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2255 HIGHLAND DR; ; CB992796; Permit
City of Carlsbad v59bJ 09/16/1999 Residential Permit Permit No:CB992796 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 2255 HIGHLAND DR CBAD RESDNTL Sub Type: 1560511600 Lot#: $44,590.00 Construction Type: 27 Reference #: 0 Structure Type: 0 Bathrooms: RAD455 SF RAD 0 VN 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: ISSUED 07/26/1999 JM 08/25/1999 09/16/1999 MONTELLO GEORGE PRIMO CARLOS&HARBECKE-PRIMO RUTH 2255 HIGHLAND DR 4715 60 TH STREET SAN DIEGO CA 92115 619-229-0642 Total Fees: $721.83 Building Permit Add'! Building Permit Fee Plan Check Add'! 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'! Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'! Pot. Water Con. Fee CARLSBAD CA 92008 4061 09/16/99 0001 01 02 Cff .. PRMT ,~80 u 79 Total Payments To Date: $241.04 Balance Due: $480.79 $370.83 Reel. Water Con. Fee $0.00 $0.00 Meter Size $241.04 Add'! Reel. Water Con. Fee $0.00 $0.00 CFO Payoff Fee $0.00 $0.00 PFF $0.00 $4.46 PFF (CFO Fund) $0.00 $0.00 License Tax $0.00 $0.00 License Tax (CFD Fund) $0.00 $0.00 Traffic Impact Fee $0.00 $0.00 Traffic Impact (CFD Fund) $0.00 $0.00 LFMZ Transportation Fee $0.00 $0.00 Sidewalk Fee $0.00 $0.00 PLUMBING TOTAL $55.00 $0.00 ELECTRICAL TOTAL $20.00 $0.00 MECHANICAL TOTAL $30.50 $0.00 Housing Impact Fee $0.00 $0.00 Housing lnlieu Fee $0.00 Master Drainage Fee: $0.00 $0.00 Sewer Fee: $0.00 TOTAL PERMIT FEES $721.83 Clearance: NOTICE: Please take NOTICE at approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." au 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 t 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 Ca~sbad 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 sewer connection fees and capactiy 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 vtrio~1 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. --1-...£...'LJL...!,~..,,.,.--b~ Plan Ck. Depo,.;;s~itl.it-::---~'--'+-i=<-t Validated By.:,,,.<..L_-'--::=.,r-,r,~~l'.l Date, ________ 4~~¥--?-I Address (include Bldg/Suite #) f Business Name (at this address) /...Of 38 l,ffSA'fM (:SI A1ES ltfl711:--"2- Subdivision Name/Number Phase No. Total # of units 26/99 000 -PRHT 241,04 #of Stories # of Bedrooms # of Bathrooms Address City Gl,owi\'o,' i'"t:!J?,!/gliiii'l&,owiui, ·· City State/Zip Telephone# Fax# State/Zip Telephone # Telephone# (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 exempfon. Any violation o';;.Z~1.5 by an ap lica~x 'afOlbjects pr.,)liant to a civil penalty~ mo}!,an five hundred :~rs 2,:0011/a/ Name ~!:: -::z...r Address _12.... City State/Zip Telephone# State License # _ _,,!tz.oe-~Li~lf!Y..,,,c..=7'-2._L-__ License Class ___ U..__,c_ _____ X City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ i,Llv,/QR~f,toMl'lilliil'i'I0~',22:w. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following D 1 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. V I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic thi permit is ~d. My worker's compensation insurance carrier and policy number are: /;18/'2.,... z._ Insurance Company ?1)91"E'&.,ND Policy No._~--=,e,.,.'--'=-'--~IL-'------Expiration Date 00 !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D 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. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). D 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). D 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. D YES ONO 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, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work),,_----------------------------------------------------------- PROPERTY OWNER SIGNATURE 'c«:iM~~js,secno~Fl:ilic'Ni.0 .l!-.'Ni-.'1ffi--.. -.-'b--.lf;mA--, .•. -----'b-B--i!-ILD_l_ll!l-,-Pli-.R-M_tt_ll_!Ql,11;-, -;i--:i,-, ;,-,,-'. -•. ----- 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, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. il!.li'i!i'~i!ll~ffifJCTIQNiifflii:!1!1Cll'.l\,li!lldl!i;'b'.iti :µ:,. > I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 Citt" 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 WA V 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 Buildin f icial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such p · ot commen · in 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time fter the w k is comm n a period of 180 days (Section 106.4.4 Uniform Buildin 0 gACToEde):! l0 /J APPLICANT'S SIGNATUR --fH-"~C.1jf-'t--"-_,L-------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB992796 Title: RAD 455 SF Description: For: 2/25/2000 Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 2255 HIGHLAND DR Lot APPLICANT MONTELLO GEORGE 0 Owner: PRIMO CARLOS&HARBECKE-PRIMO RUTH Remarks: 1 0AM INSPECTION PLEASE Total Time: CD Description ,srcom-19 Final Structural 29 Final Plumbing 39 Final Electrical ---i-- 49 Final Mechanical Associated PCRs Inspection HistoJY Date Description Act lnsp Comments Inspector Assignment: PY --- Phone: 6192061209 Inspector: ----- Requested By: MIKE REYNOLDS Entered By: CHRISTINE 2/22/2000 89 Final Combo co PY NEED PRESSURE TEST 12/27/1999 14 Frame/Steel/Bolting/Welding WC RB 12/27/1999 18 Exterior Lath/Drywall AP RB FOR WINDOW FLASHING 12/20/1999 17 Interior Lath/Drywall AP PD 12/20/1999 18 Exterior Lath/Drywall AP PD 12/15/1999 16 Insulation AP PY 12/15/1999 24 Roughrr opout AP PY 12/1311999 14 Frame/Steel/Bolting/Welding AP PY 12/13/1999 34 Rough Electric AP PY 12/13/1999 44 Rough/Ducts/Dampers AP PY 12/10/1999 84 Rough Combo co PY SEE NOTICE ATTACHED 11/29/1999 13 Shear Panels/HD's AP PY 10/27/1999 15 Roof/Reroof AP PY 10/1/1999 11 Ftg/Foundation/Piers AP PY 10/1/1999 21 Underground/Under Floor AP PY 9/30/1999 21 Underground/Under Floor NR PY • City of Carlsbad Inspection Request For: 12/10/1999 Permit# CB992796 Title: RAD 455 SF Description: Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 2255 HIGHLAND DR Lot APPLICANT MONTELLO GEORGE 0 Owner: PRIMO CARLOS&HARBECKE-PRIMO RUTH Remarks: Total Time: Act Comments Inspector Assignment: PY --- Phone: 6192061209 Inspector: ----- Requested By: MIKE Entered By: CHRISTINE CD 14 24 34 Description Frame/Steel/Bolting/Welding Rough/Topout 62_ ______ _ Rough Electric =t-, -- 44 Rough/Ducts/Dampers ,--Associated PCRs lnsgection Histo[Y Date Description Act lnsp Comments 11/29/1999 13 Shear Panels/HD's AP PY 10/27/1999 15 Roof/Reroof AP PY 10/1/1999 11 Fig/Foundation/Piers : AP PY I 10/1/1999 21 Underground/Under Floor I ,, AP PY 9/30/1999 21 Underground/Under Floor CA PY 9/30/1999 21 Underground/Under Floor t. NR PY EsGil Corporation 7n Partnersliip witli (jovemment for 'BuiUing Safety DATE: August 23, 1999 JURISDICTION: Carlsbad PLAN CHECK NO.: 99-2796 PROJECT ADDRESS: 2255 Highland Drive SET: II PROJECT NAME: SFD Addition for Carlos & Ruth Primo □ APPLICANT CCI JURI$::> □ PLAN REVIEWER □ FILE ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by: ) Mail Telephone Fax In Person 0 REMARKS: By: Abe Doliente Esgil Corporation 0 GA O MB O EJ O PC Telephone#: Fax#: Enclosures: 8/16/99 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 .. EsGil Corporation 1n Partn,rsliip witli (jovernm<nt for 'liuiUing Safety DATE: August 9, 1999 JURISDICTION: Carlsbad PLAN CHECK NO.: 99-2796 PROJECT ADDRESS: 2255 Highland Drive SET:I PROJECT NAME: SFD Addition for Carlos & Ruth Primo □ APPLICANT CJ JOk§.;5 □ PLAN REVIEWER □ FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. [:8J The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. [:8J The applicant's copy of the check list has been sent to: George Montello 4715 60th St. San Diego, CA 92115 [:8J Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by: ) Mail Telephone Fax In Person 0 REMARKS: By: Abe Doliente Esgil Corporation D GA D MB D EJ D PC Telephone#: Fax#: Enclosures: 7/29/99 trnsrntl.dot 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad 99-2796 August 9, 1999 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO.: 99-2796 JURISDICTION: Carlsbad PROJECT ADDRESS: 2255 Highland Drive FLOOR AREA: 455 SF (Addn only) REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: August 9, 1999 FOREWORD (PLEASE READ)i STORIES: 1 HEIGHT: DATE PLANS RECEIVED BY ESGIL CORPORATION: 7/29/99 PLAN REVIEWER: Abe Doliente This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinance by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Present California law mandates that residential construction comply with Title 24 and the following model codes: 1997 UBC, 1997 UPC, 1997 UMC and 1996 NEC (all effective 7/1/99). The above regulations apply to residential construction, regardless of the code editions adopted by ordinance. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. Carlsbad 99-2796 August 9, 1999 • PLANS 1. Please make all corrections on the original tracings and submit two new sets of prints, to: Esgil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, California 92123, (619) 560-1468. 2. Please make all corrections on the original tracings and submit two new sets of prints, to: The jurisdiction's building department. 3. All sheets of plans must be signed by the person responsible for their preparation. (California Business and Professions Code). 4. Provide a statement on the Title Sheet of the plans stating that this project shall comply with Title 24 and the 1997 UBC, UMC and UPC and the 1996 NEC. • FRAMING 5. Provide all truss details and truss calculations for this project. Specify truss identification numbers on the plans. 6. Per UBC Section 2321.4, provide the following note on the plans if trusses are used: "Each truss shall be legibly branded, marked or otherwise have permanently affixed thereto the following information located within 2 feet of the center of the span on the face of the bottom chord: a) Identity of the company manufacturing the truss. b) The design load. c) The spacing of the trusses." • ELECTRICAL (NATIONAL ELECTRICAL CODE) 7. Show on the plan the amperage of the electrical service, the location of the service panel and the location of any sub-panels. If service is over 200 amps, submit single line diagram, panel schedule and load calculations. 8. Note on the plans that receptacle outlet locations will comply with NEC Art. 210-52(a). 9. For a single-family dwelling unit (and for each unit of a duplex), show that at least one receptacle outlet accessible at grade level will be installed outdoors at the front and back of the dwelling. NEC Art. 210-52 (e). This receptacle must be GFCI protected. Carlsbad 99-2796 August 9, 1999 • ENERGY CONSERVATION 10. The regulations require a properly completed and property signed Form CF-1R to be either imprinted on the plans, taped to the plans or "sticky backed" on the plans, to allow the building inspector to readily compare the actual construction with the requirements of the approved energy design. Building Designer or owner must sign the imprinted CF-1 R form. • MISCELLANEOUS 11. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. 12. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. • Have changes been made to the plans not resulting from this correction list? Please indicate: Yes □ No □ 13. The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Abe Doliente at Esgil Corporation. Thank you. Carlsbad 99-2796 August 9, 1999 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Abe Doliente BUILDING ADDRESS: 2255 Highland Drive BUILDING OCCUPANCY: R-3 BUILDING PORTION BUILDING AREA (ft.2) Dwelling Addition 455 SF Air Conditioning Fire Sprinklers TOTAL VALUE PLAN CHECK NO.: 99-2796 DATE: August 9, 1999 TYPE OF CONSTRUCTION: V-N VALUATION VALUE MULTIPLIER ($) 98.00 44,590 44,590 D 199 UBC Building Permit Fee 1ZJ Bldg. Permit Fee by ordinance:$ 270.83 D 199 UBC Plan Check Fee 1ZJ Plan Check Fee by ordinance: $ 241.04 Type of Review: IZ] Complete Review D Structural Only D Hourly D Repetitive Fee Applicable D Other: Esgil Plan Review Fee: $ 192.83 Comments: Sheet 1 of 1 macvalue.doc 5196 City of Carlsbad M #tel· 11,14411,1· i•JA•fil 4 I e ,14 ■I I DATE: '!.fa Irr BUILDINGAD6RES PROJECT DESCRIPTION: BUILDING PLANCHECK CHECKLIST PLANCHECK NO.: <Or ASSESSOR'S PARCEL NUMBER: 1,sl, ~ OSI~ I 6 EST. VALUE: ENGINEERING DEPARTMENT APPROVAL DENIAL 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 date, 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. Cl Right-of-Way permit is required prior to construction of the following improvements: Please see the attached report of deficiencies marked with □. 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: Date: By: Date: -------- By: --------Date: FOR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT: D Dedication Checklist Improvement Application C Improvement Checklist iJ Future Improvement Agreement ' Grading Permit Application 0 Grading Submittal Checklist -- L.; Right-of-Way Permit Application □ Right-of-Way Permit Submittal Checklist and Information Sheet [I Sewer Fee Information Sheet Name: Date: '? .(o '?, ENGINEERING DEPT. CONTACT PERSON JOA~NE JUCHNIEWICZ City of Carlsbad Address: 2075 Las Palmas Dr., Carlsbad, CA 92009 Phone: (619) 438-1161, ext. 4510 CFD INFORMATION Parcel Map No: Lots: Recordation: Carlsbad Tract: A-4 "'wo•m~'75-•"'8~,,....-•~-FomQJarlsbad, CA 92009-,576 • (760) 438-1161 • FAX (760) 4'81-69 7~D✓ □ 7 □ □ □ □ □ □ □ BUILDING PLANCHECK CHECKLIST SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Property Lines 8. Existing & Proposed Structures C. Existing Street Improvements E. Easements F. Right-of-Way Width & Adjacent Streets G. Driveway widths 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." 8. Existing & Proposed Slopes and Topography 3. A. B. C. Include on title sheet: Site address • Assessor's Parcel Number 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 DISCRETIONARY APPROVAL COMPLIANCE 4a. Project does not comply with the following Engineering Conditions of approval for Project No. ________________________ _ 4b. All conditions are in compliance. Date: __________ _ H:IWORD\DOCSICHKLSnBuild,ng Pla.ncheck Cle.1st BP0001 Form JJ doc 2 Rev. 12/26196 □ □ □ □ BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS 5. Dedication for all street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $. ______ , 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 ½" 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 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 $ _______ , pursuant to Carlsbad Municipal Code Section 18.40.040. Public improvements required 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 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 18.40. Please submit a recent property title report or current grant deed on the property and processing fee of$ _______ so we may prepare the necessary Future 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: H:\WORDIOOCSICHKLST\Buikling Plal'\Check Cklst Bf>0001 Fonn JJ.doc 3 Rev. 12,'26/96 1st✓ D D D D D D D D D D D D D D D D D D BUILDING PLANCHECK CHECKLIST 6c. Enclosed please find your Future Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: Date: 6d. No Public Improvements required. SPECIAL NOTE: Damaged or defective . improvements found adjacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. 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 (cut, fill import, export). 7b. Grading Permit required. A separate grading 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: ----------- 7c. Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) 7d.No Grading Permit required. 7e.lf grading is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS 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, tieing into public storm drain, sewer and water utilities. Right-of-Way permit required for: H:IWORO\OOCSICHKLSnBuilding Plandleck Cklsl BPOOOl Form JJ.doc BUILDING PLANCHECK CHECKLIST 4 Rev. 12/2Ml6 2nd✓ 0 0 0 0 0 ✓□ 0 0 0 0 ' 9. A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. 10. 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 Camino 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 153, for assistance. Industrial Waste permit accepted by: Date: 11. NPDES PERMIT Complies with the City's requirements of the National Pollutant Discharge Elimination System (NPDES) permit. The applicant shall provide best management practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas. Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit, whichever occurs first. 12. O ,Required fees are attached Q N~ fees required 13. Additional Comments: H·\WORO\DOCSICHKLSTIBuiJding Planched( Ckl$l 8P0001 Fonn JJ.cloc 5 Re~. 12/26196 • .. C • .. Cl ! ' I ~/□ □ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB JJ'l 7Jlo Address USS H;~w,.,,,_J ~.r. Phone 1619) 438-1161, extension Q -J-5,...,.,i,(I,, Planner _.;.I..:;;.;~;._ __ ·-~------ APN: _i.:.lf:.:::C.:_-..::0.::;S..:...1--4-li( ~~-:,,..l0::.;:0;__ _______________ _ Type of Project & Use: _ _:5:...f,;__tz. ____ Net Project Density: _____ ,..D"'U"'/'""A"'C;.... Zoning: 12--I General Plan: f<'.L.M. Facilities Management Zone: _-.1, __ CFO lin/nutl # __ Date of participation: ____ Remaining net dev acres: __ _ Circle One (For non-residential development: Type of land used created by this permit:, ____________________ ) Legend: L8J Item Complete ©J Item Incomplete -Needs your action Environmental Review Required: YES NO 7 TYPE ___ _ DATE OF COMPLETION: ______ _ Compliance with conditions of approval? ff not, state conditions which require action. Conditions of Approval: JZ{ 0 0 Discretionary Action Required: YES _ NO~ TYPE ___ _ APPROVAL/RESO. NO. _____ DATE ___ _ PROJECT NO. _______ _ OTHER RELATED CASES: __________________ _ Compliance with conditions or approval? ff not, state conditions which require action. Conditions of Approval: _______________________ _ [}s O O Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES½_ NO CA Coastal Commission Authority? YES NO ">< If California Coastal Commission Authority: Contact them at • 3111 Camino Del Rio Nonh, Suite 200, San Diego CA 92108-1725; (619) 521-8036 Determine status !Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: 9 .3 -1 'l\ Follow-Up Actions: YES NO 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. ~□□ lnclusionary Housing Fee required: YES NO X' (Effective date of 1nclus1on1ry Housing Ordinance• May 21, 1993.) -- Data Entry Completed? YES NO (A/P/Ds, Activity Maimenance, enter CB#.~r. Scree~using Fees, Construct Housing YIN, Enter Fee, UPOATE1 ' Site Plan: It:] D D 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. [~f □ □ 2. Provide legal description of property and assessor's parcel number. Zoning: 1 . Setbacks: I ' ;JO p~r -nlrc~,,, J Front: Required ---=2-~0"'-' __ Shown_~~"'---~N--- Interior Side: Required _____ 3_'..,tD._" __ Shown ___ ....112_' __ Street Side: Required---'-'~'""""'·""----Shown ------- Rear: Required ___ 1;..:;.9_1_,._K_" __ Shown 40' __ _,_:=_ __ _ D O O 2. Accessory structure setbacks: ____ _ Front: Req~~n _____ _ Interior Side: __..---Re?fuired _______ Shown ______ _ Street §jde~ Required _______ Shown ______ _ ___ .Fhitfr:· Required _______ Shown ______ _ ....-----Structure separation: Required _______ Shown ______ _ ~ 0 0 3. Lot Coverage: Required __ <_L(-=0'-'-1/.-'--, __ Shown 2-S;{ l%:S/.!J/SS ~ 0 □ 4. Height: < ~O' Required ___ _.2_'-"----Shown S' 3 0 D 5. Parking: Spaces Required 'l. tJ.P..r-:j""' Shown __ Z..~ce:.:.v--::::_J.::µ:::r..f'"-'-- Guest Spaces Required _______ Shown ______ _ =i D O Additional Comments -Thw ~.,,,,_ "k &L-Y' ~., l,._,,,r,, "...,.._u--. "71-'< /l.cfA1: frt7fflA'"fy Jz,,,_, Ml :the ~, •fl #+