The URL can be used to link to this page

Home My WebLink About2230 FARADAY AVE; BLDG 3; CB051148; Permit09-29-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB051148 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2230 FARADAY AV CBAD COMMIND Sub Type: INDUST 2121203900 Lot#: 0 $129,480.00 Construction Type: NEW Reference #: FARADAY SPECTRUM BLDG3 4980 SF SHELL BUILDING 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 Fed Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFMFee Bridge Fee BTD #2 Fee BTD#3Fee 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 $415.32 $0.00 $0.00 $27*19 -Fee $1,992.00 $0.00 $0.00 $0.00 $0.00 $0.00 ' $0.00; $0.00 1 $0.00 $0.00 License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL f^TAL MECHANICAL TOTAL Rddev Parking Fee Additional Fees TOTAL PERMIT $0.00 $0.00 $0.00 $0.00 $2,356.54 $0.00 $0.00 $0.00 $1,992.00 $0.00 $70.00 $310.00 $0.00 $0.00 $3,658.00 $0.00 $0.00 $11,460.01 Total Fees:$11,460.01 $11,460.01 )ue:$0.00 Inspector: FINAL Date:Clearance: NOTICE: Ptease take NOTICE that approval of your project Includes the Imposffloif of fees, declkattons, r^^ referred to as lees/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 CocteSedkm 66020(8), arxlfitetre protest ard 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 NOTIRED that your right to protest the specified fee5/exactfonsDC€S NOT APPLY to changes, nor planning, zoning, grading or other similar appHcattapiocesslrig or service fees hi com^ 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 limitations has previouslv otherwise expired. CttytfCartsftid Final Bulhlhig Inspactien Dept: Building Engineering Planning CMWD StLite Fire Plan Check #: Permit #: Project Name: Address: Contact Person: Sewer Dist: Inspected Bv: Inspected By: Inspected Bv: Consents: PC05-33 IV CB051148 * FARADAY SPECTRUM BLDG 3 4980 SF SHELL BUILDING 2230 FARADAY AV LUKE Phone: 8584377617 Water Dlst: Date Inspected: Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot: 0 Approved: Approved: Approved: 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: o<CA*/ &wM CltvifCirtstatf nnal BulMlni inspecdon ^K&SaM Dept: Building Engio^nng Planning CMWD StLite Fire Plan Check ft PC05-33 Date: Permit*: Project Name: Address: Contact Person: Sewer Dlst: CB051148 . PermttType: FARADAY SPECTRUM BLDG3 Sub Type: 4980 SF SHELL BUILDING 2230 FARADAY AV Lot 0 LUKE Phone: 8584377617 Water Dlst: InspedSd Date i / s Bv.lJ^^t MM& lnsDected:O^(W°^ Approved: *S^ i Inspected Date Bv: Insoected: Aooroved: Inspected Bv: Date. Insoected: AD Droved: RECEIVEi — - MAY 3" 2006 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: Comments: <-\ • Projec Addres Projeci Contac PLANNING DEPARTMENT FINAL INSPECTION CHECKLIST ROUTING BLDG A.WEST PLANNER PELA A.WEST BLDG t Name:Faradav Spectrum Bide 3 Plan Check No. CB 051 148 is: 2230 Faradav Ave Proiect Number: t Plannei ;t Person : Van Lvnch Extension Phone No. (858) 437-7617 Drawing No. 4279 Inspections 1st K J • > 2nd Approved (/. LA— \ ) / 1 } (i / 1 1 -vb 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, f/ . \MW ***" — J^T^^o PELA Date (H:\ADMZN\COUNTER\Final Insp Check)05/03/2006 MtytlCartsftrt nnal Building Inspection Dept: Building Engineering PlajJhigaoJhi Plan Check*: Permit*: Project Name: Address: Contact Person: Sewer Dlst: Inspected Bv: Inspected Bv: Inspected Bv: Comments: PC05-33 CB051148 FARADAY SPECTRUM BLDG3 4980 SF SHELL BUILDING 2230 FARADAY AV LUKE Phone: 8584377617 Water Dlst: Date Inspected: Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot: 0 Aooroved: Approved: Approved: 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: ChiilCartsM final Building inspeeUra Dept: Building Engineering Planning CMWD StLlte F^r Plan Check #: PermK*: Project Name: Address: Contact Person: Sewer Dlst: Inspected Bv: ^ Inspected Bv: Inspected Bv: Comments: PC05-33 CB051148 FARADAY SPECTRUM BLDG3 4980 SF SHELL BUILDING 2230 FARADAY AV LUKE Phone: 8584377617 Water Olst: .../2....XZ .,// ffi /* ffJ^^t Date ^/ / SI /v/**\. Inspected: ^/2- l&t / ' Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot 0 ^ Approved: f^~ Approved: Approved: 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: City of Carlsbad Bldg Inspection Request For: 05/05/2006 Permit* CB051148 Title: FARADAY SPECTRUM BLDG 3 Description: 4980 SF SHELL BUILDING Inspector Assignment: JM Sub Type: INDUST 2230 FARADAY AV Lot Type: COMMIND Job Address: Suite: Location: APPLICANT SMITH CONSULTING ARCHITECTS Owner: Remarks: Phone: 8584377617 Inspector: Total Time:Requested By: LUKE Entered By: JANEAN CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comment Comments/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 ROOF DRAINS OK TO POUR STRIP UNDER SLAB ROOF DRAIN NEED APPROVED TRUSS PACKAGE NO INSP. PANELS ok to pour stab Date 05/03/2006 02/01/2006 02/01/2006 01/30/2006 01/12/2006 01/05/2006 01/05/2006 01/05/2006 01/05/2006 01/03/2006 12/19/2005 11/21/2005 10/31/2005 Description 89 Final Combo 15 Roof/Reroof 24 Rough/Topout 15 Roof/Reroof 11 Ftg/Foundation/PJers 11 Ftg/Foundation/Piers 12 Steel/Bond Beam 21 Underground/Under Floor 31 Underground/Conduit-Wiring 15 Roof/Reroof 12 Steel/Bond Beam 12 Steel/Bond Beam 11 Ftg/Foundation/Piers Act CO AP AP NR AP we we AP we CO NR AP AP lns| JM JM JM JM JM JM JM JM JM JM TP JM JM City of Carlsbad Bldg Inspection Request For: 11/21/2005 Permit* CB051148 Title: FARADAY SPECTRUM BLDG 3 Description: 4980 SF SHELL BUILDING Inspector Assignment: JM 2230 FARADAY AV Lot TypeiCOMMIND Sub Type: INDUST Job Address: Suite: Location: APPLICANT SMITH CONSULTING ARCHITECTS Owner: Remarks: Phone: 8584371180 Inspector: Total Time: CD Description 12 Steel/Bond Beam Requested By: ALAN Entered By: CHRISTINE Act Comment Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act Insp Comments 10/31/2005 11 Ftg/Foundation/Piers AP JM ok to pour slab 10/25/2005 11 Ftg/Foundation/Piers 10/03/2005 22 Sewer/Water Service 09/30/2005 22 Sewer/Water Service PA JM OK TO POUR FOOTING - UFER OK AP JM ON 9-30-05 AP JM c T,EONSTRUCTION A EST1NG & 1LNGINEERING, INC. ESCONDIDO • TRACY • RIVERSIDE • OXNARD • LANCASTER • SACRAMENTO INSPECTION REPORT PAGE —L OF—L CTE JOB # REPORT # PROJECT NAME: ADDRESS: INSPECTION DATE: 11 / 3l ~ PLAN FILE: BLDG PERMIT: OTHER: MATERIAL SAMPLPiG ( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING ( ) STRUCTURAL STEEL ( ) BOLTS ( ) MASONRY BLOCK ( ) REBAR tut friable AM f 00-3 ba n r \Aec\r •for : (PRINT) \^1&V& Ag.(ifK?^TpyNAME CERTIFICATION NO: SIGNATURE 0L GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 1441 MONTIEL ROAD, SUITE 115, ESCONDIDO, CA 92026 (760) 746-4955 FAX (760) 746-9806 LV c T EONSTRUCTION X ESTING & 1L NGINEERING, INC. ESCONDIDO • TRACY • RIVERSIDE • OXNARD • LANCASTER • SACRAMENTO PAGE v OF \INSPECTION REPORT CTE JOB # REPORT # PROJECT NAME: ADDRESS: ARCHITECT: ENGINEER: CONTRACTOR: TSA INSPECTION DATE: PLAN FILE: \ BLDG PERMIT: OTHER: MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING • ( ) MASONRY BLOCK / ( ( ) STRUCTURAL STEEL ( ) BOLTS ~ fl /< " f^WPraV ^ fs " ^ ^ _ aty^n/\ NAME: (PRINT) CERTIFICATION NO: GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 1441 MONTIEL 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 CTE JOB* .10-801 REPORT* PROJECT NAME: Sarazay Spectrum. ADDRESS:2330 Faraday Ave. Carlsbad,Ca ARCHTTECT: Smith Consulting Architects. ENGINEER: Chung Y. Song.( # 2685) CONTRACTOR: TSA Contractors. INSPECTION DATE: 1-30-06 PLAN FILE: BLDG. PERMIT: (# Bldg.#3) CBO51148 OTHER: SUB-CONTRACTOR San Diego-Construction Welding/Whitacre INSPECTION () CONCRETE () MASONRY () P.T.CONC. (X) FIELD WELD () SHOP WELDING () PILEDRIVING ( ) BATCH PLANT ()EXP. ANCHOR O OTHER MATERIAL IDENTIFICnON CONC.MIX#/PSI GROUTMDC#/PSI MORTAR TYPE/PSI REBAR GRADE 50-A706 STR. STEEL: A36 H.S.BOLT: MAS. BLOCK ELECTRODE: -NR232 (.072) MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT ( )FIREPROOF!NG ( ) 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( '^")-(3/8") angle iron for horizontal panel to panel splice connections to #5-#9 rebar.(at the roof level) using (2) 3 "-5 ^"double flare groove welds per side at the following location: 1-2/A & 1-2/B. REF.S-3. DET.17/SD3 & 12/SD1. 1.2 Observed welding of ^"fillet welds for connection/installation of truss's to truss seat at the following loc:l- 2/A & 1-2/B.REF.S-3. DET.2/SD2. 1.3 Observed drag strut installation using '//'all around fillet welds for connection of drag strut to embeds pl.'s /truss's in the following locations: 1-1.1/A.8 & 1.1-1.2/B. REF.S-3. DET.8,9,10,13/SD4. 1.4 Observed fit-up & installation of (4) W12 by 14 beams using Wfittet welds & bohs for fit-up/connection in the following locations:l-l.l/B, & 1-1.3/B. REF.S-3. DET.1B/SD5 & 10-10a/SD3),(10,13,14/SD4. Certification of Compliance: All work, unless otherwise noted, complies with the approved plans and specifications and the uniform building code. MAME: (PRINT) _JUSTJN RUNGE SIGNATURE: CERTIFICATION NO: # 5262291-85 CONSTRUCTION TESTING & ENGINEERING. INC. ENGINEERING, INC. INSPECTION REPORT PAGE 1 OF 1 CTEJOB#.10-80T REPORT* 1 PROJECT NAME: Sarazay Spectrum. ADDRESS: 23^ Faraday Ave Carlsbad,Ca ARCHITECT: Smith Consulting Architects. ENGINEER: Chung Y. Song.( # 2685) CONTRACTOR: TSA Contractors. INSPECTION DATE: 12-14-05 PLAN FILE: BLDG. PERMIT: (# Bldg.#3) CBO51148 ADDRESS:2230 OTHER: SUB-CONTRACTOR San Diego-Construction Welding INSPECTION () CONCRETE () MASONRY () P.TCONC. (X) FIELD WELD () SHOP WELDING ( ) PILE DRIVING OBATCH PLANT ()EXP. ANCHOR () OTHER MATERIAL IDENTIFICATION CONC.MDC#/PSI GROUTMIX#/PSI MORTAR TYPE/PSI REBAR GRADE 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 for 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 '/^'double flare groove welds per side at the following locations: 1-2/A, 1-2/B, A-B/1,& A-B/2. REF. DET. 1/SD-l. (NOTE: TYP.rebar welding schedule det.-1/Sl). 1.2 Observed installation of 2 x 2 x Vi" angle iron for horizontal panel to panel splice connections to #5-rebar ( At roof level) using (2) 3" double flare groove welds per side at the following locations: 1-2/A, 1-2/B, A-B/1, & A-B/2. REF. DET. 17/SD-3.(NOTE: TYP. Rebar welding schedule det.-1/Sl), 1.3 Observed welding of %' 'by T' long fillet welds for connection of (4) angle iron pl.s to embedded pLs in the wall panels for a mitered corner wall splice connection at the following location:l/A, 1/B, 2/A & 2/B. REF. DET.12/SD-1. Work on going.End 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 Carl Schmidt Inspection Services. Inc. P.O. Box 178403 San Diego, CA 92177-8403 (619) 855-9252 SPECIAL INSPECTION REPORT Protect; FARADAY SPECTRUM DAY THURSDAY Addros: 2214 THROUGH 2248 FARADAY AVE. Cfty: CARLSBAD CA Permit Number: CBO5-1146 TO CBO5-1154 PUn FOe Nwmben TYPE Of OBSERVATIONS: Reinforcing Steel Reinforced Concrete Structural Masonry Epoxy Prestressed Concrete Shoo Welding X Bolting Type: .Field Welding Fireproofing_ Number of Samples: Materials/DcsignMix/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-lfr-05,02:39PMANDDETAILS9,13,15/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 E71T-1 ELECTRODE. WORK INSPECTED CONFORMS WITH APPROVED PLANS AND SPECIFICATIONS UNLESS OTHER WISE NOTED DUANELORENZ KC3MWM5 sow TIME IN: 1130 Certification # TIMEOUT: 1500 Signature General Contractor TSA Address: Phone: Carl Schmidt Inspection Services. Inc. P.O. Box 178403 San Diego, CA 92177-8403 (619) 855-9252 SPECIAL INSPECTION REPORT Protect: FARADAY SPECTRUM DAY WENSDAY Address: 2214 THROUGH 2248 FARADAY AVE. Ctty; CARLSBAD CA Permit Number: CBO5-1146 TO CBO5-1154 Pfcui FOe Nwnber: TYPE OF OBSERVATIONS: Reinforcing Steel Reinforced Concrete Structural Masonry Field Welding Epoxy Prestressed Concrete Shop Welding X Bolting Fireproofing_ Number of Samples:Type: Materiala/DcsignMix/PsiA 36 STEEL , A500 TUBE STEEL E71T-1 Date: 12/20/05 REPORT ONSmB AT STRUCTSTEEL FOR VISUAL INSPECTION OF WELDING OF MODIFIHCAT1ON 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 12-16-05,02:39 PM AND DETAILS 9,13,15/SD4. THE FOLLOWING BEAM PC # WERE MODIFIED: 6A, 6B, 5A^B AND 8A INSPECTED AND ACCEPTED FIT UP AND SHOP WELDING PERFORMED THIS DATE. (2) WELDERS USING FCAW-O AND E71T-1 ELECTRODE. WORK INSPECTED CONFORMS WITH APPROVED P^J^NS AhfDSF«CinCATlONSlJ>a^SSCXrHERWISENCTED DUANELORENZ KCSMWMS so** TIME IN: 1200 TIMEOUT: 1600 General Contractor TS A Address: City: Phone: gnature PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS RESIDENTIAL RESIDENTIAL ADDITION MINOR (<$10,000.00) OTHER DATE f JT TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING PLANNER ENGINEER DATE DATE Doc«/M!sfonns/Planning Enginowing Approval* D D ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET Estimate based on unconfirmed information from applicant. Calculation based on buildinjf plancheck plan submittal. Address:Bldg. Permit No. Prepared by:p*ate:Checked by:Date: EDU CALCULATIONS: List types and square footages for all uses. Types of Use: [^(Ju^b*-^ Sq. Ft./Units: Sq. Ft./Units:Types of Use: APT CALCULATIONS: List types and square footages for at) uses. Types of Use: (jJO-*->/t~ Sq. Ft./Units: Types of Use:Sq. Ft./Units: EDU's: EDU's: ADT's: ADT's: FEES REQUIRED: WITHIN CFD: D YES {no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) D NO D 1. PARK-IN-LIEU FEE FEE/UNIT: PARK AREA & #: X NO. UNITS:=$ D 2. TRAFFIC IMPACT FEE ADT's/UNITS:FEE/APT: D 3. BRIDGE AND THOROUGHFARE FEE (DIST. #1 ADT's/UNITS:__ _ X D 4. FACILITIES MANAGEMENT FEE UNIT/SQ.FT.: D 5. SEWER FEE EDU's: ' BENEFIT AREA: T EDU's: ZONE: = $~7 /TV . DIST. #3 X FEE/SQ.FT./UNIT: / ^ ^- U: '* > =$ FEE/EPU: D 6. SEWER LATERAL ($2,500) D 7. DRAINAGE FEES PLDA ACRES: = $_ HIGH /LOW_ FEE/AC:= S D 8. POTABLE WATER FEES UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION C*> n&^\ Word\DocK\Mlifonra\FMCateutetkm Worksheet Iof2 Rev. 7/14/00 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. P -n / LLc- Name of Owner Telephone 8e>0 Address LA Cg. Project Address Carlsbad. California City, State Zip Code City, State Zip Code Assessor's Parcel Number or APN and Lot Number if not yet subdivided by County Assessor. 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): OPTION (2): I elect to pay the SPECIAL TAX - OJffi-TIME now, as a one-time payment. Amount of One-Time Special Tax: $ «j« & /8* " -_ . Owner's Initials I elect to pay the SPECIAL DEVELOPMENT TAX ANNUALLY for a period not to exceed Jwenty-five (25) years. • Maximum Aunaal > Special Tax: $ I I V • . Owner's 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 WlTH THE PROVISJONS 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 mis information. Land Use, FY,Factor /.X Square Ft.£ ST? g 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: Number of New Dwelling Units Square Feet of Living Area in New Dwelling Second Dwelling Unit: Square Feet of Living Area in SOU ' Residential Additions: Net Square Feet New Area LL Commercial/Industrial: Square Feet Floor Area City Certification of Applicant Information: Carlsbad Unified School District 6225 El Camino Real Carlsbad CA 92009 Q ffft J?/ 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 projects), or that the person executing this declaration is authorized to sign on behalf of the Owner. Signature:Date: Revised 4/20/00 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 PtnilHinn l^rti in* or • tffif\\ (760) 602-270O 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 TITLE NAME OF SCHOOL DISTRICT DATE PHONE NUMBER 6225 ELCMHNO REAL Revised 4/20/00