HomeMy WebLinkAbout2734 LOKER AVE W; G; CB992087; PermitCity of Carlsbad
08/18/1999 Commercial/industrial Permit Permit No: C13992087
Building Inspection Request Line (760) 438-3101
Is '.
Job Address: 2734 LOKER AV WEST CBAD
Permit Type: TI Sub Type: INDUST
Parcel No: Lot #: 0 Status: ISSUED
Valuation: $14,000.00 Construction Type: VN . Applied: 06/02/1999
Occupancy Group: B/Fl. Reference #: Entered By: RMA
Project Title: SYMMETRY CABINETS . . Plan Approved: 08/05/1999
500 SF TI-MANUFACT TO OFFICE & BREAKROOM Issued: 08/05/1999
• . Inspect Area:
Applicant: Owner:
VIRGINIA LANE
PLAZA 5
4510 EXECUTIVE DR 3094 SAN DIEGO CA 92121 08/18,99 000101 02 816-98
.619 45821780
Total Fees $913 56 Due $816.98
Building Permit I . J $148.58 ...........$e!...Wter Con. Fee $0.00
Add'l Building Permit Fee [ I $0.00 s, Meter Size I
-. Plan Check I $96.51 \- ddl ReclWaterCon. Fee J $0.00
Add'l Plan Check Fee I $0(0 PlIf Padi'e'J I $o.00
Plan Check Discount . \ '\$ '164, kr / $0.00
Strong Motion Fee . \ $24) tjFDFund)' / $0.00
Park Fee \. \$000 rLi'cense Tax / I $0.00
LFM Fee "' $00 INCORFIêhb Taxi(CF'Fund) / $0.00 . _... • , Bridge Fee 1 / $91.52
BTD #2 Fee (-.$0r00p . TrafficImct(CFD Fund) $84.48 - 1f .. ii
BTD #3 Fee S$0'00'! ,LFMZ Fransportation'Fee $80.00
- _.'- / Renewal Fee $O.001 . Lt?JMBlNG TOJAL $0.00
-. Add'l Renewal Fee $0.00 ELECTRICAL'TOTAL $35.00
Other Building Fee $0.00MECHi1CAL TOTAL $24.00
Pot. Water Con. Fee• $0.00 Master Drainage Fee: $0.00
Meter Size Sewer Fee: $350.46
AddI Pot. Water Con. Fee $0.00 TOTAL PERMIT FEES $913.56
1
FINAL APPROVAL
Inspector: 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.
I
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
f'trc.-e..I5 f-f '15
'Legal Description
,4p,4J. -
Assessyr'sf Parcel #p1,n .1 Ex
Lot No. -
tion of Work - •VV_ (V
_ -. i(, V V V r •:• L
- - -
PERMIT. APPLICATION V
I ' -. . _.• ..! V
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las PàIrra Dr.,CãrIsbad CA 92009
(760) 438-1161 —
'p
FOR OFFICEUSE ONLY,
PLAN CHECK NO. g
EST.,VAL.V i PAO
Plan Ck.Deposit.
Validated
Date G(l
•,!.V
1-,'J &iIP1ELJ-.S VL..;V'
addlbss)
Subdiv ion N me/Iumb - -'-.- - Unit/'Jo. - hase NØ. Total # of units
JJVV V /fcei , V
isting Use jzl AXPAA-VJA
V V V
Proposed Use
SO. FT. VV:
#0 Stories.:. . -. # of Bedrooms_ V # of Bathrooms_,_
0344_06/02/99 00Q1J)1_02
'
xAJ P1)3 4SLY fei'i1rh A7/ 4WO/33 96-58
— -7'- City - . . State/Zip . - Telephone # - . ax # V7Ji/,,I
V/ &6 /AJ/4- JJbtI... V
9k ey 12/ 4 /4'5'-/77
'Name - - . - - - - - Address V__ _. City - State/Zip - - Telephone #
JC ,4~ . g5/ Be.hVe SD (..g//9-g5-fl7O
Name V Address City V
State/Zip, . , Telephone #
-
(Sec. 7031.5 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'ContFactor's License Lav
(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 ($5001).
..: --
Name 1, " - t. ,.' 'Address j .1 ,- . City . I -_' .., State/zip' , Telephone At
State License # "' ' * 'Licens Class - . City Business Lidense # V V
/lc-4- ftV,Vr 3 Pt. ~5e&'i p,
LDesigner Name . .' .,' , ~dress VV
V
VV V •V City • State/Zip Telephone -
StateLicense#,,29J''!M-c'.t' tiVi,r._..( , . 1 •V
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I , . 4. .. V$V. I - V •VV V • 0- I have and will maintain a certificate of consent to self-insure for workers' compensation- as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
D - I - have and will maintain workers' compensation, as required b Sectiorc 3700 of the .Labor Code, for the performane of the work for which thig permit is
issued. My worker's compensation insurance carrier and policy number are: . . .
Insurance Company Policy No. - Expition Date - -
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
CERTIFICATE OF EXEMPTION: l certify that in the performance of the work for which this permit is issued, I shall not drploy 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 employef'to criminal. peraItie and civil fines up to one hundied.
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 V• - :*:V..
7'OWNER_BUILDER DECLARATION VV'
V
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 compenation,Till do the work and the structure isnàt 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
.t 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). - ......
I, as owner of the property, am exclusively contracting with licensed contractors to construct thiit project (Sec. 7044,Business and Professions Code: The
ontractor's License Law 'does not apply to an owner of propety hobuilds or iiprovis thereon, and contracts for such projects with contractor(s) licensed
V 4' pursuant to the Contractor's License Law).
' 0 I am exempt under Section Business and Professions Code for this reason . •, - ' V -
1 - I personally plan to provide the major lab; and material; for construction of the proposed property Improvement 0 YES DN'
2T '1 (have / 64n) sired'an'applicition fOr a building permit for the proposed work.' . . -. - - -
-1 have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number(
I l opvide'portionsf the work, but I havihired the following person to coordinate, supervise and provide the major work'(iriclude name/address/phone
number /contractors license number): .
.--
V __•
--
-I1.4.-
I will provide some of the work, but have contracted (hired) the foil i g persons to provide the work indicated (include name / address / phone nunber /type
-of work):
PROPERTY.OWNER SIGNATURE
- -- - - - -- . ,, .• V - - - -
_. DATE
[COMPLETE-ITHIS SECT1N FORO &A1'BUILDING PERMITSONLY '
Is the applicant or future building occupan&'required to submit a business plan, acutely hazardous materials registration forr. risk rnanarneiitd prevention'
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?. 0 -YES ..U."iNO
Is the applicant or future building &cupant required to obtain a permit from the air poflu'tion control district or air quality management district? 0 YES
Is the facility to be constructed -within. 1,000 feet of. the outer boundary ofVa school site? .-D' YES.
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 —
l8'TCONSTRUCTIONLENDING'AGENCY
I hereby affirm that there is a construction lending agencyfor the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).) V
j LENDER'S NAME '' 'L ,V LENDER'S ADDRESS
•V• , V
I certify1thatl hàveread the application nd state that the above information is correct ind that the information on the plans is accirate...l agree to comply,with all
I City ordinances and State laws relating tobuilding construction. I hereb\i 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
I. ii f' ,' - .- - I. •, .. - - - '. . Ii OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in height
1' EXPIRATION: Every permit issued bs/the Building Official under the provisions Of this Code shall exire by Ii&iitatioii and become null and void If the building or
work authorized by such permit is commenced within.365 d rom the date of such permit or if the building or work authorized by such permit is suspended
,,-or abandoned at any time r ork is commenced for a io f 180 days (Section 106 44 Uniform Buildin9Code_/
WHITE: File YELLOW__Applicant _'PINK_Finance
City of Carlsbad Inspection Request Lu For 11/1/99
Permit# CB992087 - V Inspector Assignment: TP
Title: SYMMETRY CABINETS
Description: 500 SF,TI-MANUFACT TO OFFICE & BREAKROOM
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V 4 e
Type TI Sub Type: INDUST V
V Phone: 7148102678
Job Address: 2734 LOKERAVWEST
Suite: Lot 0
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V Location:
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V V V Inspector: V -
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APPLICANT VIRGINIA LANE V V V V V V
V Owner: V
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Remarks: V V
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Total Time:
V
RequestedBy: DAN V
EnteVredBy: ROBIN
CD Description V Act Comments V
I V
19 Final Structural V
29 Final Plumbing
V V
1,39 Final Electrical V V V V
V 49 Final Mechanical V V
V V
V Inspection History
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Date Description V Act lnsp. Comments V V V
V
V V
V 10/1/99 89 Final Combo V NR TP NEED FIRE AP PRIOR -
9/23/99 14 Frame/Steel/Bolting/Welding CO TP T-BAR CElL, SEE CARD V V
V 9/23/99 34 Rough Electric C0 TP V
V
9/8/99 17 Interior Lath/Drywall AP TP V V
8/27/99 14 Frame/Steel/Bolting/Welding AP' TP V
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V V V
8/27/99 34 Rough Electric AP TP
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V ) * V •V V V V V
C VVV 3 V
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CRY ofCarlsha
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Final Building Inspection
Dept: Building Engineering Planning CMWD St Lite Eire)
Plan Check #:' Date: 10/1/99
Permit #: CB992087 Permit Type: TI
Project Name: SYMMETRY CABINETS ' Sub Type: INDUST
Address '2734 LaKER AV WEST Lbt: 0
Contact Person: DAN GOODWIN Phone: 7148102678' -
Sewer Dist: / -Water Dist: •. - - '. -.
Inspected , Date •:
•
•
By: O Inspected: /ü /1 /99Approved: k' Disapproved:
Inspected Date
By: Inspected: - Approved: Disapproved:
Inspected Date
By: —Inspected: Approved: Disapproved:
Comments: - • , - -
/ / '
EsGil Corporation
2n Partnersfiip zutt/i Government for Building Safety
DATE 6/14/99 ARP ICANT
tJURIS
JURISDICTION Carlsbad 0 PLAN REVIEWER
0 FILE
PLAN CHECK NO 99-2087 SET I
PROJECT ADDRESS 2734 Loker Ave West ste G
. .
PROJECT NAME: Symmetry Cabinets TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
M The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor,deficiencies identified in Remarks 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 cdmplete recheck.
- ,
The check-list transmitted herewith is for your infdrmation. The plansare being held atEsil
Corporation until corrected plans are submitted for recheck
LI 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,ha's been, completed.
Esgil.CorporatFon 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 applicant státesthis is an existing c et shop with dust collection.
Please have the inspector verify. Please make not s as in red on sheets T-2 &T-3 an the
Owner Set Ito the City Set I
By Mike Puckett Enclosures
Esgil Corporation
9320 Chesapeake Drive Suite 208 • San Diego, Califorma 92123 • (858) 5%4468 • Fax (858)560-'1576
Carlsbad 99-208.7
6/14/99
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 99-2087
OCCUPANCY B/Fl
TYPE OF CONSTRUCTION: VN 1..
ALLOWABLE FLOOR AREA:
II SPRINKLERS?: Yes
REMARKS: .
DATE PLANS RECEIVED BY
JURISDICTION: 6/2/99
DATE INITIAL PLAN REVIEW
COMPLETED: 6/14/99
JURISDICTION: Carlsbad•
USE: Office/Cabinet Shop
ACTUAL AREA: 500sf TI
STORIES: 1
HEIGHT:
OCCUPANT LOAD: 15 Total
DATE PLANS RECEIVED BY.
ESGIL CORPORATION: 614/99
PLAN REVIEWER: Mike Puckett
FOREWORD (PLEASE READ)
This plan review:is limited to the technical requirements contained in the Uniform BuildingCode,
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 ordinances enforced 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
Code sections cited are based on the 1994 UBC.
The following items listed need clarification, modification or change. All items must be satisfied
before the planswiII 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 toenclose the marked up list when you submit the revised plans.
LIST NO. 40, TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1994U6C) tiforw.dot
4-.
• ;
0 City of Carlbsad ,":
BUILDING PLANCHECK CHECKLIST
DATE:' PLANCHECK NO.: CB
BUILDING ADDRESS: 92,-f L04 i
PROJECT DESCRIPTION:
ASSESSOR'S PARCEL NUMBER: _ EST. VALUE:
ENGINEERING DEPARTMENT
APPROVAL - DENIAL
The item you have submitted for review has been Please see the attached report of deficiencies
approved. The approval is based on plans, marked wit J Make necessary corrections to plans
information and/or specifications provided in your or specificatio)s for compliance with applicable
submittal; therefore any changes to these items after codes and standards. Submit corrected plans and/or this date, including field modifications, must be specifications to this office for review. reviewed by this office to insure continued
conformance with applithble codes. Please review -
carefully all cothments attached, as failure to comply -
With instructions in this report can result in
suspension of permit to build.
'
. Date:
LA 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:
-
AC ENTS ENGINEERING DEPT. CONTACT PERSON
. L Dedication Application Name: JOANNE JUCHNIEWICZ •
Dedication Checklist •
S •
City of Carlsbad
• -
1 Improvement Applibation S • - Address: 2075 Las Palmas Dr., Carlsbad, CA 92009
11 Improvement Checklist
,
Phone: (619)438-1161,ext.4510
Li Future Improvement Agréernent-
• CFD INFORMATION
Li Grading Permit Application
- Parcel Map No: S
LI Grading Submittal Checklist
• Lots:
LI Right-of-Way Permit Application
S Recordation:
Right-of-Way Permit Submittal Checklist Carlsbad Tract:
• • and Information Sheet
Li Sewer Fee Information Sheet - A-4
H:\woRD sI CA 92009-1576 . (760) 438-1161 • FAX (760) 4S.1269
-•
... 4
BUILDING PLANCHECK CHECKLIST
. . ,. . .
SITE PLAN
3RD/
1. Provide a fully dimersioned site plan drawn to scale. Show:
A: . North Arrow . . D. Property Lines
B. Existing & Proposed Structures E. Easernents
/ . C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets
:
. . G. Driveway widths
- . ...
U Ll •2. Show on siteplan: .. . .. .
A. Drainage Patterns . S
Building pad surfaôe 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 . .
U 3. Include on title sheet:: .
.: A. Site address . . . . . . S.
B. Assessor's,-Parcel Number
C. LegalDescription .
For commercial/industrial buildin 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 (nianUfacturing,
warehouse office, etc.) previously approved. S S
EXISTING PERMIT NUMBER DESCRIPTION
S -
I
. DISCRETIONARY APPROVAL COMPLIANCE
U U .4a. Project does not comply with the following Engineering Conditions of approyäl for -
( ...• . Project No. .
S.
U U U 4b All conditions are in compliance Date
S •.
5 . S
-ftWORD\DOCS\CHKLST\BuiIding plancfleck Cklst BP0001 Form JJdoc .
-. 2 . Rev. 12t26IB6
BUILDING PLANCHECK CHECKLIST. - -
DEDICATION REQUIREMENTS 1TI 2ND/ 3 R
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
completed5 application form with the required checklist items andfees to the
Engineering Department in person. Applications will not be accept by mail or fax.
Dedication completed by: ' Date:
IMPROVEMENTREQUIREMENTS
U . la" 6a. All needed public improvements upon and adjacent to the building site must be
F S constructed at time of building construction whenever, the value of. the
construction exceeds $ ______, pursuant to Carlsbad Municipal Code
Section 18.40.040. 5 .
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 improvment 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:
66: Construction of th& public improvemenls maybe 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
S Building permit.
Future public improvements required as follows: .
H:\WORO\OOCSCHKLST\BuiIding PIancher Ckt BP000I Form JJ.doc
. 3 . Rev. 12126196
.
BUILDING PLANCHECK CHECKLIST
t. S •. - •4•
stj 2ndl/ 3 r
6c. Enclosed pleae find your Future Improvement Agreement. Please return
agreement signed and notarized to the Engineering Deartment. .
Future Improvement Agreement completed by:
Date:
' IU 6d. No Public lmprãements 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. '•
I • • • • -
GRADING PERMIT REQUIREMENTS
The, conditions that invoke the need for a grading perthit are found in Section
11.06.030 of the Municipal Code..
7a.. Inadequate information available5on 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
•• Ehgineer 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
7c. Graded Pad Certification required. (Note: Pad certification, may be requiredeven
if .a grading permit is not required.) •
7d.No Grading Permit required. . • •
7e.lf grading is not required, write "Nd Grading" on plot plan..
MISCELLANEOUS PERMITS • - -
8. ARIGHT-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: - -
-
- -
BUILDING PLANCHECK CHECKLIST
H:WORD\DOCSCHKLSr2uUdingPIantheckCUM BP000I Form JJ.dOc • • 4 • -
Rev. 12126/96 •
Sit 2ndt 3rdl
A SEWER PERMIT is reqUired concurrent with the building permit issuance. The
fee is noted in the fees section on the following page
1I1 I •. INDUSTRIAL.WASTE PERMIT I your facility is located in the City of.Carlsbad
sewer service area, you need to contact .the Carlsbad Municipal Water District:
Iócatedat 5950 El Camino Real, Carlsbad, CA .92008. District personnel. can
provide forms and assistance: andwill 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::.
..
. .•..
11 NPDES PERMIT I
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 priorto
discharge to sensitive areas. Plans for such improvements shall be approved by
the City Engineer prior to issuance of grading or building permit, whichever.
.4. • . occursfirst. . .
12~Requi~edfees are attached 12
Q, No fees required
U"U
/ -_01~2c,y
13. Additional Comments:
e • .. . .
H:4WORD4D6CS\CHKLSVSuilding plantheck Ckt BP000I Fom, JJ.doC 5 ..
Rev. 1226l96
•.
:
, ENGINEERING DEPARTMENT , r. .
FEE CALCULATJONWORKSHEET \ .,
-. 0 ,-E'stim'ate based on unconfirmed information from applicant.
Iff
'. 4. Calculation based on building plahcheckpIan.subniittal.
Address: Bl dg. Permit No 3 95 7
Prepared by: Date:'____ Checked by: Date:
EDU CALCULATIONS: List types an square footages for all uses.
of c-L
Types oflJse: Sq Ft./Units: EDU's: ._/ 63
Types of Use: Sq. Ft./Units: EDU's:
ADT CALCULATIONS: List types and square f tages for all uses.
CQ&, i.(
Types Use: Sq. Ft./Units: of ADT's:
Types of Use: Sq. Ft./Units: ADT's:
FEES REQUIRED:
WITHIN (.;FD: I'S (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) 0 NO '
1. PARK-IN-,LIEU FEE PARK AREA & #,:
- FEE/UNIT: X ,NO. UNITS:______
13~ 2. TRAFFIC IMPACT FEE
'ADT's/UNITS: X FEE/ADT
ZONE TRANSPORTATION ADT S X $10 =$ -
¼'3. BRIDGE AND THOROUGHFARE EE (01ST. 1 DIST. #2 01ST. #3
ADT's/UNITS: ,)( 'FEE/ADT:_________
it FACILITIES MANAGEMENT FEE ZONE: 5.
UNIT/SQ.FT:: X- FEE/SQ.FT./UNIT: =$
SEWER FEE
PERMIT No.
EDU's: /_ X, FEE/EDU:__ = $ 3 3__72
BENEFIT AREA: DRAINAGE, BASIN:
EDU's: -/5 X FEE/EDU: =s
SEWER LATERAL ($2,500) . = $______________
DRAINAGE FEES PLDA ': HIGH /LOW______
ACRES: X FEE/AC: =$___________
TOTAL OF ABOVE FEES*: $
*NOTE: This calculation sheet is NOT a complete list of all fees which may be due.
Dedications and Improvements may also be required with Building Permits
P:DOCSMISFORMS\FEE CALCULATION WORKSHEET REV 4/29/99
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