HomeMy WebLinkAbout2862 RANCHO CORTES; ; CB044173; Permit11-2,2-1004
.k""' FWJ City of Carlsbad
~9j--uv· ~635 Faraday Av Carlsbad, CA 92008 MI Retaining Wall Permit Permit No: CB044173
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2862 RANCHO CORTES CBAD
RETAIN Status:
Lot#: 0 Applied:
Valuation:
2226600400
$2,160.00 Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
ALVERSON RES 135 SF RETAIN
WALL PER CITY SPECS
ALVERSON GARY D&ANITA M
2862 RANCHO CORTES
CARLSBAD CA 92009
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
Plan Approved:
Issued:
Plan Check#:
Inspect Area:
Owner:
ALVERSON GARY D&ANITA M
2862 RANCHO CORTES
CARLSBAD CA 92009
Total Fees: $76.55 Total Payments To Date: $29.76 Balance Due:
ISSUED
11/17/2004
SB
11/22/2004
11/22/2004
$45.79
$0.00
$29.76
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$76.55
$46.79
6053 11/22/04 0002 01
CGP
Inspector:
FINAL
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 lees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f /xacion fwh'h hv rvi I ben in Tl E imil hi r to i h imi ion ha r i ! hrwi xird.
02
46. 79
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PERMIT APPLICATION
FOR OFFICE USE O LY
PLAN CH t/ / tS
CIT.Y OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PROJECT INFORMATION
Business Name (at this address)
U5f/\'3(3 11/1
Dez;tr r;/, A-1 /0 / l'--XY W-1+-u_. ~sa/3 s-#of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (if different from applicant)
Name Address
0 Contractor O Agent for Contractor
Address
Name Address
-......5. CONTRACTOR · COMPANY NAME
City
0 Owner O Agent for Owner
City
an~ cic1rfes
City
State/Zip Telephone# Fax#
(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 ($5001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
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:
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of t he Labor Code, for the performance
of the work for which this permit is issued.
O 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 _____________________ Policy No._____________ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
O 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 Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
DATE_-:::::=:-==-====;;::--,.
. OWNER-BUILDER DECLARATION
hereby affirm that I am exempt from the Contractor's license l aw for the following reason:
~
IGNATURE
'jlt 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. II, 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) .
.t:J I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
l::itractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
, .
2.
3.
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ~O
I~ have not) signed an application for a building permit for the proposed work.
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 wor he following persons to provide the work indicated (include name / address / phone number / type
of workl: ________ -t<--,17--~c:J.'1----,'-;H-'-+f--:-:--,..-:--:===---------------.--,--f-:r--:--.f---:,-,,-------
DATE ----'---'--#-J....,;~=-4--'-'c....f PROPERTY OWNER SIGNATUR
COMPLETE THIS SECTION FOR
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 required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. 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(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _
9. APPLICANT CERTIFICATION
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 Cit\t of Carlsbad to enter upon t he 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 issue uilding Official und provisions of this Code shall expire by limitation and become null nd void if the building or work
authorized by such permit is not within O days om of such permit or if the building or work authorized by such pe It is sus ended or abandoned
at any time after the work Is of 1 dal( n 106.4.4 Uniform Building Code). QA..:___-APPLICANT'S SIGNATUR
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/11/2005
Permit# CB044173 Inspector Assignment: JM
Title: ALVERSON RES 135 SF RETAIN
Description: WALL PER CITY SPECS
Type: RETAIN Sub Type:
Job Address: 2862 RANCHO CORTES
Suite: Lot 0
---
Phone:
Location: Inspector: -----
OWNER ALVERSON GARY D&ANITA M
Owner: ALVERSON GARY D&ANIT A M
Remarks:
Total Time: Requested By: NA
Entered By: CHRISTINE
CD Description Act Comment
69 Final Masonry ~------
Associated PCRs/CVs
lnsQection Histo[Y
Date Description Act
01/19/2005 65 Retaining Walls AP
01/07/2005 65 Retaining Walls CA
12/08/2004 61 Footing WC
12/08/2004 66 Grout AP
11/30/2004 61 Footing AP
11/23/2004 51 Excav/Steel/Bonding/Fence WC
11/23/2004 61 Footing co
lnsp Comments
JM WALL DRAIN OK
JM WET RAIN
JM
JM OK TO GROUT
PD
JM
JM MOVE ELEC J BOX & PLUMB OUT OF FOOTING
City of Carlsbad
I@ rtlt◄1'i·I itf411Jl #iek· ll,I441I,I·1
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB 0</'f/73
BUILDING ADDRESS: r2J3b~
PROJECT DESCRIPTION: ---'R--'-e"-'t-=-ai""'n"--in..,_g--'-W-'-'a'-11 ______ _
ASSESSOR'S PARCEL NUMBER: JJ/). -660 -6z:"
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 comply with instructions in this report can
~••::::;•ro••",.,. ~
ATTACHMENTS
Right-of-Way Permit Application
H )WQefllfMX'SlCHK! SDBAl81Rf(' Wail fl I !d:co p archer\ Ch., f orrn 11 00'
DENIAL
Please see the attached report of deficiencies
marked with □. Make 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: Date: ---------
By: Date:
By: Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: JOANNE JUCHNIEWICZ
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE: (760) 602-2775
0 0
0
0 0 0
0 0 0
1.
2.
3.
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
C~-:J-oY:
~ &,rn,lfo
f~S '-f; 5
~~ 353 -,;J/1
lo+-ffiCf
Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow
B. Existing & Proposed Structures
(dimensioned from street)
C. Property Lines
Show on site plan:
A. Drainage Patterns
S. Existing & Proposed Slopes
C. Existing Topography
Include on title sheet:
A. Site Address
B. Assessor's Parcel Number
C. Legal Description
D. Easements
E. Retaining Wall
(location and height)
D. Grading Quantities Cut___ Fill___ Import/Export __ _
(Grading Permit and Haul Route Permit may be required)
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.
Page 1
I\LASPALMASISYS\l..lBRARYIENGIWORD'DOCS\CHKLST\Retaining Wall Buikt1ng Planchec• Cki~t f orr ,'. ~(, Rev 6/26198
PLANNINC/ENCINEERINC APPROVALS
PERM1rNuMsE1ca Ol/ t//7~ DATE ;gt1t Nt1Vemt~
ADDRESS_'2-,----'-~-(b_J___;__~--_c'112>_· __ ~_-_=le.5 __ · · __ _
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDING
OTHER ___________ _;_ _______ _
ENCINEER. ________ _ DATE -------