Loading...
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