HomeMy WebLinkAbout1022 PINE AVE; ; CB930995; PermitBUILDING PERMIT Permit No: CB930995
Project No: A9301403
Development N:
10/22/93 11:04
Page 1 of 1
Job Address: 1.022 PINE AV
Permit Type: RESIDENTAL ADD/ALT
Pcircel No: 204-111-18-00
Valuation: 73,29q
Constr uction Type: VN
Occupancy Group: R3/MI
Description: 660 SF ADD OVER 660
+ DECK/STAIRS
Appl/Ownr : DOKKEN, GORDON
1022 PINE AVENUE
CARLSBAD, CA 92008
Reference4t: 4404 .10 002 SF GARAGE App °''iotb
Apr/Issue: 10/2i../93
Entered By: DC
619 729-6214
Suite:
Lot#:
AA Fees Required A/ - '( 1\ Lç.ected & Credits
----------------------- \_ _L_L.L_L..
Fees: 1
Adjustments: / . . .00
Total Fees: 307.00
S - I' -'. Ba aoc Fu'r: 707.00
Fee descriDtion Units C~ t- Extf ee
Building Permit •, r 52.00
Plan Cieck . / 340.00
Strong Motion Fee \.. f) < \.. 7.00
A BUiLDING TOTAL " '1/ 4 ! I ' 870.00
Enter "Y for PlumL.. 20. (10 Y
Each Plumbing Fixtthe': T 'ap 35.00
Each Building Sewer S \ / . > .
r , 15.00
Each Install/Repair -i,jrj 'PR.flD ' nO 7.01)
Each Water Heater andYor:rt > C0 7.()
Gas Piping System J/ .: (10 7.()o
* PLUMBiNG TOTAL . ( .' / 9.0c
Enter "1" for Electric \Isstt': Fc. i' - .' 10.00 Y
Enter "Y" for Remodel 10.00 Y
ELECTRICAL TOTAL --- 20,00
Enter Y' for Mechanical Issue Fee> 15.00 Y
Install Furn/Ducts/Heat Pumps > 1 9.00 9.00
Each. Instali/Reloc Vent > 2 4.50 9.00
A MECHANICAL TOTAL 33.00
INAPPROV.
1NSP(,L DATE
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PUA IlcL1
7 •
City of Carlsbad Building Department
2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PER?i1T TYPE
A - Li Commercial Li New Building Li Tenant Improvement
B - 0 Industrial 0 New Building 0 Tenant Improvement
C -' Residential 0 Apartment 0 Condo 0 Single Family Dwelling 'Addition/Alteration
Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing
Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________
PLAN CHECK NO. 95
ESE VAL 7O'
PLAN CK DEPOSIT p
!V,&1JJ) BY hC
3919 09/15/93 0001 01 02
C-PRMI 30700
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address IOZZ PlmiE AVE Building or Suite No.
Nearest Cross Street vpiwe
LEGAL DESCRIPTION Lot No. subdivision Name/Number Unit No. Phase No.
2e4- o4c - CHECK BELOW IF SUBMrITED:
2 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope
ASSESSOR'S PARCEL FXST1NG 11SF. pnnpnccn irce
DESCRIPTION OF WORK
VU. 2 P # OF STORIES
NAME e-c OAFT11461 AN)%4P. ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
APPLICANT Li CONTHAUUOR U AGENT FOR CONTRACUI{ LI OWNER GENT FOR OWNER
NAME T' PEA FTING ADDRESS tz4ç cXC'Ee ozve
CITY VIA STATE .A ZIP CODE Zo 84 DAY TELEPHONE O) 72-4-74, PROPERTY OWNER
NAME CioeN ADDRESS 107-2.. ?N€ A'JE
CITY C L , STATE A ZIP CODE 2.bo8 DAY TELEPHONE i, 77-CZ4 TRACI1M B-7=
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE DC. # LICENSE CLASS CITY BUSINESS DC. #
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE DC. # WORKERS' WMPENSA HON
Workers' Compensation Declaration: I hereby affirm that I have a certificate 01 consent to sell-insure issued by the Director of 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 (Section 3800, Lab. Q.
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate 01 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.
SIGNATURE DATE
OWNER-BUILDER DECIARA11ON
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
bil 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.).
0 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).
0 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 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)
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]).
SIGNA11JRE)ik J (p AN DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
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?
DYES 0 N
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES 0 N
IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NCYF BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF 11W OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT'.
WNSTRLJCI1ON LENDING AGENCY
I hereby affirm that there is a construction lending agency for the perlormance 01 the work for which this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct. 1 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIIIFIES, JUDGMENTS, (X)STS
AND EXPENSES WHICH MAY IN ANY WAY A(XIRIJE AGAINST SAID C1Y IN CONSEQUENCE OF 111E 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 365 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 period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE JJ DATE:
WI-IITE: File YELLOW: Applicant PINK: Finance
06/09/95 INSPECTION HISTORY LISTING
FOR PERMIT# CB930995
DATE INSPECTION TYPE INSP ACT COMMENTS
03/14/95 Final Combo RI RI
03/14/95 Final Combo PY CO
02/28/95 Frame/Steel/Bolting/Wel RI RI
02/28/95 Frame/Steel/Bolting/Wel P1 CO
02/28/95 Frame/Steel/Bolting/Wel PY NR
12/06/94 Shear Panels/HD's RI RI
12/06/94 Shear Panels/HD's P1 WC
12/06/94 Interior Lath/Drywall PY AP
12/06/94 Rough Electric RI RI
12/06/94 Rough Electric P1 AP
10/25/94 Rough Electric P1 AP
10/25/94 Final Combo RI RI
04/26/94 Roof/Reroof P1 AP
04/26/94 Rough Combo PY AP
04/25/94 Frame/Steel/Bolting/Wel RI RI
04/25/94 Frame/Steel/Bolting/Wel P1 CO
04/14/94 Gas/Test/Repairs PY CO
04/13/94 Shear Panels/HD's RI RI
04/13/94 Shear Panels/HD's P1 AP
04/13/94 Gas/Test/Repairs RI RI
04/13/94 Gas/Test/Repairs P1 CO
03/29/94 Ftg/Foundation/Piers P1 AP
03/29/94 Steel/Bond Beam RI RI
03/29/94 Steel/Bond Beam P1 WC
03/24/94 Ftg/Foundation/Piers RI RI
03/24/94 Ftg/Foundation/Piers P1 WC
03/24/94 Underground/Under Floor P1 AP
03/22/94 Underground/Under Floor RI RI
03/22/94 Underground/Under Floor P1 CO
03/21/94 Rough/Topout RI RI
03/21/94 Rough/Topout PK CO
MW
ND DRYWALL TAPED
NW/729-6214
NOT HOME
NO ONE THERE
MW/GORDON/729-6214
MW/GORDON/729-6214
MW/GORDON
BJN/DON/94 0-42 57
SEE NOTES
ND PRESSURE TEST
MH/DON/94 0-42 57
OK TO WRAP LOWER LEVEL
NH/ DON/ 940-4257
ND METAL ON HORIZONTAL
MH/GRODON/729-6614
MH/GORDON/729-6214
BJN/GORDON/
SEE CORR 3/21 PER PAT
BJN/GORDON/729-62 14
SEE NOTICE
HIT <RETURN> TO CONTINUE...
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB930995 FOR 03/14/95 INSPECTOR AREA PY
DESCRIPTION: 660 SF ADD OVER 660 SF GARAGE PLANCK# CB930995
+ DECK/STAIRS 0CC GRP R3/Ml
TYPE: RAD CONSTR. TYPE VN
JOB ADDRESS: 1022 PINE AV STE: LOT:
APPLICANT: DOK KEN, GORDON PHONE: 619 729-6214
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MW INSPECTOR
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural ,t4J
29 PL Final Plumbing 39 EL Final Electrical
49 ME Final Mechanical
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
022895 Frame/Steel/Bolting/Welding CO PY NOT HOME
022895 Frame/Steel/Bolting/Welding NR PY NO ONE THERE
120694 Rough Electric AP PY
120694 Interior Lath/Drywall AP PY
102594 Rough Electric AP PY
042694 Rough Combo AP PY
042694 Roof/Reroof AP PY
042594 Frame/Steel/Bolting/Welding CO PY SEE NOTES
041494 Gas/Test/Repairs CO PY ND PRESSURE TEST
041394 Shear Panels/HD's AP PY OK TO WRAP LOWER LEVEL
041394 Gas/Test/Repairs CO PY ND METAL ON HORIZONTAL
032994 Ftg/Foundation/Piers AP PY
032494 Underground/Under Floor AP PY
032294 Underground/Under Floor CO PY SEE CORR 3/21 PER PAT
032194 Rough/Topout CO PK SEE NOTICE
ESGIL CORPORATION
9320 CH.SAPEAKE DR., SUITE 203
SAN DIEGO, CA 92123
(619)560-146.3
-
,-URSDiCTiO)
SD.ICTIO: _Ct5 o'-
COZY
O: (—, c23q4kSET: c V)
DSIG
??OCT SS: fT) Ct4
'! ST.ttaQ aVC an cc::actad 'a:a
U necessary and suszant.ailv CC?lV tI t:- .rscct.on's
building codas.
?lanS tr a. stt .5C1tn •.•fl s stantially CCply
'ith tna 5rsd.c:pn t s c: codas en .no: CZ1C:an-
CS
cc:d by biilding department staff.
transmitted herewith 'n a ve significant deficiencies
U 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.
LJ The plans are being held at Esgil Corp. until corrected
clans are submitted for recheck.
D T1 a?plcant t s coy of the check list is enclosed for the
rjsccton to return to t ap?lcant contact person.
The applicant's coy of the check list been sent to:
!sil staff did not advise the a?licant contact parson that
plan check has bean completed.
D Es.gil staff did advise ??c that the plan check has
been com1eted. Person contacted:
Date contacted: Telephone
. s. viZ ri' '•L &.QJij iu ,
'E~IC6V'A4 C_ LiArP 4AT)
_V jvv 4(t v bo't re, 'f . 2ks 1_
3y: a\ 'C>aA re Encl osures
ESGIL COR?O;TIO
OGA Dc
t
Date L Jurisdiction_______________
Prepared by: (3 Bldg. Dept.
VALUATION AND PLAN CHECK FEE 'Esgi1
PLAN CHECK NO,( 3— ir_c
BUILDING ADDRESS - i 'P
APPLICANT/CONTACT 1— PHONE NO.
-
BUILDING OCCUPANCY DESIGNER PHONE___________
TYPE OF CONSTRUCTION -+J CONTRACTOR PHONE -
BUILDING PORTION BUILDING ARk VALUATION
MULTIPLIER
VALUE
-. 7(
Air Conditioninz
Commercial -
Residential
Res. or Comm.
Fire _Sprinklers
Total Value
Buildin Permit Fee $_ S
Plan Check Fee S $ 33
COMMENTS:
SHEET Ct) OF 6)
12/87
By:_ Date:_________
A06k
_ C i t of Carlsbad
BUILDING PLANCHECK CHECKLIST
DATE: PLANCHECK NO. I ,
BUILDING ADDRESS:.
PROJECT DESCRIPTION:
ASSESSOR's PARCEL NUMBER: VALUE2, 7v
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 0. 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:_________
ATTACHMENTS fE ,1JtT17 CONTACT PERSON
O Dedication Application
O Dedication Checklist ~xx~vv 'i /
O Improvement Application
O Improvement Checklist NAME:_____________________________________
O Future Improvement Agreement
ADDRESS:
PHONE:
P:\docs\chklst\bp0001.frm REV 6/5/92
2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (619) 438-1161. FAX (619) 438-0894
BUILDING PLANCHECK CHECKLIST
SITE PLAN
A;/2nd%/ 3rd%/
El U 1. Provide a fully dimensioned site plan drawn to scale. Show:
North Arrow D. Property Lines Easements
Existing & Proposed Structures E. Easements
Existing Street Improvements F. Right-of-Way Width & Adjacent Streets
zrlo El 2. Show on site plan:
/ A. Drainage Patterns C. Existing Topography
/ B. Existing & Proposed Slopes
0 0 3. Show on a section drawing or include a note stating that there is a minimum of 6"
difference between the finished floor and the finished grade elevation adjacent to the
structure.
El" El 0 4. 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)."
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 percent" (per 1990 UBC 2907(d)5.).
El El 5. Include on title sheet
Site address
Assessor's Parcel Number
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\chk1st\bp0001.frm Page 1 of 4 REV 6/5/92
BUILDING PLANCHECK CHECKLIST
DISCRETIONARY APPROVAL COMPLIANCE
1 sW 2ndv 3rd/
El El 6. Project does not comply with the following Engineering Conditions of approval for i'1. Project No.
Conditions were complied with by: Date:__________________
DEDICATION REQUIREMENTS
D 0 7. 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 $_a ea -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
O 0 0 8a. 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 $ -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\chkl.t\bp0001.frm Page 2 of 4 REV 6/5/92
14 BUILDING PLANCHECK CHECKLIST
1 sW 2nd' 3rdf
0 0 0 8b. 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 Future 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:
0 0 0 8c. Enclosed please find your Future Improvement Agreement. Please return signed and
notarized Agreement to the Engineering Department.
Future Improvement Agreement completed by:
Date:
O 8d. No Public Improvements required. SPECIAL NOTE: Damaged or defective
improvements found adiacent 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.
O 0 0 9a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
O 0 0 9b. 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:
E( 0 0 9c. No Grading Permit required.
BUILDING PLANCHECK CHECKLIST
P:\doc9\chk19t\bp0001.lrm Page 3 of 4 REV 6/5/92
MISCELLANEOUS PERMITS
1 sW 2nd,./ 3rd-v/
IV
0 0 10. 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.
A separate Right-of-Way permit 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.
0 11. A SEWER PERMIT is required concurrent with the building permit issuance. The fee f/f is noted in the fees section on the following page.
0 D 12. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial III Waste Permit Application Form and submit for City approval prior to issuance of a
Permit.
Industrial waste permit accepted by: Date:
P:\docs\chklst\bp0001.frm Page 4 of 4 REV 6/5/92
CALCULATIONS WORKSHEET N
EDU CALCULATIONS: EDU's:
ADT CALCULATIONS: ADT's:
FEES REQUIRED:
-WITHIN CFD:
U YES (NO BRIDGE & THOROUGHFARE FEE, REDUCED TRAFFIC IMPACT FEE)
0 N
0 1. PARK-IN-LIEU FEE
PARK AREA: FEE/UNIT:_________
O 27RAFFIC IMPACT FEE
ADT's: FEE/ADT:
0 3. BRIDGE AND THOROUGHFARE FEE
ADT's: FEE/ADT:____________
El 4. FACILITIES MANAGEMENT FEE
ZONE: FEE/EDU:_________
PUBLIC FACILITIES FEE
SEWER FEES PERMIT No.
EDU's: FEE/EDU: $__________
BENEFIT AREA: FEE: $_________
0 7. SEWER LATERAL REQUIRED (2,500 DEPOSIT)
REMARKS:
P:\docs\chklst\bp000l.frm REV 6/5/92
PLANNING CHECKLIST
Plan Check No. 93- Address /0
Planner VAN LYNCH Phone 438-1161 ext. 4325
(Name)
APN: 2ô /— /O
Type of Project and Use I2-6S i t)7 1/L C4'6 4
Zone /2-3 Facilities Management Zone I
Item Complete
() Item Incomplete - Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
0 Environmental Review Required: YES — NO TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
0 Discretionary Action Required: YES — NO TYPE
APPROVALJRESO. NO. DATE:
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
California Coastal Commission Permit Required: YES NO&.
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
Landscape Plan Required: YES ___ NO
X
See attached submittal requirements for landscape plans
Site Plan:
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 and
dimensioned setbacks.
Show on Site Plan: Finish floor elevations, elevations of finish grade
adjacent to building, existing topographical lines, existing and proposed
slopes and driveway.
Zoning:
1.
Setbacks:
Front:
Int. Side:
Street Side:
Rear:
Lot coverage:
Height:
Parking:
A 69-co Al
Required 26 Shown 72 -5 '-
Required ' Shown S
Required - Shown -
Required /0 / Shown /C'/.'
Required Shown
Required 4k" Shown 22o"
Spaces Required 2— Shown
Guest Spaces Required Shown
Provide legal description of property.
Provide assessor's parcel number.
7 13 E Additional Comments
163
I
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER_1/ 6%'IL DATE 9'-2Q9
PLNCK. FRM
CERTIFICATION OF COMPLIANCE
CITY OF CARLSBAD Plan Check No. 7995
DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DR., CARLSBAD, CA 92009
(619) 438-1161
This form shall be used to determine the amount of school fees for a project and to verify
that the project applicant has complied with the school fee requirements. No building
permits for the projects shall be issued until the certification is signed by the appropriate
school district and returned to the City of Carlsbad Building Department.
SCHOOL DISTRICT:
VCarlsbad Unified San Marcos Unified
801 Pine Avenue 1290 West San Marcos Blvd.
Carlsbad, CA 92009 (434-0610) San Marcos, CA 92024 (744-4776)
Encinitas Union San Dieguito Union High School
101 South Rancho Santa Fe Rd. 710 Encinitas Boulevard
Encinitas, CA. 920214 (619) 944-4300, Encinitas, CA 92024 (753-6491)
Project Applicant: T1c k"r A) APN:
Project Address: /Z2
RESIDENTIAL: SQ. FT. of living area number of dwelling units___________
SQ. FT. of covered area SQ. FT. of garage area
COMMERCIAL/ INDUSTRIAL: SQ. FT. AREA______
Prepared by /-&,7 (4___ Date
FEE CERTIFICATION
(To be completed by the School District)
______Applicant has complied with fee requirement under Government Code 53080
Project is subject to an existing fee agreement
Project is exempt from Government Code 53080
Final Map approval and construction started before September 1,
(other school fees paid) -
Other
Residential Fee Levied: $ _based on _____ sq. ft. t______________
/ du.st Fee Levied:$____ based on sq. ft. @_______
istrict Official
AB 2926 and SB 201 fees are capped at $.2..65per square foot for residential.
AB 2926 is capped at .-27 per square foot for commercial /industrial.
1986.
Cit of Carlsbad
SCHOOL FEES
Please fill out the form on the reverse side of this page and take it to the
appropriate school district.
Once you have paid the school fee, a school. official has signed the school
fee form, and all other plan check requirements have been met, a building
permit can be issued. The City of Carlsbad will not issue any building
permit without a completed school fee form.
BUILDING DEPARTMENT
dc
enc.
2075 Las Palmas Drive.Carlsbad, California 92009-4859•(619) 438-1161