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HomeMy WebLinkAbout2341 LAPIS RD; REC CENTER; CB044051; Permit11-15-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Retaining Wall Permit Permit No CB044051 Building InspectiornRequest Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title Area 2341 LAPIS RD CBAD RETAIN 0000000000 Lot # $23,424 00 Construction Type CT99-03 47 NEW LA COSTA GREENS REC CENTER 1464 SF WALL-PER C-3 & C-4 REGIONAL STANDARDS Status Applied Entered By Plan Approved Issued Plan Check# ^ApplicaTft /-"MORROW DEVELOPMENT 760 738-9777 Owner ISSUED 11/01/2004 RMA 11/15/2004 11/15/2004 Inspect 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 $207 49 $000 $13487 $000 $234 $000 $000 $000 $000 $344 70 Total Fees $344 70 Total Payments To Date $0 00 Balance Due $344 70 5493 11/15/04 0002 01 02 CGF- Inspect FINAL APPJRO} Date Clearance NOTICE Please take NOTICE: that approval of your project includes the lmposition"/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 344-70 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION"1* FOR OFFICE USE ONLY PLAN CHECK NO EST VAL J^ 7 //J2 C/ Plan Ck Deposit xiPlan Ck Deposit Validated By, Date // Address (include Bldg/Suite #)Business Name (at this address) ( CT Legal Description X^4?^ ( ^KA^iljt/} Address Agent fo7 Contractor state/Zip Telephone ETcbnttfctor fie A 4 ARflvT Name ^'iii HEAL Address City State/Zip Telephone # Name Address City 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) EAlLL K Pov*fc CoK-ST*WCTe«l Po ftflV 4-klftffe £fdorJQlP0 <A qioit (lho) 12ft- 1 TTI Name State License tt Address License Class B City State/Zip Telephone # City Business License # 1 1 6 4-<t- fa 3 Designer Name State License # 6 Address City State/Zip Telephone COMPENSATION ''~~ ..... ~r.™.* •'•••*--•••'" ..... - — -~ ••••-. • - ..^.v/vs^p;?- ..... -^pp;- •• -• •^g||T • ~;g, • -l|g; --ar ••,,••-..„;,,: Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~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 n 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) 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 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 _ iT^iPWNER-ijUILDER DECLARATION ' ...... ~'.--" -'"'•'"' ' _; '"-. , ;; '"*''£ ~,: .;..;. ' .," •' '-' "; "' "" " •_• I hereby affirm that I am exempt from the Contractor s License Law for the following reason C] 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) H 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 I personally plan to provide the major labor and materials for construction of the proposed property improvement l~l YES l""lNO I (have / have not) signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) \L 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) _ DATEPROPERTY OWNER SIGNATUR ' -". . _"' """ '•" ' T..~ "'' ' .'17''' "T11^"' 'JIT " " 7-'" "W"3;" 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? D YES n NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES l~] 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 8CI: CMSTRUCtlON LENDING AGENCY '"'" " _ ...... "" "'_ ....... ''"' ~" ' ---••—• •• ' ~![ig-V ..... J: ,7? - - •• ..... :. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME _ 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 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 ispued by thejaiujding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work in 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned nod of 180 days (Section 1064,4 Uniform Building Code) /, (• /. /1 c I\ l) H-— <->_ , , „ ^ DATE ( P ^ 1e side ill—Mo 11 uw—Be veil' ui'mn L — : authorized by such permit is nc at any time after the work is APPLICANT'^ SIGNATURE .Trep K. Ar bucias Agent Estate City of Carlsbad Bldg Inspection Request For 12/06/2004 Permit* CB044051 Title LA COSTA GREENS REC CENTER Description 1464 SF WALL-PER C-3 & C-4 REGIONAL STANDARDS Type RETAIN Sub Type Job Address 2341 LAPIS RD Suite Lot 47 Location APPLICANT MORROW DEVELOPMENT Owner Remarks Total Time Inspector Assignmen Phone 7605059144 Inspector Requested By ED Entered By JANEAN CD Description 69 Final Masonry Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 12/02/2004 65 Retaining Walls CA PS 11/22/2004 66 Grout AP PS 11/18/2004 11 Ftg/Foundation/Piers AP PY INCORPORATED FIELD MEMO MEMO NO PROJECT NAME _: PROJECT NO -Li // f gfr- S "- ^t-/ ~T y ~r~^ CORRESPONDING FIELD REPORT NO SUBJECT. fclf / tJGe,L L^frfi tdfa zr /s (J "• J DISTRIBUTION SUPERINTENDENT FOREMAN (CONTRACTOR) JOB TRAILER OTHER YES NO v / J GEOCONREPRESENTATIVE / /DATE T108 / IX IXIX / RSS 6960 FLANDERS DRIVE SAN DIEGO, CALIFORNIA 92121 2974 • PHONE 1858) 558-6900 FAX (858) 558 6159 City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER BUILDING ADDRESS 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 ip-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 n Wall Ruilrtinn-Planrhprk fhl 1635 Faraday Avenue • Carlsbad CA 9 r « (/CO! E02 2 -20 • FAX (760) 6C2-&56Z 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 Siopes C Existing Topography 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) "_ ( Q(A/AVr ^v 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 \\HSPALMAS>SYStU8IWfiY\ENGtWORD\DOCSlCHKl.S'nRelairane WallBuiUing Plancheck Cklsl FoimJJ Doc License Detail California Home Monday November 01 2004 License Detail Contractor License # 449040 CALIFORNIA CONTRACTORS STATE LICENSE BOARD DISCLAIMER A license status check provides information taken from the CSLB license data base Before relying on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&.P_7124_6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information • Per B&P 7071 17, only construction related civil judgments known to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base * * * Extract Date 11/01/2004 Business Information * * * EARL K POWERS P O BOX 462808 ESCONDIDO, CA 92029 Business Phone Number (760) 738-9777 Entity Sole Ownership Issue Date 11/14/1983 Expire Date 11/30/2005 * * * License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * Class] B Description GENERAL BUILDING CONTRACTOR * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 598192 in the amount of $10,000 with the bonding company SURETY COMPANY OF THE PACIFIC Effective Date 01/01/2004 http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 11/1/2004 Licence Detail Page 2 of 2 m" Contractor's Bondjng History * * * Workers Compensation Information * * * This license has workers compensation insurance with the VIRGINIA SURETY COMPANY. INC. Policy Number WC451254 Effective Date 01/13/2004 Expire Date 01/13/2005 Workers Compensation History Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2004 State of California Conditions of Use Privacy_Pohcy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 11/1/2004 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB &U -DATE ADDRESS 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 Oocs/Mbrorms/Plaflning Englneenna Approvals iS r- Zl ->• r- O2- m £? > go* ~H 2 O ^§! O O om m 5T)Sm m co m o o o' m 0 m mO ^ O .n