HomeMy WebLinkAbout1970 SILVERLEAF CIR; ; CB030834; Permit04-07-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Retaining Wall Permit Permit No: CB030834
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1970 SILVERLEAF CR CBAD
RETAIN
2550121600 Lot#:
$10,238.00 Construction Type:
LA COSTA GLEN-BLDG C-650 SF
RETAIN WALL-PER CITY SPECS
Applicant:
CONTINUING LIFE COMMUNITIES LLC
C/O RICHARD ASCHENBRENNER
800 MORNINGSIDE DR
FULLERTON CA 92835
Status: ISSUED
0 Applied: 03/21/2003
NEW Entered By: RMA
Plan Approved: 04/07/2003
Issued: 04/07/2003
Plan Check#:
Inspect Area:
2192 04/07/03 0002 01
Owner: CGF«
CONTINUING LIFE COMMUNITlfi^L^^^.^-^.jfli.
02
178-21
C/O RICHARD ASCHENBRENNB
800 MORNINGSIDE DR
FULLERTON CA 92835
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
Additional Fees
TOTAL PERMIT FEES
$107.39
$0.00
$69.80
$0.00
$1.02
$0.00
$0.00
$0.00
$0.00
$178.21
Total Fees: $178.21 Total Payments To Date:$0.00 Balance Due:$178.21
PERMIT APPLICATIONj
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
Ta Costa Glen
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By.
Date
Address (include Bldg/Suite #) i > , . \\ ^ | I\ 1— lA^ L,
Legal Description \OflQ S/W°&K
Business Name (at this address)
Subdivisiaf) Nana^/Npmber I Unit No. Phase No.Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work / f ti\ SQ. FA ^ , #of Stories. i . # of Bedrooms # of Bathrooms
Jaraes M. Bishop 1970 Silver leaf Circle Carlsbad MCA 92009 (760) 704^6253
Name Address
Jkv APPLICANT ! O Contractor Q Agent"?or Contrai^or
Same
City
i Owner- ". Q'Agent for"Own«f
State/Zip Telephone # Fax #
(760) .704-8262, MX $J
Name
A? PROPERTY OWNER
Address City State/Zip Telephone #
i,
Continuing Life Connunities LLC 1940 Levante Street Carlsbad, CA 92009 (760) 704-6300
Name Address ' City State/Zip Telephone #
S, ^CONTRACTOR - CGMPANV-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 [$500]).
Name
State License #
Address
License Class
City State/Zip
City Business License #
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:
n 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.
C] 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)
f~l 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 the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE__ __ DATE _
•HillWiER-BUlLDlR DECLARATION.-- ' - " ' • -.-..--- - , . . ' j
I hereby affirm that I am exempt from the Contractor's License Law for 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).
0 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). -
r~l 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, d YES 0NO ;
2. f (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):
brt I have4. I plan to provide portions of the work, taf I have
number / contractors license number):
5. I will provide some of the
of work): _
jng person to coordinate, supervise and provide the major work (include name / address / phone
ve contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
.3 -7J -fl3PROPERTY OWNER SIGNATUBEl
COMPLETE THIS SECTION fOKNQN-RESi6/NtlAL 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? Q YES Q 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 d NO
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? d 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,. , CONSTRUCTION UffelMG 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,, i 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 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 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 ofsuch permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commence^or a period of 180 dayg^Section^JOe.4.4 Uniform Building Code). '
'
APPLICANT'S SIGNATURE DATE
WHITE: File PINK: Finance
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB
BUILDING ADDRESS: I f7 O
<S3V
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 continued conformance with applicable
codes. Please review carefully all comments attached,
as failure to comply with instructions in this report can
result jn suspension of permit to build.
Date:'
DENIAL
Please see the attached report of deficiencies
marked with D. 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.
By:
By:
By:
Date:
Date:
Date:
ATTACHMENTS
Right-of-Way Permit Application
ENGINEERING DEPT. CONTACT PERSON
NAME: JOANNE JUCHNIEWICZ
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE:(760) 602-2775
all Ruining PUnrt.^^, f-LI.1 E
1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 6O2-272O - FAX (76O) 6O2-8562
\
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
Q
1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow
B. Existing & Proposed Structures
(dimensioned from street)
C. Property 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
D. Easements
E. Retaining Wall
(location and height)
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:
Q Q
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.
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\\LASPALMAS\SYS\LIBRARY\ENG\WORD\DOCS\CHKLST\Retaining Wall Building Plancheck Cklst Forni JJ.doc Rev. 6/26/98
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB DATE
ADDRESS 1<T7Q
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER DATE
ENGINEER DATE
Docs/Misforms'Planning Engineering Approvals