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HomeMy WebLinkAbout1024 DAISY AVE; ; CB994638; Permit05/31/2001 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No CB994638 Building Inspection Request Line (760) 602-2725 1024 DAISY AVCBAD RESDNTL 2144021900 $63,767 00 27 0 0 Sub Type Lot# Construction Type Reference # Structure Type Bathrooms RAD 0 VN RAD 579 SF-MSTRBD RM & KIT Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# ISSUED 12/16/1999 JM 01/07/2000 11/09/2000 JC RE-ROOF REMAINDER OF HOME-2500 SF LT WT CEMENTPIan Check# Applicant CHINN JAMES 117 2120 JIMMY DUARNTE DELMARCA92014 858-755-5863 Owner AUGUST FAMILY TRUST 07-14-97 1024 DAISY AVE CARLSBAD CA 92009 0889 05/31/01 0002 01 02 CGP 51.30 Total Fees $874 90 Total Payments To Date $823 60 Balance Due $51 30 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $463 65 Meter Size $0 00 Add'l Reel Water Con Fee $301 37 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $6 38 PFF $0 00 PFF (CFD Fund) $0 00 License Tax $0 00 License Tax (CFD Fund) $0 00 Traffic Impact Fee $0 00 Traffic Impact (CFD Fund) $0 00 Sidewalk Fee $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $0 00 Housing Impact Fee $0 00 Housing InLieu Fee Master Drainage Fee $0 00 Sewer Fee $0 00 Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $6200 $2000 $21 50 $000 $000 $000 $000 $000 $874 90 Inspector FINAL APPROVAL Date 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 capactiy 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 1 PROJECT INFORMATION IQ2.4- FOR OFFICE USE ONLY PLAN CHEC EST VAL Address (include BJdg/Suj^e/)M;Business Name (at this address) Legal Description Lot No Name/Number Unit No Phase No Total # of units Description of Work 2 CONTACT PERSON (if different from applicant) "y&wtf Name ~ Address ' City 3 APPLICANT Q Contractor D Agent for Contractor Ejlbwneri; 59. Agent for Owner Name 4 PROPERTY OWNER Address City State/Zip Telephone # State/Zip Telephone #Name ' <s Address City ,5 ,:g£bNfRAClpR T£OMPANY[NAME "!"'"!" " * 'mi^, ....:ffii,: „ (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, dbrrioTi^rf 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]) Name State License # Address License Class City State/Zip City Business License # Telephone tt Designer Name Address City State/Zip Telephone State License # •6 ; i WORKERS'COMPENSATION ;i& T: """' '** ss!-i!" T,**:- -••••••• »r™ -=•= "-<;-j!° Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 l~l 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 (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 dollnrs ($100 000) in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE DATE K OWNER-BUILDER DECLARATION ..... .."„'" s 4 I hereby affirm that I am exempt from the Contractor s License Law for the following reason n 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) 5f 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 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 l~l YES [~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) __ _ _ _ , _ ^ _ ____ *>U LA^L <2-DATE• PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLj? 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? Q YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l~| YES fJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES fj] 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^ 'JS-'V :^ - .:::s:i.'d .: ... .V :!s •, ' ' • 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" APPLICANT CERtJFICAfJbN" , :...:. .;„;. '" "", , Yp: ,•"••" ' ;i^J;; '::' 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 City 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 unOer tha.provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is ncT&qmmenced within 180 da^frojn thle/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 (fommqncecypra penocfcof 180 daws *>/Bct|on 106 4 4 Uniform Building Code) 'APPLICANT s SIGNATURE \^3 /WP * "~\ / * r j^l/^~^^ DATE E File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 11/14/2002 Permit# CB994638 Title RAD 579 SF-MSTRBD RM & KIT Description RE-ROOF REMAINDER OF HOME-2500 SF LT WT CEMENT Inspector Assignment JC Type RESDNTL Sub Type RAD Job Address 1024 DAISY AV Suite Lot 0 Location APPLICANT CHINN JAMES Owner AUGUST FAMILY TRUST 07-14-97 Remarks AM PLEASE Phone Inspector It'll Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By SETH HOENIG Entered By CHRISTINE Act Comments Associated PCRs/CVs PCR01037 ISSUED AUGUST RESIDENCE, ADDING % SF TO ORIG PERMIT Comments SEE LIST ATTACHED ON 7/27 NO GAS TEST YET SEE NOTICE - OK TO INSULATE Inspection History Date 11/28/2001 11/28/2001 08/07/2001 08/07/2001 08/06/2001 08/06/2001 07/27/2001 07/25/2001 06/04/2001 06/01/2001 06/01/2001 06/01/2001 06/01/2001 05/18/2001 05/15/2001 05/01/2001 Description 23 89 14 17 17 18 16 84 83 13 13 15 15 11 11 11 Gas/Test/Repairs Final Combo Frame/Steel/Bolting/Weldmg Interior Lath/Drywall Interior Lath/Drywall Exterior Lath/Drywall Insulation Rough Combo Roof Sheathing/Ext Shear Shear Panels/HD's Shear Panels/HD's Roof/Reroof Roof/Reroof Ftg/Foundation/Piers Ftg/Foundation/Piers Ftg/Foundation/Piers Act AP CO AP AP NR AP AP CO AP AP AP NR NR AP CO AP Insi JC JC JC JC JC JC JC JC JC JC JC JC JC JC JC JC PIPE IN FTG CARD NOT SIGNED OFF City of Carlsbad Bldg Inspection Request For 11/28/2001 Permit# CB994638 Title RAD 579 SF-MSTRBD RM & KIT Description RE-ROOF REMAINDER OF HOME-2500 SF LT WT CEMENT Inspector Assignment JC Type RESDNTL Sub Type RAD Job Address 1024 DAISY AV Suite Lot 0 Location APPLICANT CHINN JAMES Owner AUGUST FAMILY TRUST 07-14-97 Remarks LATE AM OR EARLY PM PLEASE hone 7605189668 spector JTC. Total Time r Requested By SETH HOENIG ' ' Entered By CHRISTINE CD Description 23 Gas/Test/Repairs Act Comments '.,,.'.--, &} ^"///jfl£ (?& <S^SP" >C/5/ Date 08/07/2001 08/07/2001 08/06/2001 08/06/2001 07/27/2001 07/25/2001 06/04/2001 06/01/2001 06/01/2001 06/01/2001 06/01/2001 05/18/2001 05/15/2001 05/01/2001 04/27/2001 04/24/2001 Associated PCRs PCR01037 ISSUED Inspection History Description 14 Frame/Steel/Bolting/Weldmg 17 Interior Lath/Drywall 17 Interior Lath/Drywall 18 Exterior Lath/Drywall 16 Insulation 84 Rough Combo 83 Roof Sheathing/Ext Shear 13 Shear Panels/HD's 13 Shear Panels/HD's 15 Roof/Reroof 15 Roof/Reroof 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 21 Underground/Under Floor 21 Underground/Under Floor Act AP AP NR AP AP CO AP AP- AP NR NR AP CO AP PA AP , Insp Comments .-, JC ON 7/27 JC NO GAS TEST YET JC JC JC JC SEE NOTICE - OK TO INSULATE -JC JC JC JC JC -, ; - .' ' JC JC PIPEINFTG ' ' : •'- ' JC CARD NOT SIGNED OFF JC JC - • - - ~. - - CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE DATE LOCATION PERMIT NO O / (760) 602-2700 1635 FARADAY AVENUE TIME FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE1? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING"!NSPECTOR CODE ENFORCEMENT OFFICER ® City of Carlsbad Bldg Inspection Request For 07/25/2001 Permit# CB994638 Title RAD 579 SF-MSTRBD RM & KIT Description RE-ROOF REMAINDER OF HOME-2500 SF LT WT CEMENT Inspector Assignment JC Type RESDNTL Sub Type RAD Job Address 1024 DAISY AV Suite Lot 0 Location APPLICANT CHINN JAMES Owner AUGUST FAMILY TRUST 07-14-97 Remarks Total Time Phone 7605189668 Inspector <r.c Requested By SETH Entered By ROBIN CD Description Act Comments 14 Frame/Steel/Boltmg/Welding 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers Associated PCRs PCR01037 ISSUED Inspection History Date 06/04/2001 06/01/2001 06/01/2001 06/01/2001 06/01/2001 05/18/2001 05/15/2001 05/01/2001 04/27/2001 04/24/2001 Description 83 Roof Sheathing/Ext Shear 13 Shear Panels/HD's 13 Shear Panels/HD's 1 5 Roof/Reroof 15Roof/Reroof 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 21 Underground/Under Floor 21 Underground/Under Floor Act AP AP AP NR NR AP CO AP PA AP Insp JC JC JC JC JC JC JC JC JC JC Comments PIPE IN FTG CARD NOT SIGNED OFF CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE LOCATION PERMIT NO TIME. FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? ! YES FOR WRTMR INFORMATION, CONTACT . »PHONE CODE ENFORCEMENT OFFICER ® City of Carlsbad Bldg Inspection Request For 05/01/2001 ' Permit# CB994638 Title RAD 579 SF-MSTRBD RM & KIT Description Type RESDNTL Sub Type RAD Job Address 1024 DAISY AV Suite Lot /O Location APPLICANT CHINN JAMES Owner AUGUST FAMILY TRU Remarks PM PLEASE Total Time Inspector Assignment JC Phone\7605189668 Requested By SETH Entered By CHRISTINE CD Description 11 Ftg/Foundation/Piers Act Comments Sett-tit* n ) Associated PCRs PCR01037 ISSUED Inspection History Date Description Act Insp Comments 04/27/2001 21 Underground/Under Floor PA JC 04/24/2001 21 Underground/Under Floor AP JC 04/30/2001 09 02 S5S755S186 lames A. Chlnn, Architect DESIGN BUILD FARTHER PAGE 01/01 4-30-01 Building Inspector City of Carlsbad Re August Addition 1024 Daisy Ave Deai sir, A soils report foi the one story addition to the resij; James Chinn, Architect 2120 Jimmy Durante Blvd , Suite 117 Del Mar. CA 92014 •» Phone (858) 755-5863 Fax (858) 755-8186 Email jim@designbuildinc com encer at 1024 Daisy_Ave_is:not:reguired EsGil Corporation In Tartnersfiip with government for 'BuiUing Safety DATE 1/3/00 q, " JURIS.. JURISDICTION cARLSBAD a PLAN REVIEWER a FILE PLAN CHECK NO 99-4638 SET I PROJECT ADDRESS 1O24 Daisy Ave. PROJECT NAME August Residential Addition I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes I The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below 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 Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax # Mail Telephone Fax In Person REMARKS A The architect responsible for the design of the addition must sign each sheet of the plans. B. Revise sheet 2 of the city set of plans as shown clouded in red on the EsGil set of plans By Chuck Mendenhall Enclosures Esgil Corporation D GA D MB [U EJ D PC 12/20/99 tmsmUdot 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 + (858)560-1468 + Fax (858) 560-1576 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY CM BUILDING ADDRESS 1024 Daisy Ave BUILDING OCCUPANCY R3 PLAN CHECK NO 99-4638 DATE 1/3/00 TYPE OF CONSTRUCTION VN BUILDING PORTION Addition Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (ft2) 579 VALUATION MULTIPLIER City Est VALUE ($) 56,742 56,742 n 199 UBC Building Permit Fee • Bldg Permit Fee by ordinance $ 43295 n 199 UBC Plan Check Fee • Plan Check Fee by ordinance $ 28141 Type of Review Q Complete Review Q Structural Only Q Hourly Q Repetitive Fee Applicable Q Other Esgil Plan Review Fee $ 225 13 Comments Sheet 1 of 1 macvalue doc 5196 City of Carlsbad Engineering Department (^fa?/ffDATE BUILDING ADDREJ PROJECT DESCRIPTION BUILDING PLANCHECK CHECKLIST PLANCHECK NO ASSESSOR'S PARCEL NUMBER r£[l{~ ^/fV? ~ f9 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 Jk Right-of-Way permit is required prior to construction of the following improvements EST VALUE 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 By By Date Date Date By FOR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT Date ATTACHMENTS <^S Dedication Application Dedication Checklist Improvement Application Improvement Checklist Future Improvement Agreement Grading Permit Application Grading Submittal Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet Sewer Fee Information Sheet ENGINEERING DEPT CONTACT PERSON Name JOANNE JUCHNIEWICZ City of Carlsbad Address 2075 Las Palmas Dr, Carlsbad, CA 92009 Phone (619) 438-1161. ext 4510 CFD INFORMATION Parcel Map No Lots Recordation Carlsbad Tract A-4 , CA 92009-^576 • (760) 438-1161 • FAX (760) BUILDING PLANCHECK CHECKLIST 73-39 3 62-6? SITE PLAN oN Q Q 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow B Existing & Proposed Structures C Existing Street Improvements 2 Show on site plan B D Property Lines E Easements F Right-of-Way Width & Adjacent Streets G Driveway widths Drainage Patterns 1 Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course 2 ADD THE FOLLOWING NOTE "Finish grade will provide a minimum positive drainage of 2% to swale 5' away from building " Existing & Proposed Slopes and Topography Q Q 3 Include on title sheet A Site address B 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 DISCRETIONARY APPROVAL COMPLIANCE Q 4a Project does not comply with the following Engineering Conditions of approval for Project No Q Q 4b All conditions are in compliance Date H \WORD\DOCS\CHKLST\Building Plancheck Cklst BP0001 Form JJ doc 3RD/ BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS Q Q 5 Dedication for all street Rights-of-Way adjacent to the building site and any storm dram or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ _ , pursuant to Carlsbad Municipal Code Section 18 40 030 Dedication required as follows _ Dedication required Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 1/z" x 11" plat map and submit with a title report All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit Attached please find an application form and submittal checklist for the dedication process Submit the completed application form with the required checklist items and fees to the Engineering Department in person Applications will not be accept by mail or fax Dedication completed by Date IMPROVEMENT REQUIREMENTS Q Q 6a 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 Carlsbad Municipal Code Section 1840040 Public improvements required as follows Attached please find an application form and submittal checklist for the public improvement requirements A registered Civil Engineer must prepare the appropriate improvement plans and submit them together with the requirements on the attached checklist to the Engineering Department through a separate plan check process The completed application form and the requirements on the checklist must be submitted in person Applications by mail or fax are not accepted Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of building permit Improvement Plans signed by Date 6b Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 1840 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 H VWORD'.DOC'i'iCHKLSTiBuilding Plancheck Cklst BP0001 Form JJ doc BUILDING PLANCHECK CHECKLIST •t st/ ond/ ord/ Q Q Q 6c Enclosed please find your Future Improvement Agreement Please return agreement signed and notarized to the Engineering Department Future Improvement Agreement completed by Date Ql Q Q 6d 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 Q Q Q 7a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut, fill import, export) Q Q Q 7b 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 Q Q 7c Graded Pad Certification required (Note Pad certification may be required even if a grading permit is not required ) Q Q 7d No Grading Permit required Q Q Q 7e If grading is not required, write "No Grading" on plot plan MISCELLANEOUS PERMITS f Q Q 8 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, tree trimming, driveway construction, tiemg into public storm dram, sewer and water utilities Right-of-Way permit required for BUILDING PLANCHECK CHECKLIST H \WORD\DOCS\CHKLST\Building Plancfieck Cklst BP0001 Form JJ doc * Rev 12/26/96 pnd/ ord/ Q Q 9 A SEWER PERMIT is required concurrent with the building permit issuance The fee is noted in the fees section on the following page Q Q 10 INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad sewer service area, you need to contact the Carlsbad Municipal Water District, located at 5950 El Cammo Real, Carlsbad, CA 92008 District personnel can provide forms and assistance, and will check to see if your business enterprise is on the EWA Exempt List You may telephone (760) 438-2722, extension 153, for assistance Industrial Waste permit accepted by Date Q Q 11 NPDES PERMIT Complies with the City's requirements of the National Pollutant Discharge Elimination System (NPDES) permit The applicant shall provide best management practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit, whichever occurs first Q 12 QxRequired fees are attached Of No fees required Q Q Q 13 Additional Comments H \WORD\DOCS\CHKLST\Building Plancheck Cklst BP0001 Form JJ doc r- Rev 12/26/96 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB Planner APN- _/&ffAddress Phone (619) 438-1161 r extension Type of Project & Use: Zoning: /r^l General Plan: Net Project Density — Facilities Management Zone DU/AC CFD lin/nutl Circle One .Date of participation:Remaining net dev acres (For non-residential development: Type of land used created by this permit: ) LegendL Item Complete ©I Item Incomplete - Needs your action | | Environmental Review Required: YES NO TYPE DATE OF COMPLETION: Compliance with conditions of approval7 If not, state conditions which require action Conditions of Approval: ; |~] Discretionary Action Required: APPROVAL/RESO. NO. PROJECT NO YES NO DATE TYPE OTHER RELATED CASES Compliance with conditions or approval7 If not, state conditions which require action Conditions of Approval: Coastal Zone Assessment/Compliance Project site located in Coastal Zone7 YES NO CA Coastal Commission Authority7 YES NO If California Coastal Commission Authority Contact them at - 3111 Camino Del Rio North, Suite 200, San Diego CA 92108-1725, (619) 521-8036 Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed7 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 _1_ "7] PI [""] Inclusionary Housing Fee required: YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993 ) Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CBf, toolbat. Screens. Housing Fees. Construct Housing Y/N Enter Fee UPDATE" Site Plan: [I] D 1- 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. 2. Provide legal description of property and assessor's parcel number. Zoning: HDD 1. Setbacks: Front: Interior Side: Street Side: Rear: . f JQ [_j L_j 2. Accessory structure Front. Interior Side: Street Side: Rear- Structure separation X 3 Lot Coverage Required Required Required Required setbacks: Required Required Required Required • Required Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown 4 Height."Required Shown 5 Parking Spaces Required Guest Spaces Required Additional Comments Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER V DATE / City of Carlsbad Building Department CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FEES OR OTHER MITIGATION This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior to issuing a building permit The City will not issue any building permit without a completed school fee form Project Name Building Permit Plan Check Number Project Address' APN Project Applicant (Owner(s) Name(s)) Project Description Building Type Residential Number of New Dwelling Units Square Feet of Living Area in New Dwelling Second Dwelling Unit Square Feet of Living Area in SOU Res Additions Comerc/ Ind. Net Square Feet New Area ;e Feet Floor Area City Certification of / Applicant's information / Date fIETCI Carlsbad Unified School Distnct 801 Pine Ave _Carlsbad CA 92009 (729-9291) OOL DISTRICTS WITHIN THgCITY OF CARLSBAD San Marcos Unified School District 215MataWay San Marcos, CA 92069 (736-2200) EncirutasTjniort school District 101 South Ranch Santa Fe Rd Encmitas, CA 92024 (944-4300) San Dieguito Union High School District 710 Encmitas Blvd Encmitas, CA 92024 (753-6491) Certification of Applicant /Owners The person executing this declaration ("Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the best of the Owner's knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and that (2) the Owner is the owner/ developer of the above described project(s), or that the person executing this declaration is authorized to sign on behalf of the Owner Signature Date 2O75 Las Palmas Dr - Carlsbad, CA 92OO9-1576 • (760) 438-1161 • FAX (760) 438-0894 Rpv/iiprt 1-1R-QP NOV-06-2000 MON 12:40 Ptl CITY OF CARLSBAD FAX NO. 760 802 8558 P. 05 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school distnct(s))A-****************-********************************************************************************** THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE , BEEN OR WILL BE SATISFIED SCHOOL DISTRICT The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District The City may issue building permits for this project SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL _ /? Gayien Freeman/ // TITLE "* "rin _ Cartsbad clniffea scnooi UTstnct NAME OF SCHOOL DISTRICT 801 Pin 3 ansoa, tjnormaDATE PHONE NUMBER _,_ __ ^ .,„, ^ x~ "^ "TO. ~~ --£•(3 :? 9 •?>•!.' /*•• . I>f'' ..' >r» •" '•«•* \' > "•'.."•—'• **•"' '"'-(PLF): Fjoor fOV fCis «*Av 1 Determine the Total Load and Live Load on the beam or header in pounds per lineal fool (plf) 2 Locate under SPAN a span that meets or exceeds the required beam or header span (center to center of bearing) .«•» 3 Scan from left to right within the SPAN row until you find a cell where both [he maximum 7o/,i/ Load and the maximum Live Load meet or exceed the required loads In cells where Live Lo.td is not listed, Total LoadwiU control *"" 4 The dimensions of the beam are shown at lh<_ top of the column of the selected cell - 5 If the selected beam is too deep or the Minimum End or Intermediate Bearing length is too long con- tinue scanning to the right to find a wider beam that may require less depth and less btMrmg length pSjj 11jpillpiA II: 2if• 5,Is-. 3-SII51 ?J•^ t^«N CMO O ZA C sso o « * o. a. a. oo <•' < i°S2i lSs§lli3?;a<n -i: 0 a a 5 ftgtt < *~ "•O O r 31 I ' '> * 2 - §1 s 2 I 002^ I icooosii LLIOCO55! o u.C>J OCUJOC: Q(T O o D.o I a S UJ u. OJ < ul U)UL o cr v> CERTIFICATE OF COMPLIANCE; RESIDENTIAL (Page 1 of 2)CF-1R Dale & "0'Tclcp"°nc Compliance Method (Package or Computer)Climate Zone Building Permit U Plan Check/Dale Field Check /Date Enforcement Agency Use Only GENERAL INFORMATION "3> /'Total Conditioned Floor Area "3> __' ft Conditioned Slab Floor' Area *b "1 "1 Building T>pe _JX_ Single Family (check one or more) _ Multi-Family Average Ceiling Height X Addition E\istmg-Plus-Addition \ Front Orientation Number of Stones Number of D\s ellmg Units Floor Construction Type BUILDING SHELL INSULATION North / South / East /(^Vest)/ All Orientations (input front orientation in oe^nTes from True North and circle on*) 1 aWRaised Floor (circle one or both) Component Type Wall Wall Roof Roof Floor Floor Slab Edge Frame Type \s d = \s ood stl = steel V^P. wo T Cavity Insulation R-Value P-1'4 £-•£& Sheathing Insulation R-Value £- CtZ P- .&t> Total R- Value1 /«,.^3 **o.&*> Assembly U-Value1 ,(^"?3 , 0?1 Location/Comments (attic, garage, typical, etc ) gxre^2-!^- N^^s Mtl^ « FENESTRATION " Shading Devices Fenestration £/Type/Pos Front Front Left Left Rear Rear Right Right Skylight Skylight Orien- tation WS'oT M^qiA £A-^rr ^ ^T>^ Area (ft2) *>€ 10 \ f 2.9 6, Fenestration U-Value -7^ .-71 .11 .T? .7? Fenestration SHGC Interior Shading Art2 Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Exterior Shading Att Overhangs /Fins Y£S r*r> Yer Yes KJt- 1 For prescriptive compliance, Total R-Value and Assembly U-Value are not requiredjbr a wood-framed wall that meets • cavity R-value insulation requirement for the Prescriptive Package " . "',;. i J For prescriptive compliance, there are no credits for any interior shading except the default or "Standard" drapery. These,;?,.,,, default interior shading devices (draperies) need not be installed for compliance purposes li. •" CERTIFICATE OF COMPLIANCE; RESIDENTIAL (Page 2 of 2) ADD m Q^ \\-2fr CF-1R Project Title Dale HVAC SYSTEMS Note Input li)dromc or combined hjdromc data under Wilcr Heating S>stcms except Design Heating Lend Distribution Heating Equipment Minimum Type and Duct or T>pe (furnace heat Efficiency Location Piping Thermostat pump etc ) (AFUEorHSPF) (ducts nine etc ) R-Value Typet&xi vrw Heat Pump Configuration (split or package) •p Cooling Equipment T) pe (air conditioner, heat pump e\ap cooline) Minimum Efficiency (SEER) Duct Location (attic etc) Duct Thermostat R-Value Type Heat Pump Configuration (split or package) .. WATER HEATING SYSTEMS Water Heater T\oe Distribution Tvpe Rated1 Number Input (UV m System or Btu/hrl Energy1 Tank Factor or Capacity Recovery (gallons) Efficiency, External Tank Standby' Insulation Loss (%> R-Value 1 For small gas storage \\aterheaters (rated inputs ofless than or equal to 75,000 Btu/hr) electric resistance, and heat pump \\aterheaters.lisl Energy Factor For large gas storage water heaters (rated input of greater than 7i,000 Btu/hr) list Rated Input Recovery Efficiency and Standby Loss For instantaneous gas \sattr heaters list rated input and recovery efficiencies SPECIAL FEATURES and MODELING ASSUMPTIONS (Add extra sheets if necessary^) Including Thermal Mass (thermal mass type, covering, thickness, and description) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them This certificate has been signed by the individual v, uh overall design responsibility When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features / Remarks section Designer or O^vner (per Business and Professions Code) Name Title/Firm Address 2J2-Q v\i \ Telcphon Enforcement Agency Name Title Agency Telephone (date) Documentation Name f. Title/Firm Address thor (date) (signature / stamp)(date) July 1,1999 ,MANDATQRY MEASURES CHECKLIST: RESIDENTIAL^ i of2) MF-1R ..v Note Lov>nse residential buildings subject to the Standards must contain ihese mcisurcs regardless of the compliance approach used '-> Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Ccrtific-ite of <i»i'- i Compliance When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties •;'t as minimum component performance specifications for the mandatory mca-sures uhcllur ihey are shown elsewhere in the documents or on this checklist only J% - ~ "~ ------ ~ -•-- •-— - — • -': Instructions Check or initial applicable boxes when completed or enter N/A if not applicable DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §!50(a) Minimum R-19 ceiling insulation §l50(b) Loose fill insulation manufacturer s labeled R Viluc §150(c) Minimum R-13 wall insulation in wood framed walls or equivalent U value in metal frame ualls (does not apply to exterior mass \\alls^ §150(d) Minimum R-13 raised floor insulation in framed floors §150(1) Slab edge insulation- \\alerabsorption rate no greater than 0 3% water vapor transmission rate no greater than 1 0 perm/inch §118 Insulation specified or installed meets insulation quality standards Indicate r>pe and form §116 17 Fenestration Products. Exterior Doors and Infiltration/Exfiltration Controls 1 Doors and \undosss between conditioned and unconditioned spaces designed to limit air leakage 2 Fenestration products (except field fabncated)ha\e label \sith certified U \aluc, cciified Solar Heat Gai Coefficient (SHGC), and infiltration certification 3 Exterior doors and windows vieathcrstripped, all joints and penetrations caulked and sealed §150(g) V&por barriers mandatory in Climate Zones 14 and 16 only §150(f) Special infiltrationbamer installed to comply with § 151 meets Commission quality standards §!50(e) Installation of Fireplaces Decorative Gas Appliances and Gas Logs 1 Masonry and factory built fireplaces has e Ml a Closeible metal or glass door . a. b Outside air intake with damper and control c Flue damper and eontro! '"" 2 No continuous burning gas pilot lights allowed Space Conditioning, Water Heating and Plumbing System Measures §110 §113 HVAC equipment, v,ater heaters, showerheads and faucets certified by the Commission §ISO(h) Heating and/or cooling loads calculated in accordance \\ith ASHRAE, SMACMA or ACCA §150(i) Setback thermostat on all applicable heating and/or cooling s> stems §1500) Pipe and lank insulation 1 Storage gas %sater heaters rated ssith an Energy Factor less than 0 58 must be externally \\rapped v, ith insulation ha\ ing an installed thermal resistance of R 12 or greater 2 Firsts feet ofpipes closest to \sater heater tank, non recirculatmg systems insulated (R-4 or greater) 3 Back-up tanks for solar J> stem, unfired storage tanks, or other indirect hot waler tanks ha\e R 12 extern; insulation or R-l6 combined internal/external insulation 4 All buned or exposed piping insulated in recirculatmg sections of hot water systems 5 Cooling i)stem piping below 55* F Insulated 6 Piping insulated bvtuccn healing source-and indirect hot Mater link "-: "• -t'if-:* .-' :" MANDATORY MEASURES CHECKLIST: RESIDENTIAL(page2of2) MF-1R ', ; ~ i»r Mote Lo\\nsc residential buildings subject to the Standards must contain these measures regirdlcss of the compliance approach used $*,' Items marled \v ith nn asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificilc of =;-! l Compliance When-this checklist is incorporated into the permit documents, the features noted shall be considered by nil parties £" as minimum component performance specifications for the mindatory measures \\hcthcr they are shown elscuhere in the ,7 documents or on this checklist only|';: *0'jInstructions Check or initial applicable boxes when completed or enter N/A if not applicable DESCRIPTION i, " , ,'Space Conditioning, Water Heating and Plumbing Sjstcm Measures (continued) '« §l50(m) Duels and Fans ^ I All ducts and plenums constructed installed insulated fastened and sealed to compl) \\ith the 1CBO 199 f, UMC sections 601 and 603, duets insulated to a minimum installed R-4 2 or ducts enclosed entirely \\ ithi conditioned space Openings shall be sealed NS ith mastic, tape, aerosol sealant or other duct closure s> sicn that meeti the applicable rcquircmetns of UL181 UL181A or UL181B and other applicable specified tests for longevity given in §150(m) 2 Exhaust fan s> stems have back draft or automatic dampers 3 Graury %emilalmgs> stems serving conditioned space ha\e either automatic or readily accessible manual operated dampers §114 Pool and Spa Heating Systems and Equipment 1 S> stem is certified \\ ith 78% thermal efficiency, on offs\\ itch, v. eathcrproof operating instructions, no electric resistance heating and no pilot light 2 S> stem is installed with a. At least 36 of pipe between filter and heater for future solar heating b Cover for outdoor pools or outdoor spas 3 Pool s> stem has directional inlets and a circulation pump time switch §115 Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances ha\e no continuously bumme pilot Iisht (Exception Kon electrical cookma appliances with pilot < 1 50 Btu/hr) •* Lighting Measures §150(k)l Lummaires for general lighting m-kitchens shall ha\e lamps \uth an efficacy of 40 lumens/uatto greater for general lighting in kitchens This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen §I50(k)2 Rooms v, ith a shower or bathtub must either have at least one lummairc with lamps \uth an efficac of40lumens/Viatt or greater switched atlhe entrance to the room or one of ihe alternatives to this rcquircmc allowed in $150002 and recessed ceihne fixtures are 1C (insulation cover) approved DESIGNER ^ \^f \st ENFORCEMENT July 1,1999 April 6, 2001 Gary August 1024 Daisy Avenue Carlsbad, CA 92009 Mr Pat Kelley, Principal Building Inspector City of Carlsbad Building Department 1635 Faraday Avenue Carlsbad, CA 92008-7341 Dear Mr Kelley We began our building project on April 2, 2001 Our contractor, Seth Hoenig will be calling for an inspection prior to the 5/8/01 building pf$mit expiration Sincerely, Gary Augus v~9. m m > CD !,104^a _£&£•& 02/20/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit No PCR01037 Building Inspection Request Line (760) 602-2725 Job Address 1024 DAISY AV CBAD Permit Type PCR Parcel No 2144021900 Lot# Valuation $0 00 Construction Type Reference # CB994638 Project Title AUGUST RESIDENCE ADDING 96 SF TO ORIG PERMIT VN Applicant CHINN JAMES 117 2120 JIMMY DURANTE DEL MAR CA 92014 858-755-5863 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/02/2001 JM 02/20/2001 02/20/2001 Owner AUGUST FAMILY TRUST 07-14-97 1024 DAISY AVE CARLSBAD CA 92009 2089 02/20/Oi 0002 Oi 52" ,00 Total Fees $16600 Total Payments To Date $000 Balance Due $16600 Plan Check Revision Fee $16600 FINAL APPROVAL Inspector Date 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 capactiy 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 FOR OFFICE USE ONLY PLAN CHECK NO Z EST VAL Plan Ck Validated Date I V Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel # \ Description of Work bOOi Existing Use Proposed Use SQ FT #of Stories tt of Bedrooms # of Bathrooms Name Address ' City 3 APPLICANT- D Contractor 'EJ Agent for Contractor P Owner D Agent for Owner State/Zip Telephone It Fax* Name 4 PROPERTY OWNER Address City State/Zip Telephone # Address City State/Zip Telephone #Name 5 CONTRACTOR COMPANY NAME : *L j Si: 1 i -t (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)1 Name State License # Address License Class City State/Zip City Business License # Telephone tt Designer Name Address City State/Zip Telephone State License # 6 ; WORKERS' COMPENSATION 'I ' •=.. ' "'• 'u, ' - •... >-,h. ;*, 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 (~| | 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 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE 7 IOWNER BUILDER DECLARATION I!:: •, : I hereby affirm that I am exempt from the Contractor s License Law for the following 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) pl 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) r~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 P YES PNO 2 I (have / have not) signed an application for a building permit for the proposed work I have contracted with thejollowmg perso/i Xfirm) to prpvide the proposed construction (include name / address / phone number / contractors license number)son Xfir -B&---- - 1 - ^ f V - * - * * r^ I-T - 1 I — i -- 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) __ _ ^ _ i _ DATE ,3 1*^ (O/ fc' PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMIT OIW.Y.... 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? P YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? P YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES l~l 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 30970) Civil Code) LENDER S NAME _ LENDER S ADDRESS __ 9 APPLICANT CERTIFICATION 7" : , 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 withi<f\180 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 comnfier>ced/o7~kpeiiop of 180 days (Section 106 4 4 Uniform Building Code)2-Z-c/APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance X EsGil Corporation In Partners/tip With government for Winkling Safety DATE 2/12/01 Q APPUgANT C^Er JURISP) JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 99-4638 (PCR01-37) SET I PROJECT ADDRESS 1O24 Daisy Ave. PROJECT NAME August Residential Addition, Revision to Approved Plans I 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 jurisdiction's building codes when minor deficiencies identified below 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 Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax # Mail Telephone Fax In Person REMARKS By Chuck Mendenhall Enclosures Esgil Corporation D GA D MB D EJ D PC 2/5/01 trnsmtldot 9320 Chesapeake Drive, Suite 208 *• San Diego, California 92123 *• (858)560-1468 * Fax (858) 560-1576 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY CM PLAN CHECK NO 99-4638 (PCR01-38) DATE 2/12/01 BUILDING ADDRESS 1024 Daisy Ave BUILDING OCCUPANCY R3 TYPE OF CONSTRUCTION VN BUILDING PORTION Added Area Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq Ft) 96 cb Valuation Multiplier 9800 By Ordinance Bldg Permit Fee by Ordinance i ^ Reg Mod VALUE ($) 9,408 9,408 $11358 Plan Check Fee by Ordinance Type of Review (2 CJ Repetitive Fee I ^ Repeats Complete Review D Other D Hourly Structural Only Hour(s) * Esgil Plan Review Fee $7382 $5906 Comments Sheet 1 of 1 macvalue doc PLANNING/ENGINEERING APPROVALS pnnar MUMBEPCfr 7 ADDRESS DATE RESDENTIAL RE^DBWTIAL ADDITION MINOR C<$10.000.001 y TENANT. IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES *VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER MO (0* I PLANNER DATE ENGINEER DATE SL IO A a a a a PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check Planner APN O (~Address Phone (760) 602- Type of Project & UseIGeneral PlanZoning CFD (m/out) # vt/v Date of participation , Circle One Net Project Density -— _ Facilities Management Zone DU/AC Remaining net dev acres (For non-residential development Type of land used created by this permit ) Legend X Item Complete Item Incomplete - Needs your action Environmental Review Required YES NO TYPE DATE OF COMPLETION Compliance with conditions of approval9 If not, state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL/RESO NO PROJECT NO YES NO TYPE DATE OTHER RELATED CASES Compliance with conditions or approval7 If not, state conditions which require action Conditions of Approval [J Coastal Zone Assessment/Compliance Project site located in Coastal Zone'? YES NO CA Coastal Commission Authority? YES NO If California Coastal Commission Authority Contact them at - 3111 Camino Del Rio North, Suite 200, San Diego CA 92108-1725, (619) 521-8036 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 \ADMIN\COUNTER\BldgPlnchkRevChklst an D a a fj 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 Q 1 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 Q 2 Provide legal description of property and assessor's parcel number Zoning 1 Setbacks Front Interior Side Street Side Rear 2 Accessory structure Front Interior Side Street Side Rear Structure separation 3 Lot Coverage Required Required Required Required setbacks Required Required Required Required Required Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Q 4 Height Required 5 Parking Spaces Required Guest Spaces Required Additional Comments Shown _ Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTE/ H \ADMIN\COUNTER\BldgPlnchkRevChklst / DATE i / VImOroen§oCCJO2 33mTT2omCOQ O«4m03o -nf—mz03£O)1COO)^JtJ^C3SiI!6? » (So "o (A 00 CS 000 S5SShiiin: .nas. ?5 • «4 at ut 131'SIJ"?trSillili m« fslM?8|?|filfi||f H iSis* 5 f*Ji If;!e! If n?*l sfflfl ii^lf if fff|« |||lg| i3» ** ?1J rif Js 2 1&!' SHIP 5 — o> 3Hi!9 Q h-< §Em ^O ft*- U.J« LU Qct ^t*~ : 'co —S cr -O -.;a.d^>i .