HomeMy WebLinkAbout1288 KNOWLES AVE; ; CB931021; PermitPERMIT APPLICATION
City of carlsbad Building Departaent
2075 Las Pal..,. De., caclsbed, CA 92009 (619) 438-1161
i. PEkMI I liPE
A -U Commercial LI New Bu1idmg U I enant Improvement
B -□ Industrial U New Building D Tenant Improvement
C -□ Residential □ Apartment □ Condo D Single Family Dwelling D Addition/ Alteration
U Duplex D Demolition D Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall D Solar □ Other
2. PROJECT INFORMATION FOR OFFICE USE ONLY
, i1.T J/J{~ 4~ ML
Nearesf Cross Street / D
BuUdmg or Smle No.
nu o. ase o.
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
PROPOSED USE
/
ADDRESS
STATE
-Z:/7~ ~,k.s p/Z.
,;?. DAY T PHONE
CITY STATE ZIP CODE DAY TELEPHONE
5. PkOPERIY OWNM
NAME DM _:?bm , 47,;ez_
6
_ ~j~~.{Z> STATEC:4= ZIP CODE
ADDRESS
DAY TELEPHONE
NAME tt---:
CITY (JrJI~ l'.)V'~STATE
ADDRESS
ZIP CODE DAY TELEPHONE
STATE IJC. # IJCENSE CLASS CITY BUSINESS IJC. #
DESIGNER NAME ~JD f .,l)~?tc,.,%'%,~ d
CITY t./, STATE ZIP CODE --rZO
'U'!-8 Ct/1)/~pld. -
DAY TELEPHONE ~~?i?ATE IJC. #
Workers• Compensation Deciarat1on: I hereby altlrm that I have a cenlHcate of consent to self-msure issued by the D1rectorof lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POIJCY NO. EXPIRATION DATE
Certificate of Exempt10n: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of c.alifomia.
SIGNATURE DATE
8. OWNmt-B0iIDER OEi!OOtAIIUN
□
□
dwner-Butlder beclarauon: I hereby affirm that I am exempt from the Contracto?s License Law for the following reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense 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.).
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 Llcense 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 Llcense Law).
I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.S 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt theree!P.pm~rlci:1 th sis for the lie exe . Any violation of Section 7031.S by any applicant for a permit
subjects the applicant to· of not e ~ dollars [$S00]),
SIGNATURE DATI!
Is the applicant or future building occupant required to s it a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25S0S, 25S33 or 34 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IP ANY OF TIIE ANSWERS ARI! YES, A FINALCERTIFICATI! OF oa:uPANCY MAY Nill BE ISSUED AFIBR.JULY 1, 1989 UNlJ'.SS TIII! APPLICANT
HAS MET OR IS MEl!TING TIII! REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIII! AIR FOLLIITION mNTitOL DISTIUCT.
9. CDNSIROCIION IENDING AGENCY
I hereby athrm that there ts a construction lending agency for the performance of the work for which this penmt 1s issued (Sec 3097llJ Civil Code).
LENDER'S NAME LENDER'S ADDRESS 1//71,( e__
10. AWUCANJ Cf!IUIFICA:IIDN
I certify that I have read the apphcatlon and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I AI.'iO AGREE ID SAVE INDEMNIFY AND KEEP IIARMU'.SS TIII! CITY OF CARISBAD AGAINST AU. LIABllJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY NilUJE AGAINST SAID CITY IN OONSEQUENCE OF TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA pennit is required for excavations over S'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 su h permit is not commenced within 36S days from the date of such pennit or if the building or work authorized by
such permit is suspended or a oned at an time after the wor is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
DATE: f..-~40
PINK: Fmance
PERMIT# CB931021
CITY OF ,CARLSBAD
INSPECTION REQUEST
FOR 11/09/93
140SF DECK DESCRIPTION: 520 SF GAR W/BATH +
RELOCATE DECK
TYPE: RAD
AV STE:
INSPECTOR AREA PY
PLANCK# CB931021
OCC GRP R3/M1
CONSTR. TYPE VN
LOT: JOB ADDRESS: 1288 KNOWLES
APPLICANT: DOMINGUEZ, DON
CONTRACTOR:
PHONE: 619 439-5735
OWNER: ~:~::: /) /) \ \ /Ji!
INSPECT~J;LJtl-• REMARKS: RS
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB930984 POOL
14 ST Frame/Steel/Bolting/Welding
14 ST a:?st:el/Bolting/Welding -!fr_ = -lr~"""'~.J<..1:_-t---~""-,,s-..,------
------------------
STATUS
ISSUED
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE
110593
110593
100893
100893
DESCRIPTION
Gas/Test/Repairs
Rough Electric
Ftg/Foundation/Piers
Underground/Under Floor
ACT INSP
CO PD
AP PD
AP PY
AP PY
COMMENTS
-~ • •
ESGIL CORPORATION
9320 CHESAPEAKE OR., SUITB 208
SAN DIEGO, CA 92123
(619) 560-14-68
DATE:
JURISDICTION: ( ~ 6): 0, \ ~\;;,,,-4 AN CHECKER
FILE COPY
OUPS
□DESIGNER
PLAN CHECK NO: lP;;:,~S-\O~\ SET: T
PROJECT ADDRESS:_-1\~~wS~·~8-~"~~~~~,~v~'~~~~'--~(1~½L,-_~,-----
D
•
D
0
D
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdic':i.on' s building codes when minor deficien-
cies identified pelo~ 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 herewitb is for your information.
The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the app~icant contact person.
O The applicant's copy of the check list has been sent to:
■ Esgil staff did not advise the applicant contact person that
plan check has been completed.
O Esgil staff did advise applicant that the plan check has been completed. Person contacted: ___________ _
Date contacted: _________ Telephone i _______ _
■ REMARKS :----:!E...1.J..J....=....i...,.=.....u.w....:.i,.,....J!-'-'-"--4-\T.:"&'-~..!2.!!...!.1>.....L!:l:::w_~•~!>.Q.a.u.1.~S2..2¥
,. (y ; ?I,.,-,· Yl:::U:-. ;';>pl, 4 C ors-a<, @ e.,._, :>l•r.j 11T.1:s I "YI, 'Y% "°" "l: C \o:;.,y (th.) •
;t@: x,v .. ~ r:,;S+ ~\ucco u""C:t( y,,,.,c;,_y .1 f::':1 ffi✓c\cL¼z.: ~ 4•otJnA rNl7·~>.
By: Qt, "Qa cl H-c
ES GIL CORPORATION c:q ~::,
□GA OcM □Pc
Enclosures=-~~~J~o~w..._ _____ _
•
Jurisdiction,_....i.V~~.:..\~~~:-.o=~~c:\.:.... __ Dates cq;)L\\")?,
Prepared by1
'::iy,,.,,, VALUATION AND PLAN CHECK FEE
a Bldg, Dept.
er"Esgil
PLAN CHECK NO, (6:,5> 102,I CI)
BUILDING ADDRESS l'LE'J> \<,>"lo,DI<-:> w'Y'½
APPLICANT/CONTACT ________ _ PHONE NO, _______ _
BUILDING OCCUPANCY ~I½, DESIGNER PHONE _____ _
TYPE OF CONSTRUCTION ~ _ .v CONTRACTOR PHONE ____ _
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
:Dec.\<._ \I~ j! 101.L \ -s (>f.p-
G,-• =.,, ... ~1-I D 'iu, ,...
Air Conditionin£
Commercial @ .
Residential Iii
Res. or Comm.
Fire Stlrinklers @
Total Value ,~ -77~u
Building Permit fee $ __________________ _.__.:..\'-1--'--'&.-\~-.::;0D:,_ __ _
Plan Check r ee___,S!,._ __________________ ___:!:$_..;:.l,o!.!J• ,LJ;(J::.._ __
CD MME N TS.__ ____________________________ _
SHEET -G-OF (u
12/87
City of Carlsbad
M #i,1·11,14411,1·1 •14 •Alli, ,14 ,I I
BUILDING PLANCHECK CHECKLIST
DATE: '9,/2-,~ PLANCHECK NO. 93-fa,2/
BUILDl~G A;DRESS: _.,_/_,)__f"d_'l'__.Af'-"~=~~=-'--/4--''S'--4.-'--'t/.,!f"'--------·----
PROJECT DESCRIPTION: M~U' r t>Fc,e' /44 /'z',;~ /? S-4 I
ASSESSOR's PARCEL NUMBER: /5',-.:2-30-S-d,.
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved. The approval is based on plans,
information and/or specifications provided in your
submittal; therefore any changes to these items
after this date, including field modifications, must
be reviewed by this office to insure continued
conformance with applicable codes. Please review
carefully all comments attached, as failure to
comply with instructions in this report can result in
suspension of permit to build.
ATTACHMENTS
D Dedication Application
D Dedication Checklist
DENIAL
Please see the attached report of deficiencies
marked with D. Make necessary corrections to
plans or specffications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for review.
By: __________ Date: ___ _
By: __________ Date:, ___ _
By: _________ Date: ___ _
CONTACT PERSON
D Improvement Application
D Improvement Checklist NAME: ______________ _
D Future Improvement Agreement
ADDRESS: ______________ _
PHONE: ______________ _
P:\doca\chkllll\bp0001.frm REV 6/5/92
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 @
BUILDING PLANCHECK CHECKLIST
SITE PLAN
< ~•/4nd✓ 3rd✓ ~ 0 D 1. Provide a fully dimensioned site plan drawn to scale. Show:
□
□
□
□
A. North Arrow D. Property Lines Easements
B. Existing & Proposed Structures E. Easements
C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets
2. Show on site plan:
A. Drainage Patterns C. Existing Topography
B. Existing & Proposed Slopes
3. Show on a section drawing or include a note stating that there is a minimum of 6"
difference between the finished floor and the finished grade elevation adjacent to the
structure.
4. Include note: "Surface water to be directed away from the building foundation at a 2%
gradient for no less than 5' or 2/3 the distance to the property line (whichever is less)."
On graded sites, the top of any exterior foundation shall extend above the elevation
of the street gutter at point of discharge or the inlet of an approved drainage device
a minimum of 12 inches plus two percent" (per 1990 UBC 2907(d)5.).
5. 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
P:\doca\chldat\bp0001.lrm Page 1 of 4 REV 8/5/92
1st✓ 2nd✓ 3rd✓
,~ D □
D
BUILDING PLANCHECK CHECKLIST
DISCRETIONARY APPROVAL COMPLIANCE
6. Project does not comply with the following Engineering Conditions of approval for
Project No. ________________________ _
Conditions were complied with by: ______ _ Date: _______ _
DEDICATION REQUIREMENTS
7. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and for
remodels with a value at or exceeding $ ______ -pursuant to Code Section
18.40.030.
Dedication required as follows: _________________ _
Attached please find an application form and submittal checklist for the dedication
process. Provide the completed application form and the requirements on the
checklist at the time of resubmittal.
Dedication completed by ____________ _ Date: ____ _
IMPROVEMENT REQUIREMENTS
0 0 0 Sa. All needed public improvements upon and adjacent to the· building site must be
constructed at time of building construction whenever the value of the construction
exceeds "'-----------pursuant to Code Section 18.40.040.
Public improvements required as follows: ______________ _
Please have a registered Civil Engineer prepare appropriate improvement plans and
submit them together with the requirements on the attached checklist for a separate
plancheck process through the Engineering Department. Improvement plans must be
approved, appropriate securities posted and fees paid prior to issuance of permit.
Attached please find an application form and submittal checklist for the public
improvements requirements. Provide the completed application form and the
requirements on the checklist at the time of resubmittal.
Improvement Plans signed by: __________ _ Date: ___ _
Page 2 of 4 REV 6/5/92
BUILDING PLANCHECK CHECKLIST
1st✓ 2nd✓ 3rd✓ D D D Sb. Construction of the public improvements may be deferred pursuant to code Section
1 S.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: ___________ _
D D D Sc. Enclosed please find your Future Improvement Agreement. Please return signed and
notarized Agreement to the Engineering Department.
□ □
□ □
I □
□
□
□
□
Future Improvement Agreement completed by: ____________ _
Date: _______ _
Sd. 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.
9a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
9b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be Submitted together with the completed application form attached.
NOTE: The Grading Permit must be issued and rough grading approval obtained prior
to issuance of a Building Permit.
Grading Inspector sign off by: Date:
9c. No Grading Permit required.
BUILDING PLANCHECK CHECKLIST
P:\doca\chklot\bp0001.trm Page 3 of 4 REV 6/5/92
1 sief 2nd✓ 3rd✓ MISCELLANEOUS PERMITS
d □ □ 10. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way. Types of work include, but are not
limited to: street improvements, trees, driveways.
r//;□ □
~□□
A separate Right-of-Way permit issued by the Engineering Department is required for
the following: _______________________ _
Please complete attached Right-of-Way application form and return to the Engineering
Department together with the requirements on the attached Right-of-Way checklist, at
the time of resubmittal.
11. A SEWER PERMIT is required concurrent with the building permit issuance. The fee
is noted in the fees section on the following page.
12. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial
Waste Permit Application Form and submit for City approval prior to issuance of a
Permit.
Industrial waste permit accepted by: _______ _ Date: ----
P:\docalchldet\bp0001.frm Page 4 of 4 REV 6/5/92
CALCULATIONS WORKSHEET
EDU CALCULATIONS: EDU's:
ADT CALCULATIONS: ADT's:
FEES REQUIRED: 1/f
WITHIN CFD:
0 YES (NO BRIDGE & THOROUGHFARE FEE, REDUCED TRAFFIC IMPACT FEE)
□NO
0 1. PARK-IN-LIEU FEE
PARK AREA: ____ _ FEE/UNIT: ___ _
0 2.TRAFFIC IMPACT FEE
ADT's: -----FEE/ADT: ___ _
0 3. BRIDGE AND THOROUGHFARE FEE
ADT's: -----FEE/ADT: ____ _
0 4. FACILITIES MANAGEMENT FEE
ZONE: ____ _ FEE/EDU: ___ _
0 5. PUBLIC FACILITIES FEE
0 6. SEWER FEES PERMIT No. _____ _
EDU's: -----FEE/EDU: ____ $ ___ _
BENEFIT AREA: ___ _ FEE: $ ----
0 7. SEWER LATERAL REQUIRED (2,500 DEPOSIT)
REMARKS: ________________________ _
REV 1/5/92
u u u ~ ~ ~ G G G
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PLANNING CHECKLIST
Plan Che~k No. ~?-1oir Address I 2&8 lc:urwles ~
Planner ~/~--::'. Phone 438-1161 ext. tf@
(Name)
APN: iw-Z:~-~v
~~~~~~~o~~~~-~~~·~d~-~·~------
Zone /2.-( Facilities Management Zone _ _,_ ___ _
Legend
[l] Item Complete
D Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
{□ 0 Environmental Review Required: YES NO 1YPE ___ _
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ______________________ _
AO O Discretionary Action Required: YES NO 1YPE ___ _
APPROVAL/RESO. NO. ___ DATE: _____ _
PROJECT NO. ___ _
OTHER RELATED CASES: ___________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ______________________ _
~ 0 0 California Coastal Commission Permit Required: YES _ NO _
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ______________________ _
9l O O Landscape Plan Required: YES __ NO __
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See attached submittal requirements for landscape plans
Site Plan:
1.
2.
3.
4.
Zoning:
1.
2.
3.
4.
Additional Comments
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width and
dimensioned setbacks. ·
Show on Site Plan: Finish floor elevations, elevations of finish grade
adjacent to building, existing topographical lines, existing and proposed
slopes and driveway .
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front: Required Shown
Int. Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Lot coverage: Required Shown
Height: Required Shown
Parking: Spaces Required Shown
Guest Spaces Required Shown
PLNCK.FRM