HomeMy WebLinkAbout2869 SEGOVIA WAY; ; CB021412; Permit'/ c0L\r-.)
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-20-2002 Pool Permit Permit No: CB021412
Building Inspection Request Line (760) 602-2725
Job Address: 2869 SEGOVIA WY CBAD
POOL Permit Type:
Parcel No:
Valuation:
Reference #:
2552804200
$11,987.00
Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
05/08/2002
RMA
05/20/2002
05/20/2002
Project Title: FREGOSO RES-366 SF POOUSPA Inspect Area:
Applicant: Owner:
FREGOSO JOSE A&ELISA M AZURE POOL CONSTRUCTION CO 7541 05/20/02 0002 01.
7423 EL CAJON BLVD 2869 SEGOVIA WAY
CARLSBAD CA 92009
CGP
lA MESA CA 91941
\. Total Fees: $238.10
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Inspector:
Total Payments To Date: $74.81
FINAL ~,ROVAL
Date: l~/0~
Balance Due:
$115.09
$0.00
$74.81
$0.00
$20.00
$27.00
$1.20
$0.00
$0.00
$0.00
$0.00
$238.10
$163.29
Clearance: 2,·l.'\.0-Z....
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 wilt 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. NOA DOES IT APPLY to any
· nt..,i.:-i. .. -,.'--··-· · -•••--•-~·-:-a-.,-,i.r-nr--•-,.,i.: ... i.+i...,_,..,,.,,,.nf · · · •--· ·•'------•------·'
02
163 .. 29
~()½47" City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-20-2002 Right of Way Permit Permit No: RW020108
Job Address:
Permit Type:
Parcel No:
Start Date:
Insurance Expire:
Liability Insurance:
Reference#:
Location:
?reject Title:
Description:
Applicant:
2869 SEGOVIA WY CBAD
ROW Subtype:
2552804200 Lot#:
Est Complete Date:
10/01/2002 Traffic Control Plan:
y
2869 SEGOVIA WAY
FREGOSO RESIDENCE
POOL&SPA
GOP:
AZURE POOL CONSTRUCTION CO
7423 EL CAJON BLVD
LA MESA CA 91941
MINOR
0
y
Total Fees: $230.00 Total Payments To Date:
Permit Fee
Additional Permit Fee
Other
Additional Fees
TOTAL PERMIT FEES
$0.00
Status: ISSUED
Applied: 05/09/2002
Issued: 05/20/2002
Expired: 09/30/2002
Entered By: KSS
7541 05/20/02 0002 01 02
CGP 230"00
Balance Due: $230.00
$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. ______ . THIS PERMIT IS INVALID WITHOUT THIS NUMBER
IF ANY EXCAVATION OR BORING IS DONE.
J1r: ~00 3
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION. ~2:.<oq ~e~ov, o.,
Address (include Bldg/uite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
1,..55 . 1-:'oQ . :t'l-
Assessor's Parcel # Existing Use 6V1?i:>4fJJ'.18/02 0002 01 02
-:,-----,-,--~,-,-----:-----------,--,-=:------=--,--,--------------L-~-=-----........ 81
Description of Work {!)V.V'\\ .\--e., ~oo\ \-S~~SQ. FT. ]bb.f. f Stories # of Bedrooms # of Bathrooms
\2. CONTACT PERSON (If different from eppRcant)
~vus-\i?\ 'f!,:\\u <o1C\-0Ci7-')~~
Name \ -~ Address City State/Zip Telephone #
3. APPLICANT O Contractor y-t"gent for Contractor O Owner O Ageht for Owner
Fax #
Name Address City State/Zip Telephone #
4. PR9~TY OWNElL ~o6e. r=~ o& o
Name
'2.-f,C;,q
Address
5.
(Sec. 7031.6 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 70 1.5 bv. any applicant for a permit subjects the applicant to a civi penalty of not more than ·ve hundr~d II rs j$5~OI). u V\ . c.... L\-'). -E. \ · on " . (A , 4-1
Name Address City State/Zip ,--,1_ Te:!~#
State License # ;5C>c?, \£,\ License Class 'c,' \ C/ 53, City Business License # / ,'J _ ~ L.f ~
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:
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
e 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
d. My worker's cojpensation insurance carrier and policy number are: -r:::...!"'>'M.t:-/ J
Insurance Company _NC,(A'\1-~ Policy No. ~~4 Expiration Date /0 / LIJ :2.....
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) r l
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollar ($ 00,000 In ad Ion the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
DATE ~5 •5• 0~
or's License Law for the following reason:
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 (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).
0 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. 0 YES ONO
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
'COMPLETE THIS SECTION FOR N:-::O;:N::=~:;E:::s~,o='E/i=U,4=-=-L=--B~U:-::l:--LD:--:1:-::N-::G-::P:::::E:::RM~IT~S=o~N;:-:L-:-Y:-:--------
DATE -----------
ls 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 25506, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 30970) Civil Code).
9 ,
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 t o 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 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 co e ed for e · of 1 a Section 106.4.4 Uniform Building Code).
DATE -,Sc--::,,--·---=8::__· O=.....a-,£..._ ___ _
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/13/2002
Permit# CB021412
Title: FREGOSO RES-366 SF POOUSPA
Description:
Type:POOL Sub Type:
Job Address:
Suite:
Location:
2869 SEGOVIA WY
Lot 0
APPLICANT AZURE POOL CONSTRUCTION CO
Owner: FREGOSO JOSE A&ELISA M
Remarks:
Total Time:
Inspector Assignment: SR ---
Phone: 6196973363
Inspector: SR
Requested By: OSCAR
Entered By: CHRISTINE
CD Description Act Comments
59 Final Pool
Associated PCRs/CVs
lnsgection Hislo[Y
Date Description Act
07/29/2002 55 Fence/Pre-Plaster AP
07/26/2002 55 Fence/Pre-Plaster CA
06/27/2002 51 Excav/Steel/Bonding/Fence AP
06/26/2002 23 Gas/TesVRepairs AP
06/26/2002 51 Excav/Steel/Bonding/Fence co
06/26/2002 52 Underground Plumbing AP
06/26/2002 53 Electric/Conduit!Wiring AP
06/21/2002 23 Gas/TesURepairs AP
06/21/2002 51 Excav/Steel/Bonding/Fence co
06/21/2002 52 Underground Plumbing AP
lnsp
SR
SR
SR
SR
SR
SR
SR
SR
SR
SR
Comments
OK TO PLASTER (ALAMRS ALL SET)
RESET FOR MONDAY
OKTO GUNITE
NEED TO BOND FENCE TO POOUNEEDS TO MAINTAIN 3IN EARTH
TO STEEL SEP.
NO PLANS/ NO FENCING
,
City of Carlsbad
l@ti ■IM·lltt•#i ■l·ll,14411,1·1
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB (!}.;;;2 -I t/1 :J_
BUILDING ADDRESS: ,!?J'&C/ ~I/;,,,._ /{}~
PROJECT DESCRIPTION: -'P'--o""'o"-1 ________ _
ASSESSOR'S PARCEL NUMBER: ,;J»:-.,?gO ·-tf;J._
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
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.
result in u nsion of permit to buil . , C" ,;:.,/"J/._ _ /
By: DI,.~~~~~~ Date: ~-,.....__,,,y: X&U'< o~Date: z-11/n_
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
By:
By:
_________ Date:
_________ Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: Karen Saul
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE: (760) 602-2775
H:l0evel0pment S8N!ces\MASTERS\FORMS -\CHECKLISTS-\8UILDING PLANCHECK CKLJST FORM-POOLS.doc Rev.8122198
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @
,
!
f)I
□ □
□ □
□
□
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BUILDING PLANCHECK CHECKLIST -POOLS
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
/,, North Arrow ,J. Property Lines 'j: Existing & Proposed Structures ~ Easements
2.i:,h w on site plan:
. Drainage Patterns
7 Existing & Proposed Slopes r-· Existing Topography
fj 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:
Al Site Address
~Assessor's Parcel Number
,,C. 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
H:~velapment Servlces\MASTERS\CHECKLISTS\Bulldlng Plancheck Cklist Form-POOLS.doc Rev. 8/22/96
1ST✓ 2ND✓ 3RD✓
□ □ □ 5c. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: Date:
□ □ □ 5d. No Grading Permit required.
MISCELLANEOUS PERMITS
I □ □ 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
H:\Developmert 5elvlc:ee\MASTERSICHECKLISTS\Bullding Planchecll Ckll&t Form-POOLS.doc Rev. 8122/96
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB (f2_ -I tf t z__ DATE_?/,-t--/~.._'fe_2--___ _
ADDRESS ___ ____._,.,c~...,.....,,.~i,t2.__--==---..::;..?J._7-1------------
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
cQ >N~j ,f'"'( f ~
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAc&· FAIRE
COMPLETE OFFICE BUILDING
PLANN~ DATE csf<Jz
ENGINEER.________ DATE----,----
Oocs/MlSforms/Planning Engineering Approvals