HomeMy WebLinkAbout2717 SOUTHAMPTON RD; ; CB080667; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-18-2008 Retaining Wall Permit Permit No: CB080667
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2717 SOUTHAMPTON RD CBAD
RETAIN Status:
Parcel No: 2081540800 Lot #: 0
NEW
Applied:
Valuation: $4,662.00 Construction Type: Ente,ed By:
Reference #:
Project Title:
Applicant:
JENSEN MICHAEL J
JENSEN RES 259 SF RETAINING
WALUCITY STDS-LEVEL BCKFILL
2717 SOUTHAMPTON RD
CARLSBAD CA 92010
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
Owner:
JENSEN MICHAEL J
Plan Approved:
issued:
Plan C!,eck#:
Inspect Area:
2717 SOUTHAMPTON RD
CARLSBAD CA 92010
Total Fees: $111.14 Total Payments To Date: $111.14 Bala~ce Due:
Inspector: Clearance:
ISSUED
04/14/2008
KG
04/18/2008
04/18/2008
$66.75
$0.00
$43.39
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$111.14
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, .:,r 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 feesh:xactions. 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 ,r.formation 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 ar.d 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
f h' h h v r vi I n iv n N Tl E imil r hi r I I' i i n r:d r vi I h rwi
City of Carlsbad PlanCheckNoC56f{J (o (p 7
1635 Faraday Ave., Carlsbad, CA 92008
7.60-602-2717 / 2718/ 2719
· Fax: 760-602-8558
Building Permit Application
SUITE# /SPAC E#/UN IT#
Est. Value c/G, Ci?
Plan Ck. Deposit
Date
APN
..2o 'i, -I ~ -Cl::,
[' BEDROOMS '8A!HROOMS _[''"'=~USINESS NAME -----CONST~:TY"-]°'' GROUP
I f..3. 5 Pr
EXISTING USE ! PROPOSED USE ! GARAGE (SF)
CONTACT NAME (If Different Fom Appf/cant)
ADDRESS
CITY STATE ZIP
PHONE
EMAIL
// / ~1 ~ €r ll,0F'r7
PATIOS (SF) lDECKS (SF)
I
FIREPLACE
YES □# __ NO □
APPLl~,r NAME -'~ ADDRESS
CITY
PHONE
EMAIL
CONTRACTOR BUS. NAME
---· STATE
I FAX
I CLASS
l
I
AIR CONDITIONING I FIRE SPRINKLERS
YES □ NO □ YES O NO □
-
ZIP
I C1TY BUS. LIC.#
/Sec. 7031.S Bosinm and Professions Code: Any City or County which requirei a permit to conitruct, alter improve. demoh1h or reP.a1r any structure prior to its ,ssuance, ako requires the applicant for such penmt to file a signed statement that he 11 llcmed J111rs11ant to the prov111ons of the Contractor's License Law {Chapler 9, commending with Section 1000 of Division 3 of the Busineu and Professions Code} or that he ii exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit tUbJectS the applicant to a civil penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D 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.
D 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 workers' compensation insurance carrier and policy
n11mher are: lns11rance Co ______________________ Policy No _______________ Expiration Date __________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less, D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, Interest and attorney's fees.
L$ CONTRACTOR SIGNATURE DATE
I hreby affirm that I am exempt from Contraclor's License Law for the following reason:
(W' I. as owner of the property or my employees with wages as their sole compensation. will do the work and the structure is not in1ended 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, !he owner-builder will have the burden of proving that he did no! build or improve for the purpose of sale}
□ I, as owner of the properly, 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 conlracts for such projects wi1h contractor(s) licensed p11rsuant to the Contractor's License L;iw)
□ I am exempt under Section_ Business and Professions Code for this reason
1. I personally plan to provide the major labor and materials for construc1ion of the proposed property improvement. □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed work
3. I have conlracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number}
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 ol the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or fu1ure bt1ilding occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is lhe facilily to be constr11cted within 1.000 feet of the outer boundary of a school site? □ Yes □ No
I IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR rs MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
lender's Address
I certify that I ha~ read the application and state that the above infonnation isoorrectand that the infonnation on the plans Is accurate. I agree to oomplywith all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City 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 S'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 e:i:pire by limitation and become null and void W the building or worl< authorized by such permit is not commenced ,,.,.;ttiin
180 days from the date of such permit or~f the bu1ld1 r work authonzed by such permtt rs suspended or abandoned at any time after the work Is commenced for a penod of 180 days (section 106 4 4 Uniform Building Code)
L5APPLICANT'SSIGNATURE / ~~ ______ DATE
---------
City of Carlsbad Bldg Inspection Request
For 06/03/2008
Permit# CB080667
Title: JENSEN RES 259 SF RETAINING
Description: WALL/CITY STDS-LEVEL BCKFILL
Type: RETAIN Sub Type:
Job Address: 2717 SOUTHAMPTON RD
Suite: Lot:
Location:
OWNER JENSEN MICHAEL J
Owner: JENSEN MICHAEL J
Remarks:
Total Time:
CD Description
69 Final Masonry
0
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns12ection History
Date Description Act lnsp Comments
05/27/2008 63 Walls AP PC
05/15/2008 11 Ftg/Foundation/Piers AP PC
05/15/2008 12 Steel/Bond Beam WC PC
Inspector Assignment: PC ---
Phone: 7608030702
Inspector:
Requested By: MIKE JENSEN
Entered By: CHRISTINE
•
City of Carlsbad -------...... ,_71r:w~""tt.,11'1cll!a•~ •• ~,.,.111••1111a"~f"!II• ; , ,. 1 ■, t4 A a ■, 1-1
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER:
BUILDING ADDRESS: )'7 { 7
PROJECT DESCRIPTION: _R'--'e-'-t-'-a_in..c.in""g,.._W~a-'--11 ______ _
ASSESSOR'S PARCEL NUMBER:
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 Tnsion of permit to build.
By: -~--',";,-----Date: r!/4•6~ . 1'\ \.. { __,/_ /
ATTACHMENTS
Right-of-Way Permit Application
DENIAL
Please see"'!1.e_.)'lf'ached report of deficiencies
marked wi~-.,.. ~ake necessary corrections to
plans or spe"'(fications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
' By: '--------·--·
_j '
By: Date:
By: Date:
ENGINEERING DEPT. CONTACT PERSON
NAME; JOANNE JUCHNIEWICZ
City of Carlsbad
ADDRESS; 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE; (760) 602-2775
H \WQRDIDOCSICHKI SDRe1a·o·/'(J WaU 81 '!ding Plwcbeck 0:isT Form 11 doc -----Rell..."'26""---------------------
' ~
)Z 2ND✓ 3RD✓
D D
J !,J D D
I I
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BUILDING PLANCHECK CHECKLIST
A //58{ c '6'1/ttf
RETAINING WALLS ~ Aj(,_, ,) ~ s~3',e
1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow D. Easements
B. Existing & Proposed Structures E. Retaining Wall @ (dimensioned from street) (location and height)
, Property Lines --9~-
A-40/ e,lll'f ~~ Gvtj ~+ -cJ -v-,~ ~ .
2. Shol~¥n: ~ · ~ /,2~0? ( ,¼ ,-, ( D ~wt_
~v~ Ru ~ e,v~ A. Drainage Patterns
B. Existing & Proposed Slopes
C. Existing Topography
3. Include on title sheet:
A Site Address
8. Assessor's Parcel Number
@ Legal Description
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 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.
':\,.?Y /'JG~ ~ h \.A.__oJx--I s i'Dl,~ s cl=~ 0, ~ T;' e--y :
---[1°'0 \__, ~ JcN~ ~{~--"~ QY~~\._ \j\:, ~,'de~ 5v C5'{ "'--' Page 1
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\ILASPALMASISYSILIBRARY\ENGIWORDIDOCSICHKLST\Retain1ng Wall Building Plancheck Cklst Form JJ.doc Rev. 6126/98
~0037938228tllbrary=CarlsbadADocman -Microsoft Internet Explorer provided by City ... l!!lr;;J El
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X • EtEVATIOIV ON RANS
1S f PROFILE 6RAOE
---·-·--·--·-·-
TYPICA, seC.71(),¥
N7:S.
SOUTHAMPTON ROAO
WINDSOR COURT
1 of 1 1.ill!J...:•'-'-------.......J
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NOTE c TOP OF CUR 6 fQ!IALS £ UNLESS OTHEf,wrse NOTf:O.
J
CITY OF CARLSBAD
STANDARD FORM-TIER 1 STORM WATER POLLUTION PREVENTION PLAN
STORM WATER COMPLIANCE CERTIFICATE
✓ My project is not in a category of permit types exempt from the
Construction SWPPP requirements
✓ My project is not located inside or within 200 feet of an environmentally
sensitive area with a significant potential for contributing pollutants to
nearby receiving waters by way of stOITll water runoff or non-storm water
discharge(s).
✓ My project does not requires a grading plan pul"Sllant to the Garisbad
Grading Ordinance (Chapter 15.16 of the Carlsbad Municip!i Code)
✓ My project will not result in 2,500 square feet or more of soils distllfbance
inducting any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas that meets
one or more of the additiooal following aiteria:
located within 200 feet of an envirormentally sensitive area or the
Pacific Ocean: and/or,
disturbed area is located on a slope with a grade at or exceeding 5
horizontal to 1 vertical; and/or
disturbed area is located along or within 30 feet of a stonn drain inlet,
an open drainage diannel or watercourne: and/or
construction will be initiated during the rainy season or will extend into
the rainy season (Oct. 1 through April 30).
I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE
ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM
SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION
SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS
OF CITY STANDARDS.
I UNDERSTAND AND ACKNOVVLEDGE THAT I MUST: (1)
IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING
CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT
PRACTICABLE TO MINIMlZE THE MOBILIZATION OF POLLUTANTS
SUCH AS SEDIMENT ANO TO MINIMIZE THE EXPOSURE OF
STORM WATER TO CONSTRUCTION RELATED POLLIJTANTS; ANO,
(2)ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY
APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHTOUT THE
DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE
CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE
C!l)' rO\' CARL~BAD.
1 c.,t:Wal Sa:isa \\
"'\ -l'l-o<t,
~
STORM WATER PQLIJJTTON PREVENTIQNNQTES
I. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID
INSTALLATION OF EROSION AND SEDIMENT CONTROL
BMPS WHEN RAlN IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE
SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-
OFF PRODUCING RAINFALL
3. THE OWNER/CONTRACTOR SHALL INST ALL ADDITIONAL
EROSION CONTROL MEASURES AS MAY BE REQUIRED BY
THE CITY ENGINEERING OR BUlLDING INSPECTOR DUE TO
UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN
CIR CUM STANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN
PLACE AT THE END OF EACH WORKING DAY WHEl'-<' THE
FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS
FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL
BE REMOVED AFfER EACH llAINF ALL
5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4
INCH MINIMUM AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND
PERIMETER PROTECTION BEST MANAGEMENT PRACTICE
MEASURES MUST BE INST ALL ED AND MAINTAINED.
SPECIAL NOTES
s;«Addm, ;.,(J' /I'/ :)6Gr~
Assessor's Parcel Nwnbcr: d-()& .. \54-02i,-tOtJ
l'rnj~<ID C \$ Q B Q b b 7
Construction Permit No.: rs r Q5t)5 0
Estimated Constructi<ii Start Date 5 ,.. J -0 '6
Project Duration l Months
Emergency Contact:
N,~ M ,o~--l ::f l<!l':£14
""°"'''""'' 1/oc, ·$D?, ·D]O<.
Pttceivcd Threat to Storm Water Quality
Medium Low
If medium box is checked, must attach a site plan
sheet showing prnposed wock area and locatioo of
proposed structural BMPs
For City Use Only
Page 1 of_
Erosion Control I I T~klng I Non-Storm ater I Waste Management and Materials
Best Management Practice
(BMP) Description ➔
CASQA Designation ➔
Construction Activity
Grading/Soil Disturbance
i \j I T renching(Excavation
Stockpiling
Dril~ng(Boring
Concrete/Asphalt Sawcutting
Concrete flatwork
Paving
~nduiVPipe lnstanation I \{ Stucco/Mortar WOOi
Waste Disposal
Stagingn.._ay Down lvea
Equipment Maintenance and Fueling
Hazardous Si.bstance Use/Storage
Dewateri~
Site Access Across Dirt
Other (list)·
• , • i • 0 • 0
0 w
BMPs
o I ~ :ii} . li j~ .s ~ ~ g a:;: • • 8 < C " i ·~ Q ~ ~ " WO 00
"I :s u u w w w "' w
Sediment Control BMPs
0 • i [ ! ~ Q • m ~ I,[ • .s E i m • • ~ 15,g • a m oo E ~ tt E ~ .. : l ~ e J! ~ 0 ~ ~ C • < z:il • .9E 00 u C 0 oo> 00 00.
'7 ., '\' 'I' ~ "I ~ w w w w w w w "' 00 "' "' 00 "' 00
,..,_
,,, X
Controt BMPs Management BMPs Pollution Control BMPs
--
C j _g • • l rn • 0 • ~ g ~ C ~ ~ , s • • • • • 1 i' a • ~ ~ ~ ' " ~ ~ g ~-8~ = • w ;a ~i • 'ii ~ •• 0. ~ , ow 0~ •• CC " • rn a I l ii , E ~= ~i ~~ • 0 ~§, ~ ~ §, C>°ii ~ 0 C a::e " ' 1i e ,; C • ~ ii ii e ·t 8. ~ i~ •· I ~ c; ij C ~r So ;~ QO .. 00 tt "" •□ • , 00 00 U 00" ~,
ci: :i! '7 ~ "I ;; ~ '7 ., '\' ~ ,;, 00 "' "' " " " ,-. ,-. z z z z " " " " " "
Instructioru;: Begin by reviewing the list of construction activities and checking the box to 1he left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank
activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity dcscrribed, pick one or more best management
practices (BMPs) from the list located alon the top of the form Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and
for each of the selected BMPs selected from the list. For Example -If the project includes site access across dirt, then check the box to the left of"Site Access Across Dirt". Then review the list for something
that applies such as ''Stabilized Construcion Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress .. column and
place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is n()( on the list ofBMPs, then write in
"Cover with Plastic" in the blank column under 1he heading Erosion Control BMPs. Then place an X in the box where "Stockpiling" row intersects the new "Cover with Plastic" column.
To learn more about wha1 each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures.
The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project.
It ii o• 8 i
"I " "
2,
Page2of __
PLANNINC/ENCINEERINC APPROVALS
PERMIT NUMBER CB 09J -Obto, DATE '-f -I '$ -g
ADDRESS.:>-7 I 1 . s O u.:t h o..vv\.p+"" R""
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
< < $10,000.00)
PLANNER~-Kkk.Jl'------
ENGINEER _______ _
Docs/MtsromwPtanning Engineering ApprovalS
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDING
DATE ".(-ts-a
DATE ______ _
.,.
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