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Home My WebLink About1428 PINE AVE; ; CB040445; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-02-2004 Pool Permit Permit No: CB040445 Building Inspection Request Line (760) 602-2725 Job Address: Pennlt Type: Parcel No: 1428 PINE AV CBAD POOL 2050204800 Status: Lot#: 0 Applied: Valuation: $23,625.00 Construction Type: NEW Entered By: ISSUED 02/10/2004 MOP 03/02/2004 03/02/2004 Reference #: Project Trtle: Applicant HALLMARK POOL 12580 STOWE DR POWAY CA 92064 Building Pennlt KENNEDY RESIDENCE 675 SF POOL AND SPA Add'I Building Pennlt 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 TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: KENNEDY PHILLIP W&SUSAN M 1428 PINE AVE CARLSBAD CA 92008 , .· $20i.49 ,$0.00, $134.87, $0.00 $20.00 , $27.00 $2.36 ' ,$0.00 $0.00 $0.00 $0.00 $391.72 Total Fees: $391.72 Total. Payments To Date: $134.87 Bal.ance Due: $256.85 '6542 03/02/04 0002 01 02 CGP 256-85 Inspector: Date: Clearance: ------ NOTICE: Please take NOTICE that approval of your project Includes the "Imposition• of fees, dedications, reservatlons, or other exacttons 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 l:n Government Code Section 66020(a), and rue the protest and any other required Information with the City Manager for processlng In accordance with Carlsbad Municipal Code Section 3.32.030. Fanure 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/e)(8Cjjons DOES NOT APPLY to water end sewer connection fees and capacity changes, nor planning, zoning, grading or other similar appllcetlon processing or service fees In connection with this project NOR DOES fT APPLY to any PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Validated By ___ --r-.\C~~=------ Date _____ ____!!e::~,._,~-M""---- 1. PROJECT INFORMATION :>O J2 10 Jl! Business Name (at this address) 3 e.... Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms Name 3. Name 4. Name 5. CONTRACTOR • COMPANY NAME fo7b City 0 Owner O Agent for Owner Address City City State/Zip ax # State/Zip Telephone # State/Zip Telephone # (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 Anv. v· lation of Se tio 031.5 y any applic for a permit bjects the applicant to a civil penalty of not ore than five hundred dollars ($5001). ~-LI-u.AA..il~~-1..l.~~~~~0~·£.U.L.\.U-...-~~--Ll.~~~.L-,_.J.OLI~-.:::l~=-=-~-~l ~ Name State/Zip Telephone # /.,1} "Qb3 Designer Name Address City State/Zip Telephone State License # [ / 2 7/ 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 the Labor Code, for the performance ~ the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thi p issued. My worker's c 'flP nsa ·on insur carrier and policy n ber are: } Insurance Company • Policy No. ) s~ ~ 3 !!S Expiration Date O I 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 Work, rs' Compensation Laws of California. WARNING: Failure to cur coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 ,00 f compensation. damages as provided for in Section 3706 of the Labor c de, in rest and attorney's fees. SIGNATURE DA TE __ -0-,1-4-1.,,Y-J...__,__ 7. OWNER-BUILDE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 O NO 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 I address I phone number I 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 I address I phone number 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 name / address / phone number/ type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ------------------------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? 0 YES O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO IF ANY OF THE A NSWERS 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. CONSTRUCTION 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 Code). 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 t building Official under lhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not c~n d within O da rom the date of such permit or 1f the building or work authorized by such permi is su pended or abandoned at any time after the work is com nenc')d ~f 181 ays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ___ _..._...._,µ...~-=--+---- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB040445 Title: KENNEDY RESIDENCE Description: 675 SF POOL AND SPA For: 01/04/2005 Inspector Assignment: JM --- Type: POOL Sub Type: Phone: 7605337538 Job Address: 1428 PINE AV Suite: Location: Lot Inspector:. JVV\ 0 ---- OWNER KENNEDY PHILLIP W&SUSAN M Owner: KENNEDY PHILLIP W&SUSAN M -' Remarks: Total Time: CD Description 59 Flnal Pool Act Comment Requested By: PHIL Entered By: CHRISTINE #------- Associated PCRs/CVs lnsoectlon Hlsto!Y Date Description 12!.22f2004 59 Final Pool 12/17/2004 69 Flnal Pool 07/08/2004 23 Gas/TesVRepafrs 06/18/2004 55 Fence/Pre-Plaster 041'i61'2CJ04 23 Gas/Test/Repairs 04/l6l2004 62 Underground Plumbing 04/26/2004 53 Electric/Conduit/Wiring 04/02/2004 51 Excav/SteeVBondlng/Fence 04/01!2004 51 Excav/SteeVBondlng/Fence 03/30/2004 61 Excav/Steel/Bond!ng/Fence Act CA co AP AP AP WC PA AP NS co lnsp Comments PD JM LATCH TO BE 601N & LOW VOLT <10FT. JM FlREPIT PY OK TO PLASTER ALARMS OK NEED FIREPIT AJA TEST JM EQUIP ONLY -NO RECORD CARD JM JM PD PD JM NOGATE BUILDING PLANCHECKGHECt:{LIST '' '• ·.-·: ·.·; '' POOLS . 1: ', BUILDING PLANCHECK NUMBER: C.B 04 _oqqs •'' BUILDINGADDRESS: /Lj~ ~/~ )a.L . .. ' .. · : :;t\~tP:t::'.? "·. ,. ·. • •• '1-· .. ·'.'_'f•' ' .. --1 ' '.·. ' . ~~ :• ~ :~·:· ~ ..... :: :· : PROJECT DESCRIPTION: Pool ASSESSOR'S PARGEL NUMBER: ' Q • ' ....... · 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 Jnsure continued conformance with appllcable codes. Please review carefully all comments attached, as failure to comply with, Instructions In this report can =u~~bul~~a~,PJJ&(at/ ATTACHMENTS GracUng Permit Appllcatfon Grading Pem:ilt Checklist Right-of-Way Permit Appllc;:atlon Right-of-Way Permit Submittal Checklist and Information Sh,et Please see ~ched report_ .of deficiencies._:· :: ._ - m~rked wf~e n~ry __ co~ctlo~ ~_:_·· > .'' · -::_ plans, · or specifications for "compliance. ·-with: · ,_: ·: · appllcable,codes and standards'. Submit ~riected · .. -·, --~-· · · plans and/or specifications to this office for, review.·:_·,·, ': · · : . a/~~~·· [~,~:~~~ •. :. ,· ... By:, ' ' Date(-, -. ."' '', ':'.> ._:- By: _ -; . ( -_ ',., ·, ·. "-~-·.: ... .', _______ ._'Date: __ -:''·--~' ' ; ' -~ ~ . . ·-ENGINEERING DEPT. CONTACT PERSON .· · ' ' ,' ' • • r, .. · .. NAME: Tanlya Barrows · · .. · - ~lty of_ Carlsbad · . ' ADDRESS: 1635 Faraday Avenue . · Carlsbad, CA 92008 '•,,, PHONE: (760) so2-2n3 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @ '"' ' ', : 1 · ,' ~ . } ' ' ,' t'J ',, ,,.· , ' ' ; ,. : (, ··.: ;::~-.• " ' -.., • I, • -. -' '_., . . ' ·, .... ·;·. l'·, ·• .. ,'· • '. :~ .. -~ :· '.' . . ' . ' . ' ' ' ~ ' . ' :, . . . /' .· 3Rll/' 0- rr16 qs-o{t) BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 'va..<"' \ ~/1 '1-+-=r31 · 1. Provide a fully dimensioned site plan drawn to .scale. Show: KNorth Arrow '¥1'-roperty, Lines -r Existing &. Proposed ~ctures . -~asements · 2. ·: Show on site plan: · · -k::;;Drainage Patterns · · · -~ .P!5tlng & Proposed Slopes t'.9"'l=xisting Topography · .,· '' _J).-ffldlcate what will happen with. - soil excavated from pool area · ~lning Walls . (location and height) Note: ff excavated soil Is no.t to be removed from property but regraded on site, show proposed elevations anq slopes. ' . If any portion of retaining walls are over 4' in height, a .separate permit Is required. ,::~/;) .• ~ ....• a Retaining Wall Permit CB . Applied for ----- 3. -lndude_ on title sheet: _ ~te Address · ---· Approved -. ~. ~·, ·-·. . . . -: . '~. / ~ . . ,,: .' ,•. :--.. ·,. 'L'," • . ·:·; .. ',, '·. ' , . ' ,,-.... . ,. ' -.. '-_:' : .. • -::: • •• l" t • '. ', ' ,, ,, ........ ' ., •,',', I • • a.· .a d a 4. . --S:-85sessor's Parcel Number . ~Legal Description . D. Grading Quantities -Cut Fill Import/Export .a) If grading is not required, write "No Grading" on plot plan. Project does not comply with the following Engineering Conditions of approval for Project No. Conditions were complied with by: GRADING PERMIT REQUIREMENTS ) The conditions that invoke the need for grading permit are fou·nd in Section 11.06.030 of the Municipal code. · D 5a. Inadequate Information available on Site Plan to .make a determination on grading requirements: Include accurate grading quantltles (cut, fill, import. export). · · a . 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 Pennit must be issued and rough grading approval obtained prior to issuance of a Building Pennlt Page 2 of3 H.~ ~ .\CHECKUST8-\II\JlllCHQ PlANCHeO( CKll8T !'ORM-POOlS.doc -.1112219e ) . Ir ... 0 0 0 0 ,. , ,, . i \' ' \ ,'· > L 't ' • I •, > ' 0 0 •,, ' ' ~ -·. . . -\ ' - Sc. A Grading Pem,ft has been applied for: · PE2 .-,., :·.' (,,, ,1 - • ' . . '. ·: ·:·;· ._-_-:: . DVI/G ._·_· _._,_.· .. -'---·-· """"-~------- • -.• ' • ' ',. '' ; -._ ·, i,.' •. Grading Inspector sign off by: Pate;· --------,,-.~. ---,--,----- Sd.· No Grading Pemiit requjred. , ·:, · , ' ·r,~·:_ _ ,' /· _ .. , . ' ' ' ,•. ' ' ·, -·. , ~ . : -'_., ... , ' . ., MISCELLANEOUS PERMITS -' ' ... ' ... -. 6. A RIGHT-OF~WAY PERMIT Is required to do work In City Rlght-:af-Way'and/or private work adjacent to the public Right-of-Way. _ . · --·. · · -. · .:. · 7. · A separate Right-of-Way Issued by the Engin"8ri~g Dei,..~~tf J Jiuir<!d .•• · · for the following: · ,: · · ·; · · · · ) ' ' !• : '.,,, • • , f Please complete attached Right-of-Way· application form: and return . to the .:- Engineering Department together with the requirements on-~e··.atta(?hed Right- of-Way checklist, at the _time of resubmittal. · , -__ : ... :_ · . .::.".. .. -./ _._ ·'::. •· .· Right-of-Way Pem,it and Pool Building Permit will be. i.ssu·~·~· s;~~l~.~~u.sly: ·-.· ... -". . . ., . . '. ' ' ·,, ~ •, - Remarks . . .. -.: : .. ' ,, . :.. ,.,.,._ ' '·, ,·, • '·-C. ' ' ----:·: ,· . ·, .. ', .-. '.,··· . ' •, .',•, . '. ,: , ' , '. '(. ' ' ,· .. ·. ~.' ,. ': ·., ',}• r .. ' ' ... . . •'' ., . Page 3 of 3 ·-·- PLANNINO/ENCINEERINC APPROVALS~-·· ," PERMIT NUMBER CB QY Q ":I '::15 ADDRESS 1 i--J ~ 8 P, 'ne~ AJM___,. . RESIDENTIAL ' -· RESIDENTIAL ADDITION MINOR ( < $10,000.00). OTHER poo 1 PLANNER ~ .gje__,'Lfvr\- ENCi NEER -------- DATE (;l-f l ~OZ/ TENANT IMPROVEMENT PLAZA CAMINO REAL . CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDINC DATE{)-( l-0"/ DATE -----,.----