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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< $10.000.00) TENANT IMPROVEMENT PLAZA CJl..JIIINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFRCE BUILDING OTHER __________ --,--------......,...._ PLANNER .~--Z ENOINEER. _______ _ DATE----"-,>✓.,_J-,/~r-/4-<--'Y __ _ DATE ------- flpf)t..f,.GS : :)$S6 l</IAJCho f 11A)c.H O CA~ Lb p/JJJ I C ,A q;;wo9 N 120' vc D/!IIN/1(;£ 0 Gh,t)f/> TO C o:JJ/3- , DR../JJNA bb 5YST!EH To .511<££ T , f.EtAt/lJI JJG l/l)AI-L fER.. Col>£ ~ -F#JJCH bM11v -w££P 1--1oi.E.> F/1 ./3,}5£ :f'c1Jtv/.Jf.crs 7o DRA1tJx;J f1ff CO/'JtltCT: /<O/J HIOJ:.J owJJ£12.. 7&o -'1,;i.J-9<rtJ1 ;;1855 RAJ1Jcflo fAIJCHo C A~Lb 13A-t,,, c A 9 ;;z.oor