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Home My WebLink About2145 CORTE CIDRO; ; CB980359; PermitPermit No CB980359 Project No A9800453 Development No Suite 4543 03/02/98 0001 01 02 C-PRHT 227-00 BUILDING PERMIT 03/02/98 11 38 Page 1 of 1 Job Address 2145 CORTE CIDRO Permit Type- RETAINING WALL Parcel No 255-250-04-00 Lot#. Valuation- 21,897 Construction Type NEW Occupancy Group Reference* Status ISSUED Description RETAINING WALLS 1622 SF-LOTS 4 Applied 02/06/98 79,106,100,115,28,31,44 Apr/Issue 03/02/98 Entered By JM Appl/Ownr KENNEDY MASONRY 760 931-2671 7533 NAVIGATOR CIRCLE CALRSBAD CA 92009 *** Fees Required *** *** Fees Collected & Credits *** Fees 373.00 Adjustments: .00 Total Fees. 373.00 Fee description . Total Credits Total Payments. Balance Due: Units Fee/Unit 00 146,00 227 00 Ext fee Data Building Permit Plan Check Strong Motion Fee; * BUILDING TOTAL •. 225 00 146 00 2. 00 373 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad, CA 92009 (760)438-1161 5t;J- 'prnxcj^QtmAWNV £^£ ^L- *~s FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) 363R j&tt. w~" Legal Description Lot No Subdivision Name/Number Unit No inits 146=00 Assessor's Parcel #Existing Use Proposed Use Descrption oi Wc*k . K tV \ \ I S(^ FT 2 ^*,jCONfACT PERSON (if diffe4nt,frpm:applicant);C^ #8f Stories # qf Bstirooms # of Bathrooms li-Cl ::X Name Address City State/Zip Telephone # Fax # APPLICANT ^0 Contractor D Agent for Contractdffet D Owner»j Dl?jSent foriOwne - State/Zip Telephone # (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 jjfy a permit subjects th^apphcant to aj:ivil p^na(ty of fiot more than five hundredjJoMars IS^OQIL Name . . J . ^» /Address City State/Zip Telephone # State License # D | J*. JZ5J License Class C.— ^" Vb""~l City Business License # iC-vOQU^fPf^fej Designer Name Address State License ff City State/Zip Telephone 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 JjJ 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 earner and policy number are Insurance Company STh.4e~ f"Lmg\ Policy No g)^-/M-Cf7 Expiration Date /Q ~ I ~* T ?S (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred .i thousand dollaXs ($AOO,000) jn addition to the ttost/or compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees XjjSIGNATURE Jj0X>—^ V^~ - -^^ DATE "*~"" ^>~'<^ ^ 7 ;^NEl\«ft.DElRpDECLARAflON ' ,U "SP " '..; 11? JlF '' " " ^- •^"'•' "i' 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason n IF 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) n 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 LT] YES QNO 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 BUlLSNGl>ERMITS:MLY* 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? fj 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' d YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? fj YES CD 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 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 '9 "" LENDER S ADDRESS 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 City 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 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 commenced for a period of TtfiO days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE VrOLs/~~V^-'Kiv r — - . 1\S DATE V— S*^ WHITE File YElttOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB980359 FOR 06/23/98 DESCRIPTION: RETAINING WALLS 1622 SF-LOTS 4 79,106,100,115,28,31,44 TYPE: RETAIN JOB ADDRESS: 2145 CORTE CIDRO APPLICANT: KENNEDY MASONRY CONTRACTOR: OWNER: /• INSPECTOR AREA PD PLANCK* CB980359 OCC GRP CONSTR. TYPE NEW / STE: LOT: PHONE: 760 931-2671 PHONE: PHONE: REMARKS: C/DAVID/753-8918 SPECIAL INSTRUCT: INSPECTOR 7 TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE STATUS CD 69 CB973498 SFD ISSUED LVL DESCRIPTION ACT COMMENTS MA Final Masonry DATE DESCRIPTION 031998 Steel/Bond Beam 031198 Footing 031198 Steel/Bond Beam 030498 Footing 030498 Footing ***** INSPECTION HISTORY ***** ACT INSP AP PY AP PD AP AP COMMENTS AP PD PY PD GROUT ON 44,79,106,100,115 44,79.106,100,115 City of Carlsbad Engineering Department BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS GU\A&*~*~4Q JPF // 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 in suspension of permit to build DENIAL Please see the attached report of deficiencies marked with ID 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 D Right-of-Way Permit Application ENGINEERING DEPT. CONTACT PERSON NAME: MICHELE MASTERSON City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad. CA 92009 PHONE: (619) 438-1161, ext. 4315 O \LIBRARY\ENGVWORD\DOCStCHKLST\RMaining Wai Bukf ng Pbnchock CMst Forni MM doc 2O75 Las Palmas Dr - Carlsbad, CA 92OO9-1576 - (619) 438-1161 • FAX (619) 438-O894 BUILDING PLANCHECK CHECKLIST RETAINING WALLS 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 D Easements E Retaining Wall (location and height) 3 Include on title sheet A Site Address B Assessor's Parcel Number C Legal Descnption D Grading Quantities Cut Fill Import/Export. (Grading Permit and Haul Route Permit may be required) Q Project does not comply with the following Engmeenng 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 pnvate work adjacent tot he public Right-of-Way A separate Right-of-Way 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 Page 1 G \LIBRARYtENQ\WORD\OOCStCHKLST\Rolllnng Wai BuUng Ptancheck CUct Form MM doc \: ^ «o J!o & I n n n n PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner APN °I Address Phone (619) 438-1 161, extension r-jlPI Type of Project & Use Zoning General Plan AfluLv Net Project Density DU/AC Facilities Management Zone CFD (jnA>ut) #. Circle One _Date of participation I Remaining net dev acres (For non-residential development Type of land used created by this permit ) Legend"X Item Complete Item Incomplete - Needs your action Environmental Review Required: YES ^ NO TYPE gtR Srfe - O A DATE OF COMPLETION Compliance with conditions of approval? If not, state conditions which require action Conditions of Approval Discretionary Action Required: APPROVAL/RESO NO PROJECT NO YES X NO DATE / TYPE CT /PuZ>e,c - 3 OTHER RELATED CASES H-J>P - 2r. SJ>r° Compliance with conditions or approval? I Conditions of Approval s- , ' /} o r 18- 1 Mf>A \H*((ji\f not, state conditions which require action I | | | Coastal Zone Assessment/Compliance Project site located in Coastal Zone7 YES CA Coastal Commission Authority? YES NO X NO If California Coastal Commission Authority Contact them at - 3111 Cammo Del Rio North, Suite 200, San Diego CA 92108-1725, (619) 521-8036 Determine status (Coastal Permit Required or Exempt) Coastal Permit Determination Form already completed? If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # YES NO Follow-Up Actions: 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans) 2} Complete Coastal Permit Determination Log as needed COMPENSATION INSURANCE FUND r P.O BOX 420807, SAN FRANCISCO, CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE t" •. v ,- -? POLICY NUMBER- <- -r~'~ •' CERTIFICATE EXPIRES ". C - i. l^OO -JARL-P^D VI: L-^cE L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated :>' This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein ts subject to all the terms, exclusions and conditions of such- policies. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER r THIS DOCUMENT HAS'A BLUE PATTERNED BACKGROUND^SCIF102S2 (REV. 3-95)