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Home My WebLink About1752 BLACKBIRD CIR; ; CB970292; PermitI -.) t BUILDING PERMIT Permit No: CB970292 , 02/26/97 17:21 Project No: A9700407 ~ Page 1 of 1 Development No: 4 Job Address: 1752 BLACKBIRD CR Suite: Permit Type: RETAINING WALL 2898 WW97 0001 01 02 Parcel No: 215-601-11-00 Lot#: C-PRHT 125900 1 Valuation: 11,812 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: 700 RETAIN WALL, CITY SPEC 222 Applied: 02/14/97 : DETACH PATCOV 350 SF, P wEntered Apr/Issue: By: JM 02/26/97 \ 1 Appl/Ownr : WESTERN, JOHN 714 855-9994 1752 BLACKBIRD CIRCLE CARLSBAD, CA 92009 1 *** Fees Required Fees : Adjustments: Total Fees: ----_-----____--____ Fee description ----___---____--__-_ Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL .oo 99.00 125.00 Ext fee Data --------------- 135.00 88.00 1.00 224.00 CrryOFCARLsBAD 2075 Las palmas Dr., -, CA 92W (619) 438-1161 d I&/&.. &;30L/DQo PERMIT APPLICATION City of Carlsbad Building DepartaPnt 2075 Las Palaas Dr., Carlsbad, U 92009 (619) 438-1161 From List 1 (see back) give code of Permit-Type: REY.AIN/?ATID For Residential Proiects Only: From List 2 (see back) give ......................................................... PLAN CHECK NO. Code of Structure-Type: FOR OFFICE USE ONLY Net WGain of Dwelling Uniu I 2. PRWECXINF€)RMATION Address Building or Suite No. 13C Avocet 85-35 4 LC.lL .."111 Clyy,,cm,n., NAME(lastnamefirst1 Xestern, John ADDRESS 1752 Blackbird Circle, Carlsbad CA s20?? CITY STATE ZIP CODE DAYTELEPHONE (714) 555-9394 U-R UAP fY0- UAP Carlsbad STATE CA ZIP CODE DAY TELEPHONE (714) 955-9934 NAME(lastnamefirst)~estern, John ADDRESS 1752 Blackbird Circle Emrst) Western , ~ohn CITY CarlsSaZ. STATE C.A ZIPCODE~~O~~ DAYTELEPHONE (714) 855-9994 1752 Blackbird Circle 6TO"lR NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # NAME (I ast name tirst) -l'Ucl CITY Lake Forest STATE CA ZIPCODE92633 DAYTELEPHONE (714) 76%TATELIC.# Workers' Compensation Declaration: 1 hereby attirm that I have a certiticate ot consent to self-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 (Secrion 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cem.ticate ot Exemption: I certify that in the performance ot 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. SIGNATURE DATE February 10, 1997 Uwner-Builder klaratlon: I hereby attirm that 1 am exempt rrom the Contractors hcense Law for the toirowing 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 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.). I, as owner of the property, am exclusively contracting with licensed contractom 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 (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) 0 0 Business and Professions Code for this reason: hundred dollars [ 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE YES, AFINAL CERTIFICATE OF OCCUPANCY MAY NOT BE- AFIERJULY 1,1989 UNLESSTHE APF'UCANT HAS MIX OR IS MEJTlNG THE REQ- OF THE OFFICE OF EMERGENCY SERvlCEs AND THE AIR POLLunoN CONTROL DISIRIm. 1 hereby attirm that there is a construction lending agency tor the pertormance ot the work for which this permit is issued (Sec 30971 I) Civll Code). 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS TD. AW 1 certity that 1 have read the application and state that the above intormation is correct. I 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 AIS0 AGREE To SAVE INDEMNIFY AND KEEP HARMLESS THE ClTYOF CARISBAD AGAINSTALLLIABILITES, JUDGMENTS, Cosrs AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEQUENCE OF THE GRANTING OF THIS PF.RMlT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. menced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: >/&e7 Q CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970292 FOR 11/03/97 INSPECTOR AREA PY DESCRIPTION: 700 RETAIN WALL, CITY SPEC 222 PLANCK# CB970292 TYPE: RETAIN CONSTR. TYPE NEW JOB ADDRESS: 1752 BLACKBIRD CR STE : LOT: APPLICANT: WESTERN, JOHN PHONE: 714 855-9994 CONTRACTOR: PHONE : DETACH PATCOV 350 SF OCC GRP OWNER: PHONE : /l REMARKS: C/JOHN/431-5527 SPECIAL INSTRUCT: TOTAL TIME: -m INSPECTOR i CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 062597 062597 062597 041897 041897 041197 041197 033197 033197 032497 032497 031397 031397 031397 Exterior Appliances AP PY Retaining Walls AP PY Grout AP PY OK TO Footing AP PY Grout AP PY Grout AP PY GROUT Footing AP PY FTG @ Footing AP PY NORTH Grout AP PY FRONT Footing AP PY FTG @ Footing AP PY FTH @ Undergroundpnder Floor AP PY Gas/Test/Repairs AP PY Underground/Conduit-Wiring AP PY GROUT COLUMNS ALL WALL GARAGE SIDE OK WALL PARTIAL NEAR DRIVEWAY REAR f FRONT REAR & FRONT BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER: CB 97 - 292 PROJECT DESCRIPTION: Retaining Wall ASSESSOR'S PARCEL NUMBER: Lot 138 c-r SC-75- f 272 -mA 4%Yr 'I, UfGt c ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved. The approval is based on plans, information andlor 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 resu!Jnsion of permit to build. - ATTACHMENTS 0 Right-of-way Permit Application DENIAL Please see the attached report of deficiencies marked with 0. Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans andlor specifications to this office for review. By: Date: ENGINEERING DEPT. CONTACT PERSON NAME: DAVID RICK City of Carlsbad ADDRESS: 2075 Las Palmas Drive Carlsbad, CA 92009 PHONE: (619) 438-1 161, ext. 4324 G.\LIBR4RnEW3WORDIDOCSYmLST\R*.inng W W.1 Form OR.* RW. M2lm 2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 * (619) 438-1161 - FAX (619) 438-0894 . BUILDING PLANCHECK CHECKLIST RETAINING WALLS 7 3RD' 0 0 0 1. Provide a fully dimensioned site plan drawn to scale. Show: Easements "! etaining Wall [C\&r~ d;sh;Y:I 4 and height) rQ b;4jqJ em 'IJ &(On Owr +eqwI) North Arrow Existing & Proposed Structures (dimensioned from street) @ Property Lines h6ntj -ye * rainage Patterns Shod dra;, ?L Oh pgd afq& s> dJeJ' as d',rQCd?- Slopes of #& Sedd 3J2. @m\1. 3. Include on title sheet: Assessor's Parcel Number ,& / Site Address d Legal Description D. Grading Quantities Cut Fill ImportlExport (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 tot he public Right-of-way. A separate Right-of-way issued by the Engineering Department is required for the following: 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. Page 1 Ru. PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB 47- zq 2- Planner L’AJ &d-, Type of Project and Use: &DvN//v~ WAM ArLb 2, -@& PflnQ Zone: PC Facilities Management Zone: 19 CFD (in/@# 2 Leclend Address 17J?- baC#ImC,u Phone (61 9) 438-1 161, extension Y3 zr APN: zkF&r -I( Circl (If property in, coyplete SPECIAL TAX CALCULATION WORKSHEET provided by Building Depanment.) Item Complete 0 Item Incomplete - Needs your action Environmental Review Required: DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval YES - NO )(TYPE Discretionary Action Required: APPROVAL/RESO. NO. DATE PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval YES - NOXTYPE Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES NO If NO, proceed with checklist; if YES, proceed below. Determine status (Exempt or Coastal Permit Required): If Exempt, proceed with checklist; if Coastal Permit required, hold building permit until Coastal Permit issued. - Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: 1) Stamp Building Plans as “Exempt” or “Coastal Permit Required” (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. Lf '0 lnclusionary Housing Fee required: YES - NO (Effective date of lnclusionary Housing Ordinance - May 21, 1993.) Site Plan: fiT'<n 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. @ do 2. Provide legal description of property and assessor's parcelIumber. Zoning: 0 &0 1. Setbacks: Front: Int. Side: Required &'% t I nw G Shown Required Shown h0 WA-LB r Shown - / Street Side: Required Rear: Required 35E' (2' Shown ZU' 60 ok Lot Coverage: Required Shown @n oq~3. Height: Required Shown ohl/c4. Parking: Spaces Required Shown Guest Spaces Required Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER v;L DATE 2-aF')7