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