HomeMy WebLinkAbout2446 SACADA CIR; ; CB910856; PermitPERMIT·APPLICATION 4\ V
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 {619) 438-1161
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PERMIT TYPE
COMMERCIAL
0 INDUSTRIAL □NEW
t'{JW
TENANT IMPROVEMENT
□TENANT IMPROVEMENT
~RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DlJELLING 0 ADDITION/ALTERATIClt,I
□DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
□MECHANICAL □POOL □SPA ~RETAINING WALL □SOLAR
& ltiVaR:t.e St=. (La Costa)
SulXh v1 s1 on Name/Ni.inber Unit No. Phase No.
La Costa South l Per Map No. 6117
Structural Cales 1 Addressed Envelo
6-190-62 TING USE vacant PROPOSED USE vacant Resi
Varying height retaining wall on west side of property
BLDG. SQ. FTG. # OF STORIES
Brown-Bellman ADDRESS
ZIP COOE CITY Carlsbad, STATE CA
SIGNATURE
APPLICANT 0 CONTRACTOR 0 AGENT FOR CONTRACTOR
NAME Daniel Bodjanac
c,n Carl shad
PROPERTY OWNER 0
7548 vf~:ib
STATE CA ZIP CODE
0\./NER
NAME
cm Owner/applicant see abcrn.lr
AODRESS
ZIP COOE
2579
92008
()(r.JNER
Castillo
92009
State St. 'B'
DAY TELEPHONE (619) 729-0337
0 AGENT FOR OWNER
Wy.
DAY TELEPHONE (619) 436-3062
□LESSEE □TENANT
DAY TELEPHONE
6. CONTRACTOR
NAME
CJTY NA STATE
STATE LIC. # ____ _
SIGNATURE
DESIGNER NAME
,,~ity Specifications STATE
ADDRESS
ZIP COOE
LICENSE CLASS _____ _
TITLE
AODRESS
ZIP COOE
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
8.
Workers• Compensation Declaration: I hereby affirm that I have a certificate of consent to self·insure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation Insurance by an actni tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE Cai!PANY NA POLICY NO. EXPIRATION OATE
Certificate of Ex~tion: 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.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner·Builder Declaration: I hereby affirm that I am exen-pt from the Contractor's License Law for the following reason:
.Kl 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 in-proves thereon,, and who
does such work himself or through his own employees, provided that such iqirovements 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 iqirove for the purpose
of sale.).
D I, as owner of the property, am exclusively contracting with licensed cootractors 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 iqiroves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
0 I am exe!IJ)t under Section ___________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or county which requires a permit to construct, alter, irrprove, demolish, or repair any structure,
prior to its issuance, al so 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, coomencing 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 red dolt ars [S500] ) •
SIGNATURE t>t,,_,,;d,_ DATE j / '1
COMPLETE THIS SECTION FOR NON·RESIDENTIAL
Is the applicant or future bui ldi ng occupant required to subni t a business pt an, acutely hazardous materials reg i strati on form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley·Tanner Hazardous Substance Account Act?
□YES 0NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES
IF ANT OF TIE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCaJPANCT MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS tET OR IS tEETING THE RECIJIRENENTS
OF THE OFFICE OF EMERGENCY SERVICES All) THE AIR POLLUTl<lt CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
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).
NA
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
J certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building CQnstruction. ! hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITT OF CARLSBAD AGAINST ALL LIABILITIES, Jll>QIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITT IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issue<l 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 not corrmenced within 180 days 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 corrmenced for a period of 180 days (Section 303(d> Uniform Building Code).
~ OWNER O CONTRACTOR --~ □BY PHONE APPROVED BY: ______ _
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT# CB910856
DESCRIPTION: 357 SF RETAINING
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07 /02/91
WALL
TYPE: RETAIN
SACADA CR
DANIEL
STR:
PHONE: 4363062
PHONE:
INSPECTOR AREA PD
PLANCK# CB910856
OCC GRP
CONSTR, TYPE NEW
FL: STE: JOB ADDRESS: 2446
APPLICANT: BODJANAC,
CONTRACTOR: OWNER
OWNER: PHONE : /7 (} _:-----.,_ -/l II
INSPECTO~~~• REMARKS: MH/DANIEL/
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical 1---
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***** INSPECTION HISTORY*****
DATE
062891
062091
DESCRIPTION
Footing
Footing
ACT
AP
AP
INSP
PD
PD
COMMENTS
OK TO GROUT
LOT llco L~ <::05T,q S tvff.}P foll7
... BUILDING PLANCHECK
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ENGINEERING CHECKLIST
DATE: I I JUN '? J ~ ITEM COMPLETE
PLANCHECK NO. 9 1-085b ITEM INCOMPLETE
NEEDS YOUR ACTION
2446 SA A CRCLE ITEM SELECTED
PN 'i ,e,.,-190 -~ L
PROJECT ID: RETA/,\)/~ WALJ__ (Y..JL.::/
LEGAL REQUIREMENTS
Site
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Plan
Provide a fully dimensioned site plan drawn to scale.
Show: north arrow, property lines, easements, existing and
proposed structures, streets, existing street improvements,
right-of-way width and dimension setbacks.
Show on site plan: Finish floor elevations, pad
elevations, elevations of finish grade adjacent to
building, existing topographical lines, existing and
proposed slopes, driveway with percent (%) grade and
drainage patterns.
Provide legal description and Assessors Parcel Number.
Discretionary Approval Compliance
4 • No Discretionary approvals were required.
5. Project complies with all Engineering Conditions of
Approval for Project No . ________ _
6. Project does not comply with the following Engineering
Conditions of Approval for Project No. _________ _
Conditions complied with by: ________ Date: ___ _
Field Review
7. Field review completed. No issues raised.
8. Field review completed. The following issues or
discrepancies with the site plan were found:
□□□ A. Site lacks adequate public improvements
□□□ B.
□□□ c.
P:\DOCS\HISFORHS\FRH0010.DH
Existing drainage improvements not shown or in
conflict with site plan.
Site is served by overhead power lines.
REV. 02/27/91
□□□ D. Grading is required to access site, create pad or
provide for ultimate street improvement.
000 E. Site access visibility problems exist. Provide onsite
turnaround or engineered solution to problem.
000 F. Other: _________________________ _
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Dedication Requirements
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10.
No dedication required.
Dedication required. Please have a registered Civil
Engineer or Land surveyor prepare the appropriate legal
description together with an S!i" x 11" plat map and submit
with a title report and the required processing fee. All
easement documents must be approved and signed by owner(s)
prior to issuance of Building Permit. The description of the dedication is as follows: _______________ _
Dedication completed, Date __________ _ By: __ _
Improvement Requirements
[0"'o O 11. No public improvements required. SPECIAL NOTE: Damaged or
defective improvements found adjacent to building site must
be repaired to the satisfaction of the City inspector prior
to occupancy.
Public improvements required. This project requires
construction of public improvements pursuant to Section
18.40 of the City Code. Please have a registered Civil
Engineer prepare appropriate improvement plans and submit
for separate plancheck process through the Engineering
Department. Improvement plans must be approved,
appropriate securities posted and fees paid prior to
issuance of permit. The required improvements are: ___ _
Improvement plans signed, Date: _________ by: ___ _
P:\D0CS\MISFORMS\FRM0010.DH REV. 02/27/91
.□□□ 13. Improvements are required. Construction of the public
improvements may be deferred in accordance with Section
18.40 of the City Code. Please submit a letter requesting
deferral of the required improvements together with a
recent title report on the property and the appropriate
processing fee so we may prepare the necessary Future
Improvement Agreement. The Future Improvement Agreement
must be signed, notarized and approved by the city prior to
issuance of a Building Permit.
Future Improvement Agreement completed, Date: ______ _ By: __________ _
D DD lJa. Inadequate information available on site plan to make a
determination on grading requirements. Please provide more
detailed proposed and existing elevations and contours.
Include accurate estimates of the grading quantities (cut,
fill, import, export).
do □ 14. No grading required as determined by the information
provided on the site plan.
DD D 15. Grading Permit required. A separate grading plan prepared
by a registered civil Engineer must be submitted for
separate plan check and approval through the Engineering
Department. NOTE: The Grading Permit must be issued and
grading substantially complete and found acceptable to the
city Inspector prior to issuance of Building Permits.
Grading Inspector sign off. Date: _____ ~by: ____ _
Miscellaneous Permits
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Right-of-Way Permit not required.
Right-of-Way Permit required. A separate Right-of-Way
Permit issued by the Engineering Department is required for the following: ______________________ _
Sewer Permit is not required.
sewer Permit is required. A sewer Permit is required
concurrent with Building Permit issuance. The fee required
is noted below in the fees section.
Industrial waste Permit is not required.
P:\DOCS\MlSFORMS\FRM0010.DH REV. 02/27/91
.□□□ 21. Industrial Waste Permit is required. Applicant must
complete Industrial Waste Permit Application Form and
submit for City approval prior to issuance of a Building
Permits. Permits must be issued prior to occupancy .
Industrial Waster Permit accepted -
Date: __________ By: _______________ _
Fees Required
□ N/A 27. Park-in-Lieu Fee
Quadrant: _____ Fee per Unit: ______ _
Total Fees: __ _
Traffic Impact Fee Fee Per Unit: __________ Total Fee: ____ _ □ "-'IA 23.
□ I\J/A 24. Bridge and Thorough fare Fee Fee Per Unit: __________ Total Fee: ____ _
□ r-J/A 25. Public Facilities Fee required.
□ N/A 26. Facilities Management Fee Zone: ____ Fee: ___ _
□ I/A 27. Sewer Fees Permit No. _______ EDU's ___ _
Benefit Area: ________ _ Fee: _______ _
D N/A-28 . Sewer Lateral Required: _____________ _
Fee: _______ _
0 29. REMARKS: _____________________ _
ENGINEERING AUTHORIZATION TO ISSUE PERMIT
BY: s SCHFDELL DATE: 1 1 JUN 9 I
P:\DOCS\MI SFORMS\FRM0010.DH REV. 02/27/91
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PLANNING CHECKLlSf
Plan Check No. q/-6"5"b Address
Planner . W J, & R'-c /,t..
2 YY6 ,Scic~ JIA Cc
Phone 438-1161 ext. __ l/'--"]'-'2=-1:~--
(Name)
APN: _..=2:.L/ '7"-----'1-'-''fO"----E,"-'2-"'-----------------
Type of Project and Use _ __..P..,.e...,+_. _vJ""'-'-(l\-"-l'-1 -------
Zone f?-2 Facilities Management Zone __ /? ___ _
Legend
[Z] Item Complete
D Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
Environmental Review Required: YES
DATE OF COMPLETION:
NO ~----
Compliance with conditions of approval? If not, state conditions which require action.
onditions of Approval < z 7
□ □ Discretionazy Action Required: YES NO TYPE __ _
APPROVAL/RESO. NO. __ _ DATE: ______ _
PROJECT NO. ___ _
OTHER RELATED CASES: ____________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
California Coastal Commission Permit Required: YES _ NO~
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio South, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
~0 Landscape Plan Required: YES _ NO ~
-/n ::1/:"-11 -~~
~ Poo
7°0
[a1J 0
See attached submittal requirements for landscape plans
Site Plan:
Zoning:
l.
2,
3.
4.
l.
2.
3.
Provide a fully dimensioned site plan drawn to scale. Show: \cr:h
arrow, property lines, easements, existing and proposed stn.;c:..:res.
Screets, existing street improvements, right-of-way width ,:::
dimensioned setbacks.
Show on Site Plan: l"inish floor elevations, elevations ci :i:-..:.sh s-a.:e
adjacent to building, existing topographical lines, existing and ?rc;cse:
slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
l"ront:
[nt. ,ide:
Street Side:
Rear:
Loe coverage:
Height:
Required
Required
Required
Required
Required
Required
___ Shown __ _
___ Shown __ _
___ Shown __ _
___ Shown __ _
___ Shown __ _
___ Shown __ _
4. Parking: Spaces Required ___ Shown __ _
Guest Spaces Required ___ Shown __ _
Additional Comments J>e}1{'1t2).< 1,v .. A ,\.,
ti~(¥ C {,qf _
I
PLNCKl"RM
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