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HomeMy WebLinkAbout1078 LIGHTHOUSE RD; ; CB041521; PermitJ ~0, O',@~,~!!r.~! ~~~!::~~~"" 07-28-2004, Pool Permit Permit No: CB041521 Job Address: Permit Type: Parcel No: Valuation: Reference #: Building Inspection Request Line (760) 602-2725 1078 LIGHTHOUSE RD CBAD POOL Lot#: 0 2145314900 $18,275.00 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: ISSUED 05/06/2004 KMT 07/28/2004 07/28/2004 Project Title: Applicant: BEA LACEY 674BEL AIR DRIVE 92084 760-726-0109 Building Permit BERKLEY RES-558 SF GUNITE POOL & SPA 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 Inspect Area: Owner: BERKLEY STEPHEN M&MARY E 1078 LIGHTHOUSE RD CARLSBAD CA 92009 $168.99 $0.00 $109.84 $0.00 $20.00 $27.00 $1.83 $0.00 $0.00 $0.00 $0.00 $327.66 Total Fees: $327.66 Total Payments To Date: $109.84 Balance Due: FINAL APPROVAL,.... Inspector: Date: Clearance: $217.82 NOTICE. Please take NOTICE that approval of your project includes the "Im position" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exact1ons. 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 subseq .• ent 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 I i n f hi h h I n 1v n imil r h' h h \ I f ·m· 1 ns h I x ired 02 V 'lMlvl u 'U.Cit'y of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-28-2004, Right of Way Permit Permit No: RW040236 Job Address: Permit Type: Parcel No: Start Date: 1078 LIGHTHOUSE RD CBAD ROW Subtype: 2145314900 Lot#: Est Complete Date: MINOR 0 Insurance Expire: Liability Insurance: 07/28/2005 y Traffic Control Plan: Y GOP: Reference#: CB 04-1521 Location: 1078 LIGHTHOUSE Project Title: Description: BERKLEY RESIDENCE POOL/SPA Applicant: POOLSCAPE 2000 2306 MANGRUM OCEANSIDE CA 92056 760-722-1990 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 07/22/2004 07/28/2004 01/31/2005 KMF Balance Due: $230.00 $230.00 $0.00 $0.00 $0.00 $230.00 7558 07/28/04 00()2 OJ This permit may be revoked by the City Engineer if it is deemed that inadequate progress is belng made towards the completion of the work or if the work does not 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 WITHOUT THIS NUMBER IF ANY EXCAVATION OR BORING IS DONE. ✓ t\;~\ PER~A!~\CATION let. I CITY d~~ib'iu1LD1N~~Gm~ 1635 Farapay Ave., Carlsbad, CA ~08 Legal Description IIPAI t1:- Assessor's Parcel # #of Stories FOR OFFICE USE ONLY PLAN CH~i:;K NO. C.804152 / EST. VAL. (/1,/8,J.75 Plan Ck. Deposit # fOM'{ Validated ~Y ~ Date 5 D )oY :,. i.; J\,H.)i ,.I,:_ : ___ r-· ···" Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms 1? o-7.J t. -c,10 '1 Telephone# (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 [$5001). Name Address City State/Zip Telephone# State License # _________ _ license Class _________ _ City Business license # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ,1;, ,i .. WOl'lil!i~;dlif,lJ&tl$'Jl'l'(!ll'«i ,x::x, · 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 ($100) OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 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 one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor coda, Interest and attorney's fees. SIGNATURE.______________________________ DATE • ,,~~lillilltll!ll,~li1lii£11i-i>E~~ii!i~1l!iil:,,:c ,ii! ·:• • '. •::,;,,,; : ,:4,: :. •-;.:i::, -,:;::;;::;;::;::;;::;;:;;-::;;-:::;:~ t hereby affirm that I am exempt from the 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 ha did not build or improve for the purpose of sale). )ii/" l, 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 l am exempt under Section ______ Business and Professions Code for this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 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/ address/ phone number/ contractors license number): 4. 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 I address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work).,_----------------------------------------------------------- X,;::;.~;;;:e:~~~~~~:tJ:Q~~ftjJi(iii.ljl!'«il~RM!ff~~Vfii!i:ii:f);;:,,:;. ·--··• ,: ,,:,: 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? D YES D 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. ill•illi'•f~tlli'tR!ll:itli!fl:'liffli:l!Jliili~ijiU,icW,ii''··• 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 '$'.f.,,,,.,o.11!>~!C"l!Hl'•:~c-~•i;imW•·-·ti •. i=liill~. _iij·. •iiimri-•iii· N'~,;,,i:;11;;:• ,::;"::;_,::;_ .:;:~~~;-: 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 Citt 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 ANO 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 under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not enced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work ls co me ed for a period of 0 days (Section rn6.4.4 Uniform Building Code). ~PPLICANT'S SIGNATURE ~~Ze-iLiL~tf'1~l;t~-------------- YELLOW: Applicant PINK: Finance ll . • . City of Carlsbad Bldg Inspection Request . For: 01/20/2005 . ' iR Permit# CB041521 Title: BERKLEY RES· 558 SF GUNITE Description: POOL & SPA Type: POOL Sub Type: Job Address: Suite: Location: 1078 LIGHTHOUSE RD Lot 0 OWNER BERKLEY STEPHEN M&MARY E Owner: BERKLEY STEPHEN&MARY Remarks: Total Time: Inspector Assignment: PD Requested By: GARY Entered By: KAREN --- CD _D_e_s_c-ri-pt-io-n------~ A£f_o_m_m_e_n_t----------------nh'Y'---:.~ 59 Final Pool L ~ Associated PCRs/CVs lns11ection Histoiy Date Description Act lnsp Comments 11/22/2004 55 Fence/Pre-Plaster AP PD 09/07/2004 51 Excav/Steel/Bonding/Fence AP PD 09/07/2004 52 Underground Plumbing AP PD 09/07/2004 53 Electric/Conduit/Wiring AP PD 09/01/2004 51 Excav/Steel/Bonding/Fence co PD FENCING • City of Carlsbad l@bll ♦+;i·il~t-#,i·li,i4411,i·I BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB Cf-/-/SJ) BUILDING ADDRESS: PROJECT DESCRIPTION: ....:P....:o:..=oc:....I ________ _ ASSESSOR'S PARCEL NUMBER: 'J..14-5'8/ -<fq 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 failure to compl ith instructions in this report can result in suspens· of permit to build. -1 / _ ~ f , By: ---+~=-+-~--Date: ~ ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet DENIAL Please se~attached report of deficiencies marked wit D. Make necessary corrections to plans or cifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: ~~ Date: :s/J::tld/ By: By: _________ Date: _________ Date: ENGINEERING DEPT. CONTACT PERSON NAME: Taniya Barrows City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE: (760) 602-2773 H:',[)twelopment Servk:es\MASTERS\FORMS-ICHECl<LISTS -\BUILDING PLAt<fCHECK CKLIST FORM -POOLS.doc Rev. 8122/96 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @ • □ □ □ □ □ □ □ □ □ BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN c, qJ.--c3/ L-6+ 11'1 rra~ 13~& 1. Provide a fully dimensioned site plan drawn to scale. Show: v. North Arrow El:"1§:xisting & Proposed Structures 2. Show on site plan: K."" _..,Drainage Patterns .z~xisting & Proposed Slopes F Existing Topography e:-' Property Lines ~asements ..a:-lndicate what will happen with _/soil excavated from pool area .-i:. 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: _____ Applied for ___ Approved IC"Site Address --8:"' Assessor's Parcel Number JY.Legal Description D. Grading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan. 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. 5a. 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 2 of 3 H:\Development 5ervlces\MASTERSIFORMS-\CHECKLISTS -\BUILDING PI..ANCHECK CKLIST FORM -POOLS.OOC Rev. 8122196 1ST✓ 2ND✓ 3RD✓ • Cl Cl Cl Sc . A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: Cl Cl Cl 5d. No Grading Permit required. f) MISCELLANEOUS PERMITS f Cl 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. Cl Cl 7. Remarks Page 3 of 3 H:\Oevelopmeot Servk:ellMASTERS'l'ORMS -\CHECl<LISTS-\BUILDING PLANCHECK CKLIST FORM-POOLS.doc PLANNING/ENGINEERING APPROVALS PERNIT NUMBER CB O l./ -/ S 2 / DATE tJS-/O--tJl/ ADDRESS / 0. 7 8 LI bHTNOVS £ f!-1) -~---------------cc..._ __ _ RESIDENTIAL ADDfflON MINOR I< $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDING OTHER __________________ _ PLANNER~-%-_,·,,__ ___ _ DATE JS-/() -o L( ENCINEER DATE --------------- anrt/UltfnrnuJPb,ranina r::no-ln..-rinn .1o.nnrftu:Mcc