Loading...
HomeMy WebLinkAbout2720 YORK RD; ; CB022433; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-11-200~ Residential Permit Permit No: CB022433 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: STEVEN WEBER P O BOX 230078 ENCINITAS CA 92023 753-8486 Building Inspection Request Line (760) 602-2725 2720 YORK RD CBAD RESDNTL 1673913400 Sub Type: Lot#: $14,157.00 Construction Type: RAD 0 NEW Status: Applied: Entered By: Reference#: Plan Approved: 0 Structure Type: O Bathrooms: KAST RES/ 52 1 SF GARAGE & 105 SF RETAINING WALL 0 Owner: Issued: Inspect Area: Orig PC#: Plan Check#: KAST GEORG R&ROSE M 2720 YORK RD CARLSBAD CA 92008 ISSUED 08/21/2002 CB 12/11/2002 12/11/2002 Total Fees: $251.93 Total Payments To Date: $89.82 Balance Due: $162.1 1 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee • Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector: $138.19 $0.00 $89.82 $0.00 $0.00 $1.42 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FINAL Date: Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $22.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $251.93 3207 12/11/02 ~r-U 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 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 • h V Tl i ii r • f rmi i n i I h • 02 162-11 c'f-~\\~ \ f5ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Q.d --- FOR OFFICE USE ONLY PLAN CHECK NOC..~z_.z.4-33 EST. VAL. / 4: I 5__,' - Plan Ck. Deposit gq. 6:z._ Validated By __ k~-£2~------ Date £;~z_. /--OZ- Business Name (at this address) Unit No. Phase No. -B67 J9 ~ )1 Total # of units .., J· R:)r's Parcel# { fr::!: o t ., 1€•2¥h no 4. SQ. FT. #of Stories Proposed Use -C ,, . # of Bedrooms # of Bathrooms QO 1001 :l3E:J/, tfo Name 3. 4. 5. CONTRACTOR • COMPANY NAME Address City 0 Owner~gent for Owner State/Zip State/Zip Fax# Telephone# 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 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 [$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ 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 certificat e 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. 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 policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 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 _______________________________ _ 7. OWNER-BUILDER DECLARATION DATE _-=======::-::__ _____ ~ 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). ~ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ~ ~tractor'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 pro sed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired t fo win person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): _____ =--:r -:-r---t------------------------------------- 5. I will provide some of the work, but I have allowing persons to provide the work indicated (include name / address / phone number / type of work): ___________ -r-::::_,,,,::_ _ _.,,,.'-,;L,,--.,.---./,--_____________________ -_----------------------------- PROPERTY OWNER SIGNATURE ------4--~---..__-+----------DATE __ /~Z..~-_/_J_-Vz--___ _ COMPLETE THIS SECTION FOR NON-RESIOENll Is the applicant or future building occupant req ired to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 255 4 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is 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 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. 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. 3og1(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. SHA: An OSHA permit is cavations over 5'0" and demolition or construction of structures over 3 stories in height. ,XPIRATION: Every permit i uilding Official u • • ns of this Code shall expire by limitation and become null and void if the building or work ~thorized by such permit is n uch permit or if the building or work authorized by • ·s suspended or abandoned any lime after the work is c • _..>ec--....__.--.4 Uniform Building Code). lpucANT'S SIGNATURE ' DATE PINK: Finance . .. , f · .. . . . UNSCHEDULED BUILDING INSPECTION DATE S -28-03 INSPECTOR __ JC_~--- PERMIT# Q].. 2-,,~ •• PLAN CHECK# ____ _ JOB ADDRESS · J;r2-o -~~>--=>: 12:e>o. J DESCRIPTION ___________________ _ o.x -'--\(o~ -":~~Co CODE DESCRIPTION ACT CO:MMENTS fi -~nspection List Permit#: CB022433 Type: RESDNTL RAD Date Inspection Item Inspector 03/11/2003 16 Insulation JM 03/11/2003 17 Interior Lath/Drywall JM 03/05/2003 16 Insulation JM 03/03/2003 14 Frame/Steel/Bolting/Weldin JM 03/03/2003 17 Interior Lath/Drywall JM 03/03/2003 24 Rough/Topout JM 03/03/2003 34 Rough Electric JM 02/19/2003 17 Interior Lath/Drywall JM 02/19/2003 18 Exterior Lath/Drywall JM 02/1 0/2003 14 F rame/SteeVBolting/W eldin JM 02/1 0/2003 34 Rough Electric JM 02/06/2003 14 F rame/SteeVBolting/W eldin JM 02/06/2003 1 6 Insulation JM 02/04/2003 1 5 Roof/Re roof JM 02/04/2003 66 Grout JM 01 /23/2003 11 Fig/Foundation/Piers JM 01 /23/2003 61 Footing JM 01 /22/2003 11 Fig/Foundation/Piers JM Wednesday, May 28, 2003 Act AP AP co AP WC AP AP WC AP co co WC AP AP AP AP AP co KAST RES/ 521 SF GARAGE & 105 SF RETAINING WALL Comments 3-6-03 OK / JM INSTALL EXHAUST FAN IN BATHROOM OK TO INSULATE OKTO STUCCO TIGHTEN ALL ANCHOR BOLTS OK TO DRYWALL -VERIFY EXHAUST FAN @ 2ND STORY WINDOW OKTO COVER OK TO GROUT -WALL DRAINS OK OKTO POUR OKTO POUR PLANS NOT COMPLETE, NEED APPROVED SITE PLAN, NEW SLAB TO OLD SLAB NOT PER PLAN. DO NOT POUR Page 1 of 1 EsGil Corporation 1n Partnusli.ip witli. (jovemment for 'Builaing Safety DATE: September 4, 2002 JURISDICTION: Carlsbad PLAN CHECK NO.: 02-2433 PROJECT ADDRESS: 2720 York Rd SET:I PROJECT NAME: Garage Addition for George Kast ~ANT ~ 0 PLAN REVIEWER 0 FILE [8'.I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: [8'.I Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. □ Person contacted: Telephone#: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: By: Abe Doliente Enclosures: Esgil Corporation 0 GA 0 MB □ EJ □ PC 8/26/02 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 / Carlsbad 02-2433 September 4, 2002 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 02-2433 PREPARED BY: Abe Doliente BUILDING ADDRESS: 2720 York Rd BUILDING OCCUPANCY: U-1 DATE: September 4, 2002 •TYPE OF CONSTRUCTION: V-N BUILDING AREA Valuation Reg. VALUE PORTION ( Sq . Ft.) Multiplier Mod. Garaqe Addn Retaining Wall Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: D Repetitive Fee L 1 ...,. I Repeats Comments : 0 521 105 By Ordinance Complete Review D Other D Hourly D Structural Only .__ ___ ....... I Hour* Esgil Plan Review Fee ($) 14,1 57 14,157 $138.191 $89.821 Sheet 1 of 1 macvalue.doc PLANNINC/ENCINEERINC APPROVALS PERMIT NUMBER CB 0 8'-~L/33 ADDRESS ~1Jg} /cx-J,\ 1)c RESIDENTIAL ADDITION MINOR < < $10,000.00) PLANNER --------- ':NGINEE4-~ ;forms/Planning Engineering Approvals DATE Q ,le-cJfr TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDINC DATE ------- DATE q@e/og PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB OJ.:J133 Address a1a o UmA Dr Planner -=C=h"'"'ri~s ::'7i'"-f='-'--'-:=....,....----------Phone (760} ~02-4624 APN: Ito 7-3 Type oiroje~~Use:_,..'-'-·, -'---''------Net Project Density: _______ D __ U=/ ..... A"""C'---_ Zoning. -1-~Ltte~eral Plan: R L M Facilities Management Zone: ___ _ CFO (in/out) #_Date of participation: Remaining net dev acres: __ _ Circle One (For non-residential development: Type of land used created by this permit: _____________________ ,) Legend: [8J Item Complete Environmental Review Required: D Item Incomplete -Needs your action YES _ NO ._/TYPE __ _ DATE OF COMPLETION: ---------- Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES _ NO L TYPE __ _ APPROVAURESO. NO. _______ DATE __ _ PROJECT NO. ________ _ OTHER RELATED CASES: __________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: ________________________ _ Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES __ NO / CA Coastal Commission Authority? YES__ NO __ If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? YES __ NO __ If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: 1) Stamp Building Plans as "Exempt'' or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. lnclusionary Housing Fee required: YES __ NO L (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Data Entry Completed? YES __ NO __ (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Site Plan: H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 □□□ 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and 'rear yard slopes). • 2. Provide legal description of property and assessor's parcel number. Polley 44 -Neighborhood Architectural Design Guidelines 1. Applicability: YES ____ No_JL__ 2. Project complies YES ___ No_L_ Zoning: 1. Setbacks: Front: Interior Side: Required .L.4.L~r-4-------Shown ~-1--'----- Required Shown ______ _ Street Side: Required Shown ....,.;,r-r------ Rear: Required Shown ~-------- Top of slope: Required Shown _____ _ 2. Accessory structure setbacks: Front: Required _______ Shown ______ _ Interior Side: Required Shown ____ __,../"'---- Street Side: Required Shown ____ /'---- Rear: Required Shown _____ / ___ _ Structure separation: Required Shown __ / ____ _ 3. Lot Coverage: Required -< 1 D b Shown <:... W 7, 4. Height: Required ~?Df---+-·~f ___ Shown d ;;J £t 5. Parking: Spaces Required ~ Shown _d-____ _ (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required _______ Shown ______ _ Additional Comments ________________________ _ ~ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ...... ~&--+--t ...... 1--i-av......__ DATE 6= J 9 -Q;;;i_ r)-L I H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 L P. 01-29-2003 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: STEVEN WEBER P O BOX 230078 ENCINITAS CA 92023 753-8486 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit No: PCR03014 Building Inspection Request Line (760) 602-2725 2720 YORK RD CBAD PCR 1673913400 Status: Lot #: 0 Applied: $0.00 Construction Type: NEW Entered By: KAST RES/ ADDING 120 SF TO TO RETAINING WALL Plan Approved: Issued: Inspect A@:@ Owner: KAST GEORG R&ROSE M 2720 YORK RD CARLSBAD CA 92008 ISSUED 01 /23/2003 CB 01/29/2003 01/29/2003 )1 '29/03 'J002 01 CGP Plan Check Revision Fee Additional Fees $61.00 $0.00 Total Fees: $61.00 Inspector: Total Payments To Date: $0.00 FINAL APPROVAL Date: Balance Due: $61.00 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 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 02 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 {)1/ I <q ,' C BcJz e-q53=:, 1, RO~CT INE_QJl~TION C 7l-J z-t2 e "' L. ?d FOR OFFICE USE ONLY PLAN CHECK NO.+--->-::::....:....~=-..;:::....:... EST. VAL. -----''---'""'--'-~--L..---,1"r-, Plan Ck. Deposit -----l.ll6~-I--- Validated By__,_C,,-=-=i.3=------~ Date /-2 ""3,--C) 3 Address (include Bldg/Suite #) Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Fax # Name Address City State/Zip Telephone# 4. Name Address City S.tate/Zip Telephone# (Sec. 7031.6 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 Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business license # _______ _ Designer Name Address City State/Zip Telephone State license # ~~;:;:;:::;;::;:;~:-:;=::;:;;:;;~ I hereby affirm under penalty of perjury one of the following declarations: D 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. 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 policy number are: Insurance Company______________________ Policy No._____________ Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 Workers' Compensation Laws of California. WARNING: Failure to secure workera'. compenaatlon coverage la unlawful, and ahall aub)ect an employer to criminal penahlea end civil fines up to one hundred thousand dollara ($100,000), In addition to tha cost of companaatlon, damagea ea provided for In Section 3706 of the labor code, lntereat and attomey'a feea. SIGNATURE DATE 7. OWNER-BUILD~EC -::;;:;;.:::;==::=;:;::::;;;;;;::;:=::;_------... 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). D 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). D 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 / 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):. ____________________________________________________________ _ 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 26505, 25533 or 25534 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? 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 POLLUTION CONTROL DISTRICT. ONSTRUCTION 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). 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 Cit\' 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every • the building isions ol this Code shall expire by limitation and becom II and void • building or worl< authorized by such • • of such permit or if the building or work authorized by su rmit Is s r andoned at any tim after the =---... 6.4.4 Uniform Building Code). APPLICA DATE PINK: Finance ' • BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: f213 f C~ 0,?0{ l( l BUILDING ADDRESS: /{J;J.,o \~ t:-(lJ_ PROJECT DESCRIPTION: ....:R....:.e.:...;t:.:c.a"'-'in....:.in:..wg_;W~a"'-'11 ______ _ ASSESSOR'S PARCEL NUMBER: lb]-:391-'3 lf 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 sus ension of permit to build. ~--6-~=..i!!!!=.~-..::---Date y@"'/43 ATTACHMENTS Right-of-Way Permit Application H'\WOROVXX:SV'HK! SDBNaioir-, Wal B1+1ng P!anctwt Ck!st Foor J J doc R9Y fSQ6/98 DENIAL Please see the attached report of deficiencies marked with □. 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: Date: By: ________ Date: By: Date: -------- ENGINEERING DEPT. CONTACT PERSON NAME: JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE: (760) 602-2775 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 • 2ND✓ 3RD✓ 0 0 0 0 0 0 0 0 0 0 0 1. 2. 3. BUILDING PLANCHECK CHECKLIST RETAINING WALLS Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Easements B. Existing & Proposed Structures E. Retaining Wall (dimensioned from street) (location and height) C. Property Lines Show on site plan: A. Drainage Patterns B. Existing & Proposed Slopes C. Existing Topography Include on title sheet: A. Site Address B. Assessor's Parcel Number C. Legal Description D. Grading 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: Please obtain an application for Right-of-Way permit from the Engineering Department. Page 1 111.ASPAlMAS\SVS\I.IBRARV\ENGIWOROIOOCS\CHKlST\Retainlng Wol, a.-ig Ptanched< Ck~t Fonn JJ.doc Rev. &'2&'08