HomeMy WebLinkAbout1683 FISHERMAN DR; ; CB122627; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-13-2012 Retaining Wall Permit Permit No: CB122627
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1683 FISHERMAN DR CBAD
RETAIN Status:
Lot#: 0 Applied:
Valuation:
2150811100
$9,580.00 Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
RETAINING WALL -500 SF
MAX. SDRSD C-2.
BACKYARD VACATIONS
206 CALGARY CT
VISTA CA 92083
619-921-1412
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Plan Check#:
Inspect Area:
Owner:
H H S INVESTMENTS L L C
3309 TEAL PETALS AVE
NORTH LAS VEGAS NV 89032
Total Fees: $217.68 Total Payments To Date: $217.68 Balance Due:
Inspector:
INAL APPROVAL
2-2,2-11 Clearance:
ISSUED
12/10/2012
SKS
12/13/2012
12/13/2012
$126.87
$0.00
$88.81
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$217.68
$0.00
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
f i n ! whi I Tl E hi hi h f i i n h I
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-13-2012
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW120533
Job Address:
Permit Type:
1683 FISHERMAN DR CBAD
SWPPP Status:
Parcel No: 2150811100 Lot#: 0 Applied:
Reference #:
CB#: CB122627
Project Title: SAAS TRUST -RETAINING WALL
Applicant:
BACKYARD VACATIONS
206 CALGARY CT
VISTA CA 92083
619-921-1412
Emergency Contact:
JUSTIN
619-921-1412
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
Owner:
H H S INVESTMENTS LL C
3309 TEAL PETALS AVE
NORTH LAS VEGAS NV 89032
ISSUED
12/10/2012
SKS
12/13/2012
1
M
$51.00
$216.00
$0.00
$267.00
Total Fees: $267.00 Total Payments To Date: $267. 00 Balance Due:
FINAL APPRO\f AL
$0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING
. ,~. ~,~f
~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave .• Garlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
0 BUILDING OFIRE
Plan Check No .
Est.Value q
~ Date
JOB ADDRESS \ SUITE#JSPACE#/U NIT#
CT/PROJECT# # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Q:.~sm ~~
NOD
Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of the following declarations:
I I -ou
CONSTR.1YPE OCC. GROUP
AIR CONDITIONING FIRE SPRINKLERS
YES D NOD YES D NOD
ZIP
by SElction 3700 of the Labor Code. for the performance of the work for which this permit is issued.
r e .performance~ the 'Mlrk fo~~hi~i~rmit~uet.'f','ly wo~e~· com~i~ ~w .'.!(qrn:I policy ___ _.=:::2:'l;;!-:1!..1!'(''__ _ _\._b~~~~C:::~~IPohcy No. J Q ()U~ ~ \ -J \ Exp1rat1on Date __.c~c2!2..r.<cu'---.----=..:::>=.,_-
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which lhis permit is issued, I shall riot employ any person in any manner so as to become subject to the Workers' Compensation Laws of
CaHfomia. WARNING: Failure to secure worilers' 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~ as fr~06 ofthe Labor code, Interest and attorney's fees.
,85 CONTRACTOR SIGNATURE ~ (_,J '
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D I, as owner of the property or my emptoyees 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 throllQh 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 lo 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. D Yes D No
2. I (have I 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 I phone I contractors· license number):
4. I ptan 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 I contractors' license number):
5. I will provide some of the mrk, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
6:f PROPERTY OWNER SIGNATURE t:lAGENT OATE. _ l°?:--co-c:t.
,m __ ,,,,,., ,-01,1,-,ScffejLl '1 '* S:*S:! U J -*,-" "0'1'Pf%VN1hA*k"'*'"" i 11 'if"'"'1%f\:,:,;C,;'~Pli™"'"'"*W1:\'1WtZ ** '"' Y"Y,,,~-x,s,, 1 c'i --'1'~~
COMPLETE TfflS SECTfOH FOR J\IOJ\l,REHIH,HUAL IIQIU>JIIIG PERMITS OHLY -,,* " ''" *~--* "'"' * * *" * "'* ''"''-"' w,li/ili,; 41 *ffi1*,,*, 1 ,,,m 'i'ib'hs/d ,, = ,t;,, ,-**, d *' ~,, &ti,z:, , **, r
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? n Yes n No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? n Yes O No
Is the facility to be constructed wrthin 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.
I certify that I have read the application and st.ate that the above lnfonnation is correct and that the infonnation on the plans is accurate. I agree to oomplywith all City ordinances and State laws relating to building oonstruction.
I hereby authorize representative of the City of Carlsbad to enter ur,xm the atxJve mentioned property for insi:e::tion purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LINJILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cfl'/ IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA AA OSHA permit is required for excavations over 5'0' deep and demolition or coostruction of structures over 3 stories in height
EXPIRATION: Every permit issued by th i ing Official under the provisbns of this Cooe shall expire by limitation and berome null and vod if the building orv.ork authorized by such pennrt is not commenced within
180 days from the date ofsoch pennrt or f the ilding orv.ork authO!ized b it is suspended or abanooned at any time after the IMlrk is oommenced for a i;eriod of 180 days (Section 100.4.4 Unifonn Building Code}.
8$ APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760} 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No,
DELIVERY OPTIONS
0 PICK UP: c CONTACT (Listed above) o OCCUPANT (Listed above)
1·1 CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#--------... 0 MAIL TO: o CONTACT (Listed above) n OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
D MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB122627 Type: RETAIN
Date Inspection Item Inspector
02/2012013 69 Final Masonry PB
01115/2013 66 Grout PB
0110912013 11 Fig/Foundation/Piers PB
Friday, February 22, 2013
Act
AP
AP
AP
RETAINING WALL -500 SF
MAX. SDRSD C-2.
Comments
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