HomeMy WebLinkAbout2570 TOWN GARDEN RD; ; CB043632; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-22-2007 Retaining Wall Permit Permit No: CB043632
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2570 TOWN GARDEN RD CBAD
RETAIN
Lot#: 0
Valuation:
2131306000
$3,248.00 Construction Type: NEW
Reference #:
Project Title: GARDENSIDE@ BRESSI 203 SF
RETAINING WALL PER SDRS C-1
Applicant:
GREYSTONE HOMES
101
5973 AVENIDA ENCINAS
CARLSBAD CA 92008
760-804-7700
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
Total Fees: $89.26 Total Payments To Date:
Owner:
Inspector:
FINAL APPROVAL
Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Plan Check#:
Inspect Area:
$34.77 Balance Due:
Clearance:
EXPIRED
09/20/2004
SB
$53.49
$0.00
$34.77
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$89.26
$54.49
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or 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 fees/exactions. 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 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
X i n I i h Tl hi hi I Ii • • i ir
FOR OFFICE USE O~ ,
PLAN CHECK NO. Cti34.~3:Z-PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. 3,:z__..t.\ ~
1.
Address {include Bldg/Suite #} Business Name lat this address)
~i ~i,t (f),A6Z,Qe~tPC
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use
Description of Work
'-\2,,uLL '\Z.cmt~ ~AU__
· 2. • C . tACt PERSON iit diffliti!nt(iom applicilnt)
L ~
Name Ad City State/Zip Telephone# Fax#
:3 .. ·• APPLICANt O Contractdr :::-' QAgent foiCoiitt~q~or
0,<&~y$1l,..:x.c H¢11~,~ .'.i)...'.) L
• :•·• 0 Agent'fo(Owner
Name Address City State/Zip Telephone #
.4; •• . PROPER1'Y OWNER'
~.ie As A·e.ct,;C
Name Address City State/Zip Telephone#
~/ •· CONTRA¢TOR~ :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
exemr1tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars !$500)) .
. S&-,tc;::: 8$ Af--??J-'lr'
Name ~:rszt~_,,f.3 Address Ii City State/Zip / Tete hone# ,,, ~ 'f2 . .-:l•,,/1 Lt•, State License # ---"'--"'--'=-~_,_.,,,..__ License Class -~tt~._,_-~L---:,____ City Business License II L.c. I _ ~ t ----~---#-
Designer Name Address City State/Zip Telephone
State License # _________ _
8. WORKERS' COMPENSATION.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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 ;lJN'Work for which this permit is issued.
R.._ 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: / /
Insurance Company Oct) lZ.t;wi.Gt'Jc .::th% Cc,. Policy NoJ.(4,1G /Cf!( 7·'76ct:"> Expiration Date // l'(c;L
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS!
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject ta the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compenSBtion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars I$~ • n • • ~!,~ost of compensation, damages as provided for in Section 3706 of the La~o ode nterest and attorney's fees.
SIGNATURE r~J1 " ~ ~ DATE '.!"cc
,1, OWNER-BUILDER DECLARATION•··'.·,
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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
in 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).
s owner of the property, am exclusively contracting with licensed contrac~ors to construct the project {Sec. 7044, Business and Professions Cod~: The
or's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such proIects with contractorlsl licensed
pursuant to the Contractor's License Law).
D 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 nott 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 I address/ phone number I contractors license numberl:
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 contracts (hired) the following persons to provide the work indicated {include name / address / phone number / type
of work}:, __________ -::;~"'::::iiil!::~~~'z~'7'"-------------------,-7 '.'--7'------------
PROPERTY OWNER SIGNATURE ~~~2:::€..!:L,:,~~~..1.,,,....------------
COMPl;ET•ftHIS SECTION; FOR NON-RESiDENTIAL BUILDING"i>ERMltS ONLY
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 Act? 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? 0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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.
a; CONSTIWCTION LENDING AGENCY
nstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _--1.:.=-L.1.:...>.. ________ _
9, APPLICANT CERTIFlCAtl.0.N
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. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 DF 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 provislons of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 1 O days from the date of such permit or if the building or work authorized by such rmi\J suspended or abandoned
at any time after the work is comm!/_ . ·6d ~ ~lion 1 06.4.4 Uniform Building Code). • •
APPLICANT'S SIGNATURE ' / • v✓-DATE /4 -.C....='--'-+--1---------
WHITE: File YELLOW: Applicant PINK: Finance
PLANNINC/ENCINEERINC APPROVALS
PERMIT NUMBER CB C/-f 1ui72::: DATE ______ _
ADDRESS ___________________ _
"RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
ENGINEER --------
OOCSIMISfDnnslPtilMinQ Englneenng ApprovalS
TENANT IMPROVEMENT
PLA2A CAMINO REAL
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDING
DATE ______ _
2.S'li,-n,w,.t ~ j :_1 ____!l&(J-<_ 6« ,,.,/ 'Uil/_ I'' I ! f
ll(>Hi 213-110-r, o .,,q ////j/1 r ; LJ
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(?E 350.5]
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