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Home My WebLink About2530 DAVIS AVE; ; CB970551; Permit•If--" \:Permit N6: CBS7o051 Project No: A9700720 Development No: BUILDING PER M;i"T; ; 06/23/97*15-20 ^ \"V ' Page 1. *>f ',£ c,,,*k.!• Job Address: 2530 DAVIS AV _ Suit*. Permit Types RESIDENTAL ADD/ALT . -^ *'- Parcel>N^,155-252-ll-00 ; ; Lot#, • .^^^^ ^ NEW ESE^Wr . - '' 8° • Deference, - ' •*«*. . ISSUEDuccupancry oj-wjuj./. Description: DRIfftCHED GARAGE 400 SF Appl/Ownr : ^TKISSON, LEIF 2.5 3^.'bAVI S AVENUE:V^AR£rSBAD, CA -92008 . *** Fees Required *** *** Fees : Adju.3tment;S£ Total Fees"; .fpplied: p3/11/97 06/23/97 JM Building Permit^. ''"- Plan Check ,. ' Strong Motion Fl? * BUILDING Enter "Y" Each Iiistall/R«>a Each Vacuum B * PLUMBJNG Enter "Y" for. Enter "Y" for^ * ELECTOR ICAL TOTAL PLDA' A :' ';: sr 619 434-^778 -V 6234 (W/3J^ OOpi 01 02 Fees Collected & ~—As-—-"•— L ' ,J , .00 ;fc *; 70-. oo , ,: 399.00 ,iit 'Ext t;ee Data IQSfOO "•«. 7.00 7^06 £ 3*.G'<1 io.oo 236,.fro L ..,,. • _ * •'. '< 9s' '•:• >' r •" '*.-• 2075 Us OF CARLSBAD ., Carlsfcd, CA 920(» (619) 438-1161 ; s" Cd fcef- fr PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 PF. .'rabJECffii """ FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By^ Date ddress (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 Description of Work __ i / SQ/FT VOO &ff& faMec?2 CONTACT REireCIN (if different from applicant) #of Stones # of Bedrooms # of Bathrooms 1! ^ Address City (Urgent for Contractor Q.Pwner, f[[D Agent forjbwner State/Zip Telephone #Fax t)&Name Address City State/Zip loraqtV b\pj*N|^ %-_: Name ' Address City State/Zip Telephone # (IPS CONTRACTORJPCOMPANY NAME" "" """"l! T ^!T" "XT"':i™*' """^ ' : '"" :: : ":"'.' . '• ' -••••—• --7 ••?•-• (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 Codel 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 [$500]) •fi. y Name State License ff Address License Class City City Business State/Zip License ff Telephone # Designer Name State License # Address City State/Zip Telephone f^™^W^RkERS/i:CbMPlNSAfibNr:v':;i:;^pp- : ! "" '- :lp:;i; "• *'•<•#"' ''" :.S:«- ' -iip:- •"~rl,::" '"''IV : • " 3IK-BE" " • WHBp" :;:;.vf -: "v^ ••'::"":": -•-- Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 Q I 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 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l 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 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 [F: 6WNERr;BUILDER;DKSRATlbN" """ -" "-T. , •_"" _""- ._ " \ 7 jiff""' " . •". '"1 ^EI.^--'1 "::';""v: .J I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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 soldurffhin 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) fff 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) Q < I am exempt under Section Business and Professions Code for this reason -i"'!? 03/1 /97 D?Cl 1- C.1 I persorjajly plan to provide the major labor and materials for construction of the proposed property improvement Q YES EJNO <-, r~,y-- 2 Mfia^e>T\ave 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 of work) ,ired) the following persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATU LCpMPtCTErJmiS SECTION Is the applicant or future buildin DATE BUJLpiNG PERMITS OJ\IJLY ^, ,„, . . cupant 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? d YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [~l YES (~1 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 B CONSTRUCTION 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 30970) Civil Code) LENDER'S NAME _ LENDER S ADDRESS _ 19. '~ 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 City 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 BuildirjjxOfficiaJ undgffh/Er*provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commejrtJed vyjjhlij^e^lai^s frorn the date of such permit or if the building or work authorized by/such permit is suspended or abandoned at any time after the wyl^j^omn^^eiffy^^iy^yf180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNA DATE YELLOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB970551 FOR 08/12/98 DESCRIPTION: DETACHED GARAGE 400 SF TYPE: RAD JOB ADDRESS: 2530 APPLICANT: ATKISSON, CONTRACTOR: OWNER: REMARKS: C/LEE/ SPECIAL INSTRUCT: DAVIS AV LEIF PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCKtf CB970551 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 434-8778 INSPECTO: TOTAL TIME: CD LVL DESCRIPTION 19 29 39 49 ACT COMMENTS ST PL EL ME Final Final Final Final Structural ftfJ Plumbing (fl Electrical y Mechanical / / ***** INSPECTION HISTORY ***** DATE DESCRIPTION 060298 Exterior Lath/Drywall 052998 Frame/Steel/Bolting/Welding 052998 Roof/Reroof 052998 Rough Electric 052298 Roof/Reroof 042198 Ftg/Foundation/Piers ACT INSP AP PD PD PD PD PD AP AP AP AP AP COMMENTS PD EsGil Corporation Professional ffan 'RfVitiU "Engi DATE 5/13/97 a_AP«jcANT <Q_JURISJ JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 97-551 SET II PROJECT ADDRESS 2530 Davis Ave. PROJECT NAME New Garage The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's *********** 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 check 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 sent to Esgil Corporation staff did not advise the applicant 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 The revision clouded in red on sheet 4 of 5 must be made to the city set of plans By Chuck Mendenhall Enclosures Esgil Corporation D GA D CM D EJ D PC 5/8/97 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619)560-1468 *• Fax (619) 560-1576 EsGil Corporation (Professional?(an (Review 'Engineers DATE 3/21/97 JURISDICTION Carlsbad PLAN CHECK NO 97-551 SET I PROJECT ADDRESS 2530 Davis Ave. PROJECT NAME New Garage a JURIS a PLAN REVIEWER a FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's *********** codes The plans transmitted herewith will substantially comply with the jurisdiction's ********** codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith hdv'e significant deficiencies identified on the enclosed check lis and should be corrected and resubmitted for a complete recheck The remarks below are transmitted herewith for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck Submit 3 sets of revised plan to the city for recheck or submit one set of plans to EsGil Corp And two sets to the city 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 sent to Leif Atkisson 2530 Davis Ave , Carlsbad, CA 92008 Esgil Corporation staff did not advise the applicant (except by mail) that the plan check has bee completed Esgil Corporation staff did advise the applicant that the plan check has been compteted^ Person contacted Telephone # REMARKS 1.. bgjiE&itte&tej^ JotgJhat the mm "Length of the plywood shear pane By Chuck Esgil Corporation Enclosures _ ii"T r_ 9320 Chesapeake Drnc Suite 208 + San Diego Cahfornfa'92T2T> (619)560-1468 + Fa\ (619) 560-1576 EsGil Corporation ^Professional Plan 'Rf.vietV 'Engineers DATE 3/21/97 'a __ JURISDICTION Carlsbad Q PLAN REVIEWER a FILE PLAN CHECK NO 97-551 SET I PROJECT ADDRESS 2530 Davis Ave. PROJECT NAME New Garage The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's *********** codes I I The plans transmitted herewith will substantially comply with the jurisdiction's ********** codes when minor deficiencies identified below are resolved and checked by building department staff I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck I The remarks below are transmitted herewith for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck Submit 3 sets of revised plans to the city for recheck or submit one set of plans to EsGil Corp And two sets to the city 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 sent to Leif Atkisson 2530 Davis Ave , 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 # REMARKS 1. The person responsible for the preparation of the plans must sign each sheet of the plans 2. Receptacles within the garage must be GFI protected 3. Show on the plans how you intend to provide lateral support for the garage front Show plywood shear panel size and nailing Note that the mm Length of the plywood shear panel is 2'-3" By Chuck Mendenhall Enclosures Esgil Corporation 3/13/97 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619)560-1468 + Fax (619) 560-1576 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY CM BUILDING ADDRESS 2530 Davis Ave BUILDING OCCUPANCY U-l PLAN CHECK NO 97-551 DATE 3/21/97 TYPE OF CONSTRUCTION VN BUILDING PORTION Garage Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (ft2) 400 VALUATION MULTIPLIER 22 VALUE ($) 8800 8800 • 1991 UBC Building Permit Fee Q Bldg Permit Fee by ordinance $ 10800 • 1991 UBC Plan Check Fee fj Plan Check Fee by ordinance $7020 Type of Review • Complete Review O Structural Only CD Hourly G Repetitive Fee Applicable D Other Esgil Plan Review Fee $ 56 16 Comments Sheet 1 of 1 macvalue doc 5196 City of Carlsbad Engineering Department DATE - BUILDING PLANCHECK CHECKLIST PLANCHECK NO BUILDING ADDRESS £ 5 3O B^ 7O 5 S PROJECT DESCRIPTION ASSESSOR'S PARCEL NUMBER ENGINEERING DEPARTMENT APPROVAL 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 A Right-of-Way permit is required prior to construction of the following improvements EST VALUE DENIAL Please see the attached report of deficiencies marked with D 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 By By Date Date Date FOR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT Date ATTACHMENTS Dedication Application Dedication Checklist Improvement Application Improvement Checklist Future Improvement Agreement Grading Permit Application Grading Submittal Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet Sewer Fee Information Sheet ENGINEERING DEPT CONTACT PERSON Name Michele Masterson City of Carlsbad Address 2075 Las Palmas Dr , Carlsbad, CA 92009 Phone (61 9) 438-11 61, ext 4315 _ A-4 CA 92009-1576 • (619) 438-1161 • FAX (619) BUILDING PLANCHECK CHECKLIST SITE PLAN 15^ 2ND/ 3RDy {4 Q Q 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow D Property Lines B Existing & Proposed Structures E Easements C Existing Street Improvements F Right-of-Way Width & Adjacent Streets G Driveway widths 1 Q 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 " B Existing & Proposed Slopes and Topography 1 Q 3 Include on title sheet A Site address B Assessor's Parcel Number C 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 Q 5 Project does not comply with the following Engineering Conditions of approval for Project No 6 All conditions are in compliance Date H \WORD\DOCS\CHKLST\BuiMmg Plancheck Cklsl BP0001 Form MM doc STV BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS ORD/ Q 7 Dedication for ail street Rights-of-Way adjacent to the building site and any storm dram 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 Y* 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 8a 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 1840040 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 8b Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 1840 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 Page 2 of 4 H \WORD\DOCS\CHKLST\Suilciing Plancheck Cklst BP0001 Form MM doc BUILDING PLANCHECK CHECKLIST i st/ nd/ ord/ Q Q 8c Enclosed please find your Future Improvement Agreement Please return agreement signed and notarized to the Engineering Department Future Improvement Agreement completed by Date Q 8d No Public Improvements required SPECIAL NOTE Damaged or defective improvements found adiacent 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 9a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut, fill import, export) 9b 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 Q Q 9c Graded Pad Certification required (Note Pad certification may be required even if a grading permit is not required ) Q Q 9d No Grading Permit required MISCELLANEOUS PERMITS Q Q Q 10 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, tiemg into public storm dram, sewer and water utilities Right-of-Way permit required for PageS of 4 H \WORD\DOCS\CHKLST\Buildmg Plancheck Cklst BP0001 Form MM doc BUILDING PLANCHECK CHECKLIST •i st/ 2ndi/ y*s Q Q Q 11 A SEWER PERMIT is required concurrent with the building permit issuance The fee is noted in the fees section on the following page Q Q Q 12 INDUSTRIAL WASTE PERMIT is required Applicant must complete Industrial Waste Permit Application Form and submit for City approval prior to issuance of a Permit Industrial Waste permit accepted by Date Q Q Q 13 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 Q 14 /^-Required fees are attached Q No fees required Q Q Q 15 Additional Comments: Page 4 of 4 H \WORD\DOCS\CHKLST\Buildmg Plancheck Cklst BP0001 Form MM doc ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET Estimate based on unconfirmed information from applicant Calculation based on building plancheck plan submittal Address Bldg Permit No Prepared by/71A^\ Date EDU CALCULATIONS List types t '""" Types of Use _ . Checked by Date -quare footages for all uses Sq Ft /Units EDU's APT CALCULATIONS List types and square footages for all uses Types of Use _ Sq Ft /Units OO ADT's ' 777/3'' PUBLIC FACILITIES FEE REQUIRED D YES D NO (See Building Department for amount) WITHIN CFD D YES (no bridge & thoroughfare fee, reduced Traffic Impact Fee) D NO D 1 PARK-IN-LIEU FEE FEE/UNIT PARK AREA NO UNITS D 2 TRAFFIC IMPACT FEE ADT's/UNITS X FEE/ADT = $ = $ D 3 BRIDGE AND THOROUGHFARE FEE ADT's/UNITS FEE/ADT = $ D 4 FACILITIES MANAGEMENT FEE UNIT/SO FT D 5 SEWER FEE PERMIT No EDU's BENEFIT AREA EDU's ZONE X FEE/SO FT /UNIT = $. DRAINAGE FEES PLDA fl ACRES »/ J5 D 7 SEWER LATERAL ($2,500) X FEE/EDU DRAINAGE BASIN X FEE/EDU HIGH X FEE/AC yt> = $ /LOW =$ ^ . =$ (7\ * & =$ TOTAL OF ABOVE FEES* *NOTE This calculation sheet is NOT a complete list of all fees which may be due Dedications and Improvements may also be required with Building Permits P \DOCS\MISFORMS\BP0002 FRM REV 01/22/97 D D PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check Planner APN OSS' Address 153? Phone (61 9) 438-1 161, extension Type of Project and Use Zone A" ^ Facilities Management Zone CFD (in/out) # Circle One (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department) Legend XI Item Complete ] Item Incomplete - Needs your action Environmental Review Required: YES _ DATE OF COMPLETION NO Y TYPE Compliance with conditions of approval7 If not, state conditions which require action Conditions of Approval Discretionary Action Required: APPROVAL/RESO NO PROJECT NO YES NO TYPE DATE OTHER RELATED CASES \ Compliance with conditions or approval7 If not*, state conditions which require action Conditions of Approval | | Coastal Zone Assessment/Compliance Project site located in Coastal Zone7 YES _ If NO, proceed with checklist, if YES, proceed below NO Determine status (Exempt or Coastal Permit Required) If Exempt, proceed with checklist, if Coastal Permit required, hold building permit until Coastal Permit issued Coastal Permit Determination Form already completed7 If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # YES NO Follow-Up Actions: 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minrmum Floor Plans) 2) Complete Coastal Permit Determination Log as needed I I Inclusionary Housing Fee required- YES D D D D NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993 Site Plan: 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 Jmes 2 Provide legal description of property and assessor's parcel number Zoning: 1 Setbacks Front Int Side Street Side Rear Required Required Required Required Shown Shown Shown 2 Lot Coverage Required 3 Height Required 4 Parking Spaces Required Guest Spaces Required Additional Comments Shown Shown Shown Shown -fe 3- OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER , .DATE WRITE IT - DON'T SAY IT! Date 19 D Reply Wanted DNo Reply Necessary 5117 PRINTED IN USA a; llm COmD CON>OlOOs CCDO 2 33 O 3m ^ |—-si £o £o> DmCO COo i;a1* CD Sm CDm 3i roi CO 5?3D § CO Oo mim T] 3D O33 CO 1mD O Dmco y N)£ N 0<" a <J\ m m o o .-•^X M -* II II at ysj w w ; H ^ O O O O <i! |§ Isis- »i §sU CD -I -) D t SS -n "g *. _*, S 0 =w z ,4, •< (D "O "D "H— U 0> -nmi 0> Q 2• (D tn ' o 5J O— o -jL « 5" ni VI^WM-^Q ~J o> en ^ w N) — < i'l:isisl 1 l!llll!lllii"r