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HomeMy WebLinkAbout2452 CANNON RD; RW; CB080063; Permitf , 01-17-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Retaining Wall Permit Permit No CB080063 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2452 CANNON RD CBAD St RW RETAIN 0000000000 Lot # $13,968 00 Construction Type ROBERTSON RANCH 776 SF RETAINING WALL/CITY STD 0 NEW Status Applied Entered By Plan Approved Issued Plan Check* Inspect Area Applicant CORKY MCMILLIN CONSTRUCTION SEVICES Owner ISSUED 01/04/2008 KG 01/17/2008 01/17/2008 2727 HOOVER AVE 91950 619-576-3260 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 $14235 $000 $9253 $000 $140 $000 $000 $000 $000 $236 28 Total Fees $236 28 Total Payments To Date $236 28 Balance Due $000 BUILDING PLANS X .IN STORAGE ATTACHED Inspector 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 City of Carlsbad ,1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719/2721 Fax 760-602-8558 Building Permit Application JOB ADDRESS 2452 RW Cannon Road ISUITE#/SPACE#/UNIT# - 16#//050 - 47 . CT/PROJECT (* \ CT02-16 LOT*PHASE ## OF UNITS 1 # BEDROOMS I # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Construct 776 SF of Retaining Wall EXISTING USE PROP CONTACT NAME Q M t h II OSED USE GARAGE (SF) ADDRESS CITY *5TATE ZIP San Diego CA 92106 PHONE 619-794-1252 EMAIL dmitchell@mcmillin com * 619-336-3010 PROPERTY OWNER NAME Ca|avera H|||s „ LLC ADDRESS San Diego STATE CA Z'P92106 PH°NE 61 9-794-1 252 EMAIL dmitchell@mcmillin com ARCH/DESIGNER NAME & ADDRESS Keith Hansen-2710 Loker Ave West C " 619-336-3010 •• STATE LIC # Carlsbad 60223 PATIOS (SF) DECKS (SF) FIREPLACE YES # NO APPLICANT NAME c |avera LJ,||S II II r AIR CONDITIONING FIRE SPRINKLERS YES NO YES NO ADDRESS 2750 Womble Road San Diego STATE CA Z'P 92106 PHONE FAX 619-794-1252 ,. 6 19-336-3010 EMAIL dmitchell@mcmilhn com CONTRACTOR BUS NAME CorkyMcM|||m Construction Services ADDRESS CITY SanDiego SmE CA Z'P 92106 PHONE 61 9-794 1 252 FAX 61 9-336-301 0 EMAIL dmitchell@mcmillin com STATE LIC # CLASS 749966 A & CITY BUS LIC# B 1206274 ec 703 1 5 Business and Professions Code An/ 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 Tile a signed statement that he is censed pursuant to the provisions of the Contractor s License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Cote) or that he is exempt therefrom and the basis for the alleged exemption Any violation of ction 703 1 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations 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 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 workers compensation insurance carrier and policy number are Insurance Co National Union Fire Insurance Co Pittsburgh PA PolicyNo WC 1593233 Expiration Date 6-01-08 This section need not be completed if the permit is for one hundred dollars ($1 00) or less 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, dJmagajas provided for in Section 3706 of the Labor code, interest and attorney's fees ^CONTRACTOR SIGNATURE I O >O^ A"/ .^t^C^^? /£ /" I//* DATE / / *Z " / ^ " ^^ / hereby affirm that / am exempt from Contractor's License Law for the following reason 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) I as owner of the property am exclusively contracting with licensed contractors to construct the proiect (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 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Yes No 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 / contra tors 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 / 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 / type of work) ^PROPERTY OWNER SIGNATURE DATE ^ ; 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 Act7 Yes J No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air Quality management district? Yes / No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' Yes / No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) 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 representative 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 stones 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 180 days from the date of such permit or tfthe building or work authonzed by such permit is suspended or abandoned at any tome after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) ^"APPLICANT'S SIGNATURE t or lithe building or work authorized by such pel JS^2^ tjZj-L^ /$T\/f DATE IZ l^td?- Inspection List Permit# CB080063 Type RETAIN ROBERTSON RANCH 776 SF RETAINING WALL/CITY STD Date Inspection Item Inspector Act Comments 09/15/200869 Final Masonry PC AP 04/24/200865 Retaining Walls PC AP 04/23/2008 66 Grout RB CO MISSING HORIZONTAL STEEL - NO PLANS OR CONTRACTOR ON SITE 04/11/200811 Ftg/Foundation/Piers PC PA SEE MAP ON SITE 04/10/200811 Ftg/Foundation/Piers RB NR am-went back in pm Thursday January 22, 2009 Page 1 of 1 City of Carlsbad Bldg Inspection Request For 04/24/2008 Permit* CB080063 Inspector Assignment PC Title ROBERTSON RANCH 776 SF Description RETAINING WALL/CITY STD Type RETAIN Sub Type Phone 8588649712 Job Address 2452 CANNON RD Suite RW Lot 0 Location Inspector APPLICANT CORKY MCMILLIN CONSTRUCTION SEVICES Owner Remarks LIFT INSPECTION Total Time Requested 8y JORGE Entered By CHRISTINE CD Description Act ^^Comments 65 Retaining Walls Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/V/7008 11 Ftg/Foundation/Piers PA PC SEE MAP ON SITE 04/10/2008 11 Ftg/Foundation/Piers NR RB am-went back in pm PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS. RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR (<$10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER Lx DATE DATE PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE: I ADDRESS 2VSZ- 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 Docs/Misforms/Planmng Engineering Approvals ACORD,.. CERTIFICATE OF LlABIL PRODUCER . ^ (714) 505-7000 WOOD GUTMANN & BOGART INSURANCE BROKERS LICENSE* 0679263 15901 RED HILL AVENUE, #100 TUSTIN, CA 92780 INSURED MCMILLIN CONSTRUCTION SERVICES LP MCMILLIN MANAGEMENT SERVICES LP CORKY MCMILLIN CONSTRUCTION SERVICES INC ATTN RISK MANAGEMENT DEPT PO BOX 85 104 , SAN DIEGO CA 92186-5104 CO,' CO LTR D ITY INSURANCE DA5/i8/Too7 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 COMPANIES AFFORDING COVERAGE I COMPANY A COMPANY B COMPANYc COMPANY NAT|ONA|_ UNION FIRE INS CO PITTSBURGH, PA /ERAGES .;;••.. .•',;'::>.;, \:.\- J:;-i;-^x-.:; ••••;:-,••: ^ ':..-.-•.'.:•.• . •'. •.: '.,".. -•.'.••"••:'-•-'' • ." * THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED Bv PAID CLAIMS TYPE OF INSURANCE POLICY NUMBER ;' POLICY EFFECTIVE ' POLICY EXPIRATION 'TYPE OF INSURANCE : POLII.Y NUMBER DATE (MM/DD/YY) j DAT! (MM/DDrCY) j LIMITS GENERAL LIABILITY1 ! COMMERCIAL GENERAL LIABILITY I | CLAIMS MADE I • OCCUR | OWNER S & CONTRACTOR S PROT ! I ! AUTOMOBILE LIABILITY i ANY AUTO ALL OWNED AUTOS : SCHEDULED AUTOS \ | HIRED AUTOS ! NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY _! UMBRELLA FORM ,: OTHER THAN UMBRELLA FORM i i WORKERS COMPENSATION AND WC1 593233 EMPLOYERS LIABILITY THE PROPRIETOR/ { Y INCL PARTNERS/EXECUTIVE j • ••- ! OFFICERS ARE ! EXCLi OTHER .' i ! GENERALAGGREGATE $ PRODUCTS COUIP/OP AGG S PERSONAL 8, ADV INJURY S EACH OCCURRENCE S FIRE DAMAGE (Any one fire) ,' S MED EXPfAny one person! J COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) BODILY INJURY . (Per accident) * PROPERTY DAMAGE S i AUTO ONLY EA ACCIDENT S OTHER THAN AUTO ONLY EACH ACCIDENT I • AGGREGATE S 06/01/07 0(3/01/08 EACH OCCURRENCE % AGGREGATE S $ v WC STATU IOTHA ; TORY LIMITS j i ER EL EACH ACCIDENT S 1 ,000~000 EL DISEASE POLICY LIMIT S 1,000,000 F.L DISEASE EA EMPLOYEE $ 1,000,000 i iI ii | DESCRIPTION OF OPERA TIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ALL PROJECTS / ALL OPERATIONS CERTIFICATE HOLDER CITY OF CARLSBAD BUILDING DEPARTMENT 1635 FARADAY AVENUE CARLSBAD, CA 92008 ! ACORD 25-S (1/95) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUO^AIOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON J"\V COMPANY ITS ABSENTS OR REPRESENTATIVES AUTHORIZED REPRESEN **jfa/ i^ ©ACORD CORPORATION 1988 3m m 5W2.,. -rn QQ £ J5 O"~o^2§8i§**3*3T T3O 1° > -n TJ3) "DO 73 X(A mm O73 ii33; fTSz^c S^ r~!£mO^ :H> S4'o