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Home My WebLink About1309 SHOREBIRD LN; ; CB011628; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06/21/2001 Pool Permit Permit No:CB011628 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1309 SHOREBIRD LN CBAD POOL Lot#: 0 2157800500 $17,321.00 Construction Type: NEW HOLT-POOL & SPA 400 SF& 268 SF RETAIN WALL Applicant: Owner: HOLT DARRELL E&CHARLENE M FAMILY TRUST 10-12-84 HOLT DARRELL E&CHARLENE M FAMILY TRUST 10-12-84 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/03/2001 JM 06/21/2001 06/21/2001 2778 06/21/01 0002 01 .)2 1309 SHOREBIRD LN CARLSBAD CA 92009 1309 SHOREBIRD LN CARLSBAD CA 92009 CGF· 230 >+ Total Fees: $314.86 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 Payments To Date: $84.82 Balance Due: $230.04 $161.29 $0.00 $104.84 $0.00 $20.00 $27.00 $1.73 $0.00 $0.00 $0.00 $0.00 $314.86 Clearance: _____ _ 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. lf 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 Section 3.32.030. Failure to timely 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 specffied fees/exactions DOES NOT APPLY to water and sewer connection 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHE2 No .Oyr/lt;.; U EST. VAL. 11@/? Ji 3-2.J Plan Ck. Deposit _,.. ___ &?i:,..._.:.&..._~__.k=-- ~ Validated By_...,_--.c;,._~--;-----,r---- 1. " -~-'--""'~---__.c._.=..---'=---CI--U-~-,,-....c::..,__,_,~.....,_.,..-:-:---..,.,..,.----,---------,-.,...,.....:-:-------=:--....,.,--'C=...;::G=-:::--:-::---:--:--""-'-'"82 Unit No. Phase No. Total # of units Business Name (at this addr 01 02 e # of Bathrooms 2. 3. Owner O Agent for Owner City State/Zip Telephone# 4. PROPERTY OWNER Name ~e 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 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 1$5001). 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) 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: 'S' 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). 'ht'' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The &tractor'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.)3'.-YES ONO 2.C!51 have not) signed an application for a building permit for the proposed work. 3. I have contracted wi h the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): ".::, I 6 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 \.lJ ~ ~ ~ DATE __ (Q-=-f-f "L.._-'t_./'-C)_...:.I_ 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 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 ___ ,.,1 __ /.LA ..... _______ _ 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 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 co iod of 180 days (Section 106.4.4 Uniform Buil~inq Code). APPLICANT'S SIGNATURE -==::~:3~~:::::~~~=-=-~~~~~~~~t.j~~~=:::=-DATE ~--..--~ -<0 / WHITE: File YELLOW: Applicant PINK: Finance ' City of Carlsbad Bldg Inspection Request For: 05/02/2002 Permit# CB011628 Inspector Assignment: JC Title: HOLT-POOL & SPA 400 SF& Description: 268 SF RETAIN WALL Type:POOL Sub Type: Job Address: Suite: Location: 1309 SHOREBIRD LN Lot 0 APPLICANT HOLT DARRELL E&CHARLENE M FAMILY TRUST 10-12-84 Owner: HOLT DARRELL E&CHARLENE M FAMILY TRUST 10-12-84 Remarks: AM PLEASE --- Total Time: Requested By: DARYL HOLT Entered By: KAREN CD Description Act Comments 59 Final Pool Associated PCRs lnSll!;!Ction HistO(¥ Date Description Act lnsp Comments 03/13/2002 55 Fence/Pre-Plaster AP JC OK TO PLASTER 10/05/2001 61 Footing AP JC 07/26/2001 51 Excav/Steel/Bonding/Fence AP JC 07/26/2001 52 Underground Plumbing AP JC 07/26/2001 53 Electric/Conduit/Wiring AP JC 07/25/2001 51 Excav/Steel/Bonding/Fence co JC BOND WIRE & STEEL 07/25/2001 52 Underground Plumbing AP JC 07/25/2001 53 Electric/Conduit/Wiring AP JC 06/25/2001 11 Ftg/Foundation/Piers AP JC City of Carlsbad l=tdb ■IW!i·ll;t•a,I•1I,I4411,I·1 BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB (!) I -I {oJ..-Cef BUILDING ADDRESS: PROJECT DESCRIPTION: Pool -------------- ASSESSOR'S PARCEL NUMBER: f), /6 -J:c/, 0 -C) 2 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/4pension of permit to build. By: ,rut(f IJVJde Date: [jf&Jb/ 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:IWOBQIQOCfilCHKI SDPOOI Rnlk!lnp PlaadJeGk Qdlsl CHKZ♦ Fonn PMH doc DENIAL Please se~ttached report of deficiencies marked ~ Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: _________ Date: ENGINEERING DEPT. CONTACT PERSON NAME: TANIYAWADE City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE: (760) 602-2773 er, em/96 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 Cl a Cl a Cl a BUILDING PLANCHECK CHECKLIST • POOLS SITE PLAN ~R1/ Jr 1. Provide a fully dimensioned site plan drawn to scale. Show: Cl Cl North Arrow Existing & Proposed Structures ow on site plan: ~ Drainage Patterns ~ Existing & Proposed Slopes ff Existing Topography ~i='roperty Lines ~asements ~te what will happen with soil excavated from pool area .ze:-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. lt'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 ssessor's Parcel Number PJ-egal Description Fill .I!J. Grading Quantities Cut ----___ 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. 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 attaclhed. Note: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit Page 1 012 ·-----~-.. --- 1ST✓ 0 □ 0 □ 0 5c. A Grading Permit has been applied for: PE2 Grading Inspector sign off by: 5d. No Grading Permit required. DWG ________ Date: 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-','.Vay. 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 .. 11 ti' C .!!! -Q_ ~ ~ ~ N ij " t t B·· i5 C C • ~ a: □ □ □□ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST ! Plan Check No. CBC// b ✓B Address /'5f?f: <;?/t!re /4)!_ Planner Greg Fisher=-=--------=--,---Phone (760) 602-4629 _______ _ APN: /~ - Type of Project & Use:_-.L..=.=..c..._:p:.,___ Net Project Density: _____ ...,D~U""/""A..,_C=- Zoning: _____ General Plan:_· ____ Facilities Management Zone: ___ _ CFD lin/n11tl # Date of participation: Remaining net dev acres: Circle One --- (For non-residential development: Type of land used created by this permit: _____________________ ) Legend: 1:8:1 Item Complete D Item Incomplete -Needs your action Environmental Review Required: YES NO TYPE ___ _ DATE OF COMPLETION: ______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES NO TYPE ___ _ APPROVAL/RESO. NO. _____ DATE ___ _ PROJECT NO. _______ _ OTHER RELATED CASES: ___________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: ________________________ _ Coastal Zone Assessment/Compliance YEK NO Project site located in Coastal Zone? CA Coastal Commission Authority? YES--NO V If California Coastal Commission Authority: Contact them aTT1 11 200, San Diego CA 92108-1725; (619) 521-8036 Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. H:\ADMIN\COUNTER\BldgPlnchkRevChklst D D D lnclusionary Housing Fee required: YES __ NO (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Data Entry Completed? YES __ NO __ (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Site Plan: D D D 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, ex1st1ng street improvements, right-of-way width, dimensional setbacks and existing topographical lines. D D D 2. Provide legal description of property and assessor's parcel number. Zoning: D D D 1. Setbacks: Front: Required ______ _ Shown ------- Interior Side: Required ______ _ Shown -------Street Side: Required ______ _ Shown ------- Rear: Required ______ _ Shown ------- D D D 2. Accessory structure setbacks: Front: Required ______ _ Shown -------Interior Side: Required ______ _ Shown -------Street Side: Required _____ _ Shown -------Rear: Required ______ _ Shown -------Structure separation: Required ______ _ Shown ------- D D D 3. Lot Coverage: Required ______ _ Shown ------- 0 0 0 4. Height: Required ______ _ Shown ------- D D D 5. Parking: Spaces Required ______ _ Shown ------- OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTE~~. .· DATE--=-i----!--.J-~ H:\ADMIN\COUNTER\BldgPJnchkRevChklst ~ □□ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB C/ / b:JB Address / 7tZf <;~tire NJ!... Planner Greg Fisher Phone (760) 602-4629 _______ _ APN: /~ .- Type of Project & Use: _ _,_-=--'---,<-.c.-'---Net Project Density: _____ __,,Dc,U<.!./.,_A,._,C.._ Zoning: _____ General Plan:_-___ Facilities Management Zone: ___ _ CFD lin/n11tl # Date of participation: Remaining net dev acres: Circle One --- (For non-residential development: Type of land used created by this permit: ____________________ ) Legend: 1:8:J Item Complete D Item Incomplete -Needs your action Environmental Review Required: YES NO TYPE ___ _ DATE OF COMPLETION: ______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES NO TYPE ___ _ APPROVAL/RESO. NO. _____ DATE ___ _ PROJECT NO. _______ _ OTHER RELATED CASES: __________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: _______________________ _ Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YEK NO __ CA Coastal Commission Authority? YES NO V If California Coastal Commission Authority: Contact them a~1 11 200, San Diego CA 92108-1725; (619) 521-8036 Determine status (Coastal Permit Required or Exempt}: Camino Del Rio North, Suite Coastal Permit Determination Form already completed? If NO, complete Coastal Permit Determination Form now. ~~I~ ✓a YES Coastal Permit Determination Log #: Follow-Up Actions: 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans}. 2) Complete Coastal Permit Determination Log as needed. H:\ADMIN\COUNTER\BldgPlnchkRevChklst D D D lnclusionary Housing Fee required: YES __ NO (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Data Entry Completed? YES NO ----(A/P/0s, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Site Plan: D D D 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. D D D 2. Provide legal description of property and assessor's parcel number. Zoning: D D D 1. Setbacks: Front: Required ______ _ Shown -------Interior Side: Required ______ _ Shown -------Street Side: Required ______ _ Shown ______ _ Rear: Required ______ _ Shown ______ _ D D D 2. Accessory structure setbacks: Front: Required -------Shown -------Interior Side: Required ______ _ Shown -------Street Side: Required ______ _ Shown -------Rear: Required -------Shown -------Structure separation: Required ______ _ Shown ------- D D D 3. Lot Coverage: Required ______ _ Shown ------- □ □ 0 4. Height: Required -------Shown ------- D D D 5. Parking: Spaces Required _______ Shown ______ _ Guest Spaces Required _______ Shown ______ _ ~ □'-yl'.l.'='-----"'-L-'-=~~----1'4-L!.!JL--'-~~~~~~3-------'~-fL--=,t-=~U,v1-/--L..,__1 a/lMI. Q) OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE ____ _ H:IADMIN\COUNTER\BldgPlnchkRevChklst