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HomeMy WebLinkAbout1170 CAPE AIRE LN; ; CB032757; Permit11-21-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB032757 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1170CAPEAIRELNCBAD POOL 2061402700 Lot#: $1,310.00 Construction Type: PORTER RES 40 SF SPA 0 NEW Status: ISSUED Applied: 10/03/2003 Entered By: SB Plan Approved: 11/21/2003 Issued: 11/21/2003 Inspect Area: Applicant: SANDPIPER POOLS INC 2005 S ESCONDIDO BLVD ESCONDIDO, CA 92025 619-489-6328 Owner: PORTER FAMILY TRUST 11-14-01 1170CAPEAIRELN CARLSBAD CA 92008 9324 11/21/03 0002 01 02 CGP 76.05 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $28.05 $0.00 $1823 $0.00 $20.00 $27.00 $1.00 $0.00 $0.00 $0.00 $0.00 $94.28 Total Fees:$94.28 Total Payments To Date:$18.23 Balance Due:$76.05 Inspector: FINAL APPROVAL Date: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE VWTH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 /3UAI Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition* 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/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 limitations has previously otherwise expired. 11-21-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Right of Way Permit Permit No: RW030291 Job Address: Permit Type: Parcel No: Start Date: Insurance Expire: Referenced Location: Project Title: Description: 1170 CAPE AIRE LN CBAD ROW Subtype: MINOR 11/20/2004 Liability Insurance: Y Lot#: Est Complete Date: Traffic Control Plan: GOP: 0 CB 03-2757 PORTER RESIDENCE GUNITE SPA Applicant: SANDPIPER POOLS INC 2005 S ESCONDIDO BLVD ESCONDIDO, CA 92025 619-489-6328 Status: ISSUED Applied: 10/08/2003 Issued: 11/21/2003 Expired: 05/01/2004 Entered By: KMF 9324 11/21/03 0002 01 02 CBP 230-00 Total Fees: $230.00 Total Payments To Date:$0.00 Balance Due: $230.00 Permit Fee Additional Permit Fee Other Additional Fees TOTAL PERMIT FEES $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 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. IF ANY EXCAVATION OR BORING IS DONE. . THIS PERMIT IS INVALID WITHOUT THIS NUMBER PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 i;*- PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. C&&Z I VOEST. VAL. Plan Ck. Deposit Validated By. Date t Address (include Bldg/Suite #)Business Name (at this address) Legal Description No.Subdivision Name/Number . A Unit No.Phase No.Total # of units Assessor's Parcel i Existing Use 01 02 1 of Bathrooms Wf» 23Description of Work SQ. FT.#of Stories fir*-Beam, # of Bedrooms Name Address City 3. APPLICANT O Contractor E^gent for Contractor Q Owner O Agent for Owner State/Zip Telephone #Fax# Name 4, PROPERTY OWNER Address City State/Zip Telephone # Name Address City State/Zip Telephone # B.CbNTRACtOB-COMPANY 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 State License #^^vnin Address License Class C. ^ ? City State/Zip City Business License # \f2- Telephone # Designer Name State License # v^^^-^t Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: G 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. jil 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 <S\<C\'^ ^Cu^.^. Policy No. ^ "?2-C>i C ^•"'Z-QO'Z- Expiration Date V2 — \~Ol> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l 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 criminal penalties and civil fines up to one hundred thousand dollars (&IPO.OOO), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE l-X«~v- O-«~i/~C(^ DATE /Q - V"O 1 7. OWNER-BUILDER DECLARAT1QII' ~~~' 7T~~ ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: PI 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 build or improve for the purpose of sale). O IF 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). f~] I am exempt under Section Business yfd Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 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 / 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): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOB NQN-RESIDeNTTAL BUILDING PERMITS ONLY 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 25534fof the Presley-Tanner Hazardous Substance Account Act? O YES fJ NO Is the applicant or future building occupant regnired to obtain a permit from the air pollution control district or air quality management district? Q YES f~1 NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES. A FfNAL 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. 8. CONSTRUCTION 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: APPUCANT 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 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 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 commenced 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 is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad April 7, 2005 PORTER FAMILY TRUST 1170 CAPE AIRELN CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: POOL Building Department Permit Number: CB032757 Issue Date: 11/21/03 ADDRESS: 1170 CAPE AIRE LN PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 5/19/05. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760)602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 6O2-2700 • FAX (760) 602-856O September 3,2004 Michael Porter Porter Family Trust 1170 Cape Aire Lane Carlsbad, CA. 92008 City of Carlsbad 1635 Faraday Ave Carlsbad, CA. 92008-7314 Re: Permit Number CB032757 Sent Via FedEx Tracking Number 7907 8492 7066 Dear Christine Wauschek In response to you letter dated September 2,2004 regarding the referenced permit. When we originally pulled this permit it was to build a Jacuzzi at our home. Shortly after obtaining the permit my wife began having medical problems. This put the Jacuzzi on the back burners. The doctors felt she had classic signs of MS, and wanted her to start the test to confirm their suspicions. If she did have MS, she would be extremely sensitive to anything hot; therefore the Jacuzzi would be the last thing we needed. The testing concluded last week and to our delight she does not have MS. This has been a very difficult time, and I know this is my second request for an extension. I ask for you understand in this matter, with this behind us, we now want to begin construction. It will take some time to get our builder back on the project. We will be glad to pay any fees associated with another extension. Sincerely, Michael Porter City of Carlsbad September 2, 2004 PORTER FAMILY TRUST 1170 CAPE AffiELN CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: POOL Building Department Permit Number: CB032757 Issue Date: 11/21/03 ADDRESS: 1170 CAPE AIRE LN PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 10/19/04. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. ^C^ No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 6O2-2700 • FAX (760) 602-8560 AprillS, 2004 Porter Family Trust 1170 Cape Aire Lane Carlsbad, CA. 92008 Sent Via FedEx Tracking # 7912 1314 6276 City of Carlsbad Building Dept. 1635 Faraday Ave Carlsbad, CA. 92008-7314 Attn: Pat Kelly RE: Permit # CB032757 Dear Pat Kelly: Thank you for your letter explaining the reasons for the permit expiration, I was unaware of the fact. It is our intent to proceed with the construction of the pool, and would appreciate a 180-day extension. As most homeowners we were eager to start the construction process and pushed to get the building permit. Then due to items out of our control the process came to a halt. We experienced some medical and finical setbacks, which will soon be resolved. Please give our request consideration, and thanks again for the letter of notification (see attached), without it we would have to start over. Sincere chael Porter City of Carlsbad March 29, 2004 PORTER FAMILY TRUST 1170 CAPE AIRELN CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: POOL Building Department Permit Number: CB032757 Issue Date: 11/21/03 ADDRESS: 1170 CAPE AIRE LN PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 5/19/04. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. y. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. PAT KELLEY Building and Code Enforcement Manager 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 6O2-27OO • FAX (76O) 602-8560 City of Carlsbad March 29, 2004 SANDPIPER POOLS 300 ENTERPRISE ST #A ESCONDIDO CA 92029 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: POOL Building Department Permit Number: CB032757 Issue Date: 11/21/03 ADDRESS: 1170 CAPE AIRE LN PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 5/19/04. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. PAT KELLEY Building and Code Enforcement Manager 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-27OO • FAX (760) 6O2-8560 City of Carlsbad Public Works - Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB Q 3 - BUILDING ADDRESS: I17& PROJECT DESCRIPTION: Pool ASSESSOR'S PARCEL NUMBER:- /*hO ~ 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 comply with instructions in this report can result in suspension of permit to build. By:Date DENIAL Please see the attached report of deficiencies marked with Dlvlake necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: By: By: Date: Date: Date: ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet 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) 6O2-272O • FAX (760) 6O2-8562 iST/ G Q Q G G G jRIV BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: A. Norjft-Arrow :xisting & Proposed Structures 2. Show on site plan: ^ Proposed Slopes Isting Topography C. Property Lines rasements Indicate what will happen with scyl^excavated from pool area Detaining 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 Applied for Approved 3. Include on title sheet: A. Site Address B. Assessor's Parcel Number C. Legal Description D. Grading Quantities Cut Fill Import/Export 4. Project does not comply with the following Engineering Conditions of approval for Project No. Conditions were complied with by: GRADING PERMIT REQUIREMENTS Date: 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 1 of 2 Q Q Q Q 3 Q 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: 7. 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. Remarks Page 3 of 3 H:\Devetopmenl SwvtaB\MASTERS\CHeCKUSTS\Buikling Plancheck CWW Fofm- POOLS .doc Rev. 8/22/96 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER ADDRESS \j-lta r DATE RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) OTHER PLANNER TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING DATE ENGINEER DATE DocsJMisformj/Pianning Engineering Approvals so POLICYHOLDER COPY IN SUCt A HOB P.O. EJOX 807, SAN FRANCISCO.CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 11-21-2001 i CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT P 0 BOX 26000 SACRAMENTO CA 95826 GROW: POLICY (AMBER: 13261M-2002 CERTIFICATE H>, 88 CERTIFICATE EXPKES: 12-01-20O3 • 12-O1-2002/12-O1-2003 UICCHS6 NUMBER: » 431907 INCEPTION DATE: 12-01-2002 D.O.: SO This is to certify Hut we have issued • valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also flive you 30 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of; insurance is not an insurance policy and does not amend, extend or alter the Coverage afforded by the policies listed herein. Notwithstanding any requirement term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT XNCtUDINB DEFENSE COSTS: $1.OOO.OOO.OO PER OCCURRENCE. \ ENDORSEMENT""J2OB8 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2002 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ; / ," X \f' /SANDPIPER POOLS, INC 300-A ENTERPRISE ST ESCONDIOO CA 92029 ; o061 *V \ S*. o ^\r 1 373 S•jo *Jm £n Jl • -:.' r-. '• > m -., •-'•' j", si ,-'• '.^OOfco gs>^--fl-,-• *- T: vj ;.::;: n -I o </• -'! ^ £ %V t _D -^ ^I rf I i j I T3 3J ^Q 0^0r- fe o-n -', x w c T r; fi FT? -o b iv1 fc £ 5 g s O > r =0 rr< S5S^c??? R*> T!