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2848 CAMINO SERBAL; ; CB994693; Permit
01/25/2000 City of Carlsbad Retaining Wall Permit Permit No:CB994693 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2848 CAMINO SERBAL CBAD RETAIN 2552812400 Lot#: 0 $8,157.00 Construction Type: NEW INSTALL RETAINING WALL 553 SF Status: ISSUED Applied: 12/20/1999 Entered By: GMF Plan Approved: 01/25/2000 Issued: 01/25/2000 Inspect Area: Applicant: LACOSTA VALLEY-CARLSBAD L P C/O HEARTHSTONE 16133 VENTURA BLVD #1400 ENCINOCA 91436 $173.97 •*?•*»•- ^ToWPayments T© Date: 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 TOTAL PERMIT FEES $173.97 Inspector:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application pr£(1s)rgQ£eCi&liJe$BA&tion with this project NOR DOES IT APPLY to any fees/exactions of which you have previousBflgfihiiaeanFMPHaB Oi1areaiJ3badlPebl!ch9fflS6ftte WJttWaftaanayiously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION 2848 Camino Serbal FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Davidson Builders, Inc. Address (include Bldg/Suite *) Tract Lot 553 Business Nimi (at this address) Arroyo Ta Costaf Unit 3 Legal Description255-281-24 Lot No. Subdivision Name/Number La Oosta Vallev/88-03 RIM Unit No.Phase No.Total t of units Assessor's Parcel t Retaining Wall Description of Work Existing Use per Citv of San Diego Policy 222 553 SF Proposed Use 2. CONTACT PERSON |rf afferent from applicant) TVJ11 Fanni ng 1 "W2 f!ami nn SQ.FT. Mar. f of Stories Del Mar f of Bedrooms of Bathrooms CA 92014 858/259-8500;259-4644 Nerne 3. APPLICANT Q Contractor La Costa-112, LLC Address O Agent for Contractor Q Owner 1302 Camino Del Mar, Cltv lor Owner Del Mar State/Zip Telephone *Fax * CA 92014 858/259-8500;259-4644 Name Address 4. PROPERTY OWNER La Costa Valley-Carlsbad. L.P. City State/Zip Telephone * San Diego, 12626 High Bluff Dr., Ste. 350, CA 920130 858/794-5777 Name Address City State/Zip Telephone f S. 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 tor such permit to file a sipnad statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the bests for the alleged exemption. Any violation of Section 7031.5 by eny applicant for a permit eubjects the applicant to a civil penelty of not more then five hundred dollars 1*5001).Davidson Builders, Inc. 1302 Camino Del Mar, Del Mar CA 92014 858/259-8500 Name State License 736648 Address License Class B City State/Zip City Business License * Telephone t Designer Name Address City State/Zip Telephone State License 9 6. WORKERS' COMPENSATION Workers' Compensation Oecleration: I hereby affirm under penelty of perjury one of the following declerations: Q I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Lebor Code, for the pertormence of the work for which this permit Is issued. ©( I have and will maintain workers' compensstlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's compensetion insurance carrier and policy number are: insurance company California Compensation Ins. »,„„..„„„ W991187849Policy No.Expiration Date . .01/01/00 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS |»100I OR LESS) rj 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 ao as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage le unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (* 100.000), hi addition to the coat of compensation, damages as provided lor ai Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE . ______ DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor'a License Law for the following reason: Q I, as owner of the property or my employees with wages »s their sole compensation, will do the work and the structure la not Intended or oflered lor stale (Sec. 7044. Business end Professions Code: The Contractor's License Law does not apply to en owner of property who builds or Improves thereon, and who does such work himself or through Ms own employees, provided that such Improvements are not Intended or offered for aale. If, however, the building or Improvement la sold within one yeer of completion, the owner-builder will have the burden of proving thet he did not build or Improve for the purpose of aala). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracta for such protects with contractors! licanaad pursuent to the Contrector's License Law). Q] I am exempt under Section Business end 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 tor 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 plen to provide portions of the work, but I have hired the following pereon to coordinate, supervise and provide the major work (Include name / addraaa / phone number / contrectore licenae number): ______^ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name / addraas / phone number / type of work): ' PROPERTY OWNER SIGNATURE DATE 'COMPLETE THIS SECTION FOR NON^CSIDCNTIM. BUILDING PERMITS' ONLY Is th» epplicent or future building occupent required to submit a business plen, acutely hezardoua materials registration form or risk manegement and prevention program under Sections 2SSOS, 25533 or 2S534 of the Presley-Tenner Heierdous Substence Account Act? O YES Q NO Is the epplicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q 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 OH IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 18. 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(1) Civil Code). LENDER'S NAME _ __ LENDER'S ADDRESS __ \ ___ 19. APPLICANT CERTIFICATION I certify thet I have reed the application and state that the above Information Is correct and that the Informetlon on the plans Is eccurata. I agree to comply with ell City ordinances and State laws raleting to building construction. I hereby authorize representetives of the City of Cerlsbad 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 WAV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excevations over 6'0' deep end 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 385 days from the date of such permit or If the building or work euthorized by such permit is suspended or abandoned et sny time after the work is commenced for a period of 180 days (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ^ DATE WHITE: File YELLOW: Applicant PINK: Finance \ DATE GO PERMIT # JOB ADDRESS DESCRIPTION INSPECTOR PLAN CHECK # CODE DESCRIPTION u ACT COMMENTS City of Carlsbad Bldg Inspection Request For: 4/14/2000 Permit# CB994693 Title: INSTALL RETAINING WALL 553 SF Description: Inspector Assignment: TL Type: RETAIN Sub Type: Job Address: 2848 CAMINO SERBAL Suite: Lot 0 Location: APPLICANT LACOSTA VALLEY-CARLSBAD L P Owner: Remarks: "BACK FILL" INSPECTION Total Time: Phone: 0000000000 Inspector: CD Description 63 Walls Requested By: NA Entered By: CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 3/31/2000 65 Retaining Walls AP TL DRAINS 3/23/2000 13 Shear Panels/HD's NR TL NO ACCESS 3/9/2000 66 Grout AP TL 2/10/2000 65 Retaining Walls NR TL 2/9/2000 11Ftg/Foundation/Piers NR TL 2/4/2000 61 Footing NR DM 1/11/2000 61 Footing AP TL PLANNING/ENGINEERING APPROVALS DATE RESIDENTIAL TENANT IMPROVEMENT RESDEMT1AL ADDITION MINOR f< $10.000.00) PLAZA CAMINO REAL CARLSBAD COMPANY ST VILLAGE FA1RE COMPLETE OFFICE BUILDING I nr PLANNER DATE DATE lltff//n (J (J i s PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Check No. t/fe£_TPIanner' Address Phone (619) 438- 11 61 , extension Type of pr°Ject Zoning: Usc:Net Densitv; General Plan: (?#"lCFD tin/niitlCircle One Facilities Management Zone: .Date of participation: .5/7 r? / Remaining net dev acres:_ Legend: (For non-residential development: Type of land used created by this permit: > Item Complete item incomplete • Needs your action Environmental Review Required: YES X NO TYPE 6"<R %k~Q^ DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: -^^^-^^^--^^^—-—^^^^^^^______^i^^-._ I I _ LJ Discretionary Istion Required: YES X NO APPRO VAL/RESO. NO. _ DATE PROJECT NO. <LT&% -d&. mPs^-t; 6/A/e-u OTHER RELATED CASES: rf-3> P ggr fr . TYPE .S>ccP PC - c.c -W- -3 . . <: a P *? 0 - , ..Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: _ LJ I I Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES CA Coastal Commission Authority? YES NO V NO If California Coastal Commission Authority: Contact them at - 3111 Camino Del Rio North, Suite 200. San Disgo CA 92108-1725: (619) 521-8036 . Determine status (Coastal Permit Required or Exempt): _ _____ Coastal Permit Determination Form already completed? YES _ NO _ If NO, complete Coastal Permit Determination Form now. ' Coastal Permit Determination Log #: _ '' Foliow-Up Actions: 1} Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). • 2) Complete Coastal Permit Determination Log as needed. 1 (619) 259-8500 (619) 259-4644. FAX ENGINEER OF WORK PROJECT DESIGN CONSUL TANTS 701 B STREET, STE. 800 SAN DIEGO, CA. 92101 (619) 235-6471 LEGAL DESCRIPTION LOTS 530 - 628 CARLSBAD TRACT NO. 88-03-3, COUNTY OF SAN DIEGO. STATE OF CALIFORNIA ARROYO LA COSTA UNIT 3, (VILLAGES BtC.D.E,F,K.L,U,N, AND 0) MAP NO. 13636 FOUND IN SUBSTANTIAL CONFORMANCE DATl MICHAEL J. HOLZUILLER. PLANNING DIRECTOR RECOMMENDED BY. DATE LLOYD B. HUBBS, CITY ENGINEER. BY DAVID HAUSER. ASSISTANT CITY ENGINEER RECOMMENDED BY: DATE F CARLSBAD PLANNING DfiPr 1 SHEET 1 OF4 S3 ' sTI | | | Inclusionary Housing Fee required: YES (Effective date of Inclusionary Housing Ordinance • May 21. 1993.) - 1ST TIME- MOM NO V 7 Data Entry Completed? YES _ NO _ (Enter CB *: UACT; NEXT12: Construct housing Y/N; Enter Fee Amount (See tee schedule tor amount Reiurr ~- Site Plan: 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. [~D 2- Ie9al description of property and assessor's parcel number. DD D D Zoning: 1. Setbacks: Front: interior Side: Street Side: Rear: 2. Accessory structure Front: Interior Side: Street Side: Rear: Structure separation 3. Lot Coverage: Required Required Required Required setbacks: Required Required Required Required : Required Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown O 4. Height:Required CD HI 5- Parking: Spaces Required Guest Spaces Required Shown _ Shown Shown G D D Additional Comments MAX OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE