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Home My WebLink About1376 CYNTHIA LN; ; CB012148; Permit06/25/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Retaining Wall Permit Permit No:CB012148 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1376 CYNTHIA LNCBAD RETAIN 1562304100 Lot#: $6,615.00 Construction Type: PACIFIC VIEW - RETAIN WALL 420 SF CITY SPEC 0 NEW Status: ISSUED Applied: 06/21/2001 Entered By: JM Plan Approved: 06/25/2001 Issued: 06/25/2001 Inspect Area: Applicant: PLIEN BOB 2541 STATE STREET CARLSBAD CA 92008 760-729-7964 C/O GARY WWANS 2541 STATE $t #202 CARLSBAD CA 92008 Total Fees: $127.37 Total Payments To Date:$0.00 Balance Due: $127.37 Building Permit Add') Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $1,08 $127.37 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 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 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. PERMIT APPLICATION«* CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, C FOR OFFICE USE ONLY PLANCHEC&NO. 1376 Cynthia Lane, Carlsbad, California EST. VAL. Plan Ck. Deposit Validated By, Date Pacific View Development LLC Address (include Bldg/Suite #) Parcel 4 of Map 18717 Pacific VieW»OT-l(J5ll(lltthl"dd5'"t 1 Legal Description 156-230-41 Lot No. Subdivision Name/Number Residential Unit No. Phase No. Residential Total # of units Assessor's Parcel # Existing Use Construct Retaining Wall 420 sq. ft. C /a<^ tJries Proposed Use Description of Work SQ. FT.'of Stdries N/A. # of Bedrooms N/A. of Bathrooms N/A.Fax V,^,:TTR:r?;T^™"""">"'<^i''»H»~<™'''"'^^'":"™•" ;";;:;; •p^:;:^"J3;7M'"^:;T:~:^™-*«<*',»«^»?*'- -"a^m^'.™™ "<<<*'"'< >•-'''•• t-j:^:;re^'""*^™v;*—^-i'—••• ^j^;- •, ',• „'-, , '• ••' ; '•;•• - -; v r;""v -\;"- '•; - * ' *J " " "'" :- -"• * , * t "• "'Hermosa Construction Corporation 2541 State Street, Carlsbad, CA 92008. (760) 729-7964 Address buite #City State/Zip Telephone # Pacific View Development LLC 2541 State Street. # 202. Carlsbad. CA. 92008. 760-729-7964 Name Address City 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 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]). Hermosa Construction Corporation 2541 State St., # 202, Carlsbad. CA 92008. 760=729-7964 Name Address State License # ^ * 0583 License Class ^ City State/Zip Telephone # Citv Business License # ^ 195969 RCE, Inc. 477 Lexington Circle, Oceanside, CA 92057. 760-966-1466 Designer Name Address State License # City State/Zip Telephone S'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penelty of perjury one of the following declarations: n 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. ES 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 Everest National Insurance Policy No. 3900002416-001 Expiration Date 10/01/01 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) C] 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 menner 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 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 ssle). Q 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). Q 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. Q YES QNO 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 NO 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-Tenner Hazardous Substance Account Act? Q 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? Q YES Q Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1} Civil Code). LENDER'S NAME Southwest Community Bank LENDER'S ADDRESS 5810 El Camino Real, // 203, Carlsbad, CA 92013 , 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 City 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 commenced 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). / / APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 11/29/2001 Permit# CB012148 Title: PACIFIC VIEW - RETAIN WALL Description: 420 SF CITY SPEC Inspector Assignment: GG Type: RETAIN Sub Type: Job Address: 1376 CYNTHIA LN Suite: Lot ( Location: APPLICANT PLIENBOB Owner: Remarks: permit expiration Phone: Inspector: Total Time: CD Description 69 Final Masonry Act Comments. Requested By: CHRISTINE H Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 07/13/2001 62 Steel/Bond Beam AP GG OK TO GROUT 06/29/2001 11 Ftg/Foundation/Piers AP SR PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS 7b DATE t RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR (< $10,000.00) PLAZA CAMINO REAE CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENCINEE Docs/Mlsfomns/pianntng engineering Approvals DATE PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR «$10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE Docs/Misforms/Pianning Engineering Approvals SENT BY: OVERS CHOICE INSURANCE SERV; 760 431 5998;JUN-22-01 15:03;PAGE 1/1 Certificate of UrirtHy insurance "*«* 0«22<01 Producer Employer's Choice Insurance Services, Inc. 503 Vista Bdla Suite 10 OceansidcCa. 92057 Uccnw No: OC36879 Ph, 760-43 1-0947 Fax 760-431-599* tomrcd R W JNVESTMEWS (DBA) HERMOSA HOMES 2SS1 State St Cart**!, CA, 92008-1624 TMi «rtlfc«te H IMDW «> « •«««• or**rortkii M^WU* n C(»p«iiy A ConpnyB Company C Company D Coverage* totrfM^ rwtwifatoditit my mutoMrt. 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