HomeMy WebLinkAbout1668 FISHERMAN DR; ; CB053580; Permitu. .-J
10-31-2005
City of Carlsbad
1635 Faraday Av Carlsbad, OA 92008
Retaining Wall Permit Permit No: CB053580
Building Inspection Request Line (760) 602-2725
Job Address:
Permtt Type:
Parcel No: .
Valuation:
Reference #:
Project Title:
1668 FISHERMAN DR CBAD
RETAIN
2150810500 Lot#:
$10,800.00 Construction Type:
LA SUVERA 600 SF RETAIN WALL
PER CITY SPECS
0
NEW
Applicant:
CRAFTSMAN CARLSBAD I L L C
1195UNDAVISTADR#Q
SAN MARCOS CA 92078
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Plan Check#:
Inspect Area:
Owner
CRAFTSMAN CARLSBAD I L L C
1195 LINDA VIStA,DR#Q- ^
SAN MARCOS CA , 92078
ISSUED
10/17/2005
SB
10/31/2005
10/31/2005
Building Permit
Adrfl Building Permit Fee
Plan Check
Adcfl Plan Check Fee
Strong Motion Fee
-Renewal Fee '
Add'l Renewal Fee '
Other Building Fee .
Additional Fees
TOTAL PERMR" FEES
$107.39
$0.00
. $69.80
$0.00
$1.08
n $0'.00
- $0.00
$0.00
: $0.00
$178.27
Total Fees:$178.27 Totial Parents To Date:$178.27-Balance Due:$0.00
FINAL
ClearanceDate:
NOTICE; Please take NOTICE'that approval c< your project Includes the "Impbttion' of ffes, dedications, reservations, or other exactions hereafter collectively
referred to as lees/exaetlons." You have 90 days from the date this permit was Issued to protest Imposition of these lees/exactlons. If you protest them, you must
follow the protest procedures set forth In Government Code Section 66020(a), and fte 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 heret)y 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, grating or other similar application processing or servfee lees In connection with this project. NOR DOES IT APPLY to any
fflBs/axadtons nf which vou have onevtouslv been ofven a NOTICE similar to this, or as to which the statute of Bmltattons has orevlouslv otherwise expired.
PERMIT APPLICATION
CITy'oF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
,1. PROfeCT INFORMATION
dude BIdg/Sulte #)Address (Indude
FOR OFFICE USE Of
PLAN CHECK
EST. VAL.(O
Plan Ck. Deposit
Validated Bv
Date I
Business Name (at this address)
I^al Description Lot No.Subdivision Name/Number Unit No.Ptiase No.Total # of units
Assessor's Parcel #Existing Use
M-TA ^ f3/9c/^ y^^i?Description of Work SQ.FT. #of Stories ' #o
Pr
# o
oposed Use
f Bedroorrts # of Bathrooms
CONTACT PERSON Of dHfmnt from appteant)
r^AL5&t^ 7/Ca -^!^y-76^y
State/Zip Telephone #Fax #CityName Address
AF^CAOT Q Contractor Q-Agent for Contractor O Owner D Agent for Owner
City Staterap Te%phone iName
4. PROPERTY OWNER
Address
Name Address City State/Zip Telephone #
B. CONTRACTOR - COMPANY NAME
(Sec. 7031.6 Business and Professions Code; Any City or County which requires a permit to construct, alter, Imprcve, demollah or repair any structure, prior to its
Issuance, aisc requires the applicant for such permit to file a signed statement that he is licensed pursuant to the proviaions of tfie 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
State Licertse t
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address State/Zip Telephone
State Ucense #
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm urtder 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
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)
IS- CERTIHCATE 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 Califcmla.
WARNING: FaBure to secure workers' compensation coverage Is isilawful, and shall subiect an amployar to criminal penalties and dvil finas up to one hundred
thousand dolars ($100,000), In addhlon to the cost of compensation, damages as provided for In Section 3706 of the Labor coda. Interest and attorney's fees.
SIGNATURE DATE
7. OWNER-BURJTBI DECLARA'HON
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
I, as owner of the property or my employees with wages as tfieir 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 en owner of property who builds or Improves thereon, and who doessuch work himself or through his own employees, provided that auch improvemema 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 ho did not build or Improve for tfie purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct tfte 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~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 tfie proposed property Improvement. □ YES nNO
2. I (have / have not) signed an application for a building permrt for the proposed work.
3. I have contracted with tfte 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 contracte
of work):
red) the following peraons to provide the work Indicated (Include name / address / phone number / type
PROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION
DATE
. BUILDINQ PERMITS ONLY
Is the applicant or future building occupafft 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? □ YES □ NO
Is the applicant or future building occupant required to obtain a permrt from the air pollution control district or air quality management district? □ YES □ NO
Is the facility to be constructed within 1 ,(X)0 feet of the outer boundary of a school she? □ YES Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REOUIRBMENTS OF THE OFHCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
B,. CWSTTIUCTTON L^DING AGraCY
I hereby affirm that there is a constrtiction lending agency for the performance of the work for wWch this permit Is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
"sT APPUCAffT ClRTiHC^
I certify that I have reed the application and state that the above Information Is correct and that the information on the plans Is accurate. I agree to comply with allChy ordinances and State laws relating to building construction. I hereby authorize representatives of the ChV of Cariabad 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 permh is required for excavations over b'O" deep and demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit Issued by the building Offiaai under the provislona of this Code shall expire by limitation and become null and void If the building or workauthorized by such permit Is not commenced within 180 days fippr^ date of such permit or If the building or work authorized by such permit is suspended or atiandonedat any time after ttie work Is commenced^^g^riod of I^O-tiays-ISectlon 106.4.4 Uniform Building Code). y /
APPUCANT'S SIQNATURI
WHITE: File YELLOW: Applicant
DATE
PINK: Rnance
City of Carlsbad BIdg Inspection Request
For. 11/29/2005
PermiW CB063580
Title: LA SUVERA 600 SF RETAIN WALL
Description: PER CITY SPECS
Inspector Assignment: PS
1668 FISHERMAN OR
Lot 0
Type: RETAIN Sub Type:
Job Address:
Suite:
Location:
APPLICANT CRAFTSMAN CARLSBAD I L L C
Owner CRAFTSMAN CARLSBAD I L L C
Remarks:
Phone: 7606447665
Inspector
Total Time:
CD Description
65 Retaining Walls
Requested By: GLEN
Entered By: JANEAN
Act Comment
Comments/Notices/Hold
Associated PCRs/CVs
Inspection History
Date Description Act insp Comments
11/28/2005 65 Retaining Waiis OA BN RE SCH FOR 11-29-05 PER GLEN
11/22/2005 65 Retaining Wails MR BN
11/07/2005 61 Footing AP PS
t
PLANNING/ENGINEERING APPROVALS
PERMIT WUMHEPCH PATE {Q-fP, -P f
ADDRESS I bb&.
RESIDENTIAL ADDITION MINOR
(<$10,000,001
TBIANT iMPROVBUeiT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORK
VALAGE PAIRE
COMPLETE OFFICE BUILDING
OTHER u/fiLC — r' .
PLANNER DATE ro-fQ-of
ENGINEER DATE
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