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Home My WebLink About1297 SHOREBIRD LN; ; CB041469; PermitJ ()ll\} )-. City of Carlsbad VJ IA---l~~ ( 1635 Faraday Av Carlsbad, CA 92008 o~~o'cMY' %'YX'\~ Pool Permit Permit No: CB041469 ~Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1297 SHOREBIRD LN CBAD POOL Status: Parcel No: 2157800800 Lot#: 0 Applied: ISSUED 04/30/2004 KMT 05/19/2004 05/19/2004 Valuation: $7,827.00 Construction Type: NEW Entered By: Reference #: Project Title: RANGEL RES-239 SF GUNITE POOL Applicant: SANDPIPER POOLS INC 2005 S ESCONDIDO BLVD ESCONDIDO, CA 92025 619-489-6328 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 Plan Approved: Issued: Inspect Area: Owner: RANGEL JOHN J&MARGARET M 1297 SHOREBIRD LN CARLSBAD CA 92009 $84.29 $0.00 $54.79 $0.00 $20.00 $27.00 $1.00 $0.00 $0.00 $0.00 $0.00 $187.08 Total Fees: $187.08 Total Payments To Date: $54. 79 Balance Due: $132.29 FINAL APPROVAL DATE?/µ;_6_~A~NCE __ _ SIGNATURE ~ FOR OFFICE USE ONLY ChJ?~u n,.. L ~ v_Lp/ ~ YlAli;;r-5 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHs~K NO. {!__jjOLf)l/lP9 EST. VAL. if 7, g ~ 7 ~,jl'ff Plan Ck. Deposit /)_54, 7= Validat1 By WL Date I/. 3 0 / Cl.f r r 1. PROjECT INFORMATION I ~ Cf 7 s If" 12£/!it'e.d,. L.d Address (include Bldg/Suite #} Business Name (at this addrp!,iJ0 04 '30/0'1 0002 ') .. -J --------------------,---,-----:----:---:-....,...,---::---------------,--....,...,-------=,-,...., ..... ='J,.._ _______ 79 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units (;a 133 6 9 Assessor's Parcel # 2 I b-7€o-o g Existing Use Proposed Use Description of Work 1 6--u lA ( '\-e_ f}c:9c)v- 2. CONTACT PERSON (If different from applicant) feiw. CIAa/c_ / 2 sl peg51·'-v14Aol'/ Name Address SO. FT. ~3~ #of Stories # of Bedrooms # of Bathrooms Ctc City <:.A-.. State/Zip 7{,o a 17-Ga~( Telephone # Fax # 3. APPLICANT O Contractor ~t for Contractor O Owner O Agent for Owner V' Name d N ,,./-/.MA /Z,c::f A Jct-Address City State/Zip Telephone# 4. PROPERTY OWNER '\,} /'J..97 Name Address CA/Zls&Pf State/Zip C.A-1(..,0 -603 -fi's-8<; 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. An vi lati n of Section 7031.5 by any applicant for a permit sub\ects the applicant to a civil penalty of not more than five hun red dollars [$500)). e:, r>I-~ -- Name State License # __ ij~3""--'/_q'--'C,~].,__ License Class __ C.~-">~~ __ 3,...._ __ _ 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 andlolicy number are: Insurance Company .S ±A -te_ ~ IA.~ Policy No. t 3;;) Co / {, 4 ~ ~ a:>3 Expiration Date /;J -/ -CtJt{ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) O 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). 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 numberl: ______________________________________________ _ 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. 6. 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(1) 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 Cit\' 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 buildin 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 w· 180 da o 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 f period of O ys ( ction 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/20/2004 Permit# CB041469 Inspector Assignment: RB --- Title RANGEL RES-239 SF GUNITE POOL Description: Type: POOL Sub Type: Job Address: Suite: Location OWNER 1297 SHOREBIRD LN Lot 0 RANGEL JOHN J&MARGARET M Owner: RANGEL JOHN J&MARGARET M Remarks: gate code is #1532 Total Time: Phone: 7604896328 Inspector: ----- Requested By: MICHELE Entered By: CHRISTINE CD Description Act Comment ~-----~_______,__ .. .,_,_k..__~ Ll-----=-------:-0"'------'--\-'-59 Final Pool Associated PCRs/CVs lnsgection History Date Description Act lnsp Comments 08/11/2004 55 Fence/Pre-Plaster AP JM ok to plaster -alarms ok 07/22/2004 53 Electric/ConduiUWiring AP RB CONDUIT ONLY (1127 -B7) 07/16/2004 53 Electric/ConduiUWiring PA JM CONDUIT ONLY -NO RECORD CARD 07/02/2004 23 Gas/TesURepairs WC JM 07/02/2004 51 Excav/Steel/Bonding/Fence AP JM OK TO GUNITE LIGHT/EQUIP/FENCE 07/02/2004 52 Underground Plumbing AP JM 06/25/2004 51 Excav/Steel/Bonding/Fence co RB SEE NOTICE ATTACHED (GATE CODE IS #1532) City of Carlsbad l=l!ib ■IMii·ii:t•#i ■l·ll,14411,1·1 BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: csC"Y/Y/2? BUILDING ADDRESS: /;l. 91 ·z ,jxx-e.LJ ~ (_(\ PROJECT DESCRIPTION: __,P__,o:..:o::..1 _________ _ ASSESSOR'S PARCEL NUMBER: J_/5 ·-7fJ() .-clfJ 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 su ension of permit to build. • Dale<~ ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet H:\WORDIDQCSICHKLST)Pool Building PlftDCIJeck CklW CHKU Forro BE doc DENIAL of deficiencies marked with Make necessary corrections to plans or spe · ications for compliance with applicable codes d standards. Submit corrected plans and/or specifications to this office for review. Date: _________ Date: E_NGINEERING DEPT. CONTACT PERSON NAME: JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE: (760) 602-2775 Rev 81?2'9fl 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 ' 0 0 0 0 0 0 Gt-60 BUILDING PLANCHECK CHECKLIST -POOLS c-r9o-3/ fft-~6 SITE PLAN ~)v'\.-L ~ ;,2_ ~(.._ 3l{o-.14- 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow C. Property Lines B. Existing & Proposed Structures D. Easements 0 2. Show on site plan: 0 0 0 0 (A:) Drainage Patterns B. Existing & Proposed Slopes C. Existing Topography D. 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: _____ Applied for ____ Approved A. Site Address B. 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 2 H:\WORO\DOCS\CHKLST\Pool Building Plancheck Cklisl CHK24 Foflll BE.OOC Rev. 8l22Jgio 1 ST✓ 2Nb✓ 3RD✓ □ □ □ □ □ □ □ □ □ 5c. A Grading Permit has been applied for: PE2 Grading Inspector sign off by: 5d. No Grading Permit required. MISCELLANEOUS PERMITS DWG ________ Date: 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 H:IWORD\OOCSICHKLST\Pool Building Plancheck Ckllst CHK24 Form BE.i:loc Rev. 8122198 POLICYHOLDER COPY STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUN O CERTIFICATE OF WORKERS' COMPENSATION INSURANCE NOVEMBER 17, 2003 CITY OF CARLSBAD BLDG DEPT 2075 LAS PALMAS DR CARLSBAD CA 92009-4859 GROUP: POLICY NUMBER: 1326164-2003 CERTIFICATE ID: so CERTIFICATE EXPIRES: 12-01-2004 12-01-2003/12·01·2004 This is to certify that we have issued a valid Worke~s Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period Indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the ooverage afforded by the policies listed herein. Notwithstanding any requlremeni term or oondition of any oontract or other document with respect to which this certificate of Insurance may be issued or may pertain, the insurance afforded by the policies described herein Is subject to all the terms, exclusions, and conditions, of such policies. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER SANDPIPER POOLS, INC 300 ENTERPRISE ST STE A ESCONDIDO CA 92029 -----·-"'·········· ··•----- •,-.nr, '"· no 1 PLANNING/ENGINEERING APPROVALS PERNIT NUMBER CB 1.) 4 / L/ {p q DATE tJ5/o3 / {) L( I J ADDREss __ /2_q_7 __ S_h_o_1-.e __ h_{_r_J. _______ _ RESIDENTIAL ADDITION MINOR l < $10,000.00) OTHER TENANT IMPROVEMENT PlAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAC& FAIRE COMPLETE OFFICE BUILDING ------------------- DATE {J s IO 3 I O '-{ ------'----- ENGINEER _______ _ DATE ------- onr-C/UIJfn~a.nnina FnolnN'linl'I .l.nnrnv:Uc: