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HomeMy WebLinkAbout2730 FERNGLEN RD; ; CB983653; PermitJ epX City of Carlsbad 02/24/1999 Building Permit Permit No:CB983653 Building Inspection Request Line (760) 438-3101 Job Address: 2730 FERNG LEN RD CBAD Permit Type: RAID Sub Type: Parcel No: 1563312200 Lot #: Valuation: $9,800.00 Construction Type: NEW Occupancy Group: Reference #: Project Title: RAD 100 SF-EXPAND MASTER BDRM & FAMILY ROOM Applicant: Owner: ANDERSON MARK NASH: Status: Applied: Entered By: Appr/lssued: Inspect Area: D M&NICOLE B ISSUED 10/22/1998 JM 02/24/1999 1404 DESCANSO 92069 760 591-9332 (0 02/24/99 0001 01 02 \". 7O') \ Total Fees: $208.41 / Total layments To"Dte: $74.00 [Balance Due: $134.41 1-7 \ 2 \ Description Q9/ J / C) Fee ------------- ELECTRICAL BUILDING PMTS 113.58 BLDG PLAN CHECK 73.83 STRNG MOTION 1.00 \\NCORPORATED / jO/ J FINAL APPROVAL Inspector: Date: 9? 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 capactiy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION ' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO.7335'3 EST. VAL. Plan Ck. Deposit Validated By_ 1 PROJECT INFORMATION Address (include "B Z Business Name (at this address) -, 61" Lr 'ZQ Legal Description% Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 2577 10/2219c m4'i ,si Assessor's Parcel # Existing Use roposed - 7 44frt'd YIII ° Description of Work SQ. FT. #of Stories of Bedrooms # of Bathrooms AO/TJc 7b /c CONTACT PERSON (if different from applicant) 04/2.. IL - 4) Diil c) j L? ' e .) 141,IC c:1.9 7, S / c Name Address City State/Zip Telephone # Fax # APPLICANT Contractor 0 Agent for Contractor 0 Owner (]g~~ent Owner ,-,R)2/ /9) Oi 'l '-ei 7" 591 9S:3 '? Name Address City State/Zip Telephone # PROPERTY OWNER 701 i- pp '27 3c' FR-Z'LIi.J jZ49 cLts 0 -ic9 7Z9-7S' Name Address City State/Zip Telephone # CONTRACTOR - COMPANY NAME - - (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 exempti y lad of Se tio 7 1. y any a plicant for a permit subjects the applicant to a civil m not na y of ore than five hundred dollars [$5001). si'—-ui d' -_-5.t Name Address City State/Zip JeIephe State License # 725 / License Class City Business License #ZI Designer Name ' Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 th,..wrk for which this permit is issued. 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 n issued. My worker's compe so ion ins ur nce Carrie and policy number are: Insurance Company Policy No. _ r2~ Expiration Date / - c 0 (THISECTlON NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) .E12"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' cqpen tion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doIiari1OO,QØ'O), ii}/additigfl"o t ost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATU .BUf6E Rt 42...)f/J 1/ DATE (C7/./9 .7. OWN R. D. CLARATI I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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). as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section _______________ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DNO I (have / have not) signed an application for a building 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): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NONRESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner HazardoUs Substance Account Act? 0 YES 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 feet of 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 THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LthDING AGENCY 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__________________________________________________________ APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the 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 provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commpced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after,ja work is 5mmen 'd for ape øof 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE is - DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 8/5/99 Permit# CB983653 Inspector Assignment: SP Title: RAD 100 SF-EXPAND MASTER BDRM Description: & FAMILY ROOM Type: RAD Sub Type: Job Address: 2730 FERNGLEN RD Suite: Lot Location: APPLICANT ANDERSON MARK Owner: NASH TODD M&NICOLE B Remarks: Total Time: Phone: 7607296274 Inspector: Requested By: TODD NESH Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Alp L4r /NPE7oI'f Inspection History Date Description Act lnsp Comments 8/2/99 89 Final Combo CO SP GFI KITCHEN - LANDING AT SCIDER 4/7/99 17 Interior Lath/Drywall AP SP 4/7/99 18 Exterior Lath/Drywall AP SP 4/2/99 14 Frame/Steel/Bolting/Welding AP SP CHANGE TO KITCHEN CEILING 4/2/99 16 Insulation AP SP 4/2/99 24 Rough/Topout WC SP NO PLUMBING AFFECTED 4/2/99 34 Rough Electric AP SP CHANGE TO KITCHEN LIGHTING 4/2/99 44 Rough/Ducts/Dampers AP SP REROUTE DINING DUCT WORK 3/24/99 14 Frame/Steel/Bolting/Welding AP SP ROUGH FRAME ROUGH ELEC 3/24/99 34 Rough Electric AP SP Tel: 800.736.8791 Tel: 760.720.7125 t)SenSpec--i Fax: 760.720.2875 2558 Roosevelt Street #306 Building Consultants - Carlsbad, CA 92008 March 18, 1999 Neil Meyer Cardiff Construction 6017 Sea Crest View San Diego, Ca. 92121 Re: Special Inspection 2730 Fernglen Carlsbad, Ca. Dear Neil, I I observed the installation of two (2) 5/8" threaded rods at 1:00 p.m. on March 15, 1999. The installation was done in accordance with detail D8/A4 on approved plans dated February 24, 1999 and the installation instructions on the tube of Simpson epoxy I.C.B.O. #ER5279. Should you have questions regarding this matter please contact me at 760.720.7125. Sincerely, V b€ Bill Van Tassel, CBO #2832 S003151 EsGil Corporation In Partnership with government for Bui(ding Safety DATE: 12/8/98 ANT JURIS JURISDICTION: Carlsbad IJ PLAN REVIEWER U FILE PLAN CHECK NO.: 98-3653 SET: II PROJECT ADDRESS: 2730 Fernglen Rd. PROJECT NAME: Nash Room Extension U 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. D 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: U Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted (by: ) Fax #: Mail Telephone Fax In Person REMARKS: The Building Department please note that the Special Inspection Program document is on the plans sheet Al. By: Mike Puckett Enclosures: Esgil Corporation E] GA fl MB D EJ fl PC 11/30/98 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 560-1576 EsGil Corporation 2n !Partners/lip with government for Bui[Iing Safety DATE: 11/2/98 JURISDICTION: Carlsbad PLAN CHECK NO.: 98-3653 PROJECT ADDRESS: 2730 Frenglen Rd. PROJECT NAME: Nash Room Extension SET:I L3 AP-RLICANT U PLAN REVIEWER U FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. EJ 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. U The check list transmitted herewith is for your information. The plans are being held.at Esgil Corporation until corrected plans are submitted for recheck. III The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. I The applicant's copy of the check list has been sent to: Mark Anderson 1404 Descanso Ave. San Marcos, Ca. 92069 I Esgil Corporation staff did not advise the applicant, except by mail, that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person F1 REMARKS: By: Mike Puckett Enclosures: Esgil Corporation 0 GA MB 0 EJ R PC 10/26/98 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax(619)560-1576 A, Carlsbad 98-3653 11/2/98 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO.: 98-3653 JURISDICTION: Carlsbad PROJECT ADDRESS: 2730 Frenglen Rd. FLOOR AREA: 100sf Rm Ext. STORIES: 2 HEIGHT: REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 10/22/98 DATE INITIAL PLAN REVIEW COMPLETED: 11/2/98 FOREWORD (PLEASE READ): DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/26/98 PLAN REVIEWER: Mike Puckett 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 Title 24 and the following model codes: 1994 UBC (effective 12/28/95), 1994 UPC (effective 12/28/95), 1994 UMC (effective 2/23/96) and 1993 NEC (effective 12/28/95). 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, 1994 Uniform Building Code, the approval of the plans does not permit the Violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section. etc. Be sure to enclose the marked up list when you submit the revised plans. LIST NO. 1, GENERAL SINGLE FAMILY DWELLINGS AND DUPLEXES WITHOUT SUPPLEMENTS (1994 UBC) r3forw.dot Carlsbad 98-3653 11/2/98 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, 2075 Las Palmas Drive, Carlsbad, CA 92009, (760) 438-1161. The Citywill 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, (619) 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. Please attach the accompanying Minimum Construction Specifications to the plans. 3. Glazing in the following locations should be of safety glazing material in accordance with Section 2406.4 (see exceptions): Fixed and sliding panels of sliding door assemblies and panels in swinging doors other than wardrobe doors. Fixed or operable panels adjacent to a door where the nearest exposed edge of the glazing is within a 24-inch arc of either vertical edge of the door in a closed position and where the bottom exposed edge of the glazing is less than 60 inches above the walking surface. This includes within the jambs of the sliding glass doors. 4. Please dimension the depth and width of the existing foundation at the improved area on the cross section. 5. Please show the size and spacing of the new floor framing members and the thickness and panel index of the floor sheathing in detail D4/A4. 6. The minimum length of braced wall panel per the UBC Sections below cannot be obtained as the window location along the exterior walls is shown. Please provide calculations from a licensed Engineer or Architect for the required lateral bracing where openings have been increased in the existing construction and at the proposed room extension under the requirements of conventional construction UBC Section 2326.1. Please have the Engineer or Architect stamp seal and sign with expiration date the structural sheets of the plans and the calculations. a) Show wall bracing. Every exterior wood stud wall and main cross-stud partition shall be braced at each end at least every 25 feet of length. Section 2326.11.3 and Table 23-1-W. Carlsbad 11/2/98 b) 98-3653 In 2-story buildings, shear panels at the first story (at least 48 inches in width) shall be located at each end or as near thereto as possible and comprise at least 25 percent of the linear length of the wall, or provide design. Section 2326.11.3 and Table 23-I-W. Please provide calculations and design from a licensed Engineer or Architect for the design of the proposed floor and deck system. Include in the calculations the size of the new beam over the proposed 30x50 windows in the family room that will receive the floor and roof loads above. Provide a note on the plans stating "All new glazing (fenestrations) will be installed with a certifying label attached, showing the U-value." The regulations require a properly completed and properly signed Form CF-IR to be either imprinted on the plans, taped to the plans or "sticky backed" on the plans, to allow the building inspector to readily compare the actual construction with the requirements of the approved energy design. All energy items shown on the plans must be in agreement with the information shown on the properly completed Form CF-IR. Specify on the building plans all of the mandatory energy conservation requirements as listed on the enclosure titled, "Mandatory Measures Checklist". 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 El i.i The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 619/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Mike Puckett at Esgil Corporation. Thank you. Carlsbad 98-3653 11/2/98 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 98-3653 PREPARED BY: Mike Puckett DATE: 11/2/98 BUILDING ADDRESS: 2730 Frenglen Rd. BUILDING OCCUPANCY: R3 TYPE OF CONSTRUCTION: VN BUILDING PORTION BUILDING AREA (ft.2) VALUATION MULTIPLIER VALUE ($) Room Extension 100 98.00 9,800.00 Air Conditioning Fire Sprinklers TOTAL VALUE 9,800.00 E 1994 UBC Building Permit Fee • Bldg. Permit Fee by ordinance: $ 113.58 LI 1994 UBC Plan Check Fee I Plan Check Fee by ordinance: $ 73.83 Type of Review: LI Complete Review fl Structural Only LI Hourly LI Repetitive Fee Applicable LI Other: Esgil Plan Review Fee: $ 59.06 Comments: Sheet I of I macvalue.doc 5196 City of Carlsbad - - .1.11 it1 dl 11U •i.i .J1i4 .i ii U BUILDING PLANCHECK CHECKLIST DATE: PLANCHECK NO.: CB 983 7ST:3 BUILDING' ADDRESS: 7 730 coje PROJECT DESCRIPTION: __________________________________________ ASSESSOR'S PARCEL NUMBER: — 33 1 — It EST. VALUE: ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to build. DENIAL Please see the attached report of deficiencies marked with 0. 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: Date: A Right-of-Way permit is required prior to construction of the following improvements: By: Date: By: Date: FOR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT: By: Date: ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON Dedication Application Name: Danna Trigs Dedication Checklist City of Carlsbad Improvement Application Address: 2075 Las Palmas Dr., Carlsbad, CA 92009 Improvement Checklist Phone: (619) 438-1161, ext. 4374 Future Improvement Agreement CFD INFORMATION Grading Permit Application Parcel Map No: Grading Submittal Checklist Lots: Right-of-Way Permit Application Recordation: Right-of-Way Permit Submittal Checklist Carlsbad Tract: and Information Sheet Sewer Fee Information Sheet A-4 S Lung nCleck ekist .LU1 -Orm HwoRDS)os as a mas r.• c °Isbad, CA 92009-1576. (760) 438-1161 • FAX (760) 257n69 @ BUILDING PLANCHECK CHECKLIST SITE PLAN V ;D( 3R0/ Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Property Lines / B. Existing & Proposed Structures E. Easements / C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets / G. Driveway widths 1~1 2. Show on site plan: A. Drainage Patterns Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course. 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 lI U 3. Include on title sheet: Site address Assessor's Parcel Number Legal Description For commercial/industrial buildings and tenant improvement projects, include: total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc.) previously approved. EXISTING PERMIT NUMBER DESCRIPTION DISCRETIONARY APPROVAL COMPLIANCE 11 4a. Project does not comply with the following Engineering Conditions of approval for ProjectNo.______________________________________________________ 11 4b. All conditions are in compliance. Date: H:\WORD\OOCS\CNKLST\BuiIding Plancheck Cklst BP0001 Form DT.doc 2 Rev. 12/26/96 I BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS I ST/ 2NDJ 3RD/ - 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 $ , 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 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 Li] 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 $ , 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 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: Li] 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 $_____ 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: H:WORD\.DOCS\CHKLST\BujIthng Plancheck Mist BP0001 Fern, DTdoc Rev. 12/26196 61 BUILDING PLANCHECK CHECKLIST St./ 2nd/ 3rdl - 6c. Enclosed please find your Future Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: Date: a//Q D 6d. No Public Improvements required. SPECIAL NOTE: Damaged or defective improvements found adiacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11.06.030 of the Municipal Code. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). Write "No Grading" on plot plan if none is required. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form attached. NOTE: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit. Grading Inspector sign off by: Date: Graded Pad Certification required. (Note: Pad certification may be required even .1' if a grading permit is not required.) 7d.No Grading Permit required. 7e.lf grading is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS 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, tieing into public storm drain, sewer and water utilities. Right-of-Way permit required for: M:\WORDDOCS\CHKLST\BviIding Plancheck Cklst BP0001 Form OT.doc 4 Rev. 12/26196 BUILDING PLANCHECK CHECKLIST StIt 2ndl 3rdl A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. 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 153, for assistance. Industrial Waste permit accepted by: Date: 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 zu occurs first. ~fees ired fees are attached No required Additional Comments: H:\WORDDOCS\CHKLST\BviIding Plancheck Cklst BP0001 Form DT.doc 5 Rev. 12126/96 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB 9'53 Address ,730 Planner 6Lt ttj Phone (61 9) 438-1 16 1, extension APN: j5,-•31-1a Type of Project & Use: U:ti, Net Project Density: DU/AC Zoning: _c General Plan:_jjt4 Facilities Management Zone: 1 CFD flnInuit # Date of participation: Remaining net dev acres:______ Circle One > > > (For non-residential development: Type of land used created by : permit: i this Legend: Item Complete Q Item Incomplete - Needs your action Environmental Review Required: YES NO TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES NO TYPE APPROVAL/RESO. NO. DATE PROJECT NO. OTHER RELATED CASES: - Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval:____________________________________________________ F1 R Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES NQ,/" CA Coastal Commission Authority? YES NO____ If California Coastal Commission Authority: Contact them at - 3111 Camino Del Rio North, Suite 200, Sari Diego CA 92108-1725; (619) 521-8036 Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? YES NO____ If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: 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 (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES NO (Enter CB #; UACT; NEXT12; Construct housing Y/N; Enter Fee Amount (See fee schedule for amount); Return) Site Plan: 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. F-1 F1 2. Provide legal description of property and assessor's parcel number. Zoning: 1. Setbacks: Front: Required 2J-' Shown 22 Interior Side: Required s' Shown Street Side: Required - Shown Rear: Required I 0 I Shown 1.0' Accessory structure setbacks: Front: Required Shown Interior Side: e Shown Street Side: Required Shown Re : Required Shown - Structure separation: Required Shown Lot Coverage: Required f>' Shown Height: Required '3O Shown t1 5. Parking: Spaces Required j-... Shown Guest Spaces Required Shown '1. A ditional Comment s eede( yarov -c7&) F. iL OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE E4110010