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2785 CREST DR; ; CB004787; Permit
712/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB004787 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2785 CREST DR CBAD POOL 1561523100 Lot# $46,724 00 Construction Type HOPPE RES-1410 SF POOL/SPA + 264 SF-2 PATIOS 0 NEW Applicant AKS LANDSCAPE & DESIGN STE 102-401 825 COLLEGE BLVD OCEANSIDE CA 92057 760-433-3252 Status ISSUED Applied 12/18/2000 JM 01/10/2001 01/10/2001 Entered By Plan Approved Issued Inspect Area PD Owner CARTER THOMAS J JR C/O CAROL MERRITT 11791 RED HILL AVE SANTA ANA CA 92705 1261 02/12/01 0002 01 02 Total Fees $1,048 86 Total Payments To Date $1,017 34 Balance Due $31 51 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 TOTAL PERMIT FEES $383 43 $000 $249 23 $000 $2000 $2700 $467 $000 $000 $364 53 $1,04886 Inspector FINAL APPROVAL Date 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 capactiy 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 01/10/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Right of Way Permit Permit No RW010011 Job Address Permit Type Parcel No Start Date Insurance Expire Liability Insurance Reference* Location Project Title Description 2785 CREST DR CBAD ROW 1561524100 05/01/2001 Y CB004787 POOL & SPA Subtype MINOR Lot# 0 Est Complete Date Traffic Control Plan Y GOP Status ISSUED Applied 01/09/2001 Issued 01/10/2001 Expired 04/30/2001 Entered By TNKW Applicant AKS LANDSCAPE & DESIGN STE 102-401 825 COLLEGE BLVD OCEANSIDECA 92057 760-433-3252 8669 01/10/01 0002 01 02 CGP 210.00 Total Fees $21000 Total Payments To Date $000 Balance Due $21000 Permit Fee Additional Permit Fee Other TOTAL PERMIT FEES $21000 $000 $000 $21000 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 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 ;^ PROJECT INFORMATION :« FOR OFFICE USE ONLY PLAN CHECK NO EST VAL _ Plan Ck Depos Validated Byjs, Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description*^ Work 2 CONTACT PERSON (if different from applicant) SQ FT #of Stories Bathrooms State/Zip Telephone #Fax # Nama*' ~" fadrfss City State/Zip Telephone # 'SUBCONTRACTOR - 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 tpa civil penalty of not more than five hundred dollars [$500]) Name State License # Address License Class City State/Zip City Business License # elephone # Designer Name Address City State/Zip Telephone State License # (l^^f^y*? \G' WORKERS'COMPENSATION '• . 1^, ' "•"•"• "1ft. .J: • .-K*" .' Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 13i 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 >v^rt/£—f\- Policy No \VvL/'\^C/' U ~f"'\?(^' Expiration Date /? f~6'<]~ &at)*/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure/to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars if/IOO.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE V> Ujfl^y^// DATE \&^l$^fll) 7= OWNER-BUILDERJDECLARATION :;:;; "Ifc- "" ' ' -f '^"" I hereby affirm that I am exempt from the Contractor s License Law for the following reason f~1 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) CD 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) n 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 l~l YES I~|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 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 FOR NON-RESIDENTIAL BUILDING PERMITS ONLY* :SS, "* « ll^ U.; "'*" 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? [D 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 l~l NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site' O 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 8. i CONSTRUCTION LENDING AGENCY ""'yr~ ' ' :Vi\:, ':-:,s '::N:: • • ' r" ^ 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 APPLICANT CERTIFICATION « " ..... *"- " "r:;i;;: '" 'Vf" : 'I ...:,.. :: ' ..... : ...... ,..: i» I certify that I have redd 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 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>6ommenced 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 cp^rime'nced for^a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance ' PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 rPROJECf WFbRMATJbN 2,7 £T FOR OFFICE USE ONLY PLAN CHECK NO. EST VAL Plan Ck Deposit Validated By_ Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel tt Existing Use Proposed Use Description of Work £.r. ^Qj^CTjjpEBsbN (it[aiffafent jfrofn applicant) SQ FT #of Storfes #'of Bedrooms tt of Bathrooms Name Address City (3 /APPLICANT 7-tCD Contractor . Q;Agent for Contractor, Q::0wner:i- .Q:Agent forip-wner State/Zip Telephone tt Fax tt Name 4;:-:;riijBOP'i Address City State/Zip Telephone tt .'?. K- •• '' •• Name Address City e/Zip Telephone tt (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 tt Address License Class City State/Zip City Business License # Telephone tt Designer Name State License tt Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 n 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) CD 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 as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE DATE 7 fcOWNER-ByiLDER^DECLARATiqN ;. .„.:„.:„. ".. 1 ",. ..........::;*:l.. .< :Jl ., ;1? •>.„. J. ..:...:::.:i.L.-:' ". • "••"" ' ..J'.'" * ^ I hereby affirm that I am exempt from the Contractor s License Law for the following reason M-5 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 HSec 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) n 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) l~l 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 WYES fjNO 2 Inhaval/ 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 (hirecj^ the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE CpMPLETE THIS SECfioN FOR NON-HtslOtHIIAL BUILUINU PfcHMFTS 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? O 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? d YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD 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 •8;FTCbNStRUlCtibN LENDING AGENCY ":" :""~ ' '-" - ••' ;; 'j'? ;""•" T" -•..•?,-- •< ,., ,- •••• - • ,,.M -„• , ,. - , £..:,."'». 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 requiredjarexcavations over 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by theNbuildmg Official undar the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is nfct commenced within 180 days frdhyWie date of such permit or if the building or work authorized by such permit is suspended or abandoned mmencdeir a perjojd of 18{MlflJs'(pection 106 4 4 Uniform Building Code)at any time after the work is APPLICANT'S SIGNATURE WHITE File*' YELLOW Applicant PINK Finance DATE 00 City of Carlsbad Final Building Inspection OfA- 6 200I Dept- Building Engineering Planning CMWD St Lite Fire Plan Check* Date 04/06/2001 Permit # CB004787 Permit Type POOL Project Name HOPPE RES-1410 SF POOL/SPA + Sub Type 264 SF-2 PATIOS Address 2785 CREST DR Lot 0 Contact Person ALEX Phone 7608225422 Sewer Dist CA/—\ Water Dist CA Tit i Y OF CARLSBAD'DEPARTS. Inspected By Inspected By Date Inspected Date Inspected Date Inspected |_ Approved Approved Approved Disapproved Disapproved Disapproved Comments City of Carlsbad Bldg Inspection Request For 05/04/2001 Permit# CB004787 Title HOPPE RES-1410 SF POOL/SPA + Description 264 SF-2 PATIOS Inspector Assignment PD 2785 CREST DR Lot Type POOL Sub Type Job Address Suite Location APPLICANT AKS LANDSCAPE & DESIGN Owner HOPPE PATRICK W&MARIA E Remarks Phone 7608225422 Inspector Total Time Requested By ALEX Entered By CHRISTINE CD Description 59 Final Pool Act Comments Associated PCRs Inspection Historv Date 04/25/2001 04/24/2001 04/19/2001 04/18/2001 04/06/2001 01/19/2001 01/19/2001 01/19/2001 01/19/2001 01/18/2001 01/18/2001 Description 55 Fence/Pre-Plaster 55 Fence/Pre-Plaster 55 Fence/Pre-Plaster 55 Fence/Pre-Plaster 59 Final Pool 51 Excav/Steel/Bondmg/Fence 52 Underground Plumbing 52 Underground Plumbing 53 Electric/Conduit/Wiring 51 Excav/Steel/Bondmg/Fence 52 Underground Plumbing Act AP NS NS CO we AP AP AP AP CO CO Insp PD PD PD PD PD PD PD PD PD PD PD Comments REINSPECTION FEE DUE SEE NOTICE ATTACHED CO ON PRE-PLASTER, SEE ATTACHED NOTICE SEE NOTICE ATTACHED City of Carlsbad Bldg Inspection Request For 04/06/2001 Permit# CB004787 Title HOPPE RES-141OSF POOL/SPA + Description 264 SF-2 PATIOS Inspector Assignment PD 2785 CREST DR Lot Type POOL Sub Type Job Address Suite Location APPLICANT AKS LANDSCAPE & DESIGN Owner HOPPE PATRICK W&MARIA E Remarks Phone 7608225422 Inspector. Total Time Requested By ALEX CD Description 59 Final Pool Act 0)C £0I Comments /Vt pf*l Entered By CHRISTINE ^-fcfl^ co. Associated PCRs Inspection History Date Description Act Insp Comments 01/19/2001 51 Excav/Steel/Bondmg/Fence 01/19/2001 52 Underground Plumbing 01/19/2001 52 Underground Plumbing 01/19/2001 53 Electric/Conduit/Wiring 01/18/2001 51 Excav/Steel/Bondmg/Fence 01/18/2001 52 Underground Plumbing AP PD AP PD AP PD AP PD CO PD SEE NOTICE ATTACHED CO PD CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE DATE I "( LOCATION "PERMIT N.60/y- (760) 602-2700 1635 FARADAY AVENUE TIME 77 lib uu MIX ^{pot FOR INSPECTION GALL (760) 602-2725 RE-INSPECTION FEE DUE? FOR FURTHER/INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® City of Carlsbad Bldg Inspection Request For 04/18/2001 Permit# CB004787 Title HOPPE RES-1410 SF POOL/SPA + Description 264 SF-2 PATIOS Inspector Assignment PD Type POOL Sub Type Job Address 2785 CREST DR Suite Lot 6 Location APPLICANT AKS LANDSCAPE & DESIGN Owner HOPPE PATRICK W&MARIA E Remarks Phone 7608225422 Inspecto Total Time CD Description 55 Fence/Pre-Plaster Requested By ALEX Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description 04/06/2001 59 Final Pool 01/19/2001 51 Excav/Steel/Bonding/Fence 01/19/2001 52 Underground Plumbing 01/19/2001 52 Underground Plumbing 01/19/2001 53 Electric/Conduit/Wiring 01/18/2001 51 Excav/Steel/Bonding/Fence 01/18/2001 52 Underground Plumbing Act Insp Comments WC PD CO ON PRE-PLASTER, SEE ATTACHED NOTICE AP PD AP PD AP PD AP PD CO PD SEE NOTICE ATTACHED CO PD CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE DATE - o f V LOCATION, PERMIT NO &2* (760) 602-2700 1635 FARADAY AVENUE TIME OFP p -r^ 4 A--T FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? >X YES FOR FURIHER INFORMATION, CONTACT &02 '2*7° C? • BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © City of Carlsbad Bldg Inspection Request For 01/18/2001 Permit# CB004787 Title HOPPE- POOL&SPA1410SF Description Sub Type 2785 CREST DR Lot Type POOL Job Address Suite Location APPLICANT AKS LANDSCAPE & DESIGN Owner CARTER THOMAS J JR Remarks Inspector Assignment Phone 6198517795 Inspect Total Time CD Description 51 Excav/Steel/Bondmg/Fence 52 Underground Plumbing Act Comments Requested By RUSS Entered By ROBIN Associated PCRs Inspection History Date Description Act Insp Comments NOTICE CITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE l ' 0 ^ f TIME. LOCATION o? 7 Jf b L^/£ 5 "77 PERMIT NO AJ (> 0 TfcM , / / —\FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? I YES 5WTIFOR BORTHER INFORMATION, CONTACT. PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER BUILDING ADDRESS PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER 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 witW LJ/ 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 i D Grading Permit Application D Grading Permit Checklist D Right-of-Way Permit Application D Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT. CONTACT PERSON NAME TANIYA WADE City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2773 H \WORD\DOCS\CHKLST\PooLBuildina Planchedc Cklist CHK24 Form PMH.doc 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 2ND^ /oRD^/ 3 Q 1 Provide a fully dimensioned site plan drawn to scale Show North Arrow £Z. Property Lines ^Existing & Proposed Structures Easements - Q Q 2 Show on site plan -A^Dramage Patterns ,J9-- Indicate what will happen B Existing & Proposed Slopes soil excavated from pool area ^X"E~xistmg Topography ^—-Retaining 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 ^Assessor's Parcel Number 'Legal Description Grading Quantities Cut _ Fill _ Import/Export Q Q 4 Project does not comply with the following Engineering Conditions of approval 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 Q Q 5a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut, fill, import, export) Q Q 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 * STV 2NCV 3RCV Q Of Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q 5d No Grading Permit required MISCELLANEOUS PERMITS Q 6 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent tot he public Right-of-Way d)| A separate Right-of-Way issued by the Engineering Department is required VI 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 7 Remarks Page 2 of 2 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB PATE lZ.-z.ig - ADDRESS RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE \Z-Z.tg -00 ENGINEER DATE Docs/Mlsforms/Plannmg Engineering Approvals 75&£QBDm CERTIFICATE OF LIABILITY INSURANCE PRODUCER R.D. HANSON INSURANCE AGENCY 362 W. MISSION, SUITE 206 KEITH HANSON, AAI ESCONDIDO CA 92025 760-747-8882 INSURED .... , . . , „AKS Landscape And Design, Inc. dba: AKS Pools 825 College Blvd. #102-401 Oceanside CA 92057 760-433-3252 i DATE (MM/DD/YY) 01/01/2000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A PAULA Insurance Company INSURERS INSURER C INSURER 0 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSHOJH. A A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ] CLAIMS MADE | | OCCUR GEN'L AGGREGATE LIMIT APPLIES PER "HPOUCY! IJI& | ILOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS t GARAGE LIABILITY ANY AUTO EXCESS LIABILITY [ OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY CALIFORNIA OTHER EMPLOYER PRACTICE LIABILITY POLICY NUMBER TWC 501-8736 TWC 501-8736 POLICY EFFECTIVEDATE IMM/DD/YYI 01/01/2000 01/01/2000 POLICY EXPIRATIONDATE flWM/DD/YYI 01/01/2001 01/01/2001 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY(Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE(Per accident) AUTO ONLY EA ACCIDENT nTHPB THAW E* ACC AUTO ONLY AGQ EACH OCCURRENCE AGGREGATE v 1 WCSTATU- 1 OTH* 1 TORY LIMITS 1 ER E L EACH ACCIDENT E L DISEASE • EA EMPLOYEE E L DISEASE - POLICY UMIT $ $ s s s $ $ $ $ s $ $ $ $ > s s $ s 1,000,000 S 1,000,000 $ 1,000,000 EACH OCCURANCE 100,000 AGGREGATE 100,000 DEDUCTABLE 1,000 DESCRIPTION Of OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Landscape Contractor. CERTIFICATE HOLDER ADDITIONAL INSURED. INSURER LETTER CANCELLATION Insured1* Copy For Bid Requests. \ 'CORD 25-S (7/97) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES */ \ . AUTHDaBEB^PHESENWHlVe .^L I / ,'1M^^S^***?*-S f "^ 1 '—• ©ACORD CORPORATION 1988 oe. V5