HomeMy WebLinkAbout2636 LA COSTA AVE; ; CBR2020-3214; PermitBuilding Permit Finaled
Residential Permit
Print Date: 05/20/2021
Job Address:
PermitType:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
2636 IA COSTA AVE,
BLDG-Residential
2162800700
$23,575.50
CARLSBAD, CA 92009-7324
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: BURTECH: 450 SF POOL AND SPA
Property Owner:
Pool
OWNER BURTECH KEN AND ANDREA
2636 LA COSTA AVE
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PIAN CHECK FEE (BLDG)
CARLSBAD, CA 92009
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-MEDIUM
Total Fees: $801.60 Total Payments To Date: $801.60
(City of
Carlsbad
Permit No: CBR2020-3214
Status:
Applied:
Issued:
Finaled Close Out:
Inspector:
Final Inspection:
Balance Due:
Closed -Finaled
12/08/2020
02/02/2021
PBurn
05/20/2021
AMOUNT
$239.14
$167.40
$41.00
$49.00
$1.00
$3.06
$246.00
$55.00
$0.00
Please take NOTICE that.approval of your project includes the 11lmposition" of fees, dedications, reservations1 or other exactions hereafter
collectively referred to as "fees/exaction." 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 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 specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity 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 previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560f I www.carlsbadca.gov
·, {city of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CJ}?,2£2..o-3 Z_/l{
Est. Value 1} 23, ?7:5;,<;;"0•----1
PC Deposit 1j /'7 t:. 40 ~
Date )2--3'.-2-62.v
JobAddress2636 La Costa Ave. suite: ____ APN:216-280-07-00
CT/Project #: _________________ Lot #:.;:;3.;:;3.;:;6 ___ Year Built: _1_9_7_9 ______ _
Fire Sprinklers: 0vEs0 NO Air ConditioningQVEsONo Electrical Panel Upgrade: OvEsO NO
BRIEF DESCRIPTION OF WORK:
gunite pool and spa per master plan
0 Addition/New:. _____ Living SF, ___ Deck SF, ___ Patio SF,, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? Ov ON New Fireplace? Ov ON, if yes how many? __
D Remodel: _____ SF of affected area Is the area a conversion or change of use? Dv ON
Ii] Pool/Spa:..:.4.=.50=-----·SF Additional Gas or Electrical Features? ___________ _
OSolar:. ___ KW, ___ Modules, Mounted:ORoof □Ground, Tilt: 0 YON, RMA: Ov ON,
Batterv:Ov D, Panel Upgrade: Ov ON
D Reroof: ·----------------------------------□ Plumbing/Mechanical/Electrical
0 Only: Other:
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT I!]
Name: Burtech, Ken and Andrea Name: Erica Sanchez
Address:2636 La Costa ave., Address: _________________ _
City:Carlsbad State:Ca. Zip:92009 City:, _________ State:. ___ Zip:, ____ _
Phone: _______________ Phone: 619-454-4426
Email:kenburtech@yahoo.com Email: ericaspermits13@yahoo.com
DESIGN PROFESSIONAL APPLICANT 0 CONTRACTOR OF RECORD APPLICANT D
Name:Erica Sanchez Name:, _________________ _
Address:. _______________ _ Address:, ________________ _
City:, _______ State:. ___ Zip:. ___ _ City.: ________ State:. ___ Zip:. _____ _
Phone:, _______________ _ Phone:. _________________ _
Email:kenburtech@yahoo.com Email:. __________________ _
Architect State License: __________ _ State License/class:. _____ Bus. License:. ___ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 08/20
IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A)': LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the
following declarations:
DI have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. Policy No. _________________________________________ _
0 I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _
Policy No. ____________________________ Expiration Date: _______________ _
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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction tending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ______________________ lender's Address: _____________________ _
CONTRACTOR PRINT: _________ SIGN: _________ DATE:
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from 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 Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
}d"owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application.
g Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, l cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upan request when this application is
submitted orat the following Web site: http://www.Jeginfa.ca.gov/ca/aw.htm/,
s1GN: """k~· ::;,,,J;/4,4,,c:;;::_=~d~-oATE: fZd/uz.1 OWNER PRINT: Ken Burtech -------------
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature below, I certify that: I am the property owner or State of California licensed Contractor or authorized to act on the property
owner or contractor's behalf. 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 representative of the City 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
::m::;::~0~:::~:nz~:t;r:ov~ht SIGN: c__ 6 ~--DATE: ,41~
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 08/20
( City of
Carlsbad
OWNERS
AUTHORIZED
AGENT FORM
8-62
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
OWNER'SAUTHORIZED AGENT FORM
Only a property owner, contractor or their authorized agent may submit plans and applications for building
permits. To authorize a third-party agent to sign for a building permit, the owner's third party agent must bring
this signed form, which identifies the agent and the owner who s/he is representing, and for what jobs s/he
may obtain permits. The form must be completed in its entirety to be accepted by the City for each separate
permit application.
Note: The following Owner's Authorized Agent form is required to be completed by the
property owner only when designating an agent ta apply for a construction permit
on his/her behalf.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility,
I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary
to obtain an Owner-Builder Permit for my project.
Gunite pool and spa
Scope of Construction Project (or Description of Work): ____________________ _
2636 La Costa ave. Project Location or Address: ______________________________ _
Erica Sanchez 619-454-4426 Name of Authorized Agent: __________________ Tel No. _________ _
N/A Address of Authorized Agent: _____________________________ _
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled
out the above information and certify its accuracy.
Property Owner's Signature: -~,,,1-k:,s=L-..,/4.~=::"':.~=:.~=.>L. ________ Date: /~/4;,
1
'
PERMIT INSPECTION HIS70RY for (CBR2020-3214)
Permit Type: BLDG-Residential
Work Class: Pool
Status: Closed -Finaled
Application Date: 12/08/2020 Owner: OWNER BURTECH KEN AND ANDREA
Issue Date: 02/02/2021 Subdivision: LA COSTA SOUTH #5
Expiration Date: 10/18/2021
IVR Number: 30392
Address: 2636 LA COSTA AVE
CARLSBAD, CA 92009-7324
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date
Thursday, May 20, 2021
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Status
Passed
Yes
Yes
Yes
Yes
Yes
Page 2 of 2
Building Permit Inspection History Finaled
(city of
Carlsbad
PERMIT INSPECTION HiSTORY f~r {CBR2b20-3214)
Permit Type: BLDG-Residential Application Date: 12/08/2020 Owner: OWNER BURTECH KEN AND ANDREA
Work Class: Pool Issue Date: 02/02/2021 Subdivision: LA COSTA SOUTH #5
Status: Closed -Finaled Expiration Date: 10/18/2021 Address: 2636 LA COSTA AVE
IVR Number: 30392 CARLSBAD, CA 92009-7324
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
02/09/2021 02/09/2021 BLOG-SW-Pre-Con 150099-2021 Passed Paul Burnette Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
03/01/2021 03/01/2021 BLDG-51 151590-2021 Passed Paul Burnette Complete
Excav/Steel(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-52 Pool Plumbing 151589-2021 Passed Paul Burnette Complete
03/17/2021 03/17/2021 BLOG-53 152867-2021 Passed Tony Alvarado Complete
Elec/Condull/Wlring(Po
ols)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency March 17, 2021: Yes
(No building deficiencies).
1. Equipotential pool bond wire at (4);points
around entire perimeter of pool-verified and
approved.
2. Underground pool electrical conduit
protected and buried at correct depth,
scope of work-approved.
BLOG-54 Equipotential 152866-2021 Passed Tony Alvarado Complete
Bond(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency March 17, 2021: Yes
(No building deficiencies).
1. Equipotential pool bond wire at (4):points
around entire perimeter of pool-verified and
approved.
2. Underground pool electrical conduit
protected and buried at correct depth,
scope of work-approved.
04121/2021 04121/2021 BLDG-55 155538-2021 Passed Paul Burnette Complete
Fence/Preplaster
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
05/20/2021 05/20/2021 BLDG-Final Inspection 157736-2021 Passed Paul Burnette Complete
Thursday, May 20, 2021 Page 1 of 2
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND ,t,ND ACKNOWI.EDGE THAT I MUST: (1) IMPLEMENT
BEST M/\N,t,GEMENT PRACTICES (BMPS) DURING CONSlRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBIUZA TION Of POLLUT /\NTS SUCH AS SEDIMENT /\ND TO
AVOID THE EXPOSURE Of STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION Of THE CONSTRUCTION ACTIVITIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY THE CITY Of CARL~AD. -6 v, [A V, ~a,uart, ~
OWNER(S)/OWNER"S AGfitJT NAME (PRINT)
Q.,,<._ A .
OWNER(S)/OWNER'S AGENT NAME (SIGNA TOR£'Y
E-29
~~
DATE
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
" CB K 2-o2-o-3Z-ll/
SW __
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
EroaionConlrol
BMPs Sediment Conlrol BMPs Tracking I Non-Storm Water I Wasta Management and Matarials,
Control BMPs Management BMPa Pollution Control BMPa
Best Management Practice*
(BMP) Description ➔
CASQA Designation ➔
Construcllon Activitv
Grading/Son Disturbance
Trenching/Excavation
StockpHlna
DrRlll!!l.l!!9_rlna
Concrete/Asphalt Sowcuttlna
Concrete Flotwork
Paving
Condult/P~e Installation
Stucco/Mortar Work
!I 0 ::E "' ,15 t 8 ~ i
l J
.... 00 I ~ [;l
-g :l Og ., =~ :I§ ., ~g ·~ u 0 ~
~-5 /t> I .., ...,!; Iii
!
"' --~ I ,,
[;l [;l
j_ v'
~
7" +
-0 C: 0 1i j "' ·I :E a. .5 0 f"' i!: .5 !l ., l m els .., ~ v, .5 ii 0 ..,E f O:;:;
i 11 i; l !~ st l 0 ~ V>> ind:
0 ..., .... "' CQ .... 00 -I ~ I ~ ~ ~ I .... l)j ....
V, V,
§ C: ls .., ..,
0 "" i -0 i t; 'ti l ·l J 6 -0
.5 .5 i I e
., H ., ~ 1 g 0 i 8 I;, 8 I e ..,
-0 ., i -0 ::E .! ii 1!~ -0 >o ls :l Bls a "' 0 :::, ., Ii .. .. 0 <->u en:;:; ., ... 5 -.. i = il:] i "' ·-1 .!:! • ,·-I i "' f i =-o C: 0 :lii -0 0 :§g .., t; ·s: i; .., g Jc§ ·-C:
il', C: i~ ~j ~o o.., c5 0
V,"' ::E V, V, ::E
"' ~ .., .... 00 'T "' ..., .... "' 'T I I I J, I I I I I
I!: I!: V, V, V, j j j j j z z z z
Waste Dis~osal • i i • i • • • i • i • • ' • • i ' • • • i • • i • i '--"'"
StoglngA.oyDownAreo 111 11111111 11 11 1 11 1 11 11 ✓
Equipment Maintenance~ and Fuellno
Haiordous Substance l)~_L$toroga I I I I;
Dewoterlna I I _L____l_j
Site Ace~ Across_ Dirt I I I I i
Other {llet):
Instructions: i 1. Check the box to the left of all applicable construqtion activity (first column) expected to occur during construction.
2. Located along the top of the BMP Tobie is a 11st ~f BMP's with it's corresponding Collfomio Stormwoter Quality Association (CASQA) designation number. Choose one
or more BMPs you Intend to use during constructi4n from the list. Check the box where the chosen activity row Intersects with the BMP column.
3. Refer to the CASQA construction handbook for Information and details of the chosen BMPs and how to apply them to the project.
PROJECT INFORMATION
Site Address: Z-lr:z(f, l?t c~J.., f\vt., .
.,
"t;;
j.., ., ii a Ii ~g
N C: 00 :,: ::E
<D I j
SHOW THE LOCATIONS bF ALL CHOSEN BMPs ABOVE
ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN.
SEE THE REVERSE SID~ OF THIS SHEET FOR A SAMPLE
EROSION CONTROL PLAN.
Assessor's Parcel Number: Z--[ <t • Z-120 • O;t•IJ(/ •
Emergency Contact:
-BMP's are subj~ct to field inspection-
Page 1 of 1
Name; ____________ _
24 Hour Phone: _________ _
Construction Threat to Storm Water Quality
(Check Box)
0 MEDIUM ..0°'LOW
¾! i"ii
¾l fil I b g'
C: C: 8j
00 I j
...---
REV 02/16