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Home My WebLink About1845 PALISADES DR; ; CB022150; Permit\DJ~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-24-2002 Retaining Wall Permit Permit No: CB022150 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1845 PALISADES DR CBAD RETAIN Lot#: 0 2073822400 $6,284.00 Construction Type: NEW Status: Applied: Entered By: Reference#: Plan Approved: ISSUED 07/22/2002 MDP 07/24/2002 07/24/2002 Project Title: G/LK RESIDENCE 426 SF RETAINING WALL, CITY SPECS Applicant: GILK LINDA Z 1845 PALISADES DR CARLSBAD CA 92008 Total Fees: Building Permit $127.37 Add'/ Building Permit Fee Plan Check Add'/ Plan Check Fee Strong Motion Fee Renewal Fee Add'/ Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Inspector: Owner: GILK LINDAZ 1845 PALISADES DR CARLSBAD CA 92008 Total Payments To Date: $49.78 Issued: Inspect A'..Jr~f. Balance Due: Clearance: $76.59 $0.00 $49.78 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $127.37 -, -•, .. "· ·,:. $77.59 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY lo any -----·•··· .. ~ ~-~ PERMIT APPLICATION FOR OFFICE USE ONL V ~ PLAN CHECK No .O~ ~.:)- EST. VAL. ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ---~----==-i~-- Validated By_-=:--1...,.,..-;t-r--~--- Date ____ ~--r--+-~----- 1. PROJECT ~RMATION x 1'84-'$ l i sad tS Address (include Bldg/Suite II) 1xro? Business Name (at this address) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Name 3. 4. '=ROPERTY OWNER ~rdA :l::. Name 6. CONTRACTOR • COMPANY NAME City Address a: k, v-:<-JCity State/Zip Telephone II Fax II State/Zip Telephone II (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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone# State license II _________ _ license Class _________ _ City Business license II _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. WORKERS' COMPENSATION 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. 0 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) 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 secure workers' 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 tha cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE______________________________ DATE 7 OWNER-BUILOE.R DECLARATION --===:::::=::::;::::==::::=:.__ I hereby affirm that I am exempt from the Contractor's license Law for the following reason: 0 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). 'jl! I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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). 0 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. 0 YES ONO 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 I 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 I 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): __________ _,_r--~-:-----::---,.-,,---...,....-----------------=,.--1-----1------------ PROPERTY OWNER SIGNATURE .....,:...+-=~"""'c,,,,:._;,_-;4-__ .,..,...,....,,,..._ _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 25605, 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? 0 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING 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. APPLICANT CERTIFICATION 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 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 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 ed fo"'~,reriod of 180 y (~ction 106.4.4 Uniform Building Code). j } APPLICANT'S SIGNATURE -6,,<,....,_;;....:...::=..[ll_,=.,.;;c---'--A-~~..,_,Q,,,1.____________ DATE 1-l:220 ;j , I YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/13/2002 Permit# CB022150 Inspector Assignment: JM ---Title: GILK RESIDENCE Description: 426 SF RETAINING WALL, CITY SPECS Type: RETAIN Sub Type: Job Address: Suite: Location: 1845 PALISADES DR Lot APPLICANT GILK LINDA Z 0 Phone: 7605986464 EX 380 Inspector: ----- Owner: GILK LINDAZ LIVING FAMILY TRUST Remarks: CALL WITH ET A lo Aitv\ Total Time: CD Description Act Comment Requested By: LINDA Entered By: CHRISTINE 69 Final Masonry tl-------- Associated PC Rs/CV s lnsi:1ection Hislo[Y Date Description Act lnsp Comments 08/30/2002 65 Retaining Walls AP JM OK TO BACKFILL RETAIN WALL WITH GRAVEL 08/27/2002 65 Retaining Walls co JM SEE LIST 08/22/2002 66 Grout AP JM OK TO GROUT 08/16/2002 61 Footing AP JM OK TO POUR 08/15/2002 61 Footing co JM SEE LIST ATTACHED 08/09/2002 65 Retaining Walls co JM EXIST WALL REMOVED· NEED FOOTING INSPECTION ,. City of Carlsbad l®Hll¥4·1itt4111¥i,1·11,14§11,1·1 BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB 0)-,:;)_/57) BUILDINGADDREss: 1%'</S-Pdr.so.___c/4._s PROJECT DESCRIPTION: -'R'-"e"-'t""'ai""'n"'in_..g--'-W-'-'a"'-11;__ _____ _ ASSESSOR'S PARCEL NUMBER: ,;Jo~ -c3$;7-,:J__ v 7 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, "'"""" 0 ro ..... '""""OO• '".;, 7'2 resu · nsion of ·1 to bui ., By: ' . ~ate: /, ATTACHMENTS D Right-of-Way Permit Application DENIAL Please se ~!!ached report of deficiencies marked 1th □. /Make necessary corrections to plans r sp 1fications for compliance with applica~ es and standards. Submit corrected plans and/or specifications to this office for review. By: ~~~#2- By: _________ Date: By: _________ Date: ENGINEERING DEPT. CONTACT PERSON NAME: Karen ~I City of Carlsbad ADDRESS: 1635 Faraday Ave Carlsbad, CA 92008 PHONE: (760) 602-2775 H:\Oevelopment S!Hvicea\MASTERS\FOAMS ·\CHECKLISTS •18UILDING PlANCHECK CKLJST FORM-RETAINING WALLS.doc Rev 6.'26.'911 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @ • (!)f c□J/ 0 I 0 0 0 0 0 1. 2. 3. 4. BUILDING PLANCHECK CHECKLIST RETAINING WALLS Provide a fully dimensioned site plan drawn to scale. Show: /2 North Arrow )!f. Existing & Proposed Structures f'7:"i (dimensioned from street) L7 Property Lines Show on site plan: ¢.' Dra;oag, Pattern, Existing & Proposed Slopes Existing Topography Include on title sheet: ~ Site Address ~ Assessor's Parcel Number /2· Legal Description D. Grading Quantities Cut ~Easements 'JY. Retaining Wall (location and height) Fill Import/Export (Grading Permit and Haul Route Permit may be required) ;Uo 6rcd~;,,_r 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:\DeVelopment Sefvlees\MASTERS\FORMS •\CHECKLISTS •\BUILDING PLANCHECI< CKLIST FORM· RETAINING WALLS.doc Rev.612@1'98 ,u,,_ .1. ti. tiCJ /btl /.!':II:! /1::!4 :~J!r ~ !h,,,\ &bl.J. . &,r '5~'' ht ~$ I . . J ·~r ,ro??' . : . -----.... ·-. .,_,._ .. -... Received Jul-22-2002 09:5 1 Fr011-7607290784 BA WORTHING INC PAGE 01 ......... ~ ............. ~----.....-- 11 '~ (M(Tnw"" fiJ'hjh~ +2~a4>