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Home My WebLink About2234 FARADAY AVE; BLDG 4; CB051149; Permit09-29-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB051U9 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2234 FARADAY AV CBAD COMMIND Sub Type: INDUST 2121203900 Lot#: 0 $104,520.00 Construction Type: NEW Reference #: FARADAY SPECTRUM BLDG4 4020 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 Owner: Buildftg Permit Add1! Building Permit Fee Plan Check Add1! 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 $365.27 $0.00 $0.00 $21.95 $0.00 $1,608.00 $0.00 $0.00 $0.00 $0.00 $0.00 / $0.00 $0.00 $0.00 Traffic Impact Fee (3105J541) Traffic Impact Fee (4305541) fiedev Parking Fee Additional Fees TOTAL PERMIT FE1 $0.00 $0.00 $0.00 $0.00 $1,902.26 $0.00 $0.00 $0.00 $560.00 $0.00 $70.00 $310.00 $0.00 $0.00 $2,926.40 $0.00 $0.00 $8,325.84 Total Fees:$8,325.84 )ue:$0.00 Inspector: FINAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedcatkxts, 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 foflow the protest procedures set forth in Government Code Section 66Q20(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 Witt bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to pro^ the spectfWfees/exacttons DOES NOT APPLY to w^ changes, nor planning, zoning, grading or other staiilarappllcaticflprc<»sslngwservto 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 KmHatlons has previously otherwise expired. Final Building Inspection Dept: Building En Plan Check ft PC05-33 Permit*: Project Name: «ring Planning CMWD StLite Fire Date: CB051149 FARADAY SPECTRUM BLDG4 4020 SF SHELL BUILDING MAY 3 2006 05/03/2006 Permit Type: COMMIND Sub Type: INDUS! Address: Contact Person: Sewer Dlst: Inspected Inspected Bv: Inspected Bv: 2234 FARADAY AV LUKE Phone: 8584377617 Water Dist: t Date , i t4-^/\c* Inspected: o^fTo/D Date Inspected: Date Inspected: Lot: 0 (0 Approved: •/ Approved: Approved: Disapproved: Disapproved: Disapproved: Comments: CltytfCtflsftatf nnal Building Inspection Dept: Building Engineering Planning CMWD StLite Plan Check*: PC05-33 Permit*: CB051149 Project Name: FARADAY SPECTRUM BLDG 4 4020 SF SHELL BUILDING Address: 2234 FARADAY AV Lot: Contact Person: LUKE Phone: 8584377617 Sewer Dlst: M * Water Ditt: Date: 05/03/2006 Permit Type: COMMIND Sub Type: INDUST Inspected By: Inspected By: Inspected By: Date Inspected: Date Inspected: Date Inspected: Approved:1 .Approved: . Approved: Disapproved: Disapproved: Disapproved: Comments: x PLANNING DEPARTMENT FINAL INSPECTION CHECKLIST Projec Addre Projec Contac t NamerFaradav Spectrum Bide 4 Plan Check No. CB 051 149 ss: 2234 Faradav Ave Proiect Number: t Planner :t Person Ins 1st & t_b 2nd : Van Lvnch Extension ROUTING BLDG A.WEST PLANNER___ PELA A. WEST BLDG Phone No. (858) 437-7617 Drawing No. 427 9 pections Approved t/^A-- / )r } I \> 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) UST 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. Ly ipL^ s^os PELA r Date (H:\ADMIN\COUNTER\Final Insp Check)05/03/2006 CHvtftllttMl Final Bunding Inspection Dept: Building Engineering PlaanMg CMWD StLite Fire Plan Check #: Permit ft Project Name: Address: Contact Person: Sewer Diet: Inspected Bv: Inspected Bv: Inspected Bv: Comments: PC05-33 ^ CB051149 FARADAY SPECTRUM BLDG4 4020 SF SHELL BUILDING 2234 FARADAY AV LUKE Phone: 8584377617 Water Dist: Date Inspected: Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot: 0 Aooroved: S AD Droved: Aooroved: 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: CONSTRUCTION TESTING & ENGINEERING. INC. ENGINEERING, INC. INSPECTION REPORT PAGE 1 REPORT#3 .OF 1 CTEJOB# .10-801 PROJECT NAME: Faraday Spectrum. ADDRESS: 2234 Faraday Ave. Carisbad,Ca ARCHITECT: Smith Consulting Architects. ENGINEER: Chung Y. Song.( # 2685) CONTRACTOR: TSA Contractors. INSPECTION DATE: 12-16-05 PLAN FILE: BLDG. PERMIT: (# Bldg.#4) CBO51149 OTHER: SUB-CONTRACTOR San Diego-Construction Welding/Whitacre INSPECTION OCONCRETE OMASONRY O P.T.CONC. (X) FIELD WELD () SHOP WELDING () PILE DRIVING OBATCH PLANT ()EXP. ANCHOR () OTHER MATERIAL IDENTIFICTION CONCJrfDW/PSI GROUTMK#/PSI MORTAR TYPE/PSI REBAR GRADE 50-A706 STR. STEEL: A36 H.S. BOLT: MAS. BLOCK BU3CTRODE: -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 %' "angle iron for vertical splice tie down connections to #5-rcbar & 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-Bft, & A-B/2. REF. DET. 9/Sr>l. (NOTE: TYP. rebar welding schedule det-l/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 tiie 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-l/Sl). 1.3 Observed welding of %"by 2" long fillet welds for connection of (4) angle iron pl.s to embedded pl.s 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.Eod 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 KUNQE,SIGNATURE: CERTIFICATION NO: # 5262291-85 CONSTRUCTION TESTING & ENGINEERING, INC. F.SrONDflKVTRArY-TOllONA-OXNARn-l.ANrASTKR-SArRMKNTO ENGINEERING, INC. INSPECTION REPORT PAGE 1 OF 1 CTEJOB# .10-801 REPORT # PROJECT NAME: Sarazay Spectrum. ADDRESS: 2234 Faraday Ave. Carlsbad,Ca ARCHITECT: Smith Consulting Architects. ENGINEER: Chung Y. Song.( # 2685) CONTRACTOR: TSA Contractors. INSPECTION DATE: 1-30-06 PLAN FILE: BLDG. PERMIT: (# Bldg.#4) CBO51149 OTHER: SUB-CONTRACTOR San Diego-Construction Welding/Whitacre INSPECTION () CONCRETE ()MASONRY ( ) P.T.CONC. (X) FIELD WELD () SHOP WELDING () PILE DRIVING () BATCH PLANT ()EXP. ANCHOR () OTHER MATERIAL DOENTIFICnON CONC.MDC#/PSI GROUTMDCWPSI 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( %"H3/8") 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-4. DET.17/SD3 & 12/SD1. 1.2 Observed welding of Wfillet welds for connection/installation of truss's to truss seat at the following locrl- 2/A & 1-2/B.REF.S-4. DET.2/SDZ 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:l-l.l/A.8 & U-1.2/B. REF.S-4. DET.8,9,10,13/SD4. 1.4 Observed fit-up & installation of (4) W12 by 14 beams using VV'fiuet welds & bohs for fit-up/connection in the following locations: 1-1.1/B, & 1-I.3/B. REF.S-4. 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) __JUSTIN RUNGE_SIGNATURE: CERTIFICATION NO: # 5262291-85 City of Carlsbad Bldg Inspection Request For: 05/05/2006 Permit* CB051149 Title: FARADAY SPECTRUM BLDG 4 Description: 4020 SF SHELL BUILDING Inspector Assignment: JM Sub Type: INDUST 2234 FARADAY AV Lot Type:COMMlND 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: JANEAN 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 NAIL OFF ROOF SHEATING - INSTALL HARDWARE @ TOWER OK TO POUR STRAP NO INSP/ STEEL/BEAM PANELS OK TO POUR SLAB OK TO POUR FOOTING - UFER OK Date 05/03/2006 01/27/2006 01/24/2006 01/17/2006 12/23/2005 12/23/2005 12/19/2005 11/21/2005 10/31/2005 10/25/2005 10/24/2005 09/30/2005 Description 89 Final Combo 15 Roof/Reroof 15 Roof/Reroof 11 Ftg/Foundation/Piers 11 Ftg/Foundation/Piers 31 Underground/Conduit-Wiring 12 Steel/Bond Beam 14 Frame/Steel/Bolting/Welding 11 Ftg/Foundation/Piers 11 Ftg/Foundation/Piers 11 Ftg/Foundation/Piers 22 Sewer/Water Service Act CO AP CO AP CO CO NR AP AP PA NR AP Ins; JM JM JM PD TP TP TP JM JM JM JM JM c T EONSTRUCTION 1ESTING & JLNGINEERING, INC. ESCONDIDO • TRACY • RIVERSIDE • OXNARD • LANCASTER • SACRAMENTO INSPECTION REPORT PAGE CTE JOB # REPORT # PROJECT NAME: ADDRESs(^l\\ ARCHITECT: VMP VC*\ CONTRACTOR: INSPECTION DATE PLAN FILE: : \\ I BLDG PERMIT: OTHER: MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING ( ) MASONRY BLOCK ( )REBAR ( ) STRUCTURAL STEEL ( ) BOLTS <, 7 ? frfa to If \o-.Q C, •-'-* .id l*P . I \ > dome / rs / NAME: (PRINT) CERTIFICATION NO: SIGNATURE \| s£fr&g7<? / GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 1441 MONTffiL ROAD, SUITE 115, ESCONDIDO, CA 92026 (760) 746-4955 FAX (760) 746-9806 c T EONSTRUCTION X ESTING & JLrf NGINEER1NG, INC. ESCONDIDO • TRACY • RIVERSIDE • OXNARD • LANCASTER • SACRAMENTO PAGE V OF \INSPECTION REPORT CTE JOB # REPORT # \\ PROJECT NAME: ADDRESS: ARCHITECT: ENGINEER:^ CONTRACTOR: INSPECTION DATE: _ PLAN FILE: K/A BLDG PERMIT: OTHER: MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPR.OOFING ( ) STRUCTURAL STEEL ( ) BOLTS ( ) MASONRY BLOCK ( )REBAR NAME: (PRINT) CERTIFICATION NO: SIGNATURE GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 1441 MONTIEL ROAD, SUITE 115, ESCONDIDO, CA 92026 (760) 746-4955 FAX (760) 746-9806 SOIL ft TESTING. INC SOUTHERN CALIFORNIA SOIL & TESTING, INC. 6280 RIVERDALE STREET, POST OFFICE BOX 600627, SAN ifffiGO, CA 92160-0627 Phone (619) 280-4321, FAX (619) 280-47l| FT6- S^-D 3,^SC&T FILE NO. J R O. NO.: C PL NC FIX ' PAGE / OF /- SOILS ENGINEERING & GEOLOGY FIELD REPORT: D SITE OBSERVATION D GRADING OBSERVATION D PR-GRADE ^FOOTING OBSERVATION D PIER OBSERVATION D PROJECT TITLE: x *y / -C4*i$t£4£> ftoF&afwfi- / sZAtiyry 2f& PROJECT ADDRESS: f' ^^ * -»^ ARCHITECT: /• y x* GENERAL CONTRACTOR: -TV * LOCATION OF WORK INSPECTED: *r . . . , 5—t>t-&4 * j */ mm* DSA FILE NO.: DSA APP. NO.: PERMIT NO.: If US* J PLAN FILE NO.: ENGINEER: SUB CONTRACTOR: **5 KZmwrrfj1*!* DATE: dr fir ^ & D DESCRIPTION OF WORK INSPECTED:TIME ARRIVED: /^i*< TIME DEPARTED: /^iT 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 Dl &OPUPMT ^ _—** > *c-** — T <f COMMENTS: s~\ 4-> & '•Igratur* P.E. REVIEW -7 s* — ?***r*/ I - tNSPECjflfafesiGHATURE // REGISTRATION Mo. •SUPERINTENDENT S SIGNATURE DATH auttXHizM ttw Ibov* WoHe SCST 200 (02AM) Carl Schmidt Inspection Services. Inc. DAY THURSDAY P.O.Box 178403 San Diego, CA 92177-8403 (619) 855-9252 SPECIAL INSPECTION REPORT Project; FARADAY SPECTRUM Addren; 2214 THROUGH 2248 FARADAY AVE. Cftyg CARLSBAD CA Permit Number: CBO5-1146 TO CBO5-1154 Pbui File Nvmber: TYPE OF OBSERVATIONS: Reinforcing Steel Reinforced Concrete Structural Masonry Field Welding Epoxy Prestressed Concrete Shop Welding X Bolting Fireproofing_ Number of Samples: Ttype: Materials/PcsitmMixyPsiA 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, 8B 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 A>TO SPECIFICATIONS UNLESS OTHER WISE NOTED DUANELORENZ ran**** SD» TIME IN: 1130 TIME OUT: 1500 Certification** General Contractor: TSA ttxme: Signature Carl Schmidt Inspection Services. Inc. DAY WENSDAY P.O. Box 178403 Sm Diego, CA 92177-8403 (619) 855-9252 SPECIAL INSPECTION REPORT Protect; FARADAY SPECTRUM Address: 2214 THROUGH 2248 FARADAY AVE. Ctty; CARLSBAD CA Permit Number: CBO5-1146 TO CBO5-1154 nan Ffle Nuber: __________ TYPE OF OBSERVATIONS: Reinforcing Steel Reinforced Concrete Structural Masonry Field Welding Epoxy Presteesaed Concrete Shop Welding J>£_ Bolting Fiicproofing_ Number of Samples: "type: Materiala/DeagnMix/PsiA 36 STEEL , A500 TUBE STEEL E71T-1 Date: 12/20/05 REPORT ONSITE 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 MATCHUP AS PER APPROVED RFI AND DRAWING DATED 12-16-05,0239 PM AND DETAILS 9,13,15/SD4. THE FOLLOWING BEAM PC # WERE MODIFIED: 6A, 6B, 5A.5B 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 Pl^WS AND SPECIHCAT1ONS U>OJESS OTHER WISE NOim) DUANELORENZ tccn**** SDM TIME IN: 1200 TIMEOUT: 1600 Certification* General Contractor TSA Phone: Signature PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR (<$10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE OTHER PLANNER ENGINEER COMPLETE OFFICE BUILDING DATE DATE Docs/Mfsfbrms/Ptonnin0 EnginMring Approval! D Estimate based on unconfirmecLinformation from applicant. D Calculation based on building prancheck plan submittal. Address: Prepared by:Date: Bldg. Permit No. Checked by:Date: EDU CALCULATIONS: List types and square footages for all uses. Types of Use: ^ Q^Xs—- Sq. Ft./Units: V D VQ EDU's: Types of Use: Sq. Ft./Units: EDU's: APT CALCULATIONS: List tvpes and square footages for all uses. Types of Use: VO t^*-£=— Sq. Ft./Units: H D ^ O ADT's: Types of Use: Sq. Ft./Units: __ 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: 2. TRAFFIC IMPACT FEE ADT's/UNITS:X FEE/ADT: /> Q = S D 3. BRIDGE AND THOROUGHFARE FEE {DIST. ADT's/UNITS: X D 4. FACILITIES MANAGEMENT BEE UNIT/SQ.FT.: D 5. SEWER FEE EDU's: l ZONE: X BENEFIT AflEA: . EDU's: .fl 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 METER FEE NP->-^ SDCWA FEE IRRIGATION Iof2 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. Name of Owner Telephone Address LA 1.1L. City, State ^l Cc. <?toi-7 Zip Code Project Address Carlsbad, California City, State 9200 6 Zip Code Assessor's Parcel Number or APN and Lot Number if not yet subdivided by County Assessor. Building Permit Number(s) As cited by Ordinance No. NS-155 and adopted by die City of Carlsbad, California, the City is authorized to levy a Special Tax in Community Facilities District No. 1. All non-residential property, upon the 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 die appropriate line below: OPTION (I): OPTION (2): I elect to pay flic SPECIAL TAX -J?N One-Time Special Tax: $ >wf as^a. oqr-£»« payment. Amount of Q fc • . Owner's Initials I elect to pay the SPECIAL DEVELOPMENT TAX ANNUALLY for a period not to exceed twenty-five (2i) ,vear>> • Maximum Arnnjal^ JJpecial Tax: $ ^.IfatfjJft! "" OLL. . Owner's Iritis 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 COMPLYJWTTH 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 (.(2. X Square Ft V, fl2,0 = H( 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 wilt 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: r •ru Number of New Dwelling 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: SCHOOL PlSTRlCTfr^OTHIN THE CITY OF CARLSBAD Carlsbad Unified School District 6225 El Camino Real rarlshaq- CA 92QQ9 (311 -5000) 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: Revised 4/20/00 1635 Faraday Avenue • Carlsbad, CA 92008-7314» /-7Rn\ Rno.o-7-iQ « FAV (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 CARLSBAD UNIFIED SCHOOL 1 NAME OF SCHOOL DISTRICT 6225 EL CAMINO REAL CARLSBAD. CA 92009 DATE PHONE NUMBER Revised 4/20/00