HomeMy WebLinkAbout2829 CARRILLO WAY; ; CB011819; Permit06/04/2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Retaining Wall Permit Permit No:CB011819
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2829 CARRILLO WY CBAD
RETAIN
2226620700 Lot#: 220
$3,667.00 Construction Type: NEW
HACIENDAS-RETAIN WALL 233SF
CITY SPECS
Status: ISSUED
Applied: 05/21/2001
Entered By: JM
Plan Approved: 06/04/2001
Issued: 06/04/2001
Inspect Area:
Applicant:
PACIFIC CREST COMMUNITIES
STE 345
4141 INLAND EMPIRE BLVD
ONTARIO CA91764
909 945-7800
CRV CARLSBAD LP
C/OALEXFZttCAK!S
9255TOWNE CENTRE DR#520
SAN DIEGO CA 92121
1119 06/04/01 0002 01 02
CGP 89-26
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
$34.77
$0.00
$1,00
$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
FOR OFFICE USE ONL
PLAN CHECK
EST. VAL.
Plan Ck. Deposits
Validated
Date
Haciendas at Rancho Carrillo
/
Address (include Bldg/Suite #)CT 93-04, Lot 220 Business Name (at this address)Haciendas at Rancho Carrillo
Lot No. Subdivision Name/Numbervacant land Unit No. .. Phase No. . -Total # of unitssingle famiry residence
Assessor's Parcel # Existing Useconstruction of retaining wall - 233 SF Proposed Use
Description of Work so. FT.#of Stories of Bedrooms tt of Bathrooms
Carol Long, Prolect Manager 231 (909) 945-7807
Name Address
* a f >,mxmm&*?m ••'"•™.im&s «s»M«sw,>*iig', ? ^^as^m^^sm iisaj^ssHwssjftPacific Crest Communities, Inc.,
City
^pfre'llvS'^
State/Zip Telephone #Fax*
-7800
Name Address City State/Zip Telephone #
Name Address City State/Zip Telephone
NAME
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 ($500)).Pacific Crest Communities, Tnc., same as'above
Name
State License # 77 748 1
Address
License Class B
City State/Zip
City Business License #
Telephone #
Designer Name
State License #
Address City State/Zip Telephone
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.
D 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:
Gal Indemnity _ Policy No. N1062953A 12/28/01Insurance Company Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to^ecure/wjorkers'/rooipansation coverage is unlawful, and shall subject an employer to criminal *enaltie« add civil fines up to one hundred
thousand dollars ($ 1 /O JKP/y ajmfofe Jy"18 cos* °f compensation, damages as provided for in Section 3706 of Jh/^ibCf ;od«/lnt$rgst and attorney's fees.
SIGNATURE vJX/ )/ "/\ DATE
I hereby affirm that I am exempt from 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 contractors} licensed
pursuant to the Contractor's License Law).
n 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 QlMO
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? Q YES O 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.
I hereby affirm that there is a construction lending agency for the performance of the work for wbichthis permit is issued (Sac. 30J>7(i) CwtCodeL * r-d e\f\r\c.tKeybank Natl Assn 2029 Century Park East, ff95D, LA CA 90067
LENDER'S NAME LENDER'S ADDRESS
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 commenced yrffr'n.1 80J^9S 'rom lne da1e of sucn permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for/i ysryfan^^s^ays (£B^tion 106.4.4 Uniform Building Code).
DATE 4/24/01APPLICANT'S SIGNATURE
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 06/21/2002
Permit# CB011819
Title: HACIENDAS-RETAIN WALL 233SF
Description: CITY SPECS
Inspector Assignment: RB
2829 CARRILLO WY
Lot 220
Type: RETAIN Sub Type:
Job Address:
Suite:
Location:
APPLICANT PACIFIC CREST COMMUNITIES
Owner: SHAHABI DONNA
Remarks:
Total Time:
Phone: 9093761922
Inspector:
Requested By: FRED
Entered By: CHRISTINE
CD Description
69 Final Masonry
Act Comments)
Associated PCRs
Date
12/27/2001
12/19/2001
06/29/2001
06/19/2001
Inspection History
Description Act Insp Comments
69 Final Masonry
69 Final Masonry
66 Grout
61 Footing
CA RB
PA RB COMPLETE WALL DRAINAGE SOUTH END
AP RC
AP RB
City of Car Is bad
Public Works - Engineering
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB & // Q /7
BUILDING ADDRESS;U &t4*~
PROJECT DESCRIPTION: Retaining Wall
ASSESSOR'S PARCEL NUMBER:~ 0 "7
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 wttrTinsmjctions in this report can
result in sgetfensioXof oerfnit 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:\WORDTOCSlCHKL5T\fiettlnlng Wai Buttling Plancheck Ckltt Fomi KF.doc
1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 6O2-272O • FAX (76O) 6O2-8562
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
-jST/ . oN
£T Q
3RD/
Q
G
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)
Q Q Q 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 Q 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
HwvOTOUXXSUHKLSTVMalnine Wat BuftNng Plsnctwc* CM*t FonnOR.doc
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB DATE f~-lo-<9/
ADDRESS Lu\/
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER I/DATE
ENGINEER DATE
Docs/Mlsf ormimanning engineering Approntt
ACORD. CERTIFICATE OF LIABI
j PRODUCER
Dodge Warren & Peters -Torrance
3625 Del Amo Blvd. , #300
Torrance CA 90503-
Phone: 310-542-4370
INSURED
Pacific Crest Communities, Inc
Carrillo 70, LLC, CRV Carlsbad
4141 Inland Empire Blvd #345
Ontario CA 91754
i
LITY NSURANCEj^cgf*^DATE(MMfDD/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:
INSURER B:
Lumberman's Underwriting
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.
irJsftLTR
B
A
TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
~^\ CLAIMS MADE [^] OCCUR
GEN'L AGGREGATE UMfT APPLIES PER:nroucrnss n^oc
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
OARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
j OCCUR 1 j CLAIMS MADE
DEDUCTIBLE
RETENTION S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
Builder's Risk
"All Risk Form"
POLICY NUMBER
N1062953B
186745
POLICY EFFECTIVEDATE (MM/DD/YY)
12/28/00
03/23/00
POLICY EXPIRATIONDATE (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 L1MFT(Ea accident)
BODILY INJURY(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT
OTWFR THAN ^ ACC
AUTO ONLY: AGG
EACH OCCURRENCE
AGGREGATE
„ 1 WtSIAlU- 1 IUIH-X ( TORY LIMITS j ! ER
E.L EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
s
$
$
$
s
$
s
$
s
s
s
s
s
$
$
$
$
$1 000 000
$1 000 000
$1 000 000
Occurence $10 , 000 , 000
Deductibl $5 , 000/Occ
*Ten(10) Days IF cancelled for non payment of premium. PROJECT: Haciendas
at Rancho Carrillo, Carlsbad Tract 93-04, Lots 166-210 and 214-238, Carlsbad
California.
CERTIFICATE HOLDER N ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
C -CARLS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _*30. DAYS WRITTEN
CITY OF CARLSBAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTHHXDDQCXDCX9QGDALL
* /-^^'^ ° ^ •» ran IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
1635 Faraday Avenue ^~\ S~\ A
Carlsbad CA 92008 REPRESENTATIVES. / /I / } \
I
AUTHORIZED REPRESENTATIVE (/ ,* / / A\ __/} ^ »
CaroXe S. Ml JL£~ « & ' fafa&$
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 endorsements).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), 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)
EXIST LIMED DITCH
,D£$C&IPTiONi: STRE€T CEMTERLINE MONUMENT)
'.LOCATtON^^CENTERLINE OF EL CAM I NO REAL
, 0.28 MILE N'LY OF PALOMAR
AtRPORT ROAD '
VRECORD FROM« COUNTY OF SAN DtEGO RISOO'v
"4-1 . - :- .. (249 + 07.56) :
307.874 DATUMt M. S. L.DATE
ENGINEER OF WOftK