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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