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Home My WebLink About1687 FISHERMAN DR; ; CB050525; PermitFOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. C:~605""1,)5 EST. VAL. 0G 1 -z_ Plan Ck. Deposit,.._... _________ _ Validated By __ 0 __ ·~-2~------ Date :I,\ \.<l? \o~ C. \ C>~ -1.,, ""L • 1. · P!IOJ~CJ JN!'~B.MATION. ·· )l.,~, h'5rt.el/tl t./) ]t1vt. Address (include Bldg/Suite #) Business Name lat this address) Le.. .)ll v~ 1 a Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 'Z..IS:-OKI-f?..--00 Assessor's Parcel # Proposed Use (2.(: 1' 4 M 1 ~ W6. I/ Description of # of Bathrooms f2.f ?f)1(l'.<iU(T.'A,C;Tt;,Ptl\so1,l,,(!f{dlfffr.iitJfrA!llil!P.PIIJ;aritl,L , t, tu, 0 Lfl. I ( Dll I fo f)f / ,a j{ /\ d-uif / f ca L-11'\ d J. Name I Address Name Address !i;"'':"Pr°ffoliEiir·v,a:wN·Ea,'.jj;: ... /-:t{1:.. /'1'·-'r' · i: i ,., .. : :," . ii:. · • , . · · · · · Cr11.i-ftmM .l4 dJh,d. ;r. LLfJ. /1qrLwd ~ VIJi-4 Dr . !k Name Address i:Ji,f?!:"'cliNiJ:R~Cii:Qa::i;QoMiij.NY:tt(~M.e:i''· ~;1\r<, , . ·•· ,·. / , City State/Zip Telephone# Fax# City State/Zip Telephone# City S.tate/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 Codal 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]). {!g(f!D W<rrFt/111(1(1 /(<f J/'1f'L11tdr..V1d6Dt,Jk -6 s,/1fl1V((J) ft/ q-z.o,f --u~o-r"JIJ-ul/1'; Name Address City State/Zip Telephone # State License# --=l,::..._t _"7_5 __ f_J __ _ License Class ...;.;{3:;_-_J _____ _ City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- Le,;'~.;Th"{J;nmj.i\s; ¢DM.PE~SAil9H~[.'.~,.-·'"' ,:c,...··· .. ·,,. ,... •'\, .·v•,< Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. IQ1 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 isl(ied. My worker's compensation insurance carrier and policy number are: Insurance Company ,Sh f( FU n cf Policy No. / 1 '3 J OJ g -DY Expiration Date. _____ _ (THIS SECTION NEEO NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSI 0 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 manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to 11cure workers' compensation coverage la unlawful, and shall subject en employer to criminal penalties and civil fines up to one hundred thousand dollar $100,0001, addition to the cost of compensation, damages 81 provided for in Section 3706 of the Llbor code, interest end attorney's fees. SIGNATURE DATE . ?,, I-, I t..:)l 1,;;~1::sowtiE&~tii'c:oitc·" · · ,. if,;t,o'i\f.?t,. ,.;. ... ,~ I;:;,ti st,~fiUJ/ · :~;; • .; ... :, · .. i·h;r;by ;·ffirm th~t· 1 ·a·~· ~~~;,.;pt f~o,,.;· th~ Co~t;actor;s Li~e~se Law for the following reason: \ti'\ 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 (iie'c. 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). 0 I, as owner of the property, a~ 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 convects for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: I p~ally plan to provide the major labor and materials for construction of the proposed property improvement. 'QJYES ONO 1. 2. 3. 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): 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 I address I phone number I contractors license number):·---------------------------------------------- 5. I will provide some of the work, but I h e of work):. ___________ ___,~....,.-.~------,.-<::::----,;C.....-,...--,...-------------------------- "1 . ' ,A· ,,, ! : ~-.1 • . ·''i:!.,' 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? 0 YES O 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 O NO Is the facility to be constructed within 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. !~f '1it!Wii$)'(Ql,:!,C1il~~;tjj;ipJ.1\19.~q.EN~Y:,Z\:: , '.:: .·.: : · ·. , , ·. ,:, ' .. ! ... < .· ~. , •. 1., "' 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'SNAME C.~111r.-jyv ~:t Vr/1 JL, UJIJ LENDER'SADDRESS !0'-1-D {,/t,,.-..c/ /1vtrue t7i.ev,c/,t:l()(A-fZo~ [!f,~A-e.,e~J~'A:ltlt'C~B:Jilfif¢',lJiJQNollifr< ,. ,:,:;:-,~• :.,',;.;,;, ···,/i . ,. . " ," ·, .,; '·. :, ,. :.:,: ,;. , -~., .,, ·. :',;< , · .•·: ~-.. : , , :, '-"'' ·. , ·. , ... ,, ,. ,, .. ,,.. ·.>' ,/:·. 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 Citt 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 b · ding Official under (he provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comme ithin 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 comme a period of 18 s ( ti 06 nlform Building Code). DATE ------------- PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/30/2005 Permit# CB050525 Title: LA SUVERA 542 SF RETAIN WALL Description: PER CITY SPECS Type: RETAIN Sub Type: Job Address: Suite: Location: 1687 FISHERMAN DR Lot 0 APPLICANT CRAFTSMAN CARLSBAD I L L C Owner: CRAFTSMAN CARLSBAD I L L C Remarks: Total Time: CD Description 69 Flnal Masonry Associated PCRs/CVs lns(lection Histoiy Date Description Act lnsp 04/12/2005 65 Retaining Walls AP PD 03/23/2005 66 Grout AP PS 03/22/2005 66 Grout CA PS 03/17/2005 61 Footing AP PD Comments DRAIN Inspector Assignment: PD --- Phone: Inspector: fl Requested By: CHRISTINE Entered By: CHRISTINE City of Carls.bad l:lflbllM'4·11@•#1,1·11,14411,1·1 BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER, }· iJ l-;_ 01,5, BUILDING ADDRESS: / h ~ 7 y/.v,~ 1)-v \ PROJECT DESCRIPTION: -'R--'e=-ct=aic..cncc.cin..,_g--'W-'-'a=-11'---------- ASSESSOR'S PARCEL NUMBER: 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: 8/,J/o§' ATTACHMENTS Right-of-Way Permit Application H:\WORDIDOCS\CHKLSnRetaining Wall Bu1k::ling Pl.:mcheck Ckl~I Form KF.doc Rev. 6126198 DENIAL Please se~e attached report of deficiencies marked wi D ke necessary corrections to plans or specifi · ns for compliance with applicable codes and sta ards. Submit corrected plans and/or specific ns to this office for review. By:{ Date: Ut v(o j By: Date: By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: KATHLEEN M. FARMER City of Carlsbad ADDRESS: 1635 Faraday Ave Carlsbad, CA 92008 PHONE: (760) 602-2741 / 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @ • I) 0 0 0 BUILDING PLANCHECK CHECKLIST RETAINING WALLS ~ ('_ [) p {)((~r ~ 1. Provide a fully dimensioned site plan drawn to scale. Show: 0 0 0 0 0 0 A. North Arrow D. Easements B. Existing & Proposed Structures E. Retaining Wall ( dimensioned from street) (location and height) C. Property Lines ~~ 1:>wh 47,7--uJ ;,J.euh 2. Show on site plan: ~~~ ~ ~ 1,-,,. ,!Ji-_~~ A. Drainage Patterns ~~~ B. Existing & Proposed Slopes C. Existing Topography {t> 6ee. Y10k '9e /ouJ 0 3. Include on title sheet: A. Site Address B. Assessor's Parcel Number C. Legal Description D. Grading Quantities Cut Fill lmporUExport __ _ (Grading Permit and Haul Route Permit may be required) 4. Project does not comply with the following Engineering Conditions of approval for Project No.----------------- Conditions were complied with by: _______ Date: ____ _ 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. ~er-~ G~r..eeti~ ~-&t7<-4Je.(',cJ,1;.p 65~~ 'i'116 wau ,s ..Jo k As ·'eiui'lt-or'l Jo +-kt ?;:~ ~11 ~it1f1~ 1),u&J t/e>3 -?54. -r/le~ ~laris do ea,1tJocrn q0 ~ '0ut:ie. ~'ttj-?/a>15 . ar:,~J ~~ ,ev;~ as o'r"[..:,Nd b<f (a<e.., u~" Qo6t., H:\WORD\DOCS\CHKLSnRetalning Wall Building Plal'ldleek Ckllst Form DR.tloc Rev. 11/'2(1{98 PLANNINC/ENCINEERINC APPROVALS PERMIT NUMBER CB CF) CJ'?~ RESIDENTIAL RESIDENTIAL ADDITION MINOR < < $10,000.00) PLANNER ~lLkw--- ENGINEER. ________ _ TENANT IMPROVEMENT PlAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAO&' FAIRE COMPLETE OFFICE BUILDING DATE -------