HomeMy WebLinkAbout2255 GALENA AVE; ; CBR2022-0156; PermitPERMIT REPORT
Residential Permit
Print Date: 05/19/2023
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2255 GALENA AVE,
BLDG-Residential
2132401100
$0.00
CARLSBAD, CA 92009-1714
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: 2255 GALENA; NEW POOL (390 SF) POOL SPA WITH GROTTO
Property Owner:
Pool
CO-OWNERS MOYLAN DANIEL C AND KRISTEN
N
FEE
2255 GALENA AVE
CARLSBAD, CA 92009-1714
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
SB1473-GREEN BUILDING STATE STANDARDS FEE
SWIMMING POOL-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-Medium
Total Fees: $856.00 Total Payments To Date: $0.00
(City of
Carlsbad
Permit No: CBR2022-0156
Status: QaMd •il<jll~d
Applied:
Issued:
Finaled Close Out:
Final Inspection:
INSPECTOR:
Balance Due:
'01/19/2022
AMOUNT
$194.00
$98.00
$1.00
$228.00
$271.00
$64.00
$856.00
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 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 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
~ City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan CheckC.01~,,'Z.'02Z•OIJ;S-
Est. Value JJ ZO, C/ 3;:l •I C • PC Deposit
Date I-If/• Zo,?'l::...
JobAddress,_2,_L_S--_Y_G-oc_-_/f'_/l!_J_..-,_Av __ P ____ ,Unit: ____ ,APN: Z / J-2. 'fD-)} -uO
CT/Project #:, _________________ Lot #: ____ Year Built: _________ _
BRIEF DEscR1P,r10N oF woRK: /,'I H-zt!J, ,A 1..,J • {-r,z:;, 1--(t-; 6.A:'S · / I 1:tlrt/1, Jo
f(ai ,..,10.J
0 New SF: Living SF, ____ Deck SF,, ___ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N, if yes how many? ___ _
D Remodel: _____ .SF of affected area Is the area a conversion or change of use? O YO N
tJPool/Spa: 5 qu SF Additional Gas or Electrical Features? ___________ _
0 Solar: ___ .KW, ___ Modules, Mounted:QRoof QGround, Tilt: 0 YON, RMA: 0 YO N,
Battery:OY0> N, Panel Upgrade: 0Y ON
Other:
PRIMARY APPLICANT
Name: 6(1 tc,., lo, r/1 f 1 (Jt}
Address: / ru ) it r.kdv~-.:,; Ln
PROPERTY OWt:'N,fR ' II J 7 I ·1 '" 10 /VI°' l ,\ Name: · \,Q ~.
Address: ~25 5 6'a)f'v1l\
City: 01/h/2~ ,) State:<A-
Phone: 1'1lf-J,..,1>---z.,5-~'j-
City: C/lr!-1.5~~ Stat: C/f Zip: 12.cZ>-:£
Phone: :?) -~~ 2.--1...2.jl.,..,
Email: Do Cdi'.1 0,. ~/f,.,... &"l-fPt'.11\ l
Email: __________________ _
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: _________________ Business Name: 8o '/r>../ p,.,---;, Ll
Address: Address: i 3c,q rhll~):;; 0 ,-
City: State: ___ Zip:._____ City: fqtlbr,;;,.1L State:'-lt Zip: "/2 i:> 2. ;f
Phone: Phone: 1\)' ·-'1½ l. --z. L.. '11.-
Email: Email: 1 nf<JN bc~(,f~'.)o,...J\ot11 <.or,,
Architect State License: CSLB License #: 5 q Lf b ) D Class: ( -) 3
Carlsbad Business License# (Required): _______ _
APPLICANT CERTIFICATION: I certify that I hove read the opplicatian and state that the above information is correct and that the information of the plans is accurate. I
agree ta comply with all City ordinances and State laws relating to building construction.
NAME (PRINT): 61 ;t,{v\ Lq;v:p/et SIGN~/
I /
1635 Faraday Ave Carlsbad,CA 92008 h: 760-602-2719 Fa>c 760-602-8558 Email: Building@carlsbadca.gov
REV. 10/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING
THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaf firm under penalty of perjury that I am licensedunderprovisionsof Chapter9 /commencingwith Section 7000/of Div1Sidrl3
of the Business and Professions Code, and my license is in full force and effect. I also affirm underpenaltyof perjury one of the
following declarations (CHOOSE ONE):
01 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. PolicyNo. ____________________________________________ _
-OR-
D l 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: _________________________ ,
V:~;::~. of Exemplioac I certify that in the pedo,mance of the wo,k foe which this pecmit is i,:::~~:~a~l::::~ploy any pecson in any man nee so as to become
~~:ct 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 lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
lender's Name: ______________________ ,Lender'sAddress: _____________________ _
CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all e~istlng and proposed buildings, structures, access roads, and
utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site ptan are
not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show
the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed
use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation.
All improvements existing on the property wNe completed in accordance with all regulations in existence at the time of thelr construction, unless otherwise noted
NAME(PRINT): :g,r iC{I'. Lct~er<'x s1GNATURE~-~ DATE: 11..-/-i---./z.1
Note: If the person signing above is an authorized agent for the contra ·d I tter of authorl:tatlon on contractor letterhead.
-OR-
(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 Ucense 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).
-OR-
DI, 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).
-OR-DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND.
D FORM 8·61 "Owner Builder Acknowledgement and Verification Form" is required for any perrnit issued to a property owner.
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 buqt as an ow.1er-builder if it has not been constructed in its entirety b'f licensed
contrc1ctors. I understand that a copy of the applicable law, Section 7044of the Business and Professions Code, is avail ab{ e upon request when this application is
submitted or at the followfng Website: http://www.leginfo.ca.gov/calaw.html.
OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility
easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved
for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct
dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The ex1st1ng and proposed use of each
building as stated Is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All
lmprovements existing on the property were completed in accordance wfth all regulations in existence at the time of their construction, unless otherwise noted
SIGN: -:-7'"':-"--:-::--,--:-:----DATE: _____ _
above is an authori:ted a ent for the ro ert owner Include form 8-62 sf ned b
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558
2
owner.
Email: Buitding@carlsbadca.gov
REV. 10/2
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 AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND 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 CARLSBAD.
/5//t"ti1 Lcft1//p/v.
OWNER(S)/OWNER'S AGENT NAMEP(PRINl
~~-~-OWNE:R~R's )erni't.fAr MRE)
/1vf!z~
DATE
E-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
CB '2,.Z:OZ.Z--tJI s-/:;>
SW_
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Stonm Water Waste Management and Materials
BMPs Control BMPs Management BMPs Pollution Control BMPs
C: C: C: 0 c c .2 0 :;, "O u :;, "' 0 " "O " "O "' C: <.> C: C: "' E C: E C: -0 -=> => 0 'c ·.:: _g. 0 0 0 E " L L L " :::,; "O "' "' L --;;; c C: <::::.. => >, "' C: " L C: " c "' "' ·.:: O" L 0 C: "' 0.. " ·.:: -C: "' C: > L ~ 0 Best Management Practice* -'11 C: 015 0 00 'a. 0 L '-" " u.J C: "' L 0 " " 0 :;, "' ., ,= " 0 C: -" "c ..c: C E UL u "' 0 "O -.; "' :::,; C: (BMP) Description ➔ "' <.> "(/) ·e " "' "' " "' 00 ·o C "' C: "O "' 3: C: c::, ::, ~ -" "' "S =:v <.> -0 '6 0 ;,, C L 0 ~~ "O >, 0"' C: C
0 "' "' 1l E :;:; C: c::, 00 (/) ·-"' □:.;::; i!l 0 UV 0 0 "' X :::,; c::, "' c::, C: "' 0:: -~ 0 N 00 <.> en:;:; "' ~-'= ~~ 0 ~ L-3: "' 0 "' .c E ~ = (I) =3 :c ·.:: ~_g "' "' " u.. .5 -"' -.; t:.;::; C 0 L 0 "U -"O ..C: C <.> L " => "O :a e ·-"O 0 <.> C: "' "O 0 -·-0.. > L-.c 0 -<.> •-L ·-0 <I> L 0 0 L 0 0 -"O "' "' 0 "' " C: 0 0 0 "' 2o 0 0 ~i -..c:"' -o -0 :=C ·-C "' ~ OL B, "' ..c: ~ L .:,o 0 -L en " 0 ~u o_ 0 -0.. 0 "50 '-" u.J c::, Vi (/) u '-" (/) > (/) (/) 0.. (/) "' 3: 0:: 0..0 0.. :::,; (/) :::,; (/) (/) u (/) :::,;
CASQA Designation ➔ r---"' C1> ~ "' ..,. .,., "' r---"' 0 N "' r---"' N "' ..,. U")
I I I t I I I I I I I t I I I I I I I I I I I u u (.) (.) u.J u.J u.J u.J u.J u.J u.J u.J I?= I?= (/) (/) (/) (/) :::,; :::,; :::,; i i Construction Activity u.J u.J u.J u.J (/) (/) (/) (/) (/) (/) (/) (/) z z z z 3: 3: 3:
Gradinn /Soil Disturbance
T renchinq/txcovation ;><, 1'. 1,,-..,
Stockoilina
Drill inn IBorina
Concrete/Asphalt Sawcuttinq
Concrete Flatwork
Pavina
Conduit/Pioe Installation
Stucco/Mortar Work
Waste Disoosal X
Staainn /Lav Down Area
Eauioment Maintenance and Fuelina
Hazardous Substance Use/Storaae
Dewaterina
Site Access Across Dirt
Other (list):
Instructions:
1. Check the box to the left of all applicable construction activity (first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during construction 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.
SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE
ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN.
SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE
EROSION CONTROL PLAN.
PROJECT INFORMATION
Site Address: z.i_s-5-G-c;/f,,1'-,fr-JP
Assessor's Parcel Number: 1--I 3 -Z. 'f D ~ )1--D 0
Emergency Conta9t:
Name: /_)('J()_f\ L.c,l'l'f,~~j
" -"' 0 3:-C:
"' " => E
0"'
"le "' O 0
N C:
0 0 I :::,;
"' I
i
-BMP's are subject to field inspection-24 Hour Phone: o)-o-76.L LLL/ L
Construction Threat to Storm Water Quality
(Check Box)
0 MEDIUM 'J4 LOW
" -"' o-3: C: " "'E -"' ~ "' <.> 0 cc
0 0 u::::;;
"' I i
y
Page 1 of 1 REV 02/16