HomeMy WebLinkAbout2612 LA COSTA AVE; ; CB032131; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-28-2003 Residential Permit Permit No: CB032131
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2612 LA COSTA AV CBAD
RESDNTL Sub Type:
Lot#: 2162800200
$8,000.00 Construction Type:
0
0
MCMULLIN RESIDENCE
Reference #:
Structure Type:
Bathrooms:
52 SF ADDITION & REMODEL
RAD
0
NEW
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
ISSUED
08/01/2003
MDP
08/28/2003
08/28/2003
Applicant: Owner:
SIGURDSON JOHN
4026 N CONCORDIA AVE
SPRING VALLEY 91977
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
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Total Fees: $160.08
$84.29
$0.00
$54.79
$0.00
$0.00
$1.00
$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
MCMULLIN FRED
2612 LA COSTA AVE
CARLSBAD 92009
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD Payoff Fee
PFF
PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
2929 08/28/03 0002 01 02
CGP 105,29
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$160.08
Total Payments To Date: $54.79 Balance Due: $105.29
FINAL APPROVAL
--o ✓ ::.~~
FOR OFFICE USE ONLY
PERiyllT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK No.o3 -7-.(~ l
EST. VAL. ~ J:A '-(
Plan Ck. Deposit S"":f-7 j
Validated By ~
Date 9 I \ __
1. PROJECT INFORMATION
Business Name (at this add 02 01 02
Legal Description, Lot No.3 3 {Subdivision Name/Number MN.+: Total # of units
-2-BtJ " C,2.... Existing Use c:; ti:, t-,
#of Stories # of Bedrooms
01~, L---, \J l N4 ru,o~
3.
Name
4 .
Designer Name
7 ~ -d G, 7 I Address
0 Contract or O Agent for Contractor
State License # _________ _
6. WORKERS' COMPENSATION
City
0 Owner ~gent for Owner
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
54 79
# of Bathrooms
elephone #
0 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.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is
i~sued. My worker's om e sation insuran e carrier an policy number are: ,'l C ? /I <L J d
..-rrisurance Company L--Policy No. · l, V ? 7 00 'f6 1 Ck) Expiration Date (!) ~ _[ . C) T
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) 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' Compensation Laws of California.
WARNING: Failure to overage is unlawful, and shall subject an employer t o crlmlnal penalties and civil fines up to one hundred
0 ~~~~""::'.:! ;.:-".:;;,,o-_:_:=--·amages as provided for in Section 3706 of the abor coda, interest and attorney's fees.
DATE ..,. .2. ...C)
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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).
0 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).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide t he major labor and materials for construction of the proposed property improvement. 0 YES O NO
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) t o provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number): ______________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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 O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district ? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which t his permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ----------------------------9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS ANO 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 demolit ion or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit Is not commen ithin 18 s from the date r · ·1 the building or work authorized by such permit is suspended or abandoned
at any time after the work is c ced for of +J.IIM""'-'.!~"""~Pode).
DATE
City of Carlsbad Bldg Inspection Request
For: 02/05/2004
Permit# CB032131
Title: MCMULLIN RESIDENCE
Description: 52 SF ADDITION & REMODEL
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
2612 LACOSTAAV
Lot
APPLICANT SIGURDSON JOHN
0
Owner: MCMULLEN FAMILY TRUST 12-04-02
Remarks: pm please
Total Time:
Inspector Assignment: PD ---
Phone: :~13973
lnspectt/L
Requested By: LARRY
Entered By: CHRISTINE
CD Description
1j Final Structural
Qj_ ___,_f~'-rJ fh_
----__ 3/t _c_o_m_m_e_nt __________________ _
Associated PCRs/CVs
lns1:1ection Histoty
Date Description Act lnsp Comments
0t/23/2004 89 Final Combo co PD ON CARD
12/t 1/2003 18 Exterior Lath/Drywall AP PD
12/t0/2003 18 Exterior Lath/Drywall NS PD
11/24/2003 17 Interior Lath/Drywall AP PD
t 1/18/2003 84 Rough Combo AP PD
t 1/t0/2003 14 Frame/Steel/Bolting/Welding NR PD
t 1/10/2003 34 Rough Electric NR PD
10/07/2003 83 Roof Sheathing/Ext Shear AP PD
10/06/2003 83 Roof Sheathing/Ext Shear CA PD
09/10/2003 1 t Ftg/Foundation/Piers AP PD
09/04/2003 11 Ftg/Foundation/Piers NR PD
EsGil Corporation
In Partnersfiip witn (jovemment for 'llui{aing Safety
DATE: August 26, 2003
JURISDICTION: Carlsbad
PLAN CHECK NO.: 03-2131 SET:11
□ APPLICANT
~EVIEWER
□ FILE
PROJECT ADDRESS: 2612 La Costa Ave.
PROJECT NAME: McMullin Residence Addition and Remodel
□
□
□
□
□
~
□
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 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 I OJ '(_
REMARKS: Each sheet of the plan~st be signed by the draftsman.
By: Bill Elizarraras
Esgil Corporation
D GA D MB D EJ D PC
Enclosures:
8/18/03 tmsmtl.dot
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
DATE: August 13, 2003
JURISDICTION: Carlsbad
PLAN CHECK NO.: 03-2131
EsGil Corporation
In <1.'artnersnip witn <;ovemment for <Bui(aing Safety
SET:I
PROJECT ADDRESS: 2612 La Costa Ave.
PROJECT NAME: McMullin Residence Addition and Remodel
~10 T JURIS.
LI N REVIEWER
□ FILE
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
[J The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
[J The applicant's copy of the check list has been sent to:
John Sigurdson
4026 N. Cordoba Ave. Spring Valley, CA. 91977
D Esgil Corporation staff did not advise the applicant that the plan check has been completed.
[J Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: John Sigudson ,.,.--Telephone#: 619-274-0671
Date contacted: q/ / 3 (by£5 ) Fax #:
Mail Telephone..----Fax,---In Person
0 REMARKS:
By: Bill Elizarraras
Esgil Corporation
D GA D MB D EJ D PC
Enclosures:
8/4/03 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
C;i.rlsbad 03-2131
August 13, 2003
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO.: 03-2131 JURISDICTION: Carlsbad
PROJECT ADDRESS: 2612 La Costa Ave.
FLOOR AREA: 52 sq.ft. Dwelling Add'n STORIES: 1
135 sq.ft. Porch
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
COMPLETED: August 13, 2003
FOREWORD (PLEASE READ):
HEIGHT: 14'
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 8/4/03
PLAN REVIEWER: Bill Elizarraras
This plan review is limited to the technical requirements contained in the Uniform Building Code,
Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws
regulating energy conservation, noise attenuation and access for the disabled. This plan review
is based on regulations enforced by the Building Department. You may have other corrections
based on laws and ordinance by the Planning Department, Engineering Department, Fire
Department or other departments. Clearance from those departments may be required prior to
the issuance of a building permit.
Present California law mandates that residential construction comply with the 2001 edition of
the California Building Code (Title 24), which adopts the following model codes: 1997 UBC,
2000 UPC, 2000 UMC and 1999 NEC (all effective 11/1/02).
The above regulations apply to residential construction, regardless of the code editions adopted
by ordinance.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3,
1997 Uniform Building Code, the approval of the plans does not permit the violation of any
state, county or city law.
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
Carlsbad 03-2131
August 13, 2003
• PLANS
1. Please make all corrections on the original tracings, as requested in the correction
list. Submit two sets of plans for residential projects. For expeditious processing,
corrected sets can be submitted in one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
2. Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
2. Final Plans shall be signed and sealed by the California state licensed engineer
or architect responsible for their preparation. Specify expiration date of license.
(California Business and Professions Code).
3. Specify on the Title Sheet of the plans the gross floor area of each element of
this project, including dwelling addition and Porch. Section 106.3.3.
4. Provide a statement on the Title Sheet of the plans stating that this project shall
comply with the 2001 edition of the California Building Code (Title 24 ), which
adopts the 1997 UBC, 2000 UMC, 2000 UPC and the 1999 NEC.
5. Show locations of smoke detectors: @ existing.
a) Inside each bedroom.
b) Centrally located in corridor or area giving access to sleeping rooms.
c) On each story.
When the valuation of a room addition or repair exceeds $1,000, or when
sleeping rooms are created, smoke detectors shall be provided per the above,
except that smoke detectors added at existing construction need only be battery
powered. Section 310.9.1.2.
6. Specify on the plans the following information for the roof materials, per Section
106.3.3:
a) Manufacturer's name.
b) Product name/number.
c) ICBO approval number, or equal.
7. Provide skylight details to show compliance with Sections 2409 and 2603, or
specify on the plans the following information for the skylight(s); per Section
106.3.3:
a) Manufacturer's name.
b) Model name/number.
c) ICBO approval number, or equal.
Carlsbad 03-2131
August 13, 2003
8. Show the required ventilation for attics. Show area required and area provided.
Section 1505.3.
9. Show roof drains and overflows. Sections 1506.2 and 1506.3.
10. Specify minimum ¼ inch per foot roof slope for drainage or design to support
accumulated water. Section 1506.1.
11. The following anchor bolt requirements shall apply in Seismic Zones 3 and 4, per
Section 1806.6.1:
a) The minimum nominal anchor bolt diameter shall be 5/8-inch (for Seismic
Zone 4 only). Note: This will require a minimum distance from the ends
of sill plates to be 4-3/8" (and a maximum of 12").
b) Plate washers (minimum size of 2" x 2" x 3/16") shall be used on each
anchor bolt. ·
12. Specify plywood grade and panel span rating. Table 23-11-E-1.
13. Specify on the plans the following information for the fireplace(s), per Section
106.3.3:
a) Manufacturer's name.
b) Model name/number.
c) ICBO approval number, or equal.
d) Show height of chimney above roof per I.C.B.O. approval or UBC Table
31-8.
e) Note on the plans that approved spark arrestors shall be installed on all
chimneys. UBC, Section 3102.3.8.
14. Note on the plans: "The manufactured windows shall have a label attached
certified by the National Fenestration Rating Council (NFRC) and showing
compliance with the energy calculations."
To speed up the review process, note on this list (or a copy) where each correction item
has been addressed, i.e., plan sheet, note or detail number, calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a result of corrections from
this list. If there are other changes, please briefly describe them and where they are located in the plans.
• Have changes been made to the plans not resulting from this correction list? Please indicate:
Yes □ No □
The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake
Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to
perform the plan review for your project. If you have any questions regarding these plan
review items, please contact Bill Elizarraras at Esgil Corporation. Thank you.
Carlsbad 03-2131
A'ugust 13, 2003
~ALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 03-2131
PREPARED BY: Bill Elizarraras DATE: August 13, 2003
BUILDING ADDRESS: 2612 La Costa Ave.
BUILDING OCCUPANCY: R3/Ul TYPE OF CONSTRUCTION: VN
BUILDING AREA Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Dwellina Add'n 52 Per Citv Value
ICB0 fireplace 1 2,500.00
Porch 135 12.75
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
1994 UBC Building Permit Fee ___iJ
---------------------·---
1994 UBC Plan Check Fee
Type of Review: 0 Complete Review O Structural Only
D Repetitive Fee -~ _ • I Repeats
Comments:
0 Other
D Hourly '------"I Hour *
Esgll Plan Review Fee
($)
.
5,304
2,500
1,721
9,525
$99.691
$64.BOI
$55.831
Sheet 1 of 1
macvalue.doc
PLANNINC/ENCINEERINC APPROVALS . ' . "\·
PERMIT NUMBER CB C :3 ,;l._ ( ) )
, · RESIDENTIAL ----. TENANT IMPROVEMENT ,
< ,. '-RESIDENTIAL,ADDITJOK>MINOR-. '--,:, __ ->'
( < $10,000.00)
-----------~ ------
-
OTHER
PLAZA•CAMINO•REAE __
CARLSB.AD COMPANY STORES
-VILLACE FAIRE
COMPLETE OFFICE, BUILDING'
-------------------~
PLANNER ________ _ DAT£ __ '-------
DATE <r?(.q
Docs/Mlsform5/Plannlng En_glneering Approvals
't;t□□
'¢□□
-¢□□
-___ -----~PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
PlanCheckNo.CB __ O()~i 6/ Address o?,{f/;;) l.a Cmh QI/€.
Planner Rebeca Vazquez --
APN: c9 / lo · 2,,80 ~
Phone /7601 602-4625
Type of Projec~~~e: _ Net Project Density:._.;._ ___ ....JD.!.U!,,!{l.!A~C~-
Zoning:R/ /0 'G'eneral Plan: /2-UYI Faciliti~s Management Zone: -~uc:::n.,..___
CFO (In/out) #_Date of participatlon:. ____ __,.Flemaining net dev acres:. __ _
Clrcie One (For non-residential development: Type of land used created by thl: permit:._· ___________________ -.J
Legend: 18] Item Complete 0 Item Incomplete • Needs your action
Environmental Review Required: YES_NO~TYPE ___ _
DATE OF COMPLETION: _______ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required: YES NO >('-TYPE ___ _
APPROVAURESO.NO. _______ DATE __ _
PROJECT NO. ________ _
OTHER RELATED CASES: __________________ _
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval:. ____________ .....J __________ _
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES __ NO..)(
CA Coastal Commission Authority? YES __ NO __
If California Coastal Commission Authority: Contact them at-7575 Metropolitah Driye, Suite 103 , ' San Diego CA 92108-4402; (619) 767-2370 . • •
Determine status (Coastal Permit Required or Exempt):
Coastal Permit Determination Form already completed? YES__ NO __
If NO, complete Coastal Permit Determination Form now.
Coastal Permit Determination Log #:
Follow-Up Actions:
1) Stamp Building Plans as"Exempt" or "Coast.if Permit Required" (at minimum Floor Plaris). ---
2) Complete Coastal Permit Determination Log as needed.
lncluslonary Housing Fee required: YES __ NO.::;£.
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Data Entry Completed? YES __ NO __
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N,
Enter Fee, UPDATE!)
H:IADMINICOUNTER\BldgPlnchkRevChklst Rev 9/01
~□□
--------------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 lines (including all side and rear yard slopes). · -• -· -------· · ·· -· · -----
~□□
'l;il □□ '1st.□□
-~-□□
DOD
,Y4J D
~□□
Q(oo
2. Provide legal description of property and assessor's parcel number.
Policy 44 -Neighborhood Architectural Design-Guidelines
1. Applicability: YES. ____ .NO 'x
2. Project complies YES ___ .NO __ _
Zoning:
1. Setbacks:
Front:
Interior Side:
-""0 l :::20 I Required __ DL;;,-,=-c~-Shown __ ....,~---
Required IOelG 1 Shown __ z~B~'---
Street Side:
Rear:
Required Shown _ _,.......,~---
Required =:;}:/ 5 1 Shown _ __,-5D...e,=-' __ _
Top of slope: Required Shown _____ _
2. Accesso tructure setbacks:
Front: Required Shown
Interior Side: Required Shown
Street Side: Required Shown
Rear: ired ·Shown
Structure separation: Requ1 Shown
3. Lot Coverage: Required ~~ .Shown 4' ':JO%
?:D'
_,,,__. -
4. Height: Required Shown en.~•
5. Parking: Spaces Required 2-Shown £ 2.
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required ______ Shown _____ _
ODO Additional Comments _______________________ _
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUT~
.. V;j.,,
DATE tf-7-X,
I
H:IADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01