HomeMy WebLinkAbout1781 SKIMMER CT; ; CBR2021-0275; PermitBuilding Permit Finaled
Residential Permit
Print Date: 01/09/2023
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
1781 SKIMMER CT, CARLSBAD, CA 92011-3609
BLDG-Residential Work Class:
215050S700 Track#:
$21,427.Sl Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: HAUL: 409 SF POOL & SPA// SWEDISH SPA
Applicant: Property Owner:
Pool
CARRIE JONES
9921 CARMEL MOUNTAIN RD, # STE 189
SAN DIEGO, CA 92129-2898
CO-OWNERS HILAL BASIM AND POOLJANINE
1781 SKIMMER CT
(619) 343-5908
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
CARLSBAD, CA 92011
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: $771.17 Total Payments To Date: $771.17
{city of
Carlsbad
Permit No: CBR2021-0275
Status: Closed -Finaled
Applied: 02/01/2021
Issued: 03/19/2021
Fina led Close Out: 01/09/2023
Final Inspection: 07/01/2022
INSPECTOR: Alvarado, Tony
Balance Due:
Kersch, Tim
AMOUNT
$221.40
$154.98
$41.00
$49.00
$1.00
$2.79
$246.00
$55.00
$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.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
t '
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check {)3'!?969/ · Wf..
Est. Value ,Jj ..:?}1 LL;) 1. S:f
PC Deposit
DateJ// }J\
Job Address ____ \ ,_~_·l_.~_Y_--,_!Vr<'ve __ r_c_r _____ Suite: ___ APN: dl) ,. os-c ·-$7 --v:,
CT/Project #: _________________ Lot #: ____ Vear Built: ________ _
Fire Sprinklers: QvEsQ NO Air Conditioning:Q YES Q NO
BRIEF DESCR~Tl9! OF WORK:
Electrical Panel Upgrade: QvEsQ NO
frof, jot 5'--'..f.fl•' ~ Spc
0 Addition/New:. _____ Living SF, ___ Deck SF, ___ Patio SF, ____ Garage SF __
Is this to create an Accessory Dwelling Unit? Qv ON New Fireplace? Qv ON, if yes how many? __
D Remodel:___ _SF of affected area Is the area a conversion or change of use? Ov ON
~Pool/Spa: L(Q 1 SF Additional Gas or Electrical Features? ___________ _
osolar: ___ KW, ___ Modules, Mounted:ORoof OGround, Tilt: 0 vO N, RMA: Ov ON,
Battery:OY ON, 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 1 \ \ ' APPLICANT O PROPERT OWNERS AUTHORIZED AGENT APPLICANT )21'
Name: B4\SCN1 n' IC. Name: e,,rrt e-::i'c.r-t,,. !
Address:\~ I $~11\,t'\/!;rC\ Address: .t'i)b l~tu..-, Cffe,t-y"-
City: ~C,M_ State: ..... LM"_, _zip: Qoo\ l City: ,:S:D State: cA Zip: ;}I()/
Phone: b)'f ~ 3¼3 ,~qoe, Phone: h(t',v3Lf'J-Z4o8 '
Email: _______________ Email: Cc-rr1t-J~Ylt) f~ \ <.:V"1..
0 e Ho.r, o..
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD I I I APPLICANT 0
Name: Name: ~M,c..,-l c. LAt-A.. ~CV\ Addres-s: _____________ Address:bJl {¥\1W.I \~ ,C..,\cC,
City: _______ ,State: __ ,Zip: ____ City: Cqr:ivcc(_ State: cp. Zip: ':Qo)D
Phone: Phone: 7tD ,.,\.llf~ ..... :S::Jo~
Email: Email: f
Architect State License: State License/class:JC53~). VS'3 Bus. License: 12..f.5952-
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadcaJl.QY
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:
0 I 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. _______________________________________ _
rmit is issued. ~have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, fort performate of th
My workers' ~pen~tion i~uran .i:arrier and policy number are: Insurance Company Name: _,,~GOJ=c..::...·_"..:.1_~.,....,,,....,_-+,..1---""~..:..a...:-,c.....,, ____ _
Policy No. > l,) L d \:!I bb 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
crlmlnal penalties and clvU 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 lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
C r ) """\;-,_, 1 Lende~-
CONTRACTOR PRINT: __ c-_l"_1~_J_,vr_~ ___ SIGN:_~ _________ DATE:
Lender's Name:
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
DI, 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 salel.
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(sl 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:
O"owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application.
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
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, t 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 Jaw, 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.co.gov/calow.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 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 abave 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 TH£ 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: (c.--.rf'l(, Jbr£ _.s SIGN: ____ CY\--::::: ____ ~::_-_ DATE: { t d--f;, 1-Z,,\
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadcaKQ),'
2 REV. 08/20
~ < "\,
. PERMIT INSPECTION HISTOBiX'. for (CBR2021-0275)
Permit Type: BLDG-Residential Application Date: 02/01/2021 Owner: CO-OWNERS HILAL BASIM AND POOL
JANINE
Work Class: Poot
Status: Closed -Finaled
Issue Date: 03/19/2021
Expiration Date: 11/01/2022
lVR Number: 31282
Subdivision:
Address: 1781 SKIMMER CT
CARLSBAD, CA 92011-3609
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection Primary Inspector Reinspection Inspection
01/25/2022 01125/2022
05/05/2022 05/05/2022
07/01/2022 07/01/2022
Monday, January 9, 2023
Checklist Item
BLDG-Building Deficiency
Status
COMMENTS
April 13, 2021:
No Swimming pool/Building Deficiencies.
1. Swimming pool, inground,
Gunitelshot-Crete, steel reinforcement
rebar. per pool engineering and per pool
engineering detail-approved.
2. Pool underground water leak test-pool
plumbing pressure test scope of
work-approved.
3. Partial Pass-Equipotential pool bond wire
tails/stubbed-out, scope of work at four
points located around perimeter pool -
partial pass.
4. Underground electrical conduit depth
and pipe protection, scope of electrical
conduit work-approved.
BLDG-54 Equipotential 175297-2022 Passed Tony Alvarado
Bond(Pools)
BLDG-55 182043-2022
Fence/Preplaster
BLDG-Final Inspection 186145-2022
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed Tony Alvarado
Passed Tim Kersch
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Page 2 of 2
Building Permit Inspection History Finaled
(city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-0275)
Permit Type: BLDG-Residential Application Date: 02/01/2021 Owner: CO-OWNERS HILAL BASIM AND POOL
JANINE
Work Class: Pool Issue Date:
Status: Closed -Finaled Expiration Date:
IVR Number:
03/19/2021
11/01/2022
31282
Subdivision:
Address: 1781 SKIMMER CT
CARLSBAD, CA 92011-3609
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
04(13(2021 04(13(2021 BLDG-51 154807-2021 Passed Tony Alvarado
Monday, January 9, 2023
Excav/Steel(Pools)
Checklist Item
BLDG-Building Deficiency
COMMENTS
April 13, 2021:
No Swimming pool/Building Deficiencies.
1. Swimming pool, inground,
Gunile/shol-Crele, steel reinforcement
rebar, per pool engineering and per pool
engineering detail-approved.
2. Pool underground waler leak test-pool
plumbing pressure test scope of
work-approved.
3. Partial Pass-Equipotential pool bond wire
tails/stubbed-out, scope of work at four
points located around perimeter pool -
partial pass.
4. Underground electrical conduit depth
and pipe protection, scope of electrical
conduit work-approved.
BLDG-52 Pool Plumbing 154805-2021 Passed Tony Alvarado
Checklist Item
BLDG-Building Deficiency
COMMENTS
April 13, 2021:
No Swimming pool/Building Deficiencies.
1 Swimming pool. inground.
Gunite/shot-Crete, steel reinforcement
rebar, per pool engineering and per pool
engineering detail-approved.
2. Pool underground water leak test-pool
plumbing pressure test scope of
work-approved.
3. Equipotential pool bond wire
tails/stubbed-out, scope of work at four
points located around perimeter pool -
partial pass.
4. Underground electrical conduit depth
and pipe protection, scope of electrical
conduit work-approved.
BLDG-54 Equipotential
Bond(Pools)
154806-2021 Passed Tony Alvarado
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Page 1 of 2
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MA. TERIALS SHALL BE
AVAILABL£ ON SITE TO FACIUTAlE RAPID INSTAill1lON
<J" EROSION AND SEDIMENT CONTROl BMPs 'M-IEN RAIN
IS EMINENT.
2. lliE OVtt<IER/CONlRACTOR SHAU. RESTORE All EROSION
CONlROI. D~CES TO WORKING ORDER TO THE SA llSf ACTION
CF Tl-IE CITY INSPECTOO AFlER EACH RUN-OFF PRODUCING
RAINFALL
3. lHE OVf.lER/CONlRACTOR SHALL INSTAU. ADDITIONAL EROSION
CONlRCX.. MEASURES AS MAY BE REQUIRED BY lHE CITY
INSPECTOO DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES ~la-t MAY ARISE.
4. All REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT lHE END Of EACH WORKING DAY Vt1-IEN THE fl'VE (5)
DAY RAIN PROBABlUTY FORECAST EXCEEDS FORTY PECENT ( 401). SILT ANO O1'HER DEBRIS SHALL BE REMO\£0 AflER
EACH RAINFAI.L
5. ALL GRA\£L BAGS SHAll CONTAIN 3/4 IND-I MINIMUM
AGGREGATE.
6. ADEQUAlE EROSION AND SEDIMENT CONlROL AND PERIMEiER
PROTEC110N BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTAL1.ED AND MAINTAINED.
7. THE Cl1Y INSPECTOR SHALL HAVE lHE AUTHORllY TO ALTER
ll·IIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE 'MTH CITY STORM WATER QUALITY REGULATIONS.
OWNER'S CBRTIFICATB:
I UNDERSTAND AND AOOIO\\lEDGE 1HAT I. MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACllCES (BMPS) DURING OONSlRUCllON
AC1l\1111ES TO lHE MAXIMUM OOENT PRACTICABU: TO AYaO
lHE M081UZA110N OF POU.UTANTS SUCH AS SEDIMENT NI> TO
A\'OID lliE EXPOSURE or STORM WAiER TO C()IS1'RllC'JJQN
RELATED P<l.l.UTAN1S; ANO (2) ADHERE TO, AMD AT ALL TIMES,
COliPt. Y Vt1TH nus CllY APPRO\£0 TIER 1 CONSTRUCTION SV!PPP
lHROI.IQ-iOOT lHE DURATIOO OF 1HE CONSTRUCTION ACll\fllES
UNTIL TiiE COHSlRUCTION WORK IS COMPLETE AND APPROVED
BY ~ CITY OF CARLSBAD.
ltJr,,e ~
SIGNATURE
E-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
ca ({;ra l-o;t=t5
SW_
BEST MANAGEMENT PRACTICES {BMP) saECTION TABLE
Ero9b1Control Seclment Cormd 8MPs T~ Nan-S1orrn Water Waste Management and .-iatl
BMPI ConbOIBMPs Management BMPs Poluli0n Control aw.
~ I i i ...,
-a "Cl Ii !l a 'ti t7I 6 6 s I i CJ j l ]f i I l ,Ii,,
::I -a I a, '5 ! i j 0, :1 ! Jr .5 Best Management Practic:e• -ti Ji j c§ i .. ,i;; ~ ll D-w i I & "Cl ., J "O !] (BMP) Descripllon ➔ I 8 ! J ~i ii Sa ::> ji
J 25& I Q a, 11 II ~ t i! .... § i • •.i= It I ~· I t CJ i I I l ii it li I l! a wi i CJ&, jl_ ,~ Jj 0 tii C Jo ~tn tn
CASG\[)8111gr1811an ➔ ,... a:, Cl) ... ,., .... ,n ~ ,... 10 0 N ,,, ,... a:, -N ,,, .... in ~ ~ -' ~ I I I 1 j c!, 6 fa ~ tk th ~ I ~ ~ J, ~ J, , Cooa!nlCtion (dlflY w w l1't ~ z z: z I i i I
,._, -flradtna/Sol Dtsturbance X 'LJ
...... Trenchlna/Excawtlon Iv ;-,.,.
!'!JI S{.idcnniM ""I,;.
Drlltlno/Barfna
r-.i Concrete/ABDhalt Scntalttlna
''" Concrete Rotwork
" ptMl'VI
Condult/PIDe lnstallotlon
Stucco/MOrtar Work .; Waste oi..nw.r 'CS
stMIM/1..nv 0own l+lea
E ... .t.vn-,t Malntenmce and Fuel'""
Hazardous Substance Use/stor-
Dewoterina
Site Acceia Across Dirt
other lllst\:
lnllbuctlons:
1. Oieck the box to the left of all applicable construction activity (first column) e,cpected to occur during conatruetlcn.
2. Locoted alr:11!9 the top of the BMP Table ls a 11st of BMP'a with It's corresponding Callfomlo Stonnwoter ~allty Association (CASQA) ~atlon number. Choose ane
or more BMPil )Q.I lnlend to use during construction from tht 11st. Check the Im where the chosen octMty raw lnt«secta with the BMP c«umn.
3. Refer to the CASQA construction handbook for lnfcrmallon and details of the chosen BMPs and how to apply them to the projact.
SHOW THE LOCATIONS OF ALL CHOSEN BMPsABO\IE
ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN.
SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE
EROSION CONTROL PLAN.
PROJECT INFORMATION ,
Site Addresa: n@ 0'?(N'-Na1(:·(
Awasor's Parcel Numbr Qt S"~@ ,...1 l --CV
tmergency Contact: ,I\ A t.-' , r.
Nam~ :Jo /1 \ljC..-I"'-'~! 1 C.
24 Hcur Phone: lbo ,\{¼ t, ✓57 dd--
Construction Threat to Storm Water Quality
(Check Box) _
(YN
i-·1 18' r:I Ii :c ::E
C0 I i
j ..... I ic
~j
a:, I i
'f..
·-1-.,
",£]
Page t of 1 REV 02/16