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Home My WebLink About1275 CYNTHIA LN; ; CB142077; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-12-2014 Residential Permit Permit No: CB142077 Building Inspection Request Line (760) 602-2725 Job Address:1275 CYNTHIA LN CBAD Permit Type:RESDNTL Sub Type: RAD Status:ISSUED Parcel No:1562311100 Lot #:0 Applied: 08/20/2014 Valuation:$307,298.00 Constuction Type: 5B Entered By: LSM Occupancy Group:Reference #:Plan Approved: 09/12/2014 # Dwelling Units:1 Structure Type:Issued: 09/12/2014 Bedrooms:4 Bathrooms:4 Inspect Area: Orig PC #:Plan Check #: Project Title:RESIDENTIAL CARE FACILITY-ADD 957 SF FIRST FLR FOR 2 NEW BEDS/BATHS/ ADD 1277 SF SECOND FLR FOR 2 NEW BEDS/BATHS / ADD 300 SF ATTACHED SOLID PITCHED ROOF PATIO COVER OPEN ON 2 SIDES/ 50 SF BALCONY TO AN EXISTING (?) RES CARE FAC Applicant:Owner: MARKO RADOVANOVIC 1275 C L L L C C!O ABUSHABAN NABIH & ALEXANDRA H 461 ESTELITA DR 1275 CYNTHIA LN VISTA CA 92084 CARLSBAD CA 92008 760-224-8443 Building Permit $1,510.98 Meter Size Add'I Building Permit Fee $0.00 Add'I Recl. Water Con. Fee $0.00 Plan Check $1,057.69 Meter Fee $0.00 Add'. Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $30.73 PFF (3105540)$0.00 Park in Lieu Fee $0.00 PFF (4305540)$0.00 Park Fee $0.00 License Tax (3104193)$0.00 LFM Fee $0.00 License Tax (4304193)$0.00 Bridge Fee $0.00 Traffic Impact Fee (3105541)$992.00 Other Bridge Fee $0.00 Traffic Impact Fee (4305541)$0.00 BTD #2 Fee $0.00 Sidewalk Fee $0.00 BTD #3 Fee $0.00 PLUMBING TOTAL $171.00 Renewal Fee $0.00 ELECTRICAL TOTAL $59.00 Add'I Renewal Fee $0.00 MECHANICAL TOTAL $142.28 Other Building Fee $0.00 Housing Impact Fee $0.00 HMP Fee $0.00 Housing InLieu Fee $0.00 Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00 Meter Size Master Drainage Fee $1,218.21 Add'I Pot. Water Con. Fee $0.00 Sewer Fee $2,189.20 Red. Water Con. Fee $0.00 Additional Fees $211.39 Green Bldg Stands (SB1473) Fee $12.00 Fire Sprinkler Fees $0.00 Green Bldg Stands Plan Chk Fee $0.00 TOTAL PERMIT FEES $7,594.48 Total Fees:$7,594.48 Total Payments to Date:$7,594.48 Balance Due:$0.00 10.FINAL APPROVAL ••trInspector:Of.Date:3 --(-(Clearance: NOTICE:Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions."You have 90 days from the date this permit was issued to protest imposition of these fees/exactions.If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030.Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project.NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit 09-12-2014 Permit No:SW140303 Job Address:1275 CYNTHIA LN CBAD Permit Type:SWPPP Status:ISSUED Parcel No:1562311100 Lot #:0 Applied:08/20/2014 Reference #:Entered By:LSM CB#:CB142077 Issued:09/12/2014 Inspect Area: Project Title:RES CARE FAC-ADD 2,234 SF TO Tier:1 TO EXISTING CARE FAC FOR 4 MORE BEDS/BATHS Priority: Applicant:Owner: MARKO RADOVANOVIC 1275 C L L L C C/O ABUSHABAN NABIH & ALEXANDRA H 1275 CYNTHIA LN CARLSBAD CA 92008 760-224-8443 Emergency Contact: MARKO RADOVANICH 760 224-8443 SWPPP Plan Check $48.00 SWPPP Inspections $57.00 Additional Fees $0.00 TOTAL PERMIT FEES $105.00 Total Fees:$105.00 Total Payments To Date:$105.00 Balance Due:$0.00 FINAL Pr".11L (Ac. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMAT/APCD 409 ..Building Permit Application Plan Check No.ei:5/4)90- 7 --2 ',..City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 3(91 aq.8 Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 _email: building@carlsbadca.gov Plan Ck. Deposit /0 5 -7 •(a 5 www.carlsbadca.gov Date 5 i 2.0 1 i T SWPPP 14 0 so JOB ADDRESS SUITEVSPACEI/UNIT#APN 2.5-e_iikr7--Hi A.wv.c 0t a cSIrl)#S6.-z-7-71 -if -00/CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP1(?.zi I'/4 NV6 /AiC..V .13 DESCRIPTION OF WORK:Include Square Feet of Affected,Area4),,App it ON IC CX.(S71 •'\•4 F-Cr (T-be.6 ce.pc)2.-F.e--cive-e-T pt-w -r.'4.-V - er- -i.00 a- (2„.. .4-1)÷ el1?f-Th k P friio •-:--qY?-sr- I''ou ccza-1)T--u70(4._2 Rev 4 2 ;h1/1 -f t-iv f1'4;1 -:---/2--9-7SF fJeW %.-41 iiimmei=.Z.i3 ttsf.+ NSF PA110 EXISTING USE PROPOSED USE G AGE (SF)PATIOS (SF)DECKS (SF)' FIREPLACE AIR CONDITIONING FIRE SPRINKLERSPM- 7k7f-6 ksmovrc gcrr f-P.-6fkrk-sN 44 o 300 -...--do_YESO#NOn YESONO ED YESD NOAI PROPERTYOingRNAM ,APPLICANT NAME lidu7447 R.4 .)0v Ivo ov .Ic 1 -1.c ct cLe.(sot-E---/141/4.(gee...hAP-Acc.724.-UVITO;11Prinary Contact ADDRESS 410.1 -vs- 7-t-u-pc ADDRESS eiei C151-Ft -4.1'1)L CITY STATE ZIP CITY STATE ZIP \ik SI-7'c CA-c1 ?Vele kJ\ &---i-A--CA—q 242)54 PHONEN \PHONErri N FAXO..0)72. 4 -3-If 93 FM(0)7-71--.af ))77 If -05416 o)2-9S -9-4 A -3 EMAIL EMAILitfAg'i2 .-E./.4 V 10 CO3 4n Oa tot,110-Zie-o e'l-itineet-c i...do *,a...C-0 ill DESIGN PROFESSIONAL CONTRACTOR BUS. NAME C- X7 /2-Or CF15/Afir/Z-V 't toi/ WtT.S ADDRESS ADDRESS 4 1.i74 -ii .T)e CITY STATE ZIP CITY STATE ZIP b is ---cA-Q24264. PHONE FAX PHO 'Y k 4 1 FAX r..60 a EMAIL EMAEMA •.Vk7g4k OM iv#IF 13u 1 Weg-S e/-1 oh L .cottl STATE LIC. #STATE LIC.# laA.S s CITY BUS. LIC.#qsz-2.tif 1241 It -r9 (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). •WORKERS'COMPENSATION • . :IMO . ' •. Workers' Compensation Declaration:) hereby affirm under penalty of perjury one of the following declarations:0 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.0 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 workers' compensation insurance carrier and policy number are: Insurance Co.Policy No.Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. pciCertificate of Exemption:I certify that in the performance of the work for which this permitis 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 subjectan employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as pr vided for in Section 3706 of the Labor code, interest and attorney's fees.i ..keCONTRACTOR SIGNATURE .....10..ElAGENT DATE g e./. 'OWNER -BUILDER DECLARATION f hereby affirm that I am exempt from Contractor's License Law for the following reason: IDI,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: 1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.DYes DNo 2.I (have /have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / 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 / 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 I address I phone / type of work): .PROPERTYOWNER SIGNATURE DAGENT DATE •• T I A..; 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?0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site?0 Yes 0 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify thatIhave read the application and state that the above information is correct and thatthe information on the plans is accurate.I agree to comply with all City ordinances and State laws relating to building consbuction. I hereby authorize representativeofthe CityofCarlsbad to enter upon the above mentioned properly 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 INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over50'deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisionsofthis Code shall expire by limitation and become nut and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the buildin or woritautbnriz by such permt is suspended or abandoned at any time atter the workis commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). RcAPPLICANT'S SIGNATURE DATE 72.0// • ... INSPECTION.HISTORY. REPORT (CB142077) Permit Type:BLDG-Residential Application Date:08/20/2014 Owner 1275 C L L L C Work Class.Addition Issue Date:09/12/2014 Subdivision: Status:Closed -Finaled Expiration Date:03/13/2017 Address:1275 Cynthia Ln Carlsbad, CA 92008 IVR Number:701734 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 0212812017 02128/2017 BLDG-Final 014880-2017 Failed Paul Burnette Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 03/01/2017 03/01/2017 BLDG-Final 014974-2017 Passed Paul Burnette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Page 1 of 1 Inspection List Perm it#:CB142077 Type:RESDNTL RAD RESIDENTIAL CARE FACILITY-ADD 957 SF FIRST FLR FOR 2 NEW BEDS/BAT Date Inspection Item Inspector Act Comments 04/21/2015 82 Drywall/Ext Lath/Gas Test PY AP 04/15/2015 16 Insulation PY AP 04/07/2015 84 Rough Combo PY AP 03/26/2015 13 Shear Panels/HD's PD AP 01/23/2015 13 Shear Panels/HD's PB NR 01/23/2015 15 Roof/Reroof PB AP 11/07/2014 11 Ftg/Foundation/Piers PY AP 11/04/2014 11 Ftg/Foundation/Piers PY NR 10/28/2014 21 Underground/Under Floor PY AP Thursday, March 02, 2017 Page 1 of 1 S(OUTHERN CALIFORNIA SAN A California Certified Small Business Enterprise SEP 6281 RIVERDALE STREET DIEGO,CA92120 Phone (619) 2804321 Fax (619) 2804717 SOiL & TESTING, INC.83-740 CITRUS AVENUE,SUITE G,INDIO,CA92201 Pharr (760) 775-5983 Fax (760)77i-8367 1130 PALMYR1TA AVENUE, SUITE 330-A,RIVERSIDF„ CA 92507 Phar (951) 965-8711 Fax (951) 680-91(D SCS&T FILE NO.:M ODSC/1/P.O.NO.: SOILS ENGINEERING & GEOLOGY FIELD REPORT: SITE OBSERVATION GRADING OBSERVATION PRE-GRADE AFOOTING OBSERVATION 0 PIER OBSERVATION 0 ••PROJECT TITLE://DSA FILE NO.:DSAAPP.NO.: 5 or; z &Side/411;r hi'/ell PROJECT ADDRESS PERMIT NO.:PLAN FILE NO.: ARCHITECT: ..41//).7 //HO.AO P 4 r-/Cior ENGINEER: GENERAL CONTRACTOR:SUB CONTRACTOR: Fx Ira of -ali.A..V geks LOCATION OF WORK INSPECTED: /ear"/1zid:// DATE DESCRIPTION OF WORK INSPECTED HOURS CHARGED 1 VA(A .oars )11 SOIL CONDITIONS ARE SUBSTANTIALLY IN COMFORMANCE WITH THOSE ASSUMED IN THE SOIL INVESTIGATION REPORT. FOUNDATION EXCAVATIONS EXTEND TO THE PROPER DEPTH AND BEARING STRATA. -,r 6/*e2/4/dr--. ge )4/ de.7b s •• FOUNDATION EXCAVATIONS DEMONSTRATE AN ADEQUATE AMOUNT OF COMPACTION FORTHE PROPOSED BEARING PRESSURE. FOUNDATION EXCAVATIONS SHOULD BE CLEARED OF ALL LOOSE SOILS PRIOR TO CONCRETE PLACEMENT. pl COMMENTS Fie.Zoero 1:pe r<di.tree.)//e.r.Gre 4:2 or r:24./..02...kiAr"to er/•.e7 r 94 •;..)5-1//XI-/-7 t4 /4. -,reire4/5.7.1,,,,e74.-"./le Pt(ex-ca va 4 4 a.4„ >o e efft ve eP.// s. P.E.REVIEW: 5;0 #1/Z.(e,7 c SCSMITEL ENTATIVE SIGNA SCS&T FIELD REPRESENTATIVE PRINTED NAME 'REGISTRATION NO. '111111E itftMCO `7-k"k)kitwo ‘414.lI -6 -- *SUPERINTENDENTS SIGNATURE SUPERINTENDENTS PRINTED NAME DATE *signature authorizes the above work SCS&T200REV 10/11 GEORGE SOULTANIAN & ASSOCIATES I ISok. STRUCTURAL ENGINEERS 300 W. GRAND AVE., SUITE 300, ESCONDIDO, CA 92025 (P) 760.738.8600 I SITE OBSERVATION REPORT #1 November 4, 2014 PROJECT NO: 14.0512 Extraordinary Builders, Inc. Attn: Mr. Misha Radovanovic 461 Estrellita Dr. Vista, CA 92084 Site observation date: November 4, 2014 RE:1275 Cynthia Lane Residence Addition Carlsbad, CA PRESENT:Mr. Misha Radovanovic (Extraordinary Builders, Inc.) Mr. George Soultanian (George Soultanian &Associates, Inc.) Dear Mr. Radovanovic: The following fmdings and observations were noted on the above referenced project: Status of Construction: The contractor has completed 100%of the foundation and slab on grade reinforcing work and it is getting ready to pour the footings. Site Observations and Recommendations: 1.The contractor shall remove any sand, loose soil, or other debris from the bottom of the footings before the concrete pour. 2.Contractor to verify all anchor bolt locations and projections from the top ofthe concrete footings in order to get the proper nut placement at all stud walls. 3.The contractor shall verify all reinforcing bar clearances before placing the concrete. 4.Provide proper protection from future traffic for the slab dowels without damaging them. 5.The contractor shall ensure that all reinforcement, anchor bolts; holdown bolts, etc. is securely tied in place prior to concrete placement. 6.At Grid Lines "A",between "2.3 and "2.6'"', at pipe penertration through the concrete stem wall above the footing, contractor to provide additional 2-#4 x 4'-0" long dowels above the pipe, about 2" clear from the top ofpipe. 1 ,, 7.The contractor shall notify FOR for an additional site observation when the roof plywood sheathing is substantially complete. Corrections and comments made in this Job Site Observation Report and in the field visitation do not relieve the Contractor from compliance with the requirements ofthe contract documents. Should you have any questions, please call. Sin s •ly,i /.i' George Soultanian, S.E. George Soultanian &Associates, Inc. „i‘ikESS,10.... 4,/ S t 4.‘_C'4 '0 ---- No.3435 3... 6--; ,.. c4 EXP.9/30/15 ''''(*'f:?'IN'* X eOCT 0 \,.'Si"7‘ c OF C10., S0141104 #1 doc .4 SOIL IL TESTING.... .i.SOUTHERN CALIFORNIA SOIL & TESTING, INC. fi SIC .6280 Riverdale Street, San Diego, CA 92120 Phone (619) 280-4321, Fax (619) 2804717 $ T=1130 Palmyrita Suite 330-A, Riverside. CA 92507 Phone (951) 965-8711 Fax (951) 680-9100 2 83-740 Citrus Ave, Suite G, Indio, CA 92201 Phone (760) 775-5983 Fax (760) 775-8362 SCS&T FILE NO.14-0295N P. O. NO.: LEA # 0471262 { -7 -F®i i:Tril [—tZ1 - 71 pi) 751 PAGE 1 OF 1 FIELD INSPECTION REPORT FOR:0 REINFORCED CONCRETE OREINFORCED MASONRY WELDING °FIREPROOFING 0 Q.C. CONCRETE 0 ROOFING/WATERPROOFING 0 P.T. CONCRETE/STRESS0 EPDXY ANCHORS 0 H.S. BOLTINGO Shearwall PROJECT TITLE:PHASE #:OSHPD NO.:DSA APP. NO.: Cynthia Lane I PROJECT ADDRESS:PEM.:_PLAN FILE NO.: 1275 Cynthia Lane ,Carlsbad I 1-k 7-0-7/ ARCHITECT:ENGINEER&14 ex erc-1 C ...1011101-4 0-AtvilGENERAL CONTRACTOR:`.)SUB CONTRACTOR: Marko LOCATION OF WORK INSPECTED: 6+.19c-lc-t--4.a Lieft...„...7.tr..Le...„.MATERIAL CLASSIFICATION: DATE:DESCRIPTION OF WORK INSPECTED:TIME ARRIVED TIME DEPARTED: 212312015 TOTAL:HRS cyYN ..t -Cy•ts-Vt-'-‘,V1:6-iN Ac_ovx kA.•ec ‘5--(-5.i Sit-rvaso :v.v 6-.A tie.(A Ax:BAD .A..",v..-6 ttga-Liv-. 00.44-az k-ev-kos,ilvt4-6.P,A1 1 's4-.1:1 1-1r-i x ra-k-e-(C..,F..ix"Aerk.(-3i'v'''')Loa. ,,,,A5 A '4 "of.:-..4-irr vket.-itv •k'V 1-Ce LA =‘4.-. I ;...I (e1-.-etc.:sp.-)C.t I.,e.C41--A-Lcs-v-vq:--"'' 'qr....r.r. -0.--%,..‘,6!e2-e- fa. 1 a/ye .s:-C-cr".4 .2.4.4-.N k_oa_Cu'A A rceo.--i6.-n elr -C-4rAga-cocai a c^AavIzA e(„...0‘...-.A_.A_).C..c.)A"Tr .(CY.,(0 C'i 4.3.i;:'QA .btecke-t- h.c..Act t.•..v.--<m... it. cte&.--arvo.....4.tact.e 1-)-(49-vi ./41cry tsct Ieo*:=.4.1-1.:Iii.kte - .1 - t........... FerN .k-..kleo..4 ce4I ?v.Avk CaR C0reto:.(.L../..‘.va..—srsiarae-ck600-t","XL koc.Ae- t40-In ti:Cevstit.,je...,t_A fe-c-410.ketA".'din: 1 -1-1.6-.4e.4..42-1 k/..2i.".%.';e:!ACe-A.:.#->tf-Fr.-jArk‘I.e","r....•0.4.•04.1.. Pitiq.keI A ift€44-1.._>a-ve.At% 0 "'(-1-6 Li !4 4 b Wi)i (-)9 ee-o- e3e 43:0 -4-e.ei....e-Lry- i7t44-.)oAA.ittlac.ive.'f. a fe.r-rk if..5 -'...^q'..*:.t-eAst..17---,?el - <11!e -d 7-.1 :%(61-w.5 t Tee.c7. id&r*-i ttrt CON'Ir\IC"......e..-e ii:_iti ---04%-s^-5 ft .1>e.--.. .0.—iorNar-omo :Chrls Pinnow P.E-REVIEW: CBC/UBC I hereby certify that I have inspected the above reported work.Unless noted otherwise, the work inspected is to the best of my knowledge in compliance with the approved SD 771 plans, specifications and applicable sections of the governing building laws. Inspector Initials t#41414 -e';''—::—.-----' .a9 ICCDSAIOSHPDIhereby certify that I have inspected the above reported work in accordance with I 7-PECTORS r?TURF REGISTRATION No. the requirements of DSA/OSHPD approved documents. Sampling and testing were conducted in accordance with the requirements of the DSAIOSHPD approved documents.The work / inspected complies with the DSAIOSHPD approved documents._Li.5 SUPERINTENDENTS SIG ."---RE DATEYes:m ,No:0_Inspector Initials SCS&T REV2111 ------ ....\\Construction Testing & Engineering, Inc.cirE :*\r -1.I 1441 Montiel Road, Suite 115NC.Escondido, CA 92026 (760) 746-4955 Fax:(760) 746-9806 Sample Group # REPORT OF COMPRESSION TEST FOR CONCRETE 4 X 8 CYLINDERS 122871 Project Name Radovanovic Residence Project No 10-12287T Project Address AttitilVnthiti itine f City Carlsbad Gen. Contractor N/A Sub-Contractor N/A Engineer N/A Architect N/A .. Bldg Permit No Plan File No Gov't Contract #DSAIOSHPD Sample Group Data Report of Concrete 4 X 8 Cylinders Measured Specified Placement Date 11/10/2014 Slump (in.)4 N/A Supplier/Plant Superior Ready Mix Air Temp (°F)61 N/A Mix Number/Descr 8665-F / 3/8"Mix Temp (°F)75 N/A Mix Design 3000 psi 20.7 MPa Air Content (%)N/A N/A Specified Strength 3000 psi 20.7 MPa Field Unit Wt (pcf)N/A Specified Date 12/8/2014 Dry Unit Wt pcf Truck No.317 Ticket*:124367 Age:N/A Min.Samples Made By:Henry Salmon Cement Type N/A Set #:1 Load #:N/A Date Rec'd in Lab 11/11/2014 Admixture N/A Specific Location FOOTINGS BETWEEN 3 &4 AND A & B Special Instructions/Remarks 1@7 -3@28 -1 Hold Compression Laboratory Data Sample Lab No.Date Average Cross Section Max Load Compressive Strength Fracture Age Tested Diameter *Test Area Type 7 1A 11/17/2014 4.00 in 12.57 in2 29,950 lbs 2380 psi 16.4 MPa 5 28 1B 12/8/2014 4.00 in 12.57 in2 54,710 lbs 4350 psi 30.0 MPa 3 28 1C 12/8/2014 4.00 in 12.57 in2 55,800 lbs 4440 psi 30.6 MPa 2 28 1D 12/8/2014 4.00 in 12.57 in2 53,910 lbs 4290 psi 29.6 MPa 2 Comments:28 day test meets specifications Sampling and testing conducted in accordance with ASTM Standard designations: C31, C39, C78, C138, C143, C172, C231, C617, C1077 Average diameter in accordance with ASTM C39 Sections 6.2 and 6.3 Checked by:Date:Reviewed by:K.....x\1/4._Date:12/9/2014 Erik Campbell, Lab Manager cc:Marco Radovanovic EsGil Corporation In Partnership with governmentfor Building Safety DATE:SEPT. 4, 2014 APPLICANT JURIS. JURISDICTION:CARLSBAD PLAN REVIEWER FILE PLAN CHECK NO.:14-2077 SET:II PROJECT ADDRESS:1275 CYNTHIA LANE PROJECT NAME:SFR ADDITION & REMODEL X 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 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: Marko Radovanovic X 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:Marko Telephone #: 760-224-8443 Date contacted:(by:)Email:markozemunacvahoo.com Fax #: Mail Telephone Fax In Person X REMARKS:Four BR & 4-1/2 baths are being added to the existing SFR to create a 6-person residential care facility. By:ALI SADRE, S.E.Enclosures: EsGil Corporation GA EJ MB PC 9/3 9320 Chesapeake Drive, Suite 208 San Diego, California 92123 (858) 560-1468 Fax (858) 560-1576 EsGil Corporation In Tartnership with Governmentfor Building Safety DATE:AUG. 28, 2014 CI APPLICANT .2(JURIS. JURISDICTION:CARLSBAD zi PLAN REVIEWER 0 FILE PLAN CHECK NO.:14-2077 SET:I PROJECT ADDRESS:1275 CYNTHIA LANE PROJECT NAME:SFR ADDITION & REMODEL The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. n The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. X 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. X The applicant's copy of the check list has been sent to: Marko Radovanovic EsGil Corporation staff did not advise the applicant that the plan check has been completed. X EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted:Marko Telephone #: 760-224-8443 Zte contacted:E17±by:1/41..Email: markozemunac@yahoo.com Fax #: ail lephone Fax In Person pi REMARKS`.oui. BR & 4-1/2 baths are being added to the existing SFR to create a 6-person residential care facility. By:ALI SADRE, S.E.Enclosures: EsGil Corporation GA 0 EJ MB PC 8/20 9320 Chesapeake Drive, Suite 208 •San Diego, California 92123 •(858) 560-1468 •Fax (858) 560-1576 CARLSBAD 14-2077 AUG. 28, 2014 GENERAL PLAN CORRECTION LIST JURISDICTION:CARLSBAD PLAN CHECK NO.:14-2077 PROJECT ADDRESS:1275 CYNTHIA LANE SCOPE OF WORK: REMODEL & ADDITION TO CREATE A 6-PERSON RESIDENTIAL CARE FACILITY; CONSTRUCTION TYPE =V-B; OCCUPANCY = R3.1; STORIES =2;HEIGHT =24'; LIVING ADD =2234, PATIO ADD =300 DATE PLAN RECEIVED BY DATE REVIEW COMPLETED: ESGIL CORPORATION:8/20 AUG. 28, 2014 REVIEWED BY:ALI SADRE, S.E. FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International Building Code,Uniform Plumbing Code,Uniform Mechanical Code,National Electrical Code and state laws regulating energy conservation,noise attenuation and disabled access.This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department or other departments. The following items listed need clarification, modification or change.All items must be satisfied before the plans will be in conformance with the cited codes and regulations. The approval of the plans does not permit the violation of any state, county or city law. •Please make all corrections, as requested in the correction list.Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1.Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700.The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2.Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE:Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. •To facilitate rechecking, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans. 1.Please specify the Type of Occupancy is R3.1/U. CARLSBAD 14-2077 AUG. 28, 2014 2.Note on plans: Building Height =24', Stories =Two; Construction Type =V-B. 3.Please add the balcony floor area =55-s.f. to the building addition inventory on the cover sheet of plans. 4.Please indicate on the plans whether the existing residence has a fire sprinkler system installed.If so, then provide a note stating that any alterations will be provided with an automatic residential fire sprinkler system. Sec. R313.2. 5.Openable windows shall be located a minimum of 10' from any plumbing vents, chimneys, etc.Section R303.5.Note this on plans. 6.Please define what LS means for windows as noted on plans. 7.Specify on plans if any of the existing windows are being changed or replaced. 8.Specify on plans that the existing is 4-BR & 4-1/2 BA (instead of 4 as noted), which does not include the powder room upstairs. 9.Guards (Section R312): a)Openings between railings shall be less than 4". b)Shall be detailed to show capability to resist a concentrated load of 200 pounds in any direction along the top rail. Table R301.5. Show connection details & references on plans. 10.Provide stairway and landing details. Section R311.7: c)Minimum headroom is 61-8". d)Minimum width is 36". e)The greatest riser height within any flight of stairs shall not exceed the smallest by more than 3/8". The greatest tread depth within any flight of stairs shall not exceed the smallest by more than 3/8". 11.A nosing (between 3/4"and 1 -1/4")shall be provided on stairways with solid risers. Exception: No nosing is required if the tread depth is min.11".Sec. R311.7.5.3. 12.Handrails (Section R311.7.7): f)Shall be provided on at least one side of each stairway with four or more risers. g)Handrails and extensions shall be 34" to 38" above nosing of treads and be continuous. h)The handgrip portion of all handrails shall be not less than 1 -W nor more than 2"in cross- sectional dimension. See Section R311.7.8.3 for alternatives. i)Handrails projecting from walls shall have at least 1 -%" between the wall and the handrail. j)Ends of handrails shall be returned or shall have rounded terminations or bends. 13.Show on the plan the location and amperage of the electrical service. 14.Note on plans that receptacle outlet locations will comply with CEC Art. 210.52. 15.Per CEC Art. 210.11(C)3, note on plans that bathroom circuiting shall be either: a)A 20 ampere circuit dedicated to each bathroom, or b)At least one 20 ampere circuit supplying only bathroom receptacle outlets. CARLSBAD 14-2077 AUG. 28, 2014 16.Include the following electrical notes on plans: a)Tamper resistant receptacles for all new locations. NEC 210.52. b)Weather resistant type for receptacles installed in damp or wet locations (outside). c)GFCI protected outlets for locations described in NEC 210.8: Outdoors. 17.Show water heater size, type, and location on plans. 18.Note on the plans that "combustion air for fuel burning water heaters will be provided in accordance with the Plumbing Code". 19.If an instantaneous water heater is shown on the plans, please include a gas pipe sizing design (isometric or pipe layout) for all gas loads: a)The gas pipe sizing for a tank type water heater shall be based upon a minimum 199,000 Btu gas input rating. Energy Standards 150.0(n). 20.Dimension on the plans the 30" clear width required for the water closet compartment.CPC 402.5. 21.Provide a note on the plans: The control valves in showers & bathtubs must be pressure balanced or thermostatic mixing valves. CPC Sections 408, 409, 410. 22.Specify on plans: New water closets shall use no more than 1.28 gallons of water per flush, lavatories are limited to 1.5 GPM, and showerheads may not exceed 2.0 GPM of flow.CPC Section 403 and 408. 23.Note on the foundation plan that "Prior to the contractor requesting a Building Department foundation inspection, the soils engineer shall advise the building official in writing that: •The building pad was prepared in accordance with the soils report, •The utility trenches have been properly backfilled and compacted, and •The foundation excavations, the soils expansive characteristics and bearing capacity conform to the soils report." 24.Requirements in Seismic Design Category D.=Inn The structures assigned to SDC D should satisfy the following requirements, in addition to the requirements for SDC C: (ASCE 7 -10,Section 12.3): Show how all the irregularities are accounted for as shown on plans: a)Prohibited Horizontal and Vertical Irregularities for Seismic Design Categories D through F.Structures assigned to Seismic Design Category E or F having horizontal irregularity Type 1 b of Table 12.3-1 or vertical irregularities Type lb, 5a, or 5b of Table 12.3-2 shall not be permitted.Structures assigned to Seismic Design Category D having vertical irregularity Type 5b of Table 12.3-2 shall not be permitted, except when subject to the limitations of Section 12.3.3.2. b)Plan or Vertical Irregularities. For structures having a plan structural irregularity of Type 1 a,1 b,2,3,or 4 of ASCE 7-10, Table 12.3-1 (as shown in Figure 10.7) or vertical irregularity Type 4 of Table 12.3-2, the design forces determined from Section 12.8.1 need to be increased 25 percent for the following connections:1)diaphragms to vertical elements, 2) diaphragms to collectors, and 3) collectors to vertical elements. (Section 12.3.3.4). .• CARLSBAD 14-2077 AUG. 28, 2014 1 ---- --------------------------------, ••• i N--------------Opening-------- ..N Re-entrant corner --------- a.Torsional irregularity b. Re-entrant corners c. Diaphragm discontinuity Discontinuity in vertical elements of lateral-force-resisting system d. Out-of-plane offsets Figure 10.7 Examples of Plan Irregularities 1 -4 25.Provide a letter from the soils engineer confirming that the foundation/grading plan & spec's. have been reviewed and that it has been determined that the recommendations in the soils report are properly incorporated into the plans. 26.Show 1/4"per foot deck slope on plans. Show how the slope is being accommodated with "I" joists. 27.Jurisdiction has contracted with EsGil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact ALI SADRE, S.E. at EsGil Corporation.Thank you. CARLSBAD 14-2077 AUG. 28, 2014 (DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION:CARLSBAD PLAN CHECK NO.:14-2077 PREPARED BY:ALI SADRE, S.E.DATE:AUG. 28, 2014 BUILDING ADDRESS:1275 CYNTHIA LANE BUILDING OCCUPANCY:R3.1/U TYPE OF CONSTRUCTION:V-B BUILDING AREA Valuation Reg.VALUE ($) PORTION (Sq.Ft.)Multiplier Mod. LIVING ADD 2234 PATIO ADD 300 DECK ADD 55 Air Conditioning Fire Sprinklers TOTAL VALUE 307,298 Jurisdiction Code CB By Ordinance $1,510.98Bldg.Permit Fee by Ordinance ,7_1 Plan Check Fee by Ordinance avi $982.14 Type of Review:Complete Review D Structural Only CI0Repetitive Fee Other_Repeats Hourly Hr.@ * EsGil Fee $846.15 Comments:Please add one hour for green building code review @ $116/hr. Sheet 1 of 1 macvalue.doc + 4' J4 PLAN CHECK Community & Economic ,4*Development Department \V CITY OF REVIEW Development Faraday Avenue CikRLSBAD TRANSMITTAL Carlsbad CA 92008 www.carlsbadca.gov DATE:09/03/14 PROJECT NAME:RESIDENTIAL CARE FACILITY--6 BEDS PROJECT ID:CB 14-2077 PLAN CHECK NO:1 SET#:1 ADDRESS:1275 CYNTHIA LN APN:156.231-11 VALUATION: $307,298 ADDITION TO EXISTING RESIDENCE ris--Plan check review is complete and has been APPROVED by the ENGINEERING c__::31 Division. By:(a/1./v1A--‘.h 2-1/Li A Final Inspection by the Division is required Yes I No VThis plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. ONLY ITEMS MARKED 'X'NEED CORRECTION/CLARIFICATION Plan Check Comments have been sent to:MARKOZEMUNAL@YAHOO.COM You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 .— 1 Kathleen Lawrence ri 760-602-2741 74 •_,..'.4•663 Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carisbadca.gov `'''-DS Cindy `Vong .....,.2-z r r 760-Ht -0 G'2 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov Dominic Fieri 760-602-4A64 Dominic.Fieri@carlsbadca.gov Remarks: A 1 Set # STOP!Any outstanding issues will be marked with X .Make the necessary corrections forcompliancewith applicable codes and standards. Submit corrected plans and/orPleasespecifications to the Building division for re-submittal to the Engineering division.Read Items that conform to permit requirements are marked with ,/ 1.SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: North arrow Driveway widths 1 Existing & proposed structures Existing or proposed sewer lateral 1 Existing street improvements Existing or proposed water service /Property lines (show all dimensions)Submit on signed approved plans: Easements DWG No. Right-of-way width & adjacent streets Show on site plan: Drainage patterns Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course. 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 Size, location, alignment of existing or proposed sewer and water service(s) that serves the project. Each unit requires a separate service; however, second dwelling units and apartment complexes are an exception. Sewer and water laterals should not be located within proposed driveways, per standards. Include on title sheet: v'Site address 1 Assessor's parcel number Legal description/lot number 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. Show all existing use of SF and new proposed use of SF. Example: Tenant improvement for 3500 SF of warehouse to 3500 SF of office. Lot/Map No.:18 Subdivision/Tract: KNOWLES TERRACE Reference No(s): 4233 E-36 Page 2 of 6 REV 6/01/12 Set # 2.DISCRETIONARY APPROVAL COMPLIANCE Project does not comply with the following engineering conditions of approval for project no.: 3.DEDICATION REQUIREMENTS Dedication for all street rights-of-way adjacent to the building site and any storm drain orNIAutility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ 24,000 ,pursuant to Carlsbad Municipal Code Section 18.40.030. For single family residence,easement dedication will be completed by the City of Carlsbad, cost $115.00. Dedication required as follows: 4.IMPROVEMENT REQUIREMENTS X 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 "$424,a40.z0, pursuant to Carlsbad Municipal Code Section 18.40.040. i f/f '-lit Public improvements required as follows: Curb, gutter, sidewalk, underground utilities. yl Construction of the public improvements must be deferred pursuant toCarlsbad MunicipalCode Section 18.40.Please submit a recent property title report or current grant deed on the property and processing fee of-11_4431.-so we may prepare the necessary Neighborhood Improvement Agreement.This agreement must be signed,notarized and approved by the city prior to issuance of a building permit.Processing fee $157.00. Future public improvements required as follows:CURB, GUTTER, SIDEWALK UNDERGROUND UTILITIES E-36 Page 3 of 6 REV 6/30/10 Set #1 1 5.GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 15.16 of the Municipal Code. X Inadequate information available on site plan to make a determination on grading ADD CUT,FI ,requirements.Include accurate grading quantities in cubic yards (cut, fill,import,export and IMPORT,remedial).This information must be included on the plans. If no grading is proposed EXPO' \);( -2( cc.). write: "NO GRADING" RE i DIA T*PAANS Grading Permit required.NOTE:The grading permit must be issued and rough grading k))\ approval obtained prior to issuance of a building permit. Graded Pad Certification required.(Note:Pad certification may be required even if a grading permit is not required.)All required documentation must be provided to your Engineering Construction Inspector .The inspector will then provide the engineering counter with a release for the building permit. No grading permit required. Minor Grading Permit required. See attached marked-up submittal checklist for project- specific requirements. 6.MISCELLANEOUS PERMITS 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, tying into public storm drain, sewer and water utilities. Right-of-way permit required for:Driveway E-36 Page 4 of 6 REV 6/01/12 Set #1 7.STORM WATER Construction Compliance v Project Threat Assessment Form complete. Enclosed Project Threat Assessment Form incomplete. 1 Requires Tier 1 Storm Water Pollution Prevention Plan.Please complete attached form and return (SW 14-303 ) Requires Tier 2 Storm Water Pollution Prevention Plan.Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMP) Compliance Storm Water Standards Questionnaire complete. Storm Water Standards Questionnaire incomplete.Please make the corrections, re-sign the questionnaire and resubmit with next submittal. Project is subject to Standard Storm Water Requirements.See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.cpv/business/buildincl/Documents/EnqStandsw-stds-vol4-ch2.pdf „/Project needs to incorporate low impact development strategies throughout in one or more of the following ways: Rainwater harvesting (rain barrels or cistern) Vegetated Roof Bio-retentions cell/rain garden Pervious pavement/pavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Other: E-36 Page 5 of 6 REV 6/01/12 I Set #1 9.WATER METER REVIEW Domestic (potable) Use What size meter is required? FyI Where a residential unit is required to have an automatic fire extinguishing system,the minimum meter size shall be a 1"meter. NOTE:the connection fee,SDCWA system capacity charge and the water treatment capacity charge will be based on the size of the meter necessary to meet the water use requirements. FYI For residential units the minimum size meter shall be 5/8", except where the residential unit is larger than 3,500 square feet or on a lot larger than one quarter (1/4) acre where the meter size shall be 3/1". 8.FEES I Required fees have been entered in building permit. I Drainage fee applicable Added square feet Added square footage in last two years?yes no Permit No. Permit No. Project built after 1980 yes no Impervious surface >50%yes no Impact unconstructed facility yes no Fire sprinklers required yes no (is addition over 150' from center line) Upgrade yes no No fees required 10.Additional Comments 1. Pt.(ASE PROVIDE :'.•OF GRANT DEED FOR LEGAL DESCRIPTION FOR N c.E>r -0 PREPARE NEIGHBORHOOD IMPROVEMENT AGREEMENT IN LIEU tov13' --.LLING FRONT IMPROVEMENTS. Attachments:Engineering Application Storm Water Form Right-of-WayApplication/Info. Reference Documents E-36 Page 6 of 6 REV 6/01/12 Fee Calculation Worksheet ENGINEERING DIVISION Prepared by:09/03/14 Date: 09/03/14 GEO DATA: LFMZ:B&T:N Address: 1275 CYNTHIA LN Bldg. Permit #:CB 14-2077 Fees Update by:KML Date: 09/03/14 Fees Update by:Date: EDU CALCULATIONS: List types and square footages for all uses. Types of Use:CARE FAC Sq.Ft./Units 6 BEDS EDU's:2.6 Types of Use:Sq.Ft./Units EDU's:.6 PER RM Types of Use:Sq.Ft./Units EDU's: Types of Use:Sq.Ft./Units EDU's: ADT CALCULATIONS: List types and square footages for all uses. Types of Use:CARE FAC Sq.Ft./Units 6 BEDS ADT's:10-18 =8 ADT Types of Use:Sq.Ft./Units ADT's:3/BED Types of Use:Sq.Ft./Units ADT's: Types of Use:Sq.Ft./Units ADT's: FEES REQUIRED: Within CFD:YES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee)NO 1.PARK-IN-LIEU FEE:NW QUADRANT NE QUADRANT SE QUADARANT SW QUADRANT ADT'S/UNITS: I X FEE/ADT:=8 N/A 1 - 1 2.TRAFFIC IMPACT FEE: ADT'S/UNIT.8 X FEE/ADT:124 =$992 17 I 3.BRIDGE & THOROUGHFARE FEE:DIST. #1 DIST.#2 DIST.#3 ADT'S/UNITS:FEE/ADT:14 N/A 4.FACILITIES MANAGEMENT FEE ZONE: ADT'S/UNITS:X FEE/SQ.FT./UNIT:14 N/A 1.7 5.SEWER FEE EDU's 2.6 I X FEE/EDU:842 I =$2189.20 17 I BENEFIT AREA: EDU's I X FEE/EDU: I -4 6. DRAINAGE FEES:A PLDA:HIGH MEDIUM LOW ACRES: .21 I X FEE/AC:6060 I =$1272.60 7. POTABLE WATER FEES: UNITS CODE CONN. FEE METER FEE SDCWA FEE TOTAL STORM WATER STANDARDS Development Services ..<(' Land Development Engineering QUESTIONNAIRE 1635 Faraday Avenue ,fiV;CITY 0 F CARLSBAD E-34 760-602-2750 www.carlsbadca.gov INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's)into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at www.carlsbadca.00v/standards. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits).The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard Stormwater Requirements'or be subject to additional criteria called 'Priority Development Project Requirements'.Many aspects of project site design are dependent upon the storm water standards applied to a project. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts.City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete.In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission.Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project. Please start by completing Step 1 and follow the instructions.When completed,sign the form at the end and submit this with your application to the city. STEP 1 TO BE COMPLETED FOR ALL PROJECTS To determine it your project is a priority development project, please answer the following questions: YES NO 1.Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? 2.Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects.Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete applicant information. Ifyou answered "no" to both questions, then go to Step 2. E-34 Page 1 of 3 Effective 6/27/13 STORM WATER 00141.k,STANDARDS Development Services 4' CITY OF Land Development EngineeringQUESTIONNAIRE1635 Faraday Avenue111/ CARLSBAD E-34 760-602-2750 www.carlsbadca.gov STEP 2 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the following questions:YES NO 1.Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectivelyovertheentireprojectsite?This includes commercial,industrial,residential,mixed-use,and public development projects on public or private land. 2.Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface?This includes commercial,Xindustrial, residential, mixed-use, and public development projects on public or private land. 3.Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant?A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption. 4.Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surfacecollectively over the entire project site and supports a hillside development project?A hillside development project includes development on any natural slope that is twenty-five percent or greater. 5.Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot.A parking lot is a land area or facility for the Xtemporary parking or storage of motor vehicles used personally for business or for commerce. 6.Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street,road,highway freeway or driveway?A street,road,highway,freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7.Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more ofimpervious surface collectively over the entire site,and discharges directly to an Environmentally SensitiveArea (ESA)?"Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or lessfrom the project to the ESA,or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingles with flows from adjacent lands).* 8.Is your project a new development that supports an automotive repair shop?An automotive repair shop is afacility that is categorized in any one of the following Standard Industrial Classification (SIC)codes:5013,5014, 5541,7532-7534, or 7536-7539. 9.Is your project a new development that supports a retail gasoline outlet (RGO)?This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b)a project Average Daily Traffic (ADT) of 100 or more vehicles per day. 10.1s your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? 11.1s your project located within 200 feet of the Pacific Ocean and (1)creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements suchas source control and low impact development BMP's.A Storm Water Management Plan (SWMP) must be submitted with yourapplication(s) for development.Go to step 3 for redevelopment projects.For new projects, go to step 4 at the end of thisquestionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no"to all of the above questions,you ARE NOT a priority development project and are therefore subject toimplementingonlyStandardStorm Water Requirements such as source control and low impact development BMP's required for alldevelopment projects.A Storm Water Management Plan (SWMP) is not required with your application(s) for development.Go to step4at the end of this questionnaire, check the "my project does not meet PDP requirements"box and complete applicantinformation. E-34 Page 2 of 3 Effective 6/27/13 CONSTRUCTION THREAT ,s..%.,ASSESSMENT WORKSHEET FOR Development Services <4 DETERMINATION OF PROJECT'S Land Development EngineeringVlifCITYOFPERCEIVED THREAT TO 1635 Faraday Avenue CARLSBA D STORM WATER QUALITY E-33760 -602-2750 www.carlsbadca.gov [Construction Perceived Threat toSWPPP Tier Construction Threat Assessment Criteria*Storm WaterLevelQuality Tier 3 —High Construction Threat Assessment Criteria O Project site is 50 acres or more and grading will occur during the rainy season O Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed,inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High0Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier 3 USDA-NRCS Erosion factors kf greater than or equal to 0.4) O Site slope is 5 to 1 or steeper O Construction is initiated during the rainy season or will extend into the rainy season (Oct.1 through April 30). O Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 —Medium Construction Threat Assessment Criteria Medium0All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessment Criteria O Project is located within the Buena Vista or Agua Hedionda Lagoon watershed,inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA O Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4)High U Site slope is 5 to 1 or steeperTier 2 0 Construction is initiated during the rainy season or will extend into the rainy season (Oct.1 through April 30). O Owner/contractor received a Storm Water Notice of Violation within past two years CI Site results in one half acre or more of soil disturbance Tier 2 —Medium Construction Threat Assessment Criteria MediumDAll projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 -Medium Inspection Threat Assessment Criteria O Project is located within the Buena Vista or Agua Hedionda Lagoon watershed,within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA D Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4)Medium0Site slope is 5 to 1 or steeperTier1DConstruction is initiated during the rainy season or will extend into the rainy season (Oct.1 through April 30). Li Owner/contractor received a Storm Water Notice of Violation within past two years O Site results in one half acre or more of soil disturbance Tier 1 -Low Inspection Threat Assessment Criteria Low0All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Exempt -Not Applicable -Exempt *The city engineer may authorize minor variances from the construction threat assessment criteria in special circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 STORM WATER Development Services <s, V CITY OF COMPLIANCE Building Division 1635 Faraday Avenue C ARLSBAD ASSESSMENT B-24760 -602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: Building Permit 1:1 Right-of-Way Permit 0 My project is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water :\>Fire Additional Photo Voltaic Fire Alarm Re-Roofingpollution prevention plan (SWPPP) because it Fixed Systems Signonly requires issuance of one or more of the Mechanical Spa-Factoryfollowing permit types:Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 -Low Threat Assessment Criteria lit My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:•Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1 through April 30). Tier 3 -Significant Threat Assessment Criteria My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or CI My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, El My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above Project Address:Assessor Parcel No. checked statements are true and correct. I understand CPA NTill Li/ and acknowledge that even though this project does CAte-lS'6 erp .42043 lS19-23 I -i I '-U not require preparation ofa construction SWPP, I must Owner/Owner's Authorized Agent Name:Title: still adhere to, and at all times during construction 1A-12-- activities for the permit type(s) check above comply M -Y-0 meAc.Dov Ay1/400 \C_ with the storm water best management practices Owner/Owner's Authorize.'•:. .4.11111.0i #01111111.. -Date: pursuant to Title 15 of the Carlsbad Municipal Code /7-0/(If and to City Standards. -)i.*The City Engineer may authorize minor variances from the Storm City currence:Date: 3ojWater Threat Assessment Criteria in special circumstances where it YES U NO fect ."-a01/1can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Page 1 of 1 Rev.03/09 f.lor.PMeA.MR4n... STORM WATER STANDARDS Development Services 5,t1 Land Development Engineering CITY OF QUESTIONNAIRE 1635 Faraday Avenuel!" - CAR LSBAD E-34 760-602-2750 www.carlsbadca.gov STEP 3 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redevelopment project:YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50°/p of the surface area of the previously existing development? If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development.Go to step 4,check the "my project meets PDP requirements" box and complete applicant information. If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development.Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. STEP 4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) reqUirements may apply to my project. Refer to SUSMP for details. My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements,I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box pc09.t-Ca-*9D (--`7klar-K) Address:-Accessor's Parcel Number(s):• b ..MTPE1.11-A-1)2-,kW*01-97C;Ftt 6 —Z3)-if -a)s IApplicant Name:Applicant Title:--. /111-g-y-c 041-90V kW()'V WP-e-tt... Applicant Signature:.'"'Date:/2'0/ This Box Box for City Use Only City Conc rrence YES INZIMInutemill11WirlAIML1111.111.111 Date:'1.J4A11111111 Project ID:•,—0 *Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. 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JO NOI10VASI1VS 31-11 0183080 ONI)180M Woo ledpiuniN peqspeo aqllo 9 L.9 I.Jeldeq0) aoueuipo 6u!pe.i0 L.Lae t) Pap :.ON punad uopn.11suo0 01 S301A30 1081N00 NOIS0133 11V peqspeo aw of wensind ueid 6u!pe.i6 a allnlow lou seop palad An t3801S3811VHS8010V81N00/83NMO 3H1 '3 (s)a6Jegoslloas.0 bi crs.:01 palom '1N3N11A13 Jaiem wools-UOU JO MOM Jamm unqs lo Am Aq sialem buwaoalSINIV8 N3HM Sd1/118 1081N001N31A1103S Acpeau of swelllliod 6unnqywoo Jo; telluamd llieowub!s a qllm gale anmsuas 1 1.Ise--if 19/:JaqwriN poied sAssassv ONV NOISO83 dO NOI1V-11V1SNI OldV8 Auemawuo.oua ue Jo lea; 003 'Awn JO ap!su! pomp°. mu Si pafoid An A31V11110VA0131IS NO 318V1IVAV 39 11VHS (4'1 IDN\VrNif-f--).sizei:sseippv al!S S1Vle31VIA1 CINV1N31Ald11103 AHVSS303N 11V '1.swawallnbai dddMS uollongsuo0 aq1 wall Mama sedAl 'wad lo Am6aleo a Li!mu s!paroid AtAi ASaLON NOI1N3A3lid Noun-nod 83_LVM IA1801SNOIIVWHOANI133f0Md 31VOIA112139 33NVIldiA1031131VM WHOIS AoS'eapeqspexmmm GVEIS - 111VDOSLZ-Z09-09L 6Z-3 AO AlID A/11...anuany AepeJej sEgi dddMS N01.10111:11SNO9 I.N311Oupaau!Su3 luawdoianaa pue i .t' sa3was 4 uauldoianaa INNOA 3ONVI1dINOO M3.1.VM W1:10.1.9 40\411 TrackingErosion Control Sediment Control BMPs Control Non-Storm Water Waste Management and Materials BMPs BMPs Management BMPs Pollution Control BMPs 0 c c c —o z-_,a)-0 a)-0 :-..-c "7)0 EC0C.3 C E 2as22.0 .Es a as 0 as a) CO CO E 0)s...7.-;id s-'5 L^o)2 0)72 112 0.a .°a)—17')TAcu'l c .=.-.cr a)c a)a) asBest Management Practice ,res .5 aa c''Coas co a •E E a)o cv o a)0 CI III c 0 (0•?:a)as '4='•-E E va E_01 aE-E 0 s-0 us ra v 13 si)2 E...a.0 „„as a)(BMP) Description -->0 0 Sn 0).5 a)1-...o m iT (1)C9 cI3 Tis c 0.c -0 co c2=l'4)T.VI IA V >,0 .C C >0 D (1)>2 E E cp EOS0b0)0 Lt ....0 -6 a)6-)--e a)6 2ca)CZ 0 ...at OS-5 .N u)N U0 al .°CO "--.W a)0 To cif TO-'—2?—a--8 03 - a.- .0°-0 .c 2 0 °E '715 ''''-°E —cn f-- zri az 0 E ro-.773 E .—0 —O.‘.,0 0 ,_0 0 0 0 .a —Ct.4-'a g 43 >>.8 -2 ‘--92 :5 21 -° isi ..-c.)-(0 :,CO 43 E 4 -6 --'1 33 `2 2 2 c)2a)0 as fil 0 1_--.ci..0 .0 E 6-,,o 2 mm CO 0 -Is Es too o a)°fi.°(3 0 a 0 -a s'e a)cr 5 cc0lifCscoi75co0it0(7)>cn coon ins co rx 5 a a.0 a >U Z (/)Z co co O co Z 2Z 0M CASQA Designation -->i'.T cl)'--'-c?- 1 -(9 '9 1'7 c°°.--(NJ 7 C.?t- 7.c°'-c'c?1.Cc)u?c°0 0 0 .iii ww w w w w 7 th ii co v-)co co 2 2 2 2 2 2Liusw0cococococococoU-1 I—I—z z z zConstruction Activity Lu co Grading/Soil Disturbance,,, iS Trenching/Excavation __ Stockpiling Drilling/Boring ' .__ Concrete/Asphalt Saw cutting . Concrete flatwork .,•)4 . Paving 'K.Conduit/Pipe Installation*Stucco/Mortar Work /X-.Waste Disposal Staging/Lay Down Area .__-_ Equipment Maintenance and Fueling Hazardous Substance Use/Storage Dewatering -- Site Access Across Dirt _ Other (list):-_ -_- .-. Instructions:Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list.For Example -If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic"in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures.The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10 PLANNING DIVISION Development Services ‹s BUILDING PLAN CHECK Planning Division ‘**/"'CITY OF REVIEW CHECKLIST 1635 Faraday Avenue CARLSBAD P-28 diln/2---e (760) 602-4610 www.carlsbadca.eov q/(!)/1. DATE:9.1474.PROJECT NAME: ADDITION PROJECT ID: PLAN CHECK NO: CB142077 SET#:ADDRESS:1275 CYNTHIA LN APN: Ri This plan check review is complete and has been APPROVED by the ai/L/1414:i Di 'sion. 7By:.ire roA Final Inspection by the PLANNING Division is required Jj Yes tz No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. n-This plan check review is NOT COMPLETE. Items missing or incorrect are listed on .4,40 he attached checklist. Please resubmit amended plans as required. ,Plan Check Comments have been sent to:markozemunac@yahoo.com For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton Kathleen Lawrence Greg Ryan 760-602-4624 760-602-2741 760-602-4663 Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov X Gina Ruiz Linda Ontiveros _Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov Dominic Fieri -760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: 1/Plan Check No. CB142077 Address 1275 CYNTHIA LN Date /d Review #/2/3 Planner GINA RUIZ Phone (760) 602-4675 APN: 156-231-11 -00 Type of Project & Use: ADDITION Net Project Density:DU/AC Zoning: R-1 General Plan: RLM Facilities Management Zone:1 CFD (in/out) #_Date of participation:Remaining net dev acres: (For non-residential development: Type of land use created by this permit:) REVIEW #: 1 2 3 Legend:Z Item Complete 0 Item Incomplete -Needs your action El CI ID Environmental Review Required:YES 0 NO Z TYPE DATE OF COMPLETION: Compliance with conditions of approval?If not, state conditions which require action. Conditions of Approval: Z 1:11 0 Discretionary Action Required:YES ID NO Z TYPE APPROVAL/RESO. NO.DATE PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval?If not, state conditions which require action. Conditions of Approval: El El El Coastal Zone Assessment/Compliance Project site located in Coastal Zone?YES 0 NO E CA Coastal Commission Authority?YES D NO E If California Coastal Commission Authority:Contact them at —7575 Metropolitan Drive, Suite 103, San Diego, CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): ZI CI El Habitat Management Plan Data Entry Completed? YES 1111 NO Z If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds,Activity Maintenance,enter CB#,toolbar,Screens,HMP Fees,Enter Acres of Habitat Type impacted/taken, UPDATE!) Z El 0 Inclusionary Housing Fee required:YES El NO (Effective date of Inclusionary Housing Ordinance -May 21, 1993.) Data Entry Completed?YESE NO E] (A/P/Ds,Activity Maintenance,enter CB#,toolbar,Screens,Housing Fees,Construct Housing Y/N, Enter Fee, UPDATE!) Z CI CI Housing Tracking Form (form P-20) completed:YES 0 NO ri N/A Page 2 of 3 07/11 P-28 Site Plan: IZI II El Policy 44 -Neighborhood Architectural Design Guidelines El El El 1.Applicability: YES 0 NO El El LI 2.Project complies: YES 0 NOD Zoning: N DI El 1.Setbacks: Front:Required 20'Shown 20' Interior Side:Required 5.8'Shown 6' Street Side:Required N/A Shown N/A Rear:Required 11.6'Shown 12' Top of slope:Required N/A Shown N/A El El El 2.Accessory structure setbacks: N/A Front:Required Shown Interior Side:Required Shown Street Side:Required Shown Rear:Required Shown Structure separation:Required Shown N El 0 3.Lot Coverage:Required 40% MAX Shown 37.9% [E]0 El 4.Height:Required 30'MAX AS 3:12 PITCH Shown 29.6'WITH 3:12 SLANT (OK PER C.W.) El 0 IEJ 5.Parking:Spaces Required Shown (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown 0 0 Additional Comments #1. PLEASE SHOW ON SHEET M.0 HOW THE SECOND FLOOR SINK, "WET BAR" AREA (IT HAS BEEN ATTACHED FOR YOUR REFERENCE). THIS INFORMATION CAN BE ADDED INTO THE SHEET WITH CALLOUTS.#2.PLEASE IDENTIFY ALL OTHER ROOMS THAN THE 6 FOR THE RESIDENTIAL CARE FACILITY AS "CARE TAKER QUARTERS". PLANCHECING.--2:_#1.THE RE UIREMENTS FOR A WET BAR IS =.-..'II M LENGTH OF_,/ CABINETR 0'S OF EIGHT LINEA .E LENGTH ON THE PLANS I -71-i STILL SHOWING TEN FE .-;."-T:1 - 741 HIS REQUIREMENT THERE CAN BE NO COUNTER SPACE AB•--REFRIGERXTUR-AND-TttE-GABINEIS NEED TO B• REDUCED IN LENGTH. 1 . 71D luTA-L - , , P-28 Page 3 of 3 gli...c ' .07/11 4 -• PLAN CHECK Community & Economic <c4 Devglo.-iltDepartmentREVIEWVarlda\7/CITY OF •y Avenue CAFILSBAD TRANSMITTAL BLDG. DEPri Carlsbad CA 92008 www.carlsbadca.gov DATE:9-4-14 PROJECT NAME:Elderly Care 6 residents PROJECT ID: PLAN CHECK NO:CB142077 SET#:II ADDRESS:1275 Cynthia Ln.APN: X This plan check review is complete and has been APPROVED by the Fire Division. By: D. Fieri A Final Inspection by the Fire Division is required Z Yes 111 No This plan check review is NOT COMPLETE.Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton Kathleen Lawrence Greg Ryan 760-602-4624 760-602-2741 760-602-4663 Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov Gina Ruiz Linda Ontiveros Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: C.44. pq:-• °4 ''Carlsbad Fire Department BLDG' PEPT COPY Plan Review Requirements Category:RESDNTL ,RAD Date of Report: 09-04-2014 Reviewed by: Name:MARKO RADOVANOVIC Address: 461 ESTELITA DR VISTA CA 92084 Permit #: CB142077 Job Name:RESIDENTIAL CARE FACILITY-ADD Job Address:1275 CYNTHIA LN CBAD OMPLET T -'-m you ha sus .•ed for review inc.•lete.At thi ti 2 this offic c..-of a.eua conduc review etermi -comph.1 -with the oplicab e ..es an.. sr stall.ds.'-ase -vie care ly al .•en attached.'e ubmit the n -•-sary ans and/or s 'fic.. ions, wit arr.es "do ed", to this o ffice for .*e .d approval. Cond: CON0007662 [MET] APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry:09/04/2014 By:df Action: AP e • CC•i of CERTIFICATION OF Development ServicestyBuilding DepartmentSCHOOL FEES PAIDCarlsbadB-34 1635 Faraday Avenue 760-602-2719 www.carisbadca.gov 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 Elderly Residential Care Facility Project ID:• CT/MS: Building Permit Plan Check Number:CB142077 Project Address:1275 Cynthia Ln A.P.N 156-231-11 -00 Project Applicant (Owner Name):Marko Radonovic Project Description:Add bedrooms and bathrooms to expand a residential Care Facility Building Type Residential:NEW DWELLING UNIT(S) Square Feet of Living Area in New Dwelling/s Second Dwelling Unit:Square Feet of Living Area in SDU Residential Additions:2,234 Net Square Feet New Area Commercial/Industrial:Net Square Feet New Area City Certification of Applicant Information:epenette diAbe#Date 9/4/2014 SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD El Carlsbad Unified School District 0 Vista Unified School District 0 San Marcos Unified School District 6225 El Camino Real 1234 Arcadia Drive 255 Pico Ave Ste.100 Carlsbad CA 92009 (760-331-5000)Vista CA 92083 (760-726-2170)San Marcos, CA 92069 (760-290-2649) Contact: Nancy Dolce (By Appt. Only) Encinitas Union School District 0 San Dieguito Union High School District-By Appointment Only 101 South Rancho Santa Fe Rd 684 Requeza Dr. Encinitas, CA 92024 Encinitas, CA 92024 (760-944-4300 x1166)(760-753-6491 x 5514 ) 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: • 9 /0/4 B-34 Page 1 of 2 Rev. 03/09 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school district(s)) *******************************************Irk****************************************************** 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 Dviatte -6Atiitzcoig-t) TITLE Uq (2_r Y\--e'YV - NAME OF SCHOOL DISTRICT CARLSBAD UNIFIED SCHOOL DISTRICT 6225 EL CANINO REAL CARLSBAD, CA 92009DATE -16 -I 9 PHONE NUMBER '{7.:30 3 3 t 8-34 Page 2 of 2 Rev. 03/09 Final Inspection required by: 4/0/1Y r0 pc-6-0 I si -&-I f r-oe-6 I ess-ic_.GI STYLLA-R-TI So it....5,631Eleyy p Plan [I CIVad .sire 1:3 gl1 ?°((LI Ptir -- FL 11:3 SW 140 so 3 ChssuED LICV. ApprovedBy iri Dgi i Lf OSC)-17__-4.__._..BUILDING Dte 1 1qY/Y &5- PLANNING '10-4 -6P- 1?-114 °AI 644/41A. 37...tx„pL.Hu .. -p (a./...Ft r•1 T -ftrc ENGINEERING //2//y ,c.c..Jr -ec-6-14__tty 0-ry...A.03--(A)sorc.5 c.e/TTer ARE Expedite?Y N elYt Cirep ..2---ore Bo G-•cl-Fire I CDPN01---0T-5 9/01Ci la 51244_DF DIGITAL FILES Required?Y N (—)n i ._. Vil - I itt CtAilik A'f-C-HazMat APCD CA Health Forms/Fees Sent Rec'd Due?By Encina Y N I (PE & M1/61 -.c7./ Fire Y N HazHeafthAPCD Y Nffrizzi.1/4i Y N10e.....--" t*Stormwater:''egeA leQ..i -rn k.-(e....)(.+ e-"k (.9N -TO I tO I i...School 0....ii ( 1i 00-1 cif Ito j(i Y N Sewer Y N Y N 9-I I). )(6 V(-)24`'APL p_44-4-0 qii(/4 Special Inspection CFD:Y N `I N LandUse:Density:ImpArea:FY:Annex:Factor: A t\°111L2 t MOCU (A Vn.\-\\' 1\1 )2.00 Vt.)Ni\V -(c)-te.ut\ex Qi)CIDCW.) PFF:Y N Comments Date _Date Date Date Building alasiAl Planning gftit..el 13/IL, Engineering :--'9/-3// Fire Need? 0 Done 0 Done 0 Done 0 Done