HomeMy WebLinkAbout2060 JANIS WAY; ; CB920148; Permit> '.
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er ,[ cll1C"Y 1.,r oup: P I
L>e ·, rLpt1on: 325 SF ROOM AD.u
Appl/Owr:.r : TDEAL CONST
"-9'.:8 MA[•lSUN AV # O ...
CARLSfiAD, CA ~,u )~
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Fees:
Aljustments:
Total Fees: ' 4 l. •
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Plan Check
* BUILr• .. NG TOTAL
Enter "Y fn-. Elt=>c
Ent("r Y for Remo\.J
* E!',E:CTRICAL TOTAL
Enter 'Y' for ~echan
Ea~h Install/Reloc Ap
* MECHANICA~ TOTAL
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INSP . .,.._,..... ... DATE ..,_.., ..... 'Z----.
CLEARA CE-----.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Departaent
2075 Las Pal118S Dr •• Corlsbad, CA 92009 (619) 438-1161
I. P£ltMI I IYPE
A -UCOmmerc1al U New Bu1ldmg O lenant Improvement C-PRMT
B -□ Industrial □ New Building D Tenant Improvement
C ..a:!esidential □ Apartment D Condo □ Single Family Dwellin&.)l(Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical D Pool D Spa □ Retaining Wall □ Solar C Other
2. PRCllECT INFORMATION FOR OFFICE USE ONLY
Address :ZlJGo .JA-,0,,S Wf.k.t Buildmg or Suite No.
Nearest Cross Street Do.:illJ A !) (Z..
LEGAL bESCRIJfl ION Loe No. Subd1V1s1on Name/Number
CHECK BEWW IF SOBMII IW:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S J>ARCEL EXIs,1NG ~
DESCRIPTION OF WORK Mm1'-'f ,€,1'17 E;<_-r[:,.V$IDN: Al 5"7"U""f
SQ. IT. 3ZS' # OF STORIES /
3. WN IACI PERSON (II different from apphcanf)
NAME 11:l~L Lo1vs.·-n{.
Omt No. Phase No.
PBOPQSEP USE
CITY ~J.fMt>
4. APPUCANI JliiJNIRACIOR
STATE C/J. ZIP CODE ';JZtJof, DAY TELEPHONE ..,t-3,8-r:,-,t.7(')
DAGENI FORCONIRACIOR DOWNER □AGENI FOR OWNER
CITY STATE C4,
ADDRESS ----/ DAYTELEPHONE ~-ttJ,Y-70 ZIP CODE 92',:,J/
· NAME -.;t:.o,J if '/2(),!Jt5,-'IJ Guy ADDRESS U6 0 ~IJ W,...,
' CITY CA-1U-J. STATE CJt, ZIPCODE 7'U~j"' DAYTELEPHONE 729•30/,
. NAME I l.)o.:,0-I. C.,-v.<-r,t. /~ -~DRESS ,!1~(5 A-, ~J.d,J 4-t)l, -6/t/
CITY C-~-STATE Cd. ZIP CODE 9Z#lr' DAY TELEPHONE
STATE LIC. # YIZ-/✓ LICENSE CIASS /.!>-/ CITY BUSINESS LIC. #
DESIGNER NAME tl.51,:,9-t,. u,,vJ7'<, ADDRESS 2,'j :,~ ,,._. 4-f>/u,../ ,(h,C:, ,ti?/,/
158-00
CITY C~. STATEU. ZIP CODE DAY TELEPHONE ,I -d'V?tJSTATE LIC. # ..,,,.~ 2./(}L
Workers• COmpensat1on Oeclarat1on: I hereby afhrm that I have a cert1hcate of consent to self.insure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, I.ab. C).
INSURANCE COMPANY .:f 7"17'Z, ~ POLICY NO. /tin6~-9Z EXPIRATION DATE /-/-;>-Z
m 1cate o xempt1on: certt t at m t e pe ormance o t e wor or w 1c t 1s pemut 1s 1ssu , s a not emp oy any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNF.k-H0nnmt DECLARXllUN
bwner-Builder Declaration: I hereby affirm that I am exempt from the COntracto?s Lcense Law for the foliowmg reason:
D I, as owner of the propeny or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 70441 Business and Professions Ccxle: 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.).
D 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 Ccxle for this reason:
(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, commencing 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 [$500]).
SIGNATURE DATE
COMPLEIE IRIS SECIIUN FOR NON-RESIDENIIAL BUILDING PERMll'S 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?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air )X)llution control district or air quality management district?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF THI! ANSWERS ARE YES, A FINAL CER11FICATE OF oa:IJPANCY MAY NUf BE ISSUED AFrnR JULY I, 1989 UNU!SS THI! APPLICANT
HAS MIIT OR IS MEJITING THI! REQUIREMENTS OF TIJE OFFICE OF EMERGENCY SERVICES AND THI! AIR POWffiON ffiNTROL DISllUCT.
9. WNSIRUCIION LENDING ACRNCY
I hereby afhrm that the~ ;s a construcuon iendmg agency for the peilormance of the work for which tfos permit 1s issued (Sec 309?(1} CivU Cocle).
LENDER'S NAME ,I.//~ LENDER"S ADDRESS
10. APPllcANI Ci!RIU'ICAIIDN
I certUY that I have read the apphcat1on and state that the above mformatlon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter UJX>n the above mentioned propeny for inspection
purposes. I A1.'D AGREE 1U SAVE INDEMNIFY AND KEEP IIARMLFSS THI! cnY OF CARISBAD AGAINSf AIL IJABIUTJES, JUDGMENTS, CXJsrS
AND EXPENSES WIIlCH MAY IN ANY WAY ACCRUE AGAINSf SAID cnY IN ffiNSEQUENCE OF TIJE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA pennit is required for excavations over S'O" 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 Ccxle shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: ,?-tJ?-_3~
~NATU~
WHITE: File YElLOW: Applicant PINK: Finance
CITY OF CARLSBAD
1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008
438-5621
T-\ t'\ (\ _ \ \ ('. 6s10 021;;: .. 192 0001,::0_1-rm
REC'D FROM __ -=C\---'---=e----=c0L-=--=:c.__---=\.,,C~..,_S'\L.C~""'-:"'\--=--'-'-\.)=-.,,..C---=-\'------'-_____,._~---=0"'--. ____ DATE t.ib~ --rJ ~ C\sJ:w
ACCOUNT NO. DESCRIPTION AMOUNT
I
4 I
~Y-"":\.S Flh C't\ ~::I~"'~ hn :
I
0.~Cl-::-i()l45<' I
( ~ I
.
.
RECEIPT NO. 11489 TOTAL ~~ 0 -
l
PERMIT# CB920148
DESCRIPTION: 325 SF ROOM ADD
TYPE: RAD
JOB ADDRESS: 2060 JANIS WY
APPLICANT: IDEAL CONST
CONTRACTOR:
OWNER:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/09/92
PHONE:
• PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB920148
OCC GRP R3
CONSTR. TYPE VN
STR: FL: STE:
6194380470
REMARKS: MH/RAY/438-0470
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
PERMIT# TYPE
RW920140 ROW
------------------'-------------------------------------
STATUS
ISSUED
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE
070692
051492
051392
043092
043092
042992
042992
042792
042792
042492
042492
042192
042192
042092
042092
041692
041392
040892
031892
031892
031792
031792
031192
030392
030292
DESCRIPTION
Final Combo
Final Combo
Final Combo
Interior Lath/Drywall
Exterior Lath/Drywall
Interior Lath/Drywall
Exterior Lath/Drywall
Interior Lath/Drywall
Exterior Lath/Drywall
Interior Lath/Drywall
Exterior Lath/Drywall
Insulation
Rough Electric
Frame/Steel/Bolting/Welding
Rough Electric
Frame/Steel/Bolting/Welding
Ftg/Foundation/Piers
Roof/Reroof
Frame/Steel/Bolting/Welding
Underground/Under Floor
Frame/Steel/Bol ting/Weld_ing
Underground/Under Floor
Frame/Steel/Bolting/Welding
Ftg/Foundation/Piers
Ftg/Foundation/Piers
ACT INSP
CA PY
NR PY
NR PY
AP PY
AP PY
AP PY
AP PY
CO PY
NR PY
CA PY
CA PY
AP PY
AP PY
AP PY
NR PY
CO PY
AP PY
AP PY
CO PY
CO PY
NR PY
NR PY
CO MP
AP PY
NR PY
COMMENTS
HEAT DUCT
SEE CORR LST DTD 4-16-92
SEE NOTICE 4-13-92
SEE NOTES 4/8/92
SEE CORRECTION NOTICE
SEE CORRECTION NOTICE
RAINOUT
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
2/ 1..y /1'2--
JURISDICTION: C IT'1 0~ CALLS .CAD
PLAN CHECK NO: SET:
PROJECT ADDRESS: __ "2---'-0~6~D--~~~A~N--"1,=----w:..::..:~~YL-------
PROJECT NAME: £Fo A-00
□
□
0
□
□
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 deficien-
cies identified /$£.-l(.J...., 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
The plans
plans are
list transmitted herewith is for your information.
are being held at Esgil Corp. until corrected
submitted for recheck.
The applicant's copi of the check list is enclosed for the
jurisdiction to ret1.rn to the applicant contact person.
Th_e applicant's copy of the check list has been sent to:
ffiEsgil staff did not advise the applicant contact person that
plan check has been completed.
□ Esgil staff did advise applicant that the plan check has
been completed. Person contacted: ____________ _
Date contacted: _________ Telephone # ____ ....,,..:::::./qb':.::..:-m REMARKS : ...J.LL._.f:..'.."1'.Y.._....7£--1.~:ti.._JJ_t::fl.lL....,S_QJ.U.~~~~!6,!:,~__,<IL::l......IH'£.
2.. 1 IN 0
By: f ETe... ,-.,.s,.c H1,& Enclosures: __________ _
ESGIL CORPORATION coc.-
□GA Dc:M
\
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
,APPLICANT
JURISDICTION:
~SDICTI61:l-:)
I CHECKER
?"-"FILE COPY
PLAN CHECK NO: SET: I --UPS
-"DESIGNER
PROJECT ADDRESS:-=i.=9~b"---C~--~~1_r~~"~N_I_S ___ ~~~~P_.~~j_,_ ___ _
PROJECT NAME: 5PD Jo;J '-1
, iZOBf>//J
D
D
D
~
D
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified _____________ are resolved and
~hecked 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
The plans
plans are
list transmitted herewith is for your information.
are being held at Esgil Corp. until corrected
submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy
1219 '1 1-fo L =k i3 , 7
of the check list has been sent to:
Esgil staff did not advise the applicant contact person that
plan check has been completed.
Esgil staff did advise applicant that the plan check has
been completed. Person contacted: ____________ _
Date contacted: ---------Telephone# ________ _
□ REMARKS: ___________________________ _
By: fH:;e Dol-1 I? IJ11? Enclosures: __________ _
ESGIL CORPORATION Z-ID-"rt-
~GA --, :_;cM
J\JRISDICTION: __ Cfl_....:.../2._L...;Sc....:./3....;.1'1.;._;D'------~Date plans received by plan checker: __ '2_-_IO_-_"i'_?...:.....
PLAN CHECK NO.: "fz..-/l.f (( Date plan check completed: 2-/11/1Z. .. By:_,_fl..:..::1!$-'=e,'----'p::...=co_L_l;_f::_-_>J_'i_~~
PROJECT ADDRESS:_..:_.2-_o:.....=fo~O;:__..::J:..:,q..;_:_Af:....:../ ..::S.:____:Wc::...:.IC/.:.....,;J1-----------------
IO: __ ;_R..:.A.:.....,'::J1---.:..l-r...;o_L...;c.:...o,;_;,M..:....cB:::..._?~· --=T"'-'D"'--"~"-'-A-'--'-l ___ c::;__o_~..:.0.;;;.s.=-T'..:..:.~..=...:lJ.c:...:C_T..:...:..1.;;;o"-t.J_;;_ ________ _
PLAN CORRECTION SHEET
FOREWORD: PLEASE READ
Plan check is limited to 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 disabled access. The plan check is based on regulations enforced
by the Building Inspection Department. You may have other corrections based on laws and ordinances
enforced by the Planning Department, Engineering Department or other departments.
The items shown below need clarification, modification or change. All items have to be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 303(c), of
the Uniform Building Code, the approval of the plans does not permit the violation of any state,
coW1ty or city law.
A. PLANS
r,'\ Please make all corrections on the original V tracings and submit two new sets of prints,
and any original plan sets that may have been
returned to you by the jurisdiction, to:
e,; 6 tL,
~ To facilitate checking, please identify, next V to each item, the sheet of the plans upon
which each correction on this sheet has been
made and return this check sheet with the
revised plans.
4. All-
pt::e.soiv
/NCJO Iv
-r, Ft~p
10 ,, o, C...,
rt,
Form No, PCS.4139O
0 Please indicate here if any changes have
been made to the plans that are not a result
of corrections from this list. If there are
other changes, please briefly describe them
and where they are located on the plans.
Have changes been made to the plans not
resulting from this correction list? Please
check.
_____ Yes ____ N.o
, P1:1v T, F, c4p orv I /iJDC?>c
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,:; /,.I (:: I<;_ i-!':: /::.1,C!~lv D1,)11J~ I__ 19 IA. IJ PC.IA ~ A)iz;,,J ST"'-0,,,
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Jurisdiction 014e.Lsr:,14D
Prepared bys
r-,e,t,,:-VALUATION AND PLAN CHECK FEE
□ Bldg, Dept.
D Esgil
PLAN CHECK NO, 9 2 -I 4-2'
BUILDING ADDRESS 2 Ot.o Ji"' Ml s (u,411
APPLICANT/CONTACT =l?:£,~'J+--'-tb'-l""'c"'o'-1---'-1_.""..._, __ PHONE NO.(&-!")) 4--3 e -0~7 -0
BUILDING OCCUPANCY P-"S DESIGNER PHONE
TYPE OF CONSTRUCTION i/-N CONTRACTOR PHO-NE ____ _ -----
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
$FD ~[){?/J 32.5 73,0D .2.5 7'2...=,-
·-
Air Conditionin£
Commercial @ -
Residential (<I '
Res. or Comm.
Fire S'Orinklers @
Total Value .2..5 7z.S (
Buildirig Perm it fee $ _________________ _,._ _ _;;.Z..._t./-:__::_3_,_0_D __
Plan Check fee S $ / 57, '75 ~~-------------------''---------
COM MEN TS•,_, ----------------------------
SHEET_...__OF_~_ 12/87
.. ..
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c.. d ~h ~ 3
s N R
T D D
C C C
H H H
E E E
~K K □□
DATE: · ri • \ ·G\'L..
BUILDING PLANCHECK
ENGINEERING CHECKLIST
PLAN CHECK NO. Cf? q,z -014?;
LEGAL REQUIREMENTS
Site Plan
1.
~ ITEM COMPLETE
ITEM INCOMPLETE
NEEDS YOUR ACTION
ITEM SELECTED
GU . -
[Q(o □ 2.
Provide a fully dimensioned site plan drawn to scale .
Show: north arrow, property lines, easements, exi sting and
proposed structures, streets, existing street improvements ,
right-of-way width and dimension setbacks.
Show on site plan: Finish floor elevations, pad
elevations, elevations of finish grade adjacent to
building, existing topographical lines, existing and
proposed slopes, driveway with percent (%) grade and
drainage patterns.
□□□ 3 • Provide legal description and Assessors Parcel Number.
0□□ Discretionary Approval Compliance
4 • No Discretionary approvals were required.
□□□ 5. Project complies with all Engineering Conditions of
Approval for Project No. ________ _
□□□ 6. Project does not comply with the following Engineering
Conditions of Approval for Project No. _________ _
conditions complied with by: ________ Date: ___ _
Field Review
□□□ 7 •
~□□ 8.
t8l □□
□□□
l8 □□
Field review completed. No issues raised.
Field review completed. The following issues or
discrepancies with the site plan were found:
A.
B.
c.
Site lacks adequate publ~c improvements b £1cltL\Jal.t (clllU
not ~~,fn •)or in Existing drainage improvements
conflict with site plan.
Site is served by overhead power lines.
P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27/91
•
' □□□ D.
□□□ E.
Grading is required to access site, create pad or
provide for ultimate street improvement.
Site access visil:>ility problems exist. Provide onsite
turnaround or engineered solution to problem.
□□□ F. Other: _______________________ _
~□□
□□□
Dedication Requirements
9.
10.
No dedication required.
Dedication required. Please have a registered Civil
Engineer or Land surveyor prepare the appropriate legal
description together with an 8\" x 11" plat map and submit
with a title report and the required processing fee. All
easement documents must be approved and signed by owner(s)
prior to issuance of Building Permit. The description of the dedication is as follows: ______________ _
Dedication completed, Date _________ _ By: ___ _
Improvement Requirements
D D D 11. No pul:>lic 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,
DD D 12. Pul:>lic improvements required. This project requires
construction of pul:>lic improvements pursuant to Section
18.40 of the City Code. Please have a registered civil
Engineer prepare appropriate improvement plans and submit
for separate plancheck process through the Engineering
Department. Improvement plans must l:>e approved,
appropriate securities posted and fees paid prior to
issuance of permit. The required improvements are: __ _
Improvement plans signed, Date: _________ by: ___ _
P:\00CS\MISFORMS\FRM0010.DH REV. 02/27/91
•
. :_J 9'e,::e., -it-& z-28-92..
~ l"{J D 13. Improvements are required. Construction of the public
improvements may be deferred in accordance with Section
18.40 of the city Code. Please submit a letter requesting
deferral of the regyired ___ imprgv~~.!ltJt_.t,QgeJ;!lt!J;'._!o/i.tll. -~
recent title report _OIL the propeJ;:t,y _ ,c,,11.d _tg~ -!!P..PEOE.;:J~i;e
processing fee so we !!_lay __ prepa:1:e the _ne'?~ss~rY: F~!ure
ImprQYement Agreeme~t. The Future -D!!p't'ovemen't Kgreenient
must be signed, notarized and approved by the City prior to
issuance of a Building Permit.
Future Improvement Agreement completed, Date: 2 28-92..
By : (\, ½ }e Cl>-= (
DD D 13a. Inadequate information available on site plan to make a
determination on grading requirements. Please provide more
detailed proposed and existing elevations and contours.
Include accurate estimates of the grading quantities (cut,
fill, import, export).
CQ(o □ 14. No grading required as determined by the information
provided on the site plan.
DD D 15. Grading Permit required. A separate grading plan prepared
by a registered Civil Engineer must be submitted fol!
separate plan check and approval through the Engineering
Department. NOTE; The Grading Permit must be issued and
grading substantially complete and found acceptable to the
city Inspector prior to issuance of Building Permits.
Grading Inspector sign off. Date: ______ by: ____ _
Miscellaneous Permits
d□□
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16.
17.
18.
19,
Right-of-Way Permit not required.
Right-of-Way Permit required. A separate Right-of-Way
Permit issued by the Engineering Department is required for the following: ____________________ _
Sewer Permit is not required.
sewer Permit is required. A sewer Permit is required
concurrent with Building Permit issuance. The fee required
is noted below in the fees seetion.
DD D 20. Industrial Waste Permit is not required.
P:\ODCS\MISFORMS\FRM0010.DH REV. 02/27 /91
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□[]□ 21. Industrial Waste Permit is required. Applicant must
complete Industrial Waste Permit Application Form and
submit for City approval prior to issuance of a Building
Permits. Permits must be issued prior to occupancy.
Industrial Waster Permit accepted -
Date: __________ By: _______________ _
Fees Required
□ ~1//\ 27. Park-in-Lieu Fee
Quadrant: _____ Fee per Unit: ______ _ I
i Total Fees: __ _
□ 23. Traffic Impact Fee
: Fee Per Unit: Total Fee: ----------------I
□
\
24. Bridge and Thorough fare Fee
Fee Per Unit: __________ Total Fee: ____ _
□ ! 25. Public Facilities Fee required.
□ 26. Facilities Management Fee Zone: ____ Fee: ____ _
□ 27. sewer Fees Permit No. _______ EDU's ___ _
Benefit Area: ________ _ Fee: ________ _
D 28. Sewer Lateral Required: ______________ _
Fee: _______ _
0 v 29. REMARKS: ____________________ _
ENGINEERING AUTHORIZATION TO ISSUE PERMIT
BY:_Q_ ___ ~· Ue-....... ~9. ... N::'-0~__._ ____ DATE:_2-_-2.._S_-_°i_-Z... ___ _
P:\00CS\MISFORMS\FRM0010,DH REV, 02/27 /91
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Plan Check No. t?2-l'f'o
Planner i/4 J ly,v e\,
(Name)
APN: Z S--I <,-2--I 2-
PLANNING CHECKllSf
Address 20 60 t 11,.11<;. ev¢
I
Phone 438-1161 ext. _'f~~-~~J ___ _
Type of Project and Use /2{;§ /D lg'l 77-4t-lf'f1 a ,r,,,_,,J
Zone /?:-I Facilities Management Zone _/ ____ _
Legend
[21 Item Complete
(CJ Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
[3'TI O Environmental Review Required: YES _ NO K_ TYPE __ _
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
[3D O Discretionary Action Required: YES _ NO _L TYPE __ _
✓□□
APPROVAL/RESO. NO. __ _ DATE: ______ _
PROJECT NO. ___ _
OTHER RELATED CASES: _____________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
California Coastal Comrnwion Permit Required: YES _ NO k__
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
~ □ Landscape Plan Required: YES -NO L
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See attached submittal requirements for landscape. plans
Site Plan:
1.
2.
3.
4.
Zoning:
1.
2.
3.
4.
Additional Comments
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width and
dimensioned setbacks.
Show on Site Plan: Finish floor elevations, elevations of finish grade
adjacent to building, existing topographical lines, existing and proposed
slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front: Required w' Shown 18 I
Int. Side: Required B' Shown /3 I, U
Street Side: Required ~ Shown ~
Rear: Required Ci I Shown )/.,'
Lot coverage: Required <vot Shown <'fO'l:
(30
_,
Height: Required Shown 12.. \
Parking: Spaces Required <---Shown '---
Guest Spaces Required Shown
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER /) t1t/ (,y«L DATE 2.-11-f <-
PLNCK.FRM