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Home My WebLink About2654 DAVIS PL; ; CB033208; Permit03-10-2004 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB033208 Building Inspection Request Line (760) 602-2725 2654 DAVIS PL CBAD RESDNTL 1552710200 $55,002.00 0 0 Sub Type: Lot#: Construction Type: Reference #: Structure Type: Bathrooms: RAD 0 NEW ELLIS RES 534 SF ADDITION KIT/LV ROOM Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: ISSUED 11/19/2003 SB 03/10/2004 03/10/2004 Applicant: ELLIS DOUGLAS R&JACQUELINE R 2654 DAVIS PL CARLSBAD CA 92008 Owner: ELLIS DOUGLAS R&JACQUELINE R 2654 DAVIS PL CARLSBAD CA 92008 Building Permit Add1! Building Permit Fee Plan Check Add'l 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'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee $377.16 Meter Size $0.00 Add'l Reel. Water Con. Fee $245.15 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $5.50 PFF $0.00 PFF (CFD Fund) $0.00 License Tax $0.00 License Tax (CFD Fund) $0.00 Traffic Impact Fee $0.00 Traffic Impact (CFD Fund) $0.00 Sidewalk Fee $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Housing Impact Fee $0.00 Housing InLieu Fee Housing Credit Fee $0.00 Master Drainage Fee $0.00 Sewer Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $48.00 $20.00 $37.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $732.81 Total Fees: $732.81 Total Payments To Date: $245.15 Balance Due: $487.66 BUILDING PLANS Taw 03/10/04 0002 01 IN STORAGE .ATTACHED 02 CC3P-487-66 Inspector: FINAL APPROVAL Date: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 vou have previously been oiven a NOTICE similar loJhis. or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.lffi?.53Zc£> fe " EST. VAL. Plan Ck. Deposit ValidatedtBv Date/ Address (i(includ Business Name tot this address) 90^ 11/19/03 OOQ2 01 02Unit No. Phase No^.™ "Total # oTunjlsLegal Description ti>T3t Lot No. ftk Subdivision Name/Number State/Zip C/#—' Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name Address State License # license Class Designer Name Address State License # iii^iiiiiiMi^^ii^i^li@i^pplK^^i^^'^"^*i City State/Zip Telephone # City Business License # City State/Zip Telephone •'••'•'•',' • Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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) n 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 I hereby affirm that I am exempt from the Contractor's 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 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). Q 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 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) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but 1 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 Is the epplicant 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I 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-TOS5AVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH-fflAY IN Mti WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 7 5'0" deep and demoliti fficial under the provisions^ of t OSHA: An OSHA permit is required fo EXPIRATION: Every permit issuedJSy the buildin authorized by such permit is not commenced wjjhfn 180 days from the dat at any time after the work is commenced fojXperjogjiy 80 days APPLICANT'S SIGNATURE of structures over 3 stories in height. all expire by limitation and become null ermit(>»i'f the building or work authorized by such p Unitemi Building Code). void if the building or work it is suspaitded or abandoned DATE WHITE: File YELLOW: Applicant PINK: Finance ( 'Y Inspection List Permit*: CB033208 Type: RESDNTL RAD ELLIS RES 534 SF ADDITION KIT/LV ROOM Date Inspection Item Inspector Act Comments 08/25/2005 89 08/25/2005 89 08/22/2005 89 08/22/2005 89 03/04/2005 23 02/04/2005 17 02/04/2005 18 01/19/2005 16 01/04/2005 14 01/04/2005 18 01/04/2005 34 01/04/2005 44 11/23/2004 13 11/05/2004 15 10/01/2004 14 10/01/2004 16 10/01/2004 24 09/23/2004 66 09/08/2004 11 09/03/2004 11 Final Combo Final Combo Final Combo Final Combo Gas/Test/Repairs Interior Lath/Drywall Exterior Lath/Drywall Insulation Frame/Steel/Bolting/Weldin Exterior Lath/Drywall Rough Electric Rough/Ducts/Dampers Shear Panels/HD's Roof/Reroof Frame/Steel/Bolting/Weldin Insulation Rough/Topout Grout Ftg/Foundation/Piers Ftg/Foundation/Piers PY - - PY PD PD PD PD PY PY PY PY PY PY PD PD PD PY PY PK AP Rl Rl AM PLEASE CO SEE NOTICE ATTACHED AP AP AP AP AP we AP AP AP PA OK TO DRY IN - DO NOT LOAD AP AT SUBFLR AP AT SUB FLR AP AT SUBFLR AP NEED UNDER FLOOR ACCESS AP CO NEEDS COMPLETE RE-INSPECT, NO SUPERVISOR EVIDENT Friday, August 26, 2005 Page 1 of 1 City of Carlsbad Bldg Inspection Request For: 08/25/2005 Permit* CB033208 Title: ELLIS RES 534 SF ADDITION Description: K1T/LV ROOM Type: RESDNTL Sub Type: RAD Job Address: 2654 DAVIS PL Suite: Lot 0 Location: APPLICANT ELLIS DOUGLAS R&JACQUELINE R Owner: ELLIS DOUGLAS R&JACQUELINE R Remarks: Inspector Assignment: PY Phone: 7604344344 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: DOUG Entered By: CHRISTINE Act Comment Associated PCRs/CVs Inspection History Date 08/22/2005 03/04/2005 02/04/2005 02/04/2005 01/19/2005 01/04/2005 01/04/2005 01/04/2005 01/04/2005 1 1/23/2004 1 1/05/2004 10/01/2004 10/01/2004 10/01/2004 09/23/2004 09/08/2004 Description 89 23 17 18 16 14 18 34 44 13 15 14 16 24 66 11 Final Combo Gas/Test/Repairs Interior Lath/Drywall Exterior Lath/Drywall Insulation Frame/Steel/Bolting/Welding Exterior Lath/Drywall Rough Electric Rough/Ducts/Dampers Shear Panels/HD's Roof/Reroof Frame/Steel/Bolting/Welding Insulation Rough/Topout Grout Ftg/Foundation/Piers Act CO AP AP AP AP AP we AP AP AP PA AP AP AP AP AP Insp PY PD PD PD PD PY PY PY PY PY PY PD PD PD PY PY Comments SEE NOTICE ATTACHED OK TO DRY IN - DO NOT LOAD AT SUBFLR AT SUB FLR AT SUBFLR NEED UNDER FLOOR ACCESS City of Carlsbad Bldg Inspection Request For: 08/22/2005 Permit* CB033208 Title: ELLIS RES 534 SF ADDITION Description: KIT/LV ROOM Type:RESDNTL Sub Type: RAD Job Address: 2654 DAVIS PL Suite: Lot 0 Location: APPLICANT ELLIS DOUGLAS R&JACQUELINE R Owner: ELLIS DOUGLAS R&JACQUELINE R Remarks: AM PLEASE Inspector Assignment: PY Phone: Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: DOUGLAS Entered By; JANEAN Act Comment/^1 fa 4 Associated PCRs/CVs Inspection History Data 03/04/2005 02/04/2005 02/04/2005 01/19/2005 01/04/2005 01/04/2005 01/04/2005 01/04/2005 11/23/2004 11/05/2004 10/01/2004 10/01/2004 10/01/2004 09/23/2004 09/08/2004 09/03/2004 Description 23 Gas/Test/Repairs 17 Interior Lath/Drywall 18 Exterior Lath/Drywall 16 Insulation 14 Frame/Steel/Bolting/Welding 18 Exterior Lath/Drywall 34 Rough Electric 44 Rough/Ducts/Dampers 13 Shear Panels/HD's 15 Roof/Reroof 14 Frame/Steel/Bolting/Welding 16 Insulation 24 Rough/Topout 66 Grout 11 Ftg/Foundation/Piers 11 Ftg/Foundation/Piers Act AP AP AP AP AP we AP AP AP PA AP AP AP AP AP CO Insp PD PD PD PD PY PY PY PY PY PY PD PD PD PY PY PK Comments OK TO DRY IN - DO NOT LOAD AT SUBFLR AT SUB FLR AT SUBFLR NEED UNDER FLOOR ACCESS NEEDS COMPLETE RE-INSPECT, NO SUPERVISOR EVIDENT CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE LOCATION *"*¥• TIME. PERMIT NO. FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURWRINK1RMATR>N, CONTACT YES PHONE CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For: 01/04/2005 Permit* CB033208 Title: ELLIS RES 534 SF ADDITION Description: KIT/LVROOM Inspector Assignment: PY Type:RESDNTL Sub Type: RAD Job Address: 2654 DAVIS PL Suite: Lot 0 Location: APPLICANT ELLIS DOUGLAS R&JACQUELINE R Owner: ELLIS DOUGLAS R&JACQUELINE R Remarks: Phone: 7608026986 Inspector: Total Time:Requested By: DOUG Entered By: CHRISTINE CD Description Act Comment 14 Frame/Steel/Bolting/Welding 18 Exterior Lath/Drywall 44 Rough/Ducts/Dampers Associated PCRs/CVs Inspection History Date Description Act 11/23/2004 13 Shear Panels/HD's AP 11/05/2004 15 Rool/Reroof PA 10/01/2004 14 Frame/Steel/Bolting/Welding AP 10/01/2004 16 Insulation AP 10/01/2004 24 Rough/Topout AP 09/23/2004 66 Grout AP 09/08/2004 11 Ftg/Foundation/Piers AP 09/03/2004 11 Ftg/Foundation/Piers CO Insp Comments PY PY OK TO DRY IN - DO NOT LOAD PD AT SUBFLR PD AT SUB FLR PD AT SUBFLR PY NEED UNDER FLOOR ACCESS PY PK NEEDS COMPLETE RE-INSPECT, NO SUPERVISOR EVIDENT CITY OF CARLSBAD NOTICE (760) 602-2700 1635 FARADAY AVENUE FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR ^THER1NF®RMATlh, CONTACT YES BUILDING INSF ECTOR PHONE CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For: 11/05/2004 Permit# CB033208 Title: ELLIS RES 534 SF ADDITION Description: KIT/LV ROOM Inspector Assignment: PY Type:RESDNTL Sub Type: RAD Job Address: 2654 DAVIS PL Suite: Lot 0 Location: APPLICANT ELLIS DOUGLAS R&JACQUELINE R Owner: ELLIS DOUGLAS R&JACQUELINE R Remarks: am please- Phone: Inspector: Total Time:Requested By: NA Entered By: CHRISTINE CD Description 15 Roof/Reroof Act Comment yu - s^b Associated PCRs/CVs Inspection History Date Description 10/01/2004 14 Frame/Steel/Bolting/Welding 10/01/2004 16 Insulation 10/01/2004 24 Rough/Topout 09/23/2004 66 Grout 09/08/2004 11 Ftg/Foundation/Piers 09/03/2004 11 Ftg/Foundation/Piers Act Insp Comments AP PD AT SUBFLR AP PD AT SUB FLR AP PD AT SUBFLR AP PY NEED UNDER FLOOR ACCESS AP PY CO PK NEEDS COMPLETE RE-INSPECT, NO SUPERVISOR EVIDENT CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO. (760) 602-2700 1635 FARADAY AVENUE TIME A/eyf FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? LJ YES FOR FURTHER IWFOFJMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For: 09/03/2004 Permittf CB033208 Title: ELLIS RES 534 SF ADDITION Description: KIT/LV ROOM Inspector Assignment: Type: RESDNTL Sub Type: RAD Job Address: 2654 DAVIS PL Suite: Lot 0 Location: APPLICANT ELLIS DOUGLAS R&JACQUELINE R Owner: ELLIS DOUGLAS R&JACQUELINE R Remarks: Total Time: CD Description 11 Ftg/Foundation/Piers Act Comment Phone: Inspector: Requested By: NA Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments ii^iiiP8»-apl*Jaj!Wasa^E^R-:'Nl.-37--^—^ NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE .O £*DATE 9-5- _ TIME LOCATION d^ 5f PERMIT NO. 3 " 3 FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER *- ,i ^ .b. INSPECTION SERVICES UNLIMITED Construction Inspections & Building Code Consulting Bei-Brett Egan Insp. 15555 Main St. #D4-PMB-151 Phone- Hesperia, CA 92345-7003 M_ e< 24hr. Pgr-<7U) 758-6721 PAGE /OP / REGISTERED INSPECTOR'S REPORT OF: D REINFORCED CONCRETE D STRUCT. STEEL ASSEMBLY BOTHER D PRE-STRESSED CONCRETE D HIGH-STRENGTH BOLTING D REINFORCED MASONRY D RE-BAR WELDING D SHOP D FIELD JOB BUILDING PERMIT NUMBER PLAN FILE NUMBER OWNER OR PROJECT NAME ARCHITE' DESCRJB^>flAT'L. (MIX DESIGN, HE-BAR GRADE & MFGR, WELD-ROD, ETC.)ENGINEER INSP'N. DATE LOCATIONS OF WORK INSPECTED. TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT: AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED; NUMBER, TYPE, & IDENT. NO'S OF TEST SAMPLES TAKEN; STRUCT. CONNECTIONS (WELDS MADE, H. T. BOLTS TQRQUED) CHECKED; ETC. - Z I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISJ^OJ£0£rtfrD TO THE BEST OF MY ABILITY, I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONSv«^BHTCABLE BUILDING LAWS. Site Hours: Site Supervisor Approval: J C--DATE OF REPORT REGISTER NUMBER «-t^ ' EsGil Corporation In (Partnership with government for (Buifafing Safety DATE: FEBRUARY 23, 2004 & APPUCANT IRIi JURISDICTION: Carlsbad a "PLAN REVIEWER Q FILE PLAN CHECK NO.: 03-3208 SET:II PROJECT ADDRESS: 2654 Davis Place PROJECT NAME: SFD Addition for Ellis 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 REMARKS: Please have the designer include the sheet A6.02 in the sets. By: Bert Domingo Enclosures: Esgil Corporationn GA n MB n EJ n PC 2/13/04 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 4- (858)560-1468 + Fax (858) 560-1576 EsGil Corporation In (partnersfiip ivitfi government for Quitting Safety DATE: December 4, 2003 JURISDICTION: Carlsbad Q PLAN REVIEWER Q FILE PLAN CHECK NO.: 033208 SET: I PROJECT ADDRESS: 2654 Davis Place PROJECT NAME: SFD Addition for Ellis 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. X] 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: Chris Bell 335 15th Street, San Diego, CA 92101 Esgil Corporation staff did not advise the applicant that the plan check has been completed. XI Esgil Corporation staff did advise the applicant that the plan check has beqn cqmpjeted. Person contacted: Chris Bell ^~M Telephone #: (619)-5; Date contacted: O"n> (by: _£>) Fax #: 0758 \jjf\ , *5' Mail ^Telephone -^~^Fax^"ln Person REMARKS: By: Bert Domingo Enclosures: Esgil Corporation D GA D MB D EJ D PC 11/20/03 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 4- (858)560-1468 4 Fax (858) 560-1576 Carlsbad 033208 December 4, 2003 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO.: 033208 PROJECT ADDRESS: 2654 Davis Place FLOOR AREA: 534 SQ Ft. REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: December 4, 2003 JURISDICTION: Carlsbad STORIES: ONE HEIGHT: DATE PLANS RECEIVED BY ESGIL CORPORATION: 11/20/03 PLAN REVIEWER: Bert Domingo FOREWORD (PLEASE READ): 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 for 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 O33208 December 4, 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: 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. 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. All sheets of plans must be signed by the person responsible for their preparation. (California Business and Professions Code). 3. Plans, specifications and calculations shall be signed and sealed by the California state licensed engineer or architect responsible for their preparation, for plans deviating from conventional wood frame construction. Specify expiration date of license. (California Business and Professions Code). This will be checked when all the items below are met. • FIRE PROTECTION 4. Show locations of permanently wired smoke detectors with battery backup: Please see item 5 below. a) Inside each bedroom. b) Centrally located in corridor or area giving access to sleeping rooms. c) On each story. d) When sleeping rooms are upstairs, at the upper level in close proximity to the stair. e) In rooms adjacent to hallways serving bedrooms, when such rooms have a ceiling height 24 inches or more above the ceiling height in the hallway. • NOTE: Detectors shall sound an alarm audible in all sleeping areas of the unit. Section 310.9.1. 5. 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. Carlsbad 033208 December 4, 2OO3 • ROOFING 6. Please show on the plans the relative location of any recommended attic vent. 7. Note on the plans: "Attic ventilation openings shall be covered with corrosion-resistant metal mesh with mesh openings of 1/4-inch in dimension." Section 1505.3. * FRAMING 8. Provide truss details and truss calculations for this project. Specify truss identification numbers on the plans. 9. Per UBC Section 2321.4, provide the following note on the plans if trusses are used: "Each truss shall be legibly branded, marked or otherwise have permanently affixed thereto the following information located within 2 feet of the center of the span on the face of the bottom chord: a) Identity of the company manufacturing the truss. b) The design load. c) The spacing of the trusses." 10. Show location of attic access with a minimum size of 22"x30", unless the maximum vertical headroom height in the attic is less than 30". Access must be provided to each separated attic area, shall be located in a hallway or other readily accessible location and 30" headroom clearance is required above the opening. Section 1505.1. • CONCRETE AND MASONRY 11. Show anchored veneer support and connections attached to wood in Seismic Zones 3 and 4, comply with Section 1403. Show ties, #9 wire in horizontal joints, etc. • MECHANICAL (UNIFORM MECHANICAL CODE) 12. Please show how the addition would be heated. 13. Every dwelling unit shall be provided with heating facilities capable of maintaining a room temperature of 70 degrees F at 3 feet above the floor in all habitable rooms. Show basis for compliance. UBC, Sec. 310.11. Carlsbad 033208 December 4, 2003 • ENERGY CONSERVATION 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." 15. Please have the owner/designer sign the space provided for on the CF-1R form. 16. Please show on the sections the recommended R value of the insulation of the roofs and the walls. • MISCELLANEOUS 17. All the kitchen counter electrical receptacles should be GFCI protected. 18. Please provide 15 # felt underlaymentof thecompo roof. 19. The City does not allow deferred submittal. 20. It seems that the cross referenced detail 8/SD-2 on sheet S2-01 is not compatible. 21. Please show the recommended detail on the plans for the post/footing connection reflected on sheet # 20 of the calculations. 22. The cantilevered columns should comply to the table 16-N of the 97 UBC pertaining to the R value. 23. Please submit calculations for the foundation of the cantilevered columns. 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 U No Q 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 Bert Domingo at Esgil Corporation. Thank you. Carlsbad O33208 December 4, 2003 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 033208 PREPARED BY: Bert Domingo DATE: December 4, 2003 BUILDING ADDRESS: 2654 Davis Place BUILDING OCCUPANCY: R3 TYPE OF CONSTRUCTION: VN BUILDING PORTION City estimate Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq.Ft.) cb Valuation Multiplier By Ordinance Reg. Mod. VALUE ($) 55,002 55,002 $368,16 Plan Check Fee by Ordinance Type of Review: Q Repetitive Fee Repeats Complete Review D Other r- Hourly Structural Only Hour Esgll Plan Review Fee $239.30 $206.17 Comments: Sheet 1 of 1 macvalue.doc City of Carlsbad Public Works - Engineering BUILDING PLANCHECK CHECKLIST DATE: BUILDING ADDRESS: PROJECT DESCRIPTION: £ ASSESSOR'S PARCEL NUMBER: PLANCHECKNO.: CB -02-EST. VALUE: 3 Z&O 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 wjth 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: DENIAL s, 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: II FOR OFF/CIAL USE ONLY NEERING AUTHORIZATION TO ISSUE BUILDING PERMIT: FOR OFFICIAL USE ONL siG PERMIT: / / rf , Date: H illr*] ATTACHMENTS D Dedication Application U Dedication Checklist 0 Improvement Application D Improvement Checklist D Future Improvement Agreement D Grading Permit Application U Grading Submittal Checklist D Right-of-Way Permit Application r\ Right-of-Way Permit Submittal Checklist and Information Sheet D Sewer Fee Information Sheet ENGINEERING DEPT. CONTACT PERSON Name: KATHLEEN M. FARMER City of Carlsbad Address: 1635 Faraday Avenue, Carlsbad. CA 92008 Phone: (760)602-2741 CFD INFORMATION Parcel Map No: Lots: Recordation: Carlsbad Tract: .AA. CA 92008J-7314 • (76O) 602-2720 • FAX (760) 6O2RB5@fi ST oND D )RD BUILDING PLANCHECK CHECKLIST SITE PLAN 1. Provide a fully dimensioned site plan djs J\. North Arrow /[^Existing & Proposed Structures /cr Existing Street Improvements' Property Lines Easements 2. Show on site plan: D/D D n to scale. Show: Right-of-Way Width & Adjacent Streets Driveway widths Existing or proposed sewer lateral Existing or proposed water service Existing or proposed irrigation service 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 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, second dwelling units and apartment complexes are an exception. D. Sewer and water laterals should not be located within proposed driveways, per standards. 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 H:\WORD\DOCSKHKLSTBuiWing Planctock CWst Fonn <Generic).doc IST oND BUILDING PLANCHECK CHECKLIST DISCRETIONARY APPROVAL COMPLIANCE D D 4a- Project does not comply with the following Engineering Conditions of approval for Project No. D D D 4b- A" conditions are in compliance. Date: DEDICATION REQUIREMENTS D 5- Dedication for all street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $15.000. 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 Yz 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 6a. 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: 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 H.\WORDMXXrS\CHKLS-nBuildina PlanWeck Cklst Form (RJDOtE • HARVEY 7-12-00).*>c BUILDING PLANCHECK CHECKLIST iST ,ND ,RD n n 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: 6b. Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 18.40. Please submit a recent property title report or current grant deed on the property and processing fee of $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. n n n Future public improvements required as follows: 6c. Enclosed please find your Future Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: Date: 6d. No Public Improvements required. SPECIAL NOTE: Damaged or defective improvements found adjacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. n 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). 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. nan Grading Inspector sign off by:Date: 7c. Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) KWORDVOOCS\CHKLST\BuiMing Planchedt Cklst Form (GENERIC 7-14-00).dOC BUILDING PLANCHECK CHECKLIST * ST oND 3RD D n D 7d .No Grading Permit required. D D D 7e- ^ grading is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS D D D 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: ____^^_ D D 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: D D D 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./ d EH 11. Q Required fees are attached QXNo fees required WATER METER REVIEW D D D 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:\WORttoOCS\CHKLSTOuHdlng Plancheck Ckfet Form (Genwtc).dDc BUILDING PLANCHECK CHECKLIST 1ST >ND )RD n n • 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 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 is not 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: 1. 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: STA 1+00 Install 2" service and 2. 3. 1.5: meter (estimated 100 gpm) 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 (w/ 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, 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 your reference. In general the calculations will include: • Hydraulic grade tine • Elevation at point of connection (POC) • Pressure at POC in pounds per square inch (PSI) • Worse case zone (largest, farthest away from valve • Total Sprinkler heads listed (with gpm use per head) • Include a 10% residual pressure at point of connection In general, all major sloped areas of a subdivision/project are to be irrigated via separate irrigation meters (unless the project is only SFD with no HOA). As long as the project is located within the City recycled water H:\WORDMJOCS\CHKLSrauidlnQ Pinochet* CUM Fonn (Gwwri3.doc BUILDING PLANCHECK CHECKLIST A ST 2ND 3RD service boundary, the City intends on switching these irrigation services/meters to a new recycled water line in the future. D D CH 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 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. D D [J 13- Additional Comments: H:\WORtWOCSCHKL5T\Bullding Plantiwcfc CUM Form (G*rwric>.doc D D 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:Date:Checked by:Date: EDU CALCULATIONS: List types and square footages for all uses. Types of Use: - Sq. Ft./Units: Types of Use: Sq. Ft./Units: APT CALCULATIONS: List types and square footages for all uses. Types of Use: Sq. Ft./Units: Sq. Ft./Units:Types of Use: FEES REQUIRED: EDU's: EDU's: ADT's: ADT's: WITHIN CFD: D YES {no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) D NO 1. PARK-IN-LIEU FEE FEE/UNIT: PARK AREA & #: X NO. UNITS:= $ D 2. TRAFFIC IMPACT FEE ADT's/UNITS: D 3. BRIDGE AND THOROU ADT's/UNITS: D 4. FACILITIES MANAGEf UNIT/SO. FT.: D 5. SEWER FEE EDU's: FEE/ADT:= $ JGHFARE FEE VIENT FEE (DIST. #1 DIST. #2 X FEE/ADT: ZONE: X FEE/SQ.FT./UNIT: DIST. #3 ) = $ = $ FEE/EDU: BENEFIT AREA: EDU's:FEE/EDU: D 6. SEWER LATERAL ($2,500) D 7. DRAINAGE FEES PLDA_ ACRES: = $. = $_ = $ HIGH /LOW FEE/AC:= $ D 8. POTABLE WATER FEES UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION Word\Docs\Mlsforms\Fee Calculation Worksheet I of 2 Rev. 7/14/00 O 05 1 Plan Check No. Planner Chris Sexton APN: PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Address Phone (760) 602-4624 CO, Type of Project & Use:. Zoning: re* i General Plan:. CFD (in/out) #_Date of participation:. Net Project Density:DU/AC Facilities Management Zone: Remaining net dev acres:. Circle One (For non-residential development: Type of land used created by this permit: ' . ) I Legend: 13 ltem Complete p Item Incomplete - Needs your action Q Environmental Review Required:, YES NO iX TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: APPROVAL/PESO. NO. PROJECT NO. YES NO V TYPE _ DATE OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: 5fl D D Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES. CA Coastal Commission Authority? YES_ NO NO If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): _ Coastal Permit Determination Form already completed? YES _ NO _ If NO, complete Coastal Permit Determination Form now. Coastal Permtt Determination Log #: ' ' ' * D Follow-Up Actions: 1} Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2} Complete Coastal Permit Determination Log as needed. . Inclusionary Housing Fee required: YES _ NO iX^ (Effective date of Inclusionary' 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!) Site Plan: H:\ADM1N\COUNTER\BldgPlnchkRevChklst Rev 9/01 D 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 i slopes). . • - : G 2. Provide legal description of property and assessor's parcel number. DDD Policy 44 - Neighborhood Architectural Design Guidelines 1. Applicability: YES NO. 2. Project complies YES NO. 5fm<Lfur£ n&n con-forVY\ t n See Front: Interior Side: Street Side: Rear: Top of slope: Required _c3P' Required Required /Q' Required Required 2. Accessory structure setbacks: Front: Interior Side: Street Side: Rear: Structure separation: B'D D 3. Lot Coverage: Required Required Required Required Required Required. a 0 Shown Shown ~E/to"" Shown /fV Shown Shown Shown Shown Shown Shown Shown ^ Shown "^ G/DD DD 4. Height: 5. Parking: Required Spaces Required Shown Shown 3—1 (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional SLtdJT.-fonftf nniu add ^HO°fo nfy/c^o of OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE H:\ADMIN\COUNTER\BldgPinchkRevChklst 02/?6/2904 08: 41 6195310758FJl SURE NU, Y6C 602 1052 PAGE 02 P. 02 City of Carlsbad B 1111 < i i M y P> e- p a t 11 n o n t CERTIFICATE OF COMPLIANCE PAYMENT OE SCHOOL fflftfi f'" ftTHttlt MITIGATION This form must b* oomplatad by th* City, the applicant ano me appropriate sehod districts end return*! to the City prior to issuing d ftuiltlrig pwml. Th* City wHI not icsue any bunding permit wftnout a completed school fee form Project Name: Building Permit Plan Check Numfrer Project Address: A.P.N.: Project Applicant (Owner Name): Project Description: Building Type: Residential: - Z.TJ- yf 1?es. KJiimfaftr nf KJaw fhHmlling I Inltfi Square Feet of Living Area in NewDwettng Second Dwellinfl Unit: Reatdentlat Additions: Commercial/Industrial: City Certification of Applicant Information: Square Feet of Living Area in SOU Net Square Fwt New Ana Square Feet Fk»r Araa bad Unified School Dbmcl CatetMri CA 92009 (331-30001 Sm Mtrcoi Unified School Dutricr ay i. CA MQ69 (7364200) fct Sm Difjuito Union Hifih School District 710 EnciDitu Blvd. EncinicM, CA MOM (733-«4»t) C»itffc»tfor> of AppNcant/Owners. TJlfi person executing tnft d^**atkin fOwnaO wrUfl** under penalty of perjury that fl) thepnivid«J abpw it Offset end inte to tftfi B«t ofth* CNmnrs knowtedoe, and mat *a Owner wtfl tie an anttndrf of payment imd p*y the adpnonel fw I Qwiw r<K|UMite.an.tncraaw in to mjmbar of owedfnB unito 01 ««u«repeonlt Is tseuea or * Uw tnttial betemiirtirtton of unto or «qu«r« tootage is found to to jncorreot. andthat (2) m» Owner k the owMr/dmlQptr =* the aDove deurfbtti prcfoi*(iX or Uwt ttw pemon awcuting ttibauthorized » aignfln-banatrt y* Signature:Date: ^4^—* C«r|*bad, CA 92OOd-?3-|4 * (76O) GO2-27OO Counter • <7aO> 602-^719 * FAX (76O) 6O2-65S8 02/26/2004 08: 41 6195310758uo.uc rn tmilNthhJNti SURE FAX NO. 760 602 1052 PAGE 03 P. 03 ** *»!••»#*#**•*••» *•** SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school districts)) •«.•.••»» *** ******* M«**»H»I II » ««****«*«»** **.««**•* THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED. SCHOOL DISTR CT: The undersigned. being duly authorized by the applicable School District, certifies that the developer, build*r, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid alt amounts or completed other applicable school mitigation determined py the School District. The City may issue building permits for this project. SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL TITLE NAME 0? SCHOOL DISTRICT DATE PHONE NUMBER GA JEN FREEMAN . .- _CARLSBAD UNIFIED SCHOOL 6225 EL CAMINO REAL -CARLSBAD! CA 02000