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Home My WebLink About2908 AVENIDA VALERA; ; CB960590; PermitBUILDING PERMIT Permit No: CB960590 03/25/96 15: 35 Page 1 of 1 Permit Type: RETAINING WALL Parcel No: 216-461-12-00 Valuation: 4,050 iJob Address: 2908 AVENIDA VALERA . Project No: A9600813 Development No: Suite: 6736 03/3/96 0001 01 Q2 C-PRl+j 120.0() Lot#: Construction Type: JEW Occupancy Group: Reference#: Status: ISSUED Description: 300 SQ FT RETAIN WALL-FRM 2-5 Applied: 03/27/96 : FEET-PER CITY SPEC 222 Apr/Issue: 03/29/96 Entered By: RMA Appl/Ownr : RUSSO'S LANDSCAPE 619-484-1965 7394 CELATA LN SAN DIEGO CA 92129 *** Fees Required Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL ,00 .oo 120.00 Ext fee Data -------------- 72.00 1.00 120.00 47.00 CITY OF CARLSBAD 2075 h Palmas Dr., Carlsbd, CA 9209 (619) 438-1161 . PERMh' APPLICATION City of Carlsbad Building Departmmt 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 From List 1 (see back) give code of Pennit-Type: For Residential Projects Only: From List 2 (see back) give _-__-_____--__---_----------------.---------------------- Code of Structure-?lpe: Net WGain of Dwelling Units 2. PR€"INFORMATION FOR OFFICE USE ONLY Building or Suite No. Nearest rossStreet LEGALDESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. 0 2 Energy Calo DESCRIFTXONOFWORK SH 0 2 Structural Calo 0 2 Soils Report 0 1 Addressed Envelope IP (it aitterent mom applicant] NAME (last name first) ADDRESS CITY - STATE ZIP CODE DAY TELEPHONE AG UA- -' ZIP CODE9 2~129 DAY TELEPHONE %? 1 9 61 - CITY BUSINESS LIC. # s,a STmJd STATE LIC. #- - LICENSECLASS c-z7 (last name tint) an STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Comwnsation Declaration: I herebv attirm that 1 have a certiticate of consent to self-insure issued bv the Director ot Industrial Relations, or a' certificate of Worken' Compensation Insurance by an admitted insurer, or an exact copy or huplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY CfiL # POLICY Nq/l Y(13//WRATION DATE e ///z/ /$A Certiticate ot Exemption: I certi so as to become subject to the Wtrkers' Compensation Laws of California. that in the pertormance ot the workTor which this permit is issued, I shall not employ airy person in any manner SIGNATURE DATE Uwner-Builder Wclarahon: 1 hereby attirm that 1 am exempt trom the COntractors Ucense Law tor the Iollowing reason: 0 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 dog 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busings 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). I am exempt under Section (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, commencing 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 penalty of not more than five hundred dollars [$500]). 0 0 Business and Professions Code for this reason: SIGNATURE DATE CDM~ING X Is the applicant or future building occupant required to submit a busings 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE AN- ARE YES, A FINAL CERTIFICATE OF OOCIIPANCY MAY NOT BE Issun, AFIERJULY 1,1989 UNLESS THE APPLICANT HAS MlV OR Is MEE"G THE REQUIREMENTS OF THE OFFICE OF EMERGENCY !SERVICES AND THE AIR WLulTION CONTROL DISIXICI: i CivllCodeJ. I hereby atfirm that there 1s a constructlon lending agency tor the pertormance ot the work tor which ths permit is ISSU~~ (Sec 3m 0 YES 0 NO 0 YES 0 NO om 0 NO LENDER'S NAME LENDER'S ADDRESS rcIR ~ 1 certi that 1 have read the applicatlon and state that the above intormation is correct. I agree to comply with all City orddlnances and State laws relatin: to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AIS0 AGREE To SAW? I"M AND I(EEp HARMLffs THE CKY OF CARISBAD AGAINST ALL IJABILlTES, JUDGMENTS, aosls AND WENS WHICH MAY IN ANY WAY ACCRUE AGAIN= SAID CITY IN <xINSJQUENCE 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 buildinn or work authorized bv such wrmit is not commenced within 365 daw from the date of such wrmit or if the buildinn or work authorized bv such peknit is suspended or e after the work is comrne-nced for a period of 180-days (Section 303(d) hiform Bu APPLICANTS SIGNATURE DATE: WHITE: File YELLOW App- PINK: Finance I Q 01/14/97 INSPECTION HISTORY LISTING FOR PERMIT# CB960590 DATE INSPECTION TYPE INSP ACT COMMENTS 06/12/96 Final Masonry 06/12/96 Final Masonry 05/08/96 Grout 05/08/96 Grout 05/01/96 Footing 0 5/0 1/ 9 6 Footing RI RI MW/FRANK/484-1965 DC AP RI RI MW/FRANK/484-1965 Dc AP RI RI MW/FRANK/484-1965/931-6621 DC AP HIT <RETURN> TO CONTINUE... BUILDINGS PLANCHECK CHECKLIST DATE: %/Z 6/96 BUILDIN ADOR SS: 79 OE? PROJECT DESCRIPTION: 6$9rrr34 cA/A LC ASSESSOR'S PARCEL NUMBER EST. VALUE PLANCHECK NO. CBYh 0596 J u ENGINEERING DEPARTMENT M -Jm mmtm 2075 La8 Palmas Or. Carletbad, CA 92009-1 576 (619) 438-1161 FAX (61 9) 438-0894 @ IUlLDlNQ PCANCHECK CHECKLIST 01713 1. ProvkJo 8 tub dimomioned site plan drawn to scale. Show: Wng & Propomd strucftrroa Easemoat8 Exirting Street Improvements F. Rightof-Wly Wdth a Adjacent Streets PfopertyU~Easlements Drainage Patterns sting & Proposed Slope8 3. Include note: Surface water to be directed away from the building foundation 8t 8 296 gradient for no less than 5' or 2/3 the distance to the property line (whichever is less).' [Per 1985 UBC 3907(d)5]. On graded sib, tho top of my extorlor foundath shall extend rbove tho elevatjon - of tho street guttor 8t point of dischug. or tho inlot of m rpprowd drainago dovia 8 minimum of 12 inches plus two percent' (per 1990 UBC 2907(d)5.). - 4. IncJudeonWkstwet For commerdd(kldustri8l buildings anel tonant impfowrrunt projects, induck: Total building squrn footago with tho squuo footage for ordr difhront wo, existing sewer permits shvlng square footage of different uses (manufacturing, warehouse, Omce, etc.) previowly r9plovod. EXSIlW PERMer NUMBER OESCAlPnON '-4 '. BUILDINO PLANCHECK CHECKLIST DIWRMMFn AP PROVAL COM PUANG 4 2ndd 3rdd 0 0 5. ROjUt doaa not cornpty with tho following Engineering Conditions of approval for Project No. Condltiona nnro complied with by: D8b: w 0 0 d. o.dic8tiorr for rll street Rights-ot-Wy 8diaCmt to tho building sit0 and any storm drain or utility easements on the building site is required for ell new buildings and for remodels with 8 valuo at 01 exceeding S -pursuant to Code Section k 18.40.030. Dedication required rn follows: Attrchod plomo find an applicrtiorr form md submitw CtreckIist for the dedication ~ procoss. Provid. tho cornpletod wplkatiun form and tho requirernenta on ttw checklist at tho timo of resubmittal. Dedication completed by Date: I MPROVEMENT REQUIREMENTS 7a All needed puMk improvements upon urd adj- to tho building site mwt be constructed at tlm of building co(utNcb1oo whenover tho value of the construction exceeds 9 -punuMt to cock Sodon 18.40.040. 0 0 Public irnprovwrmta roquirod I) btbw: BOILDIN0 PLANCHECK CHECUST Future public irnprovomnts required 8s foUw8: Imprwement Plan8 dgned by: D8te: 17 17 7c. Enclosed please find your Futuro Improvement Agrwmont. Please return signed and notarized Agreement to the Engineering Department. Futuro Improvement Agreement completed by: 0ae: do/ 0 7d. No Public hnprovamnts required. SPECIAL NOTE: Dm~led or detectiy- irnwove rnonts found adiclccKn to bu ildina site must bo reoaired to the satisfactio na @e Cftv In sowtor prior t o occuoa n cy, The conditlorw that invoke tho need for 8 grading permit are found in sectiosr 11.06.030 of the Municipal Coda fi 0 CI tl 8~ Inadequate inf~rmrtiorr rvailabk on site plan te maim a determination on grading requirements. Indudo accurate grading qurntitiu (cut, 1IU im9ort, export). WlLDlNa PUNCHECK CHECKLJST lStJ 2ndJ 3rdd 00 0 9. AaGHT-OF-WAY PERMR is required to do work in City Right-of-way and/or pliva, ww)< adjm to tho public RigMd-Way. Typaa of work indude, but are not limited to: street improvements, trees, drlvoways, tieing into public storm drain, sewer and water utilitkr. RTght+f-Wy permit roquirod for A soparato Rightof-Way permit issued by tho Engineering Department is required for the following: 0 0 10. ASEWE R PERMIT b required concurrent with the building permit issuance. The feo 11. NOUS TRIAL WASTE PERMR k roquirod. Appliant must complete industrid Waste Permit Application Form and submit for City approval prior to issuance of a Permit. is noted in the fees s8ct/oc1 on the following pago. - Industrial wasto pormit accepted by: oat.: APPROVAL WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for - A. workers' compensation as provided by section 3700 of the Laboi Code, for the performance of the work for which this permit is issued. , have and will maintain workers' compensation, as required by section 3700 f the Labor Code, for the performance of the work for which this permit is - B. issued. My workers' compensation insurance carrier and policy number are: 0 INSURANCE COMPANY POLICY NO. EXPIRATION DATE: i WL---W ------------------- .!L?-rd!L--zLQI -------- L!L&d& ------------------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 w C. workers compensation laws of California. w Signature / Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8 1 OO,OOO), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2075 Las Palmas Dr. - Carlsbad, CA 92009-1 576 - (61 9) 438-11 61 - FAX (61 9) 438-0894 @ EST 5- d mM 1 INSURED NAME ANC ADDRESS PRODUCEI 01 01 52 1500 ITEM 2 ITEM 3 i ITEM 4 ’NORKERS’ COMPENSATION AND dPLOYERS’ UABlUTy INSURANCE ESTABLISHED 1933 CALIFORNIA COMPENSATION INSURANCE COMPANY DRM 72-1 0 (9B) WC 00 00 01 WCIRB CARRIER CODE io001 14 INFORMATION PAC RUSSO, FRANK (AN INDIV.) (DBA) RUSSO’S LANDSCAPE 7394 CEIATA LANE SAN DIEGO, CA 92129 OTHER WORKPLACES NOT SHOWN ABOVE: na matacil6d Rhedukdopentknr. HANN INSURANCE AGENCY 57380 29 PALMS HIGHWAY YUCCA VALLEY, CA 92284 POLICY NO.: 69581 12601 Direct Bill Employer Link Group ................ : captive ............. : Territory ............ : 4 . PIA Diamond Bar Branch ................ : 95 . Group Programs Renewal of ......... : W94B112601 State ................... : California tine ...................... : Non-Participating Entity ................... : Individual Location .............. : Single Adjustment .......... : Payroll Interim Premium Annually The Policy Period is from: 1 1 /21/95 To: 1 1 /21/96 1201 A.M. standard time at the insured’s mailing address A. Workers’ Compensation Insurance: Part One of the policy applies to the Workers’ Compensation Law of the states listed here: California 8. Employers’ Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our Liability under Part Two are: Bodily Injury by Acddent 8 1,000,~ Each Acddent BodilytnjurybyDisease s 1,OOO,OOO poacy~ Bodily Injury by Disease S 1 ,~,~ Each Employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except those in mM 3A AND NV,ND,OH,WA,WV,WY D. This policy includes these endorsements and schedules WC-99-00-01, WC-00-04-94, WC-04-03-60, WC-04-03-31, WC-04-03-01, WC-04-03-09, WC-00-04-82, WC-04-06-01 The premium for this policy will be determined by our manuals of Rules, Classificatlona, Rates and Rating Plans. All information required below is subject to veriflcation and change by audit. TotalEstimatedPdicyRemkrm S 500 MinhrumPremkun S 500 DepositRemium S 500 staeAssessmentsurcharge s 2 TotaAm~mountDue S 502 -by: CALCOMP INSURANCE COMPANY / . * ... 1 .. , ..,...._ ._ ;.. , ', .,\,: . .-.i , . ;. .. :........ I. .. TR OB INSURED INVOICE NO. PRODUCER POLICY NUMBER 732503 010152 G956112601 1 ESTABLISHED 1933 POUCY PERIOD: FROM: 11/21/95 TO: 11/21/96 CALIFORNIA COMPENSATION INSURANCE COMPANY IWOICE DAY FREQUENCY OF ADJUSTMENT 9/08/95 DEPOSIT RUSSO, FRANK (AN INDIV.) (DBA) RUSSO'S LANDSCAPE 7394 CELATA LANE SAN DIEGO, CA 92129 CODE PREMIUM INVOICE CLASSIFICATION OF WORK PAYROLL RATE PREMIUM PAGE 1 Policy Territoty: 4 - PIA Diamond Bar Produc~Tenitoty: 4 - PIA Diamond Bar PRODUCER HANN INSURANCE AGENCY 57380 29 PALMS HIGHWAY YUCCA VALLEY, CA 92284 THIS INVOICE COVERS THE PERIOD FROM 1 1 /21/95 To 11/21/96 INVOICE FOR DEPOSIT PREMIUM DUE As indicated in Item 4 of the Information Page of your policy, the following amount is due: ' Deposit Premium Assessment TOTAL DEPOSIT AMOUNT DUE 500.00 +2.00 502.00 Please send your remittance with copy of invoice in the enclosed self-addressed envelope payable to: CALCOMP INSURANCE COMPANY FILE NO. 42067 LOS ANGELES, CA 90074-2067 Please contact your agent if you have any questions. Deposit Premium is payable upon receipt of your policy. Policy may be cancelled for non-payment of premium if remittance of amount due is NOT received at the above address prior to 12/06/95. THIS PREMIUM ADJUSTMENT DOES NOT REFLECTME ACTUAL PREMIUM DUE FROM OR TO ME INSURED UNLES~~~EVIOUSLY BILLED HAVE BEEN PAID. WMyeh: 09/08/95