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HomeMy WebLinkAbout2323 KIMBERLY CT; ; CB982746; Permit.• ,, 09/03/98 15:13 Page 1 of 1 B U I L D I N G Job Address: 2323 KIMBERLY CT Permit Type: RETAINING WALL Parcel No: 167-531-28-00 Valuation: 2,242 P E R M I T Suite: Lot#: Occupancy Group: Reference#: Description: RETAIN WALL 152 SF-CITY SPECS Permit No: CBY8~74• Project No: A9803597 Development No: 0798 09/03/98 0001 01 02 C-PRttT 87-00 Construction Type: NEW Status: ISSUED Applied: 08/21/98 Apr/Issue: 09/03/98 Entered By: JM Appl/Ownr : PRENTICE CONSTRUCTION 1440 GRAND AVENUE 760 944-1823 SAN MARCOS CA 92069 *** Fees Required Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Stronq Motion Fee * BUILDING TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1 I 61 't .00 .00 87.00 *** Ext fee Data 52.00 34.00 1.00 87.00 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. 7f5 l,lt{(p EST. VAL. J,cZL/~ Plan Ck. Deposit -?/, Validated By_....i.,,1-1,...:;...+---~--,t--=--- Date _________ -G-,,-."""3"-l---1,---' Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Description of Work ~ #of Stories # of Bedrooms # of Bathrooms Name / Address City 0 Agent for Owner State/Zip Telephone # Fax # 3. APPLICANT (B'contractor O Agent for Contractor O Owner Name Address City State/Zip Telephone# Telephone# 5. CONTAACTOR • COMPANY NAME State License # 1/lz 5{ 0 l -S---City Business License # _______ _ 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: O 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. Gr" 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 co pensation insurance carrier and policy number are: (THIS SECTION NEED NOT BE COMPLE D IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Policy No. NW (! -3 8,J 10 t -D,<Expiration Date "1 /I~ Ir 'j , , D 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 Hcure workers' compensation coverage la unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ,000), In tlon to the coat of compensation. damages es provided for in Section 3706 of the Labor code, interest and attomey'a fees. SIGNATURE • DATE ~➔/99' 7. OWNER-B DER DECLAAATION • · I hereby affirm hat I am exempt from the Contractor's License Law for the following reason: D 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). D 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). D 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 / 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 __________ _ COMPLETE THIS SECTION FOR NON-RESIDENT1AL 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 progoam under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 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(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 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 axpire by limitation and become null and void if the building or work authorized by such permit is not commenced within 65 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afte~~~nced a pe d s (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ 1/.• _,..,...,,._.... DATE ~ -Z-£)-'['6, WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 1 /20/99 Permit# CB982746 Title: RETAIN WALL 152 SF-CITY SPECS Description: Type: RETAIN Sub Type: Job Address: Suite: 2323 KIMBERLY CT Lot Location: APPLICANT : PRENTICE CONSTRUCTION Owner: FRANKLIN FAMILY TRUST 04-30-90 Remarks: Total Time: CD Description 69 Final Masonry lnspectionHistory Date Description 10/14/98 61 Footing 9/21/98 11 Fig/Foundation/Piers Inspector Assig~ment: DH --- Phone: 7608074201 Inspector: /J/1 Requested By: RON Entered By: CHRISTINE Act 0 comments Ar ------------ Act lnsp Comments AP DH AP DH City of Carlsbad l@till♦fi·iitt•#i,I·11,I4411,I·1 BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB 9/j,?,7 i'.'1 BU I LD I NG ADDRESS: -'&,=.3=,9.,=3:;c-----<==P=~c=.,..c;\,,,=e.c,...!'"-llv'--.... c ..... t __ c,.....-\EbJ cvt 1 I PROJECT DESCRIPTION: _R_e_t_a_in_in_g~W_a_ll ______ _ ASSESSOR'S PARCEL NUMBER: /f, 7 -53/ ~ al.~ 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. B~~;:) Date: ¢7/96' ATTACHMENTS Right-of-Way Permit Application DENIAL Please see the attached report of deficiencies marked with □. 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: Date: By: Date: By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (760) 438-1161, ext. 4510 1\LASPALMAS\SYS\LIBRARYIENGIWORD\OOCSICHKLST\Retiiining W,lt Buikling Pl9ncheck Cklsl Form JJ.doc Rev. 6126198 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (760) 438-1161 • FAX (760) 431-5769 @ ~~ND✓ 0 if □ 0 0 0 0 BUILDING PLANCHECK CHECKLIST RETAINING WALLS 1. Provide a fully dimensioned site plan drawn to scale. Show: /4rth Arrow ~sements VExisting & Proposed Structures V.Retaining Wall .)dimensioned from street) (location and height) e'.' Property Lines 2. Show on site plan: K'Orainage Patterns ~isling & Proposed Slopes C. Existing Topography 3. Include on title sheet: ..-::-::Site Address LB".' ~essor's Parcel Number V.~al Description ~ Grading 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: ____ _ 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 \llASPALMAS\SYS\LIBRARY\ENGIWORD\DOCS\CHKLST\RetallWlg Wall Building Plancheck Cklst Fonn JJ.doc Rev. 6126198