HomeMy WebLinkAbout2712 TIBURON AVE; ; CB091421; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-02-2009 Retaining Wall Permit Permit No: CB091421
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2712 TIBURON AV CBAD
RETAIN
1675122300 Lot#:
$6,732.00 Construction Type:
0
5B
Status:
Applied:
Entered By:
Reference #: Plan Approved:
Project Title:
Applicant:
KOCH STEVEN
KOCH 374SF RET. WALL PER CITY
CITY SPECS
2712 TIBURON AVE
CARLSBAD CA 92010
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Owner:
KOCH STEVEN
2712 TIBURON AVE
CARLSBAD CA 92010
Issued:
Plan Check#:
Inspect Area:
Total Fees: $151.34 Total Payments To Date: $151.34 Balance Due:
FINAL APPRO
Inspector: Date: 2.. ?:, Clearance:
ISSUED
08/31/2009
JMA
11/02/2009
11/02/2009
$90.51
$0.00
$58.83
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$151.34
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereat\er 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 Gove1nmenl 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
lee x lion f which have r iousl be n 1ven N TICE simil r o thi r as o whi h he sta of limi i n h s r vio I othe i x ire
'City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
,a••oo••s• z 12. T, b uroN Avt..-
cf/PR6JECT # PHASE# # OF UNITS # BEDROOMS
Est. Value
Plan Ck. Deposit
Date ~ 3 0 VV\"'--
SUITE# /SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE CCC. GROUP
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □# __ NO □ YES □ NOD YES O NOD
APPLICANT NAME
ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
CONTRACTOR BUS. NAME
1,\DDRES2-7 ADDRESS
CITY STATE ZIP !EA ISB
[Z~:1.L.~'_j:..cJ,L_:__,_.,._.,1.-'i!...-: _ _l_ _____________ +-:~:O~AN~llE ___________ J_FA_X ____________ _
-ARCH/DESIGNER NA STATE UC.# CLASS CITY BUS. LIC.#
/~ec. 703 I .S Businw and Professions Code: Any City or County: which rtquires a permit to conmuct, alter/ impron,. demoli1h nr rtP.3ir any structure, prior to iu inuance, also requires the apJJlicant for mch permit to file a 1igned 11a1ement that he is ficensedJ)u11uant to the proviiions of the Contractor's License law {Chapter 9, commending with ~ection 000 of Division 3 of the Busintss and Prormions Code} or that he II mmpt there from, and the ham for the alleged exemption. Any v10lat1on of Section 7031.5 by any applicant for a permit subject! the applicant to a civil penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarafions·
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, tor the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. _______________ Expiration Date __________ _
ion need not be completed if the permit is for one hundred dollars ($100) or less.
ertificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not empfoy 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 crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensalfon, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
Jl5 CONTRACTOR SIGNATURE DATE
I hereby affirm that I am e"Kempf from Contractor's License Law for the following reason:
□ 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 ol 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).
□ I, as owner of the property, am exclusively conlrac!ing 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).
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. ~s □ No
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 I 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 I phone I contractors' license number)·
5. I will provide some of the work, but I ha e contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
Is the applicant or future building occupant required to submit a business plan, utely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes
Is thP. applicant or future building_occupant required to obtain a permit fr the air pollution control district or~-qL.' ·ty management district? □ Yes \:::J.-r
Is the facility to be constructed wrthin 1,000 feet of the outer boundary of a school site? ~s ,,,,,--·-
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY N~SSUED LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
r certify that I have read the application and state that the ribove lnfonnatior. is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all Cityortlinances and State la~ relating to buildtngconstruction.
I hereby authorize representative of the City of Garlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE C!TY 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 perm~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Official u der th rovisions of this e shall expire by limitation and become null and void W the building or work authorized by such permit is not commenced within
180 days from the date of such pe:mit or W the building or w au o 'zed by b It is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
Jl5 APPLICANT'S SIGNATURE '---------;DATE ~
City of Carlsbad Bldg Inspection Request
For: 12/31/2009
Permit# CB091421
Title: KOCH: 374SF RET. WALL PER CITY
Description: CITY SPECS
Type: RETAIN Sub Type:
Job Address:
Suite:
2712 TIBURON AV
Lot: 0
Inspector Assignment: PY ---
Phone:
Location: Inspector:
OWNER KOCH STEVEN
Owner: KOCH STEVEN
Remarks:
Total Time:
CD Description
69 Final Masonry
Act Comments
Comments/Notices/Holds
-----
Requested By: STEVE KOCH
Entered By: CHRISTINE
Notice PAY S~P_F_EE__OF $257 AND COMPLETE/SIGN TIER. 1 FO-RM ., .. ~-
Associated PCRs/CVs Original PC#
lns(1ection Hisle!}'
Date Description Act lnsp Comments
12/16/2009 63 Walls AP PY wall drain
12/11/2009 62 Steel/Bond Beam WC PY
12/11/2009 66 Grout AP PY
12/01/2009 11 Ftg/Foundation/Piers AP PY
City of Carlsbad
l:lfihli♦?i·iitt•i,1·■■,1441 ■,1·1
BUILDING PLANCHECK CHECKLIST
RETAINING WALL
BUILDING PLANCHECK NUMBER: CB Cl') -I '--{ L I
BUILDING ADDRESS: 2 7 IL
PROJECT DESCRIPTION: ---'R--'-ec.ct.cc.ai""'n---'in.,._g--'-W"'"'a"'"II'---_____ _
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 com y with instructions in this report can
resuti s· n of permit to build. vb/ /J
By: //{r{f--,___ c..,fc..efate/ff
ATTACHMENTS
D Right-of-Way Permit Application
F.'LAWRENCE\KATHY1MASTERS\Re1aln/ll(I Wall B11Hdlng Plcil .2009.doc Rev.8126/N
DENIAL
Please see '-ed report of deficiencies
marked wit ke necessary corrections to
plans or ecifications for compliance wtth
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
By: _________ Date:
ENGINEERING DEPT. CONTACT PERSON
NAME: KATHLEEN M. LAWRENCE
City of Carlsbad
ADDRESS: 1635 Faraday Ave
Carlsbad, CA 92008
PHONE: (760) 602-2741
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @
I ✓ ~D 'RD✓ . □ □
!
' 'o..---1 \
□ □
□ □ □
BUILDING PLANCHECK CHECKLIST
RETAINING WALLS
1. Provide a fully dimensioned site plan drawn to scale. Show:
~rth Arrow ---9:-i:asements ~ E:;isting & Proposed Structures (!) Retaining Wall --
(dimensioned from street) (location and height)
v.--f'roperty Lines ~~4,~ ~ /Jr. ~a,,.s.
n~cuJ lJaJ.,.l. ___fo-r~ +-
2. Showonsiteplan: '/2.eJ~~ _ ,(era» s,~t,,;,,) J
A. Drainage Patterns @ ~~'1-V /!:_~ ~ /X°f'd!1 ••
B. Ex!st!ng & Proposed Slopes__:! W~_Ci-__~ ____ J/(___~ (,,)tt.Ll.
?x1strngTopography/ h,J :;,.f __ .. ~. v_ -rte~ Slot~
~-_ , t-fU--·to~ of Jlof'~
3. Include on title sheet: Ci)~·· ,:})_;...,(~C,;; H-7:u.--«--,
1~ wcJL ,.,.A: Site Address
/ ..-s:--Assessor's Parcel Number --c:· Leg_<'ll Description
___i;r.--Grading 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. * !,(§) -'d J1/t~j woJ.,L ~ & 1 ~/4
I. I). •. tfv-{' cf )_01,J .,.j tUi w-1:)
{J'U/1' t; fe /'fl-, • ti. --;:, UJd l tJJ-,..e jf'k,. ~5.
Page 1 Sf._.n,,J ~~ '.'23 Jti°~J wtuJ.
tJ (;.-e ,Ae/4 n-d.-a-i...d /rLUJ r o-r rnu1 w cJ.i-l ,
H·\WORD\OOCS\CHKLSnRetalnlng Wall Bulklirv Plancheck Ck/Isl Fonn OR.doc Rev. 6126196
CITY OF CARLSBAD
STANDARD FORM-TIER 1 STORM WATER POLLUTION PREVENTION PLAN
STORM WATER COMPLIANCE CERTIFICATE
✓ My project is not in a category of pem,lt types exempt from the
Construction SIM'PP 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 storm water runoff or non-storm water
dischalJl&(s).
✓ My project does not requires a grading plan pursuant to the Cartsbad
Grading Ordinance (Chapter 15.16 of lhe Gar1sbad Municipal Code)
✓ My project wil not resun in 2,500 square feet or more of soils disturbance
induding any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas that meets
one or more of the additional foHowing atteria:
located.within 200 feet of an environmentally 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 stom, drain inlet,
an open drainage channel or watercourse; and/or
• construction wiR 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
SUBMlmNG FOR CITY APPROVAL A TIER 1 CONSTRUCTION
SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS
OF CITY STANDARDS.
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1)
IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING
CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT
PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS
SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF
STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND,
(2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY
APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHTOUT THE
DURATION OF THE CONSTRUCTION ACTMTIES UNTIL THE
CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE
CITY OF CARLSBAD.
,,.,.,-o1
DATE
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID
INSTALLATION OF EROSION AND SEDIMENT CONTROL
BMPS WHEN RAIN 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 BUILDING INSPECTOR DUE TO
UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN
CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN
PLACE AT THE END OF EACH WORKING DAY WHEN THE
FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS
FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL
BE REMOVED AFTER EACH RAINFALL.
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 INSTALLED AND MAINTAINED.
SPECIAL NOTES
PROJECT INFORMAJIQN
,.--\
Site Address, ,;) 71 2 1 t I, L{ ,e ~
Assessor's Parcel Nwnbec I G 1 -S-/ 2 • 2 3
Project m C/13 o ':l I i./ i I
Construction Permit No.: ~~ /"O '] --m
Estimated Construction Start Date ___ _
Project Duration.: Months
Emergency Contact:
Name 'kMflil. 9"4:ft.
241tow-Pho..Qt~ ~~, U/SO
Pen:cived T f Stonn ware, Quality gt;i: □Low
If medium box is checked. must attach a site plan
sheet showing proposed work area and location of
proposed structun.l BMPs
For City Use Only
Approved By:
1
., rjtl/
Date: 1( v;;i
Erosion Control
BMP•
Tracking I Non-Storm ■ter I Waste Management and Materiale
Sediment Control BMPa I Control BMPa Management BMPs Pollution Control BMPa • --
! !j Best Management Practice f • : "'
C C C i c 0 0
" 0 ~ " • C 1l j 8 !!' • E C E " • s ·,; r .; • & C JI ~ Q li " • ! ~ : • • C ;; C le ! 0. • l C C ~ ·c .,. .f • 0 " w C ~ .. • -8! 0 s • • ~ JI c f" E Q .. .E 0 ". '!! .. • 2 C • • CC C :, Ii (BMP) Description ➔ ·~ .. B t l: 2 C
j
i fr ~ l 8 c i Q Ii 'II~ " ~ 8§ •a • t . ~ JI l C .. u, E ~ ! • 0 I& ~ .t:g f& og C i 0: JI ~! • •. s l §f ~ ~ J !I ~-~ '6 " ~= l!. I €.E &
,ll 15 ill ~ '!! JS ! f .. ! ! " . s i ! "'. >& 1g_ ~ ~i .. ~ • ll a ll o f .t •S "' "' 0 " "'> "' .,, .. "' .E "'"' !.c .. ~o 2"' 2 "' "'0 <n2 r2
CASQA Deolgnatlon ➔ j8 <l "' ul-w w li\ Conotructlon Activity
. I '?
.., "I "i' :z "i' 0 ~ ~ ;.i; <'> ... ;,; i ~ i .., i "i' w w w w w w J; rh rh I I I ., ., ., ., ., ., ., ., I-I-z z z z
Grading/Soil Disturbance
'lJ Trenching/Excavation -;z ----
Stockpiing
0"'1-
Conaote/Asphalt Saw<utting
'iZJConc:,9b,fla-
Paving
Conduit/Pipe Installation
StuccclMcrlar V«>r1(
1/Yas1e Disposal
Staging/Lay Down Area
Equipment Maintenance and Fueling
Hazardous Substance Use/Storage
Dewatoring
Site Ac:cesa Acrou Dirt
Other Oisl)c
Instructions: Begin by reviewing the list of construction activities and checking the box to the 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 oftbe added activity description. For each activity descrribed, 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 thal 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 not on the list ofBMPs, then write in
"Cover with Plastic" in the blank column under the 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 what each BMP description means, you may wish to review the BMP Refen;ncc Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures.
The reference also explains the California Stonnwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project.
o• 02
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v ,..
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PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB091421 DATE 8/31/09
ADDRESS 2712 TIBURON AV
RESIDENTIAL ADDITION-
MINOR (<17,000.00)
RETAINING WALL
VILLAGE FAIRE
POOUSPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
OTHER RETAINING WALL OUTSIDE OF SETBACKS
PLANNER GINA RUIZ DATE 9/1/09
ENGINEER ________ _ DATE ______ _
II: \ADMIN\ COIINTER/PLANNl.'IIG /fNGlNF.ERl,\G APPROVALli
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