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Home My WebLink About1390 NIGHTSHADE RD; ; CB980424; PermitBUILD IN G PE RM IT Permit No: CB980424 03/06/98 10:10 Project No: A9800543 Page 1 of 1 . Development No: Job Address: 1390 NIGHTSHADE RD Suite: Permit Type: RETAINING WALL 4740 03/06/98 0001 01 02 Parcel No: 215-641-14-00 Lot#: C-PRMT 71.00 Valuation: - 1,823 Construction.Type: NEW Occupancy Group:. Ref erence#: Status: ISSUED Description: REATAINING WALL 135 SF - Applied: 02/13/98 MITCHELL DEVELOPMENT-TREVIRA Apr/Issue: 03/06/98 Entered By: JM Appl/Ownr : TUCKER BRIAN . 909 676-4341 30479 IRON BARK COURT CARLSBAD CA 92591 *** Fees Required *** Feeollected & Credits Fees: . 7 iAo / \ Adjustments: /.o1 Tj3a1/redi'ts: - .00 Total Fees: /71. Tota\(aipls: .00 / Bade Dues 71.00 Fee description / D Ext fee ata Building Permit / • \ • 43.00 Plan Check , •••• \ 28.00 * BUILDING TOTAL • •••- 71.00 AA INCORPORATED 1952 F.F I I A L p P r, r._)ZV1A q J çLEARANCE_ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONI y PLAN CHECK NO.__________ EST. VAL. Plan Ck. Deposit Validated By_______________________ Date z(e31'1 1. A1d.11 D.i.t Zip.. Address (include Bldg/Suits i Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel Existing Use Proposed Use W6,11 /.3..c (' .spfcj of Work SQ. FT. • Sot Stories I of Bedrooms :2. . COTACTPERSONffS,s,jfVâiniPpUc.M) - Name Address City Stat.IZip Telephone S Fax S 3. APPLIcANT 0 Contractor 0 Agent tsr Comráéo OownJ r0 Aäeii Icr . ........ 'T ,1.'4ttiDiv. 3oft. 3!ir L.. 13 Or. 3k /cL Ify '4 Id . a PI-jyo-S/3 Name Address • City State/Zip 4 PROPERTY OWNER Name Address City Stale/Zip Telephones a. CONTRACTOR -COMPANYNAM. - ......:. .T':T::- (Sec. 7031.5 Business and Professions Code: Any City or County which require, 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 IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Cod.) or that he Is exempt therefrom, and the basis for the alleged exemption. knv 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 ($50011. flWcltl( O. Z". ?122'r C /3 %,^4. Sk/oi. aeII,Jq L'// CA /l6Z Fir -) s,4c Name Address City StatalZin Tl.nhnn I State License License Class City Business License I Designer Name Address City State/Zip Telephone State License I S. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. 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 sued. 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) CERTIFICATE OF EXEMPTION: I certify that in the perform.nce 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 fkws up to an hundred thousand dollars ($100.000). In addition to the cost of compensation, damages as provided for In Suction 37080f the Labor code, interest and .ttomey'a fuss. SIGNATURE DATE 7 OWNER BUILDER DECLARATION - 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 doss 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 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). I em exempt under Section ___ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name! address I phone number I type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR N6N.RZS1Dflfl'1AL BUILDING PERMITS oWL17117' ' S Is the applicant or future building occupant required to submits 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? CI YES NO Is the applicant or future building occupant required to obtain a permit from the sir pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES (3 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. CONSTRUCTIONLENbINAöEtã'"'r ' . . 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 • ..........'-r-- _ 17 - - .......... 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 Cht 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 385 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time aft rk is mmenced for e period of 180 days (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE /tr WHITE: File YELLOW: Applicant PINK: Finance / CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB980424 FOR 04/23/98 INSPECTOR AREA PY DESCRIPTION: REATAINING WALL 135 SF PLANCK# CB980424 MITCHELL DEVELOPMENT-TREVIRA 0CC GRP TYPE: RETAIN CONSTR. TYPE NEW JOB ADDRESS: 1390 NIGHTSHADE RD STE: LOT: APPLICANT: TUCKER BRIAN PHONE: 909 676-4341 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/JOHN/804-0768 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERNIT# TYPE STATUS - CB973570 SFD ISSUED CD LVL DESCRIPTION ACT COMMENTS 69. MA Final Masonry - - - INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 031798 Steel/Bond Beam - AP PS 031398 Footing AP PY LOT 68 031298 Footing CA PY Q City of Carlsbad S iT. BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB ' BUILDING ADDRESS: 13 !2o z2wi:&2%z .'?c( PROJECT DESCRIPTION: Retaining Wall ASSESSOR's PARCEL NUMBER: - ENGINEERING DEPARTMENT. APPROVAL '. DENIAL . The item you have submitted for review has been Please see the attached report of deficiencies approved. The approval is based on plans, marked with 0. Make necessary, corrections to information and/or specifications provided in your plans or specifications for compliance with submittal; therefore any changes to these items applicable codes and standards. Submit corrected after this date, including field modifications, must plans and/or specifications to this office for be reviewed by this office to insure continued review. 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. B'm Date: 9'91 By: Date:__________ By: Date:__________ By: Date:_________ ATTACHMENTS . ENGINEERING DEPT. CONTACT PERSON ERight of Way Permit Application. NAME: MICHELE MASTERSON City of Carlsbad ADDRESS: 2075 Las Palmas Drive - PHONE: (619) 438-1161, Ext. 4315 P:DOCSCHKLSflWALL . REV 04118196 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 / BUILDING PLANCHECK CHECKLIST - RETAINING WALLS SITE PLAN 1st5/2ndV 3r&./ L117 0 0 1. Provide a fully dimensioned site plan drawn to scale. Show: North Arrow C. Property Lines Existing & Proposed Structures D. . Easements (dimensioned from street) ' E. Retaining wall (location and height) 1/0 0 2. Show on site plan: Drainage Patterns Existing & Proposed Slopes Existing Topography W/"D 0 3. Include on title sheet A. Site address B.. Assessor's Parcel Number Legal Description Grading Quantities Cut Fill Import/Export_______ (Grading Permit and Haul Route Permit may be required) O 0 0 4. Project does not comply with the following Engineering Conditions of approval for Project No. 4 S ' - - Conditions were complied with by: Date:__________________ MISCELLANEOUS PERMITS O 0 0 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 permit 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. P:D005CHKLST\WALL . Page 1 FMV 04118196 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL (<$10,000.00) VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER T- a' I?-c"-TA,,nN& WAIL- W//ILJ ttft. PLANNER DATE_____________ ENGINEER DATE C:WP51 FILESBLDG.FRM Rev 11/15/90