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Home My WebLink About2166 TWAIN AVE; ; CB041764; PermitCc N. ~v-Cf' &vi>t 06-21 -2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB041764 . . Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2166 TWAIN AV CBAD POOL Lot#: 0 2081802600 $4,127.00 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 05/17/2004 KMT 06/21/2004 06/21/2004 Issued: Project Title: KUEMMEL RES-126 SF GUNITE SPA Inspect Area: Applicant: KUEMMEL BRANDON R 2166 TWAIN AVE CARLSBAD CA 92008 619-540-1088 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 Fees: $148.96 Inspector: Owner: KUEMMEL BRANDON R 2166 TWAIN AVE CARLSBAD CA 92008 Total Payments To Date: $39.77 FINAL A PPROVAL Date: ~--·ti $61 .19 $0.00 $39.77 $0.00 $20.00 $27.00 $1.00 $0.00 $0.00 $0.00 $0.00 $148.96 Balance Due: $109.19 4802 06/21/04 0002 01 CGP Clearance: NOTICE Please lake NOTICE that approval of your pro1ect includes the ·1mposit1on' of fees, ded1cat1ons, reservations, or other exactions hereafter collectively referred to as 'fees/exacuons • 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 Mun1c1pal 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 impos1t1on. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connecllon fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with fhis project. NOR DOES IT APPLY to any f I I n f wh1 h v r vi I hi h f II I i n h I h rw1 i 02 109 -19 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-21-'.2004 . Right of Way Permit Perm it No: RW040198 Job Address: Permit Type: Parcel No: Start Date: 2166 TWAIN AV CBAD ROW 2081802600 Subtype: Lot#: Est Complete Date: MINOR 0 Insurance Expire: Liability Insurance: 07/31 /2004 y Traffic Control Plan: Y GOP: Reference#: CB 04-1764 Location: 2166 TWAIN AVE Project Title: Description: KUEMMELL RESIDENCE POOL/SPA Applicant: JEFFEREY HOMES INC STE 202 34179 GOLDEN LANTERN DANA POINT CA 92629 949-661-4103 Total Fees: $230.00 Permit Fee Additional Permit Fee Other Additional Fees TOTAL PERMIT FEES Total Payments To Date: $0.00 Status: Applied: Issued: Expired: Entered By: ISSUED 06/14/2004 06/21 /2004 07/30/2004 KMF Balance Due: $230.00 $230.00 $0.00 $0.00 $0.00 $230.00 This permit may be revoked by the City Engineer if it is deemed that inadequate progress is being made towards the completion of the work or if the work does nol meet City Standards. The applicant may be billed for the cost of any corrective work that the City must perform. Permit Release _______ _ Date Released _____ _ Cash Deposit? ___ _ YOU MUST CALL UNDERGROUND SERVICE ALERT (1-800-422-4133) TWO WORKING DAYS PRIOR TO WORK. UNDERGROUND SERVICE ALERT NO. ______ . THIS PERMIT IS INVALID W ITHOUT THIS NUMBER IF ANY EXCAVATION OR BORING IS DONE. 02 230-00 rm<\ FOR OFFICE USE ONLY PLAN CHfK NO. <28D4/ 7/_p lj PERM~T,APP~ATION l ,v . '0'\ rxv~ CITY OF CA AD BUILDlfJc DEPARTMENT 1635 Faraday'Ave., Carlsbad, CA 92008 EST. VAL. L/, (;)_] Plan Ck. Deposi{ JI 3 °I• 77 Valid. at~~By rt£: Date·· Q J:-Z . " . ./ Y- 1 d ROJECT INFORMATION f BiJlL j CH· c1 oC.'i.J " p , n.~ r lLofL> Jll 2r.( I Address (include Bldg/Suite #) . s w s this address) I A- Legal Description Lot No. Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use x tt{vit~rea_ o~ -s . CONTACT PERSON (I~ different from ap~ #of Stories # of Bedrooms # of Bathrooms ' City State/Zip Telephone # Fax# 0 A~wne(2 Name City State/Zip Telephone # 5. CONTRA TOR • COM ANY 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 ($500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WOR~ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. ' O 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 ($1001 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 ia 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 --===:;:;:=:;::====---- hereby affirm that I am exempt from the 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 solg 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). --d 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. 0 YES O NO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number): 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):. __________ ..,,,. ______________________________________ _ I will provide some of the work, but I h llowin arsons to provide the work indicated (include name / address / phone number / type work): ' • I OPERTY OWNER SIGNATURE'.jq./.1l<::d.,;;J,!.~:L.C::::~[,--.l..;.,L.::::::~~..:!.....~'.:\.....----- lcoMPLETE THIS SECTION FOR N N-RESIDENT/AL BUILDING PERMITS ONL y 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. ·s, CONSJRUCTION 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 ______________ _ 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 Cit\! 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 unde e provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is no ' ithin 1 0 days fr the date of such p rmit or if the building or work authorized by such permit is suspended or abandoned at any time after the work ·• co of 1'so d s ction 106.4.4 n· rm Building Code). I / 4 APPLICANT'S SIGNATUR =...-:::::::::......-=---=::......:::......:.;:i:....-l...,,..L:.:...=..\...,,:::!o-<!_.....l(.1---------DATE I . /2-D t WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/07/2004 Permit# CB041764 Inspector Assignment: RB Title: KUEMMEL RES-126 SF GUNITE SPA Description: SINK AND BBQ Type: POOL Sub Type: Job Address: 2166 TWAIN AV Suite: Lot 0 Location: APPLICANT KUEMMEL BRANDON R Owner: KUEMMEL BRANDON R Remarks: AM PLEASE --- Phone: Inspector: ----- Total Time: Requested By: KIMMEL RES Entered By: CHRIS CD Description 59 Final Pool ti Comment Associated PCRs/CVs lns12ection Histoty Date Description Act lnsp Comments 11/16/2004 55 Fence/Pre-Plaster AP RB ALARMS OK 11/16/2004 59 Final Pool WC RB 11/09/2004 55 Fence/Pre-Plaster CA JM BY NATALIE 10/14/2004 21 Underground/Under Floor AP RB FOR POOL EQUIP. SINK 10/14/2004 31 Underground/Conduit-Wiring AP RB FOR POOL EQUIP. & B.B.Q. 10/14/2004 55 Fence/Pre-Plaster co RB SEE NOTICE ATTACHED 10/13/2004 55 Fence/Pre-Plaster CA RB 10/13/2004 59 Final Pool CA RB 07/08/2004 21 Underground/Under Floor co RB @ EQUIPMENT 07/08/2004 31 Underground/Conduit-Wiring co RB 07/08/2004 51 Excav/Steel/Bonding/Fence AP RB Sl;E NOTICE ' BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: BUILDING ADDRESS: -=c;)=-.:...../(-==0:.....;W=--..,..c:.....µ.,c...~-~~__.:.__ PROJECT DESCRIPTION: epoc Cd ASSESSOR'S PARCEL NUM..,.. 7 B=-E.;;....R_: _,,.....~;;,.,d)-0,a.L-l<l·· .___8_/2_t_O __ ?(p- 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 failur to comply with instructions in this report can result in s si ·on of permit to build. L" iJi/;ry /--;_..-\~==:::::.---=+ Date ~ ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet DENIAL of deficiencies ssary corrections to plans or pliance with applicable cod Submit corrected plans and s office for review. By: By: ________ Date: ________ Date: ENGINEERING DEPT. CONTACT PERSON NAME: Kathleen M. Farmer City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92009 PHONE: (760) 602-2741 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 (!) 0 0 0 0 0 0 0 0 0 0 0 0 0 BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: ~ Marth Arrow {c)Property Lines -~.,,;,1.,J.l'J //Existing & Proposed Structures ?· Easements Cf/V - 2. Show on site plan: &. M /.rainage Patterns dicate wh~ will happen with ~ xisting & Proposed Slopes ii excavated from pool area xisting Topography E. 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. If any portion of retaining walls are over 4' in height, a separate permit is required. Retaining Wall Permit CB 3. Include on title sheet: A. Site Address ----- B. Assessor's Parcel Number C. Legal Description D. Grading Quantities Cut Applied for ----Approved Fill 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. Sa. 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 attached. Note: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit Page 1 of 2 ., ' 1ST✓ 2ND✓ 3RD✓ Q . 0 0 0 0 0 0 0 0 5c. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: 5d. No Grading Permit required. MISCELLANEOUS PERMITS 6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way. 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 3 of 3 H:\Oev~ Semces\MASTERSICHECl(I.ISTS\Building Planc:hed< Cldlst Form-POOLS.doc RfH.8122/Q6