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Home My WebLink About2820 CARRILLO WAY; ; CB011817; Permit06/04/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Retaining Wall Permit Permit No:CB011817 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2820 CARRILLO WY CBAD RETAIN 2226622000 Lot #: 233 $3,292.00 Construction Type: NEW HACIENDAS - RETAIN WALL 209 SF CITY SPECS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: PACIFIC CREST COMMUNITIES STE 345 4141 INLAND EMPIRE BLVD ONTARIO CA91764 909 945-7800 'Owner: ISSUED 05/21/2001 JM 06/04/2001 06/04/2001 C/OALEXFZIKAKIS 111906/04/01000201 02 9255 fOWNE CENTRE DR #520 CGF" 89 • ?6 SAN DIEGO CA 92121 Total Fees:$89.26 Total Payments To Date:$0.00 Balance Due: $89.26 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 $53.49 $0.00 $34.77 $0.00 $1,00 $0.00 $0.00 $0.00 $0.00 $89.26 Inspector: FINAL APPROVAL Date: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 capactiy 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 fay Plan Ck. Deposr Validated By. Date Haciendas at Rancho Carrillo FOR OFFICE USE ONLY PLAN CHECK N EST. VAL. ^25? LX Add]„ . , _ Business NameJat this address)Haciendas at Rancho Carrillo Legal Description 222-620-20 Assessor's Parcel #construction of retaining Lot No. vacant Subdivision Name/Number land Existing Use wall - 209 SF - (_:A £ Unit No. single Phase No. Total family residence # of units Proposed Use <t-Ls Description of Work SQ. FT.#of Storie # of Bedrooms # of Bathrooms Car?909-945-7800, Ext. 231, 909-945-7807 Name Address '£: APPLICANT Q Contractor Q Agent for Contractor Pacific Crest Communities, Inc., State/Zip Telephone #Fax*City Owner O Agent for Owner Inland Empire Blvd, #345 Ontario, CA 91764 909-945-7800 Name Address City State/Zip Telephone PflOPERTY,OWNEBCRV Carlsbad, LP 4141 Inland Empire Blvd, #345 Ontario, CA 91764 909-945-7800 Name Address City State/Zip Telephone # «. CONTRACTOR - 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 Section 703.1.5,by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$50011.Pacific Crest Communities, Inc. see above Name 777481 State License # Address -r, License Class City State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone 'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 Gal Indemnity Policy No. N1062953A Expiration Date 12/28/01 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [~l 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 afecurerwmcers' compensation coverage a unlawful, and shall subject an employer to criminal .penalties and civil fines up to one hundred thousand dollars ($100/OOtOS=wd,rflb* fo tl» cost of compensation, damages as provided for in Section 3706 of thfe \fep6t\cfAf,fn\$ifH and attorney's fees. SIGNATURE \^\/J )/ V\ DATE 7. OWNER-BUILDER DECLARATION I \ 1 hereby affirm that I am exempt from thVcontractor'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). O 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 [UNO 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): 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 number / type of PROPERTY OWNER SIGNATURE DATE tjVO/V-ffCS/D£W7Wli BUILDING PERMITS ONtY 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD 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 lending agency for the performance of the work for which this permit is issued (Sec. 3097(jl Civil Code). __ _, _Kevbank 2029 Century Park E, #950,LA CA 90067LENDER'S NAME J^eypanK LENDER'S ADDRESS 1 '_ 9. APPLICANT CERTIFICATION 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 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 stories in height. EXPIRATION: Every permit issued by toe buildina 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 comrr^csHwithifilSO 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 commenCeoalfalfenifctpjriao'^ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 'HITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/21/2002 Permit# CB011817 Title: HACIENDAS - RETAIN WALL 209 SF Description: CITY SPECS Inspector Assignment: RB 2820 CARRILLO WY Lot 233 Type: RETAIN Sub Type: Job Address: Suite: Location: APPLICANT PACIFIC CREST COMMUNITIES Owner: CRV CARLSBAD L P Remarks: Total Time: Phone: 9093761922 Inspector: Requested By: FRED Entered By: CHRISTINE CD Description 69 Final Masonry Act Comment! Associated PCRs Inspection History Date Description Act Insp Comments 12/27/2001 69 Final Masonry CA RB 12/19/2001 69 Final Masonry PA RB ND. FINISH GRADE TO BOTTOM OF HEAD JOINT DRAINAGE 07/03/2001 06/19/2001 66 Grout 61 Footing AP RB BY RGB AP RB p City of Carlsbad Public Works BUILDING PLANCHECK CHECKLIST RETAINING WALL Engineering BUILDING PLANCHECK NUMBER: CB Q | / BUILDING ADDRESS: ?^%6'0 (jj 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 complv^wjfh instructions in this report can result in suspensjem^pfjpermit to build. By: DENIAL Please see the attached report of deficiencies marked with DMake 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 Right-of-Way Permit Application ENGINEERING DEPT. CONTACT PERSON NAME: KATHLEEN M. FARMER City of Carlsbad ADDRESS: 1635 Faraday Ave Carlsbad, CA 92008 PHONE:(760) 602-2741 H:\WOW3\DOCSVCHKLST-iRMainlng Wai Bidding Ptandieck CMst Form KF.doc 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 6O2-272O • FAX. (76O) 6O2-8562 r BUILDING PLANCHECK CHECKLIST RETAINING WALLS |STV ID/ 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 2. Show on site plan: A. Drainage Patterns B. Existing & Proposed Slopes C. Existing Topography D. Easements E. Retaining Wall (location and height) Q 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) 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. Pagel H:\WORD\DOCSVCHKLST\ReUinlls V\W8u*«ng PlandwckCMWFonn DR.OOC PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS Z.O RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE Oocs/MtstormuPlanntng Enginteilng Approvau ^5:2*0 8SE2* te$* CURB OUTLET PER RSD D-27 (TYP) ACOBD- CERTIFICATE OF LIABILITY INSURANCES/* PRODUCER Dodge Warren & Peters -Torrance 3625 Del Amo Blvd. , #300 Torrance CA 90503- Phones 310-542-4370 INSURED Pacific Crest Communities, IncCarrillo 70, LLC, CRV Carlsbad 4141 Inland Empire Blvd #345Ontario CA 91754 i DATE (MM/DD/YY) 03/21/01 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. INSURERS AFFORDING COVERAGE INSURER A: Lumberman < s Underwriting INSURERS: California Indemnity Ins.Co. INSURER C: INSURER D: INSURER E COVERAGES MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. un? B A TYPE OF INSURANCE GErJERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER Builder's Risk "All Risk Form" POLICY NUMBER N1062953B 186745 POLICY EFFECTIVE 12/28/00 03/23/00 POLICY EXPIRATIONDATE (MMfDD/YY) 12/28/01 03/23/01 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN EAACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE X lWtSlAlU- I |OTH-1 TORY LIMITS 1 I ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ s $ $ $ $ $ $ $ $ $ $ s $ $ $ $ $ $1 000 000 $1 000 000 $1 000 000 Occurence $10,000,000 Deductibl $5 , 000/Occ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *Ten(10) Days IF cancelled for non payment of premium. PROJECT: Haciendas at Rancho Carrillo, Carlsbad Tract 93-04, Lots 166-210 and 214-238, Carlsbad California. CERTIFICATE HOLDER N ADDITIONAL INSURED; INSURER LETTER: CANCELLATION C-CARL CITY OF CARLSBAD Attn: John Mildbrand 1635 Faraday Avenue Carlsbad CA 92008 i g SHOULD ANY OF THE ABOVE DESCRI DATE THEREOF, THE ISSUING INSURE NOTICE TO THE CERTIFICATE HOLDEI IMPOSE NO OBLIGATION OR LIABILITY REPRESENTATIVES. f / 3ED POLICIES BE CANCELLED BEFORE THE EXPIRATION R WILL ENDEAVOR TO MAIL j£3_0_ DAYS WRITTEN f OF ANY KIND UPON THE INSURER, ITS AGENTS ORr /l ^ AUTHORIZED REPRESENTATIME fr „ /2 L / /h /* fT , " Carole 3. Mitchkl^-^ ^^fe^ ACORD 25-S (7/97);ORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurers), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97)