HomeMy WebLinkAbout2640 HIGHLAND DR; ; CB033540; PermitCity of Carlsbad
1635 FaradayAv Carlsbad, CA 92008
02-20-2.004 Residential Permit Permit No: CB033540
Building Inspection Request Line (760) 602-2725
Job Address: 2640 HIGHLAND DR CBAD
Permit Type:. RESDNTL Sub Type: RAD Status: ISSUED
Parcel No: 1561300900 '.• Lot #: 0 Applied: 12/17/2003
Valuation: $114,433.00 Construction Type: NEW Entered By: KMT
Occupancy Group: Reference #: Plan Approved: 02/20/2004
# Dwelling Units: 0 Structure Type: Issued: 02/20/2004
Bedrooms: 0 Bathrooms: 0 Inspect Area:
Project Title: VAUGHN RE S- 1111 SF ADD & CVRT Orig PC#:
308 SF GARAGE TO MSTRBDRM Plan Check#:
Applicant: Owner:
MORTON S. O'GRADY VAUGHN LICIA
SUITE 108-A2
2640 HIGHLAND DR
300 CARLSBAD VILLAGE DR 92008 .- CARLSBAD CA 92008
760-728-3350
/.: 'N
Building Permit / ('$592:76 Meter Size / AddI Building Permit Fee / \) 1$o:oo Add'l Red. Water Con. Fee ". ' $0.00
Plan Check / , \-_$385.29. Meter Fee ''- $0.00
Add'I Plan Check Fee. / (\ $0.00 ?_ SDCWA Fees • \ $0.00
Plan Check Discount / \. /1" $0.00/2 CFD Payoff Fee N ) $0.00
Strong Motion Fee / ç- "' / $11.44 F' PFF -. ' $0.00
Park in Lieu Fee / -.-.. / $0.00 * PFF (CFD Fund) $0.00
Park Fee / '-...$0.00 - - License Tax . / $0.00
LFM Fee j -_. / $0.00 License Tax (CFD Fund) ' / ,-' $0.00
Bridge Fee -J / "$0.00 Traffic 1i11pact Fee '- $0.00
Other Bridge Fee I $0.00 Traffic Impact (CFD Fund)7 $0.00
BTD #2 Fee ,} $0.00 -Sidev'alk Feé '. - / $0.00
BTD #3 Fee $0.00 \ -PLUMBING TOTAL , ' -' $104.00
Renewal Fee , \ $Q.00 \ ELECTRICAL-TOTAL','.- -I $20.00 ç
Add'l Renewal Fee \ $0.00 MECHANICALTOTAL )' , $62.00
Other Building Fee \ \ \ $0.O0-. Housing Impact Fee, V $0.00
Pot. Water Con. Fee\ \ \,. $0.00"-' HoCising lnUeu Fee $0.00
Meter Size -. ,,'\\ Housing.CredftFee ,. $0.00
Add'l Pot. Water Con. Fee \ $0.00 Master Drainage Fee ,' $514.36
Red. Water Con. Fee \ \ $0.00 Sewer Fee / $0.00 N Fees ,/ ( / $0.00
TOTAL PERMIT FEES / $1,689.85
-.
Total Fees: $1,689.85 Total Payments To Date: $361.27 Balance Due: $1,328.58
N / / '
- - -5757 02/20/04 0002 01
COP
FlNALPWOMAL
Inspector: ..) t/f\-, Date: i(( '46 C.7' Clearance:
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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
Description of Work .. . -. . . "-U 'f'
- FOR OFFICE USE ONLY ..
PLAN CHECK NO.UO33
- q
.ST.V4L.,.ug33•0o
' Plan Ck. Deposit
- Validated By
Date
Legal
SQ. FT. . , '- - #of Stories -. ' .' # of Bedrooms ". '- # of Bathrooms
I1L4 -2.
Acr Cactcr Owner AgjjrZOwner
el IZJM :'jaP'
Address City 7Stat/P3ele
OWNER
one #73,
I Licj Vo C,Mf 244 /-)QN2.4)tP friz.,.... - - abo
iName Address - . ,City State/Zip . Telephone #
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish ó 'repai anystructure, prior tojts
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of. the Contractors 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 toa civil penalty,of not more than five hundred dollars I$5001).
Name " . ,- . ' Address . ., . . . . . . City State/Zip . '' Teleph'on'e #
'State License # . .'.' .' License Class.
''
City Business License #
Designer Name - , . Address . . City' State/Zip Telephone
'State License .#
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
C3 ,I have and will maintain a certificate of co/isent to self-insure for workers' compensation a.provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued. . .
0' .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
(THIS-SECTION NEED NOT BE COMPLETED IF THE 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 shell not employ an person in any manner soas
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 fine' 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 OUILOERO.Ri .'
/ ,l hereby affirm that I am exempt from the Contractors License Law for the following reason:
o 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 toan owner o'f' 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). '
as owner of the property, am exclusively contracting with licensed contractors to construct the project'(Sec. 7044, 'Business and Professions Code: The
Contrictor's License Lav does 'nOt appl to an owner of property who builds or improves thereon; and contracts fbr such projects with contractor(s) Iicensei
pursuant to the Contractor's License Law).
'0 I am exempt under Section Business and Professions Code for this reason:
I rs ally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 -
" I (have /nave 'not) signed an ipplication for a biilding '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):'
l plan to prOvide portions of the work, but I have hired the following'pérson to coordinatesupe'rvise and provide the major voit (include'nathe'/ address / ph6n'6
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 2.b9?
ls the applicant or future building occupant required 'to' submit .a business plan acutely hazardous materials registration 'form or risk managernent'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,feetof.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 THEAPPLICANTHAS MET OR IS MEETING THE
REQURE IMENTS 0F THE OFFICEE OF EM SERVICES AND THEAIR POLLUTION CONTROL DISTRICT.
F8cONSTRUTION LENDINGtAYJ' T1JJ ____
:1 hereby affirm that there is a construction lending agency for the prfcrmance of the work for which this, permit is issued (Sec. .3097(i) Civil Code).
LENDER'S NAME ' ' ' " . . ' ' " ' . LENDER'S. ADDRESS -
!AJlC'CERTIF1'rION ' FEE - -
I certify that,l have read the'application and state that the above information is correct and'that the information on the plans isaccurate. 1 agree'to comply with all
'City ordinances and State laws relating-to building.constr'uction. ,l 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' provisionC of this Code shall epire by limitation and'become'null and void if the building or work
authorized by such permit is ,not -Und~l froi the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is mm s (Section''niform Building Code). .
APPLICANT'S SIGNATURE DATE
- WHITE: File - Y LOW: Applicant -PINK:-Fin'ance' ........- , I
- . ,Name
.,iANrTIfl
'. City of Carlsbad Bldg Inspection Request
For 07/19/2004
Permit# C6033540 Inspector Assignment: JM
Title: VAUGHN RES- 1111 SF ADD & CVRT
Description: 308 SF GARAGE TO MSTR BDRM
Type: RESDNTL Sub Type: RAID -
- Phone: 7606720876
Job Address: 2640 HIGHLAND DR
Suite,: Lot 0 -.
:Locätioñ: V Inspector:
APPLlCANT MORTON S. OGRADY
Owner: VAUGHN LICIA
V Remarks:
/
Total time: - V• •
Requested By: MIKE
Entered By ROBIN
'.-Ci?... Description V Act Comment
- 19\ .Final Structural
29 lFinal Plumbing
••. 39. -. Final Electrical
V V,.:VV. ,- . . -
V 49 V Final Mechénical
Associated PCRs/CVs
V Inspection History
, ' Date Description V Act insp 'Comments
07/06/2004 89 Final Combo CO JM IMPACT POST, STREET NUMBERS REAR YARD STOOP
V ' 04/16/2004 . 17 interior Lath/Drywall • . AP JM
b4/16/2004 ..,18 Exterior Lath/Drywall AP JM
.. - 04/14/2004 16 Insulation . AP JM
.. 04/12/2004 23 Gas/Test/Repairs AP JM FAU & WATER HTR
V 04/12/2004 84 Rough Combo V AP JM PICK UP LIST AT INSULATION .
04/09/2004 14 F ram e/Steel/BoitinglWelding NR JM WRAP EXTERIOR
V -
V 04/09/2004 24 Rough/Topout NR JM
V V 04/09/2004 34 Rough Electric NR JM V
03/23/2004 13 Shear Panels/HD's AP JM OK TO WRAP
V 03/23/2004 15 Roof/Reroof AP JM OK TO COVER - VERIFY A35 S ,
02/26/2004 11 Ftg/Foundation/Piers AP JM OK TO POUR V
02/25/2004 . 1.1 Ftg/Foundation/Piers V CO JM NEED INTERIOR DEEPENED FOOTING
V
V 02/24/2004 21 Underground/Under Floor PA JM CLEANOUT NOT INSTALLED
02/24/2004 24 Rough/Topout WC JM V
V 02/23/2004 11, Ftg/Foundation/Piers WC JM
- •V5 - V -
-
City of Carlsbad Bldg Inspection Request
For 04/16/2004
Permit# CB033540 Inspector Assignment: JM
Title VAUGHN RES- 1111 SF ADD & CVRT
Description: 308 SF GARAGE TO MSTR BDRM
- Type: RESDNTL Siib Type: RAD
Phone: 7606720876
.2JbAddress: 2640 HIGHLAND DR
. " Suite Lot 0
Location: Inspector:
APPLICANT MORTON S OGRADY
C' Owner: VAUGHN LICIA )
Remarks:
.TotaITirhe: Requested By: MIKE
-' - Entered By: CHRISTINE
CD Description Act Comment
17 •,Interior Lath/Drywall At
118, Exterior Lath/Drywall
Associated PCRs/CVs
•
Inspection History
Date Description Act Insp
. 04/14/2004 16 Insuiation. AP JM
'' 04/1212004 23 Gas/Test/Repairs
-
AP JM
04/12/2004 84 Rough combo .. AP JM
04/09/2004 -14 Frame/Steel/Bolting/Welding NR JM
04/09/2004. 24 Rough/Topout NR JM
. 04/09/2004 34 Rough Electric NR JM
. 03/23/2004 13 Shear Panels/HD's . AP JM
.03/23/2004 15 Roof/Reroof AP JM
02/26/2004 11 Ftg/Foundation/Piers AP JM
02/25/2004 11 Ftg/Foundation/Piers CO JM
02/24/2004 21 Underground/Under Floor PA JM
02/24/2004 24 Rough/Topout WC JM
.02/23/2004 11 Ftg/Foundation/Piers WC JM
02/23/2004 24 Roughflopout CO JM
- • - .
-
Comments
FAU & WATER HTR
PICK UP LIST AT INSULATION
WRAP EXTERIOR
OK TO WRAP
OK TO COVER - VERIFY A35 S
OKTOPOUR -
NEED INTERIOR DEEPENED FOOTING
CLEANOUT NOT INSTALLED
TOO WET
EsGil Corporation
In cPartnersfiip wit/i çovernment for (Bui(&ng Safety
' DATE: January 22, 2004 .CANT
al U
JURISDICTION: Carlsbad U PLAN REVIEWER
U FILE
:PLi,N CHECK NO.: 033540 SET: II
PROJECT ADDRESS 2640 Highland Drive
PROJECT NAME Vaughn Addition
i ThepIans transmitted herewith have been corrected where necessary and substantially comply.:
with the jurisdiction's building codes.
.TFie 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.
E :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 Teiephone Fax in Person
: REMARKS: OK to issue with these two items. 1. City staff to place their soils notice stamp on -
-
. the plans. 2 The applicant shall indicate an 18" platform under the water heater.
By Bryan Zuppiger Enclosures
EsgilCorporation
Li GA LI MB [1 EJ [1 Pc 01/13/04 trnsmfl dot
9320 Chesapeake Drive Suite 208 • San Diego California 92123 • (858)560-1468 • Fax(858)560-1576
..-- * -:
.--
- -
EsGil Corporation
In Partners/izp wit/i Government for Building Safety
ATE: December 30, 2003 . APPLICANT
D11JT')
-iURlSDlCTION: Carlsbad • . DPCEVIEWER
r- L3 FILE
PLAN CHECK NO.: 033540 SET: I
-
- --PROJECT ADDRESS: 2640 Highland Drive .
PROJECT NAME Vaughn Addition
.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.
[_7 The plans transmitted herewith have significant deficiencies identified on the enclosed check list
- 4and 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
- '
* Lj1 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person
- ._44 • • - - •-. •-•
The applicant's copy of the check list has been sent to
-- Morton --O'Grady
'300 Carlsbad Village Drive 108A-2 Carlsbad CA 92008
-
Eli 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 Morton O'Grady Telephone .#: 760 729 3350
X. '-Y Date contacted (by v-,'-') Fax # (-?E)
; -,Mail -Telephone FaxIn Person
REMARKS
By Bryan Zuppiger Enclosures
-. Esgil Corporation • • :
1:1 GA LI MB [1 EJ LI PC 12/18/03S. trnsmtldot
-
1576 9320 Chesapeake Drive Suite 208 + San Diego California 92123 • (858) 560-1468 • Fax (858) 560
-'•• -.. • •
tr
.. •,: ..
Carlsbad 033540 -
- December 30, 2003
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
FOREWORD (PLEASE READ)
, This plan review is limited to the technical requirements contained in the Uniform Building Code,
Uñiform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws
regulating energy conservation, noise attenuation and access for the disabled. This pin review
is based on regulations enforced by the Building Department. You may have other corrections
Y ''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 la 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.
Tospeed 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.
-
V •
: Carlsbad 033540
-.
. December 30, 2003
PLANS
1 Please make all corrections on the original tracings, as requested 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, 1635 Faraday Ave , Carlsbad, CA
92008, and (760) 602-2700 The City will route the plans to EsGil
Corporation and the Carlsbad Planning, Engineering and Fire Departments.
Bring one corrected set of plans and calculations/reports to EsGil
Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123,
and (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
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 The person responsible for their preparation must sign all final sheets of plans
(California Business and Professions Code)
3 Final plans, specifications and calculations for designs deviating from
conventional wood frame construction shall be signed and sealed by the
engineer or architect licensed by the State of California who is responsible for
their preparation Specify expiration date of license (California Business and
Professions Code)
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
ROOFING
. • : •
5
•
Specify on the plans the following information for the roof materials, per Section
4 10633
Manufacturer's name.
S Product name/number.
ICBO approval number, or equal
S S
t - -
-
-
'Ôarlsbad 033540
;,.'December 30, 2003
FOUNDATION REQUIREMENTS
.,, .6. The following anchor bolt requirements shall apply in Seismic Zones 3 and 4, per
Section 1806.6.1:
a) Plate washers (minimum size of 2" x 2" x 3/16") shall be used on each
anchor bolt. -
5--' -
7 Note on plan that hold down anchors must be tied in place prior to foundation
inspection Section 108.5.2.
. FRAMING
8 Provide calculations for main vertical and horizontal framing members and
footings. Section 106.3.3. -
- 9 Show rafter ties Rafter ties shall be spaced not more than 4 feet on center and
- - be just above the ceiling joists, where rafters and ceiling joists are not parallel.
Section 2320.12.6..
-S
-
•'
. MECHANICAL (UNIFORM MECHANICAL CODE)
; . •
10 Show the size (BTU's) of all heating and cooling appliances or systems
. :,-
ELECTRICAL (NATIONAL ELECTRICAL CODE)
11 All bedroom branch circuits now require arc fault protection Note clearly on the
- - - • plans that "Bedroom branch circuits will be arc fault circuit protected." NEC Art.
V.
.
210-12(b)
,.-
•
12 Show on the plan the amperage of the electrical service, the location of the
service panel and the location of any sub-panels. If service is over 200 amps,
submit single line diagram, panel schedule and load calculations
13. Show on the plans a wall receptacle adjacent to each lavatory in the bathroom.
NEC Art. 210-52(d). These outlets shall be gfi protected.
PLUMBING (UNIFORM PLUMBING CODE)
I
14 Show water heater size (1st hour rating), type, and location on plans UPC,
Section 501.0.
15 In Seismic Zones 3 and 4, show that water heater is adequately braced to resist
- seismic forces Provide two straps (one strap at top 1/3 of the tank and one strap
at bottom 1/3 of the tank) UPC, Section 5105
'
,
• S
Carlsbad 033540
- December 30, 2003
. ENERGY CONSERVATION
16 Provide fluorescent general lighting (40 lumens per watt minimum) in kitchen(s)
and bathrooms (containing a tub or shower).
17. Note on the plans: "The manufactured windows shall have a label attached
- - certified by the National Fenestration Rating Council (NFRC) and showing
i 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
* 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 Bryan Zuppiger at
Esgil Corporation Thank you
4
- 1 4
10
- 4
0 4
Carlsbad 033540
;December 30, 2003
VALUATION AND PLAN CHECK FEE
'.. JURISDICTION: Carlsbad PLAN CHECK NO.: 033540
PREPARED BY: Bryan Zuppiger DATE: December 30, 2003
.,BUILDING ADDRESS: 2640 Highland Drive
BUILDING OCCUPANCY: R3 TYPE OF CONSTRUCTION: VN
BUILDING PORTION AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
dwelling addition 595 City Estimate 114,433
garage conversion 308
garage 516
Air Conditioning S
Fire Sprinklers
TOTAL VALUE 114,433
l Jurisdiction Code Cb By Ordinance
Bldg Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review: P1 Complete Review Structural Only
E Other Repetitive Fee Repeats Hourly
•
I Hour*
Esgul Plan Review Fee
'S
. '• Comments:
-
, •i•- -
17
•••
- -
'S
SI ' -
•
.7 5
I $592.761
$385.291
I $331.951 '
S
Sheet lofi
macvalue.doc -
City of Carlsbad
I .IT1 1 I 4 ii ii .
j BUILDING PLANCHECK CHECKLIST
DATE:
BUILDINGADDRESS: 1'W1U q4-i
V
HECK NO.: CB 03- 3O
RoEul DESCRIPTION: J
'. ASSESSOR'S PARCEL NUMBER: EST.VALUE:
ENGINEERING DEPARTMENT
APPROVAL ,,— DENIAL
The item you have submitted for review has been Please se •th attached report of deficiencies approved. . The approval is based on plans, marked with . ake necessary corrections to plans information and/or specifications provided in your or specifications for compliance with applicable submittal; therefore any changes to these items after codes and spryqards. Submit corrected plans and/or this date, including field modifications, must be specificatioyfs to his 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
suspension of permit to build.
J -
LA Right-of-Way permit is required prior to
construction of the following improvements:
.- . . .. . FOR OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT:
By:74q(-/ Date:
.- -,' ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON
E Dedication Application Name KATHLEEN M FARMER
Li 'Dedication Checklist City of Carlsbad
LI Improvement Application Address 1635 Faraday Avenue Carlsbad CA 92008
0 Improvement Checklist Phone (760) 602-2741
LI Future Improvement Agreement CFD INFORMATION
Grading Permit Application Parcel Map No:
LI Grading Submittal Checklist Lots
O'.-'Right-of-Way Permit Application Recordation
A Right-of-Way Permit Submittal Checklist
U Carlsbad Tract: . --
- •and Information Sheet
El Sewer Fee Information Sheet
. A-4
HwoRD eJnc)4Jarlsbad, CA 920081-7314 . (760) 602-2720 • FAX (760) 602R8582
Date: _
Date:
Date:
H
.,-
BUILDING PLANCHECK CHECKLIST
SITE PLAN
27 3RD
fl 1. Provide a fully dimensioned site plan drawn to scale. Show:
( CAD North Arrow
V.Existing
xisting
ht-of-Way Width & Adjacent Streets
,Existing & Proposed Structures riveway widths
xisting Streetimprovements-7 or proposed sewer lateral
roperty Lines xisting or proposed water service
Easements or proposed irrigation service
2.. Show on site plan O Drainage Patterns
1. Building pad surface drainage must maintain a minimum slope of one
' I 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
. C. Size, type, location, alignment of existing or proposed sewer and water service
(s) that serves the project Each unit requires a separate service however,
*1 second dwelling units and apartment complexes are an exception
D Sewer and water laterals should not be located within proposed driveways per
f standards
LJ 3 Include on title sheet
A Site address
B. Assessor's Parcel Number
C Legal Description
I
Y. .
• 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
4 •* .. - - . - •
40 f
S .
. •, -• - 4
H:W0RD\D0CS4KLST8idding Planthed, Ct Form (Geneflc).doc 2 . Rev. 7114100
Dedi
BUILDING PLANCHECK CHECKLIST
Ill
DISCRETIONARY APPROVAL COMPLIANCE
4a. Project does not comply with the following Engineering Conditions of approval for
Project No.
4b. All conditions are in compliance. Date:
DEDICATION REQUIREMENTS
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 $15,000,. pursuant to Carlsbad
Municipal Code Section 18.40.030.
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 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
fl. V6a. 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 $75,000, pursuant to Carlsbad Municipal Code Section
18.40.040.
Public improvements required as follows:
-•- •,. ,V V
' '•••,\V• ,
Attached please find an application form and submittal checklist for the public V
•• . improvement requirements. A registered Civil Engineer must prepare the
V 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
H:\WORDDOCS\CHKLST\Bui &ig Plancheck Cklst Fpnn (RIDDLE .HARVEY 7.12.00)doc 3 Re'. 12/26/96
Date:
(Note: Pad certification may be required even
BUILDING PLANCHECK CHECKLIST
1ST1 2ND 3RD
-. .. - 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:
TJ 6b. Construction of the public improvements may be deferred pursuant to Carlsbad
S
- .Municipal Code Section 18.40. Please submit a recent property title report or
current grant deed on the property and processing fee of $310 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 tI
':E '. E 6c. Enclosed please find your Future Improvement Agreement.
agreement signed and notarized to the Engineering Department
Future Improvement Agreement completed by
Date
L1. E 6d No Public Improvements required SPECIAL NOTE Damaged or defective
improvements found adlacent to building site must be repaired to the satisfaction
of the City Inspector prior to occupancy.
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section'
. 11.06.030 of the Municipal Code.
7a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export). A 1/h CL<2L- aLP ai ji' t hjmd V a(c
E .0 El 7b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached. NOTE: The Grading Permit must be issued and rough grading
approval obtained prior to issuance of a Building Permit
-I..
S
Grading Inspector sign off by
-
: - ' 7c. Graded Pad Certification required.
if a grading permit is not required)
..'
--'S
H:\WORD\DOCS\CHKLST\Building Planchéck Chist Fonn (GENERIC 7-14-00).doc
Please return
4
BUILDING PLANCHECK CHECKLIST
1ST
,
3RD
E E 7d No Grading Permit required
- E 7e. If grading is not required, write "No Grading" on plot plan.
MISCELLANEOUS PERMITS
'LI LI LI 8 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way. Types of work include but are
not limited to street improvements tree trimming driveway construction tying
into public storm drain sewer and water utilities
Right-of-Way permit required for
9 INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad
-.- ..'. . - sewer service area, you need to contact the Carlsbad Municipal Water' District,
located at 5950 El Camino Real, Carlsbad, CA 92008. District personnel can
provide forms and assistance and will check to see if your business enterprise is
on the EWA Exempt List You may telephone (760) 438-2722 extension 7153,
for assistance.
Industrial Waste permit accepted by
Date
LI LI LI 10 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
LI 1 rii;;L
e:requfl•:d
d fees are attached
WATER METER REVIEW
LI LI I LI 12a Domestic (potable) Use
- Ensure that the meter proposed by the owner/developer is not oversized.
Oversized meters are inaccurate during low-flow conditions. If it is oversized, for
- the life of the meter, the City will not accurately bill the owner for the water used
All single family dwelling units received "standard" 1" service with 5/8" service
H:WORD\DOCSCSTEuiIng Planthedi Cidsi Form (Genedc).doc 5 ' Rev. 711400
..
Ct --
.-, -
_I •f0
BUILDING PLANCHECK CHECKLIST
ST 2ND - 3RD
If owner/developer proposes a size other than the standard then
owner/developer must provide potable water demand calculations,
:,; - which include total fixture counts and maximum water demand in gallons
if: * per minute (gpm). A typical fixture count and water demand worksheet is
attached. Once the gpm is provided, check against the "meter sizing
schedule" to verify the anticipated meter size for the unit.
Maximum service and meter size is a 2 service with a 2 meter.
If a developer is proposing a meter greater than 2", suggest the • installation of multiple 2" services as needed to provide the anticipated
-. demand (manifolds are considered on case by case basis to limit
multiple trenching into the street)
• 12b. Irrigation Use (where recycled water isnot available)
All irrigation meters must be sized via irrigation calculations (in gpm) prior
- to approval. The developer must provide these calculations. Please follow
these guidelines:
I If the project is a newer development (newer than 1998) check the recent
improvement plans and observe if the new irrigation service is reflected on
the improvement sheets. If so, at the water meter station, the demand in
- gpm may be listed there Irrigation services are listed with a circled 'I
and potable water is typically a circled "W". The irrigation service should - * - look like:
_J STA 1+00 Install 2 service and
H 0 1.5: meter (estimated 100 gpm)
2. If the improvement plans do not list the irrigation meter and the
- service/meter will be installed via another instrument such as the building
plans or grading plans (wl a right of way permit of course), then the
• applicant must provide irrigation calculations for estimated worst-case
irrigation demand (largest zone with the farthest reach). Typically, Larry
Black has already reviewed this if landscape plans have been prepared,
'
4
- : •
-• • )•
but the applicant must provide the calculations to you for your use. Once
you have received a good example of irrigation calculations, keep a set for
0 your reference. In general the calculations will include:
Hydraulic grade line
Elevation at point of connection (POC)
Pressure at POC in pounds per square inch (PSI)
-
• -•• • Worse case zone (largest, farthest away from valve
-
0 Total Sprinkler heads listed (with gpm use per head) •
- •
•
- 0 0 • Include a 10% residual pressure at point of connection
-. . 0 0
S 3 In general all major sloped areas of a subdivision/project are to be
--• -
• 0 - - irrigated via separate irrigation meters (unless the project is only SF0 with -.
- no HOA) As long as the project is located within the City recycled water
HAW0RD=C=HKLSrZuWft Planthed, 01st Form (Gene).doc • 6 ReV. ii 14100
.-
•
7 Roy. 7/44100
.4,.
:4•
J: - -
BUILDING PLANCHECK CHECKLIST
1 ST 2ND 3RD
. service boundary, the City intends on switching these irrigation
services/meters to a new recycled water line in the future
12c Irrigation Use (where recycled water is available)
1 Recycled water meters are sized the same as the irrigation meter above
: - - - 2. If a project fronts- a Street with recycled water, then they should be,
connecting to this line to irrigate slopes within the development For
subdivisions this should have been identified and implemented on the
-
• improvement plans. Installing recycled water meters is a benefit for the
applicant since they are exempt from paying the San Diego County Water
Capacity fees However, if they front a street which the recycled water is
there, but is not live (sometimes they are charged with potable water until
4 recycled water is available) then the applicant must pay the San Diego
Water Capacity Charge..If within three years, the recycled water line is
* charged with recycled water by CMWD, then the applicant can apply for a
refund to the San Diego County Water Authority (SDCWA) for a refund
However, let the applicant know that we cannot guarantee the refund, and
-- .- - -- , - they must deal with the SDCWA for this.
:.; •. . ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
0 Estimate based on unconfirmed information from applicant.
D Calculation based on building lancheck plan submittal.
Address: VO Bldg. Permit No 06 3~T2
Prepared by: 1 ( 9 Date: Checked by: .. Date:
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: Sq Ft./Units: EDU s
Types of of Use: . Sq. Ft./Units: .EDUs: .
.ADT _CALCULATIONS: List types and square footages for all uses.
of Types Use Ft Sq /Units ADT s
• Types of Use: Sq. Ft./Units: ADT's:
FEES REQUIRED:
WITHIN CFD 0 YES (no bridge & thoroughfare fee in District #1 reduced Traffic Impact Fee) 0 NO
0 1 PARK-IN-LIEU FEE PARK AREA & #
'FEE/UNIT: X NO UNITS - =$____________
I ' 0 2 TRAFFIC IMPACT FEE
ADT s/UNITS X FEE/ADT = $____________
0-3. BRIDGE AND THOROUGHFARE FEE (DIST. #1 DIST. #2 DIST. #3 1 -
ADT s/UNITS X FEE/ADT = $_____________
0 4. FACILITIES MANAGEMENT-FEE ZONE:_________ .
- •..-
UNlT/SQ FT X FEE/SQ. FT /UNIT = $
.;Yo 5. SEWER FEE •
EDU s X FEE/EDU = $_______________ C
BENEFIT AREA:
.
EDU's: X FEE/EDU:_______ = $
0 6 SEWER LATERAL ($2,5001) =
0 7. DRAINAGE FEES PLDA _: HIGH
ACRES • X FEE/AC l _1 =$14,
0 8 POTABLE WATER FEES
. UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION
4 •-
•'.
- -
-- t '.
- lof2
Word\Docs\MisformsFee Calculation Worksheet . . -. Rev. 7/14/00
. PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB U2- 25O Address 2toO f-lChloj 10
Planner Rebeca Vazquez Phone (760) 602-4625
r 'I APft .50— 20—q—oL
'. Type of Project & Use: DU/AC
Zoning: . General Plan: es_xl Facilities Management Zone:
. CFD (in/out) #_Date of participation: ' Remaining net dev acres:______ •..• -
. (For non-residential development: Type of land used created by this . . Circle One
. permit: )
Leciend:. Z Item Complete Item Incomplete - Needs your action
0 0 Envronmena1 Review Required YES NO ) TYPE
DATE OF COMPLETION d •. S... •.
• •• '•. Compliance with conditions of apprdval? If not, state conditions which require action.
Conditions of Approval:
. 0 0 Discretionary Action Required: YES ____ NO TYPE
APPROVALJRESO. NO. -. DATE_____
. PROJECT NO.
OTHER RELATED CASES
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval
DD: Coastal ZoneAssessment/Compllance
Project site located in Coastal Zone? YES____ NO X
- CA Coastal.. Commission Authority? YES____ NO____
If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 1 03.
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, óomlété Coastal Pe'rmit Deterthinatidn -Form nö. .
Coastal Permit Determination Log #:
Follow-Up Actions:
Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans).
Complete Coastal Permit Determination Log as needed.
Inclusionary Housing Fee required: YES • NO )C
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Data Entry Completed? YES ____ NO
(A/P/Os, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing YIN,
Enter Fee, UPDATE!)
5*
.- H:\ADMIN\COUNTER\8tdgPlnchkRevChkIst Rev 9/01
/ Site Plan:
Y'E] 0. 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 topographicaHines (including all side and rear yard
slopés); 'I ''''
0 0 Provide legal description of property and assessor's parcel number. •,
• Policy 44— Neighborhood Architectural Deign Guidelines 0'
0 0 Applicability: YES . NO)C
EJ 0 0 Project complies YES NO________ .
-
•, • Zoning:
O 0 0 1. Setbacks: S
Front: Required._2 Shown 3 Not
-
- ..'-'•';•; . . Meador Side: Required '' Shown
Street Side: Required Shown _____ __
____________ Rear: Required Shown ___ fl
Top of slope: Required Shown '
O U U ' 2.. Acbesory structure setbacks:
'•
..' -• . Front:' Required Shown --
'• . • Interior Side.. - Required 'Shown
• Street Side: Required Shown
Rear:
'
Required Shown
• S. Structure separation: Required • Shown
E] 0 3 Lot Coverage Required ________ Shown 20. Z5;1c,
4Hä Required -
0 0 ' 5. Parking: Spaces Required Shown 2..
- . (breakdown by uses for commercial and industrial projects required)
• . -'. -•, . ' • Residential Guest Spaces Required Shown
IF
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE 1_/O
-
-
H:'.ADMiN\COUNTER\BldgPInchkRevChkist S Rev 9/01
- .
:
.. RECEIVED MORTON S. O'GRADY, ARCHITECT
300 CARLSBAD VILLAGE DR. #108A-2
CARLSBAD, CA. 92008 NOV 14 2003
7-7zSo
. CITY OF CARLSBAD
12 NOVEMBER, 2003 PLANNING DEPT.
CITY PLANNING MANAGER
CITY OF CARLSBAD
1635 FARADAY AVENUE
CARLSBAD, CA 92008-7314
OWNERS:
MR. & MRS. TED VAUGHN
2640 HIGHLAND DR
CARLSBAD, CA. 92008
'' ' :. .
APN156-130-09
PROJECT:
PROPOSED REMODEL AND ADDITION.
CONVERT EXISTING SINGLE CAR GARAGE TO THE NEW MASTER BEDROOM.
ADDITION: MASTER BATH, CLOSETS EXPAND DINNING AND NEW TWO CAR GARAGE.
REQUEST:
THE OWNERS REQUESTS A REDUCTION OF THE REQUIRED 7' SIDE YARD PER SECTION
2 1.10.040 (2) TO A 5' SIDE YARD.'
THE SIZE OF THE ADDITION REQUIRES A NEW TWO-CAR GARAGE. IF WE OBSERVE THE
REQUIRED 10% (7' SIDE YARD) ALONG THE SOUTHERLY PROPERTY LINE WE LOSE OUR
DINNING ROOM WINDOW TO THE WEST. THE OWNERS WISH TO RETAIN THE WINDOW IN
THE DINNING AREA. THE WINDOW IS AN IMPORTANT ARCHITECTURAL ELIMINATE, ALSO
., ' •' PROVIDES AN OBSERVATION PORT TO SEE WHO MIGHT BE APPROACHING THE FRONT
DOOR.
S S
THE ADJACENT PROPERTY TO THE SOUTH HAS AN EXISTING DRIVEWAY ALONG OUR
ADJOINING LOT LINE. THE DRIVE WAY IS APPROXIMATELY 16' WIDE. SEE ATTACHED SITE
-: PLAN.
,' WE RESPECTFULLY SUBMIT THIS REQUEST FOR YOUR APPROVAL.
4. . .. .' •
SINCERELY
. MORTON S. O'GRADY, ARCHITECT
'. •' /7
AGENT FOR-M/. 1 MRS.UGHN •
' .•• s , - - •
p,-:- • •' ' S - ,
,-_•_t •• S , ,,• •, - • - 5.. . , • S
OWNER:
TED t LICIA VA GHN .2640 HIGHLAND DR. CARLSBAD. CA. 92008, 131-Sill
ARCHITECT'
MORTON S. 0'Gf AOl ui 300 VILLAGE DR. I08A-2 CARLSBAD,CA. 2008 lO'-l2-33SO -
FD1iFST. 0
SIDEYARD SETBACK REDUCTION
FROM 1' TO 5' FER SECTION
21.10.010 (2).
!!
— .-' - 1 -.__fl •.'.0 -a OJ
-
- I I PROPERT) LIMP 11411 N S'I 5'I E
-------J I
-
71
- . --
--- -'1
- "h" . .
. . " . ' ___________ . • . '
-. 01 'Ic''•
. - - .-
•S- -
I , -•
<I UI
10 . ----------I -------------- ---*---------------:?•-- --------- .--- -' ---------a -----------I----------' -------------------
GO
i_I
. 11 ••.- .I•i•L •. .',:
o . .• - . I • REAR YARD SLOPES ANb IS TERRACEb TOWARDS REAR F ROPERTY LINE IL to 0 --.: ' 0 33-11' I . •...... I EXISTING EOROOI1
z SINGLE 57 RY RESIDENCE
•••
al
1/ il—. . / . — - 1' " 7' /• 7' /- 7 7'---' ---------------------------------------- w •... // //////. // ..0 .
Ile
// / // / / / / / / •/// 4 :.1.:. ..:..'.: •:..: I IL
ly CL Ile epd ////
. .--------------- - --- ---------
/
.....• ---------------- ----------
______ I APN l5f-I3O-'09
PROPERTY LINE 144.11' N OR SRI E APN 156-I30--08
- .• . - w . EXISTING AG DRIVEWAY . I • I
>
4 . - NO WINDOWS ON NORTH.
'- -
--
-
-
-
-
-L ------ - ------- - ------------------ -- L --------------------- -[ . • --. .
. • •. • '-I 2-O
•
3- 21-0 -•. •
tu . EXISTING • C
LIVING AREA 0VEP • IlOTORCOURT . • . . .• -
0 TWO CAR GARAGE • . r • . . w • . . - . * -.•..
-1. . • .•.. . *
'I' .. • . £. • -• :. - - •
JAN-29-2004 THU 02:23 PM CITY OF CARSLBAD FAX NO, 760 602 8558 P. 01
City of Carlsbad
- •USIIE p
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FEES OR OTHER MITIGATION
This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City
prior to issuing a building permit. The City will not issue any building permit without a completed school fee form.
Project Name: 4QiQ. - PdDtOfl
Building Permit -
Plan Check Number: C) 3
Project Address:
A.P.N.:.
Project Applicant
(Owner Name);
Project Description:
Building Type: -
Residential: Number of New Dwelling Units,
Square Feet of Living Area in New Dwelling
Second Dwelling Unit: Square Feet of Living Area in SDU • -
Residential Additions: Net Square Feet New Area q
Commercial/lndujial: Square Feet Floor Area S
City Certification of
Applicant Information: Date: AT-Aps
sbad Unified School Districf' San Marcos Unified School District <a6225 El Cantino Real 215 Mate Way
sbad CA 92009 (33 l-5000)J San Marcos, CA 92069 (736-2200)
Encinitas Union School District San Dieguito Union High School District
101 South Rancho Santa Fe Rd 710 Eneinitas Blvd.
Encwitas, CA 92024 (944-4300) Encinitas, CA 92024 (753-649])
Certification of ApplicanUOwners. The person executing this declaration ('Owners') certifies under penalty of perjury that (1) the
Information provided above is correct and true to the best of the Owner's knowledge, and that the Owner,will file an amended
certification of payment and pay the, additional fee if Owner requests, an, increase in the number of dwelling units, or square
footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and
that (2) the Owner Is the owner/de er of the above described project(s), or that the person executing this declaration Is
:
to
Date
is 1-aracay Avenue • arisoao, A UV-IJ1 - VOU) OU-f VU
' Revwd4tfl)flfl Building Counter • (760) 602-2719 • FAX (760) 602-8558
JAN29-2004 THU 02:24 PM CITY OF CARSLBAD FAX NO, 760 602 8558 P. 02
S.
.....................
1
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school district(s))
-
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE
PROJECT HAVE BEEN OR WILL BE SATISFIED.
SCHOOL DISTRICT:
The undersigned, being duly authorized by the applicable School District, certifies that the
developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that
the applicant listed on page 1 has paid all amounts or completed other applicable school
mitigation determined by the School District. The City may issue building permits for this project.
SIGNATURE OF AUTHORIZED SCHOOL
DISTRICT OFFICIAL
TITLE
., d-w~
carm FREEMAN
DEPUTY SUPERINTENDENT
NAME OF SCHOOL DISTRICT
DATE -.
PHONE NUMBER
'S_•
.7
S. .
ts s_.
.0 •t .
5_ 1
, I •
Rcvied 412010fl
.1
--U
-CARLSBAD UNIFIED SCHOOL DISTRICT
6225 EL CAMINO REAL
OWBAI)i CA 9=
O&905/
7 33/ 623
I
CB033540 2640 HIGHLAND DR CBAD
. .- VAUGHNRES-1111SFADD&CVRT
3O SF GARAGE TO MSTR BORM
RESDNTL RAD
çr
Lot#' MORTON S OGRADY
11zo4 BUILDING -
. ENGINEERING Nis&
FIRE APPRIFORM
_________ HEALTH DEPT
HAZ MAT / AIR QUAIL
OTHER SEWER 015Th
BLDG GRADING LETTER TO FROM APPLICANT APPLICANT CIt 6 c-i7 q 57(L
_________PLAN ORA
CF0FORM LAJQL
. t jjIi II2.310C4
BLDG FEES COMPLETE
N