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Home My WebLink About2443 LA COSTA AVE; RW; CB102190; Permit\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-22-2011 Retaining Wall Permit Permit No: CB102190 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2443 LA COSTA AV CBAD St: RW RETAIN Parcel No: 0000000000 $259,200.00 Lot#: 0 Valuation: Construction Type: NEW Reference #: Project Title: Applicant: HTK STRUCTURAL BRUCE COSART LA COSTA VISTA: 14,400 SF CMU RETAINING WALL 14288 DANIELSON ST, STE 200 POWAY 92064 858-679-8989 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: Status: Applied: Entered By: Plan Approved: Issued: Plan Check#: Inspect Area: VOID 11/17/2010 JMA 03/22/2011 03/22/2011 $1,228.33 $0.00 $798.41 $0.00 $25.92 $8.00 $0.00 $0.00 $0.00 $0.00 $2,060.66 Total Fees: $2,060.66 Total Payments To Date: $2,060.66 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 NOTICE: Please take NOTICE tha1 approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively relerred to as "fees/exactions," You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. ll you protest them, you must tallow 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 Carl5bad Municipal Code Section 3.32.030. Failure to timely follow thal 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 / hi h h v i vi I l E imil h' r hi f hmi i ns h i \ «~· SW I ~ CITY OF CARLSBAD ~ 11 o I vUV---.rA/\4 U{IJ-t ftb 6U.J f £Ruir) V v au?1dfng ~ermlt Ap;.i:a-!lon Plan Check No. lOZ-0 1635 Faraday Ave .. carlsbad, CA 92008 Est. Value ~ Z..O 0 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit f---~~-~-~~--------www.carlsbadca.gov Date SWPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT# LOT# # OF UNITS # BEDROOMS #BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Al'fected A,ea(s) EXISTING USE PATIOS (Sf) OECKS(SF) ADOR CITY CITY PHONE EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# FIREPlACE YES □#_ NOD STATE FAX STATE FAX CLASS -{(.,0 AIR CONDITIONING FIRE SPRINKLERS YES O NO □ YES D NOD ZIP ZIP CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an:,-structure. prior to its Issuance, also r!:!Quires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of tne Contractor's License Law fChapter 9, commending with Section 7000 of DlvisiOn 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)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby aftinn under penalty of pe,jury one of the following dedatstlons: 0 I have and win maintain a certificate of consent to self-insure for woril:ers' compensation as provided by Section 3700 of the Labor Code, for the performance of lhe work for which lhi& permit Is isstJtd. 0 I have and will maintain workers' compensation, as required by Section 3700 oflhe Labo, Code, lor the performance of the work for which this permit ls issued. My workeni' compensation insurance carrier and policy number are: Insurance Co. ____________________ Policy No. _____________ Expiration Dale ________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: t certify that in the performance of tha wortc lorwhlch this permit is issued,.I shall not employ any person In any manner so as to become Sllti;ed: lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawfu~ and shall subj act an employer to criminal penalties and civil fines up to one hundred thouHnd dolars {&100,000), In addition to lhe cost of compensation, damagn a, provided for In Section 3706 of the Labor code, Interest and attorney's fees. ,l!5 CONTRACTOR SIGNATURE □AGENT DATE OWNER•BUILDER OECLARATION I heteby affirm that I am exempt from Contractor's License Law tor the fd/O'Mng reason: □ ~ as owner of the property or my employees with wages as their sole compensalion. 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 ~ ere not Intended or offered for sala. If, how&Ver, the building or improvement is sold within one year of completion, the owner-builder win have the burden of proving that he did not build or improve for the purpose of SIM). tJd. ~ as O'Mler of the property, am exdusively contracting with licensed conlraclors to construct the project (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such pro;ects with contractor(s) licensed pufSUant to the Contractor's License Law). □ I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide lhe major labor and materials for construction of Iha proposed property improvement □ Yes □ No 2. I (have/ have not) signad an appUcallon for a building permit for the proposed work. 3.1 have oontracted with the folklwlng person (firm) lo provide the proposed construcllOn (Include name address/ phone I contractors' license number): 4.1 plan lo provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the major work (Include 1111'118 / address I phone/ ronlraeb's' bnte: noo,ber): 5. I will provide some of the work, but I have con (hired) the following persons to provide lhe work indicated (include name / address / phone I type of work): ,l!5 PROPERTY OWNER SIGNATURE IJM,ENT DATE /( 0 • COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure building occupant required to submit a business plan, acutely hazaroot.ls materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the • Presley-Tanner Hazatdous Substance Account Ad? □ Yes □ No Is Vie applicant or future buWcllng occupant required to obtain a pennlt from the air pollution control district or air quaNty management district? □ Yes □ No Is the facility to D8 constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lendmg agency for the perfonnance of the work this pemut 1s issued (Sec. 3097 (1) Civil Code). lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state ltlatthe abcwe Information Is coll'ed: and that the lnfonnation on the plans Is aca11ate. I agree to comply with all City ordinances and State laws relating to bulldlng construdlon. I he!8l>j auhxize rep,esenlative of lhe City of~ IJ enlerufX)ll lhe ebove rronooned properlylor nspediln purposes. I ALSO AGREE TO SAVF., INDEMNIFY AND KEEP HARMLESS THE CITY a'~ AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN />ffi WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE a' THE GRANTING a' THIS PERMIT. OSHA: AA OSHA pem,i is requred lor excavations 5'0' deep and-c.-OlllSlru<:OOn of slrudures rN<¥ 3 SIJ/os i1 height. EXPIRATION: Every penn~ issued by lhe Buikf I ooder the ~ . Code shall expire by li'nilation al'KI become nufl MCI ..00 W lhe buldilg a YaOl'k. auh:lrized by such pemit is not OOl1lTl8l'1CBd v.flhn 180 days lorn Ile da~ of sud1 permtt c.-W «work · • suspended «abandoned al111Y liTo al>lrlhe work is rommenced b-a period of 180 days (Sediln 106.4.4 lhi:lrm IUdi1J Code). ,6 APPLICANrS SIGNATURE DATE /I