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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 ....,...,-------------------- • /JJ11.}Jf1-,l.,6 \)//11 R i!/IIJ<-11. ·-:,; f 6:-\ 41t, b J~ 1. 13 J ,·..,,,, cf /1,j J IIC11<J1q /l'J 1... /\ l/r/JAA-1b f .)4..,_ /~ /I Vd Jt-"'JI ~.;J.w,"lM {}t!tt,,,.. ,i:iff (i,lfl?~ (1 19,._J /"I~ C. "'" t,q 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,