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HomeMy WebLinkAbout1373 SHOREBIRD LN; ; CB003959; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11/22/2000 Pool Permit Permit No:CB003959 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1373 SHOREBIRD LN CBAD POOL 2157901100 Lot#: 0 $7,072.50 Construction Type: NEW BENJAMIN RESIDENCE 230 SF POOL AND SPA Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: BENJAMIN MARK E BENJAMIN MARKE ISSUED 10/30/2000 MOP 11/22/2000 11/22/2000 1373 SHOREBIRD LN CARLSBAD CA 92009 1373 SHOREBIRD LN CARLSBAD CA 92009 5109 U/22/00 0002 01 02 Total Fees: $206.53 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 TOTAL PERMIT FEES Inspector: Total Payments To Date: $62.45 FINAL APPROVAL Date I /'J,/t:12 Balance Due: Clearance: $96.08 $0.00 $62.45 $0.00 $20.00 $27.00 $1.00 $0.00 $0.00 $0.00 CGi:,, 144-08 $144.08 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 SecUon 3.32.030. Failure to Umely 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 coiinection 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 fees/exactions of which you have previouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise ex□ired. ~,sCP FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.(:b•'3, ~~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 E~.VAL. ____ ~~~o~J-~~~--4, Co L l.C\ . Plan Ck. Deposit ~::i:_a_te_d_s_v:-=_-=_-=_-=_-=_-=_-=_-1P .... ___ -~{:· ~k&_ ...... "~t:::.c._~-=--=--=-= 1. 02 SO. FT. #of Stories # of Bedrooms # of Bathrooms City State/Zip Telephone# Fax# 3. Owner O Agent for Owner Name City State/Zip Telephone# 4. s~WNER Name Address City 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,.to aAn 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 # _________ _ License Class _________ _ 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______________________ Policy No. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) liJ 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 fo'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). M I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Pontractor'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 notl 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). (,t LENDER'S ADDRESS _________________________ _ ATION 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 Cit\t 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 commenced for a perio f 1 ays (Section 106.4.4 Uniform Building Code). . ' DATE _1_0-+/_oL___;b=-.,_/_o-==o'----- WHITE: File YELLOW: Applicant PINK: Finance ~ ~ · City of Carlsbad Bldg Inspection Request Permit# CB003959 Title: BENJAMIN RESIDENCE Description: 230 SF POOL AND SPA For: 01/08/2002 Inspector Assignment: JC --- Type:POOL Sub Type: Phone: 7606039580 Job Address: Suite: Location: 1373 SHOREBIRD LN Lot APPLICANT BENJAMIN MARK E Owner: BENJAMIN MARK E Remarks: Total Time: CD Description 59 Final Pool 0 Act Comme Inspector: ~] f'. \re L-, Requested By: MARK BENJAMIN --.r-8:~ll:1:t~J.iHRISTINE ~--,,£---..-,~~-- Ass o ci a I e d PCRs ~ -f--.L..---------:::..,,,,-,.~------------- lns12ection History Date Description Act lnsp Comments 01/02/2002 59 Final Pool co JC SEE LIST OF CORRECTIONS 11/30/2001 59 Final Pool co RC SEE NOTICE ATTACHED 05/23/2001 59 Final Pool co JC FENCING REQUIREMENT 03/19/2001 53 Electric/ConduiVWiring co JC 03/19/2001 55 Fence/Pre-Plaster co JC 12/01/2000 23 GasfTesVRepairs AP TL 12/01/2000 51 Excav/Steel/Bonding/Fence AP TL 12/01/2000 52 Underground Plumbing AP TL ~~0 a CIIJIICll1sllld {{!Jr • nnal Bulldl~ 1ns1ect1on P, nning CMWD St Lite Fire Plan Check#: Permit#: Project Name: CB003959 BENJAMIN RESIDENCE 230 SF POOL AND SPA Address: 1373 SHOREBIRD LN Contact Person: MARK Phone: 7606039580 Sewer Dist: CA Water Dist: CA Date: Permit Type: Sub Type: Lot: 0 RECEIVED MAY 2 3 200I CITY OF CA~LSBA~ 05/23/200'1 JEERING nEPARTMEN POOL ■■III I It 11 I I I I I I I ll I Ill I 1111111111111111111 I I 111 Ill I■■■•••••••■ ■II I Ill Ill I 1111 Ill I II ■Ill lllllll■■■■■■I■ I•·••••••■ ■Ill II I I 111111111111 I Ill II 111111111111111 In spected Date By: ~ Inspected: /,---5'tJL Approved: ✓ Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ 11 Ill I I I I I t t I I I I I 1 11111111111III II11111111111 I I 1111111111 I I ll I II I I II I I II 111111111■11 I I 111111111111 I 1111111 I Ill 11111 I II I 1111 11 ·····•• ■ ■111111 I Ill I 111■111111 Comments: _____________________________ _ I City of Carlsbad l@h ■IW!i·ll:t•#l,I·11,I4¥111,I·1 BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB(')C) o{f,:._;-C( BUILDING ADDRESS: 13 73 o/4J«:,'rJ,•r;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 resu/4nsion ~ermit to build. By: l ~u)MDate: l/-d9 ATTACHMENTS D Grading Permit Application D Grading Permit Checklist D Right-of-Way Permit Application 0 Right-of-Way Permit Submittal Checklist and Information Sheet H"IWQRPIDOC$1CHKI SDPOOI Buikl/M PlanrtJed< Ckli5! CHK?4 Form PMH doc DENIAL Please see~h~ ttached report of deficiencies marked wit 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: TANIYAWADE City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE: (760) 602-2773 Pre 8'2?'96 1635 Faraday Avenue • Carlsbad, CA 9200B-7314 • (760) 602-2720 • FAX (760) 602-B562 BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN C:( q{J-3/-/ Lo+ 3/ Dc.ue, b1cJ~ 34 1. Provide fully dimensioned site plan drawn to scale. Show: North Arrow ~roperty Lines--~~,n d,J~,0 '1S Existing & Proposed Structures 0:' Easements-YL,VM p,,-e rAJ 2. Show on site plan: ~rainage Patterns 6 ( 0(2-e-; fl -~xisting & Proposed Slopes "JO cY, of <?,-c,yeec7,,:..e:-ex1sting Topography IY.' Indicate what will happen with soil excavated from pool area -e-:--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 3. Include on title sheet: ft._ 9ite Address _____ Applied for (er Assessor's Parcel Number C:--Legal Description ___ Approved __ _ D. Grading Quantities Cut ____ Fill ___ Import/Export 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. 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 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 1 of 2 1ST✓ 2NO✓ 3RD✓ 0 0 0 0 0 0 0 0 0 5c. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: 5d. No Grading Permit required. MISCELLANEOUS PERMITS 6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent tot he public Right-of-'-:'IJay. 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 2 of 2 PLANNINC/ENGINEERING APPROVALS PERMIT NUMBER CB 3 9 S-9 · ADDRESS \~73. Snoveb1rd Lr\ RESIDENTIAL RESIDENTIAL ADDITION MINOR ( < $10,000.00) DATE lti/30/0 Q ( I TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER __ f~o_o_~~S~P_A ______________ _ PLANNER P-f'l"G\ L GoDLA.) IN DATE \O /:!:>o fo o ENGINEER ________ _ DATE ------- DocsJMISfOnns/Ptanning Engineering A,pprovalS