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HomeMy WebLinkAbout1577 CORTE ORCHIDIA; ; CB042705; PermitCt 08-09-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB042705 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title Applicant CEG 344 MAIN STREET VISTA CA 92084 726-3360 1577 CORTE ORCHIDIA CBAD POOL 2150732700 Lot# $15,71500 Construction Type KELLY RESIDENCE 449 SF POOL ANS SPA 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Owner SHEA KELLY 1577 CORTE ORCHIDIA CARLSBAD CA 92009 ISSUED 07/13/2004 MDP 08/09/2004 08/09/2004 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 $14589 $000 $9483 $000 $2000 $2700 $1 57 $000 $000 $000 $000 $289 29 Total Fees $289 29 Total Payments To Date $94 83 Balance Due $19446 ^U/LDING PLANS _*_ IN STORAGE J£_ ATTACHED 8425 08/09/04 000? 01 02 CGP 194.46 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE mat 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 theinmposibon 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired 08-09-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Right of Way Permit Permit No RW040256 Job Address Permit Type Parcel No Start Date Insurance Expire Liability Insurance References Location 1577 CORTE ORCHIDIA CBAD ROW Subtype MINOR 2150732700 Lot# 0 Est Complete Date 07/15/2005 Traffic Control Plan Y Y GOP Status PENDING Applied 08/05/2004 Issued Expired 02/09/2005 Entered By LO Project Title Description Applicant CEG 344 MAIN STREET VISTA CA 92084 726-3360 KELLY RESIDENCE Total Fees $230 00 Total Payments To Date $000 Balance Due $230 00 Permit Fee Additional Permit Fee Other Additional Fees TOTAL PERMIT FEES $230 00 $000 $000 $000 $230 00 8425 08/09/04 0002 01 CGP 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 PER BAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 .4APR<WECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO &~\ EST VAL / <T/ *"? / C"" Plan Ck Deposit _ Validated By Date ~L Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No *_!• ' qJIpnitS Assessor's Parcel tt .POOV Existing Use Proposed Use Description of Work SQ FT #of Stories tt of Bedrooms tt of Bathrooms CONTACT PERSONS different from applicant)< -CM Name i3< , *PPLiCANT»!.££ Address City tontraotar;- Q Agent for.Cbntrjactor,-; Q Owner Q Agent for Owner State/Zip Telephone tt Fax tt Name Address 4 :jii?PROPERTY?OWNERVi a '• '• .fAtfi ,,-,; 5,3.0^8 1- & City State/Zip Telephone t ' ,.~ * ' s r\ •-- • ^ -1: \571 (JQx^ Name Address City State/Zip Telephone i (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 1$5001) Li*v>gXSC<Vm), i/v.<- 7\J«( maul it I/ISM r^'OacV Name State License tt Designer Name State License tt 1nsiL.VVddress License Class £—*- Address City •7 C-~5_5 City City State/Zip Business License tt / State/Zip TelephoneZ-//325 Telephone tt 6,,; ^WORKERS'COMPENSATION „ .; . •; ',••.,..:•- Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations fif 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 otthe work for which this permit is issued 0 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 / S7e-• n —if\fir2 Insurance Company ^rf^vW f\\MO Policy No / If W TQ/Q- 2-G6>5 Expiration Date t3^-£>/-6<T (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) n CERTIFICATE OF EXEMPTION I certify that in the ggripinunce 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>rf-CaliJi»fnia WARNING Failure to secure workers' cojnmeliflon co/efage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,OMj?fft^drtk>rf:J{PtTie cost o^ompensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE ^>^ Q^^ DATE "^ " /^ " £>*/ afesilifai^'S^^ •'•".-"- -••*• ••*-• -'••$• •• •'•-• '- '/ 1 hereby affirm that I am exenfpt from the Contractor's License Law for the following reason Q 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) Q 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(s) licensed pursuant to the Contractor's License Law) C] 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 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 I 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) DATEPROPERTY OWNER SIGNATURE [COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES Q 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 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 NO 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 _ 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 CitV 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 S'O" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisionsjjMftisCode shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 daysj at any time after the work is ~—•"""rortJaf-fl'jTrr'1 of U APPLICANT'S SIGNATURE permit or if the building or work authorized by such permit is suspended or abandoned m 106 4 4 Uniform Building Code) DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/20/2005 Permit* CB042705 Title KELLY RESIDENCE Description 449 SF POOL ANS SPA Inspector Assignment PY Type POOL Job Address Suite Location APPLICANT CEG Owner SHEA KELLY Remarks Sub Type 1577 CORTE ORCHIDIA Lot 0 Phone 7604381893 Inspector Total Time CD Description 59 Final Pool Associated PCRs/CVs Requested By ALBERT Entered By CHRISTINE ,ct_ Comment Inspection History Date 01/14/2005 12/23/2004 11/17/2004 11/17/2004 11/17/2004 09/23/2004 09/23/2004 09/15/2004 09/13/2004 Description 55 55 23 52 53 51 52 51 51 Fence/Pre-Plaster Fence/Pre-Plaster Gas/Test/Repairs Underground Plumbing Electric/Conduit/Wiring Excav/Steel/Bondmg/Fence Underground Plumbing Excav/Steel/Bonding/Fence Excav/Steel/Bonding/Fence Act AP AP AP we NR AP AP CO CO Insp JM PY PY PY PY PY PY PY PY Comments AP ON 12/23/04 ALARMS OK OK TO PLASTER BOND POOL TO FENCE RETAIN WALL BUILT W/OUT PERMIT AND INSPECTION FENCE/GATE City of Carlsbad Bldg Inspection Request For 09/13/2004 Permit# CB042705 Title KELLY RESIDENCE Description 449 SF POOL ANS SPA Inspector Assignment Type POOL Job Address Suite Location OWNER SHEA KELLY Owner SHEA KELLY Remarks Sub Type 1577 CORTE ORCHIDIA Lot 0 Phone 7608010477 Inspector Total Time Requested By HECTOR Entered By ROBIJ CD Description Act Comment 51 Excav/Steel/Bondmg/Fencer (4^ Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO (760) 602-2700 1635 FARADAY AVENUE FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? :.... YES FOR FURTHER INFORMATION, CONTACT PHONE CODE ENFORCEMENT OFFICER City of Carlsbad PubIic Wo rks - Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS 1577 C&&T& PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER 013 '2-7 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 Date DENIAL Please seefthe Attached report of deficiencies marked with D >A/lake necessary corrections to plans or Nspeeifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review 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 Linda Ontiveros City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE.(760) 602-2790 H development Services*IASTERS\FORMS \CHECKLISTS \BUILDINCPLANCHECKCKUSTFORM POOLS doc Rev 8/22/98 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 6O2-272O • FAX (760) 602-8562 D D D D D D 1 A D LOT 27 BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show North Arrow Existing & Proposed Structures 2 Show on site plarr A-^Pralnage Patterns W Existmg & Proposed Slopes (E-^Existmg Topography roperty Lines Easements ©^Indicate what will happen with soitexcavated from pool area fe-^etaining 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 Address 'Assessor's Parcel Number.VOOwOOWl O n Cll wd MIUI I IL/d * x egal Description I AXA/> wo.Lidf) trading Quantities CutGrading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan 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 2 of 3 H (Development Services\MASTERS\FORMS \CHECKLJSTS \BUILDINGPLANCHECKCKL1STFORM POOLS doc 4 STgj oNDg; nRD®1 £. v3 D D D 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date D D 5d No Grading Permit required MISCELLANEOUS PERMITS D D 6 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Wav and/or 04^07 5£? 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 D D 7 Remarks Page 3 of 3 H development Services\MASTERS\FORMS \CHECKUSTS \BUILDING PLANCHECK CKLIST FORM POOLS doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE 61 ENGINEER DATE Oocs/Misforms/Plannmg Engineering Approvals POLICYHOLDER COPY >' PO BOX 8Q/, SAN, RRANCISCQ.QA 94142-0807 COMPENSATION •.-.' - '-/••.,'• I-'" . '"' "'-> I N S U R A'NCE T J"* " '' "';'" *' F- U N D " ' . ,. . . ..:^ , --, -,. • , •.-.„ ,- CERTIFICATE OF ..WORKERS' COMPENSATION INSgRANCE >"'•-•. '-i i...iv. t"-. ."-•••: j~ •' -••,->- ... .;. A-'-' -;•'•-",., ;: ' - J'iSSUE DATE- -12-01-2003" '» ; ':'-.r'3f'--* ' ' ." "•''''"'GROUP-..;," ' ;'".'•. - .<•:• ','•'" "''"V ~- ' - •• ' 1' • -'"'V (•;•-" ; -." ' '"•' '" POLICY 'NUMBER. -'" ' ,1669510-2003 =' "' - •rv'vr ''; ?.-•' - ;-•/ ^CERTIFICATE.IO -• 1 -V . CONTRACTORS STATE' _. _ ^WORKERS'COMPENSATION^ ' ',' x • -* P-,0 BOX'26000 ; - • -\-t' , - ,, *- ": This i$ to certify that we have'jssued/a~yalidr,Vyorker's' Compensation insurance policy in a form approved by the •California ln,sujfance.J..Commission^r,.td the'einPlpyejc^named belgw for. the^pqljcy period indicated This policy is not subject to cancellation by the'Fund except upon 10 days' advance written notice to the employer '' ,- '•' •' -•• •" • i ' - ' ^ * ,.;<.' f .We will also.give you 10 days' advance_i,nptice should thjs'policy be cancelled prior to its normal expiration This certificate of ..insurance is, not an-Jnsurance,policy "and/does not amend, extend" or alter the coverage afforded by' the policies listed hereia Notwithstanding '^ny .requirement, term, or condition, of any .contract or" otheif documentwith respfccOo which this certificate of* insurance" rmay: be issued or may pertain., the insurance, afforded by the pgljcies described herein is subject to^alj; the terms;' explusions and" conditions of such policies ' ...>f' .AUTHORIZED REPRESENTATIVE:.1 ';^'':"-,'^tS " "';• "•', -:>';,* *, I--' I-,- ' • V - -; <;* -;->-:;v-,.. '. •'*•• , -«'• - '-• <•' ',- / •-,' •.•«;• •'»*--,'? -^ ,s .-.; "-• PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.' - • •' - >•' ~*.- - .''>•': .,.>' ., ", • % *-•- C E 'G LANDSCAPING -D MAIN ST ..LEGAL NAME SANTA FE GRADING INC o c ou.o IU o t^ J ^0^ -^ 3- ^< T o ^J ^ > ^ ^\Q ^s ^ ~^r i^C j -^ ^5T ^r^ A •^a^ ^V-