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Home My WebLink About2244 FARADAY AVE; BLDG 8; CB051153; Permit09-29-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit NO: CB051153 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2244 FARADAY AV CBAD COMMIND Sub Type: 2121204000 Lot#: $104,520.00 Construction Type: Reference #: FARADAY SPECTRUM BLDG8 4020 SF SHELL BUILDING INDUST 0 NEW 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'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFMFee 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. Fed Reel. Water Con. Fee $365.27 $0.00 $0.00 $21.95 $1,608.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee RFH43Q5540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105641) PLUMBING TOTAL ELECTRICAL TWAL MECHANICAL TQT&L Redev 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: VAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition* of fees, deifications, reservations, or other exactions hereafter collectively referred to as fees/exactions.11 You have 90 days fromthe 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 timery 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 fees/exax*ions DOES NOT APPLY to water a«l sewer changes, nor planning, zoning, grading or rthwsirnilaT application processing wser^ NOR DOES IT APPLY to any fees/exadlonsof whk^vtxjhaveprevk)uslvbeenorvena NOTICED nnal Building Inspection ••••••••••••^^H Dept: Building EngineMig Planning CMWD StLite Fire RECEIVED MAY 3 2006 CM&I IHV Plan Check ft PC05-33 Permttt: CB051153 Project Name: FARADAY SPECTRUM BLDG8 4020 SF SHELL BUILDING Address: 2244 FARADAY AV Contact Person: LUKE Phone: 8584377617 Sewer Dlst: Water Dist: Date: 05/03/2006 Permit Type: COMMIND Subtype: INDUST Lot Inspected By:_ Inspected By: Inspected By: Date Inspected: Date Inspected: Date Inspected: , Approved: t/^ Di .Approved: .Approved: Disapproved: Disapproved: Disapproved: Comments: ciuiftHttai Final Building Inspectton Dept: Building Engineering Planning CMWD StLite Plan Check ft Permit*: Project Name: Addrets: Contact Person: Sewer Diet: Inspected Bv: / Inspected ' Bv: Inspected Bv: Comments: PC05-33 CB051153 FARADAY SPECTRUM BLDG 8 4020 SF SHELL BUILDING 2244 FARADAY AV LUKE Phone: 8584377617 Water Dirt: tf tf Date y / iff Xjt£j»_j Inspected: S/2-/2&7A9«*i; ft * 1 Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot 0 Approved: ^^ Approved: Approved: 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: 1j*> ; PI Projec Addre Projec Contac ROUTING BLDG A.WEST BANNING DEPARTMENT PLANNER FIN AT TNS1PFPTION PELA*UNAL UNWECIION A ^ CHECKLIST BLDG t Name:Faradav Spectrum Bldg 8 Plan Check No. CB 051 153 is: 2244 Faradav Ave Project Number: t Planner it Person Ins 1st ^ il 2nd : Van Lvnch Extension Phone No. (858) 437-7617 Drawing No. 427 9 Actions ApproveduuX-7 \ / 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) 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. \iu^ t-^6 PELA r Date (H:\ADMJN\COUNTER\Final Insp Check)05/03/2006 Hnal Building Inspection Dept: Building Engineering Placing CMWD StLite Fire Plan Check #: Permit*: Project Name: Address: Contact Person: Sewer Dlst: Inspected Bv: Inspected Bv: Inspected Bv: Comments: PC05-33 CB051153 FARADAY SPECTRUM BLDG 8 4020 SF SHELL BUILDING 2244 FARADAY AV LUKE Phone: 8584377617 Water Dlst: Date Inspected: Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot: 0 Approved: Approved: r Approved: 05/03/2006 COMMIND INDUST Disapproved: Disapproved: Disapproved: City of Carlsbad Bldg Inspection Request For: 05/05/2006 Permit* CB051153 Title: FARADAY SPECTRUM BLDG 8 Description: 4020 SF SHELL BUILDING Inspector Assignment: JM 2244 FARADAY AV Lot Type: COMMIND Sub Type: INDUST 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 TOP CHORD CONNECTION CONCEALED OK TO POUR STRIP UNDERSLAB ROOF DRAIN WALL PANELS W-2 WALL THICKNESS CHANGE OK TO POUR SLAB Date 05/03/2006 01/31/2006 01/30/2006 01/20/2006 01/20/2006 11/30/2005 11/30/2005 11/30/2005 11/28/2005 10/26/2005 10/26/2005 10/17/2005 10/17/2005 Description 89 15 15 11 21 11 11 12 12 11 12 11 12 Final Combo Roof/Reroof Roof/Reroof Ftg/Foundation/Piers Underground/Under Floor Ftg/Foundation/Piers Ftg/Foundation/Piers Steel/Bond Beam Steel/Bond Beam Ftg/Foundation/Piers Steel/Bond Beam Ftg/Foundation/Piers Steel/Bond Beam Act CO AP CO AP AP we we AP CO AP we • AP AP Insp JM JM JM JM JM JM JM JM JM JM JM PD PD c TONSTRUCTION NESTING & H/NGINEERINGJNC.E ESCONDIDO • TRACY • RIVERSIDE • OXN^RD • LANCASTER • SACRAMENTO PAGE ' OF \ CTE JOB # (Q~ REPORT # INSPECTION REPORT PROJECT NAME: : d>V?sNADDRESS ARCHITECT: ENGINEER: HJ INSPECTION DATE: PLAN FILE: BLDG PERMIT: OTHER: MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING ( ) STRUCTURAL STEEL ( ) BOLTS ( ) MASONRY BLOCK ( )REBAR NAME: (PRINT)SIGNATURE CERTIFICATION NO:5 O GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION ' 1441 MONTIEL ROAD, SUITE 115, ESCONDIDO, CA 92026 (760) 74fr4955 FAX (760) 746-9806 ..FROM STRUC STEEL, INC (THU)tl 17 2005 14:56/ST. 14:56/NO. 5500000034 P Carl Schmidt Inspection Services. Inc. P.O. Box 178403 .- -" $•• Diego, CA 921774403 - (619)855-9252 'Sr SPEOAL INSPECTION REPORT f^ m ^T ^^Preiecfa . f~ *> * *\ & *-jr *J .,#€<* f r *~ city;c gu" fst«<J MM Flte Number: TVK Or OMUKVATIONfc Reinforcing Stcd _ Reinforced Concrete _ Stiuctunl Ma$omy _ Field WekHng Epoxy _ Prestressed Concrete _ Shop Welding _^_ Bolting _ Fircproofutg Number of Samples: ^__ Type: MaterUUmcsitmMbc^si //-3C> . J- /OK f A-'jQ b . E ~? J T - / Date: /O ' //- ^/ tr\<> Tt'/T* tf /* g *•//</ '^ < /&- 2 4 WOJUC INSPECTED CONFORMS WITH APPROVED PLANS AND SPECIFICATIONS UNLESS OTHERWISE NOTED C?V f / jTo A ^h/ft/T" £¥2 TIME1N: "7.'^* TIMEOUT: ?-'O0 Inspector (Prim) Ccrtificrtioo* General Contractor: / J" Inspector's Signature City: Authorized Job Site Contact Signature Phone; FROM STRUC STEEL, INC (THU)II 17 2005 14 :56/ST. 14: 56/NO. 5500000034 P 2i , Carl Schmidt Inspection Services. Inc. r"""~~ "* ' P.O. Box 178403 San Diego, CA 92177-8403 (619) 855-9252 SPECIAL INSPECTION REPORT Project: /^ f ^ c Address; 2. 2 / y r/ r. m .. c 2 < r & r /^ Cto; ' Permit NDMben CoS"-* //</ 6 Reinforcing Sted _ Reinforced Concrete _ Structural Mnoary _ Field Welding Epoxy _ Prestiesaed Concrete _ Shop Welding X' Bohing _ Fireproofing Number of Samples: _ Type; . j 0 /i Y -/V •t e/ -/a' r\/ A^* c-^T >^ ^.'^ /^ .& f WORK fNSraCTED CONFORMS WITH APPROVED HJVNSAlTOSPECinCATlONS UNLESS OTHERWISE NOTED TIME IN: 7 .' <? tf TIMEOUT: Inspector (Print) Gertifictnan* ^ General Contractor: Address: Injector's Signature City: Authorized lob She Contact Signature Phone: 864 34th Street San Diego, CA 92102-3310 Phone: (619) 239-5722 FAX: (619) 239-5736 DEUVERY TICKET PROJECT: CONTRACTOR: BLDG. JOB NO DRIVER: . TIT DATE: /A/g^flj^ PC. MK.\ QUANTTT1ES REQ'D. SHIP DESCRIfTION 10 I HEREBY AUTHORIZE THAT THE ABOVE LISTED fTEMS WERE RECEIVED IN GOOD ORDER. NEEDS TO BE NOTIFIED WITHIN 48 MRS. OF QUANTITY DESCREPANCIES. G.C. BECOMES RESPONSIBLE FOR ALL DELIVERED QUANTITIES LISTED ABOVE. SIGNATURE TITLE DATE: CONSTRUCTION TESTING & ENCTNEERTOTlpff ENGINEERING. INC. INSPECTION REPORT PAGE 1 REPORT #11 OF 2 CTEJOB#.10-8QT PROJECT NAME: Faraday Spectrum. ADDRESS: 2234,2240, &, 2244 Faraday Ave. Carlsbad,Ca ARCHITECT: Smith Consulting Architects. ENGINEER: Chung Y. Song.( # 2685) CONTRACTOR: TSA Contractors. INSPECTION DATE: 12-29-05 PLAN FOE: BLDG. PERMIT: (# BMg.# 4,5, ft 8) CBO51149 CBO51150& 51153 OTHER: SUB-CX>NTRACTOR Struct Steel Welding INSPECTION ()CONCRETE () MASONRY () P.T.CONC. (30 FIELD WELD () SHOP WELDING () PILE DRIVING () BATCH PLANT ()EXP. ANCHOR () OTHER MATERIAL IDENTIFICnON CONOMDW/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 (X) STRUCTURAL STEEL ( )BOLTS INSPECTION PERFORMED, JOB PROBLEM, MATERIAL mENTIRCATION,PROGRfiSS, WORK REJECTED, AND 1 .1 Observed bolted up connection of (2) W12 by 14 beams to previously installed clips &U^lates at the foUowinglocati<Mis:(#4"Buil4 M.2/A-2. REF.S-4. DET.1B/SD-5 ft I(MOa/SD-3X(#S-Bral<L_ 1.8-2/A^. REF.S^. DET.1B/SD-5 ft KMOa/SD-3), & (#«-Build, 1-1^/AJZ. REF.S^. DET.1B/SD-5 ft 10-10a^SD-3 1.2 Observed welding of V4" fillet welds connection of beam clips to embed pl.s in wall panels &U-pl.s to truss's at the following locations;l-l^/A^ . REP. S-4. DET. 1B/SD5 & 10-10a/SD3.,#4-Build.), ( location: 1.S- 2/A.2 .REF.S-5. DET.1B/SD5 & 10-10a/SD3.(#5-Binld.) & (#8-Building-4oc:l-l^//u2. REF.S-4. DET 1B/SD-5 & 10-10a/SLV3). 1.3 Observed mtailation of columns in (bmld#S-1.05/A& A,05/l)^fc(buad#9-1.95/A& A.05/2 1.4 Observed intallation of {2) W12 x 14 beams at the foltowinglocati<min(#8-build, l-l-l/AftA-A-l/l.C^^- 1,9-2 & A-A.2/2. REF.S-4 & S-5. DET.KK14/SD-4 & 1 A^SD5.(not per det- Refer to previous RFI#1) Certification of Compliance: All work, unless othenvise noted, combes whh tire ay^roved plans a^ the uniform building code. NAME: <?RINT) JUSTIN RUNGE_SIGNATURE: CERTIFICATION NO. # 3262291-85 CONSTRUCTION TESTING & ENGINEERING, INC. ENGINEERING, INC. INSPECTION REPORT PAGE 1 OF 1 CTE JOB* JO-SOT REPORT # PROJECT NAME: Sarazay Spectrum. ADDRESS:2244 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.#8) CBO51153 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 IDENTIFICTION 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( }V')-(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-4. 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-4. DET.2/SD2. 1.3 Observed drag strut installation using Wall around fillet welds for connection of drag strut to embeds pi's /truss's in the following locations:l-l.l/A.8 & 1.1-1.2/B. REF.S-4. DET.8,9,10,13/SD4. 1.4 Observed fit-up & installation of (4) W12 by 14 beams using Wfittet welds & bolts for fit-up/connection in the following locations:l-l.l/B, & 1-1.3/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 FROM (THU)OEC 12005 1:H/ST. 1:44/No. 6801533752 P 1 SUBMITTAL REVIEW COVER SHEET To:Gary Potter Smith Consulting Architects 12220 El Camino Real, Suite 200 Carlsbad, CA 92130 Phone: 858-793-4777 Fax: 858-793-4787 Project: Faraday Spectrum Project # 05-02-5000 Submitted # 23 Section # 3200 Subject: Rebar Panel Shop Drawings - Build Date 101805, >- - Reviewed by Karin Fooler, Assistant Project Engir L^J D «* RwbmU $[ Miow ta 0(lly for 8CII(lrtt <otforiMIB, with tb« ri«ii(ii eowtpt of (he preset ud<Mr«l c «4u(«DMii« or*« pun*tf «p««tnc«tioa5. Approval of » ipvctfie iwm •hill HOI iwlvtfa ipprowl of *• awemWy of wltkh the item i« ft componvai. Coatra«wr fttek|H«it»il>l4 rttf dinenafoB* to «t ihc jo*»iic; i FROM (THU)DEC 12005 1:45/8T. 1:44/No. 6801533752 P 4 FROM (THU)DEC 12005 1:M/ST. 1 :M/Ho. 6801533752 P 2 FROM (TW)DK 1 2Q05 i:44/ST. 1:44/N0. 6801533752 P Carl Schmidt Inspection Services. Inc. DAY THURSDAY P.O.Box 178403 Sm Diego, CA 92177-8443 (619) 855-9252 SPECIAL INSPECTION REPORT Project; FARADAY SPECTRUM Addrea: 2214 THROUGH 2248 FARADAY AVE. CHy: CARLSBAD CA Permit Number: CBO5-1146 TO CBO5-1154 Fbw File Number: ______ TYPE OV OBSERVATIONS: Reinforcing Steel Reinforced Concrete Structural Masonry Field Welding Epoxy Prestressed Concrete Shop Welding X Bolting Firepioofing_ Number of Samples: Type: 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 9,13,1S/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-O AND E71T-1 ELECTRODE. WORK INSPECTED CONFORMS WITH APPROVED PLANS AND SPECIFICATIONS UNLESS OTHERWISE NOTED DUANELORENZ KCS»N»« sow TIME IN: 1130 TIMEOUT: 1500 Certification* General Contractor: TSA Address: Signature Cart Schmidt Inspection Services, Inc. DAY WENSDAY P.O. Box 178403 San Diego, CA 92177-8403 (619) 855-9252 SPECIAL INSPECTION REPORT Project; FARADAY SPECTRUM AddrcMi 2214 THROUGH 2248 FARADAY AVE. City; CARLSBAD CA Permit Number: CBO5-1146 TO CBO5-1154 Ph» Ffle Nwber: _____ TYPE OF OBSERVATIONS: Reinforcing Steel Reinforced Concrete Structural Masonry Field Welding Epoxy Prestressed Concrete Shop Welding X Bolting Fireproofing_ Number of Samples: Type: Materiala/PesignMix/PsiA 36 STEEL , A500 TUBE STEEL E71T-1 Date: 12/20/05 REPORT ONSriB AT STRUCT STEEL FOR VISUAL INSPECTION OF WEUIWG OF MODinnCATlON 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,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 PLANS AND SPECOTC^TIONS UNLESS OTHER WISE NOTED DUANELORENZ KCS***** mm TIME IN: 1200 TIMEOUT: 1600 Certification # General Contractor: TSA Phone: Igttature 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 L* JbU City, State Project Address / £w dc^ 1 7.0^*7 Carlsbad, California 9200£{ -Z12. Zip Code I'U? City, State Ho co 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 Ac 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 the appropriate line below: OPTION (1): I elect to pay the SPECIAL TAXj ONE-TIME now, as a one-time payment. Amount of One-Time Special Tax: $ is 5fc& c* : . Owner's Initials OPTION (2):I elect to pay the SPECIAL DEVELOPMENT TAX ANNUALLY for a period not to exceed twcnto-rrcp (25) years. • Maximum AB&& ^ Special Tax: $ CA t- t.. ^ . Owner's Initials. 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. Signature of Property Owner Title Print Name Date The City of Carlsbad has cot independently verified the information shown above. Therefore, we accept no responsibility as to the accuracy or completeness of this information. Land Use, FY, Factor /. fj X Square Ft. j^ Q2# = *"/, PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE 9) RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR (<$10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE OTHER COMPLETE OFFICE BUILDING PLANNER ENGINEER DATE DATE DocaMMbrma/Ptmnlng EngkiMrino Approvals o D ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET Estimate based on unconfirmed information from applicant. Calculation based on building plancheck plan submittal. Address: Prepared by: Bldg. Permit No.< 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: FEES REQUIRED: WITHIN CFD: D YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) D NO ages for all uses. ; Lj<s-o^EDU's: " " _ : EDU's: iges for all uses. v j*-^-^ADT's: ~7sO ADT's: D 1. PARK-IN-LIEU FEE FEE/UNIT: PARK AREA & # X P 2. TRAFFIC IMPACT FEE ADT's/UNITS: D 3. BRIDGE AND THOROUGHFARE FEE (DIST. ADT's/UNITS: X FEE/ADT: a D 4. FACILITIES MANAGEMENT FEE UNIT/SQ.FT.: 5. SEWER FEE EDU's: BENEFIT AREA: _ EDU's: ZONE: D 6. SEWER LATERAL ($2,500) D 7. DRAINAGE FEES PLDA_ ACRES: __ HIGH /LOW FEE/AC: D 8. POTABLE WATER FEES UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION I of 2 City of Carlsbad ff— j^Hi^HMMIIH^^Bi^BM^H^HBi^BBM^B^^BMHMHBuilding Department CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FEES OR OTHER MITIGATION This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior to issuing a building permit. ~p$e 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: £j •£ O - j LLC Nurpber 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 Commercial/Industrial: Square Feet Floor Area City Certification of Applicant Information: j\' eet MOOT Areaof-f*4A*~^ , *r\ ~Jf\ Date: SCHOOL msTRrers WITHIN THE CITY OF CARLSBAD Carlsbad Unified School District 6225 El Camino Real Carlsbad CA 92009 (331-5000) San Marcos Unified School District 215 Mata 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: 1635 Faraday Avenue • Carlsbad, CA 92O08-7314 - (76O) 602-2700 Building Counter • (76O) 6O2-2719 • FAX (76O) 6O2-8558Revised 4/20/00 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 -,-m c QAYLEN FREEMANTn Lt DEPUTY SUPERINTENDENT CARLSBAD UNIHkU SCHOOL DISTRICT NAME OF SCHOOL DISTRICT 6225 EL CAMINO REAL r.ARLSBAD,CA 92009 DATE PHONE NUMBER Revised 4/20/00