HomeMy WebLinkAbout2913 SEGOVIA WAY; ; CB031180; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-30-2003 Pool Permit Permit No: CB031180
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2913 SEGOVIA WY CBAD
POOL
2552803100 Lot#: 0
$28,000.00 Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
04/23/2003
SB
05/14/2003
05/14/2003 Issued:
Project Title: EMSLIE RES 497 SF FIBERGLASS Inspect Area:
POOL AND SPA 205 SF RETAIN WALL CITY SPECS
Applicant:
SPA BUILDERS
2275 TERMINO AVE 90815
800-500-6761
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
Total Fees: $474.39
Owner:
EMSLIE ROBERT A&BONNY B
2913 SEGOVIA WAY
CARLSBAD CA 92009
$231.87
$0.00
$150.72
$0.00
$20.00
$27.00
$2.80
$0.00
$0.00
$42.00
$0.00
$474.39
Total Payments To Date: $432.39 Balance Due: $42.00
52~19 .)5/30/ J3 0002 '.)l )2
r:::GF·, :f.,: ...
F~li\JAL APPROVAL
CLEARANCE
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK No{.J?o3:, i I ~
EST. VAL. _.2_. s_____,,~(O_o_c)_----,-_
Plan Ck. Deposit 1
/ Sl:> ~ 7 Z
Validated By~. _S----;B..--_____ _
Date Ljfz3/0 3
1. PROJECT INFORMATION
;? 7/Z .. GtfG-OY/A-
Address (incttcie"etcig/Suite #)
Legal Description Lot No.
Business Name (at this ad~ 04123103 0002 0l 02
Subdivision Name/Number Unit No. Phase NP,BFTotal # of u~O-72
Assessor's Parcel # Existing Use Proposed Use
# of Bathrooms
Name
3. APPLICANT 0 Contractor
Address
~gent for Contractor 0 Owner
City
0 Agent for Owner
State/Zip Telephone# Fax#
Telephone#
d.:PP ,rvv-~71/"
Name State/Zip Telephone#
5. 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Name Address City State/Zip Telephone#
State License # 7 .S-C> J:3' ~ I License Class~Z -,4 City Business License # _______ _
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
of the work for which this permit is issued.
0 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 ~~ ,EVAVO Policy No. / 7/ 3/ 9'3 Expiration Date / LOJ
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ______________________ -:--:----=:::-=::::::-DATE
7. OWNER-BUILDER DECLARATION --======::::;;=:....-~-----.
I hereby affirm that I am exempt from the Contractor'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).
D 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 _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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 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? D YES D 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. 3097(i) 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 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 ot 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 mmenced for ape · a of 180 days (Section 106.4.4 Uniform Building Code).
DATE ~ -;z::r -6 ::r
PINK: Finance
11~7 .-(ri:V
City of Carlsbad Bldg Inspection Request
For: 07/07/2003
Permit# CB031180 Inspector Assignment: JE ---
Title: EMSLIE RES 497 SF FIBERGLASS
Description: POOL AND SPA 205 SF RETAIN WALL CITY SPECS
Type: POOL Sub Type:
Job Address:
Suite:
Location:
2913 SEGOVIA WY
Lot
APPLICANT SPA BUILDERS
0
Owner: EMSLIE ROBERT A&BONNY B
Remarks: CARRIED OVER FROM THURSDAY
Total Time:
Phone: 7142355585
Inspector: -----
Requested By: JESSICA
Entered By: CHRISTINE
CD Description
59 Final Pool
Act Comment /
_Bf!_ f'!l?C1
'
Associated PCRs/CVs
lnsi;iection Histoty
Date Description Act lnsp Comments
07/03/2003 59 Final Pool NR JE
06/30/2003 55 Fence/Pre-Plaster AP JE 1147-G2ALARMS OK
06/30/2003 69 Final Masonry AP JE
06/20/2003 51 Excav/Steel/Bonding/Fence AP JE POOL STEEL -DECK CONNECTION ONLY
06/20/2003 52 Underground Plumbing co JE NOT UNDER TEST
06/20/2003 53 Electric/Conduit/VI/iring AP JE
06/20/2003 66 Grout co JE WALL FINISHED W/O CORRECTIONS
06/12/2003 66 Grout co PD
06/12/2003 69 Final Masonry co PD
06/05/2003 23 Gas/TesVRepairs AP JE
06/05/2003 52 Underground Plumbing AP JE
06/05/2003 53 Electric/Conduit'Wirlng AP JE
06/02/2003 61 Footing AP JE RETAIN WALL -BRING CITY PLANS FOR NEXT INSPECTION -IN
JOB FOLDER
05/20/2003 51 Excav/Steel/Bonding/Fence co JE ADD 5FT RETAINING WALL TO PERMIT
....,...,--------------------
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State of Washin,ton, County of _,\?_,i_,e..""r-'c""e'-----
On this day appearad before me, signed t~is Dlclaralion of
Applicant and swore (or affirmed) that he/she understood
its contents and that its contents are truthful.
Dated 'i),-10 -o I
µ+kro,c,Ll,. 0-~m--/~¥£,-f d'd.ct.l<-
Residln&al S • Pea I c(e, \MA·
My commissiOa expires S ·· l ?, -0 '':>
,,
City of Carlsbad
l=lbdli ♦Pi·lltt•AA,1·1 ■,1441111·■
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER: CB Q3 -1/~6
BUILDING ADDRESS: kif
PROJECT DESCRIPTION: ---'P'-'o:..:o"-1 ________ _
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 s~ension of permit to build.
By:/~~ Date: s/1'1/o.J
ATTACHMENTS
Grading Permit Application
Grading Permit Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal
Checklist and Information Sheet
DENIAL
Please se~· attached report of deficiencies
marked wi D. Make necessary corrections to
plans or cifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
By: Date:
By: Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: Taniya Barrows
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE: (760) 602-2773
H:\Oevek:lpmenl SeiviceslMA.STERS\FORMS •\CHECKLISTS -\BUILDING PLANCHECK CKLIST FORM -POOLS.i:toc
Rl!'I. 8122/96
1635 Faraday Avenue• Carlsbad, CA 92006-7314 • (760) 602-2720 • FAX (760) 602-8562 @
□
□ □ □
□ □
□ □
{o/', L LT ctet ,o3 -3
BUILDING PLANCHECK CHECKLIST-POOLS J..()+ o/6°
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
/JV\North Arrow
~Existing & Proposed Structures
2. Show on site plan:
ainage Patterns
isling & Proposed Slopes
isling Topography
.R.(Property lines
~asements
dicate what will happen with
oil 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:
te Address
sessor's Parcel Number
gal 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:\Development 5el'vit:e5\MASTERS\FORMS •ICHECl<LISTS -\BUILDING PLANCHECK CKLIST FORM· POOLS.doc Rev. 8122/96
5c. A Grading Permit has been applied for:
PE2 DWG
Grading Inspector sign off by: --------Date:
O O O 5d. No Grading Permit required.
~ o.~µA MISCELLANEOUS PERMITS ~ \r O 6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
c, U , private work adjacent to the public Right-of-Way. :i:~ aw-e,qa,p111enr &r
~~4l5 w; \ \ \1e. A separate Right-of-Way issued by the Engineering Department is required
E,-f<1c€d or u~ : ,, -I-¼ for the following:
'Kif1~ ~ ~ ~
a_ ~ 9-~ c9-.f-L,<'.l~lease complete attached Right-of-Way application form and return to the
~'1C'r'Yli+· 1~ C-equ;.-w/. :C.C:. Engineering Department together with the requirements on the attached Right-a 11 l,l?Q(f'-, l..'7Uiql'l'1el-ri-aMI of-Way checklist, at the time of resubmittal.
11-\a--\<,-fcil.S LP, IA \;2.z c:Jn +,£...,L
~~ \'l&S<R. j no,•~ Right-of-Way Permit and Pool Building Permit will be issued simultaneously.
~ WC)(lt-i O . 0 0 7. Remarks
et Y\[). 5¥1-f 1-a~s.
Page 3 of 3
H:IDevelopment Services\MASTERS\FORMS •\CHECKLISTS -\BUILOING Pl.ANCHECK CKLIST FORM-POOLS.doc Rev. 6122t9t1
PLANNINC/ENCINEERINC APPROVALS
PERMIT NUMBER CB O ;\ -\ \ 81.:::i
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
ENGINEER, ________ _
DoCSi'Mls:formslPlanning Engineering Approvais
TENANT IMPROVEMENT
PJAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE' FAIRE
COMPLETE OFFICE BUILDING
DATE -------
A/6:rE..5 / 7 J.'70 ____ ..P._1/ __ _
7Z (I)_ fio.i /}.t;E h FULL:/
~#££b f" .///..5.// W11'/.f '!' I ,f_£L /:CLO 5 /# 6-fi11-76¥A -~
G/f7£:"~ o/JFN'/,,v~ .MWAY
rR.oM f"c6L ·
I ,
I, "f I/ fJ /,
'V_ /:ILL -15 o.oli o,/).£A//A./6-
7o /looL AA/* h'AV Ii:
ALA /l /Lf 5,
p ff LL Soil. ,CA o M
5Xt:/:IV/6V f<£M£>//£7J
~ '?U /a U (:.. .2;? l/ ./-1 (/), J'ks -'9 ALL ElivlPM£'VI AAIZ>
/IJA7'"E/</fii.$ WILL 2'.E
I< E .PT" ,!)t:/ ,--~ .F ;Jr/ GrYr-
o.,:: VH::/. ~-::;;,$C
(2,./ _"9 S.S.eS o/Z.5 ,;2$& -;J.[Jo--Y/
.(-0 ~~.? -gf;I-o3-j i (... <'/ b/f
! ffi /, (j)
If the inspector requires a right of way
permit because the work area is within the
City's right of way, the fee for the permit
will be doubled.
7<.£.5/LJLJV'C:£
· .Ro.a.J>i£ f' .26i>NuY E»5L/£
29/..3 .SEG.OJ//A WAY
L:hKL.SJ3/:JZ>, L/t,, 92.L:>.o 9
:?.# # 7 £. o -¥-3£ -_..F6Z4-.
1=-• t ~15;,;;,~ I
/,r· I I ~ ,-:----...i.---'---' ,.
APP~~ BY: ·S
MAY 14 2003
City of CARLSBAD
BUILDING DEPT,