HomeMy WebLinkAbout1873 EAST POINTE AVE; ; CB981639; Permit/ ^4
02/08/2001
Job Acidress:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Permit Permit No:CB981639
Building Inspection Request Line (760) 602-2725
1873 EAST POINTE AV CBAD
RETAIN Sub Type:
2073830700 Lot #:
$11,800.00 Construction Type:
Reference #:
800SF SLOPED BACKFILL RETAIN
WALL PER CITY SPECS
NEW
Status:
Applied:
Entered By:
Appr/lssued:
Inspect Area:
ISSUED
05/28/1998
BT
02/08/2001
PD
Applicant:
ENDURANCE MASONRY
Owner:
SMHW SiAD&SHEILA A
148 MANGARD CR
ENCINITAS CA 92024
753-9182
1056 02/08/01 0002 01 02
CGP 65.46
Total Fees: $282.46 Total Payments To Date: $217.00 BalanceDue: $65.46
Description Fee
BLDG PLAN CHECK
BUILDING PMTS
STRNG MOTION
85 .20
196.08
1.18
Inspector:
FINAL APPROVAL
Date Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively
refened 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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Car1sl)ad Municipal Code Section 3.32.030. Failure to timely foitow that procedure will tjar 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/exactksns DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or sen/ice 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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECTINFORMATION ^
FOR OFFICE USE ONLY
PLAN CHECK NO
EST. VAL.
Plan Ck. Deposit
Validated By.
Date
Address (include BIdg/Suite #) _ QUSIIIBSS IM:
S-tAJ6LF FAvtiu-f P^/ffKttoP KovL^. / Y(^lE^M)e% p-T
Business Name (at this address)
Legal Descrlptloi Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # ~ Existing Use Z fl / _ Prdposed Use "% ^
yd (^-emt/>/^ WAUL 6'-H to 6 'C " J'^ft^f Lt\i^^^jmtJ d-^Uj J 4^ (E^^XZ C /c>^
Description of Work C^^O^^U-PT- ^of Stories/ CfofBedSoms # of'B^hrooi ms
2.^C0NT^CT PER§pN (if ^erent from applicant)
3
PERSON (if ^ W— /-85.00
Name ^^^^iaiilM^e^lEflfeSlg^ '~' Address ~ City
3. APPLICANT (3 Contractor • Agent for Contractor • Owner • Agent for Owner
State/Zip Telephone # Fax #
Name ]3 V2.J^\ ^ <^ jVV I "TVJl Address ~ TT" City State/Zip Telephone #
4. PROPERTY OWNER ^ 1 ? 73 Z^lS T flP/AT itf^t^ C/Kfi-XS&^O 04 '^tOO^ XH>0>,
Name Address City State/Zip Telephone #
5. 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 145001).
t^N^\l{?AN(j^ ^ASO^I^'-I l^%^r^O C(i ^U i,^ \rr\<i. ^ ;^;;./ ( ?/,o) 7s"?-?) 8Z.
Name Address
State License # License Class
City State/Zip
City Business License #
lip Telephone #
Designer Name Address City State/Zip Telephone
State License #
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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:
InsuranceCompany PolicyNo. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
^ 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 ($1D0.OO(U.Jn adnition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE "' ' "' DATE 5^ '^'3"
7. OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following reason:
CD 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).
• 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).
• 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. • YES [UNO
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. 1 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 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? Cj YES • NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cj YES C] 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. 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(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9. APPUCANT 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 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 B'O" 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 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 commencecl/for a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE t5--^3-?& APPLICANT'S SIGNATURE
WHITE: File YELLOW: Applicant PINK: Finance
City ofCarlsbad BIdg Inspection Request
For: 02/22/2001
Permit* CB981639
Title: 800SF SLOPED BACKFILL RETAIN
Description: WALL PER CITY SPECS
Inspector Assignnnent: PD
Type: RETAIN Sub Type:
Job Address: 1873 EAST POINTE AV
Suite: ypt
Location:
APPLICANT ENDURANCE MASONRY
Owner: SMITH BRAD&SHEILA A
Remarks: DRAINAGE INSP
Phone: 8587133682
InspectoK'
Total Time:
CD Description
63 Walls
Requested By: BRAD
Entered By: ROBIN
Act Comments
Associated PCRs
Inspection Historv
Date Description Act Insp Comments
07/08/1998 66 Grout _^ , AP PD
07/07/1998 66 Grout NR PD
07/01/1998 61 Footing ', AP PD ^