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1698 DOCENA RD; ; CB002312; Permit
07/14/2000 City of Carlsbad Retaining Wall Permit Permit No:CB002312 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1698DOCENARDCBAD RETAIN 2159103200 Lot#: 0 $4,130.00 Construction Type: NEW KELLY RES-280 SF WALL-PER CITY SPECS-SLOPED BACKFILL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/19/2000 RMA 07/14/2000 07/14/2000 Applicant: PRO EARTH LANDSCAPE INC STER 2210ENCINITASBLVD ENCINITAS CA 92024 760633-3120 Owner: BREHM-AVIARA III DEVELOPMENT, ASSQCIAIE&L P..•::':\i w;/i'h'v'U jOyj. u± 2835 CAMINO DEL RIO S #220 " '"' :' SAN DIEGO CA 92108 Total Fees: $116.22 Total Payments To Date:$0.00 Balance Due: $116.22 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee TOTAL PERMIT FEES $69.83 $0.00 $45.39 $0.00 $1.00 $0.00 $0.00 $0.00 $116.22 Inspector:.Sfc FINAL APPROVAL Date:Clearance: 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 capactiy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 A...PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO C/-3 /^" EST. VAL. Plan Ck. Deposit Validate^ By^ Date (r> I I?t-7- / Address (incluste Bldg/Suite #) J\ \<aW> UO«LA//T- YD!°tO (W <se>t3:0 ^>Business Name (at this address) 9200^ Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total tt of units Assessor's Parcel tt Existing Use Proposed Use * °' Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant)1 Contractor Address Agent for Contractor City Owner Q Ag State/Zip .-.CA- Telephone #Fax Address City State/Zip Address City State/Zip Telephone # CONTRACTOR - COMPANY NAME (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 703^ .5 by any applicant for a permitjsubjects the applicant to a ciyjl penalty of not more thai? five hundred dollars Name State License # ffa <3> 5( _ Address V' d s~* O — 7t? C> License Class C_ J~ i City State/Zip City Business License tt ] ff~ Telephone tt I—. \ r *•>->r\~if s"i A»D ) bjoU/v=)«< V / Designer Name State License tt Address City State/Zip Telephone !! COMPENSATION :; •'.'• riffi'C'.;.,*- : i'"--:": Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: |~l 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 tljB- work for which this permit is issued. ^^5 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.coppensation insurance carrier and policy number are: - - I A I ivTTll (OMA/lli^ffll ^-AlS. ^Z/LO[^.*^ Policy No. UJCLO ) AV4? \ \ Expiration Date./;\?M I *T / OlInsurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 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 Lawsrof California. WARNING: Failu^^sycure workef^ compensation coverage is unlawful, and shall subject an employer to criminal penaltiei and civil fines up to one hundred thousand dollaraMVTOCKUOO), in addition \M\yfcmiop compensation, damages as provided for in Sectiori 3706 of the Labor code, interest and attorney's fees. ^'SIGNATURE (^L/s^?? S<^r(s^s£/frfa_ ^X DATE (£ I ( ^f/ O<±S 7, j OWNER-BUILDER DECLARATION I ] 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: PI 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). l~l 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 contractors) licensed pursuant to the Contractor's License Law). f~) 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 I"~|NO 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 COMPLETE THIS SECTION FOR/VO/V-flFS/DSVrMi BUILDING PERMITS ONLY 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? fj YES Q 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. CONSTHBttlONtENDlNG 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 9. APPlCANlGERlFIClriON 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 CitV 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 issu^djby^^rjfe building Oljifi^al under yye provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not \ at any time after the work is o \APPLICANT'S SIGNATURE within 1 for a peril e date of such permit or if the building or work authorized by sucn permit tion 106.4.4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance s suspended or abandoned City of Carlsbad Bldg Inspection Request For: 8/4/2000 Permit# CB002312 Title: KELLY RES-280 SF WALL-PER CITY Description: SPECS-SLOPED BACKFILL Inspector Assignment: SR Type: RETAIN Sub Type: Job Address: 1698DOCENARD Suite: Lot 0 Location: APPLICANT PRO EARTH LANDSCAPE INC Owner: BREHM-AVIARA III DEVELOPMENT ASSOCIATES L P Remarks: Phone: 6199139932 Inspector: Total Time: CD Description 69 Final Masonry Requested By: CHRIS Entered By: ROBIN Act Comments F U^-QoJ Associated PCRs Inspection History Date Description Act Insp Comments 8/2/2000 63 Walls AP SR NEED TO SEE GRAVEL OVER DRAINAGE PIPE BEFORE FINAL 7/27/2000 63 Walls AP SR OK TO GROUT 7/21/2000 63 Walls AP SR OK TO POUR 7/17/2000 63 Walls CO SR NEEDS TO DIG OUT KEYWAY City of Carlsbad Bldg Inspection Request For: 7/17/2000 Permit# CB002312 Title: KELLY RES-280 SF WALL-PER CITY Description: SPECS-SLOPED BACKFILL Inspector Assignment: Type: RETAIN Sub Type: Job Address: 1698DOCENARD Suite: Lot 0 Location: APPLICANT PRO EARTH LANDSCAPE INC Owner: BREHM-AVIARA III DEVELOPMENT ASSOCIATES L P Remarks: Phone: 6199139932 Inspector: Total Time:Requested By: CHRISTOPHER Entered By: ROBIN CD Description 63 Walls Act Comments CO •fay Associated PCRs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO. (760) 602-2700 1635 FARADAY AVENUE TIME O FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® Citvof Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS:Q (FC PROJECT DESCRIPTION: Retaining Wall 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 contipered conformance with applicable codes. Please review icarefully all comments attached, as failure to/comizffy With instructions in this repfort can result in su^perfeioXof permit to build. By:Date: DENIAL Please see the attached report of deficiencies marked with DlVlake necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: By: By: Date: Date: Date: ATTACHMENTS Right-of-Way Permit Application ENGINEERING DEPT. CONTACT PERSON NAME: KATHLEEN M. FARMER City of Carlsbad ADDRESS: 1635 Faraday Ave Carlsbad, CA 92008 PHONE:(760) 602-2741 H:\WORD\DOCS\CHKLST\Retaining Wall Building Plancheck Cklist Form KF.doc 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 602-272O • FAX (760) 6O2-8562 iST/jRD/ Q BUILDING PLANCHECK CHECKLIST RETAINING WALLS 1. Provide a fully dimensioned site plan drawn to scale. Show: forth Arrow D. Easements £ Existing & Proposed Structures ^^E^Retammg Wall (dimensioned from street) ' (location and height) CXProperty Lines / 2. Show on site plan: A. Drainage Patterns B. Existing & Proposed Slopes C. Existing Topography 3. Include on title sheet: A. Site Address B. Assessor's Parcel Number C. Legal Description D. Grading Quantities Cut Fill Import/Export (Grading Permit and Haul Route Permit may be required) Q 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. Page 1 H:\WORD\DOCS\CHKLST\Retaining Wall Building Plancheck Cklist Form OR.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 0 0 I- V• I 2-- DATE ADDRESS 00 RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE Docs/Misfonre/pianning Engineering Approvals 20' WIDE ZNE FIRE: MAINTAINED ER EASEMENT) 1GHT-OF-WAY PROPERTY LINE LTLD SEWER LATERAL °M WATER LATERAL SLOPE MAILBOX STREET LIGHT FIRE HYDRANT UTILITY HANDHOLE UTILITY TRANS/VAULT WOOD FENCE VIEW FENCE PRIVATE DRAIN STORM DRAIN CLEAN OUT (SPECIES VARY)STORM DRAIN INLET SEWER MANHOLE GATE STREET SIGN -t-r4- •VJ /^•a 3 ! <t. £(f) ti.° ,^.s> ! Q) JZ © •us o yQ. ra |!£ CO (/) z.i-s§ tn 55 !51 1_ to« bc o Da ao 3D) O O O CM a< •oCO CO > 0)or oooCM T30)CO>CDcr •8-rfo ^U nj c 03O 4)'i/i <"tn C W£ CJ -B *3 •—c 3 •£« v> t^ I S^ 2 1.— Uin (TJ >- =» S'-O00 f" CJ 0) O § O •£ ••^ d.<£ O C § C^ DC u-»- -a o Q. " «5RJ (/i tri 3 "0 £ C 3 *Q_ CJ wo u 5•+—• ou O •C" 1« a. .2 u 01 u u 45: ZJ C ^* IIv oc ^II .*—» c SO a; —j -o •£ aj r»JK csON i -5 1 ^.2 2w^ O qs r JiE Z we <o -s- oh- is * S ITj 0 t^ D•*»*ISc00 to ro ' a c ^ -J ; ^-1 £ 3 S ;c .SP : 1/1 5 a: WS-12..-00 14=55 —^^^JiQgL^NS 5UC5 * 760 633 3120 NO.001 CERTIFICATE OF LIABILITY (NSURANCi THIS CERTIFICATE !S tSSUEO AS A MATTER OF mFORMAtTOM OJW.Y AMD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTtRCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. .woSSZft ALL COMMERCIAL INSURANCE SERVICES. LLC. [6790 TOP GUN STREET « SAN DIEGO CA 92121 PHONE: 85^843-0200 fr*X: I38*12"0205 COMPANiESAFFOROmG COVERAGE _ ^o««vu^_»c«4ssa I * • INSURED WJMfWNY PRO EARTH LANDSCAPE VHRHINC.OBA: j 8 WILllAMSBURG NATIONAL 2210 CNCJN1TAS WLVD * R ,-FnC5iiSv ENCINITAS CA 92024 I ***** J»EW*A<- SECUWTV^ rcoMPANY~ I 0 UNtTEQ CAPITAL COVERAGES " - "J " - ; - . TJI — -_ ._. -.....- r -. --_.-L 71 --..-L-.-- — THIS IS TO CERTIFY THAT THE POUCieS OF INSURANCE USTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE fOR THE POUCY PERIOD INDICATED, NOTVWTHSTANOlNG ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT JOWHICH TM)S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. OCCLUSIONS AND CONOmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BE6N REOUCgD BY PAID CLAIMS- Si* TYPEOFBCORAMCE POueV«mWB» ' »«.«»»««'»* I POUwaWM""" I .i-rr. . I GEN6RAJ.UABIUTY | GLAC1300393 I " OCT3W j ~OCT9W X COUMERCIALGeNERMLUAeiurV _^~_ CWWSMAOe X~ «5CCUR , , ,re 0 owNsesacoNreAO^smOT ! ^ ^^L. _._?_._. 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