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Home My WebLink About1684 FISHERMAN DR; ; CB050519; PermitFOR OFFICE USE ONLY PERMIT APPLICATlON CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. { 1s 05 ° S-{ j <--{ ~ 0 ~1 EST. VAL. __ ___;_;::____,1------/ Plan Ck. DeposiJ;;.-.--------- Validated By J D GT D0 ~1 Date :i •f ~{ t> "L , • . PRoJec:rn NF:O~M~"T,o~ 11,r Y Fi~ bum u1 Dr, ve Address (include Bldg/Suite #) I u s u Ve f I.. Business Name lat this a'ddress) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 2,. , s: -rns 1 -o 1 -oo Proposed Use SQ. FT. (.-\ #of Stories # of Bedrooms # of Bathrooms f2; tz.i'C'Ot{EJu,{1',!'P.l;~SOJillil'f'(dlffiirAntfr,gi,h•P.Pll~erit)cl . : ' •:. ;: . • b le II fl (6 aoa, Ju~1,,, .Jt./\d-<11I I I 1J L, 11.d ~ I}! ,C: . iJt i Ve_ .Id e (, . Name ~ Address City Ji,, /Y1c;/co~ Ot 12,nf State/Zip Telephone # ij::;)l;•")~P~~,c~Nitr .' ,·0 [.ContrapJqrtr-,rl:),,A:ge(it!f~r Ci;,ntriictcir · ; O , Owner . ' Agent{tor,·Ow.(ier Name Address City State/Zip Telephone# ij~:: ·: , .. P,J,(o'?fet:liQl/VNER.Jff; ~t}';J.;i:r•r,"'.; i'i ,, o< .: , ·: '.. · : , . ' .. -, .... Qa/Hrnt.(\ {t,, /sbt.,d r, LLC. /11 ~ ·L,Ad.i.. v ,114 Ov. Name Address City State/Zip Telephone# '.~k :f\l.!Q~,:a'AC.!ltQB.'~ eo'.MRAN)';('$Aftilfli1';[-1J\.',;l'J'.:, . "~··.;:.'.. ,1,:,/ .,.·;.. .. 'Jj. ·1.;· .• 11.o~no yl/17 Fax # 1 l.tr f lu-{g1 t L I (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 tile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, corrfmending 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 violatlpn of Section 7031.5 by any applicant for a permit s,ubjacts the applicant to a civil penalty of not more than five hundred dollars 1$500)). eidca Ue>-1-h/laQC t ,d 1/tf'S' L1Ack V1sf-, J)f. Sic .Ci ~m~r(O) Cr+ 9 (c]f 7{.,(J-J,/o-(_p Lfl'7 Name Address City State/Zip Telephone # State License # 2 J 4 5" I I License Class 13-/ City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- l&,~A&Y.Ql:l!S.!iR_Si C.QMP:E!\LS~TIQN.<:~>,\~' 0•·,. ~ .. ·: • .., • ·::,{',!"': .,.l .. • •,. ,,. .,1,~. ";_" \ 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, tor the performance of the work tor which this permit is issued. ~ 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 ~ad. My worker's compensation insurance carrier and policy number are: Insurance Company 5h k Fu a d Policy No. / 7 3 30 I K -0 ... , Expiration Date. ______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in tile perfo~mance of the work tor 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' compenaetlon 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 compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE li.:Jr:0Wijgij;,_'iifli.1J>.'.t:FtQE.Ql,J.\R)iiib'riit:: .i'.-·Y'),:, ::r'.':".;~,.f)t,·~~y{'' ;;Fis· '\;)/:;l'P,;:,; ,(Qu•i;:,:'.tf,:;: .: ::; I' i: .:· ' ·, : ', ;·,; i~: ::-:-<-:,: .. :,:; ·7; .:;;,~;;:;:~~~~=,;·.:_, :)c)CJ::'. . I hereby affirm that I am exempt from· the Contractor's License Law for the following reason: · l 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 ec. 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 ch work himself or through his own employees, provided that such improvements are not intended or offered for sale. It, 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). 0 I, as owner of the property, affi 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. 2. 3. It:. per nally plan to provide the major labor and materials for construction of the proposed property improvement~ YES ONO I hav I have noO signed an application for a building permit for the proposed work. I ti contracted _with the following person (firm) to provide the proposed construction (include name I address I phone number / 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 I address / phone number I contractors license numberl:. _____________________________________________ _ 5. I will provide some of the work, but I h e ontracted lhired) the following persons to provide the work indicated (include name I address / phone number / type of work): ___________ -,,s;;.£.~;.-------.,.....::::::::::::.,_. ______________________________ _ ~; .• ;,'.,., ·. -r:·,:~-• ' .... ~,:: :,i .. , 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 district? O YES O 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 CERT.IFICATE 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. tJJ·.;:~~9~~!1JijP,Q11~~~!~~,N.Ql~~-~9e~,cy;~;r ;:;/ ''( ';:::·= >> .--~:.'.,~;-:,. ..· · -:~;::,:_· ., _ r •. ;. -·r· ·-.·~ .. I hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME C h; (\I(_ +rv ( \--fl.tu, ~ u J n LENDER'S ADDRESS I DLf ~ 0 b f /J. 11. d !hie() ve ' t, s C 011.d Id C ( {A 1 Zu1-r i}f.~.:.«1IB~J~AI\IT~~~ii1111¢'11r,J9.N~~::w.~:,•i,' ~;·,<,(,·<.,. .:, .··.,, ;,' ·;,,, ··.-'.: .:,,,:S.,. ,\·,~~:,.:··. ,;·:,.:, ;.'..!",• 1:. ·., ',···' •·. ,1, .••. •:;,:, 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 ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS l>ERMIT. 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 lding 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 com within 180 days fro date of such per111it or ii the building or work authorized by such permit is suspended or abandoned at any time after the work is com or a period of ys e ·o 106.4.4 Uniform Building Code). APPLICANT'S SIGNA TU DATE -~--~-------~- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/15/2005 Permit# CB050519 Title: LA SURVERA 269 SF RETAIN WALL Description: PER $DRS C-1 Type: RETAIN Sub Type: Job Address: Suite: Location: 1684 FISHERMAN DR Lot 1 APPLICANT CRAFTSMAN CARLSBAD I L LC Owner: CRAFTSMAN CARLSBAD I L LC Remarks: Total Time: Inspector Assignment: PS --- Phone: Inspector: 25 Requested By: CHRISTINE Entered By: CHRISTINE _Jff!-o_m_m_e_n_t _________________ _ CD Description 69 Final Masonry --------------------------- Associated PCRs/CVs lnsgection Histo[ll Date Description Act lnsp Comments 04/11/2005 65 Retaining Walls AP PS WATERPROOF 03/23/2005 66 Grout AP PS 03/22/2005 66 Grout CA PS 03/17/2005 61 Footing AP PD 03/16/2005 61 Footing CA PS BY GLEN 03/15/2005 61 Footing CA PS BY GLENN City of Carlsbad l=IDNIIW»i·lltt•#l,1·11,14411,1·1 BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB O 5-.. Sl tJ I, f tf J;;;. n,._.a-. BUILDING ADDRESS: v PROJECT DESCRIPTION: --'R--'-e"-'t-"-ai""'n"'in..,_g--'-W"'"'a"'"II'-------- ASSESSOR'S PARCEL. NUMBER: c9-t5---=-Of I -o/ 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 suspension of permit to build. By: _,,{#Pf ~ Date: 3 /J./1?)') or spe codes and/or DENIAL attached report of deficiencies By: _________ Date: ATTACHMENTS Right-of-Way Permit Application H:IWOROIDOCS\CHKLSnRelaining Wall Building Plancheck Ckl~t Form KF.doc Rev. 6126MI By: ---------' Date: ENGINEERING DEPT. CONTACT PERSON NAME: KATHLEEN M. FARMER 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 (!} • 0 0 0 0 0 0 0 0 0 BUILDING PLANCHECK CHECKLIST RETAINING WALLS 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Easements B. Existing & Proposed Structures ( dimensioned from street) E. Retaining Wall (location and height) C. Property Lines 2. Show on site plan: A. 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 U{IJ~ 121~;;/I ~ tJA..L ~~ -w ~ c-~~e,1.-:, ~~~- 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. @ Q€. ~ G~nCP;"f! ~~ ch:\1 _~i~ -1-f,iS wall rs +o tie AS-w;\t-ovi.fo +-w.. ~ G,q;t;;l,,rg-?la~ uuJ&i 4o3-5A. ~ 'i'lctv1,S c/.RJ CeJ~v!iage~ -t-/1\.t ~1~ ~··~ ?lav1S Cb. ,c-61,1<:\-~ \kt' 1 <vw \~ '4f, OS (.QJYI f;r:. ~ b!f wq(e,VJ \)a,i 1¥d,/n,' H:IWORDIDOCS\CHKLSnRetalnlng w• Bl.llkling Plancheck Ckffi;t Fonn DR.doe Rev. 612619a PLANNING/ENCINEERINC APPROVALS PERMIT NUMBER CB C0 0 l::> 9 "RESIDENTIAL RESIDENTIAL ADDITION MINOR ( < $10,000.00) ENCINEER --------- DoCSIMllifunnslPtanning Englneertng Appravau DATE lt,go.f~------ 1c,e; \lP, I 1 C# "'!l TENANT IMPROVEMENT PLAIZA CAMINO REAL CARLSBAD COMPANY STORES VILLACE' FAIRE COMPLETE OFFICE BUILDING DATE ______ ~