HomeMy WebLinkAbout1581 CORTE ORCHIDIA; ; CB023627; Permit12-122002
City of Carlsbad
1635 Faraday Av Carlsbad CA 92008
Retaining Wall Permit Permit No
Building Inspection Request Line (760) 602-2725
CB023627
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1581 CORTE ORCHIDIA CBAD
RETAIN
2150732800 Lot#
$1 481 00 Construction Type
COLLINS RES 94 SF RETAIN WALL
TRASH ENCLOSURE
0
NEW
Applicant
OLIVE TREE LANDSCAPE CONSTRUCTION
STE 107
40485 MURRIETA HOT SPRINGS RD 92563
909 676 5959
Owner
RHONE INC
Status
Applied
Entered By
Plan Approved
Issued
Plan Check*
Inspect Area
ISSUED
12/03/2002
RMA
12/12/2002
12/12/2002
3347 12,12 02 0002 3
CGF
7204 GLEN FOREST DR #201
RICHMOND VA 23226
Total Fees $5005 Total Payments To Date $000 Balance Due $5005
Building Permit
Add I Building Permit Fee
Plan Check
Add I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
$2973
$000
$1932
$000
$1 00
$000
$000
$000
$000
$5005
FINAL AR,
Date Clearance
NOTICE Please take NOTICE prat approval of your project includes the Imposition (/fees dedications reservations or other exactions hereafter collectively
referred to as "fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must
follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack
review set aside void or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave Carlsbad CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NOJ
EST VAL
Plan Ck Deposit
Validated By
Date /
rf Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ft of units
Assessor s Parcel #
A Description of Woi
Existing Use Proposed Use
SO. FT #of Stories j # of Bedrooms . #/»t Bf
~ W£ V> 4*/0^,&l^~$Z
Name Address City State/Zip Telephone #Fax*
Name Address City State/Zip Telephone #
s ro ///?> s <//V . GirtftoJ
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 155001),
Name
State License #-??/
Address
License Class I /^~ f
City y'A-.TV * State/Zip . Tele
City Business License # /A. ( .P f) |
Telephone #
Designer Name
State License #
Address City State/Zip Telephone
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
CD 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
t^f 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 c^aiqer and policy number are . / /
£/ Policy No 7??02- fffflmttSTQ Expiration Date fy/f/OjInsurance Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued 1 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 coyerage-ij unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars Is 100 OflQ) in arlrUtiniytii thn cosjVc^&jBSnSationdamages as provided for in Section 3706 of the Labor.code interest and attorney s fees
7 ^ / " *- & *> * «l*
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 sale)
CD 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)
f~l 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 l~l YES CDNO
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
f OK NON-RESIDENTIAL BUILDING PERMITS ONLY L:
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? CD 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? O YES l~l NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? CD YES CD 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 3097(i) Civil Code)
LENDER S NAME LENDER S ADDRESS —~
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)
"V APPLICANT S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 01/13/2003
Permit* CB023627
Title COLLINS RES 94 SF RETAIN WALL
Description TRASH ENCLOSURE
Inspector Assignment PY
1581 CORTE ORCHIDIA
Lot 0
Type RETAIN Sub Type
Job Address
Suite
Location
APPLICANT OLIVE TREE LANDSCAPE CONSTRUCTION
Owner RHONE INC
Remarks
Phone 9095180700
Inspector
Total Time
CD Description
69 Final Masonry
Act Comment
^ *5?
'[I
Requested By N/A
Entered By ROBIN
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
12/23/2002 62 Steel/Bond Beam WC PY
12/23/2002 66 Grout AP PY
12/13/2002 61 Footing AP SR
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER CB O £
BUILDING ADDRESS /h'B f C*.
PROJECT DESCRIPTION Retaining Wall
ASSESSORS PARCEL NUMBER $Uj5 ~ t 7? ',
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
By Date
DENIAL
Please see«stheattached report of deficiencies
marked withj^Make necessary corrections to
plans or specifications for compliance with
applicable code? and standards Submit corrected
plans and/or specifications to this office for review
i ' I
ATTACHMENTS
Right of Way Permit Application
ENGINEERING DEPT CONTACT PERSON
NAME JOANNE JUCHNIEWICZ
City of Carlsbad
ADDRESS 1635 Faraday Avenue
Carlsbad CA 92008
PHONE (760) 602 2775
H VWnRPVnOpSVCHKI fiTVRfitaimnn Wall ftiulriinn Plarvhorlt P.L-lct
1635 Faraday Avenue • Carlsbad CA 92008 7314 • (760) 602 2720 • FAX (760) 602 8562
cr?i
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
1 Provide a fully dimensioned site plan drawn to scale Show
A^North Arrow
/B^)Existmg & Proposed Structures
~-— T. (dimensioned from street)
(jProperty Lines
2 Show on site plan
Drainage Patterns
Existing & Proposed Slopes
C Existing Topography
Include on title sheet
A Site Address
Assessor s Parcel Number
C) Legal Description
> Grading Quantities Cut
Easements
E) Retaining Wall
(location and height)
*
Fill Import/Export
(Grading Permit and Haul Route Permit may be required)
Project does not comply with the following Engineering Conditions of approval
for Project No
Conditions were complied with by Date
Q
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
«L«SPALMAS\SYS\LJBRARY\ENG\WORD\DOCS\CHKLS'nRetai ngWallB Ming Plancheck Cklst F rm JJ d
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB DATE
ADDRESS
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER \J DATE
ENGINEER DATE
Docs/Mfsforms/Pianning Engineering Approvals
A r
COMPENSATION
INSURANCE
PO BOX 420807 SAN FRANCISCO CA 94142-0807
PU N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
MAT 31, 2002 POLICY NUMBER
CEftTlFlCATE EXPIRES 229-02 UNIT 00244S0
4 1-03
r
COJSRACTOH'S STATE ^TCENSE BOARD
WORKERS cam u»xr
P 0 BOX 26000
SACRAWB1TO CA 95826
L
JOB UC #612391
INCEPT DATE 04 04-02
Nl OAKLAND DO
This is to certify that we have issued a valid Workers Compensation insurance policy In a form approved by the California
Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund except upon ten days advance written notice to the employer
We will also give you TEN days advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance is not art insurance policy and does not amend extend or alter the coverage afforded by the
policies listed herein Notwithstanding any requirement term, or condition of any contract or other document wrth
respect to which this certificate of insurance may be issued or may pertain the insurance afforded by the policies
described herein is subject to all the terms, exclusions and conditions of such policies
AUTHORIZED
EMPLOYER'S
PRESIDENT
LIMIT nKOJDIllQ CO'EKSS COSTS $1,000,000 PER OCCl&KHJGE
EMPL.6Y1R
r
OLIVE TREE LANDSCAPE
40485-D MURRIETA HOT -jPPTNGS
CA 92563
SCIF 10262 (REV. 3-
POUCYHOLDm S C