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HomeMy WebLinkAbout2867 CAMINO SERBAL; ; CB000587; Permit•402/23/2000 City of Carlsbad Retaining Wall Permit Permit No:CB000587 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2867 CAMINO SERBAL CBAD RETAIN 2552811500 Lot#: 544 $4,823.25 Construction Type: NEW LA COSTA VALLEY - SHELBOURNE RETAIN WALL 327 SF CITY SPEC Applicant: LACOSTA VALLEY-CARLSBAD L P C/O HEARTHSTONE 16133 VENTURA BLVD #1400 ENCINOCA91436 Total Fees: $116.22 Status: ISSUED Applied: 02/18/2000 Entered By: JM Plan Approved: 02/23/2000 Issued: 02/23/2000 Inspect Area: -CARLSBAD L P 0623 02/23/00 OOOi 01 02 C-PRMT 116-22 1%tai Payments To Dafef $0.00 Balance Due: $116.22 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 $116.22 Inspector: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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY tfF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION 2867 Camino Serbal FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Davidson Builders, Inc. Address lincluds Bldg/Suile *) Tract: 13636 Business Him* (it this address) Lot 544 Arroyo La Costa. Unit 3 Legal Description Lot No. Subdivision Nimf/Number La Oosta Vallev/88-03 Unit No.Phise No.Totil * ol units RLM Assessor's Percel * jjetaining Wall Description of Work Existing Use per City of San Diego Policy 222 327 SF Proposed Use 2. CONTACT PERSON (ri different from applicant) Rill Fanning 1307 ranrlnn TTP.1 SO. FT. Mar, 'of Stories » of Bedrooms * of Bathrooms CA 92014 858/259-8500;259-4644 Neme ;3. APPLICANT D Contractor La Costa-112. LLC Address O Agent for Contractor Q Owner 1302 Camino Del Mar, Cltv £f Agent for Owner Del Mar State/Zip Telephone *Fix* CA 92014 858/259-8500;259-4644 Name Address 4. PROPERTY OWNER La Costa Valley-Carlsbad. L.P. City 12626 High Bluff Dr., Ste. StatefZip Telephone * San Diego, 350, CA 920130 858/794-5777 Name 6. CONTRACTOR - COMPANY NAME Address City State/Zip Telephone t (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, liter. Improve, demolish or repiir my 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 Lew (Chapter 9. commending with Section 7000 of Division 3 of the Business ind Profusions Code) or that he is exempt therefrom, ind the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars |»500|). 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 * Designer Nime Address City State/Zip Telephone Stele License * 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penelty 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 01 the work for which this permit is issued. JQ£ I have and will maintain workers' compensetion, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number are: insurance company California Compensation Ins. Po,icv No W991187849 Expiration Date 01 /01/OOexpiration UBIV (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (11001 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 Lews ol Celifornia. WARNING: Failure to eecure workafi* compensation coverage la unlawful, and she". eub)eet an employer to criminal penalties and civil fines up to one hundred thousand dollars 1*100,000), In addition to the cost of compensation, demegaa as provided for In Section 3708 of the Labor code. Interest and ettomey'a fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I hereby effirm that I am exempt from the Contractor's License Law for the following reason: Q I, ss owner of the property or my employees with weges as their sole compensation, will do the work and the structure Is not Intended or offered for nil (Sec. 7O44, Business end Professions Code: The Connector's License Law does not apply to en owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provldsd that such Improvements ire not Intended or offered for sell. If, however, the building or Improvement Is sold within one yeer 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 Lew does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor!!) licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: 1. I personally plen to provide the major labor end materials lor construction of the proposed property Improvement. Q YES QNO 2. I (have / heve not) signed en 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 / contrsctors license number): 4. I plan to provide portions of the work, but I heve hired the following person to coordinate, supervise end provide the major work (Include neme / address / phone number / contractors license number): 5. I will provide some of the work, but I heve contracted (hired) the following persons to provide the work Indicated (Include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-ftfSlDfNTUL BUILDING PERMITS ONLY Is the applicant or future building occupent required to submit a business plen, acutely hetsrdous meteriels tegisuetion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? O YES D NO Is the applicant or future building occupant required to obteln e permit from the air pollution control district or air quality management district? Q YES O NO Is the fecility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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 e construction lending egency for the performance ol the work for which this permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS_ \ :9. APPLICANT CERTIFICATION I certify that I have reed the application and state that the above information Is correct and that the Information on the plena Is sccurete. I egree to comply with all City ordinances end State lews releting to building construction. I hereby authorize representatives of the CltV of Cerlsbed 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 excevetlons over 5'0* 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 end become null end void if the building or work authorized by such permit is not commenced within 365 days from the dele of such permit or If the building or work authorized by such permit is suspended or abandoned at eny time efter the work Is commenced for e period of 180 deys (Section 106.4.4 Unllorm Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE ^ INSPECTOR PERMIT # j&to PLAN CHECK # JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS City of Carlsbad Bldg Inspection Request For: 4/14/2000 Permit^ CB000587 Title: LA COSTA VALLEY • SHELBOURNE Description: RETAIN WALL 327 SF CITY SPEC Inspector Assignment: TL 2867 CAMINO SERBAL Lot 544 Type: RETAIN Sub Type: Job Address: Suite: Location: APPLICANT LACOSTA VALLEY-CARLSBAD L P Owner: Remarks: "BACKFILL" INSPECTION Phone: 0000000000 Inspector: Total Time: CD Description 63 Walls Act Comments Requested By: NA Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 3/31/2000 24 Rough/Topout WC TL 3/31/2000 65 Retaining Walls AP TL DRAINS 3/14/2000 65 Retaining Walls CA TL D.M. INSPECTED 3/14/00 3/9/2000 61 Footing AP TL 3/9/2000 62 Steel/Bond Beam WC TL City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB Qo 0 £"£ "7 BUILDING ADDRESS: _D£k^ Cf\s^ 1X0 S*~f k^J^ 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 coiroSfyl/vith instructions in this report can result in suspensiojprof permit)to build. By:Date: DENIAL Please see the attached report of deficiencies marked with CJMake 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:\WORO\DOCS\CHKLSTWetaining Wan ButtKng Plancheck CMfct Form KF.doc 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-272O • FAX (760) 6O2-8562 1•/ BUILDING PLANCHECK CHECKLIST RETAINING WALLS 1 . Provide a fully dimensioned site plan drawn to scale. Show: D7~Easements ET~Retaining Wall (location and height) North Arrow Br~Existing & Proposed Structures (dimensioned from street) Cr^foperty Lines _^Ql Q 2. Show on site plan: -Ar"Drainage Patterns BfTExisting & Proposed Slopes CT^Existing Topography 3. Include on title sheet: Address Assessor's Parcel Number Description D. Grading Quantities Cut Fill Import/Export (Grading Permit and Haul Route Permit may be required) -a Q 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\DOCS\CHKLST\Retalning Wan BuMhg Pbncheck CkM Form DR.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE 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/Mlstorms/Punning Engineering Approvals 1 K