HomeMy WebLinkAbout2732 WATERBURY WAY; ; CB941114; Permit09/12/94 14 :52
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B U I L D I N G
Job Address: 2732 WATERBURY WY
Permit Type: RESIDENTAL ADD/ALT
Parcel No: 167-432-03-00
Valuati on: 26 ,226
Constru ction Type : VN
P E R M I T
Su ite:
Lot#:
Permit No : CB941114
Project No : A9401560
Development No :
8600 09/12/94 0001 01
C-PRHT
02
457.00
Occupan cy Group: R3
Descripti on: 279 SF ROOM
Reference#: Status: ISSUED
08/29/94
09/12/94
MDP
ADDITION
Appl/Ownr : WORTHING, BROOKS
P.O.1 041
CAR LSBAD, CA. 92018
*** Fees Required *** ***
619
Applied:
Apr/Issue:
Entered By :
729-3965
Fees Collected & Credits *** ----------------------------------------------
Fees:
Adjustme n ts :
Total Fees:
Fee description
457.00
.oo
57.00
--------------------------
Building Permit
Plan Check
* BUILDING TOTAL
Enter "Y" for Electric Issue ee
Enter "Y" for Remodel * ELECTRICAL TOTAL
Total Credi t g,:
Total Payments :
13alan ce Due:
Units Fee/Unit -
.00
,00
4 57 .00
Ext fee Data
265.00
172.00
437 .00
10 .00 Y
10.00 Y
20 .00
I L APPROVA
;•r~sP. DATE t-=l-1 -=-4---'-+---4""-
1CLEAR _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1 161
PERMIT APPUCATION PLAN CHECK NO. ~ C( ..._ \ \ \ 'i
City.of Carlsbad Building Depart--.t
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438·1161 F.Sf. VAL, ___ Z.-...<t,.=..1...1 ...1,,m...::=:...=_
1. PlilMIT 1YPE
From List 1 (see back) give code of Pennie-Type: ___ ?f_...;..._1) _______ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: _____ $3-l-'..,_..&:Q..,.____....:;;..... ___________ _
Net Loss/Gain of Dwelling Units ---~(Z)/fl"'C.--------------1 2. PROJF.Cf INFORMATION ( FOR OFFICE USE ONLY
Address 27 32 W riw ht>-rv1
Nearest Cross Street I
fr/ ~lding or Suite No.
LEGAL DESCRIPTION Lot No. Suix11V1s1on Name/Number Onie No. Phase No.
CHECK BEIDW IF s08Mil I Eb:
□ 2 Energy calcs □ 2 Structural calcs D 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
EXISTING USE trad Ir ~ i ~ (Za,i,V\.I
PROPOSED USE
# OF STOirES # OF BEDROOMS # OF BATI-IROOMS
I
NAME (last name first) SAME ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. AJJPUCAN 1 0 CON IHACIOR LI AGEN I FOR CON I RACIOR u UWNtK LI ACEN I FOR OWNER
NAME (last name first) WORTHING INC. , B . A. ADDRESS P . 0 . BOX 1041
Cl1Y CARISBAD STATE CA ZIP CODE 92018 DAYTELEPHONE 729-3965
S. PHOPER1Y OWNER t
NAME (last name first) 1(eu t>e..tJ"-t E" 11\ (Q u\ "-1 \-1
CI1Y ~M-STATE (A-:-ZIP CODE
ADDRESS 27;2 W~ t;:vtrV)
t1?..t)6fo DAY TELEPHONE • 1:34 -~7 / 0
6. CXJN'l1tACJOR
NAME (last name first) WORTHING INC., B.A. (BROOKS) ADDRESS P .0 . BOX 1041
Cl1Y CARISBAD STATE CA ZIP CODE 92018 DAY TELEPHONE 729-3965
STATE LIC. # 398764 LICENSE CLASS B 1 CITY BUSINESS LIC. # 5492QQ
D£slCN£R NAME (last name l1rstJ WORTHING ADDRESS INC . , B . A. P . 0 . BOX 1 0 4 1
CITY CARLSBAD STATE CA ZIP CODE 92018 DAY TELEPHONE 72g 3965 STATE LIC. #B-1 392894
1. WollKl!Jts' rnMP£NsA'i1ON
Workers' Compensauon Declaration: I hereby alhrm that I have a cerullcate of consent to sell-insure issued by the Director of lnduscnal
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 (Section 3800, Lab. C).
INSURANCE COMPANY STATE FUND POLICY NO. 229-6537 EXPIRATION DATE 1/95
Cerullcate of Exemption: I certify that m the perlormance of the work for which this permit 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of california.
SIGNATURE DATE
8. OWNER-BUUDl!Jl oECLA1t\'11oN
Owner-Builder Declarauon: I hereby afbrm that I am exempt from the Contractor's License Law for the iollowmg reason:
D 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.).
D 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).
□ I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit 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)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
SIGNATIJR.E DATE
coMPLEi'E TIiis SECMON FOR NON-RESIDENTIAL 801illlNC PERMITS ONLY:
Is the applicant or future building occupant required co submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERT11'1CATE OF oa:tJPANCY MAY NITT BE IS.5UED AFTER JULY 1, 1989 UNl£SS THE APPUCANT
HAS MET OR IS MEE'I1NG nm REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POU.UTION OONlllOL DlSilUCT.
9. CXJNS'l1t0Cl1oN LENDlNG AGENCY
I hereby affirm that there 1s a construction lending agency for the pertonnance of the work for which this permit 1s issued (Sec 3097(1} Civil Code}.
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANI CTRIUICAIION
I certify that I have read the appllcatJon and state that the above mlormauon 1s correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of earls bad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE ·ro SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CAJUSBAD AGAINST AU UABIIIl1F.S, JUDGMENTS, CDSTS
AND EXPENSES WI-DOI MAY IN ANY WAY ACXJUJE AGAINST SAID 01Y IN CDNSEQUENCE OF THE GRANTING OF nns PERMIT.
OSI!k 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 pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such pennit is suspended or aba ned any time af the work is commenced for a period of 180 days (Section 303(d) Unifonn Buildi"l Cod,.. 4 APPLICANrs SIGNATURE -~J---DATE: 8, -Z.'fr'1 I
ile YEILOW: Applicant PINK: Finance
' PERMIT# CB941114
DESCRIPTION: 279 SF ROOM
TYPE: RAD
JOB ADDRESS:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/23/94
ADDITION
STE:
INSPECTOR AREA PY
PLANCK# CB941114
OCC GRP R3
CONSTR. TYPE VN
LOT:
APPLICANT:
CONTRACTOR:
2732 WATERBURY WY
WORTHING, BROOKS PHONE: 619 729-3965
PHONE:
OWNER: PHONE:
REMARKS: BJN/DIANA/729-3965 INSPECTOR -----4~----,"1'---------
SPECIAL INSTRUCT: REQUESTS A.M. INSPECTION 1 (/
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
'
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
-------------------
***** INSPECTION HISTORY*****
DATE
102194
101994
101294
101294
092994
DESCRIPTION
Interior Lath/Drywall
Insulation
Roof/Reroof
Rough Combo
Ftg/Foundation/Piers
ACT
AP
AP
AP
AP
AP
INSP
PK
PY
PD
PD
PY
COMMENTS
DATE:
ESGIL CORPORATION
q
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
I ' 6 ( 14
JURISDICTION: CfT y OE CARlS"BAJJ
;;a;
JURISDICTION
PLAN CHECKER
QFILE COPY
QUPS
QDESIGNER
PLAN CHECK NO : 94-1114 SET:
PROJECT ADDRESS: ____ 2---'-7~3:::......::::2=---__ 0......_../~"'--+-h~~~r~k=n,.._,_r1~1-.....J.<..1&2=~~v • I I
PROJECT NAME: _ ____,_.Qi....::1J~1 N..,.__._1\J--=--------------'S=-'-F_,C>"--,,_ADD f 1/0N
□
ii]
□
□
□
ifm
The plans transmitted herewith have been corrected where
necessary and substantially comply with the .jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdic~ion's building codes when minor deficien-
cies identified befe,u are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
The check list transmitted herewith is for your information.
The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
\AJor--1-h, d I l?C,, ~A·
R o. Box 104-l CB
[lllN Esgil staff did not advise the applicant contact person that
plan check has been completed.
D Esgil staff did advise applicant that the plan
been completed. Person contacted: _____________ _
Date contacted: ---------
IID) REMARKS:_~f..C--=--=:.LWl~~~Ll.---{.Lil-_J.__,j=c...,...::_~::._-!.LL.=____:;;t::7<!.L!.!.!.~
By:· ~V/0 VA-·{)
ESGI CORPORATION ( c,7 i-1
OGA O CM 0PC
. ..
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 56(} 1468
DATE: D APPL I C:.:.;A:.:.;N;.,::T __ _
~R-l"St)i CT ION -=:::> D PLANCHECKER JURISDICTION: CCI Y Of CAf2L$.BAD
PLAN CHECK NO: /{(4 SET: J:
QFILE COPY
QUPS
QDESIGNER
PROJECT ADDRESS: ___ Z_7....;_s_z. __ ----=W_c;,.._fe........_.r~b~4=n-''-+---'w=-><a~\/_
I I
PROJECT NAME: __ &_u_1 ....... N ...... N_.._ _______ -----='S"--F...____.,D=--At:>DIT/otf
D
D
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdic~ion's building codes when minor deficien-
cies identified-,-------------are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
b-elow m The check list transmitted Mrewith is for your information.
llli1J The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
D
m
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
Wo y th I n 1-/ r, c I ls., A , V '
p , 0. Sox. /011 . CB c,A Cf2olf:
~ Esgil staff did not advise the applicant contact person that
'f.W!1 plan check has been completed.
O Esgil staff did advise applicant that the plan check has
been completed. Person contacted: -------------
Date contacted: Telephone# ------------------
-REMARKS : __ 7¼!'-"-'-..._P _ __,h..,_':(S'=--..t_-..c.:.h=-=-"' v'-'e.,""'-----',:)-o::c...::::."-',%=:..._...:"...,£'----.:q::i..J,,_,,J,1.1..r'..L.±.:.::f'h..-:.c.:::. _ _.,+lc....½t..::o:..::q---L-~9~Jc..:::P.:::.°',,..::::,
( it "-{'p-ea >:c ±hr h[Ag C I s rn°~t s-{q h o::n 3 mle } Q ( :+her m f\. I
By:· ];)AVID ~
ESGIL CORPORATI ¾o Enclosures:
□GA OcM ffiPC
ENERGY REQUIREMENTS FOR RESIDENTIAL ROOM ADDITIONS -CLIMATE ZONE 7
Floor Area of Room Addition
CQMPQNENT <100 fl/
INSULATION
Ceiling R-19
Wall R-13
Floor R-13
GLAZING (FENESTRATION)
U-Value1 0.75
% of added floor area ~50 sq. f t.
SHADING
THERMAL MASS
n/a
n/a
SPACE HEATING Note 45
(no electric allowed)
If Gas, efficiency=
If Heat Pump:
Split System, efficiency=
Single Package System, eff.=
SPACE COOLING Note5
If Split System, eff.=
If Single Package, eff.=
WATER HEATING Note '
100-499 ft2
R-30
R-13
R-19
0.75
20% + Removed'
7 8 %AF;UE 5
6. 8HSPF5
6. 6HSPF5
10. 0SEER5
9. 7SEER5
Note'
500-999 ft2 >1000 f t 2
R-30 R-30
R-13 R-13
R-19 R-19
0.75 0.75
20% + Removed2 20%
. 663 . 663
Req. 4 Req. 4
78%AFUE5 78%AFUE5
6. 8HSPF5 6.8HSPF5
6. 6HSPF5 6. 6HSPF5
10. 0SEER5 10. 0SEER~
9. 7SEER5 9. 7SEER5
Note' Note'
1 . Please note that some metal-frame windows may not satisfy the U-value requirement of
0. 75. For additions and alterations only, dual glazed "greenhouse" windows and skylights may be assumed to meet this requireme nt.
2. 20% of added floor area plus the area of any glazing removed because of the addition.
3. A coefficient of . 0.66 will be assumed to be provided when dual glazing is used.
4. If the addition will be on top of existing construction, and:
(a)If the addition has conditioned area below all portions, then no thermal mass is required.
(b)If the addition will be over non-conditioned area (partially or wholly) in a building
mo stly of raised-floor construction (after the addition), then thermal mass is required
in the a.ddition (equal to 5% of the area of the addition that is over non-conditioned
space). This may be provided by showing a 2" concrete slab at hearths, countertops, etc.
(c)If the addition will be over non-conditioned area in a building mostly of slab-on-
grade construc tion (after the addition), then no thermal mass is required.
If the addition will be at the ground floor, and:
(a)If the addition will be in a building mostly of raised-floor construction (af ter the
addition), then thermal mass is required in the additi on (equal to 5% of the added
conditioned f ootprint area). This may be provided by showing a 2" concrete slab at hearths, countertops, etc. •
__..,_(b)lf the addition will be in a buildinQ: mostly of sJab-oo-grade construction (after
the addition), then thermal mass 1s required in the addition (e~al to 20\ of the added
conditioned slab-on-rade floor area). This may be provided by covering a portion o f
tile, wood, etc .
5. If the existing system will be utilized (if no additional systems are needed to provide
UBC heating requirements), there are no special requirents, other than mandatory
insulation for any extended ducts, etc.
6. If the total number of water heaters increases in the residence, then calculations must
be submitted to show that t he entire existing-plus-addition system meets the water
heating energy budget.
9-93 ER-RA7
-• --.•-··-· .......... ,.,,. ..... ,..,..........,~.--..,_----·· .
Jurisdiction. _ ___:..C~Aup.Ls~=B~AD-=--
Prepared bys
fe\VIP V,A-o VALUATION AND PLAN CHECK FEE
□ Bldg. Dept.
O Esgil
/
PLAN CHECK No. __ 2~{_-_(~!/_9_
BU I LDING ADDRESS _ ___,;.~_7w5.::..<-=-_ __::.:t,J~g~fe--=-J-....1.J,~,...,, y-j,L-l _....:t,u=e-+v _______ _
APPLICANT/CONTACT _________ PHONE NO~--------
BUILDING OCCUPANCY R-3 DESIGNER PHONE ------
TYPE OF CONSTRUCTION __ V~-N_,;_____ CONTRACTOR PHONE ____ _
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
Ao(){,,o t--1· :z. 7 9
.. .,
Air Conditionine:
Commercial @ ..
Residential ca
Res . or Comm.
Fire Surinklers @
Total Value fo .:26,.2 .2.t{ L._
Building Permit fe e $ $
/7 7 'l-1: Plan Chec k r ee-'$"--__________________ .....,$ __ ....;.__<--___ _
COM MEN TS._:-----------------------------
SHEET _L_ OF_/,___
12/87
City of Carlsbad
M #i h· • i ,144 4 i ,t• 1 •14 ·iH U, ,1401
~ BUILDING PLANCHECK CHECKLIST
DATE: 9, fl :f: /. 1 PLANCHECK NO. CB & ..,. J// t/--
BUILDING DDRESS: ~-3:;a u/~::~~a/"11-~ 1
PROJECT DESCRIPTION: £) ,P. 77' J!A , ' _/ 'y.:,1 ~
ASSESSOR's PARCEL NUMBER: /t, 7-¥i-s -o.3 !:r EST. VALUE e?4" ~.v6
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.
DENIAL
Please see the attached report of deficiencies marked
with D Make necessary corrections to plans or
specifications for compliance with applicable codes and
standards. Submit corrected plans and/or specifications
to this office for review.
By: __________ Date: ___ _
□ By: Date: A Right-of-Way permit is required prior to construction --------------
of the following improvements:
ATTACHMENTS
D Dedication Application
□ Dedication Checklist
D Improvement Application
D Improvement Checklist
D Future Improvement Agreement
D Grading Permit Application
□ Grading Submittal Checklist
D Right of Way Permit Application
□ Right of Way Permit Submittal Checklist
and Information Sheet
D Sewer Fee Information Sheet
By: _________ Date: ___ _
ENGINEERING DEPT. CONTACT PERSON
NAME:, _____________ _
City of Carlsbad
ADDRESS: 2075 Las Palmas Dr., Carlsbad, CA 92009
PHONE : {619) 438-1161, Ext.
A-4
P:\DOCS\CHKLST\BP0001 .FRM REV 05/11 /94
2075 L as Palmas Or.• Carlsbad, C A 92009-1 576 • (619) 438-1161 • F A X (619) 4 38-0894
I□
BUILDING PLANCHECK CHECKLIST
SITE PLAN
d✓ 3rd✓
D 1. Provide a fully dimensioned site. plan drawn to scale. Show:
□
□
A. North Arrow
8. Existing & Proposed Structures
C. Existing Street Improvements
2. Show on site plan:
A. Drainage Patterns
8. Existing & Proposed Slopes
D. Property Lines Easements
E. Easements
F. Right-of-Way Width & Adjacent Streets
C. Existing Topography
3. Include note: "Surface water to be directed away from the building foundation at a 2%
gradient for no less than 5' or '2/3 the distance to the property line (whichever is less)."
(Per 1985 U8C 2907(d)5].
On graded sites, the top of any exterior foundation shall extend above the elevation
of the street gutter at point of discharge or the inlet of an approved drainage device
a minimum of 12 inches plus two percenr (per 1990 U8C 2907(d)5.).
4. Include on title sheet
A. Site address
8. Assessor's Parcel Number
C. Legal Description
For commercial/industrial buildings and tenant improvement projects, include: Total
building square footage with the square footage for each different use, existing sewer
permits showing square footage of different uses (manufacturing, warehouse, office,
etc.) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
P:\DOCS\CHKLST\BP0001.FRM Page 1 at 4 REVOS/11/M
BUILDING PLANCHECK CHECKLIST
DISCRETIONARY APPROVAL COMPLIANCE
t✓ 2nd✓ 3rd✓
n □ □ 5. Project does not comply with the following Engineering Conditions of approval for
Project No. _________________________ _
Conditions were complied with by: ______ _ Date: _______ _
DEDICATION REQUIREMENTS
6. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and for
remodels with a value at or exceeding $ ______ -pursuant to Code Section
18.40.030.
Dedication required as follows: __________________ _
Attached please find an application form and submittal checklist for the dedication
process. Provide the completed application form and the requirements on the
checklist at the time of resubmittal.
Dedication completed by ____________ _ Date: ____ _
IMPROVEMENT REQUIREMENTS
D D D 7a. All needed public improvements upon and adjacent to the building site must be
constructed at time of building construction whenever the value of the construction
exceeds $ S:Oj o::::P::::2) -pursuant to Code Section 18.40.040.
Public improvements required as follows: ______________ _
Please have a registered Civil Engineer prepare appropriate improvement plans and
submit them together with the requirements on the attached checklist for a separate
plancheck process through the Engineering Department. Improvement plans must be
approved, appropriate securities posted and fees paid prior to issuance of permit.
Attached please find an application form and submittal checklist for the public
improvements requirements. Provide the completed application form and the
requirements on the checklist at the time of resubmittal.
Improvement Plans signed by: ___________ _ Date: ___ _
P:\DOCS\CHKLST\BP0001.FRM Page 2 ~ 4 REV 05/11/M
1st✓ 2nd✓ 3rd✓ □ □ □
BUILDING PLANCHECK CHECKLIST
7b. Construction of the public Improvements may be deferred pursuant to code Section
18.40. Please submit a recent property title report or current grant deed on the
property and processing fee of $ _________ so we may prepare the
necessary Futur.e Improvement Agreement. This agreement must be signed, notarized
and approved by the City prior to issuance of a Building Permit.
Future public improvements required as follows: ____________ _
Improvement Plans signed by: ___________ _ Date: ____ _
D D D 7c. Enclosed please find your Future Improvement Agreement. Please return signed and
notarized Agreement to the Engineering Department.
Future Improvement Agreement completed by: ____________ _
Date: --------
7d. No Public Improvements required. SPECIAL NOTE: Damaged or defective
improvements found adjacent to building site must be repaired to the satisfaction of
the City Inspector prior to occupancy.
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section 11 .06.030
of the Municipal Code.
D D D 8a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
D D D 8b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be Submitted together with the completed application form attached.
NOTE: The Grading Permit must be issued and rough grading approval obtained prior
to issuance of a Building Permit.
Grading Inspector sign off by: ________ _ Date: -----
8c. No Grading Permit required.
P:\DOCS\CHKLST\BP0001.FRM Page 3 of 4 REVOS/11/M
BUILDING PLANCHECK CHECKLIST
MISCELLANEOUS PERMITS
,J/Jt✓ 2nd✓ 3rd✓ '/ft □ □ 9. 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. Types of work include, but are not
limited to: street improvements, trees, driveways, tieing into public storm drain, sewer
and water utilities.
4
~
□ □ 10.
□ □ .11 .
t~ ~{I
~
Right-of-Way permit required for _________________ _
A separate Right-of-Way permit issued by the Engineering Department is required for
the following: _______________________ _
A SEWER PERMIT is required concurrent with the building permit issuance. The fee
is noted in the fees section on the following page.
INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial
Waste Permit Application Form and submit for City approval prior to issuance of a
Permit.
Industrial waste permit accepted by: ________ Date: ___ _
P:\DOCS\CHKLS1\BP0001.FRM Page 4 ~4 REV 05/11/94
~ { .. .. .. .. .. .. • • • 0 0 0 ~I I I
~ ~ ~ -N -~ ... ... ... .., .., ~ .. .. .c .c .c u u u
i i i
a'. a'. -~
PLANNING QIECKLISf
Plan Check No. 94-//Ji/-Address 2 71 '2... W/J T &7Ju &/ tu f
Planner __ V_A_N_LY_N_C_H ______ Phone 438-1161 ext. _4_32_5 ____ _
(Name)
APN : ___________________________ _
Type of Project and Use ™ tlJ-::P'b il?V~
Zone {2., f Facilities Management Zone __ ·2_. ___ _
Q'I) (in/~)# ~ (,.tf .... p_r_o_pe_rty __ m_, -co-m----.pl.-ete SPECIAL TAX CALCULATION
[Z]
19)
WORKSHEET provided by Building Department.)
Item Complete
Item Incomplete • Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
~ 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 _ NO K TYPE __ _
APPROVAI./RESO. NO. __ _ DATE: -------PROJECT NO. ___ _
OTHER RELATED CASES: ____________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
California Coastal Commimon Permit Required: YES _ NO~
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1 725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
~ Inclusioruuy Housing Fee require:I: YES _ NO .Q(_
(Effective date of [nclusionary Housing Ordinance • May 21, 1993.)
Site Plan:
1.
2.
Zoning:
1.
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width, dimensioned
setbacks and existing topographical lines.
Provide legal description of property, and assessor's parcel number.
Setbacks:
Front: Required 'lo I Shown 2,j~ c 1/o ~~~~Side: Required "Z: C/ Shown ~. 0
.Street Side: Required Shown -Rear: Required L~B Shown 5,qr
✓o□o./tr 2. Lot coverage: Required Shown
cr6 o I?~ 3. Height: Required Shown ~ o/-, 4. Parking: Spaces Required Shown
Guest Spaces Required Shown
□□□ Additional Comments
OK TO [SSUE AND ENTERED APPROVAL [NTO COMPIITER (,/. fy,,L
PLNCK.FRM