HomeMy WebLinkAbout2501 JACARANDA AVE; ; CB111111; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-27-2011 Residential Permit Permit No: CB111111
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2501 JACARANDA AV CBAD
RESDNTL Sub Type: RAD
Lot#: 0
Status:
Applied:
Valuation:
2550703400
$28,454.00 Construction Type: 5B Entered By:
Occupancy Group:
# Dwelling Units:
Reference #: Plan Approved:
0 Structure Type: Issued:
Bedrooms: 0 Bathrooms: 0 Inspect Area:
HEINZE RES-CONVERT 216 SF Orig PC#: Project Title:
COVERED PATIO AREA TO HABITABLE SEE PREVIOUS
PERMIT
Plan Check#
CB021405 FOR FOUNDATION APPROVAL
Applicant:
HEINZE ERIC K&KIMBERL YA
2501 JACARANDA AVE
CARLSBAD CA 92009
760 310 2227
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I 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'I Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
$280.59
$0.00
$182.38
$0.00
$0.00
$2.85
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1.00
Owner:
HEINZE ERIC K&KIMBERL YA
2501 JACARANDA AVE
CARLSBAD CA 92009
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
Fire Sprinkler Fees
TOTAL PERMIT FEES
ISSUED
05/25/2011
LSM
06/27/2011
06/27/2011
Total Fees: $510.82 Total Payments To Date: $510.82 Balance Due:
Inspector: t1'I, Co,(,/,A;,,. S
FINAL APPROVAL
Date: I 3 I?-Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$24.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$510.82
$0.00
NOTICE: Please take NOTICE that approval of your project includes the ~Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
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 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 capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOA DOES IT APPLY to any
f x in fwhi h v r vi n i n N Tl imi! r his r whi h h flimi h h iwi
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-25-2011 • Residential Permit Permit No: CB021405
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Building Inspection Request Line (760) 602-2725
2501 JACARANDA AV CBAD
RESDNTL Sub Type:
Lot#: 2550703400
$27,192.00 Construction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
HEINZE -ROOM ADD 264 SF
RAD
0
VN
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
ABANDOND
05/08/2002
JM
08/05/2002
08/06/2002
JE
Applicant:
Plan Check# ~ A-~
fo'2_~ck.:f<,o0
p,p~o\kJL,I o ,-J
t0/~/0,::l
HEINZE ERIC K&KIMBERL YA
2501 JACARANDA AV
CARLSBAD CA 92009
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I 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'I Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
$231.87
$0.00
$150.72
$0.00
$0.00
$2.72
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
??
$0.00
$0.00
$0.00
??
Owner:
HEINZE ERIC K&KIMBERL YA
2501 JACARANDA AV
CARLSBAD CA 92009
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
Fire Sprinkler Fees
TOTAL PERMIT FEES
Total Fees: $429.31 Total Payments To Date: $429.31 Balance Due:
Inspector:
FINAL APPROVAL
Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$24.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
??
$429.31
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
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 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 capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
• ,,_f,-·L,~L .. -.. L------• ·-~--,.,-.,,.... ... ,,........ • '""'ltou,hi,..hH..,. • __ ,,,_,._..:, ___ L--• . _._, __ _;
~~ Building Permit Application Plan Check No. (1.5 I l l \ \ l
~g,LJSlf 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY Of 760-602-2717 / 2718/ 2719 /'?{ ;;i.. 5'6 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.carl~baQQi;!.gov Date,;:-i.;)Sj I \ )swPPJ I\.,
JOB,~! SUITE# /SPACE#/UNIT # ,PN -Sr,..~ I:»\. AVG ChZLStsAD . . -
Cl/PROJECT# 'LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
c.ar-Jv6i21 1:::-')(\ Sff Nl -, c.cvee..-ED f'P...110 INTO BONUS Rc<::JM ;;2/(.p .<Y:\ fl
c....,. ' ' I • '1A-~ C'\ f'/0 J ',-.~I. n /"I l -, • ,oc( Pln (I f2..n--. J'iO<
• ___, ' '
EXISTING USE j ::!o:.~seo USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) ,_FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
C.CvSJ?eo f"A.77 o , L 1 \)S eoo/',/\ YES D # NO □ YES O NOD YES D NOD
CONTACT NAME (ff Different Fom Appl/cant) APP~2 1NAME .\-\ . ..r::--: ·, (_ E:p,J7 ,
ADDRESS ADDRESS ;:;z.so 1 :I P...CA.e.J/)...N pA Av€
CITY STATE ZIP CITY SU\ "q_ ') CAf:-1....,S. {:;,AD, :2co
PHONE IFAX PHONE !FAX 7(d) °?>\o-;z.,;;i.J., 7~0 'iL/-;l_S(cOl
EMAIL EMAIL
HetN1.& C.C"-1STT2.uCftor--J AT c':,MA.tL .CC>M
PROPERTY OWNER NAME ~£ CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS ! STATE UC.# STATE LIC.# I CLASS I CITY BUS. LIC.#
(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 1s 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 e)(emption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
» ~ ~ s ~ a " , IC•~ ¥ " X
WORKER$" 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 wor\\ers' compensation as provided by Section 3700 of the Laber C.ode, for the performance of the work for which !his permit is issued.
D I have and wlll maintain workers' co~ensation, as required by Section 3700 of the Labor Code, for the performance of the wor\\ for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
This seclion need not be completed if \he permit is for one hundred clollars ($100) or less.
D Certificate of Exemption: I certify that in the performance of the wor\\ for which this permit is issued, I shall no! employ any person in any manner so as to become subject to the Woril:ers' Compensation Lam of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an empk>yer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees.
,6$ CONTRACTOR SIGNATURE □AGENT DATE
" ~ " ~ '~ ~ ""'"'" --w
OWNE'll•BUILDER DECLARATION . ' '
I hereby afflrrn that I am exempt from Contractor's License Law for the following reason:
~ I, as owner of !he property or my employees with wages as their sole compensation, will do the wor\\ and the structure is not intended or offered for sa!e (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of proper1y who b1Jilds or improves thereon, and who does such wor\\ himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the buihing or ilTl)rovement 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 projec1 (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 comracts for such projects w~h ccmlractor(s) licensed pursuant lo the Contractor's License Law).
□ I am e)(empt under Section _____ B,usiness and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have I have not) si]ned an application for a building permit for the proposed work
3.1 have contracted with the following person (firm) to provide the proposed construction {include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have rired the fo!lowing person to coordinate, supervise and provide the major work {include name/ address I phone I contractors' license number):
5. I witl provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of wor\\):
,,J!$ PROPERTY OWNER SIGNATURE □AGENT DATE 5 · '2.S -r I
-
Is the applicant or future building occupant required lo 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? O Yes O No
Is the applicant or future building occupant required to obtain a permit from !tie air pollution control district or air quality management district? 0 Yes O No
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFtcATE 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.
I certify that I haYe read the application and state that the above infonnation Is conect and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for i'lspeCOOl'I 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 requi'ed for excavations over 5'0' deep and demolition or construCOOn of structures over 3 sto,,ies i1 height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null ar.d void if the buildr'lg or WOik aulhorized by such permit is not commenced 'Nilhin
180 days from the date of such perm~idilg or ~ authorized b~ such permit is suspended or abandoned at any lime after the work is commenced for a period of 180 days (SeCOOfl 106.4 .4 Uniform Building Code).
,kf APPLICANT'S SIGNATURE I__-"---~ DATE s -2-s -( I
Inspection List
Permit#: CB111111 Type: RESDNTL RAD
Date Inspection Item Inspector
12127/2012 89 Final Combo
1212712012 89 Final Combo MC
1211412012 89 Final Combo MC
01/2012012 17 Interior Lath/Drywall MC
0112012012 18 Exterior Lath/Drywall MC
1212912011 14 Frame/Steel/Bolting/Weldin MC
12/29/2011 16 Insulation MC
12/19/2011 13 Shear Panels/HD's MC
12/19/2011 14 Frame/Steel/Bolting/Weldin MC
12/19/2011 34 Rough Electric MC
12/19/2011 44 Rough/Ducts/Dampers MC
Friday, December 28, 2012
Act
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HEINZE RES-CONVERT 216 SF
COVERED PATIO AREA TO HABITABLE
Comments
SEE CARD
1147 G4
SEE CARD
Page 1 of 1
SPECIAL INSPECTION DAILY REPORT
PROVIDED SPECIAL
INSPECTION SERVICES
FOR THE FOLLOWING:
ADDRESS:
Sol
TIME IN: TIME OUT: co
DESCRIBE MATERIAL: S-1. ~
_.,g REINFORCED CONCRETE
□ PRE-STRESSED CONCRETE
□ STRUCTURAL MASONRY
MILES:
□ STRUCT. STEEL ASSEMBLY □ WELDING
□ SPRAY-APPLIED FIREPROOFING □ OTHER: ________ _
□ EPOXY ANCHORS/DOWELS □ DATE:
BUILDING PERMIT: PLAN FILE:
\\
OWNER:
ARCHITECT:
ENGINEER;
CONTRACTOR:
SPECIAL INSP CTION DOES NOT RELIEVE THEO NER, CONTRAC R OR BUILDER F THEIR RESPONSIBILITY TO PERFORM ALL WORK PER THE APPROVED
PLANS, SPECIFICATIONS AND APPLICABLE BUILDING CODE. FOR ANY NON-CONFORMING !TEMS PLEASE SCHEDULE FOR RE-INSPECTION. ALL WORK
PERFORMED IS BILLED IN 4 HOUR INCREMENTS PLEASE SEE OUR CURRENT RATE SCHEDULE. I AGREE TO INDEMNIFY AND HOLD HARMLESS THE INSPECTOR
FOR ANY AND ALL DAMAGES WHETHER ACCIDENTAL OR INTENTIONAL. IWILL PAY FOR ANY AND ALL ATTORNEY AND COURT COSTS. I WILL PAY FOR ANY AND
ALL JUDGMENTS BROUGHT AGAINST THE INSPECTOR /1/ \ '
INSPECTOR~~{\~ f'F_,,;--/ OWNER~n I-.___~ -~~ DA;/;)>/
SIGNATURE(;.._, ?~ OATE09-:ZS,-1/ CONTRACTOR = DATE ___ _
CERTIFICATION ( ( ( S-Qo6qzs:: so -1w 6
«~
•-. CITY OF
CARLSBAD
BUILDING
2.~ Plan Check
Comments
oevelapmeac s,,vt,,,
Bulldln1 Dlvlllon
1635 Faraday Avanue
76CMOZ-Z719
www.carlsbada.aov
By: Steve Boroauy (Contact Hourw for Stave: Tu--Frl., 1pnt-Spmt Phone: 780-802 7541
Penn1t:C'fz?I\I \II Addrnr :?aa:el ;::}g,cocaada ,AYtD•tr <;/?~U,1
• WII• corrac:tlw fram all d-,.rtments are raat.ted pl--run new prfnls •
• PINN ,..,..d by lndlcatlftl locatlon of Plan Chec:11 Items on plans • '.J Provide: A dllllaillR on the TIiie ~ of Ille plarll alllllng lhat the pn,lact 1111111 c:amply will! the 2010 CA Building Code, 2010
CA Rwldliillll C.xle, 2010 CA GI-. Code, 2010 CMC, 2010 CJIC, 2010 CEC, 2001 CA Enav, Clllclliq
Slai ... 2010 CA Fltw Code and Ille Caillblld Munlclpll Code ::J Provide: A notw titled "Scope of Work" dNCI lbi II the wortc ID be perfumed undw Ihle permit
I. V 'J)e_k_:_ l f y O po 5 e~ L V\.. s. u..l C.. -K-= ""' ( ?-. <_,. 0 ) pe_ -M>J e.e.--. ~ f +u-s
~tu=,t...u 1/-z-'1 G. e,. Q. S:.<2-c_ A + r c.,,_fQ.11.~r w"'-t\">
--r +\-t> 6 zt;; oo l-\ a. t'\.C. h. = r s-I '2-oc..
$..__b."'<-:.J-\j°vV\A.. ~ -4-s;
t'/ v---,/1t ~ez I pproved on, ... • ------=+, __ ..,_1 ---'---Bv:-----_:;;;;--=,,.;-..::;... ______ _
~· <<o»
• CITY OF
CARLSBAD
BUILDING
Plan Check
Comments
Development Services
Bulldln1 Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
By: Steve Borossay (Contact HouN for Steve: Tun • .frt., 1pm-5pm) Phone: 760-602 7.541
Permit: C-J;? 111 \ I) Addl9N• :Z,S:o\ T 9-ffiffi 0 d c, 1\ .[ ~ Date• 6 /.J / 11
• When corrections from all departments are received pluse run new prints • 7 i ,,
• Please respond by lndlcatln1 location of Plan C,eck Items on plans •
{ rovlde: A statement on the Tille ShNI of the plane stating that the projec:I shall comply with the 2010 CA Building Code, 2010
CA Reeklenllal Code, 2010 CA GIWI Code, 2010 CMC, 2010 CPC, 2010 CEC. 2008 CA Ene,gy Clllcia,cy
Standalda, 2010 CA Fire Code and the Cllllabed Munlc:ipal Code D Provide: A note titled "Scope of Wort: describing the work to be perfonned under thia pennit. vc;;,.e cz_ a. °tt QC h ed. $ h. Q_ e.A--s Le.: +er CL l r O \A lA CI a_ 1"Lo "\ "f £ n e_ f j J
Y. S\-ro_p -S-hea...r w q: \ \-.. 4-o \,. =~(!__rs (_v\ S. \ A "3-o)
t\_.ecJ.-c\A_ (\ J v...c t-
JalA._d \. .,.__
V\
~
A J d.,(-h=av-.c . .Q Cs..;,IA-L"'"'-e....,i;,.
~<i:oc\l·C-~.c__..::.,._ l ~r-~'&
~ 1l\D ~z..Goc:> +\--~ ; ec, ~ t:r( IM-v -4s;-
' Approved on·-----------By:--------------1
<<~'> ~ CITY OF
CARLSBAD
SPECIAL INSPECTION
AGREEMENT
B-45
Development Services
Bulldln1 Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
In ac:conlanc• with Chaplllr 17 of Ill• California Building Code the following muat be completad when worl< being perfonned
l'9CIUI-apeclal lnapectlon, structural o-tlon and conatrucllon matllrlal taellng.
Projec:t/Permit C 12 111 11 I ProjectAddress· d5V 1 -::fAu>r--'0 A k\115
A. THIS S~ON MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Plea .. check if you are Owner-
Builder f"' (If you checked •• owner-builder you muat alao complete Section B of lhla agrftfflffl.)
Name: (Pio-p,-,t) sr·l G t<' t½ nz.£
(f'nl) (M.l) (~
MalllngAddreu· d5Dl °"S'O:C-O::CCUVlcix-t\Ve. ,u;u:/s/:»,C{ q:).-{)6°t
Email• bo .i 01,.e., conskkld co@-@[YIL(..U"('.£)d}Phone· '7&:CJ-3 IO -{;}-'o-';r 7
1 am the: ~roperty OWnar □Property Owne(s Agent of Record □Architect of Record □Engineer of Record
State of California Registration Numbe,,__ __________ Expiration Date,_· ______ _
AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of CaNfcmie, that I
have read, undersland, acknowledge and promise to comply with the City of Carlsbad requirements for special
inspections, structural observations, construction materials testing and off-site fabrication of building components, as
prescribed in the statement of special inspections noted on the approved plans and, as required by the California
Building Code. / /
Signature· C ="'-~. ~ Date: IP??T Ii
8. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706). This sec:lfon must be completed
by the contractor I builder/ owner-buflder.
Contracto(s Company Name: \.\eJ l'.'IR l'...m~Yl,\Cl\ D:Q C-0 • Pie-chocU you,,. owner-Builder 2t
Name: (Pie-print) Gr'~ LG K \---\::./ (l lR.... .
, .... , (M.i\ . (Lall ~I /)
Mailing Address: cxE5D\ -:'.Sac11.,r-0-51ck,__, i'\Ve.,,J W /;Sb.cwt ~1>-C>tA
Email: W DU-: mns:tr:L!-£Aion ~r; /.C!.llrvt PhOntl'. 7Co0 -3/D~~O-d' 7
State of California Contracto(s License Number: 5 ~ 4B Expiration Date: \ 0< \ o I l I I
• I acknowledge and, am aware, of special requirements contained In the statement of special Inspections
noted on the approved plans;
• I acknowledge that control will be exercised to oblain conformance with the construction documents
approved by the building ofllcial;
• I will h~ve In-pa procedures for exercising control within our (the contractor's) organization, for the method
and frequency of reporting and the distribution of the repol'!s; and
• I certify that I will h~ a qualified p~n within our (the contracto(s) organization to exercise Zeh control.
Signature· s: ~ ~ :::'=) ----Date: Le /;;;-o I I I
FU.• Page 1' of 1 Rev. 02/10
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER e.J?(/~ / ( ( I DATE
.---
ADDRESS ;)_. (0 ( cJ Uc a [a"--cl__ a_,
RESIDENTIAL
__fh--JA.-.~ f~
RESIDENTIAL ADDITION MINOR
( < $20,000.00)
SOLAR PANELS
TENANT IMPROVEMENT
PLAZA CAMINO REAL
PREMIER OUTLETS
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER _______________ _
oocs/Mlsforms/Plannlng Engineering Approvals
I ~ ., .,
~ • • 0 0
c/1 I:)
l, l, ~ D .. 11 \'I
"11 I I ~ (.) () ()
C C C • £ £ 0:
l:8l □ □
l:8l □ □
l:8l □ □
l:8l □ □
l:8l □ □
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB11-1111 Address 2501 Jacaranda
Planner Chris Sexton Phone .,_,{7~6=0.,_} =60=2~-~4=62~4'---------
APN: 255-070-34
Type of Project & Use: addition Net Project Density: 1.0 DU/AC
Zoning: P-C General Plan: RLM Facilities Management Zone: j_l
CFO (in/out) #_Date of participation: __ Remaining net dev acres: __
Circle One
(For non-residential development: Type of land used created by this permit:
_)
Legend: l:8l Item Complete
Environmental Review Required:
D Item Incomplete -Needs your action
YES O NO O TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required: YES O NO O TYPE __
APPROVAL/RESO. NO. DATE
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval: __
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES D NOD
CA Coastal Commission Authority? YES D NOD
If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive, Suite 103,
San Diego, CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
Habitat Management Plan
Data Entry Completed? YES O NO 0
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and
assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type
impacted/taken, UPDATE!)
lnclusionary Housing Fee required: YES D NOD
(Effective date of lnclusionary Housing Ordinance-May 21, 1993.)
Data Entry Completed? YES O NO 0
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N,
Enter Fee, UPDATE!)
H:\ADMIN\Template\Building Plancheck Review Checklist.doc Rev4/08
Site Plan:
~□□
~□□
□□□
~□□
~□□
~□□
~□□
~□□
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 (including all side and rear yard slopes).
Provide legal description of property and assessor's parcel number.
Policy 44 -Neighborhood Architectural Design Guidelines
1. Applicability: YES O NO 0
2. Project complies: YES D NOD
Zoning:
1. Setbacks:
Front:
Interior Side:
Street Side:
Rear:
Top of slope:
Required 20' Shown 33'
Required 6'3" Shown 6'3"
Required __ Shown __
Required 12'6" Shown 37'6"
Required __ Shown __
2. Accessory structure setbacks:
Front:
Interior Side:
Street Side:
Rear:
Structure separation:
Required __ Shown __
Required __ Shown __
Required __ Shown __
Required __ Shown __
Required __ Shown __
3. Lot Coverage: Required >40% Shown >40%
4. Height: Required >30' Shown >30'
5. Parking: Spaces Required g Shown g
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required __ Shown __
D D D Additional Comments
OK TO ISSUE AND ENTERED APPROVAL INTO COMPU~'7:JATES-~-/I
H:\ADMIN\Template\Building Plancheck Review Checklist.doc Rev 4/08
CB111111 2501 JACARANDAAV
HEINZE RES-CONVERT 216 SF
COVERED PATIO AREA TO HABIT ABLE SEE PREVIOUS
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Approved
BUILDING
Pl.ANNING
ENGINEERING
ARE
_,
HazMat
APCO
Health
FonnsjFees
Encina
Fire
HazHealthAPCD
PE&M
School
Sewer
Stonnwate,
Special Inspection
CFO: y N
landUse:
PFF, y N
Comments
Building
Planning
Engineering
Fire
Need?
SW
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Date By ,_1-~;,, (llj.,,.
si 1•,/, I --J
/,.1/., ,,, I
y N , .
Sent Rec'd Due? By
y N
y N
y N -/5 i.,,..::, I JI y N
y N
y N
y N
y N
Demit), lmpArea: FY, Annex.: Factor:
Date Date Date Date
r,,i,,,../11 (a I,.«:/ II . ' ,
□Done
□Done
□Done
□Done
□Done
□ Issued