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HomeMy WebLinkAbout1616 CORMORANT DR; ; CB961296; PermitBUILDING PER MI 09/04/96 09 55 Page 1 of 1 Job Address 1616 CORMORANT DR Suite Permit Type RETAINING WALL Parcel No 215-650-04-05 Lot* Valuation 1,830 Occupancy Group Referenced. Description 140 SF RETAIN WALL-PER CITY . SPEC #221+ELECT & GAS TO FIRE PIT T Permit Mo CB961296 Project No. A9601848 Development No Appl/Ownr KLAUS & ENYEDI CONCRETE CONST 1715 CATALPA RD CARL S BAD C A 92009 ........ - x** Fees Required ***/"' ,, .v^/r,, • 9448 09/04/96 OOOi 01 02 Construction UyptefT NEW 27-00 Status ISSUED Applied- 07/15/96 Apr/Issue 07/22/96 Entered By RMA 619-931-0445 Collected & Credits * A * Fees Adjustments Total Fees 1,19. o/o-~->.^ u .. '"'" \ Fee description / /X..^ '"' / xttpce ...D\ie : \ Unita\ 'v-E^e/-riN 00 92 00 27 00 Ext fee Data Building Permit / '"~:-"~;:.< Plan Check ; ('• ; -. Strong Motion Fee! '\>--V Other : ....... * BUILDING TOTAL \/.Cv\^//; ^N.,// Cl •*••'• / 43. 00 28 00 1 00 47 00 ELEC & GA 119 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 &*77 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr.. Carlsbad. CA 92009 (619) 438-1161 T FEHMIT "1"YHK From Last 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST VAL PLANCK VALID BY_ DATE DEPosrr 2 PROJECT INFORMATION B538 07/-KA"?*. nnni MFOR OFFICE IJSE ONLY'*_*--—:lt rAddressTBuilding or Suite No Nearest Cross Street A £. (J LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW It- bUBMll 1EL) D 2 Energy Gales ^ 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK rj, ^CT SQ rr / HO ^ l^HC WflY (_ # OF STORIES # OF BEDROOMS # OF BATHROOMS UJNTAUl' FliKSTJN (.11 dnierent irom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPIJCJVNT JS CONTRACTOR DAGENTTOR CONTRACTOR D OWNER D AGENT FOR OWNER NAME (last name first) £ My g~D\ £.L&\)S ADDRESS ]~) / £~ C /*Ttf-cV4- STATE £ ft- ZIP CODE SZ£>O°| DAY TELEPHONE ^ 1 'CITY 5 PROPERTY OWNliK NAME (last name first) G-«.A-y S ciTfC&Q.! .g S#T> STATEC^- ADDRESS ZIP CODE DAY TELEPHONE JT ~| o CONTRACTOR NAME (last name first) £^V£"Q< \^(_ ft\; ^ ADDRESS /"7/j"" C b"\ £ri- ?t4~} CITY CAfrtLiU^O STATE C/^- ZIP CODE ^ Z O O ^ DAY TELEPHONE °J 3 / < STATE LIC # VJ Z SV-3 LICENSE CLASS C ^ CITY BUSINESS LIC # NAME (last name first) CUT STATE ZIP CODE 3DRESS DAY TELEPHONE STATE LIC # 7 WORKERS^ COMPENSATION Workers Compensation Declaration I hereby affirm that I have a certiticate ol consent to sell-insure issued by the Director or Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY STftT POLICY NO EXPIRATION DATE Certilicate ol Exemption I certify that in the performance ol 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 SIGNATURE DATE 8 OWNER-BUIIDER DECLARATION Owner-tiuilder Declaration I hereby allirm that I am exempt Irom the Contractors License Law tor the lollowing 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 lacense 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) D 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) D I am exempt under Section Business and Professions Code for this reason (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, commencing 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 subjects the applicant to a civil penalty of not more than five hundred dollars [S500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distnct? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE LSSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CDNSTRUCriUN LENDING AGENCY 1 hereby atlirm that there is a construction lending agency tor the perlormance ot the work tor which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPL1CAN1 CLKIU-lCAllON Tceruly that 1 have read the application and state that the above inlormation is correct T agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives 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 CARISBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF 11 IIS PERMIT OSHA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones m 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 authonzed by such permit is not commenced within 365 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE is>- s /J _ DATE 1~lf^j(, HTE. File YELLOW: Apphcant PINK: Finance O f PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pal«as Dr., Carlsbad, CA 92009 (619) 438-1161 T FtKMIT From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units PLAN CHECK NO. EST. VAL PLAN CK DEPOSIT VALID BY_/ DATE 2. PROJECT DEFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street ~~-fo \ t-3 Building or Suite No LEGAL DESCRIPTION Lot No Subdivision Name/Number CHECK BELOWIFSUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT C / # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 UUNTALl PkKSLjN (it different irom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPLICANT HTJONTRACTOR U AOtNT FOR LUN 1RAL1UH UOWNtK U A(jtN 1 1-UH OWNER NAME (last name first) gjj y (?£> I ICi-ftf} ADDRESS f~f / 3" £ fiTf #<. p Q_ fct> . ' ^ DAY TELEPHONE / '3 /CITY STATE ZIP CODE 0/40' 5 PROPERTY OWNER NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 0 CONTRACTOR NAME (last name first) CITY £>"£- STATE T ADDRESS ZIP CODE DAY TELEPHONE STATE LIC # LJESIGNEH NAME (last name tirstj CITY STATE LICENSE CLASS ZIP CODE CITY BUSINESS UC # JDRESb DAY TELEPHONE STATE LIC # 7 WORKER*? COMPENSATION worKenTCompensation Declaration I hereby attirm that I have a certificate of consent to sell insure issued by the Director ot Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certiticate ot Exemption I certify that in the performance of the work tor which this permit is issued, 1 shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE 8 OWNER-BUILDER DECLARATION Owner-builder Declaration l nereDy attirm that I am exempt from the Contractors License Law tor tne tollowmg 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 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 ) D 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) D I am exempt under Section Business and Professions Code for this reason (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, poor 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, commencing 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 subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE CJUMFLETt: THIS btUTKJN FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TI IE APPLICANT HAS MET OR IS MEETING Tlffi: REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT «T CONSTRUCTION LEND1NU AGENCY 1 hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (i>ec 3097(i) Cml Code) LENDER'S NAME LENDER'S ADDRESS 10 APPUCAN1 ChKllriCAnUN 1 certify that 1 have read the application and state that the above information is correct 1 agree to comply with all Cay ordinances and State laws relating to building construction I hereby authorize representatives 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 SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned aj/'any tune after the work is commenced for a period of 180 days (Section 303(d) Uniform BuJdmg C /I DATE * — 'APPLICANTS SIGNATURE uddi ^ WHITE. File YELLOW Applicant PINK: Finance City of Carlsbad Building Department DATE: 02/21/97 TO: KLAUS & ENYEDI CONCRETE CONST 1715 CATALPA RD CARLSBAD CA 92009 RE: BUILDING PERMIT EXPIRATION PERMIT NUMBER: CB961296 ISSUE DATE: 07/22/96 LAST INSPECTION: PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE ADDRESS: 1616 CORMORANT DR Our records indicate that your building permit will expire by limitation of time on 03/04/97. The provisions of UBC, Section 303(d) state: "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 commenced within one calendar year from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of six consecutive calendar months or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the building official within one year of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not ob- tained a required inspection approval of work by the building official within each six month period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, specified below, shall be obtained. a new permit, or a renewal permit as 1. PERMITS WHERE WORK HAS NOT COMMENCED. For permits where work has not commenced in the first calendar year from the date of issuance, a renewal permit may be obtained provided: (A) No changes have been made or will be made in the original plans and specifications for such work. (B) That the expiration has not exceeded three years from the original issuance date. (C) That the same edition of the model codes is in effect as used in the initial plan check. (D) That a fee equal to one-half the amount required for a new permit be paid. The renewal permit shall expire three calendar years from the date of initial permit issuance. 2O75 Las Palmas Drive • Carlsbad, California 92OO9-1 576 • (619)438-1161 02/21/97 INSPECTION HISTORY LISTING FOR PERMIT# CB961296 DATE INSPECTION TYPE 09/18/96 Final Masonry 09/18/96 Final Masonry 09/18/96 Final Masonry 09/05/96 Gas/Test/Repairs 08/19/96 Final Electrical 08/19/96 Final Electrical 08/19/96 Final Masonry 08/19/96 Final Masonry 07/31/96 Footing 07/31/96 Footing 07/29/96 Grout 07/23/96 Footing 07/23/96 Footing INSP ACT COMMENTS RI PY PY DC RI DC RI DC RI DC DC RI DC RI NS NS AP RI AP RI AP RI AP CA RI AP MW/KLAUS LOCKED GATE LOCKED GATE MW/KLAUS/931-0445 CONDUIT ONLY MW/KLAUS/931-0445 MW/KLAUS/898-5327 PG PER CONTRACTOR MW/KLAUS HIT <RETURN> TO CONTINUE... CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961296 FOR 07/31/96 DESCRIPTION: 140 SF RETAIN WALL-PER CITY SPEC #221 TYPE: RETAIN JOB ADDRESS: 1616 CORMORANT DR APPLICANT: KLAUS & ENYEDI CONCRETE CONST PHONE: CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/KLAUS/898-5327 PG INSPECTOR ]/ SPECIAL INSTRUCT: DID NOT SAY WHAT TYPE OF INSP INSPECTOR AREA DC PLANCK# CB961296 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-931-0445 GATE CODE #1123 TOTAL TIME: CD LVL DESCRIPTION 61 MA ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 072996 Grout 072396 Footing ACT INSP CA DC AP DC COMMENTS PER CONTRACTOR CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB961296 FOR 08/19/96 DESCRIPTION: 140 SF RETAIN WALL-PER CITY SPEC #221 AND ADD ELECTRIC CIRCUIT TYPE: RETAIN JOB ADDRESS: 1616 CORMORANT DR APPLICANT: KLAUS & ENYEDI CONCRETE CONST PHONE: CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA DC PLANCK# CB961296 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-931-0445 REMARKS: MW/KLAUS/931-0445 SPECIAL INSTRUCT: GATE CODE #1123 INSPECTOR PG 898-5372 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 39 69 EL Final Electrical MA Final Masonry ***** INSPECTION HISTORY ***** DATE DESCRIPTION 073196 Footing 072996 Grout 072396 Footing ACT INSP AP DC CA DC AP DC COMMENTS PER CONTRACTOR CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961296 FOR 07/23/96 INSPECTOR AREA DESCRIPTION: 140 SF RETAIN WALL-PER CITY PLANCK# CB961296 SPEC #221 OCC GRP TYPE: RETAIN CONSTR. TYPE NEW JOB ADDRESS: 1616 CORMORANT DR STE: LOT: APPLICANT: KLAUS & ENYEDI CONCRETE CONST PHONE: 619-931-0445 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/KLAUS INSPECTOR SPECIAL INSTRUCT: GATE CODE #1123*********************'********** TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 61 MA Footing ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS UNSCHEDULED BUILDING INSPECTION » DATE 7 /6- 7 / f6 INSPECTOR PERMIT # yb/el 7& PLAN CHECK* JOB ADDRESS / 6 /6 DESCRIPTION TIME ARRIVE: TIME CODE DESCRIPTION ACT COMMENTS STATE OF CALIFORNIA—THE RESOURCES AGENCY PETE WILSON, Governor CALIFORNIA COASTAL COMMISSION SAN DIEGO COAST AREA 3111 CAMINO DEL RIO NORTH SUITE 200 S.^N DIEGO, CA 921081725 (6,9) 521-3036 EXEMPTION LETTER DATE: NAME: fclC(fsA £tfjrpJ*l /fr LOCATION: PROJECT: This is to certify that this location and/or proposed project has been reviewed by the staff of the Coastal Commission. A coastal development permit is not necessary for the reasons checked below. _ The site is not located within the coastal zone as established by the California Coastal Act of 1976, as amended. The proposed development is included in Categorical Exclusion No. _ adopted by the California Coastal Commission. The proposed development is judged to be repair or maintenance activity not resulting in an addition to or enlargement or expansion of the object of such activities (Section 30610(d) of Coastal Act), The proposed development is an improvement to an existing single family residence (Section 30610(a) of the Coastal Act) and not located in the area between the sea and the first public road or within 300 feet of the inland extent of any beach (whichever is greater) (Section 13250(b)(4) of 14 Cal . Admin. Code. The proposed development is an improvement to an existing single family residence and is located in the area between the sea and the first public road or within 300 feet of the inland extent of any beach (whichever is greater) but is not a) an increase of 101 or more of internal floor area, b) an increase in height over 101, or c) a significant non-attached structure (Sections 30610(a) of Coastal Act and Section 13250(b)(4) of Administrative Regulations). (OVER) Page 2 The proposed development is an interior modification to an existing use with no change in the density or intensity of use (Section 30106 of Coastal Act). The proposed development involves the installation, testing and placement in service of a necessary utility connection between an existing service facility and development approved in accordance with coastal development permit requirements, pursuant to Coastal Act Section 30610(f). The proposed development is an improvement to a structure other than a single family residence or public works facility and is not subject to a permit requirement (Section 13253 of Administrative Regulations). The proposed development is the rebuilding of a structure, other than a public works facility, destroyed by natural disaster. The replacement conforms to all of the requirements of Coastal Act Section 30610(g). Other: Please be advised that only the project described above is exempt from the permit requirements of the Coastal Act. Any change in the project may cause it to lose its exempt status. This certification is based on information provided by the recipient of this letter. If, at a later date, this %! formation Is^foMmd to be incorrect or 'iiiff€G>.5?p3iete» thrs better will become invalid, and any development occurring at that time must cease until a coastal development permit is obtained. Truly yours, By: Title: 000 IF City of Carlsbad Engineering Department BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER. CB BUILDING ADDRESS <2p/Z /H£> ft A/j PROJECT DESCRIPTION- Retaining Wall 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 carefHilly all comments attached, as failure to jly wjjh; instructions in this report can result ispe^onym/permit to build / v Date V DENIAL Please see the attached report of deficiencies marked with LJ Make necessary corrections to plans or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review By Date By Date By Date ATTACHMENTS LJ Right of Way Permit Application ENGINEERING DEPT. CONTACT PERSON NAME: MICHELE MASTERSON City of Carlsbad ADDRESS. 2075 Las Palmas Drive PHONE. (619)438-1161. Ext. 4315 P \DOCS\CHKLST\WALL REV 04/18/96 2O75 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 BUILDING PLANCHECK CHECKLIST - RETAINING WALLS SITE PLAN 1 stv/ 2noV SrdV' d CH D 1. Provide a fully dimensioned site plan drawn to scale. Show. A North Arrow C. Property Lines B Existing & Proposed Structures D Easements (dimensioned from street) E Retaining wall (location and height) L~H CH [H 2. Show on site plan A. Drainage Patterns B Existing & Proposed Slopes C Existing Topography D L"H D 3. Include on title sheet A Site address B. Assessor's Parcel Number C. Legal Description D Grading Quantities Cut Fill Import/Export (Grading Permit and Haul Route Permit may be required) L"H D 4 Project does not comply with the following Engineering Conditions of approval for Project No Conditions were complied with by Date MISCELLANEOUS PERMITS D D D 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 permit issued by the Engineering Department is required for the following1 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. p \Docs\cmasT\wAu. Page 1 REV 04/18/96 r- 0) <Ds i Oil(p *- CM 0 o<a o> 6 6 1 10- Q. O cjo Q. G PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Address j) Planner David Rick Phone (619) 438-1161 ext 4328 (Name) APN Type of Project and Use Zone Facilities Management Zone CFD (in/Putt # circle (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department) Legend Item Complete Item Incomplete - Needs your action Environmental Review Required: YES DATE OF COMPLETION NO TYPE Compliance with conditions of approval7 If not, state conditions which require action Conditions of Approval Discretionary Action Required: YES APPROVAL/RESO NO PROJECT NO NO DATE OTHER RELATED CASES Compliance with conditions or approval? If not, state conditions which require action Conditions of Approval D California Coastal Commission Permit Required: YES ^ NO DATE OF APPROVAL San Diego Coast District, 3111 Cammo Del Rio North, Suite 200, San Diego, CA 92108 (619) 521-8036 Compliance with conditions of approval9 If not, state conditions which require action Conditions of Approval E/CD D Inclusionary Housing Fee required: YES D D M D D Q/D D D NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993) Site Plan: 1 Provide a fully dimensioned site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensioned setbacks and existing topographical lines 2 Provide legal description of property, and assessor's parcel number Zoning: 1 Setbacks Front Int Side Street Side: Rear 2 Lot Coverage 3 Height 4 Parking Guest Additional Comments Required Required Required Required Required Required Spaces Required Spaces Required Shown Shown Shown Shown Shown Shown y/'' Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE K \ADMIN\COUNTER\PU\NCK FRM 1-17-96 City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations. 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. I have and will maintain workers' compensation, as required by section 3700 • B of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO. EXPIRATION DATE (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 •• C workers compensation laws of California Signature y"? 4 <>' Date Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil 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. March 3, 1995 2075 Las Palmas Dr • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-O894 CERTIFICATE OFl WORKERS' COMPENSATIO ^VviliSSgSBK ^^CARLSBAD,SCA$200S &Ali^&3^i^SV4i^X:'r:-^%^ ' <••„' ' -•-.' r' i •'*•:. "* >'-... — «• - _._" . : '••;— •*-—T»-«, -^ -Merw jw-^n%^,** - -*-.^ -»-™-*»«»-^. -;.7j*e ^?-y^*~OMi. .^jT* «=-^iFT-^vt W*T aT'jWVT f^i*A *f "*--.— -yjj•••*¥ j"*g~ i"*tA"';' %.>i-VVe will.also give ypu JEN'days 'advance notice should this policy. be,canceljed pnor.itd^ts'normal1expirBtiQn/a^%-C?-fv®: "&'^'"~-rW i iTYUMfT INCLUDING *JS»7«i v-t. w v V3to^tt>£^ v'X^sSt, KLAUS ENYEDJ CONCRETE CONSTRUCTION THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10282 (REV. 3-95) -CLCx/'-OL^Z~'SCu- o STORM DRAIN INLET - 4t V * « * .»» 1 4 M * t C «. I 4 « i O 0 o o m m ALDEA @ AVIARA P.A. BUILDING NO. 15 16 ' IS1 m 11-29-93 v j -o J y L-7 oc- 0d xT i-/^ L 3 ^ V 0 J \J V) ,0 /D O/ o 0\J xfl v/ --«, S v; o M 1- I 2 £ (iJ si 0 H V V- -V o ov- i-o vj n- O ~o V) si, ^\- V) 0 o o CJ <fc \. W ^ s^vj si t ^ ^ 5°Ji ^ O1-KJ \ U -^ Us- (^ ^ ^ ^L