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Home My WebLink About2804 JACARANDA AVE; ; CB043763; Permit^ 2-17 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 CB043763 Building Inspection Request Line (760) 602-2725 2804 JACARANDA AV CBAD RESDNTL Sub Type 2551031500 Lot# $88 374 00 Construction Type Reference # 0 Structure Type 0 Bathrooms OLSEN RESIDENCE 854 SF TWO STORY ADDITION RAD 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check* ISSUED 10/04/2004 MDP 12/17/2004 12/17/2004 2804 JACARANDA AVE CARLSBAD CA 92009 Owner OLSEN BROOK D 2804 JACARANDA AVE CARLSBAD CA 92009 Building Permit Add I Building Permit Fee Plan Check Add I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add I Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add I Pot Water Con Fee Reel Water Con Fee $504 21 Meter Size $0 00 Add I Reel Water Con Fee $0 00 $327 74 Meter Fee $0 00 $0 00 SDCWA Fee $0 00 $0 00 CFD Payoff Fee $0 00 $8 84 PFF $0 00 $0 00 PFF (CFD Fund) $0 00 $0 00 License Tax $0 00 $0 00 License Tax (CFD Fund) $0 00 $0 00 Traffic Impact Fee $0 00 $0 00 Traffic Impact (CFD Fund) v $0 00 $0 00 Sidewalk Fee $0 00 $0 00 PLUMBING TOTAL $69 00 $0 00 ELECTRICAL TOTAL $35 00 $0 00 MECHANICAL TOTAL $30 50 $0 00 Housing Impact Fee $0 00 $0 00 Housing InLieu Fee $0 00 Housing Credit Fee $0 00 $0 00 Master Drainage Fee $0 00 $0 00 Sewer Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES ?847 rvi7/04 00$7Bf9 CGF 02 -447 Total Fees $975 29 Total Payments To Date $327 74 Balance Due $647 55 DUHhlNO PLANS * . IN STORAGE .ATTACHED %45 12/17; 04 0002 01 Inspector FINA 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 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 BUILDING DEPARTMENT 1635 Faraday Ave Carlsbad CA 92008 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date 3 1Q/Q4Address (include Bldg/Suite #)Business Name (at this address)"" 327 74 Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work SQ FT #of Stories # of Bedrooms # of Bathrooms ift PERSON (if different from applicant} "CA Name 3 APPLICANT Address City I Agent for Contractor 4l0uwner *@ Agent for Owner A State/Zip Telephone* "7 £ Name 4 PROPERTY OWNER »4^Z? Address City State/Zip Telephone tt Address City State/Zip Telephone #Name 5 CONTRACTOR^ (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 State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone 6~" WORKERS COMPENSATION - _ *T -= n. l Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations d 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 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) d 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 7 DOWNER BUlLDEfTbECUVfAfiOrf" M _^^. ^r=^ ^1= m tut ~ I hereby affirm that I am exempt from the Contractor s License Law for the following reason d 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) GEi ' 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) d 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 d YES dNO 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 I have hired the following person to coordinate supervise and provide the major work (include name / address / phone number / contractors license number) __ 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) ^•^ S •/] .^~~\/^ DATEPROPERTY OWNER SIGNATUR JCOMPLETE THIS SiCTON FOR NON RfSIDENTIAL BUILDING PERMITS ONLY M -^ m_ ~i|t *""| " 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? d YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' d YES 1~1 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' d YES d 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 |ff CONSTRUCTION LEND|NGJ«3ENlgY'~ { jSP* _ „ ''•• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME LENDER S ADDRESS 9 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 CitV 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 commenced within 180 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 the work is commenced for a^ripd of ISp-dae (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATUR DATE WHITE File YELLOW Applicant PINK Finance Permit# CB043763 Type RESDNTL RAD Date Inspection Item Inspector Act 06/30/2005 89 06/30/2005 89 06/27/2005 89 06/27/2005 89 03/29/2005 33 03/21/2005 17 03/21/2005 18 03/18/2005 16 03/17/2005 23 03/17/2005 84 03/1 5/2005 84 03/14/2005 33 03/10/2005 84 03/09/2005 13 03/09/2005 14 03/04/2005 13 03/04/2005 84 02/24/2005 15 02/22/2005 15 02/16/2005 13 02/16/2005 16 02/10/2005 13 02/10/2005 16 01/21/2005 11 01/19/2005 21 01/19/2005 22 Final Combo Final Combo Final Combo Final Combo Service Change/Upgrade Interior Lath/Drywall Exterior Lath/Drywall Insulation Gas/Test/Repairs Rough Combo Rough Combo Service Change/Upgrade Rough Combo Shear Panels/HDs Frame/Steel/Bolting/Weldm Shear Panels/HDs Rough Combo Roof/Reroof Roof/Reroof Shear Panels/HDs Insulation Shear Panels/HDs Insulation Ftg/Foundation/Piers Underground/Under Floor Sewer/Water Service JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM Fl Rl Rl CO AP AP AP AP AP AP CO CA CA AP NR CO we AP CA PA we NR NR AP AP AP OLSEN RESIDENCE 854 SF 2 STORY ADD 100 Comments AM PLEASE SMOKIES STREET* ANTI TO RANGE SEE LIST ATTACHED BY BROOK BY BROOKE OK TO WRAP AMP UPGRADE SIPHON SEE LIST PARTIAL INSPECTION OK TO COVER NEW ADD ON RAIN EXTERIOR GARAGE WALL SOILS LETTER OK ONLY Thursday June 30 2005 Page 1 of 1 JM, City of Carlsbad Bldg Inspection Request For 06/30/2005 Permit* CB043763 Title OLSEN RESIDENCE Description 854 SF 2 STORY ADD 100 AMP UPGRADE Inspector Assignment JM Type RESDNTL Job Address Suite Location APPLICANT OLSEN BROOK D Owner OLSEN BROOK D Remarks Sub Type RAD 2804 JACARANDAAV Lot 0 Phone 00000000000 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By BROOKE Entered By CHRISTINE Act Comment Associated PCRs/CVs CV030390 CLOSED H GARAGE CONVERSION Inspection History Date 06/27/2005 03/29/2005 03/21/2005 03/21/2005 03/18/2005 03/17/2005 03/17/2005 03/15/2005 03/14/2005 03/10/2005 03/09/2005 03/09/2005 03/04/2005 03/04/2005 02/24/2005 02/22/2005 Description 89 33 17 18 16 23 84 84 33 84 13 14 13 84 15 15 Final Combo Service Change/Upgrade Interior Lath/Drywall Exterior Lath/Drywall Insulation Gas/Test/Repairs Rough Combo Rough Combo Service Change/Upgrade Rough Combo Shear Panels/HDs Frame/Steel/Bolting/Welding Shear Panels/HD s Rough Combo Roof/Reroof Roof/Reroof Act CO AP AP AP AP AP AP CO CA CA AP NR CO we AP CA Insp JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM Comments SMOKIES STREET # ANTI SIPHON TO RANGE SEE LIST ATTACHED BY BROOK BY BROOKE OK TO WRAP SEE LIST PARTIAL INSPECTION OK TO COVER NEW ADD ON RAIN City of Carlsbad Bldg Inspection Request For 03/29/2005 Permit* CB043763 Title OLSEN RESIDENCE Description 854 SF 2 STORY ADD 100 AMP UPGRADE Inspector Assignment JM 2804 JACARANDA AV Lot 0 Type RESDNTL Sub Type RAD Job Address Suite Location OWNER OLSEN BROOK D Owner OLSEN BROOK D Remarks Phone 7604026082 Inspector Total Time Requested By BROOKE Entered By CHRISTINE CD Description 33 Service Change/Upgrade Act Comment Associated PCRs/CVs CV030390 CLOSED H GARAGE CONVERSION Inspection History Date Description Act Insp 03/21/2005 17 Interior Lath/Drywall AP JM 03/21/2005 18 Exterior Lath/Drywall AP JM 03/18/2005 16 Insulation AP JM 03/17/2005 23 Gas/Test/Repairs AP JM 03/17/2005 84 Rough Combo AP JM 03/15/2005 84 Rough Combo CO JM 03/14/2005 33 Service Change/Upgrade CA JM 03/10/2005 84 Rough Combo CA JM 03/09/2005 13 Shear Panels/HDs AP JM 03/09/2005 14 Frame/Steel/Bolting/Weldmg NR JM 03/04/2005 13 Shear Panels/HDs CO JM 03/04/2005 84 Rough Combo WC JM 02/24/2005 15 Roof/Reroof AP JM 02/22/2005 15 Roof/Reroof CA JM 02/16/2005 13 Shear Panels/HDs PA JM 02/16/2005 16 Insulation WC JM 02/10/2005 13 Shear Panels/HDs NR JM 02/10/2005 16 Insulation NR JM 01/21/2005 11 Ftg/Foundation/Piers AP JM 01/19/2005 21 Underground/Under Floor AP JM 01/19/2005 22 Sewer/Water Service AP JM Comments TO RANGE SEE LIST ATTACHED BY BROOK BY BROOKE OK TO WRAP SEE LIST PARTIAL INSPECTION OK TO COVER NEW ADD ON RAIN EXTERIOR GARAGE WALL ONLY SOILS LETTER OK City of Carlsbad Bldg Inspection Request For 03/15/2005 Permit* CB043763 Title OLSEN RESIDENCE Description 854 SF 2 STORY ADD 100 AMP UPGRADE Inspector Assignment JM 2804 JACARANDAAV Lot 0 Type RESDNTL Sub Type RAD Job Address Suite Location OWNER OLSEN BROOK D Owner OLSEN BROOK D Remarks Phone 7604026082 Inspector Total Time Requested By BROOKE Entered By CHRISTINE CD Description Act Comment 14 Frame/Steel/Bolting/Welding 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers CV030390 Date 03/14/2005 03/10/2005 03/09/2005 03/09/2005 03/04/2005 03/04/2005 02/24/2005 02/22/2005 02/16/2005 02/16/2005 02/10/2005 02/10/2005 01/21/2005 01/19/2005 01/19/2005 Associated PCRs/CVs CLOSED H GARAGE CONVERSION Inspection History Description 33 Service ( 84 Rough C 13 Shear Pi 14 Frame/S 13 Shear Pi 84 Rough C 15 Roof/Reroof 15 Roof/Reroof 13 Shear Par 16 Insulation 13 Shear Pai 16 Insulation Act Dhange/Upgrade CA ombo CA inels/HD s AP teel/Boltmg/Welding NR inels/HD s CO ombo WC •oof AP •oof CA mels/HD s PA 1 WC inels/HD s NR i NR dation/Piers AP jund/Under Floor AP 'ater Service AP Insp JM JM JM JM JM JM JM JM JM JM JM JM JM JM JM Comments BY BROOK BY BROOKE OK TO WRAP SEE LIST PARTIAL INSPECTION OK TO COVER NEW ADD ON RAIN EXTERIOR GARAGE WALL ONLY SOILS LETTER OK PREFERRED COI 4888 RONSON C< SAN DIEGO CA < CERTIFIED INS COVERING WORK WHICH REQUIRED THE SPECIAL INS SISTRUCTION INSPECTIONS INC 3URT G 12111 TFI FPHONF (R5R) S7fi 0110 I^ND iwii^ FOR WctK / / JOB NO ENDING / / IPECTOR'S WEEKLY REPORT / / PERFORMED D REINFORCED CONCRETE D STRUCT STEEL ASSEMBLY D SPRAY-APPLIED FIREPROOFING APPROVAL BY D PRE STRESSED CONCRETE D REINFORCED GYPSUM D OTHER PECTOR OF D REINFORCED MASONRY D DEEP FOUNDATION JOB ADDRESS < ,A <""L,5- j-A £»• BUILDING PERMIT NUMBER PLAN FILE NUMBER «££.«$ o <- / Z^A<L(<i_A l^tA-v^.?7^ /\\J€~ CLrSo v 3 "?VW"^ OWNER OR PROJECT NAME ARCHITECT CONSTR 'M AT L (TYPE GRADE ETC) DESIGN SOURCE OF MFGR ENGINEER STRENGTH ,, _, ^ DESCRIBE M AT L (MIX DESIGN RE BAR GRADE* MFGR WELD ROD ETC) GENERAL CONTRACTOR f I _**! CONTH DOING REPORTED WORK **"*^"^ \ *"• ^~ > c . /• t **-T** t * ~f>1 *-* \~~tf X ^ ! t^2?<~^<- 1 LAB RECEIVING » TESTING CONSTR MATL SAMPLES INSPEC TON DATE » iil t ARRIVAL TIME DEPARTURE TIME , DETAILED REPORT OF LOCATION OF WORK INSPECTED TEST SAMPLES TAKEN WORK REJECTED JOB PROBLEMS PROGRESS, REMARKS ETC WORK HCLUOMNFORMATION ABOUT— «MOUNT»Of MATERIAL PIACEOORWWIK PERFORMED NUMBER. TYPE t O6NT NO'S OF TEST SAMPLES TAKEN STRUCT INSPECTED CONNECTIONS (WELD* MADE H.T BOtTS TOROUEO) CHECKED ETC ^'^^^e^yCf^ -TT^ fo^^e^^vH- - - 7 ^ At < -nf^e-A ^ A^c^Jat^ P*^.~ <^ ^vJ-«-4^ vx/,^v •"* "N • «»"il« *" •"/" / f),.fS^At 0& f <*l;x^iT"'*"t^-<^«: £ X — ^^-~ ^M<; 'c" !^><-O~S» •/ "7 ~rtLfr~«Ac_ /^c€ ^^^^£ I^^-^^^A 7 iSrc, *OM«,"i> <Ti-«r4^<^ A -* ^ s^^ .^^oH-^t^ ^^^^^{^ -pr?^' &•«£ 7Vx.c.eeotywee -^>^*> •S//c ^y^ ^ ; ( INSPECTOR IPKNTCW TYPE) t ">•>"" y^W'^^ x^s. SIGNATURE -^^^s^ ^ DATE SIGNED / / I "I / > CERTIFICATE NO > l^<^ O 'T^ WiHfcAUt^iCT^IWPOirtMUSTMRfiWVEOtVWMVWTHEWiKKXLOWnlWTWNWtCI^OAlU CERTIFICATION OF COMPLIANCE To the best of our knowledge all of the reported work unless otherwise noted substantially complies with approved plan specifications and applicable sections of the building codes This report covers the locations of the work inspected only and does not constitute engineering opn ion or proiect control CONSTRUCTION INSPECTION AND TESTING INCORPORATED 261 S Pacific Street San Marcos CA 92078 Special Inspection Report Project Address Building Permit Number { K c V > Plan File Number Project Name drcftifecf Construction Material Engineer Description of Materials A. L. C- VU tV A, General Contractor i AA I C iA c c A Su6 Contractor Of/ier Inspection Date / Fm4 Arrival/Depaituie 7 ll I ^5 14 /4 o -r I HEREBY CERTIFY THAT I HAVE INSPECTED THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED THE WORK INSPECTED IS TO THE BEST OF MY KNOWLEDGE IN COMPLIANCE WITH THE APPROVED PLANS SPECIFICATIONS AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS SAN DIEGO AREA RESIDENTIAL CIRCUIT CARD AND LOAD SUMMARY (1990 NEC) ADDRESS 7 #6 V ~Y/VCAV A^<A) f\ flW^far V) OWNER ^soc£ ft} A? A) PHONE CONTRACTOR <^r}^ f PHONE PANFIyCi^^'^' LOCATION -72,/£> /^v,? ^,/m$ j^7^/7 - -ru'fz* *&*~Th /y/w,r</ T^qYh t/fl/J> •*" v i r 7/op r^>i<4/" X- (CjAsT^ g-jtf^^ //G«T<; /fjTCht, j ) f"to&i?i£C ^Af A {f~4r~ , C.ArtJ»f /jfhtlfj? T?^/yfcAj j/^-rfJi&i) &pP ' ~f~PfrA ) r/<^r~/- - /- ^_j MAIN n ^lOOfr RIIS ^}/O/f SERVICE ENTRANCE OR FE 4} StTP MO ^fD B r) N<3 NATION _ _. CRT 1 3 5 7 9 11 ) U 15 17 19 21 23 25 27 29 31 33 35 37 39 41 BKR SIZE ^rr^y? o<? T?^ /5" (/.i«>- ^S"/< ^7 7fi A WIRE SIZE &/J *il &t? *W *rf &/y 7*1^ *te %$>$ TYPE CO Od CO 60 <P^ C-if C<s ft} &<? &J / LTG f/ // 5° -7? AMPBKR/FUSE OMLO AMP EDER CONDUCTORS^ ) TYPE Ow Q^L nj rnwniBTBiTP SERVICE GROUND/BOND A) SI7F Nd^HC^, , , B C) CLM^tOCATOfKS) [^ WATERPPE Q GROUND ROD n TYPE 0cu DAL 2SO 81(c) 250 BOW 81(1) 250 83(e) GFCI LOCATIONS 210-8 680-70 IH^THRCOM (S) | 0! GARAGE (S) | n OUTDOORS | BjJPfCHEN J HYDROMASSAGE TUB D C REC /^ i | ^ (^ / / / /£O~r. REC COMPU SMCcle BRANC» A) UGK B) TWO C) LAUf D) CENT REMAR LTG PERMFTf CENSUS TRACT • AREA IN SO FT WO MISC TED LO; ulibonWo 4 ciRcur T1NGCIRI SMALL/ 1DRYCIR rRALHD KS VOITS -5/*C5^ J5 XAflPP WIRE SIZE TYPE BKR SIZE CRT 2 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 kl-L i rtuhMt on bBCk. PS REQUIRED ^JfTS 2 APPLIANCE CIRCUITS Z curr z kTING EQUIPMENT 4J LOCATION kMPS 3> 3(b) 4(0) » 4(b) » 4(e) S 7 1 certify that iJI larmmbons h«v» b»an torqiwd m icconlanea with monufichjrw'c 1 mstrucfioni and thit Bw work ihown on this orcuit ord r«pf**«nti th» fuB 1 •Ktonl of In* work partornwd undv tht» parmL I DCON SIGNED DATE ^ TRACTJZJ ^v — ^ ^ ^ /vS^^T \^JL/£tf* rrf. ^f^ ~&7rO3 REFERENCE Sin Di^o EtocHeal Nowstoner 215-5 FIELD REPORT TO DATE PROJECT OB LOCATION CONTRACTOR WEATHER PRESENT AT SITE IS,//" s,, SUMMARY OF INSPECTION a oca PROJECT NO OWNER TEMP /C ' J L r -42 /»o ^^ ^~J -/gttl^O f RECOMMENDATIONS A // /QO. Q k SIGNATURE X COPIES ToC-x"C.Q HETHERINGTON ENGINEERING, INC SOIL & FOUNDATION ENGINEERING ENGINEERING GEOLOGY HYDROGEOLOGY 5205 Avenida Enemas Suite A Carlsbad California 92008 (760)931 1917 32242 Paseo Adelanto Suite C San Juan Capistrano California 92675 (949) 487 9060 FIELD REPORT TO SUMMARY OF INSPECTION DATE PROJECT/ LOCATION CONTRACTOR WEATHER PRESENT AT SITE lt.t4l4QK.FlK PROJECTNO OWNER TEMP o f 3^0 ft /Q 1Q "Sf^K So £ , J ^t^ / /\/ t *s CffH^rii RECOMMENDATIONS ^ SIGNATURE XY^ -<? COPIES Tfc J)f? d~ So-M//? r- A4url/ AI» 4 /ars.^ ^i /\ I "^ " " / K^Ufi ^r^Y 1 ^ VJ ' v J /60S?? Oi/,Ki5 f^CN-^ HETHERINGTDN ENGINEERING INC SOIL & FOUNDATION ENGINEERING ENGINEERING GEOLOGY HYDROGEOLOGY 5205 Avenida Enemas Suite A Carlsbad California 92008 (760)931 1917 32242 Paseo Adelanto Suite C San Juan Capistrano California 92675 (949) 487 9060 EsGil Corporation In Partnership with government for <But(a~ing Safety DATE 11/23/04 ^_O-APPLJJQANT C~~a JURIS. 3 JURISDICTION Carlsbad a PLAN REVIEWER Q FILE PLAN CHECK NO 04-3763 SET II PROJECT ADDRESS 2804 Jacaranda Avenue PROJECT NAME Room Addition for Olsen Residence I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction s building codes X) 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 I | 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 X] 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 [X] REMARKS Complete special inspection form for epoxy bolts with name of inspector By Ray Fuller Enclosures Esgil Corporation D GA D MB LI EJ D PC (P) 11/16/04 trnsmtldot 9320 Chesapeake Drive Suite 208 + San Diego California 92123 4 (858)560 1468 + Fax (858) 560 1576 EsGil Corporation In Partnership with government for Quitting Safety DATE 1O/ 18/04 Q APPLICANT JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 04-3763 SET I PROJECT ADDRESS 2804 Jacaranda Avenue PROJECT NAME Room Addition for Olsen Residence 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 XI The applicant s copy of the check list has been sent to Brook Olsen 2804 Jacaranda Ave Carlsbad Ca 92009 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 been completed Person contacted Brook Olsen Telephone # (760) 402-6082 Date contacted (by ) Fax # (760) 634-6914 Mail Telephone Fax In Person REMARKS By Ray Fuller Enclosures Esgil Corporation D GA D MB D EJ D PC 10/07/04 trnsmtldot 9320 Chesapeake Dnve Suite 208 4 San Diego California 92123 4 (858)560 1468 + Fax (858) ^60 1576 Carlsbad O4-3763 10/18/04Carlsbad O4-3763 10/18/04 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO 04 3763 JURISDICTION Carlsbad PROJECT ADDRESS 2804 Jacaranda Avenue FLOOR AREA Addition 858 REMARKS DATE PLANS RECEIVED BY JURISDICTION 10/02/04 DATE INITIAL PLAN REVIEW COMPLETED 10/18/04 STORIES 2 HEIGHT 20ftperUBC DATE PLANS RECEIVED BY ESGIL CORPORATION 10/07/04 PLAN REVIEWER Ray Fuller 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 (or a copy) where each correction item has been addressed, i e , plan sheet number, specification section, etc Be sure to enclose the marked up list when you submit the revised plans Carlsbad 04 3763 lO/18/O4Carlsbad O4 3763 10/18/O4 • 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 92009 (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 1 Owner/designer to sign the CF1 -R forms 2 Site plan to reflect setbacks The following may or may not apply depending on distance to property lines to be shown a) Exterior walls closer than 3 feet to property lines shall be one-hour rated construction and have no openings Table 5- A b) Exterior walls closer than 3 feet to a property line shall have 30 inch parapets when the floor area per floor exceeds 1 000 square feet See Section 709 4 for possible exception c) Projections, including eaves, may not extend more than 12 inches into the 3 foot setback from the property line Section 503 2 1 d) Projections including eaves shall be one hour fire-resistive construction heavy timber or of noncombustible material if they project into the 3 setback area from the property line Section 705 Fascia to be heavy timber etc 3 On the cover sheet of the plans specify any items requiring special inspection in a format similar to that shown below Section 106 3 2 • REQUIRED SPECIAL INSPECTIONS In addition to the regular inspections the following checked items will also require Special Inspection in accordance with Sec 1701 of the Uniform Building Code ITEM REQUIRED? REMARKS SOILS COMPLIANCE PRIOR TO Yes Per soils report FOUNDATION INSPECTION • EXPANSION/EPOXY ANCHORS Yes Epoxy bolts 4 When special inspection is required the architect or engineer of record shall prepare an inspection program which shall be submitted to the building official for approval prior to issuance of the building permit Please review Section 106 3 5 Please complete the attached form Carlsbad O4 3763 10/18/O4Carlsbad 04-3763 10/18/04 5 Detail and reference retro fit hold downs bolts to include size of all thread depth of embedment etc 6 Show or note that doors may open into the garage only if the floor or landing in the garage is not more than one inch lower than the door threshold Section 100331 6 7 Foundation plan to reference details i e at stairs extension into garage front of garage etc 8 Could not locate where slab recommendations from soils report was incorporated into the plans i e full 4 thickness #3 s at 18 co and 4 of sand with 10 mil visqueen sandwiched at middle 9 Could not locate where existing footing depth and width was noted to verify that new point loads from framing members is adequate as no new spread footings shown 10 Provide a letter from the soils engineer confirming that the foundation plan grading plan and specifications have been reviewed and that it has been determined that the recommendations in the soils report are properly incorporated into the construction documents (required per page 11 of the soil report) 11 The 2626 windows at top of stairs and at master shower to be tempered or note 60 above 12 Could not determine ceiling joist framing on S1 i e size spacing and support members Could not locate some of the hip sizes i e front pop out on SI 13 Reference all details to all applicable places on the plans and cross out or delete those that do not apply For example see 12/S 3 14 The plans appear to have been designed but no calculations provided The Conventional Light-Frame Construction provisions of Section 2320 may not be used in Seismic Zones 3 & 4 for unusually shaped buildings and thus design calculations must be provided as per Section 2320 5 4 a) When exterior braced wall panels are not in one plane vertically from the foundation to the uppermost story See front entry b) Braced wall panels must start within 8 ft of the end of a braced wall line and not be more than 25 ft apart c) Shear panel on 2nd floor must be a minimum of 4 ft in length and 1st floor panels less than 4 ft require doubled sided shear Carlsbad 04-3763 lO/18/04Carlsbad O4-3763 10/18/04 15 Detail and reference how beams will be supported where they intersect over post(s) i e ECCLL s at the corners7 • Excellent plans • CITY OF CARLSBAD REQUIREMENTS 16 Nails for shear transfer connection (using A35 s etc) may not be driven parallel to the flanges of TJI s (i e along the sides) per city policy unless specific written approval from Trus Joist Macmillan is first obtained Details or notes on the plans should make this clear Nails may be driven perpendicular to TJI flanges • 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 Q No a 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 Ray Fuller at Esgil Corporation Thank you 30 04 04 29p Inner-Connected Managemen 760-834-6814 P 1 V Carlsbad O4 3763 !O/18/O4Carlsbad O4 3763 10/18/04 SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION PLAN CHECK NUMBER OWNER S NAME I as the owner or agent of the owner (contractors may not employ the special inspector) certify that I or the architect/engineer of record will be responsible for employing the special mspector(s) as required by Uniform Building Code (UBC) Section 1701 1 for the construction project located at the site listed above UBC Section 10635 Signe I as the engineer/architect of record certify that I have prepared the following special inspection program as required by UBC Section 106 3 5 for the construction project located at the site listed above Y \ Here Engineer s/Architect s Seal 1 List of work re! & Signature pecial inspection n Soils Compliance Prior to Foundation Inspection Q Field Welding D Structural Concrete Over 2500 PSI Q High Strength Bolting Q Prestressed Concrete **4| Expansion/Epoxy Anchors «^ (3 Structural Masonry Q Sprayed On Fireproofing CH Designer Specified Q Other 2 Name(s) of individual(s) or firm(s) responsible for the special inspections listed above -foniao M ' / \2, ^ Duties of the special inspectors for the work listed above ' ^S* B Special inspectors shall check in with the City and present their credentials for approval priorto beginning work on the job site Carlsbad 04-3763 10/18/O4Carlsbad 04 3763 10/18/04 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PLAN CHECK NO 04-3763 PREPARED BY Ray Fuller DATE 10/18/04 BUILDING ADDRESS 28O4 Jacaranda Avenue BUILDING OCCUPANCY R3 TYPE OF CONSTRUCTION VN BUILDING PORTION Addition Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq Ft) 858 CB Valuation Multiplier Per City Est By Ordinance Reg Mod VALUE ($) 88374 88,374 Bldg Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review C] Repetitive Fee Repeats Complete Review D Other r—1 Hourly fj Structural Only Hour* Esgil Plan Review Fee $495 21 $321 89 $277 32 Comments Sheet 1 of 1 macvalue doc DATE /tVg/9f BUILDING AD^RESfe PROJECT DESCRIPTION ASSESSOR S PARCEL NUMBER BUILDING PLANCHECK CHECKLIST PLANCHECK NO -/ 5 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 submrttal 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 A Right of Way permit is required prior to construction of the following improvements DENIAL Please see. the^aftached report of deficiencies marked wittrB^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 Date Date DateBy FOR OFFICIALESE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT Date Dedication Application •s Dedication Checklist Improvement Application Improvement Checklist Future Improvement Agreement Grading Permit Application Grading Submittal Checklist Right of Way Permit Application Right of Way Permit Submittal Checklist and Information Sheet Sewer Fee Information Sheet ENGINEERING DEFT CONTACT PERSON Name JOANNE JUCHNIEWICZ City of Carlsbad Address 1635 Faraday Avenue Carlsbad CA 92008 Phone (760) 602 2775 CFD INFORMATION Parcel Map No Lots Recordation Carlsbad Tract A4 H \WORD\DOCS\CHKLST\B M nQ Plancheck CWst F mi (Genera) do BUILDING PLANCHECK CHECKLIST Arrow Proposed Structures ing Street ImprovementsP-P--J- SHJE PLAN Provide a fully dimensioned site plan drawnj G H '[Right of Way Width & Adjacent Streets Driveway widths Existing or proposed sewer lateral Existing or proposed water service Existing or proposed irrigation service I D V £f D/v ramage Patterns — 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 Existing & Proposed Slopes and Topography - sVo^o s 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 Sewer and water laterals should not be located within proposed driveways per standards 3 Include on title sheet Site address Assessors 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 H \WORD\DOCS\CHKLST\B W ng Pla h ck Cklsl F rm (G nenc) d BUILDING PLANCHECK CHECKLIST 3rd DISCRETIONARY APPROVAL COMPLIANCE G 4a Project does not comply with the following Engineering Conditions of approval for Project No d 4b All conditions are in compliance Date DEDICATION REQUIREMENTS 5 Dedication for all street Rights-of Way adjacent to the building site and any storm dram or utility easements on the bu idtny 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 7z 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 D D 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 1840040 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 \WORD\DOCS\CHKLST\8 M ng PI check CUst F rtn (RIDDLE HARVEY 7 12 001 do ST BUILDING PLANCHECK CHECKLIST 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 D D D 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 ( Future public improvements required as follows D D D 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 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 CD n 7a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut fill import export) D D 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 Grading Inspector sign off by _ Date O Q 7c Graded Pad Certification required (Note Pad certification may be required even if a grading permit is not required ) H \WORD\OOCS\CHKLST\B Id g PI ncheckCkl I F rm (G 7 14 00) d 1ST D D D BUILDING PLANCHECK CHECKLIST 7d No Grading Permit required 7e If grading is not required write No Grading on plot plan MISCELLANEOUS PERMITS A. 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 dram sewer and water utilities Right-of-Way permit required for D 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 Cammo 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 11 10 NPDES PERMIT Complies with the Citys 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 Q^Required fees are attached Qi No fees required WATER METER REVIEW 12a Domestic (potable) Use Ensure that the meter proposed by the owner/developer is not oversized Oversized meters are inaccurate during low flow conditions If it is oversized for the life of the meter the City will not accurately bill the owner for the water used • All single family dwelling units received standard 1 service with 5/8 service H \WORD\DOCS\CHKLS1\B Ming Plancheck CWst F im (Generic) do Rev 7/14TOO «ST •>ND JRD D D 12b BUILDING PLANCHECK CHECKLIST • 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) 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 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 line • 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 \WORD\DOCSVCHKLST\B Wing Plancheck Cklst F mi(G nc)d BUILDING PLANCHECK CHECKLIST I ST 2ND 3RD service boundary the City intends on switching these irrigation services/meters to a new recycled water line in the future Q 12c Irrigation Use (where recycled water is available) ' v 1 Recycled water meters are sized the same as the irrigation meter above i 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 (~1 13 Additional Comments H \WORD\DOCS\CHKLST\B ulng Plancheck CUst F m (Generic) d c Ka &w i^l 4tnTl|3, l"ill|IIIH|p|liy|llil|ll|B[|D3|| m1 X ^2r n JACMANDA AVENUE OS Add Refresh Map r Municipal 1 Boundaries Beach Overlay Deferred Certification Commercial Visitor Overlay Coastal Zone Street names r Streets r Facilities Drainage Basins SD Outfalls Storm Drain 9:15AM frfr.fr 522 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner APN ?<S- Address Phone (760) 602 Type of Project & Use Zoning &£^ General Plan CFD (in/out) #_Date of participation. Net Project Density Facilities ManagementZo Remaining net dev acres Circle One (For non residential development Type of land used created by this permit ) Legend £3 Item Complete Environmental Review Required DATE OF COMPLETION Item Incomplete - Needs your action YES _ NO ) TYPE _)( ^T Compliance with conditions of approval' If not state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL7RESO NO PROJECT NO YES _ NO DATE TYPE OTHER RELATED CASES Compliance with conditions or approval' If not state conditions which require action Conditions of Approval Coastal Zone Assessment/Compliance Project site located in Coastal Zone' YES NO. CA Coastal Commission Authority' YES NO If California Coastal Commission Authority Contact them at - 7575 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 If NO complete Coastal Permit Determination Form now Coastal Permit Determination Log # _ NO 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 y. (Effective date of Inclusionary Housing Ordinance May 21 f993) 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 \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 1 Provide a fully dimensional site plan drawn to scale Show North arrow property lines easements existing and proposed structures streets existing street improvements nght-of way width dimensional setbacks and existing topographical lines (including all side and rear yard slopes) 2 Provide legal description of property and assessor s parcel number Policy 44 - Neighborhood Architectural Design Guidelines 1 Applicability YES. NO A n n D 2 Project complies YES Zoning D D D 1 Setbacks Front Interior Side ^Stceet-Side Rear Top of slope JET D D 2 Accessory structure s« Front / Interio/Sjtfe StreeySHae Reap' \ §iructu re sepa ration "M, Q] n 3 Lot Coverage fa D D 4 Height ^D D 5 Parking Spa (breakdown Residential Guest Spaces D D D Additional Comments NO Required LO Required if Required £» Required t*T^" Reauired Jtbacks Required Required Required Required Required Required ^7 ^ Required ^O ces Required ^~" by uses for commercial and Required Shown is i Shown L Shown fa Shown s^ Shown " Shown Shown Shown Shown Shown & Shown ^^tfi f Shown ^-"2- Shown ^ — industrial projects required) Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER H \ADMIMCOUNTER\BldgPlnchkRevChklst Rev 9/01 City of Carlsbad Building Department CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FEES OR OTHER MITIGATION This form must be completed by the City the applicant and the appropriate school districts and returned to the City prior to issuing a building permit The City will not issue any building permit without a completed school fee form Project Name @US£/l) f\QQJ*( Building Permit Plan Check Number Project Address APN Project Applicant (Owner Name) Project Description Building Type Residential *fLJ //toot*-&-I Number of New Dwelling Units Square Feet of Living Area m New Dwelling Second Dwelling Unit Square Feet of Living Area in SOU Residential Additions Net Square Feet New Area tf ^JF" /JJ Commercial/Industrial City Certification of Applicant Information uare Feet Floor Area SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD Carlsbad Unified School District 6225 El Camino Real Carlsbad CA 92009 (331 5000) San Marcos Unified School District 215MataWay San Marcos CA 92069 (290 2649) Contact Nancy Dolce (By Appt Only) Encinitas Union School District 1 101 South Rancho Santa Fe Rd Encinitas CA 92024 (944 4300 ext 166)dan Dieguito Union High School DistncT lOEncuutasBlvd ncimtas CA 92024 (753 6491) Certification of Applicant/Owners The person executing this declaration ( Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the best of the Owner s knowledge and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect and that (2) the Owner is the owner/developer of the above described project(s) or that the person executing this declaration is authorized to sign on behalf^pf the Owner Signature Revised 4/20/00 1635 Faraday Avenue Building Counter Carlsbad CA 92008 7314 • (76O) 602 27OO • (760) 6O2 2719 • FAX (76O) 602 8558 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school distnct(s)) **************************************************************^ THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED SCHOOL DISTRICT The undersigned being duly authorized by the applicable School District certifies that the developer builder or owner has satisfied the obligation for school facilities This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District The City may issue building permits for this project SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL TITLE EncJ Hall A§§t Superintendent Business NAME OF SCHOOL DISTRICT DATE PHONE NUMBER Revised 4/20/00 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school distnct(s))************************************************** THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED SCHOOL DISTRICT The undersigned being duly authorized by the applicable School District certifies that the developer builder, or owner has satisfied the obligation for school facilities This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District The City may issue building permits for this project SIGNATURE OF AUTHORIZED SCHOOL ( ?) o DISTRICT OFFICIAL \jfa^- l£) Wl/ TITLE /\ 1NAME OF SCHOOL DISTRICT , lulMJUlHKA<rHOWttFERD . | ENCINHAS CALIF 92024 4308 I J DATE PHONE NUMBER Revised 4/20/00