HomeMy WebLinkAbout1703 CANNAS CT; ; CB984424; Permit,02H)171999
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
City of Carlsbad
Building Permit Permit No:CB984424
Building Inspection Request Line (760) 438-3101
1703CANNASCTCBAD
RAD Sub Type:
2155011100 Lot#:
$47,138.00 Construction Type:
Reference #:
VN
481 SF RECROOM.BATH & BEDROOM
SINGLE STORY
Status:
Applied:
Entered By:
Appr/lssued:
Inspect Area:
ISSUED
12/21/1998
RMA
02/01/1999
Applicant:
TERRY MONTELLO
471560THST
SAN DIEGO CA 92115
619229-0642
Owner:
LITTLEJOHN FAMILY 1992 TRUST 0
Total Fees:$746.26
Description
* ELECTRICAL TOTAL
* MECHANICAL TOTAL
* PLUMBING TOTAL
BLDG PLAN CHECK
BUILDING PMTS
STRNG MOTION
5979 02/01/99 0001 01 02
C-PRMT 492-26
ce Due: $492.26
Fee
20.00
30.50
48.00
253.32
389.73
4.71
Inspector-u FINAL APPROVAL
Date: .Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and 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
2075 Las Pahnas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE ON
PLAN CHECK NO.
EST. VAL.
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description
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
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^), commending with Section 700p-nf Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
exempjlopj. Any violatign/qf Section 703KB bv any^pplicant for a permit subjects the applicant to a d>il,parjalty^*noUrcra thao^jve hundre
Name
State License #
City State/Zip
City Business License #
Designer Name
State License #
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
nK. I heve and will maintain workers' compensation, as requited by Section 3700 of the Labor,Code, for ^h£perjar/na'njfe of the work for which
/fssued. My worker's corn^ansatiojyhajranc/carrier and policy^umber are:
Insurance Company j^/T^^^f fj[J£S3'{_£r Policy No. / Expiration Date
(THIS SECTION NEED^JOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS100) OR LESS)
Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shatl not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: FaHura to secure workers' eompenaatien coverage to unlawful, and shaH subject an employer to criminal panaftfe* and dvB fines ua_to one hundred
Labor.Code, for the perfcmrna'nA* of the work for which this jwrmit isri&olb*?' 10*37$?I Expiration Date * ^"V / /
IS I410OI OR LESSt (
thousand dollar* (4
SIGNATURE
insatlon, damages as provided for in Section 3706 of the Labor code, interest
DATE
y's fees.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale}.
Q 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}.
Q 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. Q YES QNO
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):
6. 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
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 25506, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 i
LENDER'S NAME
> cjjnstructidjl lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by tho Jftilding Official under the. proyisieffe of this Code shell expire by limitation and become null and void it the building or
work authorized by such permit is not codfmvitedvwithin 365 faY£jfc>tf$» date of such permit or if the building or work authorized by such permit is ^appended
or abandoned at any time after the work/s r^fryTJrftiflf^-jtjajiffrff ]fy pnyn (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
one authorized by such' ml
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 7/29/99
Permit# CB984424
Title: 481 SF RE GROOM, BATH & BEDROOM
Description: SINGLE STORY
Inspector Assignment: PD
1703CANNASCT
Lot
Type: RAD Sub Type:
Job Address:
Suite:
Location:
APPLICANT TERRY MONTELLO
Owner: LITTLEJOHN FAMILY 1992 TRUST 02-
Remarks:
Phone: 7608045930
Inspector
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By: MITCH WHITE
Entered By: CHRISTINE
Act Comments
Inspection History
Date Description Act Insp Comments
6/29/99 89 Final Combo CO PD ON CARD
6/17/99 22 Sewer/Water Service AP SR
5717/99 17 Interior Lath/Drywail AP PD
5/17/99 18 Exterior Lath/Drywall AP PD
5/13/99 16 Insulation AP NF
5/11/99 84 Rough Combo AP NF
5/4/99 18 Exterior Lath/Drywall CA PD
4/29/99 83 Roof Sheathing/Ext Shear AP PD
4/29/99 84 Rough Combo WC PD
3/25/99 11 Ftg/Foundation/Piers AP SP
3/23/99 21 Underground/Under Floor AP PD
3/23/99 22 Sewer/Water Service WC PD
3/22/99 11 Ftg/Foundation/Piers NR PD
3/22/99 22 Sewer/Water Service NR PD
City of Carlsbad Inspection Request
For 7/28/99
PermiW CB984424
Title: 481 SF RE GROOM, BATH & BEDROOM
Description: SINGLE STORY
Sub Type:
Inspector Assignment: PD
1703 CANNASCT
Lot
Type: RAD
Job Address:
Suite:
Location:
APPLICANT TERRY MONTELLO
Owner: LITTLEJOHN FAMILY 1992 TRUST 02-
Remarks:
Total Time:
Phone: 7608045930
Inspector:
Requested By: MITCH
Entered By: CHRISTINE
CO Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Act Comments
Inspection History
Date
6/29/99
6/17/99
5/17/99
5/17/99
5/13/99
5/11/99
5/4/99
4/29/99
4/29/99
3/25/99
3/23/99
3/23/99
3/22/99
3/22/99
Description
89 Final Combo
22 Sewer/Water Service
17 Interior Lath/Drywall
18 Exterior Lath/Drywall
16 Insulation
84 Rough Combo
18 Exterior Lath/Drywall
83 Roof Sheathing/Ext Shear
84 Rough Combo
11 Ftg/Foundatlon/Piers
21 Underground/Under Floor
22 Sewer/Water Service
1 1 Ftg/Foundatlon/Piers
22 Sewer/Water Service
Act
CO
AP'
AP
AP
AP
AP
CA
AP
we
AP
AP
we
NR
NR
Insp
PD
SR
PD
PD
NF
NF
PD
PD
PD
SP
PD
PD
PD
PD
Comments
ON CARD
City of Carlsbad
Engineering Department
BUILDING PLANCHECK CHECKLIST
PLANCHECKNO.:DATE:
BUILDING ADDRESS: _
PROJECT DESCRIPTION:
ASSESSOR'S PARCEL NUMBER: 2^ - $~& I -U
ENGINEERING DEPARTMENT
EST. VALUE: 47, 1
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.
A Right-of-Way permit is required prior to
construction of the following improvements:
DENIAL
Please seexjjie attached report of deficiencies
marked wifnQ? Mm necessary corrections to plans
or specificatiorfs for compliance with applicable
codes and standards. Submit corrected plans and/or
specifications to this office for review.
By:
By:
Date:
Date:
Dedication Application
Dedication Checklist
Improvement Application
Improvement Checklist
Future Improvement Agreement
Grading Permit Application
Grading Submittal Checklist
Right-of-Way Permit Application
Right-of-Way Permit Submittal Checklist
and Information Sheet
Sewer Fee Information Sheet
ENGINEERING DEPT. CONTACT PERSON
Name: Danna Trigs
City of Carlsbad
Address: 2075 Las Palmas Dr., Carlsbad, CA 92009
Phone: (619)438-1161. ext. 4374
CFD INFORMATION
Parcel Map No:
Lots:
Recordation:
Carlsbad Tract:
A-4
CA 92009-^576 - (76O) 438-1161 - FAX (76O)
BUILDING PLANCHECK CHECKLIST
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
Arrow DrPfoperty Lines
& Proposed Structures EX/Easements
FRiExisting Street Improvements FRight-of-Way Width & Adjacent Streets
Driveway widths
Q 2. Show on site plan:
Patterns
. Building pad surface drainage must maintain a minimum slope of one
percent towards an adjoining street or an approved drainage course.
2/ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive
/ drainage of 2% to swale 5' away from building."
Existing & Proposed Slopes and Topography
Q 3. Include on title sheet:
Site address
Assessor's Parcel Number
Legal Description
For commercial/industrial buildings and tenant improvement projects, include:
total building square footage with the square footage for each different use,
existing sewer permits showing square footage of different uses (manufacturing,
warehouse, office, etc.) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
DISCRETIONARY APPROVAL COMPLIANCE
Q Q Q 4a. Project does not comply with the following Engineering Conditions of approval for
Project No.
Q Q Q 4b. All conditions are in compliance. Date:
H:VWORtN3OCS\CHKLSm**x| PUmchK* Cktt BP0001 Form QT.doc n . t , J**v. 12/26AB. t ,Lof III
BUILDING PLANCHECK CHECKLIST
A st/ lyd/ QK!/
Q Q Q 6c. Enclosed please find your Future Improvement Agreement. Please return
agreement signed and notarized to the Engineering Department.
Future Improvement Agreement completed by:
Date:
Q 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.
Q Q Q 7a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export). Write
"No Grading" on plot plan if none is required.
rj Q Q 7b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached. NOTE: The Grading Permit must be issued and rough grading
approval obtained prior to issuance of a Building Permit.
Grading Inspector sign off by: _____ __ Date:
Q Q Q 7c. Graded Pad Certification required. (Note: Pad certification may be required even
if a grading permit is not required.)
Q Q 7d.No Grading Permit required.
Q Q Q 7e.lf grading is not required, write "No Grading" on plot plan.
MISCELLANEOUS PERMITS
Q Q Q 8. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way. Types of work include, but are
not limited to: street improvements, tree trimming, driveway construction, tieing
into public storm drain, sewer and water utilities.
Right-of-Way permit required for:
Rev. 12/M/W
BUILDING PLANCHECK CHECKLIST
A st/ lyM ytiS
Q Q Q 9. A SEWER PERMIT is required concurrent with the building permit issuance. The
fee is noted in the fees section on the following page.
Q Q Q 10. INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad
sewer service area, you need to contact the Carlsbad Municipal Water District,
located at 5950 El 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:
Q Q Q 11 NPDES PERMIT
Complies with the City's requirements of the National Pollutant Discharge
Elimination System (NPDES) permit. The applicant shall provide best
management practices to reduce surface pollutants to an acceptable level prior to
discharge to sensitive areas. Plans for such improvements shall be approved by
the City Engineer prior to issuance of grading or building permit, whichever
occurs first.
Q Q 12. Q FJe<}uired fees are attached
o fees required
C\ 13.Additional Comments:
il/Jt: ~C4
\*r\fi\l/\ 6 St
H:WVORDYX>CS\CHKLGTOuldlnB PtanchM* CMst BP0001 Form DT.doc c Rvv 12/26/96
tt p *>.
p.-i « e
CITY C7 CARL!
PLANNING L.,;»Af
EXEMPT FF
Co
COASTAL PERMIT DETERMINATION FORM
(To Be Completed By Planning Staff)
This form is used to identify and record those projects which either require a
Coastal Development Permit or which are exempt from the requirement for a
Coastal Development Permit.
Note: This is not a building permit or a determination under the California Environmental
Quality Act.
COASTAL PERMIT DETERMINATION NUMBER:
ASSESSOR'S PARCEL NUMBER: 2i /S- SQ/- //
NAME: "Tgvr *1 M 01 +-€,
ADDRESS: /*7 03
LOCATION OF PROJECT (IF DIFFERENT FROM ABOVE):
PROJECT DESCRIPTION: GjAd'lf^ -/O
COASTAL PERMIT DETERMINATION:
1. This development is exempt from the requirement for a coastal permit.
2. This development requires a coastal development permit from the City of
Carlsbad.
3. This development is in the State of California Coastal Commission area of
jurisdiction.
Planner's Signature > Date
This determination relates only to the project described above and shown on the attached plans.
Any change to the project may change the determination status. If the information contained in
this submittal (including plans) is changed, found to be incorrect, or incomplete this determination
shall be invalid.
c: Applicant, Project File, Building Permit File (when applicable)
H:\ADMIN\COUNTEFW3ETERMtNAT10N FORM (COP)
DEC-g_!-„,?3 MOM 10 ;52 PM HAROLD W 1 599 0590 P.01
DEC-21-^Q MOH PM PERMITS IN MOTION 22*
City of Carlsbad
Plumbing - Electrical • Mechanical Worksheet
Project M^
Permit
Questions below refer to work being done for this permit only.
» Number of new or relocated fixtures, traps, or floor drains?
* New building sewer line?
* Number of roof drains?
* Install/alter water line?
» Number of water heaters?
* Number of hose bibs?
* Gas piping system -
* Number of new or relocated gas outlets
* New water meter - No. of
Yes
y NO
Instar. _ Repair
Size
Size of New Servu
Size ^ Nu f 11 ner of amperes
NumK'i of amperes
l1-"! ofaroperes ,
Potable
* Number of new panels or subpanels?
* Single Phase D
* Three Phase D
* Three Phase - 480
* Remodel (relocate existing ouilets/switches or add outlets/switches
Mechanical
*• Number of furnaces, A/C, or heat pumps?
* Number of fireplaces?
* Number of exhaust fans?
* Number of exhaust hoods?
* Number of boilers or compressors? _
« New or relocated duct work?
BEFORE THE PERMIT CAN BE FEE'D OUT THIS FORM NEEDS TO BF WETURNED TO THE
BUILDING DEPARTMENT - FAX NUMBER (760>43«-O.W.|
of HP?
EsGil Corporation
In Partnership ufit/i government for tBui&fing Safety
DATE: 12/3O/98 O AEEUCANT
JURISDICTION: Carlsbad a PLAN REVIEWER
a FILE
PLAN CHECK NO.: 98-4424 SET: I
PROJECT ADDRESS: 17O3 Gamuts Court
PROJECT NAME: SFD Addition for Littlejohn
I I The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
I I 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.
I I The applicant's copy of the check list has been sent to:
1^1 Esgil Corporation staff did not advise the applicant that the plan check has been completed.
Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Fax #:
Mail Telephone Fax In Person
11) Place soils stamp on plans.
By: Ray Fuller Enclosures:
Esgil Corporation
D GA Q MB D EJ D PC 12/22/98 tmsmtuot
9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 + (619)560-1468 4 Fax (619) 560-1576
Carlsbad 98-4424
12/30/98
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 98-4424
PREPARED BY: Ray Puller DATE: 12/3O/98
BUILDING ADDRESS: 17O3 Cannas Court
BUILDING OCCUPANCY: R3 Ul TYPE OF CONSTRUCTION: VN
BUILDING PORTION
Dwelling
Patio
Air Conditioning
Fire Sprinklers
TOTAL VALUE
BUILDING AREA
(ft.2)
481
52
VALUATION
MULTIPLIER
PER CITY EST.
VALUE
($)
47,138.00
47,138.00
D 199 UBC Building Permit Fee [3 Bldg. Permit Fee by ordinance: $ 389.73
D 199 UBC Plan Check Fee [3 Plan Check Fee by ordinance: $ 253.32
Type of Review: ^ Complete Review D Structural Only D Hourly
Q Repetitive Fee Applicable D Other:
Esgil Plan Review Fee: $ 202.66
Comments: 94 UBC = 556.75 x 70% = 389.73 x 52% = $202.66
Plan check fee 389.73x65%= $253.32
Sheet 1 of 1
macvalue.doc 5196
(619)538-9900 ^BPgh .JL«5-*88H^ CA State Uc.
fax (619) 566-9928 ' #452756
1530 Jamacha Road #P • El Cajoa CA 92019
SPECIAL POWER OF ATTORNEY
REMODELING TIME, INC., a corporation organized and
existing under the laws of the State of California, with its
principal office at 1530 Jamacha Rd., Ste. P, El Cajon, CA 92019,
in its capacity as Licensed Contractor, hereby appoints,
Terry Montello DBA Permits in Motion, 4715 60th St., San Diego,
CA 92115, as its attorney in fact for the following purposes:
To apply for, execute, recieve and perform all
other acts necessary to be done to obtain building
permits, construction certificates, etc., as
appropriate from all building departments in:
Southern California; all of San Diego County.
The rights, powers, and authority of the within appointed
attorney in fact to exercise any and all of the rights and
powers herein granted shall commence on October 21 , 1997,
and shall remain in full force and effect until REMODELING TIME
Informs you in writing.
Authority to grant this power of attorney was conferred by
resolution of the board of directors of REMODELING TIME,
dated, October 20, 1997. REMODELING TIME, through its board
of directors, hereby ratifies and confrims everything that
the within appointed attorney infact may lawfully do by virture
of this instrument.
Dated: October 21 , 1997
Susan Juarez,
REMODELING T
£
N
3S 5So
D D
D D
6T 7-2-3Y
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB
Planner ffvafrbftrA
APN: 2/S-50I-
Address 110$ G^H/VcS C/f *
Phone (61 9) 438-1 161 , extension
Type of Project & Use: «£>rfi.
Zoning: R.-I
i\ Net Project Density:.DU/AC
.General Plan:Facilities Management Zone:
CFD (in/out) #.
Circle One
.Date of participation:Remaining net dev acres:
(For non-residential development: Type of land used created by
this permit: }
Legend:X Item Complete
Environmental Review Required:
DATE OF COMPLETION:
Item Incomplete - Needs your action
YES NO Y TYPE
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required:
APPROVAL/RESO. NO.
PROJECT NO.
YES NO TYPE
DATE
OTHER RELATED CASES:
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval:
[D Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES X* NO
CA Coastal Commission Authority? YES
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?
If NO, complete Coastal Permit Determination Form now.
Coastal Permit Determination Log #: /fff-J/*/'
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.
D D
Inclusionary Housing Fee required: YES NO
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Data Entry Completed? YES NO
(Enter CB #; UACT; NEXT12; Construct housing Y/N; Enter Fee Amount (See fee schedule for amount); Return)
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. K#u(s-e pts C^nww-**^* ^tf-ww-
2. Provide legal description of property and assessor's parcel number.
Zoning:
1. Setbacks:
2.
3.
Front:
Interior Side: (Oft 6r
f*^ j. c*-j Urt" UACH*VStreet Side:
Rear: 2.x *»±f
Accessory structure
Front:
Interior Side:
Street Side:
Rear:
Structure separation
Lot Coverage:
Required >
Required
' Required
Required
jy^i f\fa£ *
setbacks: K\/
Required
Required
Required
Required
: Required
Required ^
LO Shown O-O
1 '-5'' Shown -j1-^1'
Shown
1 ^j1 Shown c^| '
^Shown
Shown
Shown
Shown
Shown
\O% n^oc Shown £^.?f %
D IS IH 4. Height:
n
n
Required Shown
5. Parking: Spaces Required *2.
Guest Spaces Required
Additional Comments W Th^
Shown 2L
Shown
m»s+ b^e. loVo of
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER
REMODEL lax:619-588-3928 Oct 6 '98 0:28 P.03
In*- S*rvlc*c
>.O. BOX 23849
Sim Diego, CA 92193
1619) 560-1478
^Vg$?^W& ffiMBSgStean*NOT AttPffir BrrfNV OR Aim H« CQnrMM ATPOnMto W TWI
COMPANIES AFFORDING COVBfiAC*
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