HomeMy WebLinkAbout2824 CARRILLO WAY; ; CB011537; Permit06/11/2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Retaining Wall Permit Permit No:CB011537
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2824 CARRILLO WY CBAD
RETAIN
2226622100 Lot#: 234
$1,890.00 Construction Type: NEW
HACIENDAS-RNCH CARR-120 SF
RETAIN WALL
Applicant:
PACIFIC CREST COMMUNITIES
STE345
4141 INLAND EMPIRE BLVD
ONTARIO CA91764
909 945-7800
Status: ISSUED
Applied: 04/24/2001
Entered By: RMA
Plan Approved: 06/11 /2001
Issued: 06/11/2001
Inspect Area:
Owner:
CRV CARLSBAD LP
C/OALEXFZIKAKIS
9255 TOWNE CENTRE DR #520
SAN DIEGO CA 92121
1656 06/11/01 0002 01 02
CGP 61.14
Total Fees:$61.1.4 Total Payments To Date:$0.00 Balance Due: $61.14
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
$36.45
$0.00
$23.69
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$61.14
Inspector:
FINAL APPROVAL
Date:earance:
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
FOR OFFICE USE Or
PLAN CHECK
EST. VAL.
Plan Ck. Deposit
Validated By.
Date
mi^i
_TL
I/Vic//*/
If
Haciendas at Rancho Carrillo
Address (include Bldg/Suite #)
CT 93-04, Lot 234
Business Name (at this address)
Haciendas at Rancho Carrillo
Legal Description
222-620-21
Lot No. Subdivision Name/Number
vacant land Unit No. Phase No.
SFD
Total # of units
Assessor's Parcel #construction of retaining wallExistinisting Use- 120 SF Proposed Use
Description of Work
2. CONTACT PERSON (if dlffemnt from applicmitl
SQ. FT.#of Stories # of Bedrooms # of Bathrooms
Carol Long. Project Manager (909) 945-7800, Ext. 231, 909-945-7807
Name Address
3, APPLICANT Q Contractor D Aaent f or ContractorPacific Crest Communities, Inc., ^
State/Zip Telephone #Fax #City
ISpffrenBlvd, #345, Ontario, CA 91764 945-7800
Address City State/Zip Telephone tt
CRVcarisD'ad* LP 4141 Inland Empire Blvd, #345, Ontario, CA 91764 909-945-7800
Name
4. PROPERTY OWNER
Address City State/Zip Telephone #Name
5. 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 7031 .5 by any applicant for a permit subjects the applicant to a civil Density of opt more thar\ five hundred dollars USQOJ)-,,,^-Pacific Crest Communities, Inc., 4141 Inland Empire Blvd, #345 Ontario CA 91764 945-7800
Name 777481 Address BState License # License Class
City State/Zip Telephone #
City Business License #
Designer Name Address
State License #
City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
l~l 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.
l~l 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)
C] 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 t^secure/workers'cpmpensation coverage is unlawful, and shall subject an employer to criminal penalties and /civil fines up to one hundred
thousand dollars ($100.£0W£n/*4dki^nJbJhe cost of compensation, damages as provided for in Section 3706 of the/babofrJJljde, nttrmt and attorney's fees.
SIGNATURE \jL//\J 17^ DATE l^lC/flf D/
7, OWNER-BUlLDEfTBECLARATIoJA' ' '•
I hereby affirm that I am exempt fror^tne Contractor's License Law for the following reason:
l~l 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).
Q 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):
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 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 Act? Q 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 D NO
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.
8, 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. 309.7(ilCivil Code). „«-, -,2029 Century Park E, #950, LA CA 90067
LENDER'S NAME KeyBank LENDER'S ADDRESS
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 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 corrarnpncHJ witflin 180 days from the date of such permit or if the building or work authorized by suih permit is suspended or abandoned
at any time after the work is comm^cidwt^a^fjod o/TOp days (Section 106.4.4 Uniform Building Code). L_jLf^\l f//\ I
APPLICANT'S SIGNATURE ( V/\lr~-^ DATE ll&f^fL//
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 12/27/2001
Permit^ CB011537 Inspector Assignment: RB
Title: HACIENDAS-RNCH CARR-120 SF
Description: RETAIN WALL
Type: RETAIN Sub Type:
Phone: 7606024262
Job Address: 2824 CARRILLO WY
Suite: Lot 234
Location: Inspector:
APPLICANT PACIFIC CREST COMMUNITIES
Owner: CRV CARLSBAD L P
Remarks:
Total Time: Requested By: KERRY
Entered By: KAREN
CD Description Act>o Comments
69 Final Masonry
Associated PCRs
Inspection History
Date Description Act Insp Comments
12/20/2001 69 Final Masonry CA RB
12/19/2001 69 Final Masonry CO RB MISSING PROPER WALL DRAINAGE
07/03/2001 66 Grout AP RB BY RGB
06/19/2001 61 Footing AP RB
City of Carlsbad
Public Works Engi neeri ng
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB OJ -
BUILDING ADDRESS:UJ\
PROJECT DESCRIPTION: Retaining Wall
ASSESSOR'S PARCEL NUMBER:- (p^O -
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 suspension of permit to build.
jr '""*
By:///^V (M^L Date:
DENIAL
Please see the attached report of deficiencies
marked with P. 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: TAN IYA WADE
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE:(760) 602-2773
f^fcte* Fnrm H rtnf
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-272O • FAX (760) 602-8562
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
RIV
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)
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)
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
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 0 \1S5"7
ADDRESS Ca't\\\o
DATE 5 tea/o/
TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
OTHER
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER DATE 5/33/Q/
ENGINEER DATE
Docs/Misforms/Planning Engineering Approvals
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Acoftp_ CERTIFICATE OF LIABILITY INSURANC^y*
PRODUCER -
Dodge Warren & Peters -Torranoe
3625 Del Amo Blvd. , #300
Torrance CA 90503-
Phone: 310-542-4370
INSURED
Pacific Crest Communities, IncCarrillo 70, LLC, CRV Carlsbad
4141 Inland Empire Blvd #345Ontario CA 91754i
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.
INSRLTR
B
A
TYPE OF INSURANCE
OE^JERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE | | OCCUR
GENT. AGGREGATE LIMIT APPLIES PER:
~~| POLICY f~I SECT 1 ILOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
j OCCUR | [ CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
Builder's Risk
"All Risk Form"
POLICY NUMBER
N1062953B
186745
TOE1CY EFFECTIVEDATE (MM/DD/YY)
12/28/00
03/23/00
POLICYEXPIRATONDATE (MM/DD/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 ^ ACC
AUTO ONLY: AGG
EACH OCCURRENCE
AGGREGATE
-.IWC5IATU- IOTH-X | TORY LIMITS | ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE • POLICY LIMIT
$
$
$
$
%
$
$
s
s
s
$
$
$
$
s
$
$
$
s 1 000 000
$ 1 000 000
si 000 000
Occurence $10,000,000
Deductibl $5,000/Occ
*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-CARLS
CITY OF CARLSBAD
Attn: John Mildbrand
1635 Faraday Avenue
Carlsbad CA 92008
1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES. /'/" // 'I
AUTHORIZED REPRESENTATIVE fr £ / / Jk /I . ^
Carole S. MitchL^^ f^^fe^
ACORD 2S-S (7/97)3RD 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)