HomeMy WebLinkAbout2694 MEDFORD CT; ; CBR2021-2258; PermitPERMIT REPORT
Residential Permit
Print Date: 04/25/2022
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2694 MEDFORD CT, CARLSBAD, CA 92010-2177
BLDG-Residential Work Class:
1674331800 Track#:
$37,406.46 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: 714 SF POOL/SPAW/ AUTO COVER
Applicant: Property Owner:
Pool
SUE MONGOVEN
321 SUNBIRD CT
BALAITY NICHOLAS & BALAITYTARA
2694 MED ROD CT
SAN MARCOS, CA 92069-3021
(760) 271-1618
FEE
CARLSBAD, CA 92010
(805) 305-4225
SWPPP INSPECTION FEE TIER 1 -Medium BLDG
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
SWPPP PLAN REVIEW FEE TIER 1 -Medium
BUILDING PLAN REVIEW-MINOR PROJECTS (LOE)
SWIMMING POOL-RESIDENTIAL
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
Total Fees: $861.86 Total Payments To Date: $861.86
(city of
Carlsbad
Permit No: CBR2021-2258
Status: Closed -Fina led
Applied: 07/30/2021
Issued: 09/13/2021
Fina led Close Out: 04/25/2022
Inspector:
Final Inspection:
Contractor:
ZIER POOLS INC
321 SUN BIRD CT
TKers
04/14/2022
SAN MARCOS, CA 92069-6895
(760) 290-4147
Balance Due:
AMOUNT
$271.00
$2.00
$4.86
$64.00
$194.00
$228.00
$98.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, 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 FURTH ER 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.
1635 Faraday Avenue I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
L Cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check~cl-US'f,
Est. Value ~l.O.
Job Address Uf'/ 1/1 G(2PtJJlO
CT/Project#: ·f#: /DI ca'
PC Deposit _______ _
Date 7-~-21
Year Built: ________ _
Fire Sprinklers: Q YES Q NO Air Conditioning: Q YES O NO Electrical Panel Upgrade: 0 YES O NO
0 Addition/New: _____ living SF, ___ Deck SF, ___ Patio SF,. ____ Garage SF __
Is this to create an Accessory Dwelling Unit? 0 Y ON New Fireplace? 0 Y O N , if yes how many? __
0Re:model: ___ ~SF of affected area Is the area a conversion or change of use? Ov ON
!Z1 Pool/Spa: 1,r (!:} Additional Gas or Electrical Features? __________ _
OSolar: ___ KW, ___ Modules, Mounted: 0Roof 0Ground, Tilt: 0 YO N, RMA: Ov ON,
Battery:Ov ON, Panel Upgrade: Ov ON
D Reroof: _______________________________ _
D Plumbing/Mechanical/ElectricalOnly: ______________________ _
D Other:
This permit is to be issued in the name of the Property Owner as OwnervBuilder, 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 AUTHORIZpO AGENT APPLICANT 41
Name: IV,~ _r[~_ Name: 5146 V½ON60V13N
Address: w~~ if Address: Zzkl $"'lt.Nfftr4:2 er
City: CJhY!z1!zlb1State:Ck: Zip: (J7o/O City: 5:A-7:1 /Yl:4::r¼05 State: a} Zip: 92-0bCJ
Phone: ____________ Phone: 1/t;O--L-t I ;:/fLL?
Email: Email: 5UVv1 t' 2-Z--3JP} tid, J16-r
DESIGN PROFESSIONAL APPLICANT 0
Name:
Address: I 7,-tJ
City: lktlA H ( l f\ll State: CA
Phon~: 1ttf-t,:za -k I !JO
Email=------..-,,-~~-------
Architect State license: ... t .... ,(_]t_{p __ O ....... z .... l ____ _
CONTRACTOR OF RECORD
Name: h{ktf-ftm /£ -;1::,JC,
Address: '7 2-/ '5(ef1 ~ r2f} if
City:,&"A:t:) Nl4/2(.15 State: CA
Phone: 74<? ..-(,z-z---'lfslJ ·
APPLICANT 0
Zip:_9_1t:b_ ...... 9 __
Email:. ______ ...,... __________ -
State License/dass:._tf .......... ti...._· __ Bus. License: /£..Y: PH5
1635 Faraday Ave cartsbad, CA 92008 Ph:760~2-2719Fax:760-602-8558
11/tlf1j
Email: 8uilding@car1sbadca.gov
IDENTffY WHO WILL PERFORM THE WORK BV COMPLETING (OPTION A) OR (OPTION B) BELOW:
I OPTION A): LICENSED CONTRACTOR DECLARATION: , . , .
'\../),hereby affirm under penalty of perjury that I om licensed under provisions of Chapte.r 9 (commencing with Section 7000) of Division 3 r 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:
O I have and wlll 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. _____________________________________ _
DI have and will maintclin 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: lnsuranceCompany Name: ___________________ _
Polley No. __________________________ Ex.plratfonOate: ______________ _
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 to become
/ subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shal subject an employer to
criminal penalties and clvll fines up to $100,000.00, in addition the to the mst of compensation, damages as provided for In Section 3706 of the labor COde,
intereSt and attomey's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Ovil Code}.
Lender's Name: ___________________ ..,,.t.e.nder's Address:
CONTRACTOR PRINT/SIGN: 1fA;'& (ne,J ~ ]llv~
(OPTION B): OWNER-BUILDER DECLARATION:
DATE: zffe/uJ21 (
I hereby affirm that I am exempt from Contractor's license Law for the following reason;
O 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 bulld or improve for the purpose of sale),
0 I, as owner of the property, am eKClusively 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:
0 "owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached.
D 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.
Proof of identification attached.
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, I 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. / understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http://www.Jeginfo.ca.gov/wlaw.html.
OWNER PRINT/SIGN: ___________________ _,DATE: _____ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature below, I certify that: I am the property owner or State of CUlifornio 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 aty ordinances and State laws relating to building construction.
I hereby authorize representative of the City of CUrlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE,
INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST AU UABIUTIES, JUDGMENTS, COS15 AND EXPENSESWH/OI MAY IN ANY WAY ACCRUE
AGAINST SAID GTY 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.
APPLICANT PRINT/SIGN: Su,& I/IAONBzNer//@Jcfu<~ DATE: z/-ia/z,eu
1635 Faraday Ave carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 08/20
Building Permit Inspection History Finaled
(city of
Carlsbad
Permit Type: BLDG-Residential Application Date: 07/30/2021 Owner: COOWNER BALAITY NICHOLAS &
BALA I TY TARA
Work Class: Pool Issue Date: 09/13/2021 Subdivision: CARLSBAD TCT#74-04
Status: Closed Finaled Expiration Date: 09/06/2022 Address: 2694 MEDFORD CT
IVR Number: 34913 CARLSBAD, CA 92010-2177
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
11/29/2021 11/29/2021 BLDG-51 171435-2021 Passed Tim Kersch Complete
Excav/Steel(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-52 Pool Plumbing 171436-2021 Passed Tim Kersch Complete
BLDG-53 171437-2021 Passed Tim Kersch Complete
Elec/Conduit/Wiring(Po
ols)
02/1712022 02/17/2022 BLDG-54 Equipotential 176855-2022 Passed Tim Kersch Complete
Bond(Pools)
03/07/2022 03/07/2022 BLDG-55 177834-2022 Passed Tim Kersch Complete
Fence/Preplaster
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
04/14/2022 04/14/2022 BLDG-Final Inspection 180524-2022 Passed Tim Kersch Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Monday, April 25, 2022 Page 1 of 1
.,,
STORM WATER POLLUTION PREVENTION NOTES
I. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL Bf
AVAILABLE ON SllE TO FAClUTATE RAPID INSTALLATION
Of EROSION AND SEDIMENT COHTRO\. BIIP1 YM£N RAIN
IS EMINENT.
2. THE OV!\'IER/CON1RACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE Slt.TISFAC1JON
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PROOUQNG
RAINFALL
3. THE OWNER/CONlRACTOR SHALL INSTALL ADOlllONAL EROSION
CONTROL Mt:ASURES AS MAY BE REQUIRED BY 1HE aTY INSPECTOR DUE TO INCOMPt.ETE' GRADING OPERATIONS OR UNFORESE~ CIRCUMSTANCES WHICH MAY ARISE.
4. AlL REMOYAaE PROTECTIVE DE\IICES SHALL BE IN PlACE
AT THE END OI' EACti WORKING DAY YMEN THE flVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
(40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AF'lER
EACH RAINfALL
5. Al.L GRAVEi. BAGS SHAU. CONTAIN J/4 tlCH ld/NIMUM
AGGREGATE.
6. AOEQlJATE EROSION AND SfOIMEHT CONTROi.. All{) PE~MEltR
PROTEClJON BEST MAN.\GEMENT PRI\CTICE MEA~ l,IUST
BE JNSTAIJ.EO 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
REGULA TTONS.
OWNER'S CERTIFICATE:
I UNOERST,\f4D AND ACXN0\11.EOGE lHAT I MUST: (1) lt.lPLEMOIT
B£ST MANACEMEIH PRAClltfS (BMPS) DURINC CONSTRUCTION
ACll\llllES TO lHE IIAlaNUM EX'IEIIT PRACllCASI.E TO AVOID
lH£ MOIIILIZA'IIOII OI" POLLUTANTS SUCH AS SEllllENT Al'll TO
AVOID lHE EllPOSORE OF STORM WA 1ER TO CONSTRUCTION
Rtl.AlED POCLUTANTS: AND (2) ADHERE TO, AND AT All llMES,
COMPLY Willi lHIS CITY APPR<M:D TIER I CONSTRUC'IKJl Sl',IIPP lHROUGHOUT THE DURA lKlN OF" l'HE CONSlllUCl10H ACll\111£S
UNlll 1llE CONSlRUCTIOH WORK IS COMPl.ETE ANO APPRO\®
BY lHE CITY OF CARLSBAD. , ,...,. ) $1 /_ ,vzorJ&o Ve,v
£-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
CB ____ _
SW_-__
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Eroslmi c«vd Blill'S-Sadmant Comrd BMPs c:!1::~Ps Non-Storm Walar Weale Man;aoainanl 111d Materi.lli MGnagemenl SMP1 Pcllullclne«lldllMPs
Best ManllgBIIIBnl Practice·
(BMP)Oaa~ ➔
C~IIMIJIIIIIIIIII ➔
Ccnatnmllon Aclhollv
Dr"""' "'-In" ecncrete ,._..,halt Sawcuttlna
SIDc:cD/Mortat Work
St..•I""" "" ,,_ Area
S1111 ~ Acroa Dirt
tither m.t>.
! .§ 8 -I J! = s "' ..., ~ i Ill bl
'Cl §
j E
i J, i §
I l 11
"' ~ ....
I>! r ..,
"' "-'
I 6 ~ ,§ l .s ..5 ,! ., 8 .§ ; dl .E 81;, lsj 11 ~i ~I f ~Jj 11 il in it u, Ill .. C, N ~ tH ~ i r l!E I!:, ·, ...,,,... .......,
htatructlona: t Cllec:k the box lo the left of oil applicable construdlon activity (first cQ!umn) expected to occur ~I/ring conslructlon.
:! ! .., }: .r ·t Ii .., ;§ ' .I
1! I! I ... 'ii II mt!! lli.., C :::> " ! ;I Oo l! j u,s lf ) J it] .s ll B .e io j,,. ;I m :I§
..., ,... 'f i • • ... • ~ J, I "' I I z z .,.,... ...,,,. ~ ,..__.., ,,..._
2, Le>cated alo!lll the top of the llllP Tobia Ill a 1191 af BNP'• wtth ll's corresponding C:ollfamkl Stormwater 0uGllty A1saclatlon (CASQA) deal9notlon number. Choose one or mere BM"' you lnlend to UH during canstructlcn fnim lhe &!It. Check tlle box-where the chl!S8n activity raw lntarsecl• with th~ 8MP column.
J. Refer to th& CASOA con1lrucUon handbook for ilformallon and detoll• of the ~hoaen BMPa ond how to apply them lo the PfOjetlt,
SHOW THE LOCATIONS OF ALI. CHOSEN BMPs ABOVE ON THE PROJECTS SITE PI.AIVA:ROS/ON CONTROi. Pl.AN.
SEE THE REVERSE SIOE OF THIS SHEET FOR A°SAMPI.E
EROSION CONTROL PLAN.
-BMP's are subject to field inspection-
Page 1 of 1
Construction Thraot lo $t0fm Waler Qual"y
(Check Bo•) .
0 MEDIUM LOW
J_
il
"' I I
""--
i1
11 .., • -
REV 02/16