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2223 CORTE CICUTA; ; CB072208; Permit
09-27-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB072208 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2223 CORTE CICUTA CBAD POOL 2552625500 Lot # $12,16000 Construction Type HINKLEY 320SF POOL/SPA 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/27/2007 JMA 09/27/2007 09/27/2007 Applicant BARBARA WHARTON 619203-1773 Owner HINKLEY TRUST 05-05-04 2223 CORTE CICUTA CARLSBAD CA 92009 Building Permit 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 $12279 $000 $7981 $000 $2000 $2700 $1 22 $000 $000 $000 $000 TOTAL PERMIT FEES $250 82 Total Fees $250 82 Total Payments To Date $250 82 Balance Due $000 BUILDING PLANS .IN STORAGE .ATTACHED Inspector ^ FINAL APPROVAL \l£7<sYDate Clearance NOTICE Please take NOTICE tha/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 permil was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set fortn 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 thai 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 lo this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad ^.635 Faraday Ave Carlsbad CA 92008 760 602 271,7 / 2718 / 2719 Fax 7606028558 Building Permit Application Plan Check No Est Value { 2-j \ Plan Ck Deposit Date JOB ADDRESS G*> <7M7} « Cf/PROJECT# SUITE#/SPACE#/UNIT# CONSTR TYPE OCC GROUP# OF UNITS » BEDROOMS # BATHROOMS TENANT BUSINESS NAME (Sec. 7031S 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}) Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations G I have iri 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 issu£d<My workers compensation insurance carrier and policy number are Insurance Co /~)/S^'p^ J-ZtS *> <^t> Policy No &/{) £<&^' ll O®6 "'' Expiration Date *? - t - ^00*5 This section need not be completed if the permit is for one hundred dollars ($100) or less CJ Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in addition to the cost of compensation damages asjuwRfSPfor in Section 3706 of the Labor code interest and attorney s fees S, JS*> CONTRACTOR SIGNATURE DATE t^^^3u^SiiffiSiH3x!$i "rfi?;V;- *~2~..*'•"-:• isH1" -litk-Jl-'Si• t*^^^^^^^^&3*$"S^«^wR^K\^S^j^-j!;^^t' 'f-***^H^fe^,-"-"***?- ri, ~ / hereby affirm that I am exempt from Contractor s License Law lor 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) a 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) O 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 O Yes d No 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 / 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 / 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 / type of work) ^PROPERTY OWNER SIGNATURE 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' O Yes n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 n Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' O Yes O No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work 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 ttiatthe above information is correct and that the information on the plans is accurate I agree tocomply with all Cityordmancesand State laws relabngtobuildingconstruction I hereby authonze 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 OSH A An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones m height EXPIRATION Every permit issued by the Building Official under (tie 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 buildjncjjitwerlr^uthonzed by such permit is suspended or abandoned at any tme after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) > APPLICANT S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 03/03/2008 Permit# CB072208 Title HINKLEY 320SF POOL/SPA Description Inspector Assignment PY 2223 CORTE CICUTA Lot 0 Type POOL Sub Type Job Address Suite Location OWNER HINKLEY TRUST 05-05-04 Owner HINKLEY TRUST 05-05-04 Remarks Phone 6195617665 Inspector Total Time CD Description 59 Final Pool Requested By FLORA Entered By JANEAN Act Comment Comments/Notices/Holds Associated PC Rs/CVs Original PC# Inspection History Date Description 01/30/2008 55 Fence/Pie Plaster 01/29/2008 53 Electnc/Conduit/Wmng 01/29/2008 55 Fence/Pre Plaster 01/25/2008 53 Electric/Conduit/Winng 01/25/2008 55 Fence/Pre Plaster 12/14/2007 23 Gas/Test/Repairs 12/14/2007 51 Excav/Steel/Bonding/Fence Act Insp Comments AP PY AP PY AP PY PA PY NEED POOL LIGHT NR PY ALARMS OK AP PY AP PY City of Carlsbad Public Works BUILDING PLANCHECK CHECKLIST POOLS Engineering BUILDING PLANCHECK NUMBER CB Q BUILDING ADDRESS PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER ' (5S 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 ir\suspen.sion of permit to build Date DENIAL Please see the attached report of deficiencies marked withJSr 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 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 JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2775 H \WORD\DOCS\CHKLSTPoot Building Plancheck Cklisl CHK24 Form BE dnr 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 6O2-2720 • FAX (760) 602-8562 Q Q Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow B Existing & Proposed Structures 2 Show on site plan Drainage Patterns B Existing & Proposed Slopes C Existing Topography C Property Lines D Easements Indicate what will happen with soil excavated from pool area E Retaining Walls (location and height) Note If excavated so// ;s not to be removed from property but regraded on s/fe, S/JOIY 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 4 Assessor's Parcel Number Legal Description 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 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 2 H WORD\OOCS\CHKLST\Pool BuiUing Planctieck CKNst CHK24 Forni BE doc Rev 8/22/96 • 4 STV OND/i I £ « ' Q Q Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q Q Q/ 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 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 Q Q 7 Remarks H \WORD\DOCS\CHKLST\Pool Building Plancheck Cklisl CHK24 Forni BE doc Rev 8/22/96 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER DATE RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION ff< $10,000.00) PtAZA CAMINO REAL CARLSBAD COMPANY STORES VRLAGBFAJRE COMPLETE OFFICE Blf ILDINO PLANNER DATE DATE License Detail . *i California Home Page 1 of 2 Thursday; Septem License Detail Contractor License # 347179 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the hn button to obtain complaint and/or legal action information • Per B&P 7071 17. only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 09/27/2007 Business Information * * THE HALCYON CORPORATION DBA PADRE POOLS 9679 MARILLA DRIVE LAKESIDE, CA 92040 Business Phone Number (619) 561-7665 Entity Corporation Issue Date 10/28/1977 Expire Date 07/31/2009 * * * License Status * * * This license is current and active All information below should be reviewed * * * Classifications * * * Class C53 Description SWIMMING POOL * * ** * *Bonding Information CONTRACTOR'S BOND This license filed Contractor's Bond number 50683 in the amc http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 09/27/2007 License Detail Page 2 of 2 f ** $12,500 with the bonding company AMERICAN CONTRACTORS jNDEfi/INITY COMPANY Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I) The Responsible Managing Officer (RMO) TH MARK JORDE certified that he/she owns 10 percent or more of the voting stock/equity < corporation A bond of qualifying individual is not required Effective Date 10/30/2003 * * *Workers Compensation Information This license has workers compensation insurance with the DELOS INSURANCE COMPANY Policy Number 01DKRM11000974 Effective Date 04/01/2007 Expire Date 04/01/20 Workers Compensation History * * * Miscellaneous Information * * * [ Date f Description 07/01/1998 CLASS B REMOVED PER REQUEST Personnel listed on this license (current or disassociated) are listed on other hcei Person neJ_List S_aJ_esP_erso.n_List Other Licenses License Number Request [contractor Name Request Personnel Name Request Salesperson[.Request Salesperson Name Request © 2006 State of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 09/27/2007 J 5 3 O Q. UJ CO 0- O §8 ct S cQ O I I o-£3 v/) s cr