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HomeMy WebLinkAbout2715 SOUTHAMPTON RD; ; CB971438; PermitrtNAI APPROVA ~ ..... ___ DATE __ __ .vLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. 'rf/'/ J f5 EST. VAL. 011 Plan Ck. Deposit /. oD Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Use # of Bathrooms Name / Address City State/Zip Telephone# Fax# 3. APPLICANT firCi;,ritractor---□-;Agent-fo(Conttactor -, -0 Owner_, AO Agent for Owner ¢jrft:et,lMO/lf tA:'t,IR2CliP£ 13:S':? lawt:l,J2ft.iN /tyf:;-cM,Dtfe,C.4. q-J-/JQ1 (t&o) 63t-O.J-1J Statel/Zip Telephone# Name Address City 4. Telephone# 5-· CONTJ!AC"l"d!F 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 ubjects the agptica t to a civil penalty t an five hun e dollar [$500.JJ. . I • ~ Name Address State LK ;:Jtj ~ t/:'-'f; Ucense Class L. ~ t-1 De~~ Na~ o11:J fZ f: . ,-Afip~df..ss City State/Zip Telephone State License # _________ _ 6. WOR~ERS'. COMPENSATI.ON 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 the Labor Code, for the performance of !!>8"work for which this permit is issued. [1" 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: lnsu,ance Company ~, ~ftbe,tc.t,J,,, Y/ot llsA:}l<'.-~ --'.\1°t-41{el2lfik/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS} Expiration Date. _ _,,,e4-/-~af)_,_,_/Cf_~'-'1_,__ I( + 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 s u satlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ousand dollars 1$1 0, 70,r, .. :.:·:;; cost of mpensation, damages as provided for in Section of the ~o · est and attorney's fees. I hereby affirm that 1 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). 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): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLl;TEiTHIS $ECTlONF0R·NOIMl$/0/iNTIALB.UILDING PERMITSi<:INLY 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 Act7 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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, CONSTRUCTiONLENDING)A(IEi'ICY 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 w/tt LENDER'S ADDRESS ________________________ _ $. APPl,.ICANT•CERTIFlc:S,.TIONi' · .,. ' '· • • · · · 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. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Gitt 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 issued 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 m ced within 36 ys from he date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t e w 'od of 1 0 days action 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971438 FOR 09/12/97 INSPECTOR AREA PD PLANCK# CB971438 OCC GRP DESCRIPTION: RETAIN WALL 139 SF CITY SPECS COV PATIO 144 SF TYPE: RETAIN JOB ADDRESS: 2715 SOUTHAMPTON RD APPLICANT: GREENMORE LANDSCAPE CONTRACTOR: OWNER: REMARKS: C/PETE/969-7267 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION AM PLEASE CONSTR. TYPE NEW STE: LOT: PHONE: 760 632-0477 PHONE : f '-------PHONE: ~ft_ INSPECTO~ - ACT COMMENTS 19 ST Final Structural 1v ~------69 MA Final Masonry tt _F_1D_h_~ ______ li[_-1~-___._1s~~-11-L-7 ___ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 090397 Roof/Reroof AP PD 081497 Ftg/Foundation/Piers AP PD 072997 Electric/Conduit/Wiring PA PD U.G. CONDUIT 071797 Grout AP PD 070997 Footing AP PD WALL FOOTING City of Carlsbad · ■¥1,l·h,14441,I·l•l4·i=l4i,,14,li BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB 9 7 /4-,3 S> '::;?i.«/1)-- BUILDING ADDRESS: d-J /, 5: <p/c,JLjJT-"rc~ ,ff ( PROJECT DESCRIPTION: ---'--'R,,,e.,,taoein"'i.,_,ng"--'W-'-'a,,_,1,_1 _________________ _ ASSESSOR'sPARCEL NUMBER: ,3ox-~/s ,{--D'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 :ini':~ension of permit to build .. C , ( · ,/z-/c7 By: G;:/-/,-/ ,__ Date: l:,, f 5 r i DENIAL Please see the attached report of deficiencies marked with ~ake necessary corrections to plans or s,/ecitrcations for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: ___________ Date:. ___ _ By: ___________ Date: ___ _ ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON D Right of Way Permit Application NAME: MICHELE MASTERSON City of Carlsbad ADDRESS: 2075 Las Palmas Drive PHONE: (619) 438-1161, Ext. 4315 P:\DOCS\CHKLSnWALL REV 04/18/96 2075 Las Palmas Dr. • Carlsbad. CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 .. 2J/. 2ndv '"'□ □ □ □ □ □ □ □ □ BUILDING PLANCHECK CHECKLIST -RETAINING WALLS SITE PLAN 3 3rdv 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North ArrowV B. Existing & Proposed Structures V (dimensioned from street) 2. Show on site plan: W Drainage Patterns B. Existing & Proposed Slopes....,.... C. Existing Topography..,- 3. Include on title sheet A. Site address B. Assessor's Parcel Number C. Legal Description C. Property Lines ,_,, .. 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 1n City Right-of-Way and/or private work adjacent to the public Right-of-Way. A separate Right-of-Way permit issued by the Engineering Department is required for the following: ________________________ _ Please complete attached Right-of-Way application form and return to the Engineering Department together with the requirements on the attached Right-of- Way checklist, at the time of resubmittal. L--- P:\DOCS\CHKLST\WALL Page 1 REV 04/18/96 ~:/ " • □ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. =CB=--_Cf"'---1_/_'f_Jt}_·· _ Address JJ/Sf'd/141~ ~ Planner Greg Fisher Phone (61 9) 438-1 161, extension 4328 APN: o-Of}-17~-0'{ Type of Project and Use:-----------....,..,------------- Zone: __ R_-_1 __ Facilities Management Zone: __ 9---~------------ CFD (in/butl # Circll,gp/ (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department.) ~ ~ ~ ~ ~ ~ ~ ~ ~ Legend u u u C: a c: ~ a: ~ Item Complete D D Environmental Review Required: YES __ N TYPE ____ _ DATE OF COMPLETION: ______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval YES_ NO~ TYPE ___ _ Discretionary Action Required: APPROVAL/RESO. NO. _____ DATE ___ _ PROJECT NO. _______ _ OTHER RELATED CASES: __________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval ITT D D Coastal Zone Assessment/Compliance T" Project site located in Coastal Zone? YES __ N?L- CA Coastal Commission Authority? YES __ NO If California Coastal Commission Authority: Contact them at -3111 Camino Del Rio North, Suite 200, San Diego CA 92108-1725; 1619) 521-8036 Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? YES If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: NO 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. lnclusionary Housing Fee required: YES __ NO L (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Date Entry Completed? YES NO Site Plan: ~□ □ 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, ex1st1ng street improvements, right-of-way width, dimensional setbacks and existing topographical lines. ~ D D 2. Provide legal description of property and assessor's parcel number. AJ Zoning: □ □ 1 . Setbacks: J0 r Front: Required Int. Side: Required !) I Street Side: Required Rear: Required /0' lf[□ □ 2. Accessory Structure Setbac Front: Required _____ _ Int. s· Required _____ _ Required _____ _ Rear: Required _____ _ D 3. Lot Coverage: Required --"c:::'-/_--'-'{(_O.._;%c.::o_ ~ 7o' Required ----==-=-....,:.7:::.._ __ Spaces Required ------ Shown -Z...l/1 Shown 9· Shown Shown /V,, Shown _____ _ Shown ------Shown ------Shown _____ _ Shown ___ L-.--'-L(t_'(}.;..i..::.o_ / 70' Shown __ ,!-_.__,,_, __ _ Shown ------- ~ □ 0 4. Height: 1'J D D 5. Parking: Guest Spaces Required ___ ---____ Shown _____ _ @Ell □ Additional Comments A/E~/poi1,'r/e dOrJ Afl/2dl~I 1~m12, OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTERV-lyJ.__ DATE 6--'2-:J-rJ