HomeMy WebLinkAbout1278 LAS FLORES DR; ; CB001779; PermitCity of Carlsbad
06/28/2000 Residential Permit Permit No:CB001779
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
1278 LAS FLORES DR CBAD
RESDNTL Sub Type:
1563511500 Lot#:
$52,316.00 Construction Type:
6 Reference #:
0 Structure Type:
0 Bathrooms:
MARTIN RES/638 SF 2ND UNIT ADD
2DU
0
NEW
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
MARTIN VERN W&MARGARET A MARTIN VERN W&MARGARET A
2361 CIPRIANO LN
CARLSBAD CA 92008
ISSUED
05/08/2000
RS
06/28/2000
06/28/2000
1509 06/28/00 0001 01
C-PRMT
Total Fees: $5,072.32
it t Ji! , •· f < ,.. ' :;:; .. ~-;, ·, fr ', 4". • .. :v
Building Permit ;:<: ~: • ;' $415.47 ~tefSlze ~: .;;;•:
Add'I Building Permit Fee ~: ;.: ; ;• $0.00 Add'I Reel. Water C~ri'.'fliljil ;!;
Plan Check " • • • • 0 $270.06 Meter Fee '· · " ·· ' • ...
"~· " ¼ •• .. .. • ,; "' ; '.:.;.: .. "'•·:;: Add'I Plan Check Fee " ,,. · ., • • · ,. $0.00 SOCWA Fee " " • ,. ... ,. , ............ ""~" 0'. h k ,,. Plan Check Discount •··••·••"· .;:sn.oo. CFO Payow"Fee .;; :::;:.:
Strong Motion Fee :;:::::; ;,, ~Mi3 Pt=F , : .. "' · •••••••• .>••,c,,..,,..,._. ... 'il""'i-~'f'-lill1':-Mhfypf•v Park in Lieu Fee •~••,., ~. $0.0~ P"'"-""' rund). !', • · wn • ••. fi . I "' •il:K0v0r*, Park Fee 0.;~:.:=s .. ;:, 0.08 LcenseTax P8'r&0:01*0?%•
LFM Fee u,,., ·• , .00 Ucense~ax i!'unld*::· * * o, ., tr.# ,('•fl. 4 % y ,& :;il\t
BridgeFee ~;• :• 11.1110 ••• Tra(fli;,I liiee'. ⇒=•~•
Other Bridge Fee . : : •• : $0.oo; • ~.? !'B'JtlfFlrnfJaCf (t:fJ;t!!Qi1d)
BTD #2 Fee • ;:;,o.~· ;; : ~; L~i fraik .. Fee
BTD #3 Fee · • $0~ ;~;;:Sl"8~1f(« z 0 •
Renewal Fee $0:'oo:, . , • , l'!t;Qfflll'46TOTAL
Add'I Renewal Fee $0.00 . E'.[ECTRICAL TOTAL
Other Building Fee $0.00 MECHANICAL TOTAL
Pot. Water Con. Fee $0.00 Housing Impact Fee
Meter Size Housing lnLieu Fee
Add'I Pot. Water Con. Fee $0.00 Master Drainage Fee:
Reel. Water Con. Fee $0.00 Sewer Fee:
TOTAL PERMIT FEES
Inspector: ~ ---Clearance:
$4,802.26
$0.00
$0.00
$0.00
$0.00
$952.15
$878.91
$0.00
$0.00
$236.88
$267.12
$0.00
$0.00
$84.00
$35.00
$30.50
$0.00
$0.00
$0.00
$1,897.00
$5,072.32
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 Ca~sbad 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
4802-26
FOR OFFICE USE ONLY J~ ~v\1C\
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. t!l!:,oo O ]CJ
EST. VAL. 5;1-3 /(p-
Plan Ck. Deposit et ?o. Ole
Validated By-:!'.t-"_,S.,1::::-=------
:1,L : 'PRQJECT INl!ORMATION
/2.78 la,..c Flo:up
Address (include Bldg/Suite #)
or
,s
Date s-~OCJ
Business Name (at this address)
Legal Description Lot No.
I ora I AP-O'.) es A. :\-c :\-s i>ion Name/Number Unit No. Phase No. Total # of units
I Slo-3. SI IS (?.,-1
Assessor's Parcel # Existing Use Proposed Use
#of Stories # of Bedrooms # of Bathrooms
State/Zip Telephone# Fax#
4L : PROPERTYOWNER. . ,
Ve <"O c.. fY\o.r-h" L 21B Le..o E lue< s Pc
Name Address City
.&, T'l:oliltllAOTOll , COMP,\NY NAME•:
(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 [$5001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
e,:. !WQR)(tlis'clefMPEl'ISATION
Workers' Compensation Declaration: I 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.
D 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)
D 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 wor·km....--eoimpensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($1 ddition to the compensation, da gas as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE,_-.,~::'.:.<e:'.4""'"""=o!!!!,_,:C:::.,...~C:,<'.-Gie"'-j,C.:.....,_________ DATE S--f3-2.,. Bv"'
1< ,, • l)Wtjl(RCBIJllDERDECLAIIAilON
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
~, 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, end 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 t, 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. 0°'YES ONO
2. l (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 number / contractors license number):
4. l 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, butt have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type
of work):. __________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
®MPLE:fETHIS stcTICftj!FCf R'll'ON..JfES/DEN11AL' iiUiLblNiH>EliMll'ii:oliltY ' ••..
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 O 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
li,; CONSTRUc:TfONLENDllilcaCtNC'v
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _
·.9, APl'I.ICIINT CERTIFICATION .
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 Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE (!h_N,,A,,.__ ,b•. \~ DATE 5 /8 { DO
\ WHITE: }ile YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 12/7/2000
Permit# CB001779
Title: MARTIN RES/638 SF 2ND UNIT ADD
Description:
Type: RESDNTL Sub Type: 2DU
Job Address:
Suite:
Location:
1278 LAS FLORES DR
Lot 0
APPLICANT MARTIN VERN W&MARGARET A
Owner: MARTIN VERN W&MARGARET A
Remarks:
Inspector Assignment: TL ---
Phone: 7607294325
Inspector: ~
Total Time:
CD Description
Requested By: VERN
Entered By: CHRISTINE
Co~s
,____,_._ -+f< l m ~ A-00<2£$S IZ18 zt~
--+-APorz.z:.sL(28 l ll\--s:=tt-or.ir:~ '2'->S si::-AoQ,
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs
lns~eclion Histo01
Date Description Act lnsp Comments
12/5/2000 89 Final Combo co TL NOTICE
9/22/2000 17 Interior Lath/Drywall AP TL
9/21/2000 17 Interior Lath/Drywall co TL
9/15/2000 16 Insulation AP TL
8125/2000 14 Frame/Steel/Bolting/Welding AP TL
8/25/2000 24 Rough/T opout AP TL
8/25/2000 34 Rough Electric AP TL
8/18/2000 21 Underground/Under Floor AP TL
8/18/2000 23 Gas/Test'Repairs AP TL
8/18/2000 31 Underground/Conduit-Wiring AP TL
8/11/2000 13 Shear Panels/HD's AP TL
8/11/2000 17 Interior Lath/Drywall WC TL
8/11/2000 23 Gasrrest/Repairs co TL NEED 18 IN DEEP TRENCH
8/1/2000 15 Roof/Reroof AP TL
7/17/2000 11 Ftg/Foundation/Piers AP TL
7/13/2000 21 Underground/Under Floor AP TL
City of Carlsbad Bldg Inspection Request
For: 12/5/2000
Permit# CB001779
Title: MARTIN RES/638 SF 2ND UNIT ADD
Description:
Type: RESDNTL Sub Type: 2DU
Job Address: 1278 LAS FLORES DR
Suite: Lot 0
Location:
APPLICANT MARTIN VERN W&MARGARET A
Owner: MARTIN VERN W&MARGARET A
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural lli
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs
lnsgection HistoD:
Date Description Act lnsp Comments
9/22/2000 17 Interior Lath/Drywall AP TL
9/21/2000 17 Interior Lath/Drywall co TL
9/15/2000 16 Insulation AP TL
8/25/2000 14 Frame/Steel/Bolting/Welding AP TL
8125/2000 24 Rough/Topout AP TL
8/25/2000 34 Rough Electric AP TL
8/18/2000 21 Underground/Under Floor AP TL
8/18/2000 23 Gas/Test/Repairs AP TL
8/18/2000 31 Underground/Conduit-Wiring AP TL
8/11/2000 13 Shear Panels/HD's AP TL
8/11/2000 17 Interior Lath/Drywall we TL
Inspector Assignment: TL ---
Phone: 7607294325
Inspector: TL
Requested By: VERN
Entered By: CHRISTINE
8/11/2000 23 Gas/Test/Repairs co TL NEED 18 IN DEEP TRENCH
8/1/2000 15 Roof/Reroof AP TL
7/17/2000 11 Ftg/Foundation/Piers AP TL
7/13/2000 21 Underground/Under Floor AP TL
7/13/2000 24 Rough/T opout WC TL
\'; • . ' . .. CIIJ ., Carlsbad ~~~-· ~-: nnal Bulldlna lnspecuon
f
Dept: Building Engineering Planning CMWD St Lite Fire
Plan Check #:
Permit#: CB001779
Project Name: MARTIN RES/638 SF 2ND UNIT ADD
Address: 1278 LAS FLORES DR
Contact Person: VERN Phone: 7607294325
Water Dist: CA Sewer Dist: CA
Date: 12/5/2000
Permit Type: RESDNTL
Sub Type: 2DU
Lot: 0
··························································································································································
Inspected ;) Date
I Z. · fc ·(()D ~sapproved: __ By: AA<= MIAJ-/ \'.> Inspected: Approved:
Inspected Date
By: Inspected: Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __ .......................................................................................................................................................... ,
Comments: -------------------------------
l
. '
EsGil Corporation
7n Partntrsfiip witfi {jovtmtntnt for 'lluiUing Safety
DATE: May 17, 2000
JURISDICTION: Carlsbad
PLAN CHECK NO.: 00-1779 SET:I
~nru~:5 JURIS.
□ PLAN REVIEWER
□ FILE
PROJECT ADDRESS: 1278 Las Flores Drive
PROJECT NAME: 2nd SFD for Martin
□
□
□
□
□
~
□
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: Fax#: -&~
Mail Telephon': .. Fax In Person / KJ~
REMARKS: 1) Please have the designer show smoke detector in the living room. 2) Please
have the designer/owner and the author sign the spaces provided for respectively on the CF-1 R
form.
By: Bert Domingo
Esgil Corporation
0 GA O MB O EJ O PC
Enclosures:
5/9/00 tmsmtl.dot
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
,
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 00-1779
PREPARED BY: Bert Domingo DATE: May 17, 2000
BUILDING ADDRESS: 1278 Las Flores Drive
BUILDING OCCUPANCY: R 3 TYPE OF CONSTRUCTION: V N
BUILDING BUILDING AREA VALUATION
I
CITY VALUE ($)
I PORTION ( Sq. Ft.) MULTIPLIER
52,316 52,316
Air Conditionina
Fire Sprinklers
TOTAL VALUE
52,316
■ 1994 UBC Building Permit Fee O Bldg. Permit Fee by ordinance: $ 415.45
■ 1994 UBC Plan Check Fee O Plan Check Fee by ordinance: $ 270.04
Type of Review: ■ Complete Review 0 Structural Only
0 Repetitive Fee Applicable 0 Other:
Esgil Plan Review Fee:
Comments:
0 Hourly
$ 216.03
Sheet 1 of 1
macvalue.doc 5100
.. '
City of Carlsbad
l@fill ◄W·ii~t-#,i·ll,14§1 ■,1·1
DATE:
BUILDING ADDRESS:
BUILDING PLANCHECK CHECKLIST
PLANCHECK NO.:
p'1g' LtLS FLoe,£.5, ~ CB l/J/77Y
PROJECT DESCRIPTION: ..Sup._. ---~.,.-:--,------=~-------------ASSESSOR'S PARCEL NUMBER: /.>/s,-,3s/-/ !:, EST. VALUE:
ENGINEERING DEPARTMENT
APPROVAL DENIAL
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.
[A Right-of-Way permit is required prior to
construction of the following improvements:
By: /t
ATTACHMENTS
□ 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
Please see the attached report of deficiencies
marked with □. Make necessary corrections to plans
or specifications for compliance with applicable
codes and standards. Submit corrected plans and/or
specifications to this office for review.
By: Date:
By: ________ Date:
By: ________ Date:
FOR OFFICIAL USE ONLY
ENGINEERING DEPT. CONTA!.T PERSON
Name: KATHLEEN M. FARMER
City of Carlsbad
Address: 1635 Farada:z: Avenue
Phone: (760) 602-2741
CFD INFORMATION
Parcel Map No:
Lots:
Recordation:
Carlsbad Tract:
A-4
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @
~✓
□
□
□ □
BUILDING PLANCHECK CHECKLIST
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow
8. Existing & Proposed Structures
C. Existing Street Improvements
2. Show on site plan:
A. Drainage Patterns
D. Property Lines
E. Easements
F. Right-of-Way Width & Adjacent Streets
G. Driveway widths
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."
B. Existing & Proposed Slopes and Topography
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
4a. Project does not comply with the following Engineering Conditions of approval for Project No. ________________________ _
4b. All conditions are in compliance. Date: _(o-"--_(_~-·~~+/_1,,_if0 __ _
r
H:IWORD'J'ARMER\KATHY\MASTER5'.Bullding Planchedl Cklll BP0001 Fonn KF .dOc 2
'
□ □
□ □
BUILDING PLANCHECK CHECKLIST
DEDICATION REQUIREMENTS
5. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $ ______ , pursuant to 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 ½" 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
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 18.40.040.
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 18.40. Please submit a recent property title report or
current grant deed on the property and processing fee of $ _______ so
we may prepare the necessary Future Improvement Agreement. This agreement
must be signed, notarized and approved by the City prior to issuance of a
Building permit.
Future public improvements required as follows:
H:IWORCI\FARMER\KATHY\MASTI:~ PlaneheCk Cklsl BP0001 Fonn Kf.doc 3 Rev, 11131117
' \
1st✓ 2nd✓ 3ro✓
0 0 0
0 0 0
0 0 0
0
0 0
0 0 0
0 0 0
,'
I 0
BUILDING PLANCHECK CHECKLIST
6c. Enclosed please find your Future Improvement Agreement. Please return
agreement signed and notarized to the Engineering Department.
Future Improvement Agreement completed by:
Date:
6d. No Public Improvements required. SPECIAL NOTE: Damaged or defective
improvements found adjacent to building site must be repaired to the satisfaction
of the City Inspector prior to occupancy.
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section
11.06.030 of the Municipal Code.
7a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
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: -----------
7c. Graded Pad Certification required. (Note: Pad certification may be required even
if a grading permit is not required.)
7d. No Grading Permit required.
7e. If grading is not required, write "No Grading" on plot plan.
MISCELLANEOUS PERMITS
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, tieing
into public storm drain, sewer and water utilities.
Right-of-Way permit required for:
H:\WORD\FARMER\KATHY\MASTERS\8uildlng Planchedl Cldll BP0001 Fom, KF.doc 4 Rev.9/W1
. I
0
0
0
0
2"d✓
0
□
0
□
0
0
□
0
□
BUILDING PLANCHECK CHECKLIST
9. A SEWER PERMIT is required concurrent with the building permit issuance. The
fee is noted in the fees section on the following page.
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 Camino 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:
11. NPDES PERMIT
12.
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.
~quired fees are attached
0 No fees required
13. Local Facilities Management Zone Transportation Fee Agmt Signed.
14. Additional Comments:
H;\WOFIWARMER\KATHY\MASTERS\Buldlnll Planchllell Ckllt 8P0001 Fllffll KF.doc 5 Rev. 913197
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
□ Estimate based on unconfirmed information from applicant.
□ Calculation based on building plancheck plan submittal.
Address: / t,I~ /_a,5 l~O,ef,i '.D:/ Bldg. Permit No.=00~,,_i[D_.,___(!_7_'9 __
Prepared by: ~ Date: G::, {1j.pf 0"0 Checked by: ___ _
EDU CALCUL~wJJ List types and square footages for all uses.
Types of Use: __ ~_f)_lA_ __ _ Sq. Ft./Units: _____ _
Date:
EDU's: I
Types of Use: ______ _ Sq. Ft./Units: _____ _ EDU's:
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: S~ Sq. Ft./Units: _____ _ ADT's: I
Types of Use: ______ _ Sq. Ft./Units: _____ _ ADT's:
FEES REQUIRED:
WITHIN CFD: □ YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) □ NO
□ 1. PARK-IN-LIEU FEE PARK AREA & #:
FEE/UNIT: X NO. UNITS: =$ ~
□ 2. TRAFFIC IMPACT FEE
ADT's/UNITS: X FEE/ADT: =$ £"of..,/
□ 3. BRIDGE AND THOROUGHFARE FEE (DIST. #1 DIST. #2 DIST. #3 ) --
ADT's/UNITS: X FEE/ADT: =$ /
□ 4. FACILITIES MANAGEMENT FEE ZONE:
UNIT/SQ.FT.: X FEE/SQ. FT ./UNIT: =$ ~
□ 5. SEWER FEE
PERMIT No.
EDU's: X FEE/EDU/ tJ 91 =$ /{3'J1 v
BENEFIT AREA: DRAINAGE BASIN:
EDU's: X FEE/EDU: =$ -----□ 6. SEWER LATERAL ($2,500) =$ -------□ 7. DRAINAGE FEES PLDA HIGH /LOW
ACRES: X FEE/AC: =$ ~
□ 8. WATER PERMIT FEE / METER SIZE FEE X UNITS =$
CONNECTION FEE X UNITS =$ /~
SDCWA FEE X UNITS =$ z
TOTAL OF ABOVE FEES*: $
*NOTE:
P:IDOCS\MISFORMS\FEE CALCULATION WORKSHEET REV 4/29/99
\)
~
~ ~ 0 0
0
Cl-
~ ~ .., ..,
.;; N " ~ t ~ ~ u u
C C ~ ~
'¢ □ □
'¢□□
'¢□□
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB O O \] ]9
Planner Paul Godwin
APN: \56·2,5!·(5{)0
Address l 1:J..J S Las flo res ()r
Phone(760) 602-4625
Type of Project & Use: 5 DU, Net Project Density: _____ =-D-"'U.,_,/A..,_C,,.__
Zoning: B· \ General Plan: I\L(D Facilities Management Zone: __ },___
CFD lin/nutl # ___ Date of participation: Remaining net dev acres: Circle One -------
(For non-residential development: Type of land used created by
this permit: ____________________ )
Legend: ~ Item Complete D Item Incomplete -Needs your action
Environmental Review Required: YES_ NO j( TYPE ___ _
DATE OF COMPLETION: ______ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required: YES :i.._ NO __ TYPE S D \,<,
APPROVAL/RESO. NO. s DLA 00-0 7, DATE lj l 7 /oo
PROJECT NO.----~---
OTHER RELATED CASES: __________________ _
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval:. ______________________ _
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES NOL_
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 Re1:1uired" (at minimum
Floor Plans).
2) Complete Coastal Permit Determination Log as needed.
H:IAOMIN\COUNTER\BldgPlnchkRevChklst
~□□
~□□
lnclusionary Housing Fee required: YES NO l{__
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Data Entry Completed? YES NO
(A/P/Ds, ~ctivity Mai.ntenance, enter CB#, ~r, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!)
Site Plan:
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:
LJ LJ D 1. Setbacks:
Front: Reqai. eEi--:-----,,, Shown ______ _
Required -===-== Interior Side:
Street Side: Shown
Required ______ Shown
9(□ □ 2. Accessory structure setbacks:
Front: Required
Interior Side: Required 6 --("
Street Side: Required
Rear: Required I 7'
Structure separation: Required \ 07
'¢ 0 0 3. Lot Coverage: Required _l.._Y..:..._O-'%_o __
~ 0 0 4. Height: L \Ll / Required __ _, _ __, ___ _
~ 0 0 5. Parking: Spaces Required l c«r ~ a r
Guest Spaces Required __ .:..I ___ _
Shown ---~---
Shown _ __.1...::2>"-----
Shown ---c-::~--
Shown __ !_I 7-'-r--,-..--
Shown ---'-I 7-'------'-1-'---I _
Shown J \ . b 1/o -----'---
\
'1 / Shown d----'--'"----
Shown ___ Q=.-----
Shown 7 -------
0 0 0 Additional Comments. _____________________ _
OK To 1ssuE AND ENTERED APPROVAL INTO COMPUTER 0 0 uO ~ DATE 5 / p / o a
H:\ADMIN\COUNTER\BldgPlnchkRevChklst
• ' \. JUN-27-2000 TUE 01:22 PM CITY OF CARLSBAD FAX NO. 760 602 8558 P. 01
City of Carlsbad
1=1 1II0II11·194·1141,,tA,il
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FEES OR OTHER MmGATION
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 ·I.not issue any building permit without a completed school fee form.
Project Name: /A, .. ~
Building Permit
Plan Check Number:
Project Address:
A.P.N.:
Project Applicant
(Owner Name):
Project Description:
Building Type:
Residential:
Second Dwelling Unit:
Residential Additions:
Commercial/Industrial:
City Certification of
Applicant Information:
U3 l17f
/7(-351-/5
Number of New Dwelllng Units
Square Feet of Living Area In New Dwelling
Square Feet of Living Area in SOU G,,3/3 5'F
Net Square Feet New Area
Square Feet Floor Area
Date:
San Marcos Unified School District
215 Mata Way I
San Marcos, CA 92069 (736-2200)
Encinitas Union School District
IOI South Rancho Santa Fe Rd
Encu,.itas, CA 92024 (944-4300)
San Dieguito Union High School District
710 Encillitas Blvd.
Encinitas, CA 92024 (753-6491)
I ,,
Certification of Applicant/OWners. The person executing this declaration ("Owner") certifies under penalty of perjury that (1) the
information provid1d above ls 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 ini~al 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 ls
authorized to sign on behalf Itta~ ,._.,,_ i~
Signat\if~: ..::::=:~~:::..!.~:=::::::.::...:::..:__:~t,-::::_ _______ Date: b --:l. S -~ ......
\
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school district(s))
..... ********************"'**•• ............................. .,, ........... * .......... -...................... _ •• ***••····
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
TITLE
NAME OF SCHOOL DISTRICT
DATE
PHONE NUMBER
7 •
'?u,tJ,?.;27-,,;i.'J/ J X, .9().$~
·--------------------------------------------------------------------------------------------