HomeMy WebLinkAbout2718 LA GOLONDRINA ST; ; CB051629; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05--16-2005 Retaining Wall Permit Permit No: CB051629
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2718 LA GOLONDRINA ST CBAD
RETAIN Status:
Parcel No: 2155410900
$2,688.00
Lot#: 0 Applied:
Valuation: Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
\.. TERRAQUA INC.
0.C 4822GALLATINWAY
GRIFFITH RES 168 SF RETAINING
WALL PER CITY SPECS
.. SAN DIEGO CA 92117
858-49~0011\ \ 1\ . k -':,CJJ 0.-<-C\E:_-;: 1\91)[,2
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Plan Check#:
Inspect Area:
Owner:
GRIFFITH JOHN R&NONA L
2718 LA GOLONDRINA ST
CARLSBAD CA 92009
Total Fees: $76.55 Total Payments To Date: $29.76 Balance Due:
ISSUED
05/10/2005
SB
05/16/2005
05/16/2005
$45.79
$0.00
$29.76
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$76.55
$46.79
8319 05/16/05 00()2 01
CGP
Inspector:
FINAL APPROVAL
Date: S:: -2 r · OC 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 me the protest and any other required infonnation 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 seivice fees in connection with this project. NOR DOES IT A~PLY to_ any
... ,,../ 'J,:..
fD
FOR OFFICE USE ONLY /
PLAN CHECK No.cfuS/ C Z°J PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
,-t,/ qi.~ EST. VAL. __ __:=-i.!2"'-'~"'----~
Plan Ck. Deposit ~ '2, "'1 'JG, ---
Validat~ zv•-~7«::_::~=! ______ _
Date ~(o/o ~
1, PRoJEGTJNFORMATION
olondnntA.., Business Name (at this address)
Unfi!l'J'B 05/f!»'eSJ0 0002 'ttf.'1 # 06;'.l";ts
0A-,Jl,S--,-o-,~-•~p-,~-~l~#---
0
-/,l----------~E~x-;,-t,~~~~~,-•-------------------P=,-o-p-o-,e-d.,.,-U~,-.----trt~::,.. __ _:_:::__9c.-, '' 76
·..t-t~-~tfl -_:1-Db ";;JfV-
Legal Description Lot No. Subdivision Name/Number
#of Stories # of Bedrooms # of Bathrooms
/6@ pl' ? 'll-c .rf../ <: f'e.e..5
State/Zip Telephone# Fax#
j~~R:Er~abnffi±h. ~7/S L,{,{ lvldmdnN-~ CA q~721 t{,,0-!-/,3[t--530-l,
Name Address City State/Zip Telephone # ~
~;i>:tCONTIIAO'fOIE COMPANY NAME
(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, 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 Secr
1
7031.5 .g'. any applicant for a ermit sub·ects the ap licant to a civil penaltaot z.rt7ive hundred dol 0($50 ~
Name C:..
1
L I Address City State/Zip Telephone #
State License# l(;3v g ':1 License Class~~~-,...~~~~--City Business License# / ::Z, / e18Q k ~ . I
Designer Name Address City State/Zip Telephone
State License # _________ _
8; • .Y\(<>~J{~~SH)0MPElll$ATION:
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
g" 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 ts
-Ys"~d. My worker'sA~n,:ti~s~ranle carrier and policy number are: . / r'I 7 _ "J.,v\,l . . /DL / 5
Insurance Company ™ < ™ Pohcy No. .. , I I 21) ~ r Expiration Date _, V ' ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 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 the Workers' Compensation Laws of California.
ensatlon coverage · unlawful, and shall subject an employer to criminal penaJties and civil fines up to one hundred
of comp atlon, damages as provided for in Section 3706 of the L~ o\de, in res!J.nd attorney's fees.
DATE ~~"""=--1-~L..\-(,E,b~
I hereby affirm th t am exempt from the Contractor's License Law for the following reason:
D 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).
0 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).
0 Jam 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. 0 YES ONO
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 I phone number / contractors license number):
4. 1 plan to provide portions of the work, but t have hired the following person to coordinate, supervise and provide the major work (include name I address / phone
number/ 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 I address/ phone number/ type
of work):, ______________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _
C<>MPLi;tETHIS'S~CTION.fOQ· NON'IIESIDENTIAL BUitDING'PERMITS ONLY
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? D YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air QualitY management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
8, Cl)NSTRUCTIOl'he!!Rl~G'A~~NCY.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _______________ _ LENDER'S ADDRESS, ________________________ _
~ 0•'·•AeJ11-!CAf1T¢ERTIFl0ATiON .•
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 Citt 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 180 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 work is comm riod of 1 Sectio .4.4 Uniform Building Code).
DATE
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 05/24/2005
Permit# CB051629
Title: GRIFFITH RES 168 SF RETAINING
Description: WALL PER CITY SPECS
Type: RETAIN Sub Type:
Job Address: 2718 LA GOLONDRINA ST
Suite: Lot 0
Inspector Assignment: PD ---
Location: Inspect : _/.~---
OWNER GRIFFITH JOHN R&NONA L
Owner: GRIFFITH JOHN R&NONA L
Remarks:
Total Time:
CD Description
Date Description
05/19/2005 61 Footing
Associated PCRs/CVs
Inspection History
Act lnsp Comments
AP PD
Requested By: JAMIE
Entered By: CHRISTINE
City of Carlsbad
l:f.mbltM!Pi·ll@-#111·11,1441 ■,1·1
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB O c; /6J_Cj
BUILDING ADDRESS: J.-7 (f3
PROJECT DESCRIPTION: _R_e_t_ai_n_in~g_W_a_ll ______ _
ASsEssoR·s PARCEL NUMBER: Jr£ -s'I! --~,
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 in susp ion of permit to build.
By: / ___.-r-Date: ;fros
ATTACHMENTS
Right-of-Way Permit Application
H·\WOA:O'OOCSICHKI SDRet?IDIDQ wan B11ildiog P!encbeck Ckke Form I I doc e, .. eneme
DENIAL
Please see the attached report of deficiencies
marked with □. 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: _________ Date:
By: Date: ---------
By: ---------Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: JOANNE JUCHNIEWICZ
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE: (760) 602-2775
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562
/
D
D
D D D
D D D
1.
2.
3.
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow
B. Existing & Proposed Structures
(dimensioned from street)
C. Property Lines
Show on site plan:
A. Drainage Patterns
B. Existing & Proposed Slopes
C. Existing Topography
Include on title sheet:
A. Site Address
B. Assessor's Parcel Number
C. Legal Description
D. Easements
E. Retaining Wall
(location and height)
D. Grading Quantities Cut___ Fill___ Import/Export __ _
(Grading Permit and Haul Route Permit may be required)
4. Project does not comply with the following Engineering Conditions of approval
for Project No. _________________ _
Conditions were complied with by: _______ Date: ____ _
MISCELLANEOUS PERMITS
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 permit from the Engineering
Department.
Page 1
\\l.ASPALMAS\SY5'LIBRARY\ENG\WORD\DOCS\CHKLS1'Retalnlng Wall BUikllrQ Plancheck Cklst Form JJ.doc Rev.612&'98
.
PLANNINC/ENCINEERINC APPROVALS ·. -
PERMIT NUMBER CB ·s-/t.o/•s--·. DATE {:Ito/or
~~ , ,
ADa11ss_'Z-_7..:.....:·.:__/ l_~ __ b;_o_l ~--.._,....;d:.....;.;r,.___.1~n,__~-----
RESIDENTIAL ADDfflON MINOR
f < $10,000.00)
TENANT IMPROVEMENT
PLIIZA eAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE' FAIRE
COMPLETE OFFICE BUILDING
OTHER _____________ ---______ _
PLANNER _______ ·-'~c...._;_~----· DATE
ENGINEER _______ _ DATE _____ _