HomeMy WebLinkAbout1776 Forest Ave; ; CBR2017-2545; PermitPrint Date: 12/27/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1776 Forest Ave
BLDG-Residential
1562704500
$19,384.30
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: Pool
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#:
Description: CUNNINGHAM: 370 SF GUNITE SWIMMING POOL
Owner:
CO-OWNER CUNNINGHAM MARK AND CRISTI
1776 Forest Ave
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
CARLSBAD, CA 92008
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
581473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-MEDIUM
Total Fees: $733.74 Total Payments To Date: $733.74
Status:
Applied:
Issued:
Fina led:
Inspector:
Contractor:
MORGAN FAMILY POOLS
322 S Ditmar St
Oceanside, CA 92054-3128
760-696-3598
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired.
Permit No: CBR2017-2545
Closed -Finaled
10/24/2017
11/01/2017
A Krog
$0.00
$203.66
$142.56
$41.00
$49.00
$1.00
$2.52
$238.00
$56.00
THE FOLl.OWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0ENGINEERING 0 BUILDING 0 FIRE O HEALTH
. ( Cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
Plan Check No. C £3(2-;;:).on .. .;l.5
Est. Value
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS ~, _,1_ _ _ _ <''l... 3"'2..""2... S, U\·\ 1v-q-CT.
CITY
ADDRESS
CITY STATE
PHONE FAX
Plan Ck. Deposit
www .earls bad ca. gov Date
# OF UNITS # BEDROOMS
GARAGE (SF)
ZIP
SUITE#/SPACE#/UNIT# APN
II BATHROOMS
PATIOS (SF)
TENANT BUSINESS NAME
FIREPLACE
YESQ
CITY c_C,\rl S ~d_ ST~
FAX
hC> 12..9-Dl, b -
CITY o~~~•4. STATE CA--
FAX b~b -~ ~
s--DO
CONSTR. TYPE OCC. GROUP
ZIP
FIRE SPRINKLERS
YES O NoO
EMAIL EM
::,~ (l ho~l
STATE LIC.11 CLASS CITY BUS. LIC.#
C...'53 LOS "'2...?0 II "2--
(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 sip;ned statement tnat 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 fhat 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]).
Worker.li_' Compensation Declaration: I hereby affirm under penafty 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 lhe Labor Code, for the performance of the work for which this permit is issued. D 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 workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date ----------
This section need not be completed if the permit is for one hundred dollars ($100) or less.
1':1certificate 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
eafrornia. WARNING: Failure to secure worke '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, dam s s provided lor n Section 3706 of the Labor code, Interest and attorney's fees.
RS CONTRACTOR SIGNATURE Lu....__ D AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
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 Of offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himseff 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).
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 projecls with contractor(s) licensed pursuant to the Contracto(s License Law).
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 0No
2. I (have I 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 I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinale, supervise and provide the major work (include name I address I phone I 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 narre I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE 0AGENT DATE
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? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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 certifythatl have read the application and state that the above info,mation is correct and that the info,mation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative 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 pem,lt is required for excavations (11/ef 5'0' deep and demolition or construction of structures aver 3 stories in height
EXPIRATION: Every pem,it issued by the Building Official under the provisions of this Code shall expire by [imitation 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 bui i(1g or work aulh · such pennlt 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) .
.Ji! APPLICANT'S SIGNATURE DATE I ~ "Z,'-( I , ;
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CEnT,FJCATE OF OCCUJ>i\NCY (Cornmcrc;<1I ProJCC15 0 ,, j y J
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR {On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
AS APPLICANT'S SIGNATURE DATE
t...:.;i:~-'<'' n, • I •'" .'" .,.., '"'.: f\~{1' ·:~;,~\·;,(\\ "':~~,>' •' ' '' ~ ~ ' ,_ ' 1' ' ' ' (: . . . · ".·t.~. ··PERMIT INSPECTION HISTORY REPORT (CBR2017-2545)
.. ~ o '•"\. I ' ,1 ~~,,__~1 ( ••t·+~ -:i ~ _':_,! • ' ~
Permit Type: BLDG-Residential Application Date: 10/24/2017 Owner: CO-OWNER CUNNINGHAM MARK
AND CRISTI
Work Class: Pool Issue Date: 11/01/2017 Subdivision: LEBARR ESTS UNIT# 1
Status: Closed • Finaled Expiration Date: 06/25/2018 Address: 1776 Forest Ave
Carlsbad, CA 92008-1015
IVR Number: 7168
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
11/08/2017 11/08/2017 BLDG-SW-Pre-Con 039880-2017 Passed Andy Krogh Complete
11/28/2017 11/28/2017 BLDG-51 041597-2017 Passed Andy Krogh Complete
Excav/Steel(Pools)
BLDG-52 Pool 041691-2017 Passed Andy Krogh Complete
Plumbing
12/19/2017 12/19/2017 BLDG-55 043767-2017 Passed Andy Krogh Complete
Fence/Preplaster
12/26/2017 12/26/2017 BLDG-54 044338-2017 Cancelled Chris Renfro Reinspection Complete
Equipotential
Bond(Pools}
BLDG-Final 044339-2017 Cancelled Chris Renfro Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
12/27/2017 12/27/2017 BLDG-54 044389-2017 Passed Chris Renfro Complete
Equipotential
Bond(Pools)
BLDG-Final 044390-2017 Passed Chris Renfro Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
December 27, 2017 Page 1 of 1
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT ANO TO
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY Cl ARLSBAD.
PRINT
0 SIGNATURE
E-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
CB (lJD{]-J5L/':J
SW _
BEST MANAGEMENT PRACTICES (BMP} SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials
BMPs Control BMPs Management BMPs Pollution Control BMPs
C: ..... C: C: 0 ..... 0 0 :;:; C: C: -0 :;:; :;:; 0, C V "C V "C Cl) C: u u C: C: 01 E C: E C: ..... C ::J ::J 0 :a ·.::: ,Q.. C C C ..... V E V ... ... :;:; .... ::!= -0 Cl) 01 .... ..... ..... C: ' ::J >.. 01
C: V ,._ V ::s Cl) en Cl) C ·.::: CT ,._ C C: Cl C. V .E C: > .... V 0 Co ·.::: c: en 0 w C: Best Management Practice* ad .s C CD C. 0 ... V -~ :;:;
Cl) 3:: en ,._ ,._ Ov V ..... Q.) C ..... ..c .s I-E Q) 0 .S (.) ... (.) en 0 "C "ijj Cl) ::!= C: Q.) C:
(BMP) Description -"7 Cl) u V (/) Cl) O"> Q.) 0, CD 0 C: 01 C: "C Cl) 3: C: 0 :::, V ..... Q.) V 3 ~v C Q) ..... 0 0 3::c ,._ 0 "Cw "C >.. 0 Cl) C: C: 0 > ~E ,._ u 0 0 0 Q.) :;:; 0 C: 0 CD (/) ·-O"> 0--Cl.) ........ :!3 0 (.) Q) Cl :"§ ~ 0 Q.) ~ 0 01 C: Q) 0::: E 0 E] N Cl) c,:;::. Q) ·o.. ,.__ 3: Q.) )( Q) u ~.s a.. 0 0 ~ ..... ::J ..0 = en =3:: .... --:0 ·.::: 01 V Q.) LL. -~ "ijj C: C .... 0 ~ .... ..... "C ..c C: u ... Q) ::J "C ·-Q.) ·--c Q.) ..... u C: Q.) ..... "C 0 C. > ......... ..0 .... ..0 0 ..... u ·-.... C ·-0 V .._ u 0 0 +'·-"C Q) V Q) u C: ~t ..... ..... 0 ..... 0 = C: ·-C: ~ '-0 0 ..... ..0 0 !; 0 00 0 Cl Bo 0 C 0 ..C V o...., 0 C. 0 QC (I) 0 '-Q.) ..c '-0 ..... '-..... C: 3: a:: Q.)_ ..... 0 WO 17i in (/) u G: 0 en> (/) (/) a.. (/)_ (/) 0::: a..o a.. >CJ ::!= (/) ::!= (/) (/) (.) (/) ::!=
CASOA Designation -"7 r--(X) 0) -I"') -.d-I{') r--(X) 0 N -I"') r--(X) -N 10 v I{') --co --I I I I I I I I I I I I I I I I I I I I I I I u (.) (.) (.) w w w w w w w w ~ ~ (/) (/) (/) (/) ~ ~ ~ ::!= ::!=
Construction Activity w w w w (/) (/) 1./) (/) 1./) (/) 1./) 1./) z z z z 3::: 3:::
~ Gradinq/Soil Disturbance ;?<. '><
\t Trench in Q /Ex cave tion IY
Stockpilinq
Drillina /Borina
Concrete/ Asphalt Sawcuttinq
Concrete Flatwork
Pavinq
Conduit/Pipe Installation
Stucco/Mortar Work
Waste Disposal
Stagina/Lay Down Area
Eauioment Maintenance and Fuelina
Hazardous Substance Use/Storaqe
Dewaterinq
Site Access Across Dirt
Other (list):
Instructions:
1. Check the box to the left of all applicable construction activity {first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association {CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them . to the project.
PROJECT INFORMATION
Site Address: 111 Li f:or-"s+-~
V ..... Cl)
C 3: ..... C: Cl) Q.)
::i E Ov "C Cl
::; 0
N C: 0 0 :r: ::!=
co
I ~
SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE
ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN.
SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE
EROSION CONTROL PLAN.
Assessor's Parcel Number: l 5 (o-1. 1 D -4-.f ~ -Oc
-BMP's are subject to field inspection-
Emergency Contact:
Name: K-\. (V\. o-r lbY\"\~-rJ °'I"'
24 Hour Phone: 6 bO) b~ (,,.... 359?
Construction Threat to Storm Water Quality
(Check Box)
~EDIUM O LOW
V ..... Cl) C-+-' 3: C: Q.) VE -+-' V
Q) Cl b 0
C: C: 0 0
U::!=
(X)
I ~
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