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HomeMy WebLinkAbout2192 CORTE LIMON; ; CB990078; Permit01-07-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Retaining Wall Permit Permit No CB990078 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title Applicant KIMS LANDSCAPE 3412PEGAN IRVINE CA 92606 2192CORTELIMONCBAD RETAIN 2552514500 Lot# $0 00 Construction Type RETAIN WALLS TO CITY SPECS 0 NEW StattfS Applied Entered B/ Plan Approved Issued Plan Check# Inspect Area Owner REVELL KELLY M&ANDREA L 2192CORTELIMON CARLSBAD CA 92009 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 9? $000 $000 $000 $000 $000 Total Fees $0 00 Total Payments To Date $28 37 Balance Due ($28 37) Inspector FINAL APPROVAL Date Clearance 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 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 PROJECT iNFORMATIONRMATIONAw/T > _ ; ,,_._.CrtRLSBAb FOR OFFICE USE ONL PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite ft)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessors Parcel # S 0 Existing Use Proposed Use 5118 01/07/99 QQQ1 Ql 02 Description of Work SO. FT #of Stones tt of Bedrooms C-PRi*Tof Bathrooms28"37 2 CONTACT PERSON (if different from applicant) Name £j1tAJ>PUCANT Address City Contractor v?0Si^ent£if6r Contractor Dlpwner SO A9ent for Owner; 7T ~ "~ State/Zip Telephone i Mame „., » ^;ppQpgppj^Q^NERj & ' Address City State/Zip Telephone Address City State/Zip Telephone # / ' "'"' ........ "*":" .............. '' ..... " "" ............ ' Name ' (& "^CONTRACTbRJ- 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 [$500]) Name t / Address State License # (? fr^' 7^' P License Class City State/Zip Telephone tt *~* / City Business License tt Designer Name Address State License ff r6""'1' WORKERS* CFMPENS^f ION " ..7 '' "'"• " •', . City State/Zip Telephone •/9 Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 H. 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 numbe^are Insurance Company d,AL C&MP ^EhZHrftHCfe- CJ) < Policy No /. 7 & &I $£" "7/0 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 I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) l~l 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) l~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 Q YES f~lNO 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 FOR NON-ReSlDENTIAL BUJLDiNGlPERMlf S ONLY" '". . ".'. ..... " "• :' i;T:: " ^ £. '*%*, ""',*«[ 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? £] 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? f~l YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES fj 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 ES ........ CONSTRUCTIONJLEJ^INGAGEI^ii:.,._; ......... /'! . " , ... , ^ , ' _ >: :> '». &•-•",. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 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 y/etlTis comme'rw^d for a period of 1 SO^ays (Section 106 4 4 Uniform Building Code) DATE f/ftin ; /* 77APPLICANT'S SIGNATURE PINK Finance City of Carlsbad Engineering Department BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER CB tytf QQ BUILDING ADDRESS t^lfjL fj&ft. / 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 By Date DENIAL Please see the attached report of deficiencies marked witlCDMake necessary corrections to plans or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review ATTACHMENTS Right-of-Way Permit Application ENGINEERING DEPT CONTACT PERSON NAME KATHLEEN M FARMER City of Carlsbad ADDRESS 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE (760) 438-1161, ext 4374 H \WORCM3OCS\CHKLST\Retaining Wall Building Plancheck Oils! Form PR doc 2075 Las Palmas Dr • Carlsbad, CA 92OO9-1576 - (619) 438-1161 • FAX (619) 438-O894 BUILDING PLANCHECK CHECKLIST RETAINING WALLS 2ND/ Q 1 Provide a fully dimensioned site plan drawn to scale Show K North Arrow 0 Easements iB"^Existing & Proposed Structures E^f^etaining Wall /(dimensioned from street) (location and height) Jo Property Lines Q Q 2 Show on site plan Patterns & Proposed Slopes Existing Topography 3 Include on title sheet te Address Assessor's Parcel Number Description rading Quantities Cut.Fill Import/Export (Grading Permit and Haul Route Permit may be required) 4 Project does not comply with the following Engineering Conditions of approval for Project No Conditions were complied with by Date 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 Pagel H \WORD JJOCS'iCHKLSTiRetaining Wall Building Plancneck Cklist Form DR doc Rev 6/26/98 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER DATE ADDRESS *L\'\2. Cpp+c RESIDENTIAL ADDITION MINOR (< $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE Docs/Misforms/Planning Engineering Approvals CERTIFICATI tDFiflABILITY INSURANCE DATE (MM/DD/YY) 11/18/98 PRODUCER imON PACIFIC INSURANCE . .?426 w. 8TH ST ^221 LOS ANGELES, C£ 9005 ; TEL: (213)Jb6-52'JO / TAE KIM DBA: KIM'K LANDSCAPING Ai-U) M-Y1NTP 3412 PKCAW .. IRVINK, ^7f-~a3:606'As^':3 n Rus- i,-^^:; . ..i .. .. .;fe;c:-•:.•;-:;;•:•?:::•:: ^uc.- i<j •.*•*% ry. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A CAL CCMP IMSURAffOE COMPAF Y INSURER C . e--'^ It COVERAGES '>• THE POLICIES OF INSURANCE i.l$TE0^LpW HAV.ijE^N ^SUEJ3,-TO THE (NSUBfO) NAMED, ABQVE.EjOR iFHf UqHiie*. RSRHSy^ie««B>; NOTWITHSTANDING " ANY REQUIREMENT, TERM .OR CONPITIQN.OF ANY CONTRACT OR OTHER DOCUMENT- WITH'-ReSpeC'T TO WHICH'THfs'ceRfiFldAtE'MAY BE ISSUED OR MAY PERTAIN, TWE: INSOWANCE AFFbRDEB: BY-THS POLJCiES DESCRIBeD HEREtN'IS SUBJECT-TO AC-L THfe TERMS EXCLUSIONS AND CONDITIONS OF SUCH • POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ,-.i>,iv?-,-;.,^ •1/^ViAV .*.-^4iJt;fS( '-* '-••- -i . IKSR tTR if . TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR" -,-.- -,...,•„ » ;•• .-.....,..,- GEN L AGGREGATE tllMIT APPt 1 POLICY • I-'JECT, "• "\. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS IES PER ••-• LOC -; GARAGE LIABILITY ANY AUTO EXCESS LIABILITY ^_j OCCUR L ] CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER *"-.:...,i.- 't^r n H :'" -^ ^'.".'.'^.''. ij?.8B.18b?10. POLICY EFFECTIVE DATE (MM/DD/YY) -• :, fc-i--^' -?; » '••"•»}•• 1 1/20/9? POLICY EXPIRATION •DATJE (MM/DD/YYI - 1 1 /20/9? LIMITS 'i EACH OCCURRENCE FIRE DAMAGE (Any one fire) PERSONAL a'ADV INJURY GENERAL AS6RE6ATE,;- i- PHODUCT?.-. COMP/OP AGGs •; • --y • ••• '*'•> Tt"-'' "i ' COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) •PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN EA ^"^ AUTO ONLY AGQ EACH OCCURRENCE AGGREGATE WC STATU OTH TORY LIMITS ER EL EACH ACCIDENT E L DISEASE EA EMPLOYEE E L DISEASE . POLICY LIMIT $ s 1 .c .! $ ,; '$ : .$ -, J 'i $ $ $ $ $ $ $ s $ $ $ $ $ 1 ,000,000- $ 1 ,000,000 s 1 ,000,000' DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ^ICENiSt f: 64041 b 1 CERTIFICATE HOLDER AOOfTlbNAL INSt/RED INSURER LETTER CANCELLATION ' CONTRACTORS STATE UlCffiNSE BOAPD j P.O. BOX 26000 ' SACRAMENTO, CA 95826 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1 DATE THEREOF, THE ISSUING INSURER .WILL ENDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT F IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE \\ REPRESENTATIVES. . ... >T . • * 3EFORE THE EXPIRATION 3'J DAYS WRfTTEN MLURE TO DO SO SHALL SURER ITS AGENTS OR r^p^^^^..^^^ ACORD 25-S (7/97)© ACORD CORPORATION 1986