HomeMy WebLinkAbout2875 RANCHO CORTES; ; CB021891; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
' 0Y-09-2002 Retaining Wall Permit Permit No: CB021891
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2875 RANCHO CORTES CBAD
RETAIN
2226602100
$10,615.00
Lot#: 204
Construction Type: NEW
HACIENDAS @ RANCHO CARRILLO
RETAIN WALL 674 SF -CITY SPECS
Owner:
PACIFIC CREST COMMUNITIES
STE 345
CRV CARLSBAD L P
C/O ALEX F ZIKAKIS
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/25/2002
JM
07/09/2002
07/09/2002
4141 INLAND EMPIRE BLVD
ONTARIO CA 91764 ~i~ 6~~~~;~~if1E DR #52~81:l4 J?/09/02 )()C•2 )1
CG!"''· 909 945-7800
Total Fees: $178.25
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Inspector:
Total Payments To Date: $0.00
FINAL.hPPROVAL
Datp· /0--'2-2 ~t;, J
Balance Due:
Clearance:
$107.39
$0.00
$69.80
$0.00
$1.06
$0.00
$0.00
$0.00
$0.00
$178.25
$178.25
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 impos~ion of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file lhe 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 specmed fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any . . . . . . . . . . h . .
FOR OFFICE USE ONLY
PERMIT APPLICATION
,
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHE/CO. !150), /<r, I I
EsT. vAL. uC 15 ·
Plan Ck. Deposit '='lr-'.""-------:---,-
Validated By __ ~LJl<..-+-~......,~=--+--
Date ________ __..'-""1'-+-o:;....,<+-J.::,,,<,f:,,,,,-.,
1. fROJECT INFORMATION
:Z. is 1 > lU::N c;.,ij o
Address (include Bldg/Suite #) Business Name (at this address)
/-ktt.-tftJ.Jt:<, 4:, [ZAi'IU:f:o C¼uJLu1 '2 I l ~ C:r".1}-bt
Legal Description Subdivision Name/Number Unit No. Phase No. Total # of units
t-1...4., (,1.0 -2.,
Assessor's Parcel #
~fo
Existing Use Proposed Use
p..E:-M 1 µ <-Wh-:u-
Description of Work
,,4
SQ~T #of Stories # of Bathrooms
Address City
--1WJ 7'8tr7
Fax#
3. APPLICANT
PJ\:t...i £1 L.
Name
0 Agent for Contractor O Owner O Agent for Owner
C4' .,...\. M. v .J q:::, f \ .1 N (,_. :z\:::-6,l) /bf~
Address City
4 PROeERTY OWNER c., a . .✓ CML ~ ~:A:-4
Name Id! I State/Zip Telephone#
6. 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 penalty of not more than five hundred dollars [$500]). Pf\C-:t FI c.. CPe5t ~& M VtJ IT!~ S ~tJ c , ~++I ,t,rJL,o\N!> t;-M,I 1'1::t: Eh.J '> # >4-~ 4,Jt 91 ~t7b4J
Name Address City State/Zip ,d Telephone ~ D'V f4~-?BOD
State License# 1 'l 14-f) ( License Class i3 City Business License# ~ /2 / I 7 St,_
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty 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
of the work for which this permit is issued.
,ej 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 Clrk ;f,./ \):t::!'!\ ..l \ ~ Policy No. N / Of« 2.-1 S::';
(THIS SECTION NEED NOT BE COMPLETED IF THE;; MIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
Expiration Date
0 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 su;· t to the Workers' Compensation Laws of California.
WARNING: ii re to secure workers' comp sation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dolla s ($1 ,0 01, in ddltio to th ost of compensation, damages as provided for in Section 3706 of the L or c de, Interest and attorney's fees.
SIGNATURE_'tf'=---=----=-,........:---t"7"'£....________________ DATE __ G,-+-).,'S";---=+--0_....__._---:==.~~~---
1 hereby affirm that I am exempt from the Contractor's License Law for the following 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 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).
0 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).
D 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. 0 YES ONO
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 __________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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? 0 YES O NO
Is the applicant or future building occupant reciuired to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME µ-f·2:ft'J-< f'l+r: /r74tJ LENDER'S ADDREss ]Av, C.JrtSt~ f ltlL.J:, G~.rou > ~ C.MS 1001o0
9. APPLICANT CERTI ICATION
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 Citt 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 iss ed 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 no mmenced within 180 da from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is co en1ed f!'r,a period of 18 days ( ction 106.4.4 Uniform Building Code). J /
APPLICANT'S SIGNATURE -ll-""--~----....1...---"=+---,,,b,<-1.L-------------DATE t, p.--S"' _ U 7...
WHITE: File YELLOW: Applicant PINK: Finance
~ w City of Carlsbad Bldg Inspection Request
For: 1 0/22/2003
Permit# CB021891
Title: HACIENDAS @ RANCHO CARRILLO
Description: RETAIN WALL 674 SF -CITY SPECS
Type: RETAIN Sub Type:
Job Address:
Suite:
2875 RANCHO CORTES
Lot 204
Location:
APPLICANT PACIFIC CREST COMMUNITIES
Owner: CRV CARLSBAD L P
Remarks: lilWAI.,?
Total Time:
CD -D-es_c_r-ip-ti_o_n _________ f.'.c,. t. Comment 69 Final Masonry
Inspector Assignment: RB ---
Phone: a
lnspecto~
Requested By: CHRISTINE
Entered By: CHRISTINE
----------------------------------------
Associated PCRs/CVs
lns[)ection History
Date Description Act lnsp Comments
08/01/2002 66 Grout AP RB REAR YARD
07/23/2002 61 Footing AP RB REAR YARD -7FT MAX
07/23/2002 62 Steel/Bond Beam AP RB
07/22/2002 61 Footing NS RB
07/22/2002 62 Steel/Bond Beam NS RB
07/17/2002 61 Footing CA PS
07/17/2002 62 Steel/Bond Beam CA PS
07/16/2002 61 Footing NS PS
07/15/2002 61 Footing NR PS
07/15/2002 62 Steel/Bond Beam NR PS
07/12/2002 61 Footing NS RB
PLANNING/ENGINEERINC APPROVALS
PERMIT NUMBER CB 0"2..-/8<? / DATE ?~ .S--o 2......
ADDRESS 2-f3 7 S--f2A Al CIA.O Cut1---ru'f
RESIDENTIAL_
RESIDENTIAL ADDITION MINOR
< < $10,000.00}
PLANNER (/. {ylvCA._
ENGINEER ________ _
D0CS1Mlsf0m1il'Plannlng Engineering Approvals
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
DATE ______ _
PLANNINC/ENCINEERINC APPROVALS
PERMIT NUMBER =CB=---(/4_S)_-i£---CC'r}:-------'--/ __ PATE _~_/2_2_ .. t;-+,/4_tJ____,?.....__
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL
( < $10,000.00)
'
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDINC
OTHER v . L u o k'' , u0lll5:i 1b loc t'ts
cvr(Z)ve I s'ijN_J JvAd-u'-'}-plai/k').
PLANNER DATE ----------------
oocs/Mlsforms/Ptanntng engineering Approvals