HomeMy WebLinkAbout2701 CAZADERO DR; ; CB983852; PermitBUILDING PERMIT
11/24/98 14:18
Page 1 of 1
Job Address: 2701 CAZADERO DR Suite:
Permit Type: RETAINING WALL
Parcel No: Lot#:
Valuation: 1,770
Occupancy Group: Reference*:
Description: 120 SF RETAIN WALL-PER CITY
: SPECS POLICY 222
Permit No: CB983852
Project No: A9805016
Development No:
Apr/Issue: 11/24/98
Entered By: RMA
Appl/Ownr
* * *
K F STEPHENS
1500 W 11TH AV
ESCONDIDO CA
Fees Required ***
92029
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
760 740-0885
Collected & Credits
67.
S :
***
.00
26. 00
41 . 00
Ext fee Data
40. 00
26.00
1.00
67.00
CITY OF CARLSBAD
2075 Las Pahnas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE O
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date /////i AJt 11°~-^(si
egt:•b
2/-
Address (include Bldg/Suije #1 Business Name (at this address)
Assessor's Parcel #Existing Use Proposed Use
3237 11/10/98 QPQl 01 02
# of Bedrooms C"FRftRbf Bathrooms 26 • 00Description of Work SQ. FT #of Stories
Name Address Fax*
Name 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 sucb 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 fotji permit subjects the apglicant to a civil penalty of not more than five hundred dollars [$500]).
f.foo to f/M Are £s£6«<fa/0 Oi fo*& 76* ->fe -Oiftf
Name
State License # o Ji O&Y\. ^
Designer Name
State License #
Address _
License Class X/~"/
Address
City State/Zip
City Business License # //•/ C
City State/Zip
Telephone #
>7/tf4
Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
fj 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.
0^ 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 TG^T _ Policy No. f^ O^&S Q^7<b _ Expiration Date \JAh. I?//
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
D 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' compansation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (SIOfMJOOJ^in add\tiopf\a4ne cost of pompensation, damages as provided for in Section 3706 of the Labor code, iterest and attorney's fees.
SIGNATURE ^CJ^^^C^^f^^^ DATE
I hereby affirm that I am exempf'rrom the Contractor's License Law for the following reason:
Q 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).
Q 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).
l~1 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. Q YES QNO
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 number / contractors 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
number / contractors license number): _ _n __ _
5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): _ __ __ __ _ _^_^_
PROPERTY OWNER SIGNATURE DATE
NO
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? ED YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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.
MnCollS^tiC^iOWIl^DlNlS^ENCY^^^;^:' /.V '" '^lljfLPtSiJ'-ilOif. :,,:' .'"'•:-' •'• • ': :'-'' ""::.-•'•.•:. --':-! " '•- :' V^',.
I hereby affirm that there is a construction^nding agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
APPLICANT CERTI
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 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the wjjrifj? cpmmencedfo/ a oeriod of 1 80 days (Section 1 06.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE ///?
WHITE: File YELLOW: Applicant PINK: Finance
Inspection List
Permit#: CB983852 Type: RETAIN 120 SF RETAIN WALL-PER CITY
SPECS POLICY 222
Date Inspection Item
6/19/2000
6/13/2000
5/26/2000
5/26/2000
6/11/1999
5/25/1999
5/24/1999
1/13/1999
69
89
69
89
11
11
11
62
Final Masonry
Final Combo
Final Masonry
Final Combo
Ftg/Foundation/Piers
Ftg/Foundation/Piers
Ftg/Foundation/Piers
Steel/Bond Beam
Inspector
DA
DA
DA
DA
SP
SP
SP
PY
Act
AP
CO
we
NR
AP
AP
NR
AP
Comments
FINAL
SEE BACK OF CARD
BEING ROUTED
GARAGE FOUNDATION
Tuesday, June 20, 2000 Page 1 of 1
UNSCHEDULED BUILDING INSPECTION
DATE 1-^-00 INSPECTOR
PERMIT # R-^gS"^ PLAN CHECK #
JOB ADDRESS 5^7 01
DESCRIPTION _____
CODE DESCRIPTION ACT COMMENTS
ufc
REQUEST FOR INSPECTION RECORD
INSPECTOR
ADDRESS _
REQUESTED BY J_
PERMIT NO.
CODE
11 P
/ STRUCTURAL
--£tg/Foundation/Piers (rebar)
12 /U Steel/Bond Beam
13
14
15
16
17
18
19
CODE
21
22
23
24
25
26
29
D
n
n
n
n
D
n
n
n
n
D
n
n
n
Shear Panels/HD's (o.k. to wrap)
Frame/Steel/Bolting/Welding (Decks)
Roof/Reroof (Patio) |^|
Insulation f
Interior Lath/Drywall -j ^V
Exterior Lath/Drywall (Nail/Screw) 1 fl '
Final ft ty\
PLUMBING
Underground/Under Floor
Sewer/Water Service
Gas/Test/Repairs
Rough/Topout
Water Heaters/Vents
Plumbing Repairs/Sprinkler
Final
CODE
31
32
33
34
38
39
D
D
D
D
D
n
ELECTRICAL
Underground/Conduit-Wiring
Const. Service/Agricultural (Temp
Service Change/Upgrade
Rough Electric
Signs
Final
Electric
CODE
71
77
n
n
n
MISCELLANEOUS
Set Ups (Mobile Home)
Under Floor Bracing (Mobile Home)
Other-Specify
TIME:
DATE:
PHONE NO.
PERSON TAKING REPORT:
CODE
41
42
43
44
45
46
47
48
49
MECHANICAL
D Underground Ducts
D Flues/Vents
D Air Cond/Furnace Set
D Rough/Ducts/Dampers
D Hoods
D Repairs
D Fireplace/Chimney
D Exterior Appliances
D Final
CODE
51
52
53
55
57
59
SWIMMING POOLS/SPAS
D Excav/Steel/Bonding/Fence
D Underground Plumbing
D Electric/Conduit/Wiring
D Fence/Pre-Plaster
D Gunite
D Final
CODE
CODE
61
62
65
COMBINATION
81 D Underground Combo (11, 12,21,31)
82 D Drywall, exterior lath, gas test (17, 18, 23)
83 D Roof Sheath ing-exterior shear (13, 15)
84 D Rough Combo (Ceiling T Bar) (Grids) (14,24,34,44)
89 D Final Combo (19, 29, 39, 49)
MASONRY
^Footing (Masonry)
D Steel/Bond Beam (getting ready to grout)
D Retaining Walls
Special Instructions:
Ready for Inspection: D Monday
D AM D PM
D Tuesday H, Wednesday D Thursday
\
D Friday
City of Carlsbad
Engineering Department
-BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB
BUILDING ADDRESS: 7.7 Ca \
PROJECT DESCRIPTION: Retaining Wall
ASSESSOR'S PARCEL NUMBER:- 63
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
resjjtt-fifsuspfeqsion 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
D Right-of-Way Permit Application
ENGINEERING DEPT. CONTACT PERSON
NAME: DAVID RICK
City of Carlsbad
ADDRESS: 2075 Las Palmas Drive
Carlsbad, CA 92009
PHONE:(619) 438-1161. ext. 4324
OU<BRARY£NO(WORD\DOCSKHKLSnRMMng MM BuUng Ptanctwdt CfcM FOOD OR.doc
2O75 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-O894
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
A*yv o^w o1
\ / £. o
Q Q 1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow
B. Existing & Proposed Structures
(dimensioned from street)
C. Property Lines
D. Easements
E. Retaining Wall
(location and height)
Q / Q Q
cK a a
2. Show on site plan:
A. Drainage Patterns
B. Existing & Proposed Slopes
C. Existing Topography
3. Include on title sheet:
A. Site Address
B. Assessor's Parcel Number
C. Legal Description
D. Grading Quantities Cut Fill Import/Export
(Grading Permit and Haul Route Permit may be required)
Q Q Q 4. Project does not comply with the following Engineering Conditions of
approval for Project No.
Conditions were complied with by:Date:
Q
MISCELLANEOUS PERMITS
5. 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
Q:UJBRARY\ENGWVORCUX>CS*CHKLSrnRiMring Wy BuUng Punched! CM* FOOD DR.doc
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER DATE
ADDRESS 0\
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
«$10P000.00>
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER DATE
ENGINEER DATE
Docs/Mlsforms/Planning Engineering Approvals
.
cycER (soo)676-506G
Insurance Services
Ventura Boulevard
Suite #200
Sherman Onks, CA O.I-PH .
Attn: rjel Mosbergen
INSURED K.F. Stephens Inc
1500 W. llth Street
Suite # 24
San Diego, CA 92029
TAX (.As AMAIM rcor
ONLY AND CONPEI GHTS UPON THE CERTlPICATll
HOLDER. THIS CER i .r.CATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMfAMV
A
COMPANY
D
COMPANYc
COMPANY
D
COMPANIES AFFORDING COVERAGE
HOI DINCS CROUP
:> THIS''isto'cERTiFY "THAT THE POLICIES OFINSUFWNCE Lis'i EU BELOW HAVE ISEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICV PtPioo
INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR M<W PERTAIN. THE INSURANCE AFFORDED 6Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAM'S.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RRDUCEU BY PAlO CLAIMS.
fl"!,vi TVr*e OF INSURANCE POLICYNUMHHlLTR
GENERAL LIABILITY
: COMMERCIAL GENERAL LIABILITY-
ij.-^ * CLAIMS MADE : ' OCCUf?
OWNER'S A CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
- GARAGE LIABILITY
ANY AUTO
eXGLiJp LIABILITY
; : UMBRELLA FORM
• OTHER THAW UMBRELLA FORM
• WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY
A TKE PROPRIETOR' | INCLP*RTN = R3.'EX£CUTK'E
OFFICERS ARE: ' i EXCL
OIHI-K
DESCRIPTION OF QPcPATIONS/LOCAflONSA/l
1
1
30587036
POUCV 1 f 1 FCTIVI; POLICY F-HI'II.'AI ION
DAIE (MM/DUfYV) UArE{MM/UU^V)
01/19/1998 ". 01/19/1999
LIMITS
GENERAL AGGREGATE S
PRODUCTS -COMIVOP AGO J
prRSOtML * pciv iiuuny t.
EACH OCCURRENCE . S
FIRE DAMAGE (Any ofie fire) ; S
MED F.XP (Any qni parson) 5
CGMDINEt) SINGLF LIMIT S
BODILY INJURY j
BODILY IN.IUR/ • ,(Per acciaini) •
PROPERTY DAMAGE S
AuiooitLY-rAAccinrnr s
OTHERTHAUAUTOOfiLY: •*:,:/.-•' '.'•'• . / ' •
rACllACODC/lT- ?
A'.'.KI-GAIf: 1
EACHOCCUPHRILfi S
AGGREGATE , $
;ioHYiiMna; "r;n ;:'.: r .-".:...'.'.. .•.-. ..
ELGACHACCIDenr • S 1 (JQQ Q|J|
EL OIGEAOE- POLIC «* LIMIT S 1,000,01)1
EL DISRASr - HA CMPLOVfie S .1 , 000 , 00!
HICLE3/SPEC1AL ITEMS
ALL OPERATIONS OF THE: NAMED INSURED
City of Vista
600 Eucalyptus
Vista, CA 92085
SHOULD ANY OF THE AOOVE DESCRIDED POLfClES BE CANCELLED BEFORE THIS
EXPIRATION PATl: THEREOF, THE ISSUING COMPAUY WILCCIIDEAVOR T 0 MAIL
™1D_— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 1O 1HF LFf I.
HUI FAILURE TO MAIL SUCH HOWTF StfAl I IMI'OSP HO OBLIGATION Oft l.rAi'.M r I /
OF ANY KIND UPON IHF COMPANY, ITS ACCMIS OH RrPHFftFH rATIWS.
SO AC; JllMVMfl^NT Dl'IM