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HomeMy WebLinkAbout1210 PLUM TREE RD; ; CB980247; Permit/343 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION Business Name (at this address) Legal Description Sub'!:~io_;i n 7 N /e1::z3er7 (J La-(' / z_ 'L ~ 9t.-6"2.. rrrJ'Y' ,_ ,::::7 Assessor's Parcel l./ . 't / Existing Use y .J--£:"Y:.l ..... ..., s r-'-- Unit No. Phase No. Proposed Use #of Stories # of Bedrooms Total # of units # of Bathrooms Description :!::J'ork SO. FT. I-,) 2. CO~ACT ~~ltt,.£~plicant) 5"2...D ¥P.s-tfl-4t.. /JuA:~v..!c!u'J~S~~~~l..6.:~~~.:::..__/.t:__.:'Z--"==-=-.:2=--=a::....:~==:..=....!:~,,,,,_=~J.L..=..=M.=,L-...::s:=-LJ.=-· ...L..9---=2-t=.!...._Lt.J.,!__--=--.1.aC f -f.--~ Name Address City State/Zip Telephone # Fax # 3. APPLICANT ~~~ntractor ~r O Agent for Owner State/Zip Name / 2-/o Lv,,-,1 ~''-~ ~ 5. CQNT~ACTml : CO PANY NAME (Sec. 7031.6 Business and Professions Code: Any City or County w hich 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 exemp i n. Any violation of Section 7}!:)&)a~cant ~ pe~tt subjects the applicant to a civil penalty ofs.4r~ than five hu re~?s (~00 ). ') .t" Name , De,, Address City State/Zip Telephone# State License # L/(f fb/ Z) License Class C-/:S City Business License# _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of t he 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 p ·cy number are: c, ,;, /. ./ CY!J Insurance Company -~~w_j,..e::::-4--JJ.,:::::.:..._!1,,._...1...C..:.~-=-------Policy No. W 'i 7 fr/ z... f , V Expiration Date ./ '(}':1-r tJ' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 ompensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000) to the cost of compensation, damages as provided for in Section 3706 of the Joabor ce in~s~ attorney's fees. SIGNATURE: ___ :-"7"~6,.J~,e_~~~-c;.,~:...w.LJ.l.-~------------DATE /r}__.r _:::::-z_ ~ . I 7 OWNER-BUILDER DECLARA ION 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). 0 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). 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 I contractors license numberl: 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 I address I phone number/ contractors license numberl:, ______________________________________________ _ 6. 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 _________ _ COMeJ,.ETE THIS SECTION FOR NON-RESIOENT1AL 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, 26633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? D YES D 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 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. B. C..QNJ,TRUCTION LENDING AGENCY 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 Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ 9. APPLICANT CERTIFICATION 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 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 comma ed wit in 365 days from the date of such permit or if the building or w ork authorized by such permit Is suspended or abandoned at any time after the work is for a period of 180 days (Section 106.4.4 Uniform Building Code I. / ._ D,- APPLICANT'S SIGNATURE ---,,.....;~c~~;~;~:Ll~~~:2!,,....,:::::::___________ DATE /--~ -'7 e ' PINK: Finance PERMIT# CB980247 DESCRIPTION: 520 SF POOL & SPA TYPE: POOL CITY OF CARLSBAD INSPECTION REQUEST FOR 06/08/98 STE: INSPECTOR AREA PD PLANCK# CB980247 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1210 APPLICANT: HALLMARK CONTRACTOR: PLUM TREE RD POOLS PHONE: 619 674-7676 OWNER: REMARKS: C/DAN/302-7044 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE RW980029 ROW PHONE: PHONE: /lL~ INSPECTO~~·-------- STATUS ISSUED ACT COMMENTS _5_9 __ sw ___ F_i_n_a_1_P_o_o_1 __________ f ______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE 052998 043098 042398 042198 031898 031898 030498 030498 030398 DESCRIPTION Final Pool Fence/Pre-Plaster Fence/Pre-Plaster Fence/Pre-Plaster Underground Plumbing Electric/Conduit/Wiring Gas/Test/Repairs Excav/Steel/Bonding/Fence Excav/Steel/Bonding/Fence ACT INSP CO PD AP PD CO PD CO PD AP PD AP PD NR PD AP PD CO PD COMMENTS ON CARD NO GATE City of Carlsbad -■3,i·llll§§illi•l•J§•Glil,,i§lli BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB't80Z47 BUILDING ADDRESS: l'1-ID Pl/,IM1'izeE RP CAi~l..:Sl:,&D. CA 9zoo!J PROJECT DESCRIPTION: -'P-'o;..;;oc...l ________ _ 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 perm~ to build. ATTACHMENTS D Grading Pennit Application D Grading Pennit Checklist Date: Z·Z ·98 D Right-of-Way Pennlt Application 0 Right-of-Way Pennit Submittal Checklist and lnfonnation Sheet H:\WORO\OOCS\CHK1..STiool au.ling Planch9dt Ck1st CH<24 Fofl'II BE.doc DENIAL Please see the attached report of deficiencies marked ~h 0. 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: By: By: ________ Date: ________ Date: ________ Date: ENGINEERING DEPT. CONTACT PERSON NAME: HIKE YouNGv City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1161, ext. 4374 Rev. 8122198 2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 .. BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1 ST✓ 2ND✓ 3RD✓ ~ O O 1. Provide a fully dimensioned site plan drawn to scale. Show: 0 0 0 □ 0 □ □ 0 □ □ 0 □ A. North Arrow B. Existing & Proposed Structures 2. Show on site plan: A. Drainage Patterns B. Existing & Proposed Slopes C. Existing Topography C. Property Lines D. Easements D. Indicate what will happen with soil excavated from pool area E. 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 3. Include on title sheet: _____ Applied for ____ Approved A. Site Address B. Assessor's Parcel Number C. Legal Description D. 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: _________ Date: GRADING PERMIT REQUIREMENTS The conditions that invoke the need for grading permit are found in Section 11.06.030 of the Municipal code. Sa. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities ( cut, fill, import, export). Sb. 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 1\LASPALMAS\SYS'LJBRARV\ENG\WORO'OOCS\CHKI..STll'ool Bulcllng Plancheck Cldlst CHK24 Form 81:.dCJI ..,_.,,,,,. • • Page2 of2 1sr✓ 2NO✓ 3RD✓ □ □ □ 5c. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: ~ □ □ 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. □ □ □ 7. Remarks H;\WORO'DQCS\CHKi.ST Buldlng Pllneheek Cllllst CHK24 Form ee:.doe .... """"