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HomeMy WebLinkAbout1772 DOVE LN; ; CB010568; Permit03-07-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Retaining Wall Permit Permit No: CB010568 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1772 DOVE LN CBAD RETAIN 2159200100 Lot#: $6,300.00 Construction Type: ROZANSKY RESIDENCE 400 SF RETAINING WALL 0 NEW Applicant: VANDER WERFF CONSTRUCTION 14428 TOARWIND POWAY CA 92064 358 486-6422 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: ROZANSKY JON&JULIE 1772 DOVE LN CARLSBAD CA 92009 ISSUED 02/09/2001 MDP 02/16/2001 02/16/2001 SR 2373 03/07/02 0002 01 02 CGP 38.30 Total Fees: $165.67 Total Payments To Date: $127.37 Balance Due: $38.30 Building Permit $76.59 Add'l Building Permit Fe© $0.00 Plan Check $49.78 Add'l Plan Check Fee $0.00 Strong Motion Fee $1.00 Renewal Fee $0.00 Add'l Renewal Fee $0.00 Other Building Fee $38.30 Additional Fees $0.00 TOTAL PERMIT FEES $165.67 Inspector: FINAL Date: -7oa Clearance: NOTICE: Please take NOTICE that approval of your project includes ttie "Imposition'' of fees, dedications, resen/ations, or ottier exactions tiereafter collectively referred to as lees/exactions.'' You tiave 90 days from ttie date ttiis pennit was issued to protest imposition of these fees/exactkins. If you protest them, you must follow the protest procedures set forth In Govemment Code Section 66020(a), and file the protest and any other required Information with the City Manager for processing in accordance with Carlsbad Munteipal 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/exacttons DOES NOT APPLY to water and sewer connectton fees and capacity changes, nor planning, zoning, grading or other similar applicatton processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/Rxactions of which vou have prevtouslv been given a NOTICE similar to this, or as to whieh the statute nf limltatlnn.<i has prevtouslv othBnwi.<ie expired. PERIVIIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO.QI- EST. VAL. Plan Ck. Deposit Validated By Date 2=- XiX , . Business-^ame (at this address) Legsl^escription Lot No. Subdivision Name/Number i /V OANiA- Unit No. Phase No. Total # of units Assessor's Parcel tt Existing Use Proposed Use Description ^ffWork SQ. FT. #of Stories iN <lf different from applicant) 1' 11> D' *- tt of Bedrooms tt of Bathrooms Name Address City 3. APPLICANT D Contractor Q Agent for Contractor Q Owner Q Agent fcr Owner State/Zip Telephone tt Fax It Name Address City State/Zip Telephone # *—PROPERTY OWNER ^ ^ ^ r, f ^ NaAie ' I Address City State/Zip Telephone tt 6 CONTRACTOR - 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 Codel or that he Is exempt therefrom, and the basis for the alleged ption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty<«f not more than five hundred dollars [$500]). ^vtir> \J/n>*/>U /MK/S><r -ro^U>^-'0 YQ^A^ iM¥ gT^f *7^4.'CJt2P — - e/ZiJ Name State License Addrsss License Class ^-1 City State/ZijS Telephone # City Business License tt Designer Name Address City State/Zip Telephone State License tt e. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q 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 Policy No. Expiration Date (THia*Cc |0^CER1 ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [«100] OR LESS) 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 to the Workers' Compensation Laws of California. WARNING: Failura^?^(BCure vurkers' cpmpuisation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (ajl 00,000), inialldition|lo tltelcost pf conipenAiMn, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. SIGNATURE \ >L^r-i/ 1 \J \/^J*\AJ \ DATE ^ "ZOo / 7. OWNER-BUILDER DECLARAT^N / I hereby affirm that I am exempt from the Contractor's License Lajv for the following reason: Q 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 Professtons 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). JTO) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profsssions 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. Q YES QNO 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 number / 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 / phone number / contractors license number): 5. I will provide some of the work, but I have contrac}ed)(hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATUB DATE HLDING^MITS O Is the applicant or future ^uilding j^ccupant required to simmit a llusinesslpla^i^>^cutely hazardous materials registration form or risk management and prevention program under Sections 2^505y25533 or 25534 of the Ptfesley-Tzfriner Haiirdous Substance Account Act? • YES • NO Is the applicant or future bilttcling occupant required to obtaiKjk($ermit from tri6-atr^ollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION 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 CitV 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 OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued bjfc,th«^building Official under the Drovisions of this Code shaJ expire by limitation and become null and void If the building or work authorized by such permit Is not cooflmencecKwithln 180 days fipm tha^Qale of such iiAprmit orlf thniullding or work authorized by such permit is suspended or abandoned at any time after the work is comrq||nced for ^ per^^of 18(^d^s (Sectian 106.4.4 LlilformBuilflrig Code). DATE APPLICANT'S SIGNATURE I WHITE: File YELLOW: Applic PINK: Finance City of Carlsbad BIdg Inspection Request For: 06/04/2002 Permit# CB010568 Title: ROZANSKY RESIDENCE Description: 400 SF RETAINING WALL Inspector Assignment: SR Type: RETAIN Sub Type: Job Address: 1772 DOVE LN Suite: Lot 0 Location: APPLICANT VANDER WERFF CONSTRUCTION Owner: ROZANSKY JON&JULIE Remarks: SEE SCOTT IN CODE ENFORCEMENT Phone: 7609300009 Inspector: Total Time: CD Description 69 Final Masonry Act Comments Requested By: JOHN Entered By: ROBIN Associated PCRs Inspection History Date Description Act Insp Comments 03/14/2001 62 Steel/Bond Beam AP SR OK TO GROUT 02/22/2001 61 Footing AP SR OK TO POUR CONCRETE City of Carlsbad Public Works Engineering BUILDING PLANCHECK CHECKLIST -RETAINING WALL BUILDING PLANCHECK NUMBER: CB/)/(!,^CyS BUILDING ADDRESS: / 77/^ B^x\A^ (Jt<\ PROJECT DESCRIPTION: Retaining Wall ASSESSOR'S PARCEL NUMBER: ' ^JlQ ' 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. Date: DENIAL Please see the attached report of deficiencies marked with •. Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit con-ected plans and/or specifications to this office for review. By: By: By: Date: Date: Date: ATTACHMENTS Right-of-Way Permit Application ENGINEERING DEPT. CONTACT PERSON NAME: JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad. CA 92008 PHONE: (760) 602-2775 H S\MnBrnnnr«!\riJKI S-nPMolnln(; Wall R, JMInQ Pl.n/WI. rmi Fnrm 11 .In,- nil OlYnmn ^t\. 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 ^ BUILDING PLANCHECK CHECKLIST RETAINING WALLS cxr97-is Coi- I 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow B. Existing & Proposed Structures (dimensioned from street) C. Property Lines Show on site plan: A. Drainage Patterns B. Existing & Proposed Slopes C. Existing Topography Include on title sheet: A. Site Address B. Assessor's Parcel Number C. Legal Description D. Grading Quantities Cut. D. E. Easements Retaining Wall (location and height) Fill Import/Export (Grading Permit and Haul Route Permit may be required) • 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. Page 1 \\LASPALMAS\SYS\UBIVkRY\ENGVWORDV>OCS\CHKI.ST\R«aMno WaH BuUding Plandwdt CkM Fonn JJ.daC PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST CO Plan Check No. CBOl* SC^ Planner Paul Godwin APN: Address MlQ, Dot/c Up. Phone 760-602-4625 QJ Type of Project & Use:. Zoning: CFD (In/out) #_ Circle One General Plan: Net Project Density: _ Facilities Management Zone: DU/AC Date of participation: Remaining net dev acres: (For non-residential development: Type of land used created by this permit: ) s a. Legend: IXI Item Complete Q Item Incomplete - Needs your action • • • Environmental Review Required: YES NO TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES _ APPROVAL/RESO. NO. DATE PROJECT NO. NO TYPE OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: 1^ Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES. CA Coastal Commission Authority? YES_ N0_ NO If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Dr, Suite 103, San Diego CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): 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. H:V\DMIN\COUNTER\BldgPlnchkRevChklst Inclusionary Housing Fee required: YES {Effective date of Inclusionary Housing Ordinance - May 21,1993.) NO Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Site Plan: ^. 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. nnn 2. provide legal description of property and assessor's parcel number. Zoning: nnn 1- setbacks: Front: Interior Side: Street Side: Rear: Required Required Required Required nnn 2. Accessory structure setbacks: Front: Interior Side: Street Side: Rear: Required Required Required Required Structure separation: Required Shown Shown Shown Shown Shown Shown Shown Shown Shown nnn 3. Lot coverage: Required Shown n n n 4. Height: Required Shown nnn 5. parking: Spaces Required Guest Spaces Required. nnn Additional Comments Shown Shown. OK TO ISSUE AND APPROVAL ENTERED INTO COMPUTE^^luO^/ft^iw^ DATE^Il^((^ H.\ADMIN\COUNTER\BldgPlnchkRevChklst a (BL ^ m m ,LETWR mw c mmt. LM£D- CB010568 1772 DOVE LN CBAD ROZANSKY RESIDENCE 400 SF RETAINING WALL DETAIN .ot#: VANDER WERFF CONSTRUCTION T-'i-^-^ I <x'^ ^1^'^ ^ » MJM FEES n