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HomeMy WebLinkAbout2386 JEFFERSON ST; ; CB991460; Permit- I .-- City of Carlsbad - 05I26I1999 'V ( Residential Permit Permit No:0B99 1460 Building Inspection Request Line (760) 438-3101 Job Address: 2386 JEFFERSON ST CBAD Permit Type: RESDNTL Sub Type: RAD Status: ISSUED Parcel No: 1551802300 Lot#: 0 Applied: 04/15/1999 Valuation: $18,000.00 Construction Type: VN Entered By: MDP Occupancy Group: 14 Reference #: Plan Approved: 05/20/1999 # Dwelling Units: 0 Structure Type: Issued: 05/26/1999 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: JOSEPHSON-RESIDENCE Orig PC#: 565 SF GARAGE ADDITION AND NEW ROOF STRUCTUREPIan Check#: Applicant: Owner: JOSEPHSON JACKIE AI±ERDYCE JAMES R&PAU 0001 01 02 1O125 CAVAEVI DR C—PRMT 185-38 2386 JEFFERSON S'AcRArENTO CA• CARLSBAD CA 92008 760-730-8909 95.829 0 Total Fees: $304.71 7 Due: $185.38 f - . I Building Permit I 4 $183.58 Water Con.'Fee , $0.00 Add'l Building Permit Fee . j $0.00,I\ ...jetp.Size_ 3 Plan Check . $i 19!33' FAdd'i Recl.1Wter, Con. Fee J $0.00 Add'l Plan Check Fee \ \0'p'ó.. PaffFJ-/ / $0.00 Plan Check Discount \ . \ $0.0O 1IFF Q 'P/ / $0.00 Strong Motion Fee \ $1.8Q7 ' 1PFF(cFEYFund) . I $0.00 Park in Lieu Fee \ ,__.,'s$•o.0O Tax / $O.00 INCORRUHATE Park Fee $00O 1.Lipense Tax(CFDFünd) / $0.00 LFM Fee - / . . $0.00 Bridge Fee $p,OOfl,._ Jra;a9FD Fnd) $0.00 Other Bridge Fee . $009] (Fty1Z.T,a.psportation Fee $0.00 BTD #2 Fee $0.00 - %PMBING TOTAL $0.00. -- BTD #3 Fee $&00 •ELECTRIG-ACTOTAL $0.00 - . Renewal Fee $0.00 MECHANICAL TOTAL $0.00 Add'l Renewal Fee $0.00 Housing Impact Fee '. $0.00 Other Building Fee $0.00 . Housing lnLieu Fee $0.00 Pot. Water Con. Fee $0.00 Master Drainage Fee: $0.00 Meter Size Sewer Fee: $0.00 Add'I Pot. Water Con. Fee $0.00 TOTAL PERMIT FEES $304.71 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION I PLAN CHECK NO EST t'' -!'' ______________ CITY OF CARLSBAD BUILDING DEPARTMENT . ' rS .' '' , 33 20751Las Palma&Dr, Carlsbad CA 92009 7 Plan Ck Deposit i (760) 438-1161 ''5• .. .•-. . ,• - Validated By Date______________________ PRJLM -TrQJ Address (include Bldg/Suite # Business Name (at th:addrP7 04/n/fl O0ô1 01 02 Je 4r - * U9.33 Legal Description — Lot No.... Subdivision Name/Number . Unit No. - Phase No:.: ......Total, # of units - - "? • . - . .4, . S' 41 -. )K' Assessor's Parcel # Existing Use Proposed Use n . Description of Work_ . 25.0. FT........,. #of Stories . # of, Bedrooms '•'#of Bathroârns haivqe - Rôc. - . ..., .. r'ss. - '?5•'5"-- ----_ a can 1..',-5•5.,---,.—.--, •*__• - Name ------------ • , Address ',.City ,,-', ''. State/Zip', Telephone,# . Fax # DA Name - - Address' ..........'. . '• City .,,. State/Zip . Telephone#. .. ç1b Tp _AOAJ f, d Name Address City State/Zip Telep one [LcfNTMJipR:CoMpANv_NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or.repair any striture, 166r'to its isiunc" also requires the applicant- is for'uch permit to file a signed statement that he licensed pursuant tothe provisions of the Contractor s Lice Law 1[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 exemption. Any violation of Section 7031.5 by any applic'ant for -a permit subjects the applicant toa civil penalty of not more than five hundred dollars [$500)).,- I Name - . .- • • Address . ,,. ,.- . City .-. ' State/Zip . Telephone #; State License'# . _.1 _• _'-'. e( Lic'ense'Class 'r'_______.. __' • City Business Linse # .r. __i •. ) Designer Name . . . Address . City, . .State/Zip Telephone - q s ' . ,. 1 • (S. . . .t . • I. .State, License #-,. ____••-- .i ,' .':ii- .''t. "--- • 16, tL _~~kQRKIERS - " Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations:04 0 I have and will maintain a certificate of cnsent to self i,ure for workers comAnsationas provided by Section 3700 of the Labor Code for the performance 'of the work for which this permit is issued. . • - . S 4%'-. .' . . - •' .1 have.and will maintain workers' compensation, as required by Section 3700 of the Labor Code, .for.the.performance of the work for whichthisprmit is,..,4 issued. My worker's compensation insurance carrier and policy number are: . . , .-, . . .. '• iin jrance Co pany -,---,-,.-..- ' Policy N6. - - -. Expiration Date - - — (THIS SECTIONNEED NOT BE COMPLETED.IFTHE PERMIT IS FOR.ONE HUNDRED DOLLARS ($1001 OR LESS) '0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ aiiypersonin any manner so as m to becOme subject to the WOrkers' Copeñsation Laws of California: - - - • - 7" WARNING: -Failure to secure workers' compensation coverage, is unlawful, and shall subject an empioyertd ciiniiñal' penalties and civil fines u, to one hundred . thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE — - '.5 .- -'- -, S — DATE [7.QWERB,flLDERDEQLA1ION I hereby affirm that I am exempt from the Contractor's License Law for the following reason'. I, as 'OwnOr of the prperty or'-rñy employees withvages asthèir sOle compensation, will do the' vork and the structure is not intended or offéred for sale iSec. 7044, Business and Professions Code: The ContraOtor'i License Law does not apply t an,ownr of property who builds 'or 'imprOve 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 puipoCe ofsle). 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 doesnotäpply to an owner of property who-builds or improves thereon7andcontracts for such projects with contractor(s) licensed :pursuant to the Contractor's License Law). lam exempt under Section Business and Professions Code for this reason - —. ' I - 1i I personally plan to provide the major labor and materials for construction of the proposed property improvement YES 0N0 + 4 "-I (have / have-not) signed an application for a building permit for the proposed work. if . .. . .......- . -. . - I have contracted with the following person (firm) to provide'the proposed construction (include name / address / phone'. number I contractors* license' himber): 4.4.-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 - jA-& - DATE R)TScNL'T J ] 1stheapp1icant or future buildin ccupanfr&qüired to submit a business plan, acutelhazard6us naterials registratioh form or risk -management andrventiOr .pr09ram.under Sections 25505,25533 or 25534 of the Presley-TannerHazardoUs Substance Account Act? -.0 •YES _.D _NO ',. .. ._...,_ Is the applicant or future building occ'pant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility.to be constructed within 1,000 feet of1the outer boundary of a school site? 0 YES 0 NO . , • , , ,. •d ;i'. IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY- MAY;NoT BE ISSUED UNLESS THE APPLICANT HAS METOR IS MEETING THE 'REQUIREMENTS OF THE OFFICE OF EMERGENCY'SERViCES AND THE AIR POLLUTION CONTROL DISTRICT; - 18CONSTRUCTION LENDING AGENCY - ' - 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 - .*i - '1 ' -. -' is 9rAppIINT;CERTIFICATIoN i::... •::: _-------.:. .: 1-1 certify thatl 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 Cit' 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 WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. - OSHA An OSHA permit is requird for excavations over 5'O' deep and demolition or construction of structures bver'3 stories in height. 'EXPIRATION: Every permit issued by the Buildirg Official under 'the,provisions of this Coda shalli expire by limitation tand become-null a'nd vid if the building or work authorized by such per not commencea-hin 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 ter th work ismm ra period of 1 days (Section 106 44 Uniform Building Code) APtlCANT'SSIGNATURE DATE' - "•/59 WHITE ile YELLOW: Applicant- PINK: Finance - ' •' - -• - ixo". F WIN City of Carlsbad Bldg Inspeètion Request For: 5/16/2000- - Permit#CB991460 Inspector Assignment: SR Title: JOSEPHSON RESIDENCE Description: 565 SF GARAGE ADDITION AND NEW ROOF STRUCTURE Type: RESDNTL Sub Type: RAD - Phone: 7607301701 Job Address: 2386 JEFFERSON ST. * Suite: Lot 00 - Location: - inspector: ( APPLICANT JOSEPHSON JACKIE Owner: JOSEPHSON JACQUELINE C - - Remarks: Total Time: - Requested By: JACKIE Entered By: CHRISTINE CD Desbription - -Act'.Comments - S 19 Final Structural 29 Final Plumbing S-JAfJ "1i-- WC 39 Final Electrical f 0 49 Final Mechanical 0 - 0 Associated PCRs Inspection History -' Date Description Act lnsp Comments 12/2/1999 17 Interior Lath/Drywall AP SR 5/8 DRYWALL IN GARAGE 11/10/1999 18 Exterior Lath/Drywall AP SR 10/13/1999 14 Frame/Steel/Bolting/Welding AP SR 10/13/1999 16 Insulation AP' SR 10/13/1999 83 Roof Sheathing/Ext Shear AP SR 10/5/1999 83 ROof Sheathing/Ext Shear CO SR NEED TIGHTER NAILING AS PER PLAN 9/10/1999 14 Frame/Steel/Bolting/Welding CO SR NEED TO SEE NEW TRUSS PACKAGE 0 9/8/1999 13 Shear Panels/HD's 0 -S CO SR NOT ALL IN AS PERPLAN 0 0 0 0 9/8/1999 14 Frame/Steel/Bolting/Welding CO SR NEEDS TO GET NEWOTRUSSES APPROVED 6/22/1999 11 Ftg/Foundation/Piers AP SR 6/21/1999 ii Ftg/Foundation/Piers 0 CO' SR NEEDS TO INSTALL SHEAR WALL STRAPING AS PER PLANS 0 EsGil Corporation In Partnership, with government for fBuifing Safety -. DATE: 5/18/99 . U APPLICANT H JURISDICTION: Carlsbad• U PLAN REVIEWER : * U FILE PLAN CHECK NO.: 99-1460 SET: II PROJECT ADDRESS 2386 Jefferson St * PROJECT NAME: Garage Addition/Roof Restructure .• The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficienóies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list - and should be corrected and resubmitted for a complete recheck. - Th check list transmitted herewith is for your information. The plans are being held at Esgil: Corporation until corrected plans are submitted for recheck jj The applicant's copy of the check list isenôlosedfor the jurisdiction to forward to the applicant contact person. • •• The applicant's copy of the cHeck list has been sent to: • •• Esgil Corporation staff did not advise the applicant that the pin check has been compifed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted Telephone # Date contacted: (by: ) Fax #: Mail Telephone Fax in Person - II REMARKS: By: Mike Puckett Enclosures: - Esgil Corporation • • • ü GA MB J ES fl PC 5/10/99 trnsmtl.dot: . - 9320 Chesapeake Drive, Suite 208 -• San Diego, California 92123 • (619) 560-1468 + Fax(619)560-1576 • • EsGil Corporation - - .. . In Partnership with qovern ment for Wui&ig Safety DATE 4/28/99 11 APPLICANT . JURISDICTION: Carlsbad . 'U PLAN REVIEWER' U FILE' PLAN CHECK NO.: 99-1460 SET: I . PROJECT ADDRESS: 2386 Jefferson St.. - PROJECT NAME: Garage Addition/Roof Restructure The plans transmitted heewith have been corrected where necessary and substantially comply, with the.jurisdiction's building codes. . 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. The plans transmitted herewith have significant deficiencies identified on the enclosed chec'k'list' and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgil -- •- ''Corporation until corrected plans are submitted for recheck. - The applicant's copy. of the check list is enclosed for the jurisdiction to forward to the applicant : contact person. . . . •- . The applicant's copy of the check list has been sert to: . Jackie Josephson . 2386 Jefferson St. Carlsbad, Ca. 92008 Esgil Corporation staff. did not advise the applicant, except by mail, that the plan check has been completed....... Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: . Telephone #: * Date contacted: (by:.; )- Fax #: Mail Telephone Fax in Person . REMARKS-. By Mike Puckett Enclosures Esgil Corporation GA .MB EJ , PC. -4/19/99 - ' . .- '- trnsmtl.dot 9320 Chesapeake Drive Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 5601576 - -. Carlsbad 99-11. 60 -4/28/99';.;s. PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES 5 5 ...... - .5• 5..;... PLAN CHECK NO.: 994460 JURISDICTION: Carlsbad,. PROJECT ADDRESS: 2386 Jefferson St. FLOOR AREA: 565sf Gar. Add!. STORIES: 1 New Roof Structure HEIGHT: REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 4/15/99 DATE INITIAL- PLAN REVIEW COMPLETED: 4/28/99 DATE PLANS RECEIVED BY ESGIL CORPORATION: 4/19/99 PLAN REVIEWER: Mike Puckett FOREWORD (PLEASE READ) ThipIn rview is limited 'tothe 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: 1994 JBC (effective 12/28/95), 1994 UPC (effective 12/28/95), 1994 UMC (effective 2/23/96) and 1993 NEC (effective 12/28/95). 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, 1994 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 itemhas been addressed, i.e., plan sheet number, specification section, etc Besiife to enclose theiiirked up list when you submit the revised plans.- LIST NO. 1, GENERAL SINGLE FAMILY DWELLINGS AND DUPLEXES WITHOUT SUPPLEMENTS (1994 UBC) .r3Iorw.dot. -- .? -b--S - -, Carlsbad 99-1460 - 4/28/99. I Please make all corrections on the original tracings, as requeted in the correction list Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects) For expeditious processing, corrected sets can be submitted in one of two ways: • Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 2075 Las Palmas Drive, Carlsbad, CA 92009, (760) 438-1161. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. . Bring one corrected set of plans and cal culations/reports to EsGil Corporatiän, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (619) 560-1468. Deliver al remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineerin • and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not - be reviewed by the City Planning, Engineering and Fire Departments until review. by EsGil Corporation is complete 2 Provide a statement on the Title Sheet of the plans that this project shall comply with Title 24 and the 1994 UBC, UMC and UPC and the 1993 NEC 3 Please attach the a&.ornpanying Minimum Construction Specifications These include required UBC nailing schedules. . . :. . 4. When the valuation of a room addition or repair exceeds $1 ,000 or when sleeping rooms are created, snoke detectors shall be provided, except that smoke detectors added at existing construction need only be battery powered. Section-310.9.1.2. Please show or note on the plans that smoke detector's will be installed in all existing bedrooms and the hallways leading to the bedrooms. 5. Specify on the plans the following information for the roof materials, per Section 106.3.3: - a) Manufacturer's name. V b) Product name/number. V . c) ICBO approval number, or equal. V • 6. The plans show a 4'-O".eave. The truss drawings and calculations only show 2'- V .0". Please provide revised truss drawings and calculations that show a 4'-0" • V eave overhang. V - V • V' V •• V V •V • • 7. -• Show attic ventilation. Minimum vent area is1050-of attic area (or 1/300 of attic area if at least 50% of the required vent is at least 3fet above eave vents or cornice vents) Show area required and area provided Section 1505 3 .4 h. Carlsbad 99-1460 4/28/99 8 Is therean exiting fireplace? If so, please detail on the plan the type of chimney'— thêuirèd tthinatióhôlethnces Detail how chimney will be extended. 4 4 9 Garage requires one-hour fire protection on the garage side of walls and ceiling common to the dwelling. Table 3-13, Section 302.4. Please show on the plans. the requiredfir(§ rated protection and note that it.must extend from the bottom, plate to the underside of the uppermost robf sheathing; . Please show the required hold down devices i.e. PAHD 22 or HD' A; at the new shear wall at the end of the wall with the garage door openings as per UBC Section 2326.11.4. . . Please note that the hold down devices must be tied in place before calling for foundation inspection. . Ar6 there intermediate posts supporting the 4x12 header at-the new windows and french door? If so, please.clerIy show on the plans. 4,13.Note on plans that surface water will drain away from building and show drainage pattern and key elevations Section 1804.7. 14 Specify all truss identification numbers on the plans where thy are to be installed 15. Per UBC Section 234316, 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: . Identity of the company manufacturing the truss. • The design load. • The spacing of the trusses.". . 16. Provide a note on the plans stating "All new glazing (fenestrations) will be installed with a certifying label bftached, showing the U-value." . Carlsbad 994460 ....: '4/28/99,.-- 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, oç4etil number, calculati6n page, etc Please indicate here if any changes have been made t6 the plansthatre nota result of àorrections 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 El No U - The jurisdiction has contracted with Esgil Càrporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 619/560-1468, to perform the plan review for your project. If you have any S • • ,' questions regarding these plan review items, please contact Mike Puckett at : Esgil Corporation. Thank you. • . - . 5, • S .5- 5, 5 S • t '4 • • + S • - - • • S .;••.•. I - -, •- . S • - s .' .• + 5 5- - - 5 • -5 - -• S • 5 - - -S • 5 - . ••- +5_• - •_'•_S+5 - Carlsbad 99-1460 * 4/28/99 VALUATION AND PLAN CHECK-FEE JURISDICTION Carlsbad PLAN CHECK NO.-,.99-1460 PREPARED BY: Mike Puckett DATE: 4/28/99 BUILDING ADDRESS: 2386 Jefferson St. BUILDING OCCUPANCY: R3 TYPE OF CONSTRUCTION: VN, BUILDING PORTION BUILDING AREA (ft 2) VALUATION MULTIPLIER VALUE ($) Gar Add/Roof Struct. 565 ' - .' City Value '18,000.00 Air Conditioning ____________________ ____________________ . Fire, Sprinklers __________________ • . - TOTAL VALUE 18,000.00 El 1994 UBC Building Permit Fee Bldg. Permit Fee by ordinance: $ 183.58 fl 1994' 'UBC Plan Check Fee Plan Check Fee by ordinance: ,$ 119.33 Type of Review: El Complete Review El Structural Only El Hourly El Repetitive Fee Applicable El Other: • • • ' • Esgil Plan Review Fee: $ 95.46 Comments: p City of'Cads aA IJTI1I 'A'ITI 4.- iT. hiT-I-I dlil.I BUILDING PLANCHECK CHECKLIST DATE: ... PLANCHECKNO.:• •CB 9S— JL/0 __ •.'.. BUILDING ADDRESS: AJ, ' PROJECT DESCRIPTION:' ASSESSOR'S PARCEL NUMBER: • IO--3 EST.'c'ALUE: ! f31 oo l ; ENGINEERING DEPARTMENT APPROVAL , &0. DENIAL The iteth you have submitted for review has been Please ttached report of deficiencies. approved. The approval is based on plans,marked e necessary corrections to plans information and/or specifications provided in your or spe or compliance with applicable submittal; therefore any changes to, these items after codes and standards. Submit corrected plans and/or this., date, including field modifications, must be specifications to this office for review. 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 , S suspension of permit to build. By Jj1/t4A.J Date L Right-of-Way.permit'is required prior to construction of the following improvements: By: Date: By: ' Date: FOR OFFICIAL USE ONLY AUTHORIZATION TO ISSUE BUILDING By L4 ~GINEERI ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON LI Dedication Application . " ' Name: KATHLEEN M. FARMER Dedication of Carlsbad Dedication Checklist LI Improvement Application Address: 2075 Las Palmas Dr., Carlsbad, CA 92009 LI Improvement Checklist Phone: (619)438-1161, ext. 4374 LI Future Improvement Agreement . CFD INFORMATION LI Grading Permit Application Parcel Map,No: LI Grading Submittal Checklist , Lots: . LI Right-of-Way Permit Application Recordation: S. LI Right-of-Way Permit Submittal Checklist. Carlsbad Tract: and Information Sheet LI Sewer Fee Informatin Sheet . •• - A-4 11LASPA l~M76,tW§IcpgfRyffgllepu*no",§btl&,WOAKF 92009F1 576'• (760) 438-1161 • FAX (760) 431-5769 • BUILDING PLANCHECK CHECKLIST SITE PLAN 3RD' : ' ovide a fully, dimensioned site plan drawn to scale. Show: A. )4brth Arrow CEasements Property Lines .&' xisting & Proposed Structures C. xisting Street Improvements ()ftiht-of-Way Width & Adjaáent Streets-. Driveway widths El 2 Show on site plan (AA) Drainage Patterns . 9 1 Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage bourse. O .2. ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive drainage of 2% toswaIe 5' away from building" E~ Existing & Proposed Slopes and Topography 3. Include on title sheet: - - ddress - LBAessor's Parcel Number C-1egal Description For commercial/industrial buildings and tenant improvement projects, include: total building square footage with the square footage for eaëh different'use, existing sewer permits showing square footage of different uses (mahufactüring, 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.'; - .. /C3 4b All conditions are in compliance Date LIBRARY~ENG\WORDNDOCS~CHKLsrBt~iiding PIanthecCkIst BPOI Form KF.doc . - Rev. 9/3/97 - - - -. 2. BUILDING PLANCHECK CHECKLIST v'DEDlCATlON REQUIREMENTS '. ..'. ... 4ST.2.N DV 3RDJ ' 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 $_/O Y'itO , pursuant to Calsbad - •' Municipal Code Section 18.40.030.Xea_ pet- Dedication required as follows Dedication required Please have a registered Civil Engineer or Land Surveyor prepare .the appropriate legal description together with an 8 1/2"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 rBuilding Permit Attached please find an ' . '. • " ' application form and. submittal ch'ecklist'for. the dedication process.. Submit the completed application form with the4 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 onstruction whenever thevalué of the construction exceeds $ __ c51i..' ' , pursuant to Carlsbad Municipal, Code Section. 18.40.040. .1 .• ' 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 r 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 vimprovements may be deferred pursuaht'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 .we may prepare the necessary Future Improvement Agreement. This agreement - be signed, notarized and approved by the City prior to issuance of a Building - permit Future public improvements required as follows 1 -• . . • • • • . ' ' Plandleck Cklst 8P000I Eonn Q5 9 ' . • •' ' • 5- 'Rev. 9/3/97 • • • ' . . S - ., S . - a ..- ,. • •• • - . .-' -St ,. * ' - S - - . . - - . - .' •- 5 • S S i V V V V BUILDING PL NCHECK CHECKLIST V S V 1 st:) 2ndl '3m/ V ' -' - V - V • V V V 6c. Enclosed-.please find your Future Improvement- Agreement. 'Please return V agreement sined and notarized to the Engineering Department. ,• V Future Improvement Agreement completed by: V -"V V Dàte U U U 6d. No Public Improvements rquired. SPECIAL NOTE: Damaged or defective V V S V• improvements found adiacent to building site must be repaired to the satisfaction V • • of the City Inspector prior to occupancy. V V GRADING PERMIT REQUIREMENTS V V V5 The conditions that invoke the need -for a grading permit are found in Section. V V V 11.06.030 of the Municipal Code. V S - ;.• U U U 7a Inadequate information available on Site Plan to make a determination on grading V V V requirements. Include accurate grading quantities (cut, fill import, export). , U - U V 7b- Grading Permit required. A separate grading plan prepared by a registered Civil V V Engineer must: be submitted together with the completed application form V attached. NOTE: The Grading Permit must be issued and rough grading • V approval obtained prior to issuance of a Building Permit. V V • V Grading inspector sign off by: V Date: -V U 'U U V Graded Pad Certification required. (Note: Pad certification may be required even V if a grading permit is not required.) V V V V V V V V U U U V • - No Grading Permit required. V V U U S If grading is not required, write "No Grading" on plot plan. • .5 V V V . MISCELLANEOUS PERMITS U U 8. A RIGHT-OF-WAY PERMIT is required to do" work in City Right-of-Way and/or V V private work adjacent to the public Right-of-Way. Types of work include, but are S not limited to: street, improvements, tree trimming, driveway construction, tieing V V into public storm drain, sewer and water utilities. V - • • V S .. V V V V V • V V V Right-of-Way permit required for: ' . . - • V - -V - -V . . . . S • S S •• -V V -. V , '' V Planthed, Cidat BP000I Penn KFdoc V V - Rev. 9/3/97 BUILDING PLANCAECK CHECKLIST 3rd/ - • : A SEWER PERMIT is required conOurrent with the building permit issuance. The. fee is noted in the fees section on the folloWing page: • 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 telephon&(760) 438-2722, extension' 153, for assistance Industrial Waste permit accepted by: . '. Date:' ' .. • ,11.NPDES PERMIT' '. ' . •. . Complies with the City's requirernents of the National Pollutant Discharge Elimination System (NPDES) permit. The applicant shall provide best management practices'to reduce surface'polIutants 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. 0 Required fees are attached • . • ' - No fees required " •. •. : 13 Additional Comments • - ''' ' -'•-- '• - •' .i , •' - - ' • - , . • . b • •., -' .S • ,, • 5'• • .. S • • ' • ' • • .• . • . • . • , , S • •• - S. • - S . -. - • '' . Planthedr Cldst BP000I Form KF.doc • , . • . '• . Rev. 9/3/97. • • '- S • - • - . . PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEWCHECKLIST Plan Chec4o. CB . 'Address ) Planner,,' Phone (6194381161, extension APN C 7 - Type of Project& Use: i_- Net Project Density:DU/AC1 Zoning: _P 3 General Plan:_________ :*'Facilities Management Zone: I 'CFD iin/n..t # ' 'Date of participation: ..Remaini'ng netdev acres:_____ Circle One ..;. (For non-residential development: Tpé of /land used created by this permit Legend Item Complete \j Item Incomplete - Needs your action Envirormental Review Required: YES NO TYPE 'DATE OF COMPLETION: ' _.• V Compliance with conditions of aprovaI? If not, state conditions which require action: Conditions of Approval: - ' Discretionary Action Required: YES NO TYPE'' APPROVAL/RESO.N0. V DATE,' PROJECT NO. •V •V V ' ' OTHER RELATED CASES: - - V Compliance with-conditions or approval? If not, state conditions which require 'action. Conditions of Approval: V F-1 0 V Coastal Zone Assessrnerit/Complianóe Project site located in Coastal Zone? YES NO ' CA Coastal Commission Authority? V YES____ NO____ 'V , V _,.If- California. Coastal Commission 'Authority:* Contact them at - 3111 Camino Del Rio North, Suite' 200,-San Diego,CA 92108-1725; (619) 5218036 Dtermine status (Coastal Permit Required or Exempt): "Cdastal Permit Detemination ForFn already completed' YES NO____ V If NO, complete Coastal Permit'Determiñati'ori Fcrrii snow.'' -. ' ''- V • • V • - Coastal Permit Determination Log # Follow-Up Actions:" V V • 1) Stamp BuiIdingPlansas 'Exempt".or "Coastal Permit Required" (at minimum Floor Plans)4-.1 16 "2) Complete, Coastal Permit Determination Log as needed , V - C - -,., ,••1 a-. E fl Inclusionary Housing Fee required YES - NO (Effective date of Inclusionary Housing Ordinance May 21; 1993) tv t . _'_1_ • -. . . . •. •: Data Entry Completed' YES ____ NO (AIP/Ds Activity Maintenance enter CB# toolbar Sciens Housing Fees Cónstruct Housing YIN Enter Fee UPDATE') - •-. - - . . -• - 4 ,_•4 .- - ,- •1 4t Site Plan:- - 1 Provide a fully dimensional site plan drawn 4o scale Show North arrow,j, property Iines, easements, 'existing and proposed structures,".streets, exiting street improvements, right-of-way width, dimensional, setbacks, and existing - topográphical lines 'S 4 e 2 ,Provide legal description of property and assessbr'sparcel number - Zoning 1 Setbacks Interior Side — Required Shown tO Street Side 1Required Shown - Rear 4. Required . Shown - -..-- - 3 - ( LLJJ U 2 Accessory structure setbacks Front Required Shown + - lnterior Side:* - + .Required- Shâvn -. Street Side 1Required Shown -Rear: - Required • 'Shàwn' -:- Strture separation Required Shown - - 3 Lot Cvrage Required — / Shown - 4 Height Required . Shown'_______________ 11 - 41 5 Parking Spaces Required Shwn5_____________ ' 11 Guest Spaces Required Shown (\ [ + Adioal oments + - L/ pidy. (1qç..- • •.• 4 1 OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ___________ DATE_________ A * ON of Carlsba-,d - Plan Check Revision Permit No: PCR99260 Job Address: 2386'JEFFERSON ST S Status:. ABANDOND' Permit Type: PGI S . Applied: 10/14/1999, Parcel No: 1551802300 Lot #: 0. . Approved; Reference'No: . : Issued: J S PC #:' I - S - ' . . '. Inspect Area: Project Title: JOSEPHS6N RES-ADD 3 PERGOLAS TO ROOF. Applicant: . Owner: JACKIE JOSEPHSON ,. ,. ALLERDYCE JAMES R&PAULA Z REVOCA . 5 10125 CAVALLETTI DR S . . . SACRAMENTO'CA . S 760 730-1701 -S S S - - S S .5 . S , : .5 S 55 5 55 S - S - 'S , 5 5.5. . S -S 5 - Fees $0 00 Additional Fees $0.00 1 Total Fees:,$0.00 Balance $0 00 PERMIT APPLICATION '1 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO._________ EST. VAL. Plan Ck. Deposit Validated By Date .1.. !R0JECTINFOATIP? ..,.... ..... (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use cd,v add to i-P Work SQ. FT. LI #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) ,. . . . . .. . - Name Address City State/Zip Telephone # Fax # APPLICANT 0 Contractor .0 Agent for Contractor 'Ownér 0 Agem for Owner Name Address City State/Zip Telephone # 4 PROPERTY OWNER rHs JACfri'c JSpS6'iJ .. (14......................7p-O - 17ô( Name Address City State/Zip Telephone # 5 CONTRACTOR COMPANY NAME '- (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$50011. Name Address City State/Zip Telephone # State License # License Class City Business License # Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. o 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No._____ Expiration Date__________________ (THJS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$ 1001 OR-LESS) 0 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' Compenation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). in addition to the cost Of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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). 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). I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / Contractors license number): 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): 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 DATE COMPLETE.THIS SECTION FOR-NON--RES!DEN77ALBUILDING PERMITS-ONLY.. ,... -. :.. . ............ 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. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. :8.. .;CONSTRUCTIONLENDING,AGENCY.-:.............. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS___________________________________________________________ 9. •APPLICANTCERTIFICAT(ON-'-.......;...-.;.... 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 Cit%' 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 WAY 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 Building Official under the provisions of this Coda shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 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 aft work is co me a or a period of 18 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -- DATE