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HomeMy WebLinkAbout2140 JANIS WAY; ; CB000993; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/20/2000 Residential Permit Permit No:CB000993 Building Inspection Request Line (760) 602-2725 Job Address: 2140 JAN IS WY CBAD Permit Type: RESDNTL Sub Type: RAD Status: ISSUED Parcel No: 1672402000 Lot #: 0 Applied: 03/20/2000 Valuation: $10,878.00 Construction Type: NEW Entered By: MDP Occupancy Group: 27 Reference #: Plan Approved: 07/20/2000 # Dwelling Units: 0 Structure Type: Issued: 07/20/2000 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: SCHAFER RESIDENCE Orig PC#: 111 SF KITCHEN ADDITION Plan Check#: Applicant: Owner: -----. EBRIGHT EDWARD SCHAFER FAMILY-TRUST 11-30-88 1991 VILLAGE PARKWAY /nio 2140 JANIS WAY7- ENCINITAS CA CARLSBAD CA 92008 760 942-1021 '-..__-' Lrj 'it-/7 3585 00/00 000L01 02 42 Total Fees: $24693 TotPayrdFs-To Date: $7:51-N lance Due: $167.42 Building Permit / Add'l Building Permit Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fe Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee /N$0.0O"AddTRecl-Water9Con. Fee $7951 Meter Fee $0.00 SDCWA Fee -. $o.qq ,,CFD Payoff Fee $109, ' FFF '$.P9j PF (CFD Fun0 FDT,F1 \ $0.00 LicenseTa $0.0U License Tax (Cun \ $0.00 Trafficlmpct Fee / \ $0.00 TrffiImact (CFD Fund) BID #2 bee /\ \,$o.00 lNCOFLMZ-T!nsportation Fee, BTD #3 Fee \ ( $0.00 Sidewalk Fe \ Renewal Fee \ \. -) $0.00- PLUMBING TOTALç\ \ ( Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Red. Water Con. Fee ' $0.00. ELECTPJCAL'TOTAL\' ~$.0.00 MECHANLGL\TPTAL Housing impact Fee Housing InLie Fee $0.00 Mst& Drainage, Fee: $0.00 ---- Sewer- Fee: TOTAL PERMIT FEES \ $0.00 $0.00 $0.00 j$0.00 J$0.00 I $0.00 I $0.00 I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $246.93 FINAL APPROVAL Inspector: j.0 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 5) 14 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.c5:s 09 't2 ,CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL.. 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit - Validated By OP ________________________ Date_________________________ Address (include Bldg/Suite #) J4\I/c Business Name (at this address) Legal Description , Number Unit No. Phase No, Total# of units Assessor's Parcel # /7 Existing Use ' Proposed Use SQ/,.J ytones #poms rooms Description of Wo 2 CQN TA ç SQJ(jdi tfjpmappliant) Name 4147 f7I-7'Address c i S:t Ziq2lePhone Ftix# C t~ to, f~f~"n~r /bf oL P;o;f;:5 Name Address City S.tatelZp Telephone # 5 : V (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 Vf or 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 70315 by any applicant for a permit subjects the applicant:to a civil penalty of notmore than five hundred dollars [$5001). -75 KA frv1j( 6V•LAiz 2S C LS4i i'i ii.c' Z C4c.l4'W 7' - .7z - Name . S Address City State/Zip Telephone # - State License#' g License Class City Business License # Designer Name Address 'City State/Zip Telephone State License # KEAPMPENAYION I hereby affirm under penalty of perjury one of the following declarations: V '0 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. C] 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: V V V V ancpyc 1 6-?A-',t,L MS i?ine_ IT SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDREDDOI±ARS1 001 OR LESS) VV V V V V 0 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. V V V V V V V WARNING: Failure to secure workçrs',çompe at' n coverage is unlawful, and shall subject an employer to criminal peñalties'and civil fines up to one, hundred thousand doll ars $100,000), in add(tioWto t co of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SlGNABR,f V . DA-TE-'-7 - - WÔRU1CI5E R49N - 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 dothe work and the structure is'not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not applyVto 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).' ' : 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and. Prof ass ions 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). V V 0 I am exempt under Section - Business and Professions Code for this reason: 1'. I personally plan to provide the major labor and materials for construction of the proposed property improvement: 0 YES ONO - V 2. I (have / have not) signed an application for a building permit for the proposed work. V V I have contracted with the following person (firm) to provide the proposed construction (include name / address V' phone number / Contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and'rovide the major work.(include name I address /phone number / contractors license number): V V V 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): V V PROPERTY OWNER SIGNATURE . DATE Is the applicant or future building occupant, required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner HazardoUs Substance Account Act? 0 YES -D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 9 YES 0 NO Is the facility to be constructed withiii 1,000 feet of the outer boundary of a school site? 0 YES 0 NO ' V 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. V V V I8ONJRUCTtQNLENDINGAGENCY — I hereby affirmVthat 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 V 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 tie Citi of Carlsbad t& 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 th ,2buildina Od nder 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 co d withi f/orklthe date of such permit or if the building or work authorized by stch peit issuspended or abai'doned at any time after the work is com en r ction 1064.4 Uniform Building Code). V , V / APPLICANT'S SIGNATURE .. V - V V DATE. V V WHITE: File, YELLOW: Applicant PINK: Finance . V V Act lnsp Comments AP JC AP JC CO JC SEE NOTICE ATTACHED AP JC AP TL AP TL AP TL WC TL AP TL AP TL AP TL WC TL AP TL' PA TL FLOOR SHEATHING NAILING, NOOK PA TL AB @ NOOK & KIT, INSPECTED BEFORE COVERING PA TL FLOOR INSULATION R-30 INSTALLED City K.)I Carlsbad IBl dg ruIInspecti on 1Request For: 04/05/2001 Permit# CB000993 Inspector Assignment: JC Title: SCHAFER RESIDENCE Description: 137 SF KITCHEN ADDITION Type: RESDNTL Sub Type: RAD Phone: 7605197775 Job Address: 2140 JANIS WY / Suite: Lot 0 J)O Location: Inspector: APPLICANT EBRIGHT EDWARD Owner: SCHAFER FAMILY TRUST 11-30-88 Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Requested By: MARTY Entered By: CHRISTINE Associated PCRs PCROO124 ISSUED Inspection History Date Description 04/03/2001 19 Final Structural 04/03/2001 29 Final Plumbing 04/03/2001 39 Final Electrical 04/03/2001 49 Final Mechanical 10/11/2000 17 Interior Lath/Drywall 10/11/2000 18 Exterior Lath/Drywall 10/04/2000 16 Insulation 10/04/2000 17 Interior Lath/Drywall 10/04/2000 34 Rough Electric 09/28/2000 84 Rough Combo 09/20/2000 15 Roof/Reroof 09/19/2000 82 Drywall/Ext Lath/Gas Test 09/19/2000 83 Roof Sheathing/Ext Shear 09/06/2000 14 Frame/Steel/Bolting/Welding 09/01/2000 14 Frame/Steel/Bolting/Welding 09/01/2000 16 Insulation F AFO-10 M17 City of Carlsbad Bldg Inspection Request. For: 04/03/2001 cu Permit# CB000993 Inspector Assignment: TL Title: SCHAFER RESIDENCE Description: 137 SF KITCHEN ADDITION Type: RESDNTL Sub Type: RAD Job Address: '2140 JANIS WY Phone: 7605197775 br g Suite: Lot 0 u Location: ' Inspector: APPLICANT EBRIGHT EDWARD . cv 'SCHAFER Owner: FAMILY TRUST 11-30-88 Remarks: Total Time: Requested By: MARTY Entered By: ROBIN CD Description , Act Comments 19 Final Structural ' 29 Final Plumbing 2.P 39 Final Electrical 49 Final Mechanical IP Associated PCRs PCR00124 ISSUED lnsDection History Date Description , Act lnsp Comments 10/11/2000 17 Interior Lath/Drywall AP TL 10/11/2000 18 Exterior Lath/Drywall AP TL 10/04/2000 16 Insulation AP IL 10/04/2000 17 Interior Lath/Drywall WC TL 10/04/2000 34 Rough Electric AP TL 09/28/2000 84 Rough Combo AP TL 09/20/2000 15 Roof/Reroof AP TL 09/19/2000 82 Drywall/Ext Lath/Gas Test WC TL 09/19/2000 83 Roof Sheathing/Ext Shear AP TL 09/06/2000 14 Frame/Steel/Bolting/Welding PA TL FLOOR SHEATHING NAILING, NOOK 09/01/2000 14 Frame/Steel/Bolting/Welding PA TL AB © NOOK & KIT, INSPECTED BEFORE COVERING 09/01/2000 16 Insulation PA TL FLOOR INSULATION R-30 INSTALLED 08/03/2000 11 Ftg/Foundation/Piers AP TL ENGINEERING, INC 41C. CONSTRUCTION TESTING & ENGINEERING,, SAN DIEGO, CA • RIVERSIDE, CA VENTURA, CA • TRACY, CA • LANCASTER, CA 2414 Vineyard Ave. 490 E. Princeland Ct. 1645 Pacific Ave. 242 W. Larch 42156 10th St. W. Suite G Suite 7 Suite 105 Suite F Unit K Escondido, CA 92029 Corona, CA 91719 Oxnard, CA 93033 Tracy, CA 95304 Lancaster, CA 93534 (760) 746-4955 (909) 371.1890 (805) 486.6475 (209) 839-2890 (661) 726-9676 (760)746-9806 FAX (909) 371-2168 FAX (805)486-9016 r,x (209) 839-2895 FAx (661) 726-9676 r.tx September 25, 2000 CTE Job No. 10-4' City Of Carlsbad Building Inspection Department 2975 Las Palmas Carlsbad, CA 92009 SUBJECT: SATISFACTORY COMPLETION OF WORK REQUIRING SPECIAL INSPECTION PERFORMED UNDER PERMIT NO. 983606 ADDRESS: 2140 Janice Way Director of Building Inpectión: To the best of my knowledge all work requiring materials sampling, testing and special inspection of reinforced concrete has been completed for the structure constructed under the subject permit and is in conformance with the approved plans and specifications and the applicable workmanship provisions of the Uniform Building Code. Tom Gaeto State of California Registration Number 40182 Expiration Date 09/30/02 OF ES3/0"t A. S 1natui , C1: GEOTECHNICAL AND CONSTRUCTION ENGINEERING TESTING AND INSPECTION A ' CONSTRUCTION TESTING & ENGINEERING, INC. .5 . ESCONDIDO • TRACY • CORONA ó OXNARD LANCASTER ENGII'EERII4G, -' INSPECTION REPORT . PAGE 1. OF I CTE JOB #S4A ( s 5 5 5 5 REPORT# S PROJECT NAME: v S S S .ADDRESS:21 p: ' SPECTION MATERIAL IDENTIFICATION Q is .1 W7 ONCRE IL ARCHITECT 4L \ i.E i iZt ) MASONRY S ,( ) P.T. (()NC MORTAR PF P'] ENGINEER: CONTR ACTOR: FIFI I) \\+I D RE IIRAD[(c f 0 S , INSPECTION DATE: SIlO!' \\ H DING , ___S PILL DRl%'IN(j H 11 RH! I PLAN FILE: UAI( HP! ANI BLDG PERMIT: OOO 9'9- S UXP AN( HOP n NIRODE OTHER: S ' )OTI{FR Material Sampling .CONCRETE ( ) MORTAR , ( ) GROUT ( ) FIREPROOFING '( ) MASONRY 'BLOCK .REBAR ( ) STRUCTURAL STEEL ( ) BOLTS . S . •.,, ' . 5 •. . ,: :. ,' I I$4SP. PERFORMED, JOB PROBLEM, MATERIAL IDENTIAA1ÔN, PROGRESS, WORK REJECTED, REMARKS 1J/Uc,o?5ti XJ',t) A)ârih A ?-,-e /kf2L /AJ1- /, C=I ASze A) .t1i- P(i f\/A f.151A 1 7. i1 ,..,.Af A - • J-~- I ( tifiti rcn hifictinns h th' I I u ,.., . ' : • 27 ,' . S / ' S S. . .• NAME: (PRINT)_fl. m tS/ 5 & (4 ak . S SIGNATURE. _ CERTIFICATION NO /fC f4f/cAi /t 72. GEOTECHNICAL & CONSIRUCTION ENGINEERING TESTING& INSPECTION' 2414 VINEYARD AVENUE SUITE GESCONI)iI)O,CA 92029 (760) 746-4955 FAX (760) 746-9806 5 5' .5 .- ..........St ...................•k.:.',:. ........................ S SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION: Z I'412 AS AN- ClWg-&0- PLAN CHECK NUMBER: OWNER'S NAME: I, as the owner, or agent of the owner (contractors may got employ the special inspector), certify that I, or the architect/engineer of record, will be responsible for employing the special inspector(s) as reqyfired by I/1lform Building Code (UBC) Section 1701.1 for the Construction project locatet,he si Iitçd qbcJve. UBC Section 106.3.5. Signed I, as the engineer/architect of record, certify that I have prepared the following special inspection program as required by UBC Section 106.3.5 forihe construction project located at the site listed alve. I I OIgiflsWSM,M.ds Sssl II Sg Signed 1. List of work requiring special inspection: 0 Soils Compliance Prior to Foundation Inspection 0. Field Welding O Structural Concrete Over 2500 PSI 0 High Strength Bolting O Prestressed Concrete 0 Expansion/Epoxy Anchors O Structural Masonry 0 Sprayed-On Fireproofing O Designer Specified Other ~/,1f,'J 2. Name(s) of individual(s) or firm(s) responsible for the special inspections listed above: S 3. Duties of the special inspectors for the work listed above: (it's P.'-r, o gy !'fL ~Y'z, i-.-4 -L ,O,i ye L /A" 77i- '- ,q Special inspectors shall check in with the City and present their credentials for approval prior to beginning work on the job site. SIP 4997 City of Carlsbad TI .1 IT'A'LT :4- BUILDING PLANCHECK CHECKLIST DATE: L.f (I (i' ,.- PLANCHE BUILDING ADDRESS: -(qO jOji0 (Jo4 PROJECT DESCRIPTION: ASSESSOR'S PARCEL NUMBER: ((öi- ?-!O- 7,0 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 submittal; therefore any changes to these items after or specifications for compliance with applicable codes and standards. Submit corrected plans and/or this date, including field modifications, must be reviewed by this office to insure continued specifications to this office for review. 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: Right-of-Way permit is required prior to construction of the following improvements: By: Date: By: Date: FOR OFFICIL USE ONLY NGPERMIT: ENGINE RING AUTHORIZATION TO ISSUE BUILDI By: ( bate: ATTACHMENTS LI Dedication Application Li Dedication Checklist Li Improvement Application Li Improvement Checklist LI Future Improvement Agreement LI -,Grading Permit Application LI Grading Submittal Checklist LI Right-of-Way Permit Application . Right-of-Way Permit Submittal Checklist and Information Sheet Li Sewer Fee Information Sheet ENGINEERING DEPT. CONTACT PERSON Name: KTHI l'.J M FARMR City of Carlsbad Address: 1635 Faraday Avenue Phone: (760) 602-2741 CFD INFORMATION Parcel Map No: Lots: Recordation: Carlsbad Tract: A-4 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 q BUILDING PLANCHECK CHECKLIST SITE PLAN 1 ST)VNDI 3R0/ U. U 1. Provide a fully dimensioned, site plan drawn to scale. Show: tkorth Arrow . ,,Property Lines isting & Proposed Structures Easements '1JcrA_ Existing Street Improvements ,Right-of-Way Width & Adjacent Streets G Driveway widths U U 2. Show on site plan: A. Drainage Patterns Building pad surface drainage 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 U U 3. Include on title sheet: Site address Assessor's Parcel Number Legal Description For commercial/industrial buildings and tenant improvement projects, include: total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc.) previously approved. EXISTING PERMIT NUMBER DESCRIPTION DISCRETIONARY APPROVAL COMPLIANCE U U 4a. Project does not comply with the following Engineering Conditions of approval for Project No. • U U U 4b. All conditions are in compliance. Date: Panthedc Cldst BP000I Form KF.doc 2 Rev. 9/3/97 BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS 2NDI 3R01 4Y\ LQ 5. Dedication for all street Rights-of-Way adjacent to the building site and any storm V drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ _ ifO , 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 1/2" 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 required 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 LI 6a. All needed public improvements upon and adjacent to the building site must be N' constructed at time of buildinja construction whenever the value of the construction exceeds $5 V OLT pursuant to Carlsbad Municipal Code Section 18.40.040. Public improvements required as follows: Attached please find an appliOation 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 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: LI • LI LI 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 $__________________ 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: H:WORDFARMER\KAThW4ASTERS\8uHding PIandec Cklst BP000I Form KF.doc . 3 • Rev. 93/97 BUILDING PLANCHECK CHECKLIST 1 St., 2nd/ 3rdl LI LI LI 6c. Enclosed please find your Future Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: Date: LI LI LI 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. LI LI LI 7a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). LI LI 7b. Grading Permit required. A separate grading plan prepared by a registered Civil 7V 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: LI LI LI 7c. Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) LI LI LI 7d. No Grading Permit required. . LI LI LI 7e. If grading is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS LI LI 8. ARIGHT-OF-WAY PERMIT is. required to do work in City Right-of-Way and/or fJv private work adjacent to the public Right-of-Way. Types of work include, but are not limited to: street improvements, tree trimming, driveway construction; tieing into public storm drain, sewer and water utilities. Right-of-Way permit required for: Ii H:\WORD\FARMER\KATH'MASTERSBullding Plancheck Cklst BP0001 Form KF.dOC 4 Rev. 9/3/97 BUILDING PLANCHECK CHECKLIST 1 stl 2ndl 3rdl Li LI LI A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. LI Li Li 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 busi'ness enterprise is on the EWA Exempt List. You may telephone (760) 438-2722, extension 153, for assistance. Industrial Waste permit accepted by: Date: LI LI Li. 11.NPDES PERMIT Complies with the Cit'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 Li Li , occurs first. Li Re fees are attached fees required Li Li U Local Facilities Management Zone Transportation Fee Agmt Signed. U Li U 14. Additional Comments: Plancheck Cldst 8P0001 Form KF.doC 5 . . Rev. 9I397 0, 0, CO CO 0 0 by /) 7 PLANNING DEPARTMENT it BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB 000 Clq3 Address 19O 7an is UJay Planner Paul Godwin Phone (760) 602-4625 APN: 11131000 . Type of Project & Use: 3F1- Fdc4Ld/ Net Project Density: DU/AC" Zoning: QfIo(OdO General Plan: PLry Facilities Management Zone: CFD (in/nut) #Date of participation: Remaining net dev acres:______ Circle One (For non-residential development: Type of land used created this permit:___________ Legend: Item Complete Item Incomplete - Needs your action Enviionmental Review Required: YES NO X 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: __-Cthipliance with conditions or approval? If not, state conditions which require action. — Conditions of Approval: . 'I ... coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES NO____ CQCoastal Commission Authority? YES____ NO____ If California Coastal Comm issior A'uthority: Contact them at - 3111 200, San Diego CA 92108-1725; (619) 521-8036 Camino Del Rio-North, Suit/e \ 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: ( 1) Stamp Building Plans as ."Exempt" or "Coastal Permit Required" (at minimum Floor Plans). - \ c' 2) CompleteCöastaI Permit Determination Log, as needed. H:\ADMIN'iCOUNTER\BldgPlnchkRevChklst Shown 'Shown Required Shown ir Required _______________ S w Required hon Required - Lj O j Shown 0 V Required -3O Shown Accessory struc'ure setbacks: Required Interior Side: Street Side: Rear: Structure separation: Lot Coverage: Height: 5. Parking: Spaces Required Shown Guest Spaces Required Shown 11 Inclusionary Housing Fee required: YES NO X / \ (Effective date of Inclusionary Housing Ordinance - May 21, 1993,) Data Entry Completed? YES NO 1. (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing YIN, Enter Fee, UPDATE!) Site Plan: Provide a fully dimensional site , plan,drawn to scale. Show: North arrow, property lines, easements, existing and proposed- structures, streets, existing street improvements, righ±-f-vay width, dimensional setbacks and existin topographical lines. Provide legal description of property and assessor's parcel number. Zoning: 1. •Setbacks: / Front: Required QOI Interior Side: / ' Required Street Side: Required - Rear: Required V7 / Shown Shown 10 1 Shown - II I Shown Additional Comments_______________________________________________________ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE_________ H:\ADMIN\COUNTER\BldgPlnchkRevChklst INCORPORATED 1952 City of Carlsbad 1635 Faraday AV Carlsbad, CA 92008 I- IkE*JiIIII Plan Check Revision Permit No:PCROO124 Building Inspection Request Line (760) 602-2725 Job Address Permit Type: Parcel No: Valuation: Reference #: Project Title 2140 JANIS WY CBAD PCR 1672402000 Lot #: 0 $0.00 Construction Type: NEW CB00993 ADD 26 SF TO PERMIT . Status: ISSUED Applied: 08/08/2000 Entered By: JM Plan Approved: 08/17/2000 Issued: 08/18/2000 Inspect Area: Applicant: -' EBRIGHT ED SCHAFER FAMILY TRUST 11-30-88 120 1991 VILLAGE PARK / 2140 JANISWAY j ENCINITAS CA 92024 / CARLSBADCA 92008 760-942-1021 - -- .-.. -.,. '.. S... Total Fees: $0.00 Total Payments'To'Date: c$000 \. Balance Due: \. $0.00 Plan Check Revision Fee Z / \ 0:00 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION • CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA.92008 ni 'H 1. PRO RM JECT INFOATION 'b14-o FOR OFFICE USE ONL3 PLAN CHECK NO.__________ EST. VAL. Plan Ck. Peposir7 Validated By../14A .7 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 Prposed Use ..J De cription.of Work SQ. FT. #of Stories . # of Bedrooms # of Bathrooms . .. . ... T6 TR L tfJrnp / Name Address •City . . State/Zip Telephone # Fax # i1_,,10tiTor E Agent for Contractor E Cnai Name . Address . . City State/Zip Telephone # Name . Address City State/Zip Telephone # 'ISà4 (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 the following. declarations: o 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. 0 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) ,D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson 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 compensátiofl damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . . . . DATE ggn 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 purposeof. sale). -. C3 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 I 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 = EPr 11 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 Actl 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 tobe 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. , a 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_______________________________________________________ IANTERTIFICAYIN ' 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 Cit' of Carlsbad to enter upon the above mentioned property for inspection purposes. 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUbGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID.CITY IN CONSEQUENCE OF THE. OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'1 deep and demolition or construction of structures over 3.stories in.height. EXPIRATION: Every permit issued by.tbuildinQO4iaI under the provisions of this Code-shall expireby limitationand become null and void if the building or work authorized by such permit is not comn)eç)ed >iithi 1 9OJiys/r, the date of such permit or if the biiildiñ or work authorized by such permit is suspended or abandoned at ny time after the work is Comme c r e M' 180 s (Section 106.4.4 Uniform Building Code):. . . *APPLICANT S SIGNATURE DATE WHITE. File YELLOW. Applicant PINK. Finance i. .1 EsGil Corporation In Partnership with government for Bui(1ing Safety DATE: AUG. 15, 2000 CIAEPLICANT JURtDlCTlON: CARLSBAD FJ PLAN REVIEWER 1 FILE PROJECT ADDRESS: 2140 JANIS WAY PLAN CHECK NO.: 00-993 (REV. # 1)PcR00-24 __• SET:! PROJECT NAME: SFR ADDITION FOR SCHAFER The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The checklist 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 checklist has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Mail Telephone Fax' In Person REMARKS: Extension of the nook for 21 under this permit (all relevant plans revised accordingly). By: All Sadre Enclosures: Esgil Corporation LI] GA LI MB LI EJ LI PC 8/10 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PLAN CHECK NO.: 00-993 (REV. # 1) PCR 00-124 PREPARED BY: SADRE DATE: 8/15 BUILDING ADDRESS: 2140 JANIS WAY BUILDING OCCUPANCY: R3 TYPE OF CONSTRUCTION: VN BUILDING PORTION BUILDING AREA (sq. ft.) VALUATION MULTIPLIER VALUE ($) 1 HR. 87.15/HR. 87.15 EsGiI FEE Air Conditioning Fire Sprinklers TOTAL VALUE UBC Building Permit Fee: $ UBC Plan Check Fee: $ 108.94 CITY FEE Comments: EsGil FEE $ SEE ABOVE Sheet 1 of I valuefee.dot