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
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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