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HomeMy WebLinkAbout1740 MAGNOLIA AVE; ; CB970879; PermitCL~ #-~-1~:<c/ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY _ tD-1 Ci' PLAN CHECK No .. _qJ~ __ o_ t L EST. VAL. '2 S ~mo -. 60 Plan Ck. Deposit /) l,. Validated ~Y'f--c=-v'::-"=------ Date. __ -",/ J/..+-...L.t.--J.--'-------- Address (include Bldg/Suite #) Business Name (at this address) Legal Oesc~tion Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ,;:Jb:,_ -,:1 sc, -,'.l.O ~sses~or'f Parcel# . ~ Ou-.~\~' .Sv.-·,,-,"v ~'-)CJ(J,L Existing Use ~-El- Proposed Use Description of Work SQ, FT. #of Stories # of Bedrooms # of Bathrooms Name Address City Fax# ~;s:'i:,i.11l!Il!l~ll'Ji!m:Jll11f~ri!t~-gii_ij~~j!!!!ffiltmn',,,itiowrte~:: ;(;;!n;l>ige~'t'!oioivner State/Zip Telephone# Name Address City State/Zip Telephone# (Sec. 7031.6 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 [$5001J. Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ lz~2b~~-i~ill/11~14J~lliik~i.ili1E,A~t;;;;:;~1~!;'.: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. 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: Insurance Company______________________ Policy No. ____________ _ Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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 clvll fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damages as provided for In Section 3706 of the labor code, Interest and attorney's fees. SIGNATURE·------------------------------,,,,D,>A, ·T·E<-,;.;:;,;,-,;,;:--=---~~~ffli,!lflljJli9.f&f{ffilffljfffilJL½'!i~~TI[,~R~!1)il4ii0:1(6i:~i;1,d:;:'.~iH~F]1!½[:~i:~'ifi:'.'.~L)'.'./ · · ·"' .:-;,;: I hereby affirm that I am exempt from the Contractor's License law for the following reason: D 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). 15a 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 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 / address / phone number/ contractors license number):. ___ -,_,.._,... _________________________________________ _ 5. otlowing persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE DATE ij:(jlfflmffliljj~- 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 D NO ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualitv management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 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 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 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 Bui~cjing fficial 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 com need thin 365 da_:p.-ff m 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 · com ced for a perfod o 180 d,ays (Section 106.4.4 Uniform Building Code). ,, ../ _ .. ~--., __ APPLICANT'S SIGNATURE · -tP'~ . -C<-~~ DATE ,Y •· /J -y' 7 WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970879 FOR 05/08/98 DESCRIPTION: 800 SF POOL AND SPA AND UPGRADE ELECTRICAL PANEL TYPE: POOL INSPECTOR AREA DC PLANCK# CB970879 OCC GRP CONSTR. TYPE VN STE: LOT: JOB ADDRESS: 1740 APPLICANT: FRIESEN, CONTRACTOR: OWNER: REMARKS: C/RUSSEL/ SPECIAL INSTRUCT: MAGNOLIA AV RUSSELL PHONE: / ;f PHONE: 619 434-249£5 PHONE: a INSPECTO ~--'----""--------=~ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _5_9 __ sw ___ F_i_n_a_1_P_o_o_1 __________ i ______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE 062497 052297 052297 052097 051597 051597 051597 DESCRIPTION Final Electrical Electric/Conduit/Wiring Underground Plumbing Final Combo Electric/Conduit/Wiring Underground Plumbing Excav/Steel/Bonding/Fence ACT INSP AP DC AP DC AP DC NS TP NR DC AP DC AP DC COMMENTS RES 5/21 City of Carlsbad M #i el· I 1,144 I lei· 1•14·&141,, [4,11 BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB q 7 -,?-7 J BUILDING ADDRESS: / 7 '-{ c PROJECT DESCRIPTION: Pool -------------- ASSESSOR'S PARCEL NUMBER: 2... OS-;1. 3 o -2 o 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 sus~n oJ~rmlt to build. By: (b. ~ . Date: tf lcz/9 7 ATTACHMENTS D Grading Permit Application D Grading Permit Checklist D Right-of-Way Permit Application □ Right-of-Way Permit Submittal Checklist and Information Sheet ' DENIAL Please see the attached report of deficiencies marked with D. Make 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: Date: -------- By: Date: -------- By: Date: -------- ENGINEERING DEPT. CONTACT PERSON NAME: MICHELE MASTERSON City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1161, ext. 4315 2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 ·-·----------- ✓ □ ✓□ □ □ □ □ □ □ BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawny-scale. Show: ✓.',,,North Arrow -6. j?roperty Lines \~ Existing & Proposed Structures ...a;"( E Easements D V:- /J 14 fee. ,--: /b 2. Show on site plan: rainage Patterns ;J o1"° c? ! q 11 ~ Indicate what will hte: ~h Existing & Proposed Slopes Existing Topography / soil excavated from pool area v' ~-Retaining Walls ,rv(it (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. lnJlude on title sheet: Mite Address ~ Assessor's Parcel Number ,/C . .,..Legal Description 1-1{~ Grading Quantities Cut ____ Fill ___ Import/Export i· Project does not comply with the following Engineering Conditions of approval µ { }'1 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. □ /J I~· Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, I, export). . □ ~ k~ 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 of2 Rw.a/22198 • • Cl ✓□ Cl Cl ~/A 5c. A Grading Permit has been applied for: PE2 ~rading Inspector sign off by: "'1. No Grading Permit required. MISCELLANEOUS PERMITS DWG --------Date: ~ A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or Jv f 14 private work adjacent tot he public Right-of-Way. A separate Right-of-Way issued by the Engineering Department is required forthefollowing: /Joe {2E(pw1/.<c-e ''Pe-.< /U,,r~ {..oC,_,>- 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. /2. Remarks /Jj/ {eo/Z.K /f,,-,D :S'roa_ PJ-C-E 't'c i!> <F Page 2 of 2