arrow /4 Property Lines /B. Existing & Proposed Structures v'D. Easements 2. Show on site plan: ✓.' Drainage Patterns ~ Existing & Proposed Slopes /4. Existing Topography JJ.orc 1° 0,-.. '"f~ Indicate what will happen with soil 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 Assessor's Parcel Number Legal Description D. Grading Quantities Cut Fill Import/Export --- 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. Sa. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, export). Sb. Grading Permit required. A sep::1rate 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 1 of2 Rov.1122/N ----·••'s•• ... __ , , .. ,..,.....,..,. ___ ~~ .. -, ... • i □ □ □ 5c. A Grading Permit has been applied for: PE2 G '<9~ .... ~3 DWG 3 '-/'fr-?' /7 Grading Inspector sign off by: ~""Y Date: //J [2 /1c. =--+-r /-,,,;------, Sd. No Grading Permit required. MISCELLANEOUS PERMITS RIGHT-OF-WAY PERMIT. is reql!Jired to do work in City Right-of-Way and/or private work adjacent tot h~ 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. Remarks Page 2 of 2 ~ ~ ('.. ~ ~ ~ ~ ~ ~ 1st-, ., ., 0 ~ ,.. ,., ,., LJ .r:, .r:, ~ "' .., .. .. 1S 1S 'IS ., ., ., .c .r: .c. u u u ,:;; ., c 16 .. li: li: li: @ □□ if□□ @ □□ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB :f J·-l>:/6::> Planner 6Lff e.J< J3 {.{ Jt/J APN: ?.. f 5 -i e< tJ ·-t2 7,, Address ft ✓ /k Phone (619) 4-1;61, extension Lf L/ 9 / Type of Proje:=t and Use:---~-......... -} ..... ~-............ , ____________ _ Zone: f-C Facilities Management7o;; _ __._!_Cf __________ _ CFO fin/out) # Circle One /If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department.) Legend [8J Item Complete 0 Item Incomplete -Needs your action Environmental Review Required: YES V NO TYPE ---- DATE OF COMPLETION: 7 ·-:J -1 h Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Discretionary Action Required: YES V NO TYPE ---- APPROVAL/RESO. NO. 3-fS-0 DATE 1-J-1f; PROJECT No. ewe -r L,~ o ~ c1) 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 ,/ NO If NO, proceed with checklist; if YES, proceed below. Determine status (Exempt or Coastal Permit Required): If Exempt, proceed with checklist; if Coastal Permit required, hold building permit until Coastal Permit issued. Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now. Coastal Permit Deter:i:::_~./ Ju~ ~ Follow-Up Actions: 'Vf / vvv ,__, 0 tJ,2---71,,, 7-.;?t •-f L,. 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. 0 D D lnclusionary Housing Fee required: YES NO · v--· (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Site Plan: 52f" D D 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing . street improvements, right-of-way width, dimensional setbacks and existing topographical lines. · 0 D D 2. Provide legal description of property and assessor's parcel number. G:a"□ □ u21 D D G:&□ □ Zoning: 1. Setbacks: Front: Int. Side: Street Side: Rear: 2. Lot Coverage: 3. Height: Required Required Required Required Required Required [D' D D 4. Parking: Spaces Required _____ _ Guest Spaces Required _____ _ Shown ------Shown ------Shown ------Shown ------ Shown _____ _ Shown ------ Shown ------ Shown ------ □□□ Additional Comments _______________________ _ Consumer F-ood Protection Plan Check \ and ,.c~:>nstruc\t 1 i ~~ ~it \\\ (? v) ~ [)O OFFICE USE ONLY Intake Date Lj ( 7 / f 7 ~~ ~\)~ i._ ( PLAN CORRECTION SHEET Co/701(5 Act. Code 5 g O CT ..1 O<!>, t I city/County Cod! 02. Route Code F Ao b B /I R f<. Field PC Staff G H1 Ii Plan Check #E 7( 21 '-t f?(t:u~ Al P EsT. NAME v ,F) GG, 6 -r9 v ( MA EsT. TYPE , " e'"" 1 o o '--2- srTE ADDRESS 1 ~, \P,. ~d -r vf \--,V" p I.... C (' ~ CITY ( /J(:l. l 5 8{1PlIP q 2001 .1 \ (J ,~1) OWNER/BUILDER Seo. lou"'f Y o ro es PHONE ½52.-\\&>'r MAILING ADDRESS l-o:\\e.c R3. 't ~u\-\," f\qce--CITY Co,\~b0.af ZIP I] ~S. f\~'30/J~IAT •, c:: ill -"' JI;. , \,l ·u r})L,S6 --- GENERAL CONTRACTOR '\ <) \ ~ ,.,,_ rl-\0 1 (\\'So ' j PHONE ____ START DATE A~~ -Mo_/_Y_r_ P / u CONTACT ll} S -s, d "' 81 o \ <., 175 <; W • Gr o I'\ ~ P NE low:,L-----L...;:11C-....,;'i_3_-__;J._~___;_5 ___ _ ~ Sc-o.-,J', d co PLANS:-APPROVE!l,. DISAPPROVED PLAN CHECKER ,--;;._~~L.«-~__,,~r..£:£.L.e.=---DATE-!--+--=-- (Circle One) RECHECK FEE 'r ENV. HEALTH OFFICE (S.D.) 1255 Imperial Ave.-3rd Flr. San Diego, CA 92186 (619) 338-2222 DHS:EHS-886 (8/91) Est. -Time _ _;;..--~ RECHECK APPOINTMENT DATE -. f) /Ji ( l d Jlf14(.;0 I ' I ,' , ( EAST CO. ENV. HEALTH OFFICE 151 Van Houten Ave. Ste. B El Cajon, CA 92020-4429 (619) 441-6666 SAN MARCOS OFFICE 338 Via Vera Cruz San Marcos, CA 92069 (619) 471-0730