HomeMy WebLinkAbout2218 FARADAY AVE; BLDG 2; CB051147; Permit09-29-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CBOS 1147
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2218 FARADAY AV CBAD
COMMIND Sub Type:
2121203900 Lot*:
$396,150.00 Construction Type:
Reference #:
FARADAY SPECTRUM, BLDG 2
14,250 SF SHELL BUILDING
INDUST
0
NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
ISSUED
03/30/2005
MDP
09/29/2005
09/29/2005
PC05-33
Applicant:
SMITH CONSULTING ARCHITECTS
STE200
12220 EL CAMINO REAL
SAN DIEGO CA 92121
(858) 793-4777
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'l Pot. Water Con. Fee
Reel. Water Con. Fee
$0.00
$949.86
$0.00
$0.00
$83.19
$5,700.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
License Tax (3104193)
Ucense Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
PLUMBING TOTAL
ELECTRICAL
MECHANICAL.'
Fee
Additional Fees
TOTAL PERMIT^
$0.00
$0.00
$0.00
$0.00
$7,209.93
$0.00
$0.00
$0.00
$1,988.00
$0.00
$70.00
$610.00
$0.00
$0.00
$10,425.30
$0.00
$0.00
$28,497.60
Total Fees:$28,497.60 Due:$0.00
Inspector:
FINAL
Date:Clearance:
NOTICE Please take NOTICE that approval of your project includes the Impositlorf of fees, oWcattons, reservations, or o^
referred to as "tees/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 Cote Sectkm66020(a),arxl file the protest and arry otto
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 processhg or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of Rmftattons has previously otherwise expired.
on if CHUM
Final Building Inspection
Dept: Building Engine
Plan Check ft PC05-33
Permit*:
Project Name:
Planning CMWD St Lite Fire
Date:
CB051147
FARADAY SPECTRUM. BLDG 2
14,250 SF SHELL BUILDING
MAY 3 2006
05/03/2006
Permit Type: COMMIND
Sub Type: INDUST
Address:
Contact Person:
Sewer Dlst:
Inspected
Inspected
Bv:
Inspected
Bv:
2218 FARADAY AV
LUKE Phone: 8584377617
Water Dlst:
Date / i
AovtiiV Inspected: 0^(10 [t&
Date
Inspected:
Date
Inspected:
Lot 0
0\p Approved: S
Approved:
Approved:
Disapproved:
Disapproved:
Disapproved:
Comments:
CflytfCirtsMel
Final Building Inspection
Dept: Building Engineering Planning CMWD StLite
Plan Check*: PC05-33
Permit* CB051147
Project Name: FARADAY SPECTRUM, BLDG 2
14.250 SF SHELL BUILDING
Address: 2218 FARADAY AV Lot
Contact Person: LUKE Phone: 8584377617
Sewer Dist: Water Dtst:
Date: 05/03/2006
Permit Type: COMMIND
Sub Type: INDUST
Inspected
By:
Inspected
By:
Inspected
By:
Date
Inspected:
Date
Inspected:
Date
Inspected:
Approved:
, Approved:
. Approved:
Disapproved:
Disapproved:
Disapproved:
Comments:
^ ^ PLANNING DEPARTMENT
FINAL INSPECTION
CHECKLIST
ALL °>
Project
Addre
Projec
Contac
t Name: fajl&^fl.y 3A£r*^f$h Plan Check No. CB &art/*S?
ss: £AW FAil&AJ Project Number:
t Plannei
it Person
: Cv^AJ JL^AJc. H Extension
Phone N o.jf-ry if^f-^L/y Drawing No.
Inspections
1st
&
V
2nd Approved
\J*\*J^
'~%/
ROUTING
BLDG
A.WEST
PLANNER
PELA
A.WEST
BLDG
Final Inspection Items
All Items below Conform with Approved Site Plan
1 . Project Planner confirms conditions are met
2. Building elevations
3. Building materials
4. Building colors
5. Rooftop equipment screens
6. Fence/wall height, location, and materials
7. Size, number and location of parking spaces
compact, regular, handicap
8. Outdoor recreation facilities
9. Employee eating areas
10. Trash enclosure and location
1 1 . Pavement treatment
12. Landscaping installed (under separate contract)
LIST BELOW ANY ADDITIONAL ITEMS REQUIRING
SPECIAL ATTENTION.
13.
14.
15.
16.
17.
Project complies with all conditions, including above-listed items. Final inspection is complete.
\J * ItfU/ — *^ ^fff4~
PELA Date
(H:\ADMIN\COUNTER\Final Insp Check)05/03/2006
City of Carlsbad Bldg Inspection Request
For 05/05/2006
Permit* CB051147
Title: FARADAY SPECTRUM, BLDG 2
Description: 14,250 SF SHELL BUILDING
Inspector Assignment: JM
2218 FARADAY AV
Lot
Type:COMMIND Sub Type: INDUST
Job Address:
Suite:
Location:
APPLICANT SMITH CONSULTING ARCHITECTS
Owner:
Remarks:
Phone: 8584377617
Inspector:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By: LUKE
Entered By: JAN BAN
Act Comment
Com ments/Notices/Holds
Associated PCRs/CVs Original PC# PC05-33
PCR06005 ISSUED FARADAY SPECTRUM-DEFERRED; TRUSS SUBMITTAL-AFFECTS ALL 9 BUILDINGS
Inspection History
Comments
NEED APPROVED ADA PARKING PLAN
OK TO POUR STRIP
UNDER SLAB ROOF DRAIN
REMOVE DEBRIS & TIE ALL STEEL
TRASH ENCLOSURES PANELS FOR BLDQS 2 AND 6 OK TO POUR
WALL PANELS ALL
Date
05/03/2006
02/22/2006
01/24/2006
01/24/2006
01/20/2006
01/20/2006
01/16/2006
01/18/2006
01/04/2006
01/03/2006
12/30/2005
12/30/2005
12/29/2005
Description
89 Final Combo
15 Roof/Reroof
11 Ftg/Foundation/Piere
21 Underground/Under Floor
11 Ftg/Foundation/Piers
21 Underground/Under Floor
11 Ftg/Foundation/Piers
21 Underground/Under Floor
12 Steel/Bond Beam
12 Steel/Bond Beam
11 Ftg/Foundation/Piers
12 Steel/Bond Beam
11 Ftg/Foundation/Piers
Act
CO
AP
AP
AP
CO
CO
NR
NR
AP
AP
we
AP
NR
lns|
JM
JM
JM
JM
JM
JM
JM
JM
JM
JM
JM
JM
JM
City of Carlsbad Bldg Inspection Request
For: 10/20/2005
Permit* CB051147
Title: FARADAY SPECTRUM, BLDG 2
Description: 14,250 SF SHELL BUILDING
Inspector Assignment: JM
Subtype: INDUS!
2218 FARADAY AV
Lot
Type: COMMIND
Job Address:
Suite:
Location:
APPLICANT SMITH CONSULTING ARCHITECTS
Owner:
Remarks: am please
Phone: 8584371180
Inspector:
Total Time:
CD Description
11 Ftg/Foundation/Plers
Act Comment
Requested By: ALAN
Entered By: CHRISTINE
- IJr,
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
10/11/2005 11 FtQ/Foundation/Piers AP JM UFEROK
10/11/2005 12 Steel/Bond Beam AP JM
09/30/2005 22 Sewer/Water Service AP JM
NOTICECfTY OF CARLSBAD (760)602-2700
BUILDING DEPARTMENT 1635 FARADAY AVENUE
/
DATE W ** ^ ' O > TIME
LOCATION "' ...~ ^ j .^,'p ^ . /^ rV.-* ^/-'^'.
PERMIT NO. ______^_ '
I FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? LJ YES
! FOR FURTHER INFORMATION, CONTACT „_
»7 f<
8U(U)1NG (MSPECTOR COOT ENFORCEMENT OFRCeft AW
; _J
c T,ONSTRUCTION J. ESTING & Jl/NGINEERING, INC.E
X£M LH^M ESCONDIDO • TRACY • RIVERSIDE * OXNARD * LANCASTER * SACRAMENTO
INSPECTION REPORT
PROJECT NAME: Z^y>> t tff-'rt^.ttr^
ADDRESS: C 'c^r Y.£> I $( U
rn { te\-tfjc\
ARCHITECT: '^ (V-.. \V. C ->\r \ 0= ^i f'Cs AlC V\
't x i ^
ENGINEER: V-'Vv'^C ^Hv*. 1 TU *"C i t J\<K
CONTRACTOR: "^T - & f r^\\^ C"fC1 \ '^ C\
INSPECTION DATE: U^ " O6:
PLAN FILE:
BLDG. PERMIT: <". ?^ V^?UvlM *
OTHER:
INSPECTION
^CONCRETE
( ) MASONRY
( )P.T.CONC.
( ) FIELD WELD
( ) SHOP WELDING
( ) PILE DRIVING
( ) BATCH PLANT
( )EXP. ANCHOR
() OTHER
PAGE 1 OF 1
CTE JOB # i / } ~ T C "*^~<
REPORT #
MATERIAL IDENTIFICATION
CONC.MIX#/PSI
GROUT MIXS/PSI
MORTAR TYPE/PSI
REBAR GRADE •#*•*, L
STR. STEEL
H.S.BOLT
MAS. BLOCK
ELECTRODE
MATERIAL SAMPLING
( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING ( ) MASONRY BLOCK ( ) REBAR
( ) STRUCTURAL STEEL ( ) BOLTS
INSPECTION PERFORMED, JOB PROBLEM, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS
- \
V >
Certification of Compliance: All work, unless otherwise noted, compiles with the approved plans and specifications and
the uniform building code.
NAME: (PRINT)
CERTIFICATION NO:
SIGNATURE 1
GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING A INSPECTION
1441 MONT1EL ROAD, SUITE 115, ESCONDIDO, CA 92026 (760) 746-4955 FAX (760) 746-9806
CONSTRUCTION TESTING & ENGINEERING. INC.
ENGINEERING, INC.
INSPECTION REPORT PAGE 1 OF 1
CTEJOB#.10-80T
REPORT #25
PROJECT NAME: Sarazay Spectrum.
ADDRESS: 2218 Faraday Ave.
Carlsbad,Ca
ARCHITECT: Smith Consulting Architects.
ENGINEER: Chung Y. Song.( # 2685)
CONTRACTOR: TSA Contractors.
INSPECTION DATE: 1-19-06
PLAN FILE:
BLDG. PERMIT: (# BldgJ2) CBO51147
OTHER: SUB-CONTRACTOR
San Diego-Construction Welding
INSPECTION
() CONCRETE
() MASONRY
() P.T.CONC.
(X) HELD WELD
() SHOP WELDING
() PILE DRIVING
() BATCH PLANT
()EXP. ANCHOR
() OTHER
MATERIAL IDENTIFICTION
CONCAflX#/PSI
GROUTMDC#/PSI
MORTAR TYPE/PSI
REBARGRADE 50-A706
STR. STEEL: A36
H.S. BOLT:
MAS. BLOCK
ELECTRODE: -NR232 (.072)
MATERIAL SAMPLING
( )CONCRETE ( )MORTAR ( )GROUT ( )FIREPROOFING ( )MASONRY BLOCK ( )REBAR
(X) STRUCTURAL STEEL ( )BOLTS
INSPECTION PERFORMED, JOB PROBLEM, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, AND
1.1 Observed installation of 2 x 2 x Wangle iron far vertical splice tie down connections to #5-rebar & 2 x 2 x
5/16"angle iron for splice connections to #6-rebar using (2) 3 l/x- 5"double flare groove welds per side at the
following loc:B-D/l, 1-3/B, A-B/3A-D/6 & 2-5.2/D. REF.S-2.3.X)ET.9/SDl.(Note: typ. Rebar schedule
fbr,#7,#8 & #9 rebar-see I/SI).
1.2 Observed installation of 2 x 2 x( %"X (5/16"), (3/8") angle iron for horizontal panel to panel splice
connections to #5-rebar, #6-rebar, #7-rebar, #8-rebar & #9-rebar (see typ. Rebar schedule I/SI, for clarification)
( At roof level) using (2) 3"-5" double flare groove welds per side at the following locations:.3-6/A, A-D/6,1-
67D.B-D/1,1-3/B. REF.S-2.3 DET.17/SD-3.
1.3 Observed welding of Why 3° long fllkt welds for connection of (4) %"by 2" pLs to embedded pl.s in the
wall panels for a mitered corner wall splice connection at the following location: 1/D, 1/B, 3/A & 6/A JlEF.S-2.3
DET.12/SD-1.
1.4 Observed Wfillet welding of a embed angle to a embedded flat pLat the following loc:5.4/D & 1.6/D.
REF.S-23. DET.4/SD3. Work on goingJEnd of report
Certification of Compliance: All work, unless otherwise noted, complies with the approved plans and specifications and
the uniform building code.
NAME: (PRINT) JUSTIN RUNGE_SIGNATURE:
CERTIFICATION NO: #5262291-85
c T,EONSTRUCTION J- ESTING & IL NGINEERING, INC.
ESCONDIDO • TRACY • RIVERSIDE • OXNARD • LANCASTER • SACRAMENTO
INSPECTION REPORT PAGE OF
CTE JOB #
REPORT #
PROJECT NAME:C it VA
C t
ARCHITECT:
ENGINEER:ilf <1f
CONTRACTOR:
INSPECTION DATE:
PLAN FILE: Is
BLDG PERMIT:
OTHER:
J~
lENTMDmON
AO #W
?£>• Slot
MATERIAL SAMPLING
( ) CONCRETE ( ) MORTAR ' ( ) GROUT ( ) FII^PROOFING ( ) MASONRY BLOCK ( ) REBAR
( ) STRUCTURAL STEEL ( ) BOLTS
o-V
\^gT?> \ A)vs\a<
per ( /waHbcJ
f t\ / I ^*. ^h . ^\ ^4 W '£>"
f<P /x/l'
NAME: (PRINT)
CERTIFICATION NO:
GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION
1441 MONTffiL ROAD, SUITE 115, ESCONDIDO, CA 92026 (760) 746^*955 FAX (760) 746-9806
c T EONSTRUCTION X ESTING & JL NGINEERING, INC.
ESCONDIDO • TRACY • RIVERSIDE • OXNARD • LANCASTER • SACRAMENTO
INSPECTION REPJORT
TV2.D
PAGE
JCO
OF
PROJECT NAME:
ADDRESS:
SCTTON
)NCRETE
ARCHITECT:
ENGINEER:
CONTRACTOR: "~\TS&.
INSPECTION DATE:.
PLAN FILE: M /A
BLDG PERMIT:
OTHER:
MATERIAL SAMPLING
( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING ( ) MASONRY BLOCK ( ) REBAR
( ) STRUCTURAL STEEL ( ) BOLTS
reft**forc t
^^ lop
- 1 c I u a \
Ao - 5 on //'/oe
n c
NAME: (PRINT)
CERTIFICATION NO:
GEOTECHN1CAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION
1441 MONTIEL ROAD, SUITE 115, ESCONDIDO, CA 92026 (760) 746-4955 FAX (760) 746-9806
« (OIL * TI1TINU. INC.
V-«SOUTHERN CALIFORNIA SOIL & TESTING, INC.
6280 RIVER
FTS-'s
6280 RIVERDALE STREET, POST OFFICE BOX 600627, SAN DIEGO, CA 92160-0627
Phone (619) 280-4321, FAX (619) 280-4717
P. O. NO.:
C 1 PI NT
SOILS ENGINEERING & GEOLOGY FIELD REPORT:
PROJECT TTTLE: ££ ^^ &*f/lJx*J $$**'*
PROJECT ADDRESS:
ARCHrTEC5^//^ ^^^<WXxV-3: -
GENERAL CONTRACTOR: *^
LOCATION OF WORK INSPECTED: $/<$<? O.
Fl* . PAGE OF
D SITE OBSERVATION D GRADING OBSERVATION Q PR-GRADE
/ //y DSAFH.ENO.: DSAAPP.NO.:
PERMT NO.^ '*/%£& ^//ty? PLAN nLE N°"
BWWBIfcjjr^^ <£&^Z£, *4J£i0. .
SUB CONTRACTOR: ^ '
X
\,
DATE:
X
tf
PC
^
D
DESCRIPTION OF WORK INSPECTED:TIME ARRIVED: TIME DEPARTED:
MINIMUM CHARGE:
SOIL CONDITIONS ARE SUBSTANTIALLY IN CONFORMANCE WITH THOSE ASSUMED IN THE SOIL
INVESTIGATION REPORT.
FOUNDATION EXCAVATIONS EXTEND TO THE PROPER DEPTH AND BEARING STRATA.
FOUNDATION EXCAVATIONS DEMONSTRATE AN ADEQUATE AMOUNT OF COMPACTION FOR THE PROPOSED
BEARING PRESSURE.
FOUNDATION EXCAVATIONS SHOULD BE CLEARED OF ALL LOOSE SOILS PRIOR TO CONCRETE
PLACEMENT.
COMMENTS:
f\ \\-fi P-E- REWEW
^WA? k/A
ij * INSPECTOR S SJ8NATURE REOUTRATION No.
SCST £00 (02/04)
Cart Schmidt Inspection Services* Inc. DAY THURSDAY
P.O. Box 178403
Sm Diego, CA 92177-8403
(619) 855-9252
SPECIAL INSPECTION REPORT
Project: FARADAY SPECTRUM
Addnss: 2214 THROUGH 2248 FARADAY AVE.
CHy: CARLSBAD CA
Permit Number: CBO5-1146 TO CBO5-1154 Pljui File Nnaben
TYPE OF OBSERVATIONS:
Reinforcing Steel Reinforced Concrete Structural Masonry Field Welding
Epoxy Prestressed Concrete Shop Welding X BoMng Fireprootmg__
Number of Samples: Type:
Materiato/DcmgnMSx/PsiA 36 STEEL , A500 TUBE STEEL E71T-1
Date: 12/22/05
REPORT
ON SITE AT STRUCT STEEL FOR VISUAL INSPECTION OF WELDING OF MODIFICATION OF WIDE FLANGE BEAMS.
SCOPE OF WORK
FABRICATE, FIT UP AND WELD MODIFICATION TO (4) W12X14 BEAMS TO FACILITATE BEAM SEAT MATCH UP AS PER
APPROVED RFI AND DRAWING DATED 12-16-05,02:39 PM AND DETAILS 9,13,15/SD4. THE FOLLOWING BEAM PC # WERE
MODIFIED:, 6B, SB AND 8A
INSPECTED AND ACCEPTED FIT UP AND SHOP WELDING PERFORMED THIS DATE.
(1) WELDER USING FCAW-G AND E7IT-1 ELECTRODE.
WORK INSPECTED CONFORMS WITH APPROVED PLANS AM> SPECIFICATIC^S UNLESS OTHBRWISE NOTED
DUANELORENZ KXSMMW* sow TIME IN: 1130 TIMEOUT: 1500
Certification #
General Contractor; TSA
Address:
Cily:
Phone:
Signature
Cart Schmidt Inspection Services. Inc. DAY WENSDAY
P.O. Box 178403
San Diego, CA 92177-8493
(619) 855-9252
SPECIAL INSPECTION REPORT
Protect; FARADAY SPECTRUM
Address: 2214 THROUGH 2248 FARADAY AVE.
CHy. CARLSBAD CA
Permit Number: CBO5-1146 TO CBO5-1154 Ptaa File Nunber:
TYPK OF OBSERVATIONS:
Reinforcing Steel Reinforced Concrete Structural Masomy Field Welding
Epoxy Prestressed Concrete Shop Welding X Hotting Fireproofing_
Number of Samples: Type:
Mateials/PcsignMix/PsiA 36 STEEL , A500 TUBE STEEL E71T-1
Date: 12/20/05
REPORT
ONSTTE AT STRUCTSTEEL FOR VISUAL INSPECTION OF WELDING OF MODIFIFICATION OF WIDE FLANGE BEAMS.
SCOPE OF WORK
FABRICATE, FIT UP AND WELD MODIFICATION TO (4) W12X14 BEAMS TO FACILITATE BEAM SEAT MATCHUP AS PER
APPROVED RFI AND DRAWING DATED 12-16-05,02 39PM AND DETAILS 9,13,15/SD4. THE FOLLOWING BEAM PC # WERE
MODIFIED: 6A, 6B, SA^B AND 8A
INSPECTED AND ACCEPTED FIT UP AND SHOP WELDING PERFORMED THIS DATE.
(2) WELDERS USING FCAW-G AND E71T-1 ELECTRODE.
WORK INSPECTED CONFORMS WITH APPROVED PI.ANS AND SPECinCATlONS UNLESS OTHERWISE NOTED
DUANELORENZ CCIMWMS sow TIME IN: 1200 TIMEOUT: 1600
Certification*
General Contractor TS A
Address:
City:
Phone:
.gnature
Community Facilities District No. 1
NON-RESIDENTIAL CERTIFICATE: Non-Residential Land Owner,
please read this option carefully and be sure you thoroughly understand the options before
signing. The option you chose will affect your payment of the developed Special Tax
assessed on your property, this option is available only at the time of the first building
permit issuance. Property owner signature is required before a building permit will be
issued. Your signature is confirming the accuracy of all information shown.
£"o & P - / LLc.
Name of Owner Telephone
Address
L<A -Llk*- £**>
City, State
"2.17.
Project Address
?*Loi"7 Carlsbad, California
Zip Code City, State
\ ?-o -i* -oo
9200%
Zip Code
Assessor's Parcel Number or APN and Lot Number if not yet subdivided by County Assessor.
C.&.QST-
Building Permit Numbers)
As cited by Ordinance No. NS-155 and adopted by the City of Carlsbad, California, the City is authorized
to levy a Special Tax in Community Facilities District No. 1. All non-residential property, upon die
issuance of a building permit, shall have the option to (1) pay the SPECIAL DEVELOPMENT TAX ONE-
TIME or (2) assume the ANNUAL SPECIAL TAX - DEVELOPED PROPERTY for a period not to
exceed twenty-five (25) years. Please indicate your choice by initialing the appropriate line below;
OPTION (1): I elect to pay the SPECIAL TAX - QblE-TIME now, as a one-tune payment. /
One-Time Special Tax: $ fS. "pO. , Owner'
Amount of
s Initials
I elect to pay the SPECIAL DEVELOPMENT TAX ANNUALLY for a period not to
exceed twenty-five (25) years. • Maximum Aiingal > JSpecial Tax:
$ i^t^Ljf^Qst. . Owner's
OPTION (2):
I DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE UNDERSIGNED IS THE
PROPERTY OWNER OF THE SUBJECT PROPERTY AND THAT I UNDERSTAND AND WILL
COMPLY/VTTH THE PROVISIONS AS STATED ABOVE.
Title
Print Name Date
The .City of Carlsbad has not independently verified the information shown above. Therefore, we accept no
responsibility as to the accuracy or completeness of this information.
Land Use, FY, Factor /. /Z X Square Ft. /*/ 1 gt>
City of Carlsbad
Building Department
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FEES OR OTHER MITIGATION
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 will not issue any building permit without a completed school fee form.
Project Name:
Building Permit
Plan Check Number:
Project Address:
A.P.N.:
Project Applicant
(Owner Name):
Project Description:
Building Type:
Residential:
8
Number of New pwelling Units
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
Commercial/Industrial: Square Feet Flopr Area
City Certification of ~
Applicant Information:
Carlsbad Unified School District
6225 El Camino Real
92009 Q31-SOPOT
Date:
THIN THE CITY OF CARLSBAD
San Marcos Unified School District
215MataWay
San Marcos, CA 92069 (290-2649)
Contact: Nancy Dolce (By Appt. Only)
Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024 (944-4300 ext 166)
San Dieguito Union High School District
710 Encinitas Blvd.
Encinitas, CA 92024 (753-6491)
Certification of Applicant/Owners. 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 file an amended
certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square
footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and
that (2) the Owner is the owner/developer of the above described project(s), or that the person executing this declaration is
authorized to sign on behalf of the Owner.
Signature:Date:
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-27OO
Revised 4/20/00 PtnilHinn rVuirttor • /TfifU ftno_O^ Q • CTAV f"7Rn\
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
rm c GAYLEN FREEMAN
"ILt DEPUTY SUPERINTENDENT
CARLSBAD UNIFIED SCHOOL DBlKiCI
NAME OF SCHOOL DISTRICT 6225 EL CAMINO REAL
CARLSBAD, CAttMl _
DATE
PHONE NUMBER
Revised 4/20/00
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB
ADDRESS JL
DATE
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
(<$10,000.00)
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
OTHER
COMPLETE OFFICE BUILDING
PLANNER
JA—LENGINEHrlV_VXc ^^
DATE
DATE
Doca/MMbrmi/Plmnina EnglnMrlng Appravata
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
D Estimate based on u
D Calculation based or
/
Address: VH " <*y^^Prepared by: M^T^N
nconfirmed information from applicant.
/building plancheck plan submittal.
T^K-**-^-^— i Bldg. Permit No, Ol 111/
Date:Checked by: Date
EDU CALCULATIONS: List types and square footages for all uses. /S
Types of Use: ^<M^«_ Sq. Ft./Units: 1 H T Y"0 EDU's: ^-S^
Types of Use: •Sq.Ft./Units: EDU's:
APT CALCULATIONS: List types and square footages for all uses.
Types of Use: LUlU-A— Sq. Ft./Units: (M .~uVO ADT's:
Types of Use:Sq.
V /
Ft./Units: ADT's:
1)
FEES REQUIRED:
WITHIN CFD: D YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) D NO
D 1. PARK-IN-LIEU FEE
FEE/UNIT:
PARK AREA & #:
X NO. UNITS:**_
2. TRAFFIC IMPACT FEE
ADT's/UNITS:FEE/ADT:
D 3. BRIDGE AND THOROUGHFARE FEE (DIST.
ADT's/UNITS: X
DIST. #2 DIST. #3
FEE/fiDT:FEE/fi
O 4. FACILITIES MANAGEMENT FEE
UNIT/SQ.FT.:
D 5. SEWER FEE
EDU's:
BENEFIT AflEA: _
ZONE: ^
X FEE/SQ.FT./UNIT:= $
FEE/EDU:= $
'•9EDU's: ^FEE/EDU:
D 6. SEWER LATERAL ($2,500)
D 7. DRAINAGE FEES PLDA_
ACRES:
HIGH /LOW
FEE/AC:
D 8. POTABLE WATER FEES
UNITS CODE CONNECTION FEE
C
METER FEE SDCWA FEE IRRIGATION
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