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HomeMy WebLinkAbout2196 CORTE LIMON; ; CB023311; Permit11-26-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Retaining Wall Permit Permit No CB023311 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2196CORTELIMONCBAD RETAIN 2552514400 Lot* $7,375 00 Construction Type 0 NEW CLINTON RESIDENCE 500 SF RETAINING WALL, GAS LINE, CITY SPECS Status Applied Entered By Plan Approved Issued Plan Check* ISSUED 10/30/2002 MDP 11/26/2002 11/26/2002 Inspect Area Applicant ANDERSON'S LA COSTA NURSERY 400 LA COSTA AV ENCINITAS CA 92054 760-753-3153 CLINTON CURTIS A&STEFFEF&E&$M?6/02 02 CGP 167=08 2196CORTELIMON CARLSBAD CA 92009 Total Fees $16708 Total Payments To Date $000 Balance Due $16708 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $8429 $000 $5479 $000 $1 00 $000 $000 $2700 $000 $16708 Inspector FINAL APP Date V*Clearance 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 vniyiMi ivyiv 'ij-a.* .?.•: .'-...*. ^OJL. *: >Coa-t-g Uwvsto FOR OFFICE USE ONLY PLAN CHECK NO 6>'2-- EST VAL LL. Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel #Existing Use ^^L H ^>f Stones ^ \ Proposed Use Description of Work SQ FT 2 CONTACT PERSON (if different from applicant) tt of Bedrooms # of Bathrooms To, ..Fins P\T~' " Name Address City :3 " APPLICANT%il^: Contractor "'•, Q Agent for Contractor D Owner ;;SQ Agent for Owner State/Zip Telephone tt Fax tt Narr^e l ~ V 4 PROPERTY OWNER "*' Address City :..!./• ..::,. I1 ^' 'I'"' *l " State/Zip Telephone tt Address City State/Zip Telephone ttName J5i.;,CONTRACT6R>C6MPANY'NAME::.%a:'-:-..SF: /'"..'it:'..;.:;,.., •^c."" ;''! ii L 'ft', <., ,„. ' : ' ..:,- , ,A . . i. >Y J°,. " 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 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 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]) to J City State/Zip Telephone i City Business License tt \2^ n Z^ Z- r) Name State License # ddress License Class C-1-T- Designer Name State License tt 6 llWORKERS1 COMPENSATION 'Address City State/Zip Telephone i Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations PI 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 SJ 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 ^VfrE & \3ifViP- S^O^fe "fcv>Q Policy No \(*-p%yQ\ _ Expiration Date ^ \ • (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) -- l~l 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 Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$100 000) inraddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE U -- tZZ&^^^ _ . _ DATE \ Q "2T\ Q ~2 7:i OWNER- . . .. . ..., I hereby affirm that I am exempt from the Contractor's License Law for the following reason [~1 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) n 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) l~l 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 l~lNO 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 contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE COMPLETE THIS SE'CTION DATE :-\ , SirSJiiA 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? l~l YES C] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES d NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? d YES Q 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 ?CONStRUCTldNrlEND!NGhAGENCY ,si> " " •, c:':"' ...... i ' - " " '"V ': • : .••"' i ; 'I ' "• ' • ' ^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME _ LENDER'S ADDRESS __ 9 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 5'0" deep and demolition or construction of structures over 3 stories 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 1 80 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a perior^of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE I s -- —^Z^lS? _ DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/14/2003 Permit* CB023311 Title CLINTON RESIDENCE Description 500 SF RETAINING WALL, GAS LINE, CITY SPECS Inspector Assignment JM 2196 CORTELIMON Lot 0 Type RETAIN Sub Type Job Address Suite Location APPLICANT ANDERSON'S LA COSTA NURSERY Owner CLINTON CURTIS A&STEFFERUD KAY C Remarks Phone Inspector Total Time CD Description 65 Retaining Walls 68 Fireplace/Tie Straps Requested By NA Entered By CHRISTINE Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 02/05/2003 63 Walls 01/14/2003 61 Footing 01/14/2003 63 Walls 12/10/2002 23 Gas/Test/Repairs 12/10/2002 31 Underground/Conduit-Wiring AP JM OK TO GROUT WALL DRAINS OK AP JM OK TO POUR WC JM AP JM OK TO BACKFILL FIRE PIT PA JM CONDUIT ONLY TO SPA City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS & 1 9 £3 Cnn 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 carefully all comments attached, as failure to comply with instructions in this report can result ipjsuspension of permit to build Date DENIAL Please see Xhe/ attached report of deficiencies marked with pf Make necessary corrections to plans or speoifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review 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 \WnRn\nnr<!U-HKI ST\Rcl3in,nn Wall R,,iMin0 Pl3n.-hi.rf, Pkkl Fnm, I I rinr 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-2720 • FAX (760) 602-8562 (IS BUILDING PLANCHECK CHECKLIST RETAINING WALLS Provide a fully dimensioned site plan drawn to scale Show A North Arrow D Easements , , . B Existing & Proposed Structures /T)Retaming Wall - l"V<ay> \ (dimensioned from street) (location and height) C Property Lines 2 Show on site plan Drainage Patterns Ex,st,ng & Proposed Slopes C Existing Topography 3 Include on title sheet A _ Site Address 'Assessor's Parcel Number Legal Description Grading Quantities Cut WW £ Fill Import/Export Grading Permit and Haul Route Permit may be required) Q 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 Page 1 \\USPALMAS\SYS\LIBRARY\ENG\WORD\DOCS\CHKLST\Retaimng Wall Building Plancheck Cklst Form JJ doc I . r '_ ;. - -''V-f' : "'' <.'" 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PLANNING/ENGINEERING APPROVALS PERMIT NUMBER ADDRESS DATE RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE DocsyMisforms/piannirig Engineering Approvals 2.2002 4 25PM NO 2732 P 2 POLICYHOLDER COPY PO BOX 4 20807, SAN FRANCISCO, CA 94142-0807 PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE eoMPHN5AY»OM INSURANCB JULY 2, 2002 CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT P 0 BOX 26000 SACRAMENTO CA 95826 GROUP. 000017 POLICY NUMBER 64-2002 CERTIFICATE ID. 1 CERTIFICATE EXPIRES. 05-01-2003 OS-03,-2002/05-01-2003 #704643 05-01-02 LADO This is to certify that we have issued a valid Wooer's Compensation insurance policy in a form approved by the California Insurance Commissioner to trie employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions, of such policies AUTHORIZES REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE EMPLOYER HIRSCH, MIKE AND HIRSCH, PATRICIA DBA ANDERSON'S LA. COSTA NURSERY 400 LA COSTA AVENUE ENCINITAS CA 92024 SCIF 10265