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
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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