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Home My WebLink About2238 VISTA LA NISA; ; CB994511; Permit33lJ,o·· ~2/20/1999 City of Carlsbad Retaining Wall Permit Permit No:CB994511 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: 2238 VISTA LA NISA CBAD RETAIN 2552700300 7342 12/20/99 0001 01 Status: ISSUED C-·PRMT Lot#: 0 Applied: 12/07/1999 Valuation: $1,991.25 Construction Type: NEW Entered By: MOP Reference #: Plan Approved: 12/20/1999 Issued: 12/20/1999 Project Title: KEEPER RESIDENCE Inspect Area: 135 SF WALL CITY SPECS Applicant: SIERRA MESA 917 HAWTHORNE CARLSBAD CA 92009 760-632-6211 Total Fees: $73.02 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Ci1eck Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee TOTAL PERMIT FEES Inspector: f Owner: KEFFER JOHN W&PAMELA S 2238 VISTA LA NISA CARLSBAD CA 92009 Total Payments To Date: Balance Due: FINAL ~z;;~~tl Date: (., uV Clearance: $43.65 $0.00 $28.37 $0.00 $1.00 $0.00 $0.00 $0.00 $73.02 $73.02 NOTICE: Please take NOTICE Iha! approval of your project includes the "Imposition' of fees, dedications, reservations. or other exactions hereafter collectively referred to as •tees/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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 73,02 PERMIT APPLICATION FOR OFFICE USE ONLY / \ PLAN CHECK NO. qq-c.,( ~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit ___ .__ _____ _ (760) 438-1161 Validated By __________ _ Date. ______________ _ AddreH (include Bldg/Suite #) Bus1nu1 Neme (et th11 address) Legel Description Lot No. Subdivi■ion Name/Number Unit No. Phase No. Total # of units PropoHd Use , i'LW·• ,. .., 3 O\Fi~ I' of Badrooms I of Bathrooms if--.. ....., ~ ·~ · .. ,· .. -.. -:-.. -. ~~-aT~ . !.--. ..., , -~ -:T.-1: .. ~ .. ~ .. _ ... _ ~-... -... T ~,x, I\.. Fax If '3-z__·-bL( 1 Name Address City State/Zip Telephone # 11,;"•~fffi:'OWNSl.~~~~~~1.tWJ!Uii:&!'!&ill.iie!=h.~-..-~:~~~::~.,-i~:ffl,~;;:f~~~:'"".~:t;::•-·· • ;!f;~t:I·. K€P1:t.TL-1 • -·••'P'.&.vt, Name Addresa City S.tate/Zip Telephone # .......... o---..--..... -............ .,.N.-..., .. ,_ .. i'•=--•""r.,r,N•!!ll,,,.'Y-~;,;:_;;•-~~~~J;f'~t,g..-i,t•~~{F ~~7,;=i;'i-Z:•.,·.;;,_ -;;.: ---11'1~\. ftJJ1,Rl,.l..l,,ll~<Ot-\,il,UMP'ill ••. ~~~~-r, . .....,.,~. .~ "'· ~ .... ___ _ ;;.,... .... ~ ., .:,. , . (Sec. 7031.5 Buiiness and Professions Code: Any City or County which requires• permit to construct, elter, improve, de~olish or repair any struc~ure,_ 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 end Professions Code) or_ that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for e permit subjectS the ■pphcant to • civil penalty of not more then five hundred dollars r $ 500IJ. ,.,S I t!'fYl.:ft" f:hr~ · Name Addre■s 1, _ City State/Zip Telephone# State License # S" 10 -Z,. r· 8 License Cl■sa __ '--___ ..;'J,_7 ___ _ City Business License # ________ _ Designer Name Address City State/Zip Telephone State License # _________ _ iG"~W()8KERlt~;cC,M~01l'~~f,}..~~~'.£~...:h~~s~~~.;~~-.';$-'.:"t:'."~~~:'9:!0:'-,;',...: ' •. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: f'CY' I have and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance ~. 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 1s issued. My worker's co~ens■tion insurance c11rier end policy number ■re: Insurance Company ...::,·-, ~i Pv,Jj) Policy No.,_____________ Expiration Date L..:>.,(/,,.J.,J\, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (t100J OR LESS! O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit ia issued, I shall not employ eny person in any manner so as to become subject to the Workers' Compens■tion Laws of California. WARNING: Fallure to Hcure woftlan' compen~■tlon coverage la unlawful, end ■hall ■ubject en employer to crimlnel peneltiea and civll fines up to one hundred thou1end doUara ($100,000), In addition to the colt of compen■atlon, damage■ aa provided fOf In Section 3706 of the Labor code, lntere■t ■nd attorney's fee■. SIGNATURE;::::;::;:::;:::::====:::::::======::;;:::_::::;;:=::;:;:::::;;;::~:;::;:;;:;;;;::;:;:::::::::;;;::;;::::: DATE ________ _ ,:f.~:0WNat:BUtmm'br~•11aN.~;:;::-:.=.~~.,;z~;:~~~t~~J.t:~l'~•r\,:··.~·;:~.:~;]..~:r;.Tr~:·:~./~~;;~~~::.:~~-;~:·;~":.7 ~-_;;1:-::;:1·_.~-··:~;·:,. f:-:--; I hereby affirm that I am exempt from the Contractor's Licen11 Law for the fo<lowing reason: 0 I, as owner of the property or my employees with wages es their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business end Professions Coda: Th• Contractor's License Law does not apply to en 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, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contrector's License Lew does not apply to ■n owner of property who builds o, improves thereon, end contracts for such pro1ects with contrector(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Bu■iness end 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• 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 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 / 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 _______________________ _ Is the applicant or future building occupant required to aubmit a business plan, acutaly haurdous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prastey-Tenner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occup■nt required to obtain• 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 e school site? 0 YES O 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 POUUTION CONTROL DISTRICT, i :~~~o·l'snruCTiON·~fENDlNG:.(GEN~~~:~;;~~i~~~~~~~~~~;;-;1:;t~~-:,.:;,.;;~~-~:::-1:1/-,,i~~\,~~ I hereby affirm that there is• construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ I certify that I have reed the application end state that the above information Is correct end that the information on the plans is accurate. 1 agree to comply with all City ordinances end 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 Ai.SO AGREE TO SAVE, INDEMNIFY ANO 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 s•o• 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 end become null and void if the building 0, work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit 1s suspended or abandoned et any time after the wor • menced fore peri of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~;::::.. _ __;~~~;._',,C~.L.....U.:~t~-:_:_:-::::::: _________ DATE '7}1!L.-, 1 q 1 YELLOW: Applicant PINK: Finance .. City of Carlsbad Bldg Inspection Request For: 6/28/2000 Permit# CB994511 Title: KEEPER RESIDENCE Description: 135 SF WALL CITY SPECS Type: RETAIN Sub Type: Job Address: Suite: Location: 2238 VISTA LA NISA Lot APPLICANT SIERRA MESA 0 Owner: KEFFER JOHN W&PAMELA S Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 7606326211 Inspector: ----- Requested By: N/A Entered By: ROBIN 69 Final Masonry _rd_ ______ _ Associated PCRs lnsgection Histo[Y Date Description Act lnsp Comments 1/3/2000 62 Steel/Bond Beam WC PY 1/3/2000 66 Grout AP PY 12/21 11999 11 Fig/Foundation/Piers AP PY J ' I BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB Cf!</5! I BUILDING ADDRESS: PROJECT DESCRIPTION: _R_et_a_in_in_g~W_a_ll ______ _ 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. J ~1 By: /.... -L-1:.Jc.K .~ 1-, ) ~_) ATTACHMENTS Right-of-Way Permit Application DENIAL Please see ~~ttached report of deficiencies marked wit~~-Make necessary corrections to plans or spe~ifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. 8~ Yr~.s Dffie toZ,1,-* y. ---------Date: By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (760) 438-1161, ext. 4510 \\LASPA.LMA$\SYS\ll8FlA.RY\ENG\WORO\OOCS\CHKLST\Reta~r11ng Wall Bvllchng Planel"leck Cktst Form JJ.OOc Rev. &28196 2075 Las Palmas Dr. • Carlsbad. CA · 92009-1576 • (760) 438-1161 • FAX (760) 431-5769 1 r. ,. / Xr. 0 0 0 / I 0 1 .. 2. 3. Lt.T &J< t er-a-es -C) ~ -~ 1 (.)K .. :.1-~ J),,u Ci' 3 ,RS _ I/:}- BUILDING PLANCHECK CHECKLIST RETAINING WALLS Provide a fully dimensioned site plan drawn to scale. Show: A.. North Arrow B. Existing & Proposed Structures (dimensioned from street) C. Property Lines Show on site plan: rainage Patterns xisting & Proposed Slopes xisting Topogri\hy ~) I e on title sheet. A. Site Address B. Assessor's Parcel Number Legal Description D. Easements E. Retaining Wall (location and height) rading Quantities Cut ___ Fill ___ Import/Export __ _ (Grading Permit and Haul Route Permit may be required) 4. Project does not comply with the following Engineering Conditions of approval for Project No. _________________ _ Conditions were complied with by: _______ Date: ____ _ MISCELLANEOUS PERMITS 5. 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: :r£:-~d&~Llr7 C. L.,",-h c c.,,y::-Q___ Please obtain an application for Right-of-Way permit from the Engineering Department. Page 1 I\L.ASPALMAS\SYS\L18RARY\ENGIWORDIDOCS\CHKLSTIReta1nmc;i Wall Bu11dll10 Plancrieck Ck.1st Fann JJ dOc Reli 6/26198 ,. ll')) ~(, .. I I ill It(-::=-'-(p ' 7 -£ 11 ~ ......... ,1 108 ....... ~ ..... / ', I ~~ / ~