HomeMy WebLinkAbout1308 CORVIDAE ST; ; CB041246; Permit.' *77
05-04-2004
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No CB041246
Building Inspection Request Line (760) 602-2725
1308CORVIDAESTCBAD
RESDNTL Sub Type RAD
2156901200 Lot# 0
$5,10000 Construction Type NEW
Reference #
0 Structure Type
0 Bathrooms 0
ROSEN RES- CONVERT EXIST 1-CAR
GARAGE INTO HABITABLE OFFICE SPACE
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Ong PC#
Plan Check*
ISSUED
04/12/2004
KMT
05/04/2004
05/04/2004
Applicant
DARYL LANTZ
15576PASEOJENGHIZ
SAN DIEGO CA
92129
858-672-0699
Owner
ROSEN PETER A
37 KNUTSEN DR
WEST ORANGE NJ 07052
12*3 05/04/04 0002 01
Total Fees $158 67 Total Payments To Date $4478 Balance Due $11389
113,.39
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Pot Water Con Fee
Meter Size
Add'l Pot Water Con Fee
Reel Water Con Fee
$6889
$000
$4478
$000
$000
$1 00
$000
$000
3000
SO 00
3000
$000
$000
$000
3000
3000
3000
3000
3000
Meter Size
Add'l Reel Water Con Fee
Meter Fee
SDCWA Fee
CFD Payoff Fee
PFF
PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing InLieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
$000
$000
$000
$000
$000
$000
$000
$000
3000
3000
$000
$000
$2000
$2400
$000
$000
$000
$000
$000
$000
$15867
Inspector 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
PERMIT APPLICATION
''CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1 "PROJECT INFORMATION^
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL *5.
Plan Ck Deposit
Valida
Date
Address (include Bldg/Suite #)Business Name (at this address!CGP-»
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel # - j^ Existing Use
i L^.S-* ..... l~j> ,
n of Work
Proposed Use
Description FT Stories # of Bedrooms # of Bathrooms
CONTACT PERSON (if different from applicant)
/—'A^^f^f *y < h
,^/Name
X.3 APPLICANT hO Contractor
Address
Agent for Contractor Owner
City
D " :*:::| *-*Agent for Owner
TelephofTe #Fax*
X\
Name
PROPERTY OWNER
Address City State/Zip Telephone #
/
C.
Name ' " Address City State/Zip Telephone #
5 CONTRACTOR- COMPANY NAME ^ • '..'.^" *: .' 'ff'' --^ .,..:!"". .'" """":'"I... ^ ;•« h J >r'••
(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 I $500))
State License ff / ^ 1 £> 1 cyL
Designer Name
State License #
Address
License Class &
Address
City1' State/Zip Telephone ff
City Business License # fl^l Z>Y^ t?^CJ V
City State/Zip Telephone
WORKERS' COMPENSATION " " " ' ! : Sgfc • ?• ' ""'"' "V; ..]'/ " '" ......... V
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued
p2f 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 *
^'PohInsurance Company J^lT >Pohcy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
f~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California
WARNING Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000) in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees
SIGNATURE _ DATE _
7- OWNER-BUILDER DECLARATION ' JPf?: ';' -:-:-; -"- : • "> ;.:.
I hereby affirm that I am exempt from the Contractor'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 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)
l~l I as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor s License Law)
l~l I am exempt under Section _ Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement D YES C]NO
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
4 I plan to provide portions of the work but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number) _
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work) _ _
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINGlPERMITS ONLY N; ;:::•::
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES fJ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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
8« I CONSTRUCTION LENDING AGENCY^ ......,;iSi. i;J," ; /:[.; '^,..,.,,.., -^ I" ,,.' '•:!"''":""
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
9 :'-^APPUCANTrCERTIFICATION - %:: '; .Sfo-
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned
property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE
WHITE File YELLOW Applicant PINK Finance
DATE
City of Carlsbad Bldg Inspection Request
For 08/04/2004
Permit* CB041246
Title ROSEN RES- CONVERT EXIST 1-CAR
Description GARAGE INTO HABITABLE OFFICE SPACE
Inspector Assignment JM
1308 CORVIDAEST
Lot
Type RESDNTL
Job Address
Suite
Location
APPLICANT DARYLLANTZ
Owner ROSEN PETER A
Remarks
Sub Type RAD
Phone
Inspector
Total Time Requested By NA
CD
19
29
39
49
Description Ac
Final Structural ±i
Final Plumbing
Final Electrical
Final Mechanical
Entered By CHRISTINE
t Comment
fc
Associated PCRs/CVs
Inspection History
Date Description
06/08/2004 17 Interior Lath/Drywall
06/08/2004 18 Exterior Lath/Drywall
06/04/2004 14 Frame/Steel/Bolting/Welding
06/04/2004 16 Insulation
06/04/2004 18 Exterior Lath/Drywall
06/04/2004 34 Rough Electric
05/28/2004 14 Frame/Steel/Bolting/Weldmg
05/19/2004 11 Ftg/Foundation/Piers
05/19/2004 14 Frame/Steel/Bolting/Weldmg
Act
AP
AP
AP
AP
Insp
JM
JM
JM
JM
WC JM
AP JM
PA JM
AP JM
WC JM
Comments
OK TO DRYWALL
PRELIM INTERIOR SHEAR OK
OK TO POUR GARAGE SLAB & TWO POST FOOTINGS
PREFERRED CONSTRUCTION INSPECTIONS, INC.
4888 R6nson Court "G"
San Diego, Ca. 92111
(858) 576-9110
Fax (858) 576-7028
INSPECTION REPORT
WORK PERFORMED: EPOXY BOLT INSPECTION
JOB NO.: 3564
JOB ADDRESS: 1308 CORVIDAE STREET
JOB NAME : ROSEN RESIDENCE
DESCRIBE MATERIAL:
SIMPSON SET EPOXY, ICBO #5279
PERMIT NO.: CB04-1246
PLAN FILE NO..
ARCHITECT:
ENGINEER: SIMPSON
GENERAL CONTRACTOR: HAMMOND AND MASING
CONTRACTOR: HAMMOND AND MASING
5/28 Observed the epoxy bolt installation for new HD5 at the southwest
corner of old garage per drag detail on sheet A-3 of the approved
drawings. This hole had proper diraaeter, embedment of 10 1/2" and
was installed per ICBO #5279. Arrived at jobsite at 9:50 AM, left at
10:30 AM.
INSPECTOR:
DATE:
JEFFREY GAYLER
ERT. NO.: S.D #583
EsGil Corporation
In Partnership with government for <Bmf(Cing Safety
DATE APRIL 3O, 2004
JURISDICTION Carlsbad Q-PtAN^fEViEWER
G FILE
PLAN CHECK NO O4-1246 SET II
PROJECT ADDRESS 1308 CORVIDAE STREET
PROJECT NAME SFR (Bedroom Conversion to Office) for Rosen
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
X] 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
X3 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 Lantz Design Group Telephone # (858) 672-0699
Date contacted (by ) \ f £ax #
Mail Telephone Fax In Person
REMARKS # 1) Dimension a 3' x 3' landing fo/tne office on Sheet A-1 # 2) Specify the name
& information of the Special Inspection tean/on the attached list for the building department
review & approval prior to the permit being issued
By Ali Sadre Enclosures
Esgil Corporation
D GA D MB D EJ D PC 4/16 tmsmtldot
9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 * (858)560-1468 * Fax (858) 560-1576
05/03/2884 15 55
«ftv-03-2C04
8586720699
02-21 P* CPy OF :
DARYL LANTZ
NO 76C 60? 86b8
PAGE 02
P. 02
Carlsbad 04-1346
APRIL 3O, 2OO4
SPECIAL INSPECTION PROGRAM
ADDRESS OR LEGAL DESCRIPTION:
PUN CHECK NUMBER- O ^ "OWNER'S NAME:
I, as the owner, or agent of the ownefjcontractors may oal employ tho special inspector),
certify that I, or the architect/engineer of record, will be responsible for employing the special
tnspector(s) as required by Uniform Building Code (UBC) Section 1701 1 for
project located at the sue listed above UBC Section 106 3 5
Signed
1 List of work requiring spvclai Inspection
Soils Compliance Prior to Foundation inspection
Structural Concrtta Over 2500 PSI
Pn§»tra«s«d Concrete
Structural Masonry
J Designer Specified
Fieid Welding
High Strength
g Expanaion/Epoxy Anchors
Spray*d-On Ffreproofing
Other
2. Nam«(a) of Indlvidual(e) or flrm(s) responsible for the special inspections listed
above:
A.
B.
C
3, Duties of the special Inspector* for the work listed above-
A.
shati choo. in with INS city wid pm*»m ^«lr credttTiVilk for tpprova1 6«0lnnlng work on trie iob a.ts
EsGil Corporation
In Partnership with government for (Buifefing Safety
DATE APRIL 21,2004 QAEEUQANT
'JURIS"
JURISDICTION Carlsbad t±-ptAFTREVIEWER
Q FILE
PLAN CHECK NO 04-1246 SET I
PROJECT ADDRESS 13O8 CORVIDAE STREET
PROJECT NAME SFR (Bedroom Conversion to Office) for Rosen
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
XI 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
Lantz Design Group 15576 Paseo Jenghiz, SD, CA 92129
Esgil Corporation staff did not advise the applicant that the plan check has been completed
Z<J Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted Lantz Design Group Telephone # (858) 672-0699
Date contacted ^ |z_» 'o{ (by P- ) Fax # (
Mail _xTelephone>^ Fax ^^In Person
REMARKS
By All Sadre Enclosures
Esgil Corporation
D GA D MB D EJ D PC 4/16 trnsmtldot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92 123 * (858)560-1468 + Fax (858) 560-1576
Carlsbad O4-1246
APRIL21,2O04
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO O4-1246 JURISDICTION Carlsbad
PROJECT ADDRESS 13O8 CORVIDAE STREET
FLOOR AREA REMODEL 170SF, STORIES TWO
HEIGHT 22'
REMARKS
DATE PLANS RECEIVED BY
JURISDICTION 4/12
DATE INITIAL PLAN REVIEW
COMPLETED APRIL 21, 2004
DATE PLANS RECEIVED BY
ESGIL CORPORATION 4/16
PLAN REVIEWER All Sadre
FOREWORD (PLEASE READ).
This plan review is limited to the technical requirements contained in the Uniform Building Code,
Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws
regulating energy conservation, noise attenuation and access for the disabled This plan review
is based on regulations enforced by the Building Department You may have other corrections
based on laws and ordinance by the Planning Department, Engineering Department, Fire
Department or other departments Clearance from those departments may be required prior to
the issuance of a building permit
Present California law mandates that residential construction comply with the 2001 edition of
the California Building Code (Title 24), which adopts the following model codes 1997 UBC,
2000 UPC, 2000 UMC and 1999 NEC (all effective 11/1/02)
The above regulations apply to residential construction, regardless of the code editions adopted
by ordinance
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 Per Sec 106 4 3,
1997 Uniform Building Code, the approval of the plans does not permit the violation of any
state, county or city law
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans
Carlsbad O4-1246
APRIL 21, 2OO4
PLANS
• Please make all corrections on the original tracings, as requested in the correction
list
Submit two 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 92009,
(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
1 A reminder that the revised plans need to be stamped and signed by the drafts
person
2 Provide a statement on the Title Sheet of the plans stating that this project shall
comply with the 2001 edition of the California Building Code (Title 24), which
adopts the 1997 UBC, 2000 UMC, 2000 UPC and the 1999 NEC
3 Please show a 3' x 3' landing for the office on Sheet A-1 Dimension this on A-1
4 Provide a complete shear wall schedule on plans with the anchorage information
at top & bottom
5 Specify nail size and spacing for all shear walls
6 Specify all structural material specifications on plans for nails, anchor bolts,
plywood, etc
7 On the cover sheet of the plans, specify any items requiring special inspection, in
a format similar to that shown below Section 106 3 2
• REQUIRED SPECIAL INSPECTIONS
In addition to the regular inspections, the following checked items will also require Special
Inspection in accordance with Sec 1701 of the Uniform Building Code
ITEM REMARKS
EPOXY STEEL DOWELS
8 Please complete and return the attached Special Inspection form and return to
the city for review and approval prior to the permit being issued Section 106 3 5
ri
Carlsbad O4-1246
APRIL 21, 2O04
• To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i e , plan sheet, note or detail number,
calculation page, etc
• The 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 All Sadre at Esgil
Corporation Thank you
Carlsbad O4-1246
APRIL 21, 2OO4
• SPECIAL INSPECTION PROGRAM
ADDRESS OR LEGAL DESCRIPTION.
PLAN CHECK NUMBER OWNER'S NAME:
I, as the owner, or agent of the owner (contractors may not employ the special inspector),
certify that I, or the architect/engineer of record, will be responsible for employing the special
mspector(s) as required by Uniform Building Code (UBC) Section 1701 1 for the construction
project located at the site listed above UBC Section 106 3 5
Signed
I, as the engineer/architect of record, certify that I have prepared the following special
inspection program as required by UBC Section 106 3 5 for the construction project located at
the site listed above
Engineer's/Architect s Seal
& Signature Here
Signed
1 List of work requiring special inspection:
Q Soils Compliance Prior to Foundation Inspection Q Field Welding (if any)
D Structural Concrete Over 2500 PSI D High Strength Bolting
D Prestressmg Operation on Cables B Epoxy Anchors
[H Structural Masonry CH Sprayed-On Fireproofmg
n Designer Specified D Other
2 Name(s) of individual(s) or firm(s) responsible for the special inspections listed
above*
A
B
C
3. Duties of the special inspectors for the work listed above
A
B
C
Special inspectors shall check in with the City and present their credentials for approval prior to beginning work on the job site
Carlsbad O4-1246
APRIL 21, 2004
VALUATION AND PLAN CHECK FEE
JURISDICTION Carlsbad
PREPARED BY All Sadre
PLAN CHECK NO 04-1246
DATE APRIL 21, 2004
BUILDING ADDRESS 13O8 CORVIDAE STREET
BUILDING OCCUPANCY R3/U1 TYPE OF CONSTRUCTION VN
BUILDING
PORTION
LIVING
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code
AREA
(Sq Ft)
170
CB
Valuation
Multiplier
By Ordinance
Reg
Mod
VALUE ($)
5,100
1994 UBC Building Permit Fee $6889
1994 UBC Plan Check Fee $4478
Type of Review
l~l Repetitive Fee
^ I Repeats
Comments
Complete Review
D Other
•—1 Hourly
fj Structural Only
Hour*
Esgil Plan Review Fee $3858
Sheet 1 of 1
macvalue doc
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB
ADDRESS
DATE
RESIDENTIAL
SIDENTIAL ADDITION MINOR
(<$10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER
ENGINEER
DATE
DATE
Docs/Misforms/Planning Engineering Approvals
,3 D D
D D
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No CB
Planner
APN
n^le Address
Greg Fisher Phone (760) 602-
Type of Project & Use
Zoning /^j> General Plan _
CFD (in/out) #_Date of participation
Net Project Density
_ Facilities Management Zone
Remaining net dev acres
Circle One (For non-residential development Type of land used created by this
permit _ )
Legend Item Complete
Environmental Review Required
DATE OF COMPLETION
Item Incomplete - Needs your action
YES NO J TYPE
Compliance with conditions of approval7 If not, state conditions which require action
Conditions of Approval
Discretionary Action Required
APPROVAL/RESO NO
PROJECT NO
YES TYPE
DATE
OTHER RELATED CASES
Compliance with conditions or approval7 If not, state conditions which require action
Conditions of Approval
CH [13 \ Coastal Zone Assessment/Compliance
Project site located in Coastal Zone7 YES A NO
CA Coastal Commission Authority7 YES _ NO
If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite
103, San Diego CA 92108-4402, (619) 767^23^0
Determine status (Coastal Permit Required or(Exemdt) _
Coastal Permit Determination Form already compTere'b'7 YES
If NO, complete Coastal Permit Determination Form now
Coastal Permit Determination Log # _
NO
Follow-Up Actions.
1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans)
2) Complete Coastal Permit Determination Log as needed
Inclusionary Housing Fee required: YES NO
(Effective date of Inclusionary Housing Ordinance - May 21, 1993 )
Data Entry Completed7 YES NO
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing
Y/N, Enter Fee, UPDATE')
H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01
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 (including all side and
rear yard slopes)
2 Provide legal description of property and assessor's parcel number
Policy 44 - Neighborhood Architectural Design Guidelines
D D 1 Applicability YES N0_
D D 2 Project complies YES N0_
D D
D D
D
D D D
Zoning
1 Setbacks
Front
Interior Side
Street Side
Rear
Top of slope
Accessory structure
!
iparation
Lot Coverage
*
Required ^""j
Required ^'^'
Required - —
Required (2..^'
Required —
setbacks
Required
Required
Required
Required
Required
£ C/n e/Required — [^ f.
1$'Shown I (f
Shown Qf
Shown —
Shown **j?' 5'
Shown • —
Shown
Shown
Shown
Shown
Shown
Shown L U /-*
4 Height Required £30 Shown
n D
5 Parking Spaces Required Shown
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required , Shown
Additional Comments
I I
ot
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE
H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01
05/04/2004 07 03 FAX 18585367723 HAMMOND&MASING GC @]001/001
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PRODUCER
Barney & Barney, LLC-CA LicOC03950
Barney & Barney, Inc-CA LicOC24310
P.O Box 85638
San Dxego, CA 92186-5638
(858) 457-3414
Mst#: 5043
INSURED HAMMOND & MAS ING GENERAL
CONTRACTORS, INC,
9770 CARROLL CENTRE ROAD
SUITE E
SAN DIEGO CA 92126
THIS CERTIFICATE 1$ ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW
COMPANIES AFFORDING COVERAGE
COMPANY
LETTER
6800 - ARCH SPECIALTY INS. CO.
GOLDEN EAGLE - PEERLESS INSURANCE
COMPANY
COMPANY
LETTER
COMPANY
LETTER
STATE COMPENSATION INSURANCE FUND
NO"COVERAGE ON THIS DOCUMENT
NO COVERAGE ON THIS DOCUMENT
THIS IS TO CERTIFY THAT THE POLICIES Of INSURANCE BELOW HAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN. THS INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND
CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE 86EN REDUCED BY PAID CLAIMS
TYPE OF INSURANCE,POLICY NUMBER POUCY EFFECTIVEPATE (MWDD/YY)POLICY EXPIRATIONDATE (MM/DD/YY)LIMITS
QENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
J CLAIMS MADe[_Xj OCCUR
OWNER'S & CONTRACTOR S PRQT
72DPC1465000 12/31/03 12/31/04
GENERAL AGGREGATE __
PBOpUCTS-COMP/OP AOS
PERSONAL « ADV INJURY
EACH OCCURRENCE
FIFE DAMAGE (Any one lira)
MED, EXPENSE (Any one pemonl
t*2.00Q.OOO
* ."LL^O-QO-i o_o_o1*1, ob"o,ooo'
»***ioo,ooo
i EXCLUDED
B
AUTOMOBILE LIABILITY
ANY AUTO
AU OWNED AUTOS
SCHEDULED AUTOS
MIRED AUTOS
NON.QWNEO AUTOS
QAftAQE LIABILITY
CBP9808250 12/31/03 12/31/04
COMBIN^P SINGLE
BODILY INJURY(Per person)
BODILY INJURY
(Peracdd»m)
S*1,000A000
'*********Q
PROPERTY DAMAGE
******* *1**0
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
NO COVERAGE
EACH OCCURRENCE
AGGREGATE
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
1607884 12/31/03 12/31/04
_X_ ISTATUTORY_LIMITS
£ACH_ACCIpENT
DISEASE - POUCY LIMIT
4*1,000,000
1*1,000,000
DISEASE - EACH EMPLOYEE s*l,000,000
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLE / SOCIAL ITCM3 *1Q DAY NOTICE FOR NON-PAYMENT OF PREMIUM
"EVIDENCE ONLY"
•' '"CANiCBLLATlQN ' , / A " ^7, (• TV ^/ /,' '•"•<',', '''iV1- '•f' ™',/l •"/. '/'<'!/SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
' EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO
' MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
''>• LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
• LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
s gc£ xo
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