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Home My WebLink About1810 RATCLIFF RD; ; CB051131; PermitA City Of Carlsbad 35 Faraday Av Carlsbad, CA 92008 0549-20'08 L, Residential Permit Permit No: CB051 131 Building Inspection Request Line (760) 602-2725 Job Address: 1810 RATCLIFF RD CBAD Permit Type: RESDNTL Sub Type: RAD Status: ISSUED Parcel No: 1562700600 Lot #: 0 Applied: 03/29/2005 Valuation: $107,580.00 Construction Type: VN Entered By: SB Occupancy Group: Reference #: Plan Approved: 05/19/2005 # Dwelling Units: 0 .", Structure Type: Issued: 05/19/2005 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: ROUSH RES 978 SF RAD Orig PC#: Plan Check#: Applicant: Owner: WRIGHT SAM ROUSH C KENNETH&SUSAN S STEN 2911 STATE ST - 1810RATCLIFFRD"- CARLSBAD 92008 CARLSBAD CA 92008 Building Permit 7 , / ) $571.20 Meter Size Add'I Building Permit Fee -' $0.00 Add'I Red. Water Con Fee '-' \ $0.00 Plan Check / ( \ $371.28 Meter Fee N 'L -\ $0.00 Add'I Plan Check Fee / • \ / $0.007 SDCWA Fee---- \ " C $0.00 Plan Check Discount / - ') 7 $0.00 fr/J/CFD Payoff Fee \ $0.00 Strong Motion Fee I I $10.76 PFF ' $0.00 Park in Lieu Fee / / $0.00-..PFF (CFD Fund....7' \ '•- , ) \ $0.00 Park Fee f / N $0.00-,: License -Tax ) $0.00 LFM Fee / 'k $0.00License Tax (CFD Fund) \ - - $0.00 Bridge Fee 7 ç $0.00 Traffic Impact Fee $0.00 Other Bridge Fee I j $0.00 'Traffiô Impact (CFD Fund) , $0.00 BTD #2 Fee $0.00 -'Sidewalk Fee .-çj $0.00 BTD #3 Fee . - :~~fl$.6.00 $0.00 ' PLUMBING TOTAL \- J $83.00 Renewal Fee ELECTRICALTOTAL / / $20.00 Add'l Renewal Fee $0.00 \ MECHANICAL TOTAL/ / / $35.00 Other Building Fee \ \ \ $0.00 Housing Impact Fee5 7 / $0.00 Pot. Water Con. Fee \ - $0.00 Housing InLieu Fee' / / $0.00 Meter Size \ \\ / '' Housing Credit Fee / $0.00 Add'I Pot. Water Con. Fee L.J $0.00 'Master, Drainage Fee / $0.00 Red. Water Con. Fee \ $0.00 Sewei Fee 7' / V $0.00 \, 'Additional Fees t\ $0.00 ( V TOTAL" PERMIt FEES <'\ / $1,091.24 f/V' L if / Total Fees: $1,091.24 Total PayrnentsTo Date: \ ' / $379.29 Balance Due: $711.95 /05 0002 01 02 COP 711.95 InsoctJ/ FINAL AP 36 PROVAL _____________ 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 FOR OFFICE USE OJ.Y. PERMIT A I'ION " PLAN CHECK NO. (.&S1 131 CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. 1635 Faraday Ave.; Carlsbad, CA 92008 Plan Ck. Deposit,7 '' 7Z? ,, Validated By , 7) wi Da8 Qii . - COP 37929 Address (include Bldg/Suite #) Business Name (at this address) %c 1P% TGt..I,F4 Legal Description Lot No. Subjiivision Name/Number Unit No. - Phase No. Total # of units t—.ø r r t t'.'i# 4-% 44 Assessor's Parcel 1/ Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms "rcb r. ___ ___ t..i r Bt.J/!fl4&, &j!cj'1ts3 i%f.) L _qONTACE PERSON (If different from applicant) i zci, Il 5 •T. 5 -'re j,%j 7-11. I Name Address City State/Zip Telephone # Fax # 3 APPLiCANT_OçontractorD Agent for Contractor.,.pwner_D Agent for Owner. O - /a me Address City State/Zip Telephone # ) , ( sr,—r. si. sj -r b4 . U,c' 2131 4'c7 Name Address City State/Zip Telephone # [ONTAACTOCOMPAN',NAME -- (Sec. 7031.5 Business and Professions Coda: 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 II Designer Name Address City State/Zip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. 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 ($1001 OR LESS) 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 70WNER46ILDER DECLARATION 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 W soJd 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 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. - I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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): I will provide some of the woic, b411 h e con racted (hired) the following persons to provide the work indicated (include name / address / phone number / type pfwork): I / a OWNER SIGNATURE kJkA 'LAJL4_ 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,060 feet of the outer boundary of a school site? 0 YES 0 NO - IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. SRUCTION LENDING AGENCY. ---- 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_______________________________________________________ 9TAPPLICANTCERT11CATIOPL - - - -- -- 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 Cits 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 o ' and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permi/dby building i al under the r isions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is d withi days from the te of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is r a p I of 18 days Se ion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATr Z7 )1A'-. WlTE: File YELLOW: Applicant PINK: Finance - City of Carlsbad Bldg Inspection Request For: 01/2512006 Permit# CB051131 Inspector Assignment: PD Title: ROUSH RES 978 SF RAD Description: Type: RESDNTL Sub Type: RAD Phone: 7605197775 Job Address: 1810 RATCLIFF RD Suite: Lot 0 Location: Inspecto. ___________ APPLICANT WRIGHT SAM Owner: ROUSH C KENNETH&SUSAN S Remarks: AM PLEASE Total Time: Requested By: MARTY Entered By: CHRISTINE CD Description Act, Comment A19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments/Notices/Hold Associated PCRs/CVs Original PC# PCR05127 ISSUED ROUSH RES-DEFERRED TRUSS CALCS; Inspection History Date Description Act Insp Comments 09/13/2005 82 Drywall/Ext Lath/Gas Test AP PD 09/12/2005 82 Drywall/Ext Lath/Gas Test CA PY 08/30/2005 84 Rough Combo AP PD 08/25/2005 17 Interior Lath/Drywall PA PD FIREWALL 08/17/2005 17 Interior Lath/Drywall CO PD 08/12/2005 13 Shear Panels/HD's AP PY 08/02/2005 13 Shear Panels/HD's NR TP 08/02/2005 15 Roof/Reroof AP TP 08/02/2005 33 Service Change/Upgrade PA TP FOR MTR TRANSFER, WIRING N/COMP. 06/28/2005 11 Ftg/Foundation/Piers AP PD 06/14/2005 21 Underground/Under Floor AP PD 06/14/2005 22 Sewer/Water Service AP PD j/o —c4J.E. LAMBERT & ASSOCIATES P.O. BOX 1116 VISTA, CA 92085-1116 (760) 724-7826 9 FAX: (760) 724-1675 . INSPECTION REPORT. PAGE ) OF / PROJECT NAME: &9ir,9A)__________ ADDRESS: / K/() 61-,ziPf )7, 'O •4 '32oO' ARCHITECT: ENGINEER: 41/l4 CONTRACTOR: /<'fl'/912- FABRICATION SOURCE: - INSPECTION DATE: PLAN FILE: BLDG. PERMIT: Ci27O5!I 3 1 OTHER: C..I . JOB______________ REPORT#___________ INSPECTION MATERIAL IDENTIFICATION ( ) STRUCTURAL STEEL___________________ ( .) FIELD WELDING______________________ ( ) SHOP WELDINGS______________________ HS BOLT. ( )REBARGRADE: Ø(')EPDXY:_ 5722- ( ) CONCRETE CONIC. MIX #PSI_______________ ()ELECTRODE'.' ( )OTHER MATERIAL SAMPLING ( ) STRUCTURAL STEEL . ( ) BOLTS . ( ) CONCRETE ( ) REBAR INSPECTION PERFORMED, JOB PROBLEM, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS -- 2 °-r -rt 4.1 2/41 1,1 -77 ,<-) 12 5. .47 cdL12 _ Certification of Complian9e': All work, unless otherwise npted complies with the approved plans and specific nsa9d1heunifop building cod' NAME (PRINT) d,4h-,'- SIGNATURE CERTIFICATION NO' 5227'f5 OFFICE USE ONLY BH EsGil Corporation In tFartnersUp with government for cBui(Iing Safety DATE: May 2, 2005 JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1131 SET: II PROJECT ADDRESS: 1810 Radcliff Road PROJECT NAME: Roush Residence Addition/ Remodel O AP-RL1ANT O 'ANEVIEWER O FILE The plans transmitted herewith have been corrected where necessary and substantially com p l y with the jurisdiction's building codes. LI The plans transmitted herewith will substantially comply with the jurisdiction's building co d e s when minor deficiencies identified below are resolved and checked by building departme n t s t a f f . fl The plans transmitted herewith have significant deficiencies identified on the enclosed check li s t and should be corrected and resubmitted for a complete recheck. LI The check list transmitted herewith is for your information. The plans are being held at Esg i l Corporation until corrected plans are submitted for recheck. LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the appli c a n t contact person. LI The applicant's copy of the check list has been sent to: I Esgil Corporation staff did not advise the applicant that the plan check has been completed. LI 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 U REMARKS: By: Bryan Zuppiger Enclosures: Esgil Corporation El GA 0MB DEJ [I PC 04/25/05 trnsmtLdot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 EsGil Corporation In Partnersicip with government for(Budding Safety DATE: April 12, 2005 JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1131 PROJECT ADDRESS: 1810 Radcliff Road SET!I D APPLICANT 0 PLAN REVIEWER 0 FILE PROJECT NAME: Roush Residence Addition/ Remodel The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. 0 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. E 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: Sam Wright 2911 State Street Suite N' Carlsbad, CA 92008 E Esgil Corporation staff did not advise the applicant that the plan check has been completed. I Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Sam Wright Date contacted4 2' '(by ) Mail Vfephone Viax V'in Person 0 REMARKS: Telephone #: 760 213 1460 Fax #: 7(eo-1° 2Co3 By: Bryan Zuppiger Enclosures: Esgil Corporation [I GA [:1 MB DEJ [:1 PC 03/31/05 trnsmti.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 Carlsbad 05-1131 April 12, 2005 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO.: 05-1131 JURISDICTION: Carlsbad PROJECT ADDRESS: 1810 Radcliff Road FLOOR AREA: See Below Dwelling addition 978 ft2 Dwelling remodel ±1000 ft2 Covered patio 148 ft2 DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: April 12, 2005 FOREWORD (PLEASE READ): STORIES: 1 HEIGHT: 161-4" at elev. 3 sheet AS. DATE PLANS RECEIVED BY ESGIL CORPORATION: 03/31/05 PLAN REVIEWER: Bryan Zuppiger 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 05-1131 April 12, 2005 . PLANS 1. 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: Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, and (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, and (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. 2. The person responsible for their preparation must sign all final sheets of plans. (California Business and Professions Code). 3. Final plans, specifications and calculations shall be signed and sealed by the engineer or architect licensed by the State of California who is responsible for their preparation. Specify expiration date of license. (California Business and Professions Code). 4. On the cover sheet of the plans, specify any items requiring special inspection, in a format similar to that shown below. UBC 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 UBC Sec. 1701 of the Uniform Building Code. ITEM REQUIRED? REMARKS . EPDXY ANCHORS YES PER APPROVED REPORT 5. When special inspection is required, the architect or engineer of record shall prepare an inspection program which shall be submitted to the building official for approval prior to issuance of the building permit. Please review UBC Section 106.3.5. Please complete parts 1, 2 & 3 of the attached form and resubmit. Carlsbad 05-1131 April 12, 2005 On the cover sheet of the plans, specify any items that will have a deferred submittal (trusses, etc.). Additionally, provide the following note on the plans, per UBC Sec. 106.3.4.2: "Submittal documents for deferred submittal items shall be submitted to the architect or engineer of record, who shall review them and forward them to the building official with a notation indicating that the deferred submittal documents have been reviewed and that they have been found to be in general conformance with the design of the building. The deferred submittal items shall NOT be installed until their design and submittal documents have been approved by the building official." . ROOFING Show the required ventilation for attics. The minimum vent area is 1/150 of attic area (or 1/300 of attic area if at least 50% of the required vent is at least 3 feet above eave vents or cornice vents). Show area required and area provided. UBC Section 1505.3. 8.. Where eave vents are installed, insulation shall not block the free flow ofair. A minimum of 1" of air space shall be provided between the insulation and the roof sheathing. To accommodate the thickness of insulation plus the required 1" clearance, member sizes may have to be increased for rafter-ceiling joists. UBC Section 1505.3. Note on the plans: "Attic ventilation openings shall be covered with corrosion-resistant metal mesh with mesh openings of 1/4-inch in dimension." UBC Section 1505.3. Show a 22"x30" access from the existing attic to the new attic. GARAGE AND CARPORTS Subpanels are not approved in garage firewalls, bathrooms, clothes or linen closets. If the subpanel in the Garage is new please note on the plans as a surface mount. . FOUNDATION REQUIREMENTS All new residential buildings, including additions, require a soils report. An update letter is required if the report is more than 3 years old. When a room addition is less than 1000 sq. ft. in area and only one story, then a soils report is not required. Under this condition, Esgil staff will advise the City (upon final transmittal) to place their "soils notice" stamp on the plans. . MECHANICAL (UNIFORM MECHANICAL CODE) Show minimum 30" deep unobstructed working space in front of furnace. UMC Section 903. Carlsbad 05-1131 April 12, 2005 14. Note that passageway to the mechanical equipment in the attic shall be unobstructed and have continuous solid flooring not less than 24 inches wide, not more than 20 feet in length through the attic. UMC Section 908.0. 15. Show a permanent electrical receptacle outlet and lighting fixture controlled by a switch located at the entrance for furnaces located in an attic space. UMC Section 908.0. 16. Specify on the plans the following information for the fireplace(s), UBC. Section 106.3.3: Manufacturer's name. Model name/number. ICB.O approval number, or equal. Show height of chimney above roof per .C.B.O. approval or UBC Table 31-B. Note on the plans that approved spark arrestors shall be installed on all chimneys. UBC Section 3102.3.8. PLUMBING (UNIFORM PLUMBING CODE) 17. In Seismic Zones 3 and 4, show that water heater is adequately braced to resist seismic forces. Provide two straps (one strap at top 1/3 of the tank and one strap at bottom 1/3 of the tank). UPC,Sectión 510.5 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 Bryan Zuppiger at Esgil Corporation. Thank you. Carlsbad 05-1131 April 12, 2005 Citv of Carlsbad Building Department BUILDING DEPARTMENT NOTICE OF REQUIREMENT FOR SPECIAL INSPECTION Do Not Remove From Plans Plan Check No. 05-113 1 Job Address or Legal Description 1810 Radcliff Road Owner F%cDL, _ Address t,c:) L P. o,i You are hereby notified that in addition to the inspection of construction provided by the Building Department, an approved Registered Special Inspector is required to provide continuous inspection during the performance of the phases of construction indicated on the reverse side of this sheet. The Registered Special Inspector shall be approved by the City of Carlsbad Building Department prior to the issuance of the building permit. Special Inspectors having a current certification from the City of San Diego, Los Angeles, or ICBO are approved as Special Inspectors for the type of construction for which they are certified. The inspections by a Special Inspector do not change the requirements for inspections by personnel of the City of Carlsbad building department. The inspections by a Special Inspector are in addition to the inspections normally required by the County Building Code. The Special Inspector is not authorized to inspect and approve any work other than that for which he/she is specifically assigned to inspect. The Special Inspector is not authorized to accept alternate materials, structural changes, or any requests for plan changes. The Special Inspector is required to submit written reports to the City of Carlsbad building department of all work that he/she inspected and approved. The final inspection approval will not be given until all Special Inspection reports have been received and approved by the City of Carlsbad building department. Please submit the names of the inspectors who will perform the special inspections on each of the items indicated on the reverse side of this sheet. (over) EnglneefWArchltect's Seal & Signature Here Signed 1. List of work requiring special inspection: E Field Welding D Structural Concrete Over 2500 PSI El Prestressed Concrete El Structural Masonry El High Strength Bolting% Expansion/Epoxy Anchors Sprayed-On Fireproofing El Designer Specified 4- Carlsbad 05-1131 April 12,2005 SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION: P.. 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 theàrchitecngiñëi of record, will be responsible for employing the special inspector(s) as required bform Building Code (UBC) Section 1701.1 for the construction project located a4he sj9ij ,tedleve. UBC Section 106.3.5. Signed I, as the1engineeriárchitect 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. 2. Name(s) of individual(s) or firm(s) responsible for the special inspections listed above: ... T. .. C&v4 '4h.T4) 7 74. +7:55;- 3. Duties of the special inspectors for the work listed above: T'E.5-r EF LI A.cvc (i. 2 Special inspectors shall check in with the City and present their credentials for approval orior to beginning work on the job site. Carlsbad 05-1131 April 12, 2005 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1131 PREPARED BY: Bryan Zuppiger DATE: April 12, 2005 BUILDING ADDRESS: 1810 Radcliff Road BUILDING OCCUPANCY: R3/U TYPE OF CONSTRUCTION: VN BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) dwell addition 978 City Valuation 107,580 dwell remodel . 1000 covered patio 148 Air Conditioning Fire Sprinklers TOTAL VALUE 107,580 Jurisdiction Code 1cb IBY Ordinance Bldg. Permit Fee by Ordinance I $571 .20f Plan check Fee by Ordinance $371.281 Type of Review: IZI Complete Review Structural Only 0 Other 0 Repetitive Fee o Hour r' Hourly i Repeats Esgil Plan Review Fee I $319.871 Comments: macvalue.doc DATE: BUILDING PLANCHECK CHECKLIST - • PLANCHECK NO.: CB BUILDING ADESS: : PROJECT DESCRIPTION: '' S ASSESSOR'S PARCEL NUMBER: /'-?0 -' EST. VALUE: /07 %O ENGINEERING DEPARTMENT APPROVAL ' . DENIAL The item you have submitted for' review has been Please see the attached, report of deficiencies approved. The approval is based on plans, marked with 0. Make necessary corrections to plans information and/or specifications provided in your or specifications for compliance with applicable submittal; therefore any changes to these items after codes and standards. Submit corrected plans and/or this date, including field modifications, must be specifications to this office for review. 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. By: Date: A Right-of-Way permit is required prior to construction of the following improvements: ' By: ' Date: By: ' Date: qd MIP.Pi M P51:1 41F FOROFFIClALU SOON mmmiqpLY NGINEERING AUTHORIZATION TO:ISSUE.BUILDING PERMIT ...............' .., •.. pate: . ,"T'ATrAINTS . ENGINEERING DEPT. CONTACT PERSON Name: JOANNE .11J6HNlEWI(7 -'teuicauon Application Dedication Checklist City of Carlsbad Improvement Application Address: 1635 Faraday Avenue, Carlsbad, CA 92008 Improvement Checklist Phone: (760) 602-2775 . . Future Improvement Agreement' CFD INFORMATION Grading Permit Application Parcel Map No: Grading Submittal Checklist Lots: Right-of-Way .Permit-Application Recordation: , Right-of-Way Permit Submittal Checklist Carlsbad Tract: and Information Sheet . 'Sewer Fee Information Sheet A-4 H:SWORDDOCSCHLSTSBu!b Plantheck Cidat Fomi (Genedc).doc i Rev. 7114100 . BUILDING PLANCHECK CHECKLIST Q4 SITE PLAN 3RD 1. Provide a fully. dimensioned site plan drawn to scale. Show: A. North Arrow F.. Right-of-Way Width & Adjacent Streets B.\Existing & Proposed Structures G. Driveway widths C. Existing Street Improvements H. Existing or proposed sewer lateral D. Property Lines I. Existing or proposed water service E. Easements . J. Existing or proposed irrigation service D 2. Show on site plan: A. Drainage Patterns Building pad surfacedrainage must maintain a minimum slope. of one percent towards an adjoining street or an approved drainage course. ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive drainage of 2% to swale 5' away from building." B.. Existing & Proposed Slopes and Topography Size, type, location, alignment of existing or proposed sewer and water service (s) that serves the project. Each unit requires a separate service, however, second dwelling units and apartment complexes are an exception. Sewer and water laterals should not be located within proposed driveways, per standards. D 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 H:WORDDOCSCHKIZflSuiig PIanIedi CIII Form (Geiieilc).doc 2 Rev. 7114100 BUILDING PLANCHECK CHECKLIST 1 ST 2ND 3rd DISCRETIONARY APPROVAL COMPLIANCE 0 0 4a. Project does not comply with the following Engineering Conditions of approval for ProjectNo.______________________________________________ 0 0 0 4b. All conditions are in compliance. Date:.__________________________ DEDICATION REQUIREMENTS 0 0 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 $15000, 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 1/? 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 iequired 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 0 0 0 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 $75.000, 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 H:WORDD005CHKI.Sfl8uIIdii Paned Ckist Form (RIDDLE - HARVEY 7.12.00).doc 3 Rev. 12120198 BUILDING PLANCHECK CHECKLIST 1ST 2ND 3R0 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: fl 0 0 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 $310 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: 0 0 6c. 'Enclosed please find your Future Improvement Agreement. Please re'turn 'agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: . Date: . . . . . ELI 0 0 6d. No Public Improvements required., SPECIAL NOTE: Damaged or defective. improvements found adiacent 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. 0 0 0 7a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). 0 0 7b. Grading Permit required. A separate grading plan prepared by a reg'istered 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.) H:WORDO0CS'SCHKLS1\8UIId1flO Ploncheck Cidel Form (Generic 7.I4-00),doc 4 Rev. 7114100 BUILDING PLANCHECK CHECKLIST eND3RD 7d .No Grading Permit required. 7e. If grading is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS 0 0. 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, tying into public storm drain, sewer and water utilities. Right-of-Way permit required for: El El 9. 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 7153, for assistance. Industrial Waste permit accepted by: Date: El El 10. 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. /o El 11. VN 0 'uired fees are attached fees required WATER METER REVIEW El El 12a. Domestic (potable) Use Ensure that the meter proposed by the owner/developer is not oversized. Oversized meters are inaccurate during low-flow conditions; If it is oversized, for the life of the meter, the City will not accurately bill the owner for the water used. All single family dwelling units received "standard" 1" service with 5/8" service. HWORDOOCSCHKLSTWuIIdkig Plantheck CkIst Form (Genec).doc 5 Rev. 7114100 ;I. BUILDING PLANCHECK CHECKLIST 1ST 2ND 3RD If owner/developer proposes a size other than the "standard", then owner/developer must provide potable water demand calculations, which include total fixture counts and maximum water demand in gallons per minute (gpm). A typical fixture count and water demand worksheet is attached. Once the gpm is provided, check against the "meter sizing schedule" to verify the anticipated meter size for the unit. Maximum service and meter size is a 2" service with a 2" meter. If a developer is proposing a meter greater than 2", suggest the installation of multiple 2" services as needed to provide the anticipated demand. (manifolds are considered on case by case basis to limit multiple trenching into the street). LW fl. 12b. Irrigation Use (where recycled water is not available) All irrigation meters must be sized via irrigation calculations (in gpm) prior to approval. The developer must provide these calculations. Please follow these guidelines: If the project is a newer development (newer than 1998), check the recent improvement plans and observe if the new irrigation service is reflected on the improvement sheets: If so, at the water meter station, the demand in gpm may be listed there. Irrigation services are listed with a circled "I", and potable water is typically a circled "W". The irrigation service should look like: STA 1+00 Install 2" service and Lj 1.5: meter (estimated 100 gpm) If the improvement plans do not list the irrigation meter and the service/meter will be installed via another instrument such as the building plans or grading plans (WI a right of way permit of course), then the applicant must provide irrigation calculations for estimated worst-case irrigation demand (largest zone with the farthest reach). Typically, Larry Black has already reviewed this if landscape plans have been prepared, but the applicant must provide the calculations to you for your use. Once you have received a good example of irrigation calculations, keep a set for your reference. In general the calculations will include: Hydraulic grade line Elevation at point of connection (POC) Pressure at POC in pounds per square inch (PSI) Worse case zone (largest, farthest away from valve Total Sprinkler heads listed (with gpm use per head) Include a 10% residual pressure at point of connection 3. In general, all major sloped areas of a subdivision/project are to be irrigated via separate irrigation meters (unless the project is only SF0 with no HOA). As long as the project is located within the City recycled water H:WORODOC$CHKLSTBulkih,g Pland,edi dust Form (Genedc)doc 6 Rev. 7114100 BUILDING PLANCHECK CHEKLIST 1ST 2ND 3RD service boundary, the City intends on switching these irrigation services/meters to a new recycled water line in the future. 0 fl 12c. Irrigation Use (where recycled water is available) I. Recycled water meters are sized the same as the irrigation meter above. 2. If a project fronts a street with recycled water, then they should be connecting to this line to irrigate slopes within the development. For subdivisions, this should have been identified, and implemented on the improvement plans. Installing recycled water meters is a benefit for the applicant since they are exempt from paying the San Diego County Water Capacity fees. However, if they front a street which the recycled water is there, but is not live (sometimes they are charged with potable water until recycled water is available), then the applicant must pay. the San Diego Water Capacity Charge. If within three years, the recycled water line is charged with recycled water by CMWD, then the applicant can apply for a refund to the San Diego County Water Authority (SDCWA) for a refund. However, let the applicant know that we cannot guarantee the refund, and they must deal with the SOC WA for this. 0 0 0 13. Additional Comments: k H:WORDDOCSCHKI.STDuh1g Planthed, Cidsi Fan,, (Genwlc)doc 7 • Rev. 7114100 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Planner Phone(760)602- ~c Pla o. CB 31 P Type of. oject & Use: Net Project Density.—.PV/A,^—DU/AC Zoning: General Plan: Facilities Management Zone: CFD (in/out) #_Date of participation: Remaining net dev acres:______ . (For non-residential development: Type of land used created by this Circle One permit_______________________________________________ in .. Legend Item Complete . 0 Item Incomplete - Needs your action 0 Q Environmental Review Required: YES NOV.. TYPE DATE OF COMPLETION: .• Compliance with conditions of approval? If not, state conditions which require action. .. Conditions of Approval: 0 ,E] Discretionary Action Required: YES ____ NO ____TYPE_________ APPROVAL/RESO. NO. DATE_____ PROJECT NO._________________ OTHER RELATED CASES: . Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval:_________________________________________________________ O 0 . Coastal Zone Assessment/Compliance . . Project site located 1n Coastal Zone? YES_. N CA Coastal Commission Authority? YES____ 06 If California Coastal Commission Authority: Contact them at —.7575 Metropolitan Drive, Suite 103, San Diego..CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): . Coastal Permit Determination Form already completed? •YES____ NO____ If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow•Up Actions: . Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at m!nimumFloor Plans). Complete Coastal Permit Determination Log as needed. I>1D 0 Inclusionary Housing Fee required: YES ____ NO)r.. (Effective date of lrclusionary Housing Ordinance - May 2'I,'l993) Data Entry Completed? YES ____ NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing YIN, Enter Fee, UPDATE!) Site Plan: K%ADMINCOUNTER8ldPlflChkReVChldSt • Rev 9101 Required Required Required Required Required• Required yo Ok-. Shown_____________ Shown_____________ Shown______________ Shown_____________ Shown_____________ Shown' 340 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). fl 0 •2. Provide legal description of property and assessor's parcel number. Policy 44— NeighborhArchltectural Design Guidelines' . Lf Applicability. YES NO_______ 0 0 0 2. Project complies YE l<—NO_____..;. . . 7 41Ø Cleo *t o Zoning: 0 0 i. Setbacks: Front:. . Required 2d) Shown : Interior Side: . Required —:c'-T Shown Street Side:. Required Shown Rear . Required :::—c:"--: Shown Top of slope: Required — Shown setbacks: . ._. Structure separation: Required_____ -Shown-----.. - 10 Spaces Required 21r Shown (breakdown by uses for commercial and industrial -projects required Residential Guest Spaces Required . Shown 1 0 0 Additional Comments DK:TO ISSUE AND ENTERED APPROVAL INTO COMPUTER H:\ADMiNCOUNTER\aIdgPlflchkReVChId$t Rev 9101 T DATE OS', Koo 2. Front: Interic Lot Coverage: Height: Parking: rIHY-U5-UU5 THU 0928 AM CITY OF CRRSLBAD FAX NO. 760 602 8558 P. 02 Ci- ty of Carlsbad - CERTIFICATE OF COMPUANCE PAYMENT OPSçHOOL FEES OR OTHER MIGATIOi 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 wiji not issue any building permit without a completed school fee form. Project Name: ia . -. Building Permit '1 -31 Plan Check Number: Project Address: - II 0 A.P.N.: A I5-6 70ot,c'ö Project Applicant (Owner Name): I 0 Project Description: Building Type: Residential: Number of New Pveliing(Jgits -. Square Feet of Living Area in New Dwelling Second Dwelling Unit: Square Feet of Living Area in SDU Residential Additions: Net Square Feet New Area 7 Commercial/Industrial: Square Feet Floor Area City Certification of Applicant Information: Date: 3'Z Lsba(Ctnified School District San Mazvos Unified School District 6725 M Camino Real 215 Mate Way Carlsbad CA 92009 (331-50001 San Masos, CA 92069 (290-2649) iis Union School District San Pieguito Union High School District 101 South Rancho Santa Fe Rd 710 Encinitas Blvd. Encinitas, CA 92024(944.4300 ext 166) Encinitas, CA 92024 (75-6491) Certification of ApplicantlOwnera. The person executing this declaration (Owner) certifies under penalty of perjury that (1) the information provided above Is correct and true to the best of the Owner's knowledge, and that the Owner will tile a n a m e n d e d certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage alter the b,uilding it is issued or if the initial determination of units or square footage is found to be incorrect, and flint (2) the Owne is e oyner eveloper of the above described prpject(s), or that the person executing this declaration is authorized to sign 9n)feh f 4f the Owner, I i Signature Date: .-ciia - . . 1635 Faraday Avenue. Carlsbad. CA 92008-7314. (760)C ii-u0 mu U Rfl CITY OF CARSL8D FAX NO, 760 602 8558 P. 03 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 Gutq Oiiv 4 j ) GA*.EN FREEMAN DEPUTY SUPERINTENDENT CARLSBAD UNIFIED SCHOOL DISTRICT 6225 EL CAMINO REAL - CARLSBAD, CA 92009 PHONE NUMBER 2(0O - ..31 503(o I G/ -P \ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-13-2005 Plan Check Revision Permit No: PCR051 27 Building Inspection Request Line (760) 602-2725 Job Address: 1810 RATCLIFF RD CBAD Permit Type: PCR Status: ISSUED Parcel No: 1562700600 Lot #: 0 Applied: 06/27/2005 Valuation: $0.00 Construction Type: NEW Entered By: AMA Reference #: Plan Approved: 07/13/2005 Issued: 07/13/2005 Project Title: ROUSH RES-DEFERRED TRUSS CALCS Inspect Area: Applicant: Owner: ROUSH C KENNETH&SUSAN S ROUSH C KENNETH&SUSAN S 1810 RATCLIFF RD 1810 RATCLIFF RD CARLSBAD CA 92008 CARLSBAD CA 92008 Plan Check Revision Fee $60.00 Additional Fees $0.00 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 2522 07/13/05 0002 01 02 cop FINAL APPROVAL Inspector: 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 60.00 . C~ 0.6, / ~ N PERMIT APPLICATION a :. • CITY OF CARLSBAD BUILDING D ARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. 4k?4 /? 7 EST. VAL. 11 Plan Ck. Deposit Validated By________________________ Date Address (include Bldg/Suite #) - Business Name (at this address) Legal Description . Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms TI7WJ.. t ...CONTAC1 I'm SON (lt4tffen* frpm allcnt) I - 2 ... ,i q ,, ,Q , ç 32< CA#ztqQ ViCo C-2 C 4/L534 Name f Address City State/Zip Telephone # Fax # APLICANJ OContator Q Agnt torConractr 0 Qwne! OAgen1 fof Oer 1 r Name Address City State/Zip Telephone 11 4 PROPERTY OWNER );1d(, •jg,-0 IQOL.1c•1-1 ,P zcz..qi' .. '?oe't L/,y/2..o Name Address City State/Zip Telephone # AD 44 ':cOf4TRAcTOR - COMPANY. NAME '. .. .•. ... :. . .....-...........-, .. . . t . ... ..... . S..- . '.. ... (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 # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of thefollowing declarations: 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. 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) 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 -L I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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). I am exempt under Section Business and Professions Code for this reason: I personally-plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DNO [(have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number I contractors license number): 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 I address / phone number / contractors license number): 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 CQM1 fl1ISJSECTIQN fOR N9NRESI&JJ11AL BUILDING PcRMIrs ONLY - Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. QONSTRTIONLENDLNGAGENCy:1 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_______________________________________________________ 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 Cite' 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 lithe building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a pe d 18 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE' DATE DATE '7 — 7V7— Of WHITE: File YELLOW: Applicant PINK: Finance EsGil Corporation - In Partners/lip wit/i government for(Building Safety DATE: July 10, 2005 L3 -APPLICANT 'JURIS. JURISDICTION: Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: 05-1131 REV (PCR05127) SET: I PROJECT ADDRESS: 1810 Radcliff Road PROJECT NAME: Roush Residence Addition/ Remodel The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. O 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. LI The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. F-1 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. Li 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. LI 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 LI REMARKS: By: Bryan Zuppiger Enclosures: Esgil Corporation 0 GA 0 MB 0 EJ 0 Pc 06/30/05 trnsmtidot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad 05-1131 REV (PCR05127) July 10, 2005 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1131 REV (PCROS 127) PREPARED BY: Bryan Zuppiger DATE: July 10, 2005 BUILDING ADDRESS: 1810 Radcliff Road BUILDING OCCUPANCY: R3/U TYPE OF CONSTRUCTION: VN BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code Icb IBY Ordinance Bldg. Permit Fee by Ordinance I I PlanCheckFeebyOrdinance I $60.001 Type of Review: 0 Complete Review fl Structural Only 0 Other 0 Repetitive Fee Repeats Hourly I 0.51 Hour * Esgil Plan Review Fee I $48.00 * Based on hourly rate Comments: macvalue.doc & Associates MIKE SURPRENANT• & ASSOCIATES Consulting Structural Engineers June 20, 2005 Sam Wright 2911 State Street Carlsbad, California 92008 Project: Roush Addition 181.0 Ratcliff Road Carlsbad, California 92008 Job No.: 05026 Dear Sam Wright, In accordance with your request, we have compared the roof framing plan, prepared by our office, and the roof truss manufacturer's roof truss layout (attached), prepared by Oceanside Truss, Inc. for the above referenced project. Specifically, we were asked to verify that the roof truss manufacturer's truss layout is in general conformance to the truss layout shown on our approved structural drawings. Based on our review of the documents, we have determined thit the roof truss manufacturer's truss layout generally conforms to the roof framing plan on the approved structural drawings prepared by our office. Po 335 15th Street San Diego, California 92101 Tel. (619) 531.0757 • Fax. (619) 531.0758