HomeMy WebLinkAbout2648 OBELISCO PL; MULTI-PERMIT FILE; CB051580; Permit-V
.---City,of Carl.4bad'.
_,1 635 Faraday Av Carlsbad, CA. 92008,
r 05-23-2005 -'Retalning Wall-Pormit Pe mit'No: CB051580
.662 '(760) -M5 :13bildincOnSoectiorf Reqbiastlin'e~
Job Address: '~648 OBELISCO'PL CBAD
St, S: 19SLIED.1, Rermit Type:_,.-.. RETAIN atu
Applied:, 05/0/2005A'
ction Type: NEW I~Enterecl By; - B
Parcel l' o: t 2 154602300 Lot 0,
~Valuation: $3,840.00. t~strtl S
-Reference #: Plah Aj~proved:'. 05/23/2005
05/23/2005 lisuecl:,~;.
P
Project Title: POST RES-240 SIF RETAIN WALL Ian Check#:
PER CITY SPECS lnsp~ct Area.
A~ Owner: pplicant:
POST CARLTON L III&BEVERLY A —POSf -CARLTON L III&BIEVIERLY-A
2648 bBELISCO PL 2648~01BELISCO PL
CARLSBAD CA 92009 CARLSBAD CA 92009
Building Permit 53.49
Add] Building Permit Fee )00,
Pfan.Chec'~ $34.77
Add'i Plan Check Fee $0.00
'Stro6g:Motion Fee, $1.00
RenewalFe'e 1$0.00
Add] Renewal Fee .00
Other Building Fee 0.00
A~Id_iiiohal FeJ`ht* $0.00
TOTAL PERMIT F E .26
t
Tot 8 Balanc Due: .$39.48 al Fees: lXateA $89.26 Toktal Pa~nentsI,..'... % 4101, -
Ne,
INCORPORATIIED I> 1952,
05/23/05 - 000-2. 01 ..02,
C13P - 39-40'
FINAL AFDP,FtOVAL .
e Irispe-,-, b ate:- 12!~ C11'aeance:L-
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or othe~r exactiohs"hereafter collectively',
referred to as "Iees/e xac lions.". You have 90 days from the date this' permit was issued ~to protest imposition of these fees/exactions. If you protest them, yod must
!ollow the protest procedures set lorth in Government Code Section 66020(a), and file the protest and any other required information with the City Managerfor
processing in accordance with Carts bad Municip . at Code Section 21.32.030. Failure to tii . nely follow,that procedure will bar any subsequent lebal action to attack,
review*, set aside, V'oid, or ainnul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fe'es"and capacity
cha~ges,ndr pla6rig, zoning, grading or other similar applicitiCn processing or service fees in connection with this project.. NOR DOES IT APPLY to any
feeslexactions of which you have previously been aiven a NOTICE similar to this. oi as to ~ihich thi ias1ireviousIv otherwise exo6red. __J
E
7
OL4 444 A
FOR OFFICE. USE ONLY 7
APPLIdATIJON. .-PERMIT PLAN. CHEC~K NO.
Est. 0
y 71F
Pl~n, Ck. Deposit -7 ,~CIT -OF-CARLSBAD-BUILDIN DEPAR TM
ara-ld " ~A' 5 e. ,1 6~ ''r ay, v i,,'ib~iftb 6A:§2068"', ad 7'
Vaii ated'By
bilite m'
=FO ~MATCQ
Address linclude Bldg/Suite #) Bu'siness.Name (at this-address)
Legal Description Lot No..~,-,., Subdivision Name/Number, Unit No.;— 'Phase No. Total # of units j7-
'%o&RAM6/ V:) WW, V I VZ '.Assessor's Parcel # S 4( E.isting' Use I - 'I, --' M
~CGP 49'
De~c . t* f W(Uk "M FT. #of-Stories rip ion o nl~ # of
,
Bedrooms, of Bathrooms
p
ER nt ON pjrc—i-k N10 iff rent' ro` p
Name - Addre.-, City State/Zip. Tulephnn, # Fax 9
L3 4 LIcA -113. PP NT gi~~dti :tc, 0269. ir,'C(~Wractor `Z 6~~LQe, ~2~gen.t,,Jlor-,Gwnrer-
-T-~,phone # Name - L Address. Z Cityu
P~~LQPEFI mv- --T ~LY ~_QWNE~ a
Zip Ad S ta Telephon- 9 te Z City
E5 _~NCONT~"_CT_O _R~~CO_MPA~N_~
(Sec. 7631.5 Business and Professioh~ C6de: Any City.or ou- u am s r o rity k~ith reqyiyqs:,a pi~rrnit,to constir 'ct, alter,"i~ipro-ve, d I olish or repair any' ti ucture P1 ior t' 'its
issuance,, also requires the applicant for such* permit to'file a sig ned statement,.that he is licensed pursuan ~,~o the provisions of,the.Contractor'§
I
License Law
[Chapter' 9, commandin6,witti Section 7000,of, Division 3 of, the~Business,and Profess
I
io
I
ns. Codef ~or' thati he is exemp~ therefrom,'.and.ihe. basis for,,,the,aflegad
exemption. An
I y violati
,
on cif-SectiOn 701 .5'by any bppjicant'for,a:per rniit:-su~j:ects' the 'applicant t
I
oa civil perialty.-o'n'ot more than five huindr
,
ed,dollars [,$5001).
Name ,Address- , Citv :State/Zip Tele0hone
canse License Class State Li # City usiness' icense
City Telephone 'Designer Name ~Addres- ~tate/-Zip
c State U ense.# .
.EWORkERg-
workers' Cornpens~tion Declaration: Ilhereby.attirni under penalty ot perjury one of the following declaf ktions:
0 1 have and will:maintain a'certificaie of.consent to'seff-insurefdr workers' compensation as:proviii by' Section 3700~of-the'Labor Code, for,'the performance,~
~-of the Work for which this permit is is sbed.',
I have and will maintain 'workers' qoatperisaiion-as required by,Sei Vbo of thie- Labor, Code, foe the performance 'of 1thework for which this, permit is
issued. 'My worker's 6ompensitioninsUrance carrier and 06licy,,numb er are: A I, J
!nsuranc C a omppny Polity No. Exp ration ate
'ITHIS SECTION; NEED~li C15MPLETEDIFTHE PERMIT IS,FO - R ONE HUNDRED DOLLARS [$1001 OR LESS)
I certify -for wkich this~ permit, is:issued,'l shall not employany, person in any manner, so as 0 CERTIFICATE OF EXEMPTION: thifiri the'berformance of the work
,to become subject to the Worke`rs',Co'mj:ie'nsation Laws~of Cilifornia.
io ;nei hurt re -WARNING: Failure to secure-,irarkers'-compensation coverige"-is '.unlawful, and shall subject an employer to criminal penalties -and civil,firies d' d
thousand dollars 01160,000),in addition.to the co s I of compens I
ation-, damages a~i provided t for.,in'Siection 3706 of the Labor co'dej interest andattorney's fees*.'
,SIGNATURE DATE
MN
I heieby'affirm that I am.exempt from-the Contractor's License Law forthe.following reason:
1, as ow4r of the property or 'my'ernployeeswith wages as Ia. compensati ori; *,will do.the work and the structure is n;t'intended'or ofiered,~for ~ale-
[Sec~ 7044,, Business. and. Professions Code: The'Contraci6r's.'Liceme Law doesn~t apply to an owner of property.,who builds or,improves th6reon,an&who,does,
such Work himself or through his .'own, . employees, provided that L suchimpro-yernents are
I
not intended or o
I
ffered for set
L
a. 'if, ~owever, thle,building or"im'prov
.
ement is'
sold within oneityear of completion, the owner-builder, will have the~burden,of proving that'he did not build,or v Jrn~provelor the purpose of sale).
I as owner of the propert~, am I -Business and Professions Code 'The pxclusivey contracting With licensed contractors to construct the project (Sec.,7044
as re
o
r
l"L -d C.ntracior'i License. Law' does-n*obt apply to an owner- of, prqp65~ :Who builds or',ir prbvi- t , i4e an contracts for such oject.s with contractor(si lican'sad
pursuant to the Contractor's License Law).
Business and Professib 6s Code f6r tihis'reisonl. t I am. exempt under Section-, 0-
1: 1 per~ona~lly plan to provide the major-labor and'matirials for c6liristructidn df-the proposed property improvement,f]- YES. ONO
-appiicition fora,bui"Idirigperlmit for theiirop6sed Work 2.,~ 1 (have / have'n6t) si6ried,an
3-.-- J have contracted With the folloWing- person ffirm),,to provide tfie, pro sad construction (include name ?.addr ss pho , neniimber contract . ors license number) pq
dii ii; 'suip'e'evise and pro" major work .(include:nam~ i address Y phone 4. 1 plan to provide portions of the Work, but I hi~e hired'-the following person Ao coor inat vi
number tors; licens a numb contrac er):
l.will provide some of the work, but I Jeave c.)tracted IN wing persons to' provide the work indicated (include naime'~,acldress 1,phon6 number [type
of work):
-SIGNA 2. PRO P ERTY,OWNER T 16 TURE DATE
R70millf" WRI 9E C71 -14E~J=VTIA V-, 9
Is'the applicant o0uture,building-occupant required to submi i, c haza-d d a . usiness: p an, ptely, r ous materials registration, forfi, or risk anagqrrlent an prevention
"program " u
,
rider I
Sections-25505, , 25533 or:
1
25534 of the Presley~Tanner H azilrdoin Sub~tance.Acc 6unt Act?' YES NOi
r future building~occupant require J b' i'the ~: air-pollutio-n~6-o~n'troldis'tri~c'torai'r,-'qualit~y,ma<nar district'?' -NO-~ Is:the applicant b d'to,o tain a,permit frorr YES gement
Is theJacility to be constructed within 1,QOO feet of the iuter'b~oundary of a scliRol site? xES ,,NO-~
JF ANY OF THE ANSWERS,ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY: NOT _BE, ISSUED,UNLESS THE APPLICANT HAS MET~OR,IS-MEETING THE -
0 REQUIREMENTS OF THE OFFICE'OF EMERGENCY SERVICES AND THE AIR P LWTION'Coli DISTRICT~,,'
1 hereby affirm that there, is,a construction len d, n g agricy for t hj,perforrm rice of ire v.ork for t%hich th,~, permit is ij~uecl (Sec 30 7(i)'Ci "I Code) vi
LEND E R "'S NAME -LE r~DER'S ADDRES S t
--Ti
I certifythat-I have,reid therapplicitionand,state that the abovetinform6tion is correct and that the inform i6' at n. on the' plans is accurate. I.agfee to'comply, with all
-'Chy ordinancei 6nd"State, laws relating to'buildirig'constructio'n; . I fiereb autfi of t art a enter upon, the above mentioned y , orize representatives he-CitV of.0 s6 d-,to_
property Jor~ inspection, purposes. 1,, ALSO AGREE TO, SAVE,:.. INDEMNIFY 'AND KEEP 'HARMLESS- THE CITY, OF,..CARLSBAD,AGAiNST, ALL LIABILITIES 'JUbGMENTS, COSTSAND EXPENSES WHICHWAY IN-ANY WAY ACCRUE.AGAINST SAID'CIT'? IN CONSEQUENCE.OF THE GRANTING'OF THIS PERMIT:.~
An OSHA Pa. -J 4A. rmrit is requ red f~09~r avations over 5'0' deep' i6d demoliti6n or construction 'of structures over 3'stories in 6eigh~:-'
Offi -u er the ~0 h: EXPIRATION: Every perrr rovisions o I is ode-shill'6~pir6, b" limitation and become null-and'void if the building or work lit issued 'y I a b i 'ing 9d —UV. Y, authorized,by such permit i t cg,, mence wijI-
tin
18 ay-s a date bf,siuch'~'Ipermit orif'the,bu'ilding onwork authorized by,such permit is suspended or abandoned ~`Po~co- r4ence
- "~~i w :18
at any time after the work is co or a ~peri 18 s tion-A 06:4.4 Uniform Building Code). or a pe o.
-APPLICANT's Sl
I
GNATURE 'DATE : -4/o
% ~pplica f.' - INK ;~i - %~HITE. ile, Yfil-Lq\y~. n P nance
City of Carlsbad Bldg Inspection Request
For: 10/20/2005
Permit# CB051580 Inspector Assignment: PD
Title: POST RES-240 SF RETAIN WALL
Description: PER CITY SPECS
Type: RETAIN Sbb Type:
10 Phone: dW 0 0 0000
Job Address: 2648 OBELISCO PIL
~Suite:', Lot
Location: Inspect r:,
APPLICANT POST CARLTON L III&BEVERLY, A
Owner: POST CARLTON L III&BEVERLY A
Remarks: can you final?
Total Time: Requested By: CW
Entered.By: CHRISTINE
CD Description Act Comm
69 Final Masonry,
Associated PCRs/CVs
Inspection Histo
Date 'Description Act Insp 'Commen
ts 06/17/2005 65 Retaining Walls . AP .-PD 0K.T0,GROUT
05/27/2005 11 Ftg/Foundation/Piers AP PD
05/27/2005 61 Footing AP PD
t
OTHER
City'of Carlsbad -
BUILDING. PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: - CB 05-- t<~TIF!5-5
BUILDING ADDRESS: 0
PROJECT DESCRIPTION: Retaining W611 ,.
ASSESSOR'S PARCEL NUMBER:
ENGINEERING DEPARTMENT
-APPROVAL DENIAL
The item you have submitted for review ha"s been Please see pp attached report of deficiencies
approved. The approval is based on plans, informatio n v, I -
and/or specifications provided in your submittal; marked.witt~[~ ) Make necessary corrections to
therefore, any changes to these items after this date,. plans or kpej5ifications for compliance with
including field modifications, must be reviewed by this applicable codes and standards. Submit corrected
office to insure continued conformance with a
.
pplicable plan . s and/or specifications'to this office for review.
codes. Please review carefully all comments attached,
as failure to comply with instructions in this'report can
res>ult in~s;yp i f it to build V
By. Date:' By: Date:
By: Date:
By: Date:
ATTACHMENTS ENGINEERING DEPT..CONTACT PERSON
Right-of-Way Permit Application NAM E: Taniya Barrows
City of Carlsbad
ADDRESS: 1635 Faraday Ave
Carlsbad, CA 92008
PHONE: (760) 662-2773
H'.Oeve4opment SeivicesWASTERSTORMS ACHECKUSTS ABUILDING PLANCHECK CKLIST FORM - RETAINING WALLS.doc Rev. &28i08
1635.Faraday Avenue lo'Carlsbad, CA 92ob8-7314 (760) 602-2720 e FAX (760) 60278562
0
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
i ST/ 2 ND 3 RD,(
4/~ zr Provide a fully dimensioned site plan drawn to,scale. Show:
A. North Arrow D. Easements
A0
E
isting & Proposed Structures Retaining Wall
(d=nsioned from street) (location and height).
C Property Lines 6i4.e— 9tav) d-~es "4- wo k~ 44N-O—,
LA) Show oln site plan:'
a4- 611 CooddN-
rainage Patterns
E !sti xis ting & Proposed Slopes
Isti
C. Existing Topography v7. 0,a
QCA 11-n a,~ -56 640 (-J~ ca, M-
ZLI 3. Include on title sh6et:. 104- V1 4-zr~
44--Site Address
--,&~'Assessor's Parcel Number
PILegal Description,
(Grading Quantities Cut Fill Import/Export
(Grading Permit and Haul Route Permit may be required)
U- Ll U 4. Project does not comply with the following Engineering Conditions of approval
for Project No.
Conditions were complied with by: Date:
MISCELLANEOUS PERMITS
Q. 1J Ll 5. A RIGHT-OF-WAY PtRMIT 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 frorn'the Engineering
Department.
Pap 1
WDevelopment Services\MASTERSXFORMS ACHECKLISTS ABUILDING PLANCHECK,CKUST FORM - RETAINING WALLS.doc Rev. 6126198
..',Zity of Carlsbad
105 lFairadiy Av Carlsbad, CA 92008..
-1; 2,,1,-2004 Retaining W -P' 0 all,Pdrmit ermit No: CB042126
..Building ln~pection Recluest'Line ~(760) 602-2725
L
648 OBE 7 job A'dress': ..2 d LISCO PL CBAI3
Permit Type: RETAIN Status: 1SSUED,
q 2154602300 Applied: 06/02/2064 Parcel I o:
Construction Type: NEW Entered By: SB -A~_Valuation: $6,300.00''
.,Reference #: Plan Approved:, 06/23/2004a'
Is'sued: 06/23/2004
T RES 400 SFRETAIN WALL 1,_-Project Title: ,POS Plan Check#. I 'Irispect Area: Y 'PER CITY SPECS 4P
Applicant: Owner:.
POST CARLTON,L III&BEVERLY A' ---POST-CARL-T-ON L,111&BEVERLY,A
5671 PALMER WAY #G 5671,PALMER WAY #G
CARLSBAD CA 92008 CARLSBAD CA 92008 7040 PM11104 0002 01 02
qGP 25' , df4.
Building Permii., $76.~9
Add'l Building Permit Fee/ $0.00
$49.78 Plan Check
Add'I Plan Check-Fee. U.00
Strong Motion Fee $1.00
RenewalFee $0.00
Add'I Renewal Fee t$0.00 I , , . Other Building Fee. $0.00
'*0 0 "00 )-00 )-00
4-
)-00
Additional Fees $0.00
TO ~1 7. ~37 TAL PERMIT F ES A,4
Total Fees: $25:41: . Total~,Paymeh ue: ts o ate: $1( $127.37 )1:1Walance
4,
IN~ORPORATE-D'-
1952 Ix
%
7
VT, -173,
FOR OFFICE USE O!,~NLY
4
L10 I APERMIT APPLI CA.TIQN, PLAN CHECK NO.
rroposeo US, L
r7V.
Istori6s' t, #-.of Bedrodriis # of Bathroo~~s
MA, ~WAY 4
City Tulephon, 4 Fax # Stit,, Z~p
0- ~~ri n, fq! _J
Address Ci6, St t a one
-4-
1-7 41,- 9
u cture, prior to its
. . . . . . . . . . ----------- s 0 a on rector's 'License Law
[Chapter 9,'.commending with Section 7000 of Division 3 of the Business and iession Codel."or tKat a. is exqrript theriifirom, and 'the','basis ~for the "allegWd 1
9 ~x —Ariy~_ R "' -I' ~iiy 4not more than five hundred'd
I
olla rs [$5001).- emption.' violation -ofSection 1031.5 bi,any appl~iica4i'for a permit su6ekts the applicant to a civi pe ~,J
----------- qdrpss,,, !~,Stata/Zip, Telephone # I Name. A
~tate Lice nse i~ r License' Class C, B- ity, usi4ss License #I ,'k: t
Designer Name Address - f City State/Zip Telephone.,
St;te Licen~e j, V_
R R E PE SAT[
Workers' Compensation Declaration: I hereby affirm under penalty -of perjury one of the'folloMrig declaratiohs:
I have an
, d
will maintain a certificate ofxonient io~self-insure for works . rs, compensation ;sr~~ovidiid by Sectitin~ '3700 of,the Labor Code, for,t4e performance; Of the . work - or which th is pe I rmit! I is issue . f d
0 1 have and will maintain workers' compgrisition, as require4by.S66tiori 3700 of thelaii r -performancii, of the work' foir-w~ich~ this perinit is
d. My worker's compensation. insurance carrier and policy:number are: issue,
o C6 I de,...for.Ahe
bats lnsuranco'C6mpa ny —"P61icy No~ Expi iration
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDREq.DOLLAR [$1001 OR1E,SS)._-1-, t
~ERTIFICATE OF EXEMPTION: I certif that in the performance of the work for..w~ich thi _s permit: is issued," I shall not employ ~any person,in any manner so as
t6.become subje~i to thiivVorkeri' Cqrhpe~sation Laws of California.
WARNING: Failure to. secure-workers',compenshtlon cover age is unlawfuli,ind shall subjecta I amp oyer to criminal penalties and': civil - fines' up to. one hundred -4 ,,,thousond dollars ($ 100,000). In addition to'tfis cost of 'compensation,' damages aipro-vided for in Section'3706 of the,Labo'r code, into I res I
t "and attorney's fees.,
SIGNATURE.~' DATE'
.... . .... ...
M Ali folloWirip-wasorV.
Is 661noensati6n,' Will do'
'
the, work and, the stru6ture'is ndfinten~;d':6r -oft(;r'ed for—sale ;,t
doesnot app'!y, io7ari owner of pr6piiky, Who 6611'di lmprgvo§ thpr6on a nd who does
ements are not iniendedc~r offere'dior sele. If, however, the building,or improvement is'— f pro vin? that he -did build or improve for the purpose of, sail s)..
1, as~ owner of the property, am ex' ~644,,gusir~ais 'and Professions Cod6: 77he clusively contracting with licensed contractors to construct the project-,(Se
does~.not apply tolan~owner-of -builds. ori ~ roves,ihitreon' ;641c_ ~~oje'8'6 vvit'6`~-c6nt _Contrictor!s License Law. mp - 1% iactor(s)'lideriied ,Oropert~'who. ontracts'for such
Npursuant to the Contractor's License Law).
f I am e~empt undo , i - Si6tion Busineis and Professions od or t is reason:
personally pla~'to provide the major labbiand inat4rials for construction of the proposed property improvi Tnt' (3. YES "C]NO'
2.1- 11 (have / have'not) signed'ain'application for a. building perm~ the-prolpo'id'' It f8i; s work.,,,,"'
I h'aVe contra cted.,with the following person -(firm) to, provide t'~e'proposed construction (include 6 Me h address / o4 iriumb& 1'cc;tractors license, number):
4. 1 plan to. provide. portions of the.-Wo'rk, but, I have hired the following person to coordi nate~- supervise and rk I'
'number / contract
provide t ' he major~wor, include name .,address phone, ors license number). ~J
5'. , -1 will provide some of'the work, b a cont h ad). the folio-wing persons to provide the Work indicated'fin clude name address J phone number type' of work):
PROPERT Y OWNER SIGNATURE
L(LN 0 R"r U., lzw_ L TERT SLTMAP E 21HIE AN— ffiqk~~ MIDEWBALMUl MINGMERMITS.'ONLYi
Pis.the-applicaht.or future building occupant required to subrnit'i~busihes ~Ian;'acUtely hazardous materials re - gist .
r 4 ation form- -n-r' risk'
S'
management and prevention,
c
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous ubstancii'A'count Act?' 0 , YES~ - ~E] N6
.,Is the applicant or futuro'building I'd"' 'air' Si, NO _occupant required to, obtain apermit,from'the air pollution contro istrict or quality monagement district?., C3' YE
',:i~ Is' th; faciliiV16- b;-con*structed-w' it'h;in 1,000 feet of-th outer,boundary. of,6-schooFsite?_'._, Y z,~
i IF ANY OF THE ANSWERS ARE YES, A-FINAL CERTIFICATE OF, OCCUPANCY MAY NOT BE ISSUED NLESS THEAPPLICANT, HAS; MET,9 REQUIREMENTS OF THE bFFICE OF EM ERdENC` R IS, MEETING THE
Y SERVICES AND THE AIR'POLLUTION CONTROL DISTRICT.
011.0 W4GEE6CC !L NPIN 211
to 4t I hdre~y affirai that there ^isla conit~uc i' A leriding a6ency'f*or the'p'ariormance of the'workior ~~hic~ thispoi~mit is iss, f 1 ~ A I.,
*
ued (Sec..3097(i).Civil,Code I. If
LENDER'S NAME LENDER'S ADDRESS V
'15 0C ANT
t 1,C61iify hat I have read the application and state that the 'above information is correct and that the in,formbtion on tha~plaris,is-accurate~il~!G~pu to comply. all
Y '6pon the.above menwtioned City,6rdinances and, State la~vs relatin6 to. bu~ildiiig construction— 1, heriib authiinze representatives o the itV of Cz f 4 C irls~a~ to entir
property, for inspection purposes. I ALSO , AGREE TO' SAVE,'IN'DEMNIFY'AND KEEP HiARMIJES'S,YHE CITY ~OF_CARLSB46;,AGAINST_ ALL LIABILITIES,,
JUDGMENTS,,COSTS AND EXPEN ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITYIN dONSEQUENCE.OF, THE GR4N'TING',O F THIS PERMIT.,
An OSHA.permit is re6red for excavation st eSrin h ig~t.,'.
k OSHA:~ q s over 5'0" deep-and d6molition,or con ructiori of'structur6s o'v1er._3,stor'i 4
wit and void if,the'building or work :EXPIRATION: Every-permit issued by,tqp,"ding Ciffi ial der the'~rovisi6h~'of this Codd shall'expird-by iini'itation and become' r-
allthcirized by such permit'is,not comm , ad yw 180 s I the date of su6ti"permit or if the building or work' a-6thorizi - suc~.06rmit is s6sp d _~e _icl _hi~ 180 ad by ended or abandone
Is
s Comm nd
p6i
d of 80 1)" ~,e at ariy time after the.work'i.
-116 peno Sedilon-10B.4.4 Uniform BuilaingCbde).
APOLICANT'S.SIGNATURE
WHITE: File`_ YELLOW: Applicant PINK: Finance
OL
z
ING DEPARTME~NT',"' E S AD, P -Faraday..,Ave., Car sbad,,.CA 92008 ~,l 635,
D
E" ... tz. R I RIM RQIV~
Address filde Bldg uit
Legal Description
Assessor!s Parcel #
z2
IPS'pedtion List
Permit#: CB042126 Type: RETAIN POST RES 400 SIF RETAIN WALL
PER CITY SPECS
Date Inspection Item 'Inspector Act Comments
09/13/2004 19 Final Structural PY AP
09/09/2004 69 Final Masonry RI
09/09/2004 69 Final Masonry PY CA
08/17/2004 62 Steel/Bond Beam PY WC
08/17/2004 66 Grout PY AP
07/27/2004 61 Footing PY AP DO NOT BURY. CLEANOUT
07/22/2004 61 Footing PY 'CO SEE ATTACHED NOTICE
07/20/2004 61 Footing PY CO~ SEE NOTICE ATTACH.
07/20/2004 62 Steel/Bond Beam PY CO
Monday, September. 13, 2004 Page 1 of 1
Citv'of. Carlsbad
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
ECK NUMBER: CB
BUILDING AD DRESS
LCA-,
PROJECT DESCRIPTION: Retainin6 Wall
v&d - -23- ASSESSOR'S PARCEL NUMBER:
ENGINEERING DEPARTMENT
APPROVAL DENIAL
The item you have submitted for review has been 'Please see the attached report of deficiencies
approved. The approval is based
'
on plans, information marked with OMake necessary corrections to plans and/or specifications provided in your submittal; or specifications for com' liance with applicable therefore, any changes to these items after this date, p
including field d fi i I
I?, must be reviewed by this codes and standards. Submit corrected plans
s, - M0131 =cued' conformance with applicable and/or specifications to this office for review. office to in ure con
codes. Please re iew c9refully all comments attached,
I ly v
a fail e ~~co ly w
r
#,h instructions in this report can
io t s r su e.- Ilt in pe io ermit to build.
By: D ate: By: Date:
By: Date:
By: Date:
ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON
Right-of-Way Permit Application NAME: KATHLEEN M. FARMER
City of Carlsbad
7-- .-ADDRESS: Faraday Ave—
Carlsbad, CA 92008
PHONE; (760) 602-2741
HAW0RD\D0CS1CHKLST\Reta1ning Wall Building Plancheck Cklist Fom KF.doc Rev. 6/26198
1635 Faraday Avenue Carlsbad, CA 92008-7314 (760) 602-2720 FAX (760) 602-8562
BUILDING FiLANCHECK CHECKLIST
RETAINING WALLS
1 SWX 2 ND/ 3 RD,/
1. -Proyde a fulIv dimensioned site Man
'D A. Xoqh. Arrow /D. seme'nts a
J E a'. Xsting,& Proposed Structures E Retaining Wall
(10
-Adimensioned from street) (Io _ cation and height)
Property Lines
U 2. Show on site plan:
Drainage Patterns
Existing & Proposed Slopes
Existing Topography
U U 3. Include on title sheet:
A., Site Address,
B. Assessor's,Patcel Number
C. Legal Description
D. Grading Quantities Cut Fill Import/Export
(Grading Permit and Haul Route Permit may be required)
0 U, 4. Project does not comply with the following Engineering Conditions of approval
for Project No.
Conditions were complied with by: Date:
MISCELLANEOUS PERMITS
El ZI U 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-ofMay issued by the Engineering Department is-required
...Jor the-following: ------
Please obtain an application for Right-of-Way permit from the'Engineering
Department.
Page 1
HAWORDOOMCHMSMetalning Wall Building Plancheck CkUst Foffn DR.doc Rev. 6/26M
City of Carlsbad,
1635'Faraday Av Carlsbad, CA 92008
05-15-2003 Retaining Wall Permit Permit No: CB031403
Building Inspectio-In RequeSt Line (760) 602-2725
Job Address: 2648 OBELISCO PL CBAD
Permit Type: RETAIN - Status: PENDING
Parcel No: 2154602300 Lot #: 0 Applied: 05/13/2003
Valuation: $12,600.00 Construction Type: NEW Entered By: RMA
Reference #: Plan Approved:
Issued:
Project Title: POST RES-800 SF RETAIN WALL Plan Check#:
PER C-3'STANDARD Inspect Area:
Applicant: Owner:
ARROW PIPELINE -POST CARLTON L III&BEVERLY A
STE G 770.RANCHO SANTA FE RD #1
5671 PALOMAR WY 92008 ENCINITAS CA 92024
760 476-9388
Building Permit $122.79
Add1 Building Permit Fee $0.00
Plan Check $79.81
Add'l Plan Check Fee $0.00
Strong Motion Fee $1.26
Renewal,Fee $0.,00
Add'1 Renewal Fee $0.00
Other Building Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $203.86
Total Fees: _$203.86 Total Payments To Date: $0.00 'Balance Due: $203.86
FINAL AP 0 AL
Inspector: 'Date. Clearance:
NOTICE: Please take NdTICE 4 approval of your project includes the "ImpAtion" ohees, dedications, reservations, or other exactions hereafter collectively
'
1/t referred to as 'fees/exactions.' ou have 00 days from the date this permit was issued to protest imposition of these feeslexaction'i. If you protest them, you must
follow the protest procedures I forth in Government Code, Section 66020(a),.qr~d 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 N,OTICE similar to this. or as to which the statute of limitations has previously otherwise expired,
FOR-, FFICE'USE- ONLY
PERM ITAPPLICATIQN,,, PLAN, CHECK No.
EST. VA CITY-OF, CARLSBAD BUILDINGDEPARTMENT
'PIA~n tk. Debosit :1 635 Faraday ~ye;, Carlsbad, CA q2008 7777
VafidkedEll Y.
E D ate
ffT~AN ~1_ #P—RQUE F 0 1 M AT. E I d_
Address (include Bldg/Suite #Z ,,Business Name-(at this address)
0_~ 734 7 7-- Legal Description -.-Lot No.- SubdiVisionName/Numbei- Unit No. Phase No. Total # of Units
Assessyskcel # Existing, Use —Proposed.U, 11467-.:,460 2_73,
Description'of Work of'Bedrooms # of Bathrooms SO. FT., 1~' #of Stories
4~'
ri Z~7t,,ZqCO~gNNTpN ~JVPERSQ
% Addrd9s City St"te'Zip Telbphone # Fax #
1[LQt__,, 'C~_ El Ageni-for n e r C]A =WT-9 o agj~n t ti&,
it, 4
fTame- Telephone # ------ Address City Stte/Zip'
~401RRPRWER_TY _0W11E!B
.!Name Address City Tt~te/zip Telephone 9
MRA m-N ME
.(Sec. .7031.5 Business and Professions Code:- Any City or-County which requires a.-p6rmit toobfistruct, alter, impiove,,demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit -
to file a signed statement that he is'lic6nsed pursuant to thd provisions of the Contractor's License, Law,~
AChapter 9, commending with !Section- 7000 of Division 3 ofthe Business; and, Professions Code) orthat he is exempt-therefrom, and the,basis'for'the alleged
ex*ption. Any violapnof S cti.on 7031-.5 by any applican Or a permit subjects the.W' 21iant to a cA pena ty n
more
~kan, f iVe hundred: gollairs $ 5001).,,
ip 7~~ ON14 77 60 P C~4
Name Addresi , _: " 1, , - - City State Zip. 2 ~Ieph?nyl
~'S c nse # 'Business License # Ct4 tate Li 6` License Cias.s. fy
%
Designer Name ,Addregs- ------ Cit Y~: State/Zip Telephone
State Licensie'#
Lq ~MLWORKfELR4L~q_QWPkN4ATI_Q
Workers' Compensation Declaration: I hereby affirm under penalty of peniiry one of the following deciarition,,:
'
A~ I have and will maintain a certificate,of consent, to, self,in.sure-f or workers' compensation as provided by Section'3760 of the Labor Code~,-jdr the performance
of the. work for which this .permit is issued.
I'hive and Will miint6in'W6rkers`rc6mp e'nsation, as 're4ui'rbd b~ Section 3700 of the Libor'Code,
1,
f . 6 r,"ihe perf or inance of 'the worl~ for A which ihis. peri;ii is
ad. My worker's p~orpensation i6surincecarrier pind policy n jber 'are: Ij
Poli y N Insurance Cdmp iny .0 . . . O.Abp~16yo IL0 I '--,Expir;
ar (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT I.S'.FOR ONE HUNDRED DOLLARS [$101 LESS) .01 bR_
TE I :.. ~C].'ZERTIFiCA OF EXEMPTION:. I certify that in,the.perforrnarce of.the work,for- which this-permit.is i sued; _ - - S I I"s - hall.ndt employ any person in any manner so.as
,.to become subject togfe Wkers, c California T,
WARNING- Fail~ r"e,is "irnlaWful,"aind shall'su"bject an 4~m'ployer i~ criminal penalti
I
e I a and civil f .
ines"up to one hundrlecl_'~
ag housa'nid ~Oltln n, di ip~qs~tio mages'as ~provided for in Section 3706 4of thie L 04 it and attorney's fees.,
IGNATURE DATi
'M _,W T C UWMWO NEWBUIVIDER'
.1 ~eieby affirm that I am exempt froTthe'Contractor's LicenS P~Law for the following,rea on:,
1, 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 ~)f f ered' f or sale
44, Business -aind Manse Law d s not~apply to an owner of "property whol6uilds,or'improves theraon' and whib~ does, .(Sec. 70 Prof essions Code: -the Contractor s L ~oa
.,such work- himself or through his own employees,, prov~ided 6at-suc improvernents~are not intended or offe r- a a. If, however, the building or improvement is red for S I
soldwithin one year'of completion, the.bwner-IJuiId6f'wiII have'the burden ofpio~ing that he did not*build oir*imp~ov~e' for thie 'purpose'of'sale).-..
as',pyiriner of the properiy_am exclusively, contracting with'licidnse o t dc n ra&tots.to.cons-truct~,,th6'.P~bject (Sec.' 7044,-66siness and Prof4ssio'ns,Cod6;.',The*,
Contractor's License Law does not apply to an owner of pioperty who' builds or improves-thereon, and 66ntracts for-such projects-with cbntrac or(s) licensed
License Law); pursuant to the Contractor
Busin~ 0. 1 am exempt.under Section ess and?r~fessiofi s~ Co6 for~tfiis`re~so'n:
t l. I personality plan to provide the major. labor and materials for-constiuction,o the p I roposed,prbperty'imprbveme4;i. [71 YES, 'EINO~~i,,
~2. .1 (have / have not) signedari application' for a building permit for the,proposed work
1 have contracted with the-followirig person (firm).to, provide the proposed
I
construction, (include name 'address /'phone number contractors license nbrnber);'.
.1 plan to provide. portions of the work, but I have hired the fol.lowing,pers-on,to coordinate, -supervise and:lariivide the. major', work, lincludeL name address tphone,*
,number /~contractorsticense number):
5.'. 1 Will provide'some of the,Work, but I have 6ontracted (hired) the following persons to provide the work indicated, (include nan* address,/ phcne number type
~'of'xivork): -
PROPERTY OWNER SIGNATURE DATE _----------- - CTIOWMW:,KQN~Rf~~l N77AL wFift M~IT-~~i~QNL~V 7- _PE
Is the applicant, or. f 6ture'building occupant required to submit a, business plan,, acutely:hazardous materials registrati6fi-form or risk- managament and prevert'Orl
:'pro§rarn under'Sec-tions' 25505, L 25533 of'25534'of the- PrdsIey-Tann'6i'Hazir8oUi
I
'Sutistah6 6"Ac6buniActill ~YEs,- O~
9 IsAhe,applicant or future bijildin occupant required to ob the:air-pollution control district or 'air 9yality,mabal gernefrit,districti 0 'YES C] ~O
',.Is the fa~iiity,'to be constructed -Within 1',000 f eiat of the' outer boundar "of_a~LsCho6l ite? E] YES-, NO Y ~sl
IF AN Y1_0F -THE ANSWERS ARE YES, A FINAL CERTIFICATE:OF OCCUPANCtMAYNOT BE,ISSUED UNLESS THE APPLICANT HAS MET~OR IS MEETING,THE
-REQUIREMENTS'OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.,
'CONSTAUdTIONN41 z, ENMNd~~
.1 hereby affirm. thatthere is a c6ristrudtion:lend,ng dgncy for the perform inct, of the v.,ork for which tt is P~rrnit is issued (S~c 3 0 7 h) Civil CodO, Tcl'!
LENDER'S, NAME LErJDER'S ADDRESS
L9~~ QLC_ANT- _RTIE1_4:LAT!ON i
I certify that.l,fi~alva read the appli6ation*and 'State that'the'abuva'infoirinatiori ib coficci and' t6atthe1nfoirnation orith I a p ans is accurate. A agree to,comply with a
"iCity'ordinances and'State laws relating'to building constructiLm. ' I hereby juthorizi representatives 'of th"a CitV of' C60sbaoi to* enter up on the above mentioned
GREE TO ,SAVE, INDEMNIFY 0 -AND KEEP HARMLESS',, THE . CITY. OF~ CA. '-prpp f AGAINSTALL. LIABILITIES arty., or inspection purp ses. I ALSO A R'LSBAD JUDGMENTS, COSTS AND,EXPENSES
'
WHICH MAY fli-ANY WAY 4CCRUE.4GAINST SAID CITY IN CONSEQUE CE 0 IN THE GRANTING OF THIS PERMIT.
A'p6rmit is required or excay. OSHA: An bSH ations over. 5'0',,deep,a~d ~Iernblition.or cohstruction,of 'structures storibs.,in,height.
EXPIRATION'- Every permit issued b' bu i- libial. 9"rr i~~provisions of this Code shall'e~pire by limi6tibn arid be6bme'null and'~ id if-th6 buildind or work 0
gn A Z 0 i--.4t
-7 -7
V
e i rig 0
authorized by such permit is not corn knced ithin 180 day, fro teof suclipermit or-if.the building orwork autho?ized,b`ywch permitlis suspended orabarid6ned-,, .
at',any time after'th6 work is:"cbm e ce a nod ovi S,- e n 166.4.4 Uniform Building'Cod .pe e.
APP6CANT'S SIGNA'TURE` ~'DATE
WHITE: File YELLOW: Applicant PINK: Finance
r
City of Carlsbad Bldg Inspection* Request
For:. 07/02/2003
Permit# CB031403 Inspector Assignment: Py
Title: POST RES-800 SIF RETAIN WALL-.'.-'
Description: PERC-3 STANDARD
e. Type: RETAIN Sub Typ:
Phone: 7604158081
Job Address: '2648 OBELISCO PIL
Suite: Lot 0
Location: Inspector:
APPLICANT -ARROW PIPELINE
Owner:
Remarks: OK TO GROUT,
Total Time: ~Requested By: PARK
Entered By:- CHRISTINE
CD Description Act Comment
;62 -Steel/Bond B am
Ap -4~
Associated PCRs/CVs.
Inspection Histo
Date Description Act Insp Comments
06/30/2003 66 Grout CO PS NO PLANS OR PERMIT
06/19/2003 65 Retaining Walls WC, Py
06/19/2003 66 Grout AP PY 1ST LIFT
06/18/2003 63 Walls XA PY_
06/11/2003 11 Ftg/Foundation/Piers AP PY LEVEL BACKFILL WALL DETAIL
06/11/2003 62 Steel/Bond Beam WC. PY
06/11/2003 62 Steel/Bond Beam WC PY:
City of Carlsbad Blda Insr)ection Request
For: 06/30/2003
Permit# CB031403 Inspector Assignment: PY
Title: POST RES-800 SF RETAIN WALL.
bescription:, PER -C-3 STANDARD
Type: RETAIN Sub Type:
Phone: 7608156055
Job Address: 2648 OBELISCO PL"
Suite: Lot 0
Location: Inspector:
APPLICANT ARROW PIPELINE.
Owner:.
Remarks: 2ND LIFT
Total Time: Requested By: LA NE
Entered By: ROBIN
CD Description A t 'Comment
66 Grout Ive 491C pglf,4~6, 1, ;1----
Associated PCR~s/CVs
Inspection History
Date Description Act Insp Comments
06/19/2003 Retaining Walls WC PY
06/19/2003 66 Grout AP PY IIST LIFT
06/18/2003 .63 Walls CA PY.
06/11/2003 11 Ftg/Foundation/Piers AP PY LEVEL BACKFILL WALL DETAIL
06/11/2003 62 Steel/Bond Beam WC PY
06/11/2003 62 Steel/Bond Beam WC PY
C
r,ff i t of , Carl
IF 0 ngineering
'BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB
BUILDING ADDRESS: 0_4e'1(a> C-C>
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 inr)pension of permit to build.
By: Date:
DENIAL
Please -see the attached report of deficiencies
marked with 0. Make necessary corrections to
plans or specifi cations for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office.for review.
By: Date:
By: Date:
By: Date:.
ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON
Right-of-Way Permit Application NAME: JOANNE JUCHNIEWICZ
City of Carlsbad
ADDRESS: 1635-Faraday Avenue -
Carlsbad, CA 92008
PHONE: (760) 602-2775
.4
HAWQRn%nr)rq1r.HK1 qnRMa
day (760) 602-2720 o.FAX (760) 602-8562 1635 Fara ~,er~ue arlsbad, CA 92008-7314 11C]IS
BUILDING PLANCHECK CHECKLIST
RETAININGVALLS
1 ST,/ N DV RW -2 3
Q i Provide*a fully di mien'sioned site plan drawn- to scale. Show:
North Arrow D. E6sements
Existin g & Propos e'd Structures E. Retaini.ng Wall
(dimensioned from street), (location- and height)
Property Lines
0 E) 2. Show on site plan:
Drainage,,Patterns,
Existing & Proposed.Slopes
C., Existing Topography
0 0 3. Include on title sheet.. j
A. 'Site Address
L B. Assessor's Parcel-Number
Legal Descrip
i
tion
Grading Quantities Cut Fill Import/Export
(Grading Permit and Haul Ro'ute Permit may be required)
El 0 U 4. Project does not comply with the following Engineering Conditions of approval
for Project No.
Conditions were complied with by:, Date: -
MISCELLANEOUS PERMITS
Q Q L] 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 p6rmit from the Engineering
Department.
Page 1
\\LASPALMASNSYS\LIBRARY\ENG\WORD\DOCSkCHKLST\RetMning Wall BuildiN Plancheck Fom JJ.doc Rev. 6/26198