HomeMy WebLinkAbout2858 RANCHO PANCHO; ; CB040765; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-15-2004 Retaining Wall Permit Permit No: CB040765
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2858 RANCHO PANCHO CBAD
RETAIN
2225912700
$2,835.00
Lot#: o
Construction Type: NEW
MION RES-180 SF WALL PER CITY
SPECS
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Plan Check#:
Inspect Area:
ISSUED
03/05/2004
RMA
03/15/2004
03/15/2004
Applicant:
WILLOW LANE GROWERS MION RONALD J&GLENDA K TRUST 10-04-91
753 REQUEZA
ENCINITAS CA 92024
760-753-4595
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
Total Fees: $123.55
2858 RANCHO PANCHO
CARLSBAD CA 92009
Total Payments To Date: $29.76
$45.79
$0.00
$29.76
$0.00
$1.00
$0.00
$0.00
$47.00
$0.00
$123.55
Balance Due: $93.79
7542 03/15/04 0002 01.
CGP
Inspector: 5"\N\_ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "lmpo lion" 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 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
x i n f hi h v r I i ii r hi hi h Ii i i n h rwi
02
93~ 79
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. -6-"1,#-J~......,.-----.....,..-
Plan Ck. Deposit , 7'
Validated By_=-....,...-=-...---il......_.,..._ __ _
Date·----~h-.~~.,_-,'------
1. f OJECT INFORMATION ' J $5 :f) j<.PNJC, \:\1) )<. Address (include Bldg/Suite #)
1\½\L.:=;,~er{) ½~~ 1 Business Na; (at~ dress)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
6930 03/05/04 0002 01 02
Proposed Use CGP 29. 76
# of Bedrooms # of Bathrooms G'--,4s-Liu€~ BP>CQ
Name Address City State/Zip
3. APP.LJCANT -€) Contractor O Agent for1Contractor O Owner lu, I I '11,..,J LA.AA.C GJlo1µ0iJ= 0 Agent for Owner 76(:J 7..)3 (;'sq S 7 (,0 -75"'3 </sw
City State/Zip Telephone# '\.) Name Address
A 4. PROPERTY:rNER 2 <Tc~ ~ M ~ ,. ;,,,~ /J ~->-•4..L/, /I~ r-MIO _;l}_Q_n_ ~//"t't> :;4-~m.J i U?'ll-L,°'51.Lru l U?f'q1o(.p.$
Name Address City 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
exemptioni/:nv;iol~:_ecti~~by an7 r-cant for a permit subjects the a~i;et; ~vii penaj-of n~re than five hun ~la ~$5001). $ 'f ~
Name Address City State/Zip T lephone
State License # 7 O S(' License Class __________ City Business License # I '2 / (, '2-2, 3
Designer Name
State License # JO ({ '1 <( ..3
WORKERS' COMPENSATION
orkers' Compensation Declaration:
Address City
I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
O 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.
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 l$100] OR LESS)
D in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
10 Laws o alifornia.
erage is unlawful, and shall subject an employer to criminal
ompensation, damages as provided for in Section 3706 of th~
DATE __ J-t-----,f-__,, ___ _
ontra or's License Law for the following reason:
O I, as owner of e roperty or ployees 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 ode: 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).
O 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).
0 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): ___________ ~"4'-----,,--+---+i'--.....,..----------------------+----+-------------
PROPERTY OWNER SIGNATURE -~~~~~~~-)"'--,,,.(.__.i_~:'.=::~~--------
COMPLETE THIS SECTION FOR N
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\' 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 WH CH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/22/2004
Permit# CB040765
Title: MION RES-180 SF WALL PER CITY
Description: SPECS
Type: RETAIN Sub Type:
Job Address: 2858 RANCHO PANCHO
Suite: Lot 0
Location:
APPLICANT WILLOW LANE GROWERS
Owner: MION RONALD J&GLENDA K TRUST 10-04-91
Remarks.· BAG~Fl~~-!!$l.~~.£!.l,9,,N
Total Time:
CD Description
65 Retaining Walls
Associated PCRs/CVs
lns12ection Histoiy
Date Description Act lnsp Comments
04/13/2004 62 Steel/Bond Beam WC JM
Inspector Assignment: JM ---
Phone: 7606333120
Inspector:
Requested By: ROBIN
Entered By: CHRISTINE
04/13/2004 63 Walls AP JM WALL DRAINS OK TO GROUT
04/08/2004 61 Footing AP JM OK TO POUR
~-------------------------·--·.
•
• City of Carlsbad
l=lfiti ■IW·IIW-#i,I·1I,I441I,I·1
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB QC./-03fR5=
BUILDING ADDRESS: ~£5"'6 ?-@ritl,vi lli,,CN,,
PROJECT DESCRIPTION: _R--'-e""'t-'--ai--'-n""'in,,_g--'-W-'-'a"'"ll'--------
ASSESSOR'S PARCEL NUMBER: &2J--59/ -J. 7
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
result in suspension of permit to build.
By:4~ ~ Date: :S!Js-/d-j
ATTACHMENTS
Right-of-Way Permit Application
DENIAL
Please se~attached report of deficiencies
marked wi □. Make necessary corrections to
plans or 1fications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
/4 -
By: ~I"~ Date: o/i J./cotj
By: _________ Date:
By: Date: ---------
ENGINEERING DEPT. CONTACT PERSON
NAME: Taniya Barrows
City of Carlsbad
ADDRESS: 1635 Faraday Ave
Carlsbad, CA 92008
PHONE: (760) 602-2773
H:\Developmenl Servlces\MASTERS\FORMS-ICHECKLISTS -\BUILDING PLANCHECK CKLIST FORM. RETAINING WALLS.do<:: Rev. 61261911
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @
'
@) ✓ □
□ □
□ □ □
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
1. Provide a fully dimensioned site plan drawn to scale. Show:
0North Arrow D. Easements
B. Existing & Proposed Structures E. Retaining Wall
~✓-dimensioned from street) (location and height)
($)Property Lines -'¼'lt'6l,Se... Co~,~
2. Show on site plan:
a-Drainage Patterns -'Qle.t'.ae. SMc.u c).119..;"-0-fl
~ Existing & Proposed Slopes
C. Existing Topography
3. Include on title sheet:
/4 Site Address
ssessor's Parcel Number
egal Description
rading Quantities Cut___ Fill___ lmporVExport __ _
(Grading Permit and Haul Route Permit may be required)
4. Project does not comply with the following Engineering Conditions of approval .
for Project No. _________________ _
Conditions were complied with by: _______ Date: ____ _
MISCELLANEOUS PERMITS
5. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way.
A separate Right-of-Way issued by the Engineering Department is required
for the following:
Please obtain an application for Right-of-Way permit from the Engineering
Department.
Page 1
H:\Oevelopment 5ervk:e$\MASTERS\FORMS-\CHECKLISTS ·\BUILDING PLANCHECK CKLIST FORM -RETAINING WALLS.doc Rev. e.-'261116
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB Olf. 0 I. t? ~ DATE 03 /C?8 /o 1/ ·
ADDRESS w s 8 P--/f N{ HO f?/JN{ H ()
SIDENTIAL
RESIDENTIAL ADDITION MINOR
I< $10.000.00)
TENANT IMPROVEMENT
PLAZA CJl..JIIINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFRCE BUILDING
OTHER __________ --,--------......,...._
PLANNER .~--Z
ENOINEER. _______ _
DATE----"-,>✓.,_J-,/~r-/4-<--'Y __ _
DATE -------
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