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Home My WebLink About2068 BLACKBIRD CIR; ; CB910191; PermitBCILD:iNG Co/25/91 _4:32 Page 1 of 1 Joe Address: 2068 BLACKBIRD CR Permit Type: Parcel No: Valuation: Construction ShiN 48,000 Type: VN Occupancy Group: R3/M1 Cla::;s Description: AREA 4 MONUMENT SIGN ENTRY WALLS AND SIGN P E R M I T Pe1m1t No: CB910191 Project No: A9001598 Development No: DEVf::9tL:8 Str: Fl: Ste: ,- ~~~~~ Status: ISSUED Code: CT 85-35 Appl/Ownr : REPUBLIC DEVELOPMEN7 COMPANY 180 N. RIVERVIEW DR #130 ANAHEIM, CA 9280H 714 Applied: 02/15/91 Apr/Issue: 06/25/91 Validated By: DC 998-2550 CONTRACTO.:=: REPUBLIC DEVELOPM~T , .l80N RIVERVI~Wr;))i\{ . ANAHEIM, C~1 f)s''p$ k** Fee'3 Required ------------------ F't~es: Adju~::tment:::: Total Fees: Fee description 663;~~0 ' .. ,(}() , &~ :r.~oo - -' . ' ' -----------·--------··----~--""""'----:---------""'r" ____ .....,......,.. ___ ..._ ___ _ Building Permit Plan Check * BUILDING TOTAL 714-99H-2':'·50 .* .\c" -------------------- r.10 ~6U.OG 40J.OO Ext fee Data 402.00 261.00 663.0() ~"'·-APPROVAL INSP. :\ DATE liT I i i I EAR C _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION -w City of Carlsbad Building Department EST. VAL·----------~~~~~--~----2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE PLAN CIC DEPOSJT ________ J!!Soo<..~~;~::::::.L---- VALID. BY--------...,t.<~~"T.-:7-,."A"-.-- DATE -------=.:~:..:::::.::::.....L~-- A COMMERCIAl TENANT IMPROVEMENT D TENANT IMPROVEMENT B D INDUSTRIAL C D RESIDENTIAL D APARTMENT D CONDO D DUPLEX D DEMOLITION DPOOL Subdivision Name/NlJllber D2 Structural Cales D 2 Soils Report D 1 Addressed Envelope EXISTING USE F Unit No. Phase No. PROPOSED USE / ~OU(J_.Me.-f~ 5{, ~,J BLDG. SQ. FTG. # OF STORIES 3. CONTACT PERSON NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE SIGNATURE 4. APPLICANT D CONTRACTOR D AGENT FOR CONTRACTOR DowNER D AGENT FOR OIINER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. PROPERTY OWNER OWNER DLESSEE DTENANT NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. CONTRACTOR ~ NAME CITY STATE ZIP CODE DAY TELEPHONE LICENSE CLASS -----------CITY DATE ,;J.. "/ _s-:, STATEC..dt ZIP CODE 91--f?CJ f-= /~o/~ ~v~~,~~,A, 5vrr~'~D DAY TELEPHONE JI"Y-'J9tf'~~~0 STATE LIC. # --- workers• COfllM!nsation Declaration: hereby affirm that I have a certificate of consent to self· insure issued by the Director of Industrial Relations, or a certificate of Workers• COfllM!nsation Insurance by an adnitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 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• COfllM!nsation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner·Builder Declaration: 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 Cont rae tor'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 1, 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 Cont rae tor's license Law). D I am exempt under Section--------------------Business and Professions Code 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to sub'nit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pres ley· Tamer Hazardous Substance Account Act? DYES DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES IF ANY OF THE ANSWERS ARE YES, A FiliAL CERTIFICATE OF OCaJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UIILESS THE APPLICANT HAS MET OR IS MEETING THE RECIJIREIIENTS OF THE OFFICE OF EIIERGENCY SERVICES AND THE AIR POLLUTJOII COIITROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 1 S NAME LENDER 1 S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY Ill ANY WAY ACCRUE AGAINST SAID CITY IN COIISECIJEIICE OF THE GRANTING OF THIS PERMIT. 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 author i d by such permit i ot commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned e work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). D OWNER D CONTRACTOR D BY PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROVED .. BY; ~"""---~--,....,_ DATE:;...·.'-·_.·---'----'----'-....;..;. --------·----e9 0 Landscape Plan Required: YES __ NO __ DOD ODD ODD ~0 DOD DOD DOD ~0 See attached submittal requirements for landscape. plans Site Plan: 1. 2. 3. 4. Zoning: 1. 2. 3. 4. Additional Comments Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width and dimensioned setbacks. Show on Site Plan: Finish floor elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes and driveway. Provide legal description of property. Provide assessor's parcel number. Setbacks: Front: Required Shown Int. ~ide: Required Shown Street Side: Required Shown Rear: Required Shown Lot coverage: Required Shown Height: Required Shown Parking: Spaces Required Shown Guest Spaces Required Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER------DATE----- PLNCK.FRM 41 41 41 ... ... ... ., ., ., 0 0 0 ~I I I >->->-.0 .0 .0 ~ N ,.., 'It 'It 'It .,. .,. u u 41 41 .&:: .&:: u u c c ., ., c.. c.. ~DO Plan Check 1JJ£ £ t / Planner , 'I ItA Address wame) APN: -------------------------------------------------------- Type of Project ancJ. Use ~ flrJccf ?It ~ -j}ff Zone f..,.V Facilities Management Zone 1ll Legend []] Item Complete C Item Incomplete-Needs your action 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified Environmental Review Required: YES NO TYPE ___ _ DATE OF COMPLETION: ="'-------------------- Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval -------------------------------------- Discretionary Action Required: YES NO 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 Commission Pennit Required: YES_ NO_ DATE OF APPROVAL: San Diego Coast District, 1333 Camino Del Rio South, Suite 125, San Diego, CA. 92108-3520 (619) 297-9740 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval --------------------------- ··"' -~ Z BUILDING PLANCHECK ()''~ S ENGINEERING CHECKLIST (/)_ :~ \, ~ ~DATE: _I~M_;.;_:A""-R..;...G)~\-----~ITEM COMPLETE ~ ~ · ~ rnPLANCHECK No. :7 I -o I C1 I ~~~~~~ ITEM INCOMPLETE NEEDS YOUR ACTION .. ,S N R ~ IT D D F "'lTQ Y lv10"l!J MF:: r.JT P. L. ·4 ITEM SELECTED j c c c H H H E E E K K K 0oo PROJECT ID: __________________________ __ LEGAL REQUIREMENTS Site Plan 1. ~DO 2 • 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 dimension setbacks. Show on site plan: Finish floor elevations, pad to and and ~DO 3. elevations, elevations of finish grade adjacent building, existing topographical lines, existing proposed slopes, driveway with percent (%) grade drainage patterns. Provide legal description and Assessors Parcel Number. Discretionary Approval Compliance DOD 4. rzfoo 5. No Discretionary approvals were required. Project complies with all Engineering Conditions of Approval for Project No. ________________ _ DOD 6. Project does not comply with the following Engineering Conditions of Approval for Project No. __________________ __ Conditions complied with by: ________________ Date: ______ __ ~ADD Field Review 7. ODD 8. DOD DOD DOD 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 public improvements Existing drainage improvements not shown or in conflict with site plan. site is served by overhead power lines. P:\DOCS\HISFORHS\FRH0010.DH REV. 02/27/91 DOD D. Grading is required to access site, create pad or provide for ultimate street improvement. ODD E. Site access visibility problems exist. Provide onsite turnaround or engineered solution to problem. ODD F. Other: _________________________________ __ Gioo DOD 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 00 D 11. 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. Public improvements required. This project requires construction of public 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 be approved, appropriate securities posted and fees paid prior to issuance of permit. The required improvements are: ______ _ Improvement plans signed, Date: _________________ by:_--__ P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27/91 ODD ODD 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 required improvements together with a recent title report on the property and the appropriate processing fee so we may prepare the necessary Future Improvement Agreement. The Future Improvement Agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future Improvement Agreement completed, Date: __________ __ By: ____________________ ___ 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). 0o o 14. No grading required as determined by the information provided on the site plan. 0 0 D 15. Grading Permit required. A separate graqing plan prepared by a registered Civil Engineer must be submitted for separate plan check and approval through the Engineering Department. NOTE: Tbe 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 ODD DOD rrioD ODD 16. 17. 18. 19. ct5oD 20. 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 section. Industrial Waste Permit is not required. P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27/91 !=JDD 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 0 N/A 27. Park-in-Lieu Fee Quadrant: Fee per Unit:--------Total Fees: __ _ 0 N/A 23. Traffic Impact Fee Fee Per Unit: Total Fee: ____ _ 0 N/A 24. Bridge and Thorough fare Fee Fee Per Unit: Total Fee: 0 N/A 25. Public Facilities Fee required. 0 f',J/A 26. Facilities Management Fee Zone: Fee: 0 Nj/j 27. Sewer Fees Permit No. ·EDU's Benefit Area: ________ _ Fee: --------- 0 N/A 28. Sewer Lateral Required: ______________ _ Fee: ______________ _ 29. REMARKS: PRO\/It:E. S\GI-lT f>l.S.TAt\CE. §;JVD"(, St-lOvJ LIMIT~ 0 ~ VJO tt< AlONG ALGA @40 2. NORlliERi:'( E"-lTR'i MWUMEI\}T ENCe.Ql(,!-1~ 11\JTO S\JE l>lS.TA"JCE. U "-.JE-MVMEAJT MOST ~E RELCQ4TI='--O r')!·,J k.lE\<T S..UBMI nAL 51-l[)i).J S.t IE. DLSTMLt WAlE.. r-t\ i C.C"JS. TQ UCTI1.l0 DLI.4 ".1 s .i.~F£~ .. r BHGINEBRIHG AUTHORIZATION TO ISSUE PERMIT DATE: I] guN 91 3 .f NCRTHERL '\' E t-JCQl'.tLK:J-/.8 ·P:\DOCS\MISFORMS\FRM0010.DH