HomeMy WebLinkAbout2223 CORTE CICUTA; ; CB060390; Permit02-27-2006
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No CB060390
Building Inspection Request Line (760) 602-2725
2223 CORTE CICUTA CBAD
RESDNTL Sub Type
2552625500 Lot #
$11 712 00 Construction Type
Reference #
0 Structure Type
0 Bathrooms
HINKLEY RES-ADD 192 SF BEDROOM
RAD
0
VN
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Ong PC#
Plan Check*
ISSUED
02/16/2006
LSM
02/27/2006
02/27/2006
Applicant
JAMES CHINN
STE 117
2120 JIMMY DURANTEBL
DEL MAR CA 92014
Owner
KUHNS DAVID R&LISA A
2223 CORTE CICUTA
CARLSBAD CA 92009
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other 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
$11509 Meter Size
$0 00 Add'l Reel Water Con Fee
$74 81 Meter Fee
$0 00 SDCWA Fee
$0 00 CFD Payoff Fee
$117 PFF (3105540)
$0 00 PFF (4305540)
$000 License Tax (3104193)
$0 00 License Tax (4304193)
$000 Traffic Impact Fee (3105541)
$000 Traffic Impact Fee (4305541)
$0 00 Sidewalk Fee
$0 00 PLUMBING TOTAL
$0 00 ELECTRICAL TOTAL
$000 MECHANICAL TOTAL
$0 00 Housing Impact Fee
$0 00 Housing InLieu Fee
Housing Credit Fee
$0 00 Master Drainage Fee
$0 00 Sewer Fee
Additional Fees
TOTAL PERMIT FEES
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$2000
$2400
$000
$000
$000
$000
$000
$000
$235 07
Total Fees $235 07 Total Payments To Date $235 07 Balance Due $000
3UTLDING Pi.,
_INSTORAGh
ATTACHEP
Inspector
FINAL APPROVAL
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 sewei connection fees and capacity
changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of hmitationshas oreviouslv otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
PROJECT INFORMATION
p,4nd7ni-l 0040 02/10/2006 001
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
15
Address (include Bldg/Suite #)ude Bldg/Suite #)
L&T 278-
Business Name (at this address)
7C-T.
Leaal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel #Existing Use
Description of Work 70 gjfy^T". 2,
2 CdNT ACT?PERSOJN (if different from applicant)
Proposed Use
FT #of Stories # of Bedrooms # of Bathrooms
Name Address City
3 , APPLICANT iNO Contractor Q Agent for Contractor HO Owner J8:Agent for Owner
State/Zip Telephone #Fax*
Name
4 PROPERTY OWNER
Address City State/Zip Telephone ft
-740 „
Address City State/Zip Telephone #Name
5 CONTRACTOR COMPANY NAME; -?lF ;il:"' " "'ff" -CiK ~ '"" " "*" ' "'""' ',.... 1
(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 [$500D
Name
State License #
Address
License Class
City State/Zip
City Business License if
Telephone #
Designer Name Address City State/Zip Telephone
State License #
6 WORKERS COMPENSATION •-, ?f ; <K
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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)
|~| CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as
to become subject to the Workers Compensation Laws of California
WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
SIGNATURE DATE
7. OWNER BUILDER DECLARATION ....^i-i: :::W sii:"i*":" ..•-•••'" ,,,. .:,:::... -^
1 hereby affirm that I am exempt from the Contractor s License Law for the following reason
|~l I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale
(Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and who does
such work himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is
sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale)
•0 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)
l~l 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 Q YES l~lNO
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone
number / contractors license number)
5 I will provide some of the work^l/Jt I have cor]
.of work)
:ed (hired) the following persons to provide the work indicated (include name / address / phone number / type
DATEjlPROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION FOR l\fffN-K£S/DENTlM^lD\NGPERMITS»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? d YES [3 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l~l YES l~l NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' n YES [H 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
r8" CONSTRUCTION LENDING AGENCY ,,1::i.. ":" JW" ;;;> ''SV :: ;' •• ^ 6 "1, ^ j.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER S NAME LENDER S ADDRESS
9 nf APPLICANT- CERTIFICATION I!?-:'J:: *-• *' rf "L': ..:;-"• ; '"',.* """.-, ""•,,.
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES
JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is nqU^^menpeawiKiiryilsO days from the date of such permit or if the building or work authorized by such perrrut is suspended or abandoned
at any time after the work is q|6rnmeri^eXf for a jjir/oxJ of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 04/11/2006
Permit* CB060390
Title HINKLEY RES-ADD 192 SF BEDROOM
Description
Type RESDNTL Sub Type RAD
Job Address 2223 CORTE CICUTA
Suite Lot 0
Location
OWNER KUHNS DAVID R&LISA A
Owner HINKLEY MICHAEL E&LISA E
Remarks
Inspector Assignment JM
Phone 8588646867
Total Time
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By STEVE
Entered By CHRISTINE
Act Comment
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
04/06/2006 89 Final Combo CO PD EGRESS HARDWARE ON WINDOW
03/22/2006 17 Interior Lath/Drywall AP JM
03/22/2006 18 Exterior Lath/Drywall AP JM
DATE
BUILDING ADDRESS
PROJECT DESCRIPTION
ASSESSOR'S PARCEL NUMBER ZVr"-767- L~J
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
PLANCHECK NO CBQ&-
EST VALUE
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved The approval is based on plans,
information and/or specifications provided in your
submittal therefore any changes to these items after
this aate, including field modifications, must be
reviewed by this office to insure continued
conformance with applicable codes Please review
carefully all comments attached, as failure to comply
with instructions in this report can result in
suspension of permit to build
L_! A Right of Way permit is required prior to
construction of the following improvements
DENIAL
LJ
L.,
LI
Please see the attached report of deficiencies
marked with D Make necessary corrections to plans
or specifications for compliance with applicable
codes and standards Submit corrected plans and/or
specifications to this office for review
By
By
By
Date
Date
Date
r *\/^
^— J/£^NGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
FOR OFFICIAL USE ONLY
By Date
ATTACHMENTS
Dedication Application
Dedication Checklist
Improvement Application
!mprovemerit_Checklist
Neighborhood Impiovement Agreement
Grading Permit Application
Grading Submittal Checklist
Right of Way Permit Application
Right-of Way Permit Submittal Checklist
and Information Sheet
ENGINEERING DEPT CONTACT PERSON
Name KATHLEEN M FARMER
City of Carlsbad
Address 1635 Faraday Avenue, Carlsbad, CA 92008
Phone (760) 602-2741
CFD INFORMATION
Parcel Map No
Lots
Recordation
Carlsbad Tract
CA 9200^-7314 • (76O) 602-2720 • FAX (760)
BUILDING PLANCHECK CHECKLIST
,ST -.HD -,RD
D
SITE PLAN
1 Provide a fully dimensioned site plan drawn to scale Show
North Arrow F^-Right-of-Way Width & Adjacent Streets
Existing & Proposed Structures^^^^tTriveway widths
Existing Street Improvements s^&^~ Existing or proposed sewer lateral
roperty Lines (show all dimensierfs) I Existing or proposed water service
Easements ^k^Existmg or proposed irrigation service
2 Show on site plan
A Drainage Patterns
1 Building pad surface drainage must maintain a minimum slope of one
percent towards an adjoining street or an approved drainage course
2 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
C Size, type, location, alignment of existing or proposed sewer and water service (s)
that serves the project Each unit requires a separate service, however, second
dwelling units and apartment complexes are an exception
D Sewer and water laterals should not be located within proposed driveways, per
standards
O 3 Include on title sheet
A Site address
B Assessor's Parcel Number
C 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
Show all existing use of SF and new proposed use of SF
Example
Tenant Improvement for 3500 SF of warehouse to 3500 SF of office
F \FarmenKalhy\MASTERS\Buildmg Plancheck Cklsl Form (Genenc) doc
BUILDING PLANCHECK CHECKLIST
ST1
D
ND2
D
RD3'
D
DISCRETIONARY APPROVAL COMPLIANCE
4a Project does not comply with the following Engineering Conditions of approval for
Project No
D D D 4b All conditions are in compliance Date
D
DEDICATION REQUIREMENTS
5 Dedication for all street Rights-of-Way adjacent to the building site and any storm
dram or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $ 17.000 . 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 Vz 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
D 6a All needed public improvements upon and adjacent to the building site must be
constructed at time of building construction whenever the value of the
construction exceeds $ 82.000 . pursuant to Carlsbad Municipal Code Section
1840040
____ Public improvementsirequired as~follows .__
Attached please find an application form and submittal checklist for the public
improvement requirements A registered Civil Engineer must prepare the
appropriate improvement plans and submit them together with the requirements
on the attached checklist to the Engineering Department through a separate plan
check process The completed application form and the requirements on the
F \FarmertKATHY\MASTERS\BuikJmg Plancheck Cklst Form (Generic) doc
BUILDING PLANCHECK CHECKLIST
,ST ,ND ,RD
D
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
6b Construction of the public improvements may be deferred pursuant to Carlsbad
Municipal Code Section 1840 Please submit a recent property title report or
current grant deed on the property and processing fee of $ 400 00 so we may
prepare the necessary Neighborhood 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
D D
D
6c Enclosed please find your Neighborhood Improvement Agreement Please return
agreement signed and notarized to the Engineering Department
Neighborhood Improvement Agreement completed by
Date
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
D D D
D
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section
11 06 030 of the Municipal Code
7a Inadequate information available on Site Plan to make a determination on grading
requirements Include accurate grading quantities in cubic yards (cut, fill import,
export and remedial) This information must be included on the plans
7b Gradmg-Permit-required--A separate-gradmg-plan prepared-by-a registered Civil
Engineer must be submitted together with the completed application form
attached NOTE The Grading Permit must be issued and rough grading
approval obtained prior to issuance of a Building Permit
Grading Inspector sign off by Date
D 7c Graded Pad Certification required (Note Pad certification may be required even
if a grading permit is not required )
F \Farmer\KATHY\MASTERS\Buildirig Plancheck Cklst Form (Generic) doc
BUILDING PLANCHECK CHECKLIST
2ND 3RD
n [U 7d No Grading Permit required
n n 7e If grading is not required, write "No Grading" on plot plan
MISCELLANEOUS PERMITS
D D 8 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way Types of work include, but are
not limited to street improvements, tree trimming, driveway construction, tying
into public storm dram, sewer and water utilities
Right-of-Way permit required for
D D D 9 INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad
sewer service area, you need to contact the Carlsbad Municipal Water District,
located at 5950 El Cammo Real, Carlsbad, CA 92008 District personnel can
provide forms and assistance, and will check to see if your business enterprise is
on the EWA Exempt List You may telephone (760) 438-2722, extension 7153,
for assistance
Industrial Waste permit accepted by
Date
NPDES PERMIT
D D D 10a Storm Water Requirements Applicability Checklist Completed
[H CD L~H 10b Priority Determination and compliance
D Priority Project
D Subject to Standard Permanent Storm Water BMP's
D Exempt
11 D ReqytFed fees are attached
C3—Nofees required
WATER METER REVIEW
12a Domestic (potable) Use
Ensure that the meter proposed by the owner/developer is not oversized
Oversized meters are inaccurate during low-flow conditions If it is oversized, for
the life of the meter, the City will not accurately bill the owner for the water used
• All single family dwelling units received "standard" 1" service with 5/8" service
F \Farnier\KATHY\MASTERS\Buikiing Plancneck Cklsl Form (Generic) doc
BUILDING PLANCHECK CHECKLIST
,ST ,ND ,RD
D
• If owner/developer proposes a size other than the "standard", then
owner/developer must provide potable water demand calculations,
which include total fixture counts and maximum water demand in gallons
per minute (gpm) A typical fixture count and water demand worksheet is
attached Once the gpm is provided, check against the "meter sizing
schedule" to verify the anticipated meter size for the unit
« Maximum service and meter size is a 2" service with a 2" meter
• If a developer is proposing a meter greater than 2", suggest the
installation of multiple 2" services as needed to provide the anticipated
demand (manifolds are considered on case by case basis to limit
multiple trenching into the street)
12b Irrigation Use (where recycled water is not available)
All irrigation meters must be sized via irrigation calculations (in gpm) prior
to approval The developer must provide these calculations Please follow
these guidelines
1 If the project is a newer development (newer than 1998), check the recent
improvement plans and observe if the new irrigation service is reflected on
the improvement sheets If so, at the water meter station, the demand in
gpm may be listed there Irrigation services are listed with a circled "I",
and potable water is typically a circled "W" The irrigation service should
look like
STA 1+00 Install 2" service and
5 meter (estimated 100 gpm)
If the improvement plans do not list the irrigation meter and the
service/meter will be installed via another instrument such as the building
plans or grading plans (w/ a right of way permit of course), then the
applicant must provide irrigation calculations for estimated worst-case
irrigation demand (largest zone with the farthest reach) Typically, Larry
Black has already reviewed this if landscape plans have been prepared,
but the applicant must provide the calculations to you for your use Once
you have received a good example of irrigation calculations, keep a set for
your reference In general the calculations will include
• Hydraulic..grade.lme
• Elevation at point of connection (POC)
• Pressure at POC in pounds per square inch (PSI)
• Worse case zone (largest, farthest away from valve
• Total Sprinkler heads listed (with gpm use per head)
• Include a 10% residual pressure at point of connection
3 In general, all major sloped areas of a subdivision/project are to be
irrigated via separate irrigation meters (unless the project is only SFD with
no HOA) As long as the project is located within the City recycled water
t- \FarmeftKalhy\MASTERS\Buiiding Plancheck Cklsl Form (Generic) doc
..ST pND gRD
BUILDING PLANCHECK CHECKLIST
service boundary, the City intends on switching these irrigation
services/meters to a new recycled water line in the future
D D D 12c Irrigation Use (where recycled water is available)
1 Recycled water meters are sized the same as the irrigation meter above
2 If a project fronts a street with recycled water, then they should be
connecting to this line to irrigate slopes within the development For
subdivisions, this should have been identified, and implemented on the
improvement plans Installing recycled water meters is a benefit for the
applicant since they are exempt from paying the San Diego County Water
Capacity fees However, if they front a street which the recycled water is
there, but is not live (sometimes they are charged with potable water until
recycled water is available), then the applicant must pay the San Diego
Water Capacity Charge If within three years, the recycled water line is
charged with recycled water by CMWD, then the applicant can apply for a
refund to the San Diego County Water Authority (SDCWA) for a refund
However, let the applicant know that we cannot guarantee the refund, and
they must deal with the SDCWA for this
D D D 13 Additional Comments
F \Farmer\Kalhy\MASTERS\Buuding Plancheck Cklsl Form (Genetic) doc
n
n
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
Estimate based on unconfirmed information from applicant
Calculation based on building plancheck plan submittal
Address Bldg Permit No
Prepared by Date Checked by Date
EDU CALCULATIONS List types and square footages for all uses
Types of Use Sq Ft /Units
Types of Use Sq Ft /Units
APT CALCULATIONS List types and square footages for all uses
Types of Use Sq Ft /Units
Types of Use Sq Ft /Units
EDU's
EDU's
ADT's
ADT's
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 = $
D 2 TRAFFIC IMPACT FEE
ADT s/UNITS
D 3 BRIDGE AND THOROl
ADT s/UNITS
D 4 FACILITIES MANAGE
UNIT/SO FT
D 5 SEWER FEE
EDU's
FEE/ADT -$
JGHFARE FEE
i/IENT FEE
(DIST
X
ZONE
X
#1 DIST #2
FEE/ADT
FEE/SO FT /UNIT
DIST #3
-$
= $
)
FEE/EDU
BENEFIT AREA
EDU's
D 6 SEWER LATERAL ($2 500)
D 7 DRAINAGE FEES PLDA
ACRES " - --
D 8 POTABLE WATER FEES
UNITS CODE CONNECTION FEE
X FEE/EDU
HIGH
= $_
= $.
= $
/LOW
""^net/At. *"~
METER FEE SDCWA FEE IRRIGATION
-tlr- lit nn Wfirlrchaat
1 of 2
RPV 7/14/00
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
ffl'D
Plan Check No CB
Planner Chns Sexton
APN
Phone (760) 602-4624
Type of Project & Use
Zoning P-C* General Plan
CFD (in/out) #_Date of participation
Net Project Density 3.3. DU/AC
Facilities Management Zone
Remaining net dev acres
Cirde On*
(For non-residential development Type of land used created by tt
permit )
Leoend: $ Item Complete Q Item Incomplete • Needs your action
Environmental Review Required: YES NO l^TYPE
DATE OF COMPLETION _
Compliance with conditions of approval? If not, state conditions which require action
Conditions of Approval
Discretionary Action Required:
APPROVAL/RESO NO
PROJECT NO
YES NO \/ TYPE.
DATE
OTHER RELATED CASES
Compliance with conditions or approval? If not, state conditions which require action
Conditions of Approval
DD
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES NO
CA Coastal Commission Authority? YES NO
If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 103,
San Diego CA 92108-4402, (619) 767-2370
Determine status (Coastal Permit Required or Exempt)
Coastal Permit Determination Form already completed? YES NO
If NO, complete Coastal Permit Determination Form now
Coastal Permit Determination Log #
Follow-Up Actions:
1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans)
2) Complete Coastal Permit Determination Log as needed
Incluslonary Housing Fee required: YES NO v
(Effective date of Inclusionary Housing Ordinance - May 21,1993)
Data Entry Completed? YES NO
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N,
Enter Fee, UPDATE!)
Sit* Plan:
H \ADMINV:OUNTER«WgPlnchkR«vChW«t FtovWI
'
f % ^^
O
Load Tables (PLF): Floor
General Notes
• Values shown are the maximum uniform loads in pounds per lineal foot (plf) that can be applied to
the beam in addition to its own weight
• Tables are based on uniform loads and the most restrictive of simple or continuous spans
• Total load values are limited to deflection of 1/240 Live load values are based on deflection of
1/360 Check local code for other deflection criteria
• For deflection limits of L/240 and L/480 multiply live load values by 1 5 and 0 75 respectively The
resulting live load shall not exceed the total load shown
Also see General Assumptions on Page 3
i
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page l of 5)
Project Address
Compliance Method (Prescriptive)
D Alternative Component Package Method (check one)_D V( D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF-1R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
ft2
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) \"
Average Ceiling Height 1 ft
Maximum Allowed West Facing Fenestration Products Per Table 151 -B or 151 -C — (5% X CFA)
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C —(20% X CFA)
S D Building Type (check one or more) Single Family Multifamily X Addition Alteration
(If adding fenestration fill out WS-4R, Fenestration Maximum Allowed Area Worksheet and see Section 832
for Additions and 8 3 3 for Alterations )
Number of Stones Number of Dwelling Units _J
x^T-s^'—a ^
Slab^JCaised Floon(circle one or both)Floor Construction Type
Front Orientation nf 0 Qfortty South / East / West / All Orientations (input front orientation in degrees from True North
and circle one)
/ D RADIANT BARRIER (required in climate zones 2.4. 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
\j^/M>-
fccxif'
Frame
Type
(Wood or
Metal)
Cavity
Insulation
R-Value
l^-l^
fL -1<2>
Continuous
Insulation
R-Value
Assembly U-
factor (for wood,
metal frame and
mass
assemblies) '
Joint
Appendix
IV
Reference
Roof Radiant
Barrier
Installed
Yes or No
Location
Comments
(attic, garage,
typical, etc )
&CT Mk^~*
ferft><-
1) See Joint Appendix IV in Section IV 2, IV 3 and IV 4, which is the basis for the U-factor criterion U-factors can not exceed
prescriptive value to show equivalence to R-values
Residential Compliance Forms April 2005