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Home My WebLink About2422 BADAJOZ PL; A; CB961991; PermitI- cy++ tq495 4 4- BUILDING PERMIT Permit No: CB961991 11/05/96 07:52 Project No: A9602844 Page 1 of .1 Development No: !Job Address: 2422 BADAJOZ PL ; Valuation: 3,024 Construction Type: NEW 1 Occupancy Group: Reference#: Status: ISSUED ,Descri~tion: 224 SF RETAIN WALL-W/ENG CALCS Applied: 10/11/96 Suite: A 1 Permit Type: RETAINING WALL 0770 11/05/96 ooo1 of. 02 ,Parcel No: 216-190-50-01 Lot#: c-mm 64.00 - AprTIssue: 11/05/96 Entered By: RMA Appl/Ownr : SHORELINE GEN CONTRACTORS 619 283-2024 3828 HERMAN AV SAN DIEG Fee description ..................... Building Permit Strong Motion Fee * BUILDING TOTAL %Plan Check ,edits *** .oo 41,OO 64.00 Ext fee Data .-------------- 63.00 41.00 1.00 105.00 I e CllVOF6ARL#MD I 2075 Las palmas Dt., carlsbad, CA &(XI9 (619) 438-1161 I Pm APPLIcAnoN City of Cerlsbed Building Departrent 2075 Las Palms Dr., Carlsbd, CA %!OfH (619) 438-1161 From List 1 (see back) give code of Permit--: For Residential Proiects Only: From List 2 (see back) give ___________-________---------.--------------------------- Code of Structure-'Ilpe: Net Loss/Gain of Dwelling Units I 2 PRQIECIINFOINFoRMAnON PLAN CHECK NO. 43%- -. ;.;'i: FOR OFn& USE'ONLY 0 2 Energy Cala &Structural Cala 0 2 Soils Report I Addressed Envelope USE # OF STORIES x OF BEDROOMS # OF BATHROOMS (it airterent trom appiicant) NAME (last name first) ADDRESS CITY 5. D. STATE ZIP CODE DAY TELEPHONE 2 6 3-2 ' sb STATE LIC. #3sp36d LICENSE CLASS d CITY BUSINESS LIC. # (last name first) CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby athrm that I have a certificate 01 consent to selt-insure issued by the DirecIor 01 Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. C). INSURANCE COMPANY EQJJfiA/ .(f,&?/E POLICY NO.W&'f++&,P IRATION DATE Certiticate 01 Exemption: 1 ceruty that in the pertormance ot the work tor whic rkers' Compensation laws of California. 1 -2p -9 7 IS perrnZt is issued, I shall not employ any phon in any manner Owner-builder Wclarauon: I hereby attlm that I am exempt trom the Lonuactors bcense Law tor the tollowing reason: 0 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 propew 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). I am exempt under Section (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, commencing 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 [SSOO]). 0 0 Business and Professions Code for this reason: SIGNATLlRE DATE LY: 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? Is the applicant or future building occupant required to obtain a permit from the air pollution connol district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS AREYES. AFINAL CERTIFICATE OF OCCUPANCY MAY NOT BE HAS MET OR IS MEEITNC THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POuxlTlON OONTROL DISIRICI: i) Civll Code). 1 hereby attin that there IS a constructlon lending agency tor the pertormance of the work tor which this permit is issued (kc 3Om 0 YES 0 NO 0 YES 0 NO OYES 0 NO AFzERJllLY 1,1989 IINLESSTHE APPLICANT LENDER'S NAME LENDER'S ADDRESS I certlty that 1 have read the appllcauon and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I NSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIYOF CARISBAD AGAINST AIL LIABILITES, JUDGMENTS, Oosrs AND MPENSES WHICH MAY IN ANY WAY ACCRUE AGALNST SND ClTY IN CON!ZZQUENCE OF THE GRANTING OF THlS PERMIT. OSHA: An OSHA permit is required for excavations over SO" deep and demolition or Fnstruction of structures over 3 stories in height. Expiration. Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buildinn or work authorized by such wrmit is not commenced within 365 dam from the date of such wnnit or if the buildinn or work authorized bv .--- - CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961991 FOR 02/18/97 DESCRIPTION: 224 SF RETAIN WALL-W/ENG CALCS TYPE: RETAIN JOB ADDRESS: 2422 BADAJOZ PL APPLICANT: SHORELINE GEN CONTRACTORS CONTRACTOR: OWNER: REMARKS: MW/MIKE/275-6361 SPECIAL INSTRUCT: ALSO ROCK BEHIND WALL TOTAL TIME: CD LVL DESCRIPTION ACT 4 - - - - DATE DESCRIPTION 020397 Grout 020397 Grout 012297 Footing 012097 Footing STE: A INSPECTOR AREA DC PLANCK# CB961991 OCC GRP CONSTR. TYPE NEW LOT: PHONE: 619 283-2024 PHONE : PHONE : INSPECTOR? COMMENTS ***** INSPECTION HISTORY ***** ACT INSP COMMENTS CO DC NO CARD/PLANS 8:40 AP DC 10: 00 AP DC NR DC 3467 Street . San Diego, Wiornia ~110-4430 \ r Job Noa 06411688 Job Name: RESIDENCE; Address: ZWOg PIC CA 88p)8)8 CITY OF CARLSBAD BUILDING INSPECTION DEPT 2875 LA9 PALMAS DRIVE Cm-LSBAD, CA 92009 Distributed Tot SHORELIN%SCENERALCONTR TESTING ENGINEERS CITY OF CARLSBAD Plan Numbers Permit: 961991 AppliC8pOn: Re ortNor 131799 OaFes M8rch 12 1997 ENGINEER: DEhS E. ZIMMERMAN RCE 26676. EXPIRES 03/31/2888 MASONRY MORTAR COMPRESSION TEST REPORT JOB NAME: McGurgen Residence LOCATION IN STRUCTURE: Retaining wall 0 patio COMPLIANCE: TWO 28 DAY TESTS ARE IN COMPLIANCE WITH PROJECT SPECIFICATIONS. cluw.dIs4. 3467 Kurlz Street . San Diego, California 92110-4430 Job Nor Job Namer Address: 864118W MCGURGEN RESIDENCE 2422 A BADAJO2 PL LACOSTA,CA 000fd@ CITY OF CARLSBAD BUILDING INSPECTION DEPT 2875 US PALMAS DRIVE CARLSBAD. CA 92609 Plan Numberr Permit# 961991 Application: Report Nor l851631 Date: Marah 11,1997 ENGINEER DENNIS E. ZIMMERMAN RCE 26676, GE 928 EXPIRES 03/3VeS FIELD INSPECTION AND TEST REPORTS WstPibuted Tor SHORELINESGENERALCONTR TESTING EMGINEERS CITY OF CARLSBAD Enclosed are field inspectton and/or test reports, for the above referen- project, for work performed on 02/84/97. These reports cover the locations of work inspected and/or tested following recognized standards and do not constitute engineering opinion or project control. These reports do not relieve the contractor of his responsibfllty to build per the plans, specifications and all applicable codes. Should you have any questions regarding these reports, please contact our omce at (619) 225-9641. Reports enclosed (I) r Placement Reinforcing Steel Batch Tickets Consolidation Form Clean Tendons CH&A CORPORATION (800) 998-9588 Y f- FIELD INSPECTION REPORT (Concrete / Masonry) 1 /vy7 / 0 PRESTRESS CONCRETE 0 REINFORCED CONCRETE PLAN NUMBER OSAIOSHPDICONTRACTNUMBER PERMIT NUMBER CONTRACTOR PERFORMING WORK I SUPPLIER /? J .k%ump OTruck 0 Other BLOCK SIZE MORTAR VP€l STRENGTH M S N 0 6" 12" 16" Mortar Proportions Clean Outs I I I I I ~ ___~~ ____ _____ _____ &YES UNO To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. See DNR Number Dated TAIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS R'ESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES 3467 Kurtz Street . San Diego, California 92110-4430 I_ MmrZbuted Tor Job Xor 06411880 Job Namsr HCGURGEM RESIDENCE CITY OF CARLSBAD Address8 21422 & B;lltrrud;a Pt BUILDlHG IBlSPECTlON DEPT 2075 IAS PALMAS DRIVE CARJSBAD, CA 92889 SHORELINES GENERAL CONTR TESTING ENGINEERS CITY OF CARLSBAD LACOST&CA 88sBe Plan Number: Permit: 961991 Appiicationr Report No: l853.593 Date: Msrch 7,1997 ENGINEERS DWNIS E. ZIMMERMAN RCE 26676. CE 428 EXPIRES 03/3VoB FIELD INSPECTION ANI) TEST RKPORTS Enclosed are field inspection and/or test reports, for the above referenced project, for work performed on 01/31/97 and 02/84/97. These reports cover the locations of work inspeGted and/or tested following recognized standards and do not constitute engineering opinion or project control. These reports do not reUeve the contractor of his responsiblUty to build per the plans, specifications and all applicable codes. Should you have any questdons regarcllng these reports, please conmct our oftice at (619) 225-9641. Reports enclosed (2) CH&A CORPORATION (800) 998-9588 SET NUMBER / I -I FIELD INSPECTION REPORT (Concrete / Masonry) 1 a CYLINDERS PER SET SLUMP INCHES AIR PERCENT UNIT WEIGHT TEMPERATURE ~~ ~ ~ PRESTRESS CONCRETE 0 REINFORCED CONCRETE @ REINFORCED MASONRY 0 REWORK CHBA JOB NUMBER OSA/OSHPD/CONTRACTNUMBER PERMIT NUMBER PLAN NUMBER RYES 0 NO To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above. - THIS REPORT DOES NOT RELIEVE THE COVNTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PIANCHECK NUMBER: CB 96 -+MF I??/ BUILDING ADDRESS: 2422 - A (3ada;o-2 el PROJECT DESCRIPTION: Retaining Wall ASSESSORS PARCEL NUMBER: ZI6 - VO -W--CN 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, with instructions in this report can of permit to build. DENIAL Please see the attached report of deficiencies applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: Date: lc2/)f$76- mM Date: ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON Right-of-way Permit Application NAME: DAVID RICK City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad. CA 92009 PHONE: (61 9) 438-1 161, ext. 4324 QUIBRARnBKlWoRt~Lrn~ w srilao Rrrka w Faci DR.& 2075 Las Palmas Dr. - Carlsbad, CA 92009-1 576 - (61 9) 438-11 61 - FAX (61 9) 438-0894 RW. Wnm BUILDING PLANCHECK CHECKLIST RETAINING WALLS D 1. Provide a fully dimensioned site plan drawn to scale. Show: 4 Easements Mfl 5nC4’M. Sbo*J +e B. Existing Proposed Structures d Retaining Wall ’*dim~ wid from street) (location and height) - loCS~:o? ad * t, d Property Lines 4 0 2. Show on site plan: QDrainage Patterns k. Existing Topography B. Existing & Proposed Slopes p/P D 3. Include on title sheet: . Site Address 4. Assessor’s Parcel Number C. Legal Description D. Grading Quantities Cut Fill Import/Export (Grading Permit and Haul Route Permit may be required) P 4. Project does not comply with the following Engineering Conditions of approval for Project No. . Conditions were complied with by: Date: MISCELLANEOUS PERMITS 5. 0 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-way and/or private 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 PLANNING DEPARTMENT BUILDING REVIEW CHECKLIST Address Phone (61 9) 438-1 161 ext. 4325 Plan Check No. CB q6 Planner Van Lvnch / 660 Type of Project and Use: Zone: a Facilitie; Managem&t Zone: ' 6 CFD (iv' ci rc (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department) Leclend & Item Complete 0 Item Incomplete - Needs your action / Environmental Review Required: YES NO - \I TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Discretionary Action Required: YES NO - J TYPE APPROVAURESO. NO. DATE PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval California Coastal Commission Permit Required: YES DATE OF APPROVAL: San Diego Coast District, 31 11 Camino Del Rio North, Suite 200, San Diego, CA 921 08 (61 9) 521 -8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval [7 0 lnclusionary Housing Fee required: YES NO (Effective date of lnclusionary Housing Ordinance - May 21, 1993). Site Plan: 1. 0 0 Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensioned setbacks and existing topographical lines. 2. Provide legal description of property, and assessor's parcel number. Zoning: a 0 1. Setbacks: Front: Int. Side: Street Side: Rear: Required -wl Shown ZV' Required 7, C Shown B.0 a ~~ ~ Required - Shown - Required 19, LIt Shown fx7> / # I / Lot Coverage: Height: Parking: Required &soold Shown Lyh Required L3°r Shown &d&!d 7- Spaces Required Shown Guest Spaces Required Shown - 0 0 0 Additional Comments OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER c/. I,.~L DATE /0-/6-~4 K:\ADMIN\COUNTER\PlANCK. FRM 1-1 7-96 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by section 3700 w B. of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 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 C. workers compensation laws of California. Signature Date /Q -//-.yA Warning: Failure to secure workers' compensation coverage is unlawful, and shall be 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. March 3, 1995 2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 - (619) 438-1161 - FAX (619) 438-0894 @ I PRODUCER - Wateridge Insurance Services 10525 Vista Sorrento Pkwy #300 San Diego CA 92121 COMPANY A St. Paul Reinsurance Co. Ltd. B Golden Eagle Ins. Co. Beth Billstein , Phone NO. INSURED 6 19 - 4 52 - 2 2 00 Fax No. 619 -45 2 - 60 04 COMPANY Shoreline General Contractors, Inc . COMPANY Lloyd Palmayesa C COMPANY 3828 Herman Avenue h D San Diego CA 92104 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GENERAL AGGREGATE PRODUCTS - COMPlOP AGG PERSONAL & ADV INJURY EACH OCCURRENCE COMPANlES AFFORDING COVERAGE s 2000000 10 0 0 00 0 $ 10 0 0 0 0 0 s 1000000 GARAGE LIABILITY ANY AUTO - I 1 &: I TYPE OF INSURANCE WC STATU- 1 OTH- TORY LIMITS I ER EL EACH ACCIDENT POLICY NUMBER s s 1000000 WUCY EFFECTIVE POUCY EXPIRATION DATE IMMIDDIYYI DATE IMMIOONYI WORKERS COMPENSATION AND EMPLOYERS' LIABILITY INCL EXCL 3 THE PROPRIETOR/ 1 OFFICERS ARE PARTNERSIEXECUTIVE I i OTHER I i I 1 GENERAL LIABILITY CLAIMS MADE OCCUR AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS NWC25179204 01/28/96 01/28/97 01/28/96 01/28/97 I/ S IMCll5 19 09/15/96 09/15/97 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM LIMITS FIRE DAMAGE IAnv one firel I 5 5 0 0 0 0 COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident1 ----+-- PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT OTHERTHAN AUTOONLY EACH OCCURRENCE AGGREGATE IS ELDISEASE-EAEMPLOYEE I S ~000000 ERTlFlCATE HOLDER CANCELLATlON CARL013 CITY OF CARLSBAD BUILDING DEPARTMENT 1 2075 LAS PALMAS DRIVE CARLSBAD CA 92009 CORD 25-S (11951 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 2 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES Be ACORD CORPORATION 1988