HomeMy WebLinkAbout1845 CANYON PL; ; CB962084; PermitB U I L D I N11/13/96 11:12
Page 1 of 1
1 Job Address: 1845 CANYON PL
Permit Type: RETAINING WALL
Parcel No: 205-080-88-00
Valuation: 2,700
Occupancy Group: Reference*:
Description: 200 SF WALL-SLOPE BACKFILL-PER
: CITY SPEC #222
Appl/Ownr : B.A.WORTHING
690 CARLSBAFD VILLAGE DR
CARLSBAD CA 92008
*** Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
PERMIT
Suite
Lot#:
Permit No: CB962084
Project No: A9602959
Development No:
619
0942 11/13/96 0001 01 02
C-PRHT 90.00Construction Type: NEW
Status: ISSUED
Applied: 10/29/96
Apr/Issue: 11/13/96
Entered By: RMA
729-3965
lected & Credits ***
.00
.00
90. 00
Ext fee Data
54.00
35.00
1.00
90 . 00
PPROVAL
INSR
CLEARANCE.
CITY OF CARLSBAD
2075 Las Pabnas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION iK^B
City of Carlsbad Building Department W^ 'zZfW
2075 Las Pains Dr., Carlsbad, CA 92009 (619) 438-1161 ^Q8S®r
1. PfcHMll ITfE
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: O t""* L^
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION
PLAN CHECK NO. £?/,9/?Jr'Y/ f"? (7*4/0 1
EST.VAL ^i /ftlJ
PLANCKDEPOSTT t A
VALID. BY t /*V
DATE /0M </ <7/
FOR OFFICE USE ONLY
Address
Nearest Cross Street
Building or buite No.
0 ^ »
LE.VJAL UtbCKIl' 11UN Subdivision Name/Number Phase No.
DC.IAJW Ir aucJJVlll ILL).'
D 2 Energy Calcs O 2 Structural Gales D 2 Soils Report D1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ. FT. ^OG R&TA-1 N\# OF STORIES # OF BEDROOMS # OF BATHROOMS
NAME (last name first)
CITY
uirierenL rrom applicant,/
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APFLICANl If CUN 1 KAC 1 UK U AC-EN I r UK CON 1 KAC 1UK DOWNER U AGENTTOR OWNE.
AME (last name first) ^OKTtK/^ter i 01 A « ADDRESS
CITY STATE
s*.
ZIP CODE <$£&&& DAY TELEPHONE 'JZ.^t'B^^'
NAME (last name first) (-(TTt-g., 6K6MT
CITY /tA&^S&ft^ STATE /M ZIP CODE
ADDRESS
DAY TELEPHONE
o. CONTRACTOR
NAME (last name first)
CITY STATE
STATE LIC. #
ADDRESS
ZIP CODE DAY TELEPHONE
LICENSE CLASS CITY BUSINESS LIC. #
DESIGNER NAME (last name first)
CITY STATE ZIP CODE
ADDRESS
DAY TELEPHONE STATE LIC. #
Yorkers Compensannn Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
xemption: 1 certify that in the performai
so as to become subject to the Workers' Compensation Laws of California.
SIGNATU:
8. OWNEK-aLf
employ any person in any manner
DATE */'3A
uwner-Huilaer Declaration: Thereby attirm that I am exempt from the contractors ucense Law lor the following reason:
O 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.).
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 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).
D I am exempt under Section _ Business and Professions Code for this reason:
(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, commencing 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 [$500]).
SIGNATURE DATE
> SEUT1UN FOR NON-RESIDENTIAL 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?
D 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?
D YES n NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. UONSimKJTUJlM LENDING AGENCY
I hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit is issued {.Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
JO. APFLUJANT CKK'IU'ICA'IIUN
icertify that I nave read the application and state that the above information is correct. 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
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 365 daysfrom the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time aftpf the work is. commenced for a period of 180 days (Section 303 (d) Uniform Building
APPLICANTS SIGNAT ' ' -u*^s- ^ - •-»
WHITE:: Applicant PINK: Finance
City of Carlsbad
Engineering Department
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER:.
BUILDING ADDRESS: / 8 43
PROJECT DESCRIPTION: Retaining Wall
ASSESSOR'S PARCEL NUMBER:~ O 8 O ~8 a
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.
Date: tl
DENIAL
Please see theaftached report of deficiencies
marked witjxQ\Make necessary corrections to
plans or 'specifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for
review.
Date:
By:.Date:
By:.Date:
ATTACHMENTS
D Right of Way Permit Application
ENGINEERING DEPT. CONTACT PERSON
NAME: MICHELE MASTERSON
City of Carlsbad
ADDRESS: 2075 Las Palmas Drive
PHONE: (619) 438-1161. Ext. 4315
P:\DOCS\CHKLST\WALL REV 04/18/96
2O75 Las Palmas Dr. - Carlsbad, CA 92OO9-1576 • (619) 438-1161 - FAX (619) 438-O894
BUILDING PLANCHECK CHECKLIST - RETAINING WALLS
" 2nd\/er n
SITE PLAN
3rch/
1. Provide a fully dimensioned site plan drawn to scale. Show:
C. Property Lines *•*""
'tTpRetaining wall (location and height)
2. Show on site plan:
h Arrow
Existing & Proposed Structures
(dimensioned from street)
ainage Patterns >^^
Existing & Proposed Slopes
ing Topography
3. Include on title sheet
A. Site address
B. Assessor's Parcel Number
C. Legal Description ^\
(^J^D Grading Quantities Cut ['2~< J'
(Grading Permit and Haul Route Permit may be required)
4. Project does not comply with the following Engineering Conditions of approval for
Project No.
Fill Import/Export,
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 permit issued by the Engineering Department is required
for the following:
Please complete attached Right-of-Way application form and return to the
Engineering Department together with the requirements on the attached Right-of-
Way checklist, at the time of resubmittal.
P:\DOCS\CHKLST\WAUL Page 1 REV 04/18/96
o
75D
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J
15
n n
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB ?6- ZO3V Address /^VJ"
Planner Jt <g «^e Ji m t^u
APN: IPS- QfiO- 880Q
Type of Project and Use: Zoo Jf.
?-/ Facilities Management Zone:
Phone (619) 438-1161, extension
CFD (in/5^> #
Circle One (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building
Department.)
Legend
Item Complete
Item Incomplete - Needs your action
Environmental Review Required: YES
DATE OF COMPLETION:
NO TYPE
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
Discretionary Action Required:
APPROVAL/RESO. NO.
PROJECT NO.
YES NO TYPE
DATE
OTHER RELATED CASES:
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval
Coastal Zone Assessment/Compliance
NOProject site located in Coastal Zone? YES
If NO, proceed with checklist; if YES, proceed below.
Determine status (Exempt or Coastal Permit Required):
If Exempt, proceed with checklist; if Coastal Permit required, hold building permit until Coastal
Permit issued.
Coastal Permit Determination Form already completed? YES
If NO, complete Coastal Permit Determination Form now.
Coastal Permit Determination Log #:
NO
Follow-Up Actions:
1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum
Floor Plans).
2) Attach completed Coastal Permit Determination Form to this Checklist.
3) Complete Coastal Permit Determination Log as needed.
Inclusionary Housing Fee required: YES NO
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Site Plan:
1. Provide a fully dimensional site plan drawn to scale. Show: North arrow,
property lines, easements, existing and proposed structures, streets, existing
street improvements, right-of-way width, dimensional setbacks and existing
topographical lines.
2. Provide legal description of property and assessor's parcel number.
o.
/
°6
/
D
Zoning:
1 . Setbacks:
Front:
Int. Side:
Street Side:
Rear:
2. Lot Coverage:
r
3. Height: V «"A
4. Parking:
Guest
Required
Required
Required
Required
Required
?^ Required
Spaces Required
Spaces Required
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Additional Comments J~c^e. P^y^u ^o L/i^&sibt^fjcLfaj. ^/^.ay^. //?.I/>UL^/J ,
77v-y> f*9 LJCUUf 0 -JuiiCv'lijfc Cosuit? fjf /y
-, ^sis/S, SSsas,,;
n ,f y
CdX-t C/lmf^wlftirtsy <2^)r-# CL
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ^DATE -
2.060
7 /
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City of Carlsbad
Building Department
WORKERS' COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for
A. workers' compensation as provided by section 3700 of the Labor Code, for
the performance of the work for which this permit is issued.
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 workers' 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)
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
™ C. workers compensation laws of California.
Signature Date
Warning: Failure to secure workers' compensation coverage is unlawful, and shall be
subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars ($100,000), in addition to the cost of compensation, damages as provided for
in Section 3706 of the Labor Code, Interest and attorney's fees.
March 3, 1995
2075 Las Palmas Dr. • Carlsbad, CA 92OO9-1 576 • (619) 438-1161 • FAX (619) 438-O894
.COMPENSATION
;:^i ' V j^O. BOX 420807, SAN FRANCISCO, CA 94142-0807"^'"v^^~^T••;.^'"^ -f; ~_ v "\>^. ^
^V!- i^;C^/*fe^•<~v •.''fWe will also glve7oui.E,N days advance notice should this policy be cancelled priortffjtarnoirnarexpiratlpn.^:^
*-'-^Y^^^r-rr!^*-w«^ :
V^'X~r';This cetfif fcate of insurah'ce is npj a'n, insurance policy and does'rjot amend;, extend ofarter the coverage afforded by the" •'• v T'<i '<&*}'
::-V-'^;v policies-)i&ed;Tierein^ withJ.^-^'^.V^'-..-.
• C^r?sP^ fe %^'9n'ln!s ^ ^ne policies^r^f^fff 'f3*'::'
-••"i «^Hce!rHheiri:hero)rt ioonhio^f fn'all'tho tormci ftyrfiKjlnnR and Conditions 6f SUCh DOt(Cies£^ >• -i:;.,^1^'''^:'-^"'^- ^-^^ 'WiT'^ik ;^r^v. \i :• ; ;s.:j.?- . ',v.--f^ . -^3.'; S^l* --:^ \-'^»J '** :^^- •'•-m^:, -&.
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THIS DOCUMENT HASIA'BLUEPATTERNED BACKGROUND SCIFM0262 (REV. 12-94]