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Home My WebLink About2240 FARADAY AVE; BLDG 5; CB051150; Permit09-29-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CBOSUSO Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No; Valuation: Occupancy Group: Project Title: 2240 FARADAY AV CBAD COMMIND Sub Type: INDUST 2121203900 Lot#: 0 $129,480.00 Construction Type: NEW Reference #: FARADAY SPECTRUM BLDG 5 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 Owner. Building Permit Add! Building Permit Fee Plan Check Add! Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add! Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee .Fee $415.32 $0.00 $0.00 $27.19 $0.00 1,992.00 $0.00 $0.00 $0.00 $0.00 $0.00 License Tax (3104193) Lteense Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL $0.00 $0.00 $0.00 Redev Parking Fee Additional Fees TOTAL PERMIT $0.00 $0.00 $0.00 $0.00 $2,356.54 $0.00 $0.00 ; $0.00•; $700.oo $0.00 $70.00 $610.00 $0.00 $0.00 $3,658.00 $0.00 $0.00 $10,468.01 Total Fees:$10,468.01 ue:$0.00 Inspector: >VAL Clearance: NOTICE: Please take rX)T1CE that approval of your project InchKtes the Impost 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 Sectim66020(a),ard file tta protest and am/ot^ 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 (re specified fees/exactions DOES fKF APPLY to water and sewer c^^ changes, nor planning, zoning, grading or o^er simitaf applkation processliw NOR DOES IT APPLY to any fees/axactiws of which vou have wevtoush/bem final Building Inspocdon Dept: Building Engineering Planning CMWD St Lite we Plan Check 1: Permit*: Project Name: Addrese: Contact Person: Sewer Dist: Inspected - Bv: i> Inspected Bv: Inspected Bv: Comments: PC05-33 CB051150 FARADAY SPECTRUM BLDG5 4980 SF SHELL BUILDING 2240 FARADAY AV LUKE Phone: 8584377617 Water Dist: ' J*Ja Date / /# AT**t Inspected: £/-2_/&ttft »7«-y^T- ' Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot: 0 9 Approved: ^_ Approved: Approved: 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: Final Building Inspecdra Dept: Building Enj^neering Planning CMWD StLite Fire R £ ECEIVED MAY 3 2006 CITY OF CARLSBAD ^NGINKERING DEPARTMENTCM&I DIVISION Plan Check #: Permit*: Project Name: Addren: Contact Person: Sewer Ditt: InspeclSd Inspected Bv: Inspected Bv: Comments: PC05-33 CB051150 FARADAY SPECTRUM BLDG5 4980 SF SHELL BUILDING 2240 FARADAY AV LUKE Phone: 8584377617 Water DM: Dstfi i/t-^xcA' Inspected: d>{/'*O/0 Date Inspected: Date Inspected: Date: PermftType: Sub Type: Lot: 0 (# Approved: *^ Approved: Approved: 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: ^ PLANNING DEPARTMENT FINAL INSPECTION CHECKLIST Projeci Addre Projec Contac t Name:Faradav Spectrum Bide 5 Plan Check No. CB 051150 ss: 2240 Faradav Ave Proiect Number: t Plannei :t Person : Van Lvnch Extension ROUTING BLDG A.WEST PLANNER PELA A.WEST BLDG Phone No. (858} 437-7617 Drawing No. 427 9 Inspections 1st >c / \ / • 2nd Approved Y pr ' 1 1i 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 1 2. 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. I/ ' yurl/"" JL^r^^O PELA Date (H:\ADMIN\COUNTER\Final Insp Check)05/03/2006 CltysfCiftftN Final Budding Inspection Dept: Building Engineering CMWD StLite Fire Plan Check *: Permit*: Project Name: Address: Contact Person: Sewer Dlst: Inspected Bv: Inspected Bv: Inspected Bv: Comments: PC05-33 CB051150 FARADAY SPECTRUM BLDG 5 4980 SF SHELL BUILDING 2240 FARADAY AV LUKE Phone: 8584377617 Water Dlst: Date Inspected: Date Inspected: Date Inspected: Date: 05/03/2006 Permit Type: COMMIND Sub Type: INDUST Lot: 0 Approved: xC Disaporoved:\ Approved: Disapproved: Approved: Disapproved: City of Carlsbad Bldg Inspection Request For: 05/05/2006 Permit* CB051150 Title: FARADAY SPECTRUM BLDG 5 Description: 4980 SF SHELL BUILDING Inspector Assignment: JM Subtype: INDUST 2240 FARADAY AV Lot Type: COMMIND 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 Act Comment4fc 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 OK TO POUR STRIP Date 05/03/2006 01/27/2006 01/24/2006 01/17/2006 01/12/2006 01/12/2006 01/05/2006 01/05/2006 01/03/2006 12/23/2005 12/23/2005 12/19/2005 1 1/22/2005 Description 89 15 15 11 11 21 13 81 15 11 31 12 12 Final Combo Roof/Reroof Roof/Reroof Ftg/Foundation/Piers Ftg/Foundation/Piers Underground/Under Floor Shear Panels/HD's Underground Combo Roof/Reroof Ftg/Foundation/Piers Underground/Conduit-Wiring Steel/Bond Beam Steel/Bond Beam Act CO AP NR AP NR NR we we CO CO CO NR AP Ins; JM JM JM PD JM JM JM JM JM TP TP TP JM NEED APPROVED TRUSS PACKAGE NO INSP CONSTRUCTION TESTING & ENGINEERING, INC. ENGINEERING, INC. INSPECTION REPORT PAGE___1 OF 1 CTEJOB#.10-80T REPORT* PROJECT NAME: Sarazay Spectrum. ADDRESS: 2240 Faraday Ave. CarIsbad\Ca ARCHITECT: Smith Consulting Architects. ENGINEER: Chung Y. Song.( # 2685) CONTRACTOR: TSA Contractors. INSPECTION DATE: 1-30-06 PLAN FILE: BLDG. PERMIT: (# Bldg.#5) CBO51150 OTHER: SUB-CONTRACTOR San Diego-Construction Welding/Whitacre INSPECTION OCONCRETE OMASONRY O P.T.CONC. (X) FIELD WELD () SHOP WELDING () PILEDRIV1NG () BATCH PLANT ()EXP. ANCHOR O OTHER MATERIAL IDENTIFICTION CONC.MDW/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 ( )FIREPROOFING ( ) MASONRY BLOCK ( ) REBAR QC ) STRUCTURAL STEEL ( ) BOLTS INSPECTION PERFORMED, JOB PROBLEM, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, AND ni?»* 4 n vc 1.1 Observed installation of 2 x 2 x( W>(3/8") angle iron for horizontal panel to panel splice connections to #5-#9 rebar.(at the roof level) using (2) 3"-5 !4"double flare groove welds per side at the following location: 1-2/A & 1-2/B. REF.S-5. DET.17/SD3 & 12/SD1. 1.2 Observed welding of W fillet welds for connection/installation of truss's to truss seat at the following loc:l- 2/A& l-2yfi.REF.S-5. 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 loc:1.8-1.9/A & 1.9-2/A.2. REF.S-5. DET.8,9,10,13/SD4. 1.4 Observed fit-up & installation of (4) W12 by 14 beams using "//'fillet welds & bolts for fit-up/connection in the following locations:M.l/B, & 1-1.3/B. REF.S-5. DET.1B/SD5 & l(MOa/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. : (PRINT) _JUSTIN RUNGE,SIGNATURE: CERTIFICATION NO: # 5262291-85 CONSTRUCTION TESTING & ENGINEERING. INC ENGINEERING, INC. INSPECTION REPORT PAGE 1 OF 2 CTEJOB#.10-80T REPORT#4 PROJECT NAME: Faraday Spectrum. ADDRESS: 2240 Faraday Ave. Carlsbad,Ca ARCHITECT: Smith Consulting Architects. ENGINEER: Chung Y. Song.( # 2685) CONTRACTOR: TSA Contractors. INSPECTION DATE: 12-19-05 PLAN FILE: BLDG. PERMIT: (# Bldg.#5) CBO51150 OTHER: SUB-CONTRACTOR San Diego-Construction Welding/Whhacre INSPECTION OCONCRETE OMASONRY () P.T.CONC. (X) FIELD WELD () SHOP WELDING () PJLEDRIVING () BATCH PLANT ()EXP. ANCHOR (.) OTHER MATERIAL IDENTIFICATION CONC.MDC#/PSI GROUTMDCWPSI MORTAR TYPE/PSI REBAR GRADE 50-A706 STR. STEEL: A36 as. 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. S-4. DET. 9/SD-L (NOTE: TYP. rebar welding schedule det.-1/Sl). 1.2 Observed installation of 2 x 2 x 1A" angle iron for horizontal panel to panel splice connections to #S-rebar ( At roof level) using (2) 3" double flare gnx>ve welds persideat^fbUowinglocations:l-2/A, 1-2/B, A-B/1, & A-B/2. REF.S-4. DET. 17/SD-3.(NOTE: TYP. Rebar welding schedule det-l/Sl). 1.3 Observed welding of W 'by 2'' long fillet welds for connection of (4) angle iron pl.s to embedded pl.s in the wall panels for a inhered corner wall splice connection at the following locationrl/A, 1/B, 2/A &. 2/B. REF.S-4. 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) _JUSTBi RUNGE.SIGNATURE: CERTinCATION NO: # 5262291-85 c TONSTRUCTION ± ESTING & MLi NGINEERING, INC.E ESCONDIDO • TRACY • RIVERSIDE • OXNARD • LANCASTER • SACRAMENTO ^ ^ INSPECTION REPORT PAGE i OF __ &L. u f_J^V/ ^ ' . r" A ^% rf { / -~ — > nPROJECT NAME: f"7^^X/t^r ^t i~ c / '?{.&**' ADDRESS: /^"2-~£ [~$&.^£'A-^L^ f , ^ ,,. _: :~~ U ARCHITECT: ENGINEER: T " A. s'~ ',--1"-" '''"' ~ t~"> ^.^T" / "J&A/c- -=• INSPECTION DATE: / / ?- 2 O^ PLAN FILE: BLDG PERMIT: ^ V>C> ^ OTHER: V^«f>- INSPECTION ^CONCRETE ( ) MASONRY ( ) P.T. CONC. ( ) FIELD WELD ( ) SHOP WELDING ( ) PILE DRIVING ( ) BATCH PLANT ( )EXP. ANCHOR ( ) OTHER CTE JOB # /& - YZ:s 3 2 T REPORT # MATERIAL IDENTIFICATION CONC.MIX#/PSl GROUT MIX8/PSI MORTAR TYPE/PS1 REBAR GRADE STR. STEEL H.S.BOLT MAS. BLOCK ELECTRODE MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING ( ) MASONRY BLOCK ( ) REBAR ( ) STRUCTURAL STEEL ( ) BOLTS INSPECTION PERFORMED, JOB PROBLEM, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS Certification of Compliance: All work, unless otherwise noted, complies with the approved plans and specifications and the uniform building code. ., , 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 c T,EINSTRUCTION A ESTING & H/NGINEERING, INC. ESCONDIDO • TRACY • RIVERSIDE • OXNARD • LANCASTER • SACRAMENTO INSPECTION REPORT PAGE * OF CTE JOB # 10 REPORT # PROJECT NAME: ADDRESS: ENGINEER: *Prfft<? CONTRACTOR: INSPECTION DATE: \C> I PLAN FILE: H/A BLDG PERMIT: OTHER: MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING ( ) MASONRY BLOCK ( )REBAR ( ) STRUCTURAL STEEL ( ) BOLTS NAME: (PRINT) >^_ CERTIFICATION NO: SIGNATURE GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 1441 MONTIEL ROAD, SUITE 115, ESCONDIDO, CA 92026 (760) 746^955 FAX (760) 746-9806 SOU a TESTING, IN'40812 SOUTHERN CALIFORNIA SOIL & TESTING, INC. 6280 RIVERDALE STREET, POST OFFICE BOX 600627, SAN DIEGO, CA 92160-0627 Phone (619) 280-4321, FAX (619) 280-4717 SCS&T FILE NO.'3/6 P.O. NO.: PAGE OF FIELD INSPECTION REPORT FOR: n REINFORCED CONCRETE n REINFORCED MASONRY n WELDING n FIREPROOFING D Q.C. CONCRETE D ROOKING/WATERPROOFING D PT. CONCRETE/STRESS O EPOXY ANCHORS D H.S. BOLTING D PROJECT TITLE:ASE#:DSA FILE NO.:DSAAPP. NO.: PROJECT ADDRESS PERMIT NO.:PLAN FILE NO.: ARCHITECT:ENGINEER: GENERAL CONTRACTOR:SUB CONTRACTOR: LOCATION OF WORK INSPECTED:S 9. MATERIAL CLASSIFICATION: DESCRIPTION OF WORK INSPECTED: TIME ARRIVED:TIME DEPARTED: UBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, the work inspected is to the best of my knowledge incompliance with the approved plans, specifications and applicable sections of the governin^puilding laws. Inspector Initials ^» DSA I hereby certify that I have inspected the above reported work in accordance with the requirements of DSA approved documents. Sampling and testing were conducted in accordance with the requirements of the DSA approved documents. The work inspected complies with the DSA approved documents. Yes: No: Inspector Initials INSPECTORS SIGNATURE REGISTRATION No. •SUPERINTENDENTS SIGNATURE 'slgnitura authorize* tha abova work. SCST205 (REV 8/04) < SOIL & TESTING, INC SOUTHERN CALIFORNIA SOIL & TESTING, INC. 6280 RIVERDALE STREET, POST OFFICE BOX 600627, SAN DIEGO, CA 92160-0627 Phone (619) 280-4321, FAX (619) 280-4717 SCS&T FILE NO P. O. NO.: C PI NC FIY PAfiF OF SOILS ENGINEERING & GEOLOGY FIELD REPORT: D SITE OBSERVATION D GRADING OBSERVATION D PR-GRADE PRWECT^ig^rX^WJ £*4t&u/ fLC-i PROJECT ADDRESS: Q.<SL£j£) /? ** x A v A ARCHITECT: ' / GENERAL CONTRACTOR: LOCATION OF WORK INSPECTED: /90J.J <—QflyCL. O J f i DSAFILENO.: DSAAPP.NO.: a PERMIT NO.:/7 x? ^ S?'//'C~Sr) PLAN RLE N0" ENGINEER: SUB CONTRACTOR: TJF-fl'*5 X * "5( * "? DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: MINIMUM CHARGE: SOIL CONDITIONS ARE SUBSTANTIALLY IN CONFORMANCE WITH THOSE ASSUMED IN THE SOIL INVESTIGATION REPORT. ' FOUNDATION EXCAVATIONS EXTEND TO THE PROPER DEPTH AND BEARING STRATA. FOUNDATION EXCAVATIONS DEMONSTRATE AN ADEQUATE AMOUNT OF COMPACTION FOR THE PROPOSED BEARING PRESSURE. FOUNDATION EXCAVATIONS SHOULD BE CLEARED OF ALL LOOSE SOILS PRIOR TO CONCRETE PLACEMENT. COMMENTS: K \\ A. , |\ *'K P.E. REVIEW 1 P v <" '* ' /'y/V_\™\ \\ M v /! INSPECTOR S KCNATURE REGISTRATION No. SCST 200 (02W) Carl Schmidt Inspection Services. Inc. DAY THURSDAY P.O. Box 178403 San Diego, CA 92177-8403 (619) 855-9252 SPECIAL INSPECTION REPORT Prefect; FARADAY SPECTRUM Address: 2214 THROUGH 2248 FARADAY AVE. Ctty; CARLSBAD CA Permit Number: CBO5-1146 TO CBO5-1154 Ptoi Fife Number: _ TYPE OF OBSERVATIONS: Reinforcing Steel Reinforced Concrete . Structural Masonry Field Welding fipoxy Prestxesaed Concrete Shop Welding X Bolting Fireproofing_ Number of Samples; "type: Ntoerials/DcsignMix/PsiA 36 STEEL , A5QQ TUBE STEEL E7IT-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 APPROVEDRFI AND DRAWING DATED 12-16-05,02:39 PM AND DETAILS 9,13,15/SD4. THE FOLLOWING BEAM PC # WERE MODIFIED:, 6B, SB AND 8A INSPECTED AND ACCEPTED FIT UP AND SHOP WELDING PERFORMED THIS DATE. (1) WELDER USING FCAW-G AND E71T-1 ELECTRODE WORK INSPECTED CONFORMS WITH APPROVED I^JWS AND a*ECIK(^TIONSUNl^SS OTHERWISE NOTED DUANELORENZ KCS»M»« SDMI TIME IN: 1130 TIME OUT: 1500 Certification # General Contractor: TSA Address: Signature Cart Schmidt Inspection Services* Inc. DAY P.O. Box 178403 San Diego, CA 92177-8403 (619) 855-9252 SPECIAL INSPECTION REPORT Protect; FARADAY SPECTRUM Addrcta: 2214 THROUGH 2248 FARADAY AVE. CARLSBAD CA Permit Number: CBO5-1146 TO CBO5-1154 Pto FOe Nubcr: TYPE OF OBSERVATIONS: Reinforcing Steel Reinforced Concrete Structural Masonry Field Welding Epoxy Prestressed Concrete Shoo Welding X Sotting Fireproofing_ Number of Sarnies: 1>pe: Materials/DcsignMix/PsiA 36 STEEL , A500 TUBE STEEL E71T-1 Date: 12/20/05 REPORT ONSITE AT STRUCT STEEL FOR VISUAL INSPECTION OF WELDING OF MODIFIHCATION OF WIDE FLANGE BEAMS. SCOPE OF WORK FABRICATE, FIT TIP 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, 5A3B 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 APPRO\HTOPIANS AND SPECinCATlONSl^OJBSS OTHERWISE NOTED DUANELORENZ KCS*W»* sow TIME IN: 1200 TIMEOUT: 1600 Certification # General Contracts: ISA Phone: Signature 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 T Address Co. Project Address Carlsbad, California 9200 *& City, State Zip Code City, State Zip Code "Z.17.©o 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, Califomia, 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 the appropriate line below: I elect to pay the SPECIAL TAX - One-Time Special Tax: $ now^ as a one-time payment. Amount of * __ ... .. - . Owner's Initials OPTION (1): OPTION (2): I DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE UNDERSIGNED IS THE PROPERTY OWNER OF THE SUBJECT PROPERTY AND THAT I UNDERSTAND AND WILL COMPLY WITH THE PROVISIONS AS STATED ABOVE. I elect to pay the SPECIAL DEVELOPMENT TAX ANNUALLY for a period not to exceed twenty-rive (25) years. • Maximum ApnuaJ , Special Tax: S \ C- *""*- Owner's InitiB Signature of Property Owner 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 /. t*L X Square Ft. 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 COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER DATE DATE DocsMiafonn«A>lannlng EnglnMrlna Approvals D D ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET Estimate based on unconfirmed information from applicant. Calculation based on buildirtgr plane heck plan submittal. Address: Prepared by:JDate: Bldg. Permit No. Checked by:Date: EDU CALCULATIONS: List types and square footages for all uses. T / JT1^Types of Use: Types of Use: • Sq. Ft./Units:_ Sq. Ft./Units: APT CALCULATIONS: List types and square footages for all uses. Types of Use: (A)^-**^- Sq. Ft./Units: ^f~) 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 PARK AREA & #: D D a D a a FEE/UNIT: X 2. TRAFFIC IMPACT FEE / ADT's/UNITS: t"J X 3. BRIDGE AND THOROUGHFARE FEE {DIST. ADT's/UNITS: X 4. FACILITIES MANAGEMENT FEE ZONE: UNIT/SQ.FT.: T 'Q^ X 5. SEWER FEE , EDU's: ' X BENEFIT AREA: T EDU's: ' X 6. SEWER LATERAL ($2,500) 7. DRAINAGE FEES PLDA : ACRES: X NO. UNITS: = $ <^~ ~)<S 7 (/]} V FEE/ADT: ^ ft =$ ( ^ #1 ^-^ DIST. #2 DIST. #3 ) ^Vv. FEE/ADT: = $ FEE/SQ.FT./UNIT: ^T ® = $ I / / Qkf SP f ^FEE/EDU: /(7J =$ SU J V FEE/EDU: ^*° ' - $ Lk> / ^ = $ ~-~^- HIGH /LOW FEE/AC: -$ ^~*~*^ D 8. POTABLE WATER FEES UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION L^ Iof2 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: P-f LL 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 City Certification of Applicant Information: Floor Area LJ C* &Q jJ —^^ f JLs-Date: C{ SCHOOL PISTRICTS-WITHIN THE CITY OF CARLSBAD Carlsbad Unified School District 6225 El Camino Real CA 92009 San Marcos Unified School District 215 Mate Way 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 92OO8-7314 • (760) 602-27OO 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 alt 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 _.,-., ... GAYLEN FREEMANTITLE DEPUTY SUPERINTENDENT NAME OF SCHOOL DISTRICT 6225 EL CAMNO REAL DATE PHONE NUMBER Revised 4/20/00