HomeMy WebLinkAbout2834 CAZADERO DR; ; CB960032; PermitBUILDING PERMIT Permit No CB9bOQ32
01/22/96 16 30 Project No- A9b00063
Page 1^ of 1 Development No
Job A"ddresG 2634 CAZADERO DR Suite.
Permit Type RESIDENTAL ADD/ALT
Parcel No: 215-340-14-00 Lottt
Valuation- 41,360 Construction Type- VN
Occupancy Group Referenced Status ISSUED
Description 440 SF OWE STORY ADDITION Applied: 01/05/96
Apr/Issue, 01/22/96
Entered By: HDP
Appl/Ownr : B,A. WORTHING 619 729-39c>5
P O 1041
CARLSBAD, CA 92018
Eees Required ***ted & Credits
Fees .
Adjustments:
Total Fees
Fee description
Building Permit
Plan Check
Strong Motion Fee
A BUILDING TOTAL
Enter "Y" for Plumbi
Each Plumbing Fixture
* PLUMBING TOTAL
Enter "Y" for Electric
Enter "Y" for Remodel
* ELECTRICAL TOTAL
Enter ' Y * for Mechanical Issue; 'Fe'e>'/ /Y^» /''-T v !-".' '-V •"
Install Furn/Ducts/Heat Pump's^, "'•':> /c-' lL-'^'\".-l-' ..-X'9.00
* MECHANICAL TOTAL *"-.. ~' " "- * . -'''
.00
236.00
459.00
Ext fee Daiza
363.00
236 00 (t
4 00
603.00 h
20 00 Y ''
28 00
48 00 '
10 00 Y
10.00 Y
20. 00
15 , 00 Y
9, 00
24 00
5663 Oi/22/9o COOi 03 02
C-PHXT 4591-00
CITY OF
2075 Las Palmas Dr , Carlsbad, CXW92009 (619
PERMIT APPLICATION H^T^H
City of Carlsbad Building Department W^_ 'vV
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 XflTp^
-
1 PERMIT TYPE
<? A -n\
For Residential Proiects Only From List 2 (see back) Rive
"SF 1~>Code of Structure-Type — ' ' .!_/
Net Loss/Gam of Dwelling Units \L>
PLAN CHECK NO. ^Q ' "S>2^
ESTVAL ML ^>££> _ -
PLAN CK DFJOSIT ^_ TLJS^ - °t*/
VALID. BY lAAi) 0 ,
DATE I S 1 *?£"I
->4vu yi/ y;>/ V6 uvyj ul yj
C-PftHT 2;
2 PROJECT INFORMATION
236-CO
FOR OFFICE USE ONLY
Address
Nearest Cross Street
Building or Suite No
LEGAL DESCRIPTION Lot No Subdivision Name/Number
CHECK BELOW Ir SUBMIT IhD
B2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ FT # OF STORIES 4-# OF BEDROOMS # OF BATHROOMS
UJN1 ACT FiiKljUN 1,11 aitierent trom applicant)
NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4 APPLICANT ±JCON1RALIOK LJAGhNl *UK CONIRALIOR QOWNhR UAGtNl >>OR OWNLR
NAME (last name first) WORTH IMG, B . A. ADDRESS P.O. BOX 1041
CARLSBAD CACITYSTATE ZIP CODE 92018 DAY TELEPHONE 729-3965
5 PROPERTY OWNLR
NAME (last name first)
CIFY
ADDRESS
STATE ZIP CODE DAY TELEPHONE
B.A.INC.P.ONAME (last name first) WORTHING , o . H . J_IM^ . ADDRESS
CITY CARLSBAD STATE CA ZIP CODE 92018 DAY TELEPHONE
STATE LIC # 398764 LICENSE CLASS B- 1
BOX 1041
729-3965
CITY BUSINESS LIC # 549200
DESIGNER NAMh (last name tirst) ^JQRTHING 3. A. ADDRESS p.Q. BOX 1041
CITY CARLSBAD STATE CA Z1PCODE 92018 DAYTELEPHONE 729-396^TATEuc # B-1 392394
7 WORKERS' COMPENSATION
Wor Kerb7 Compensation Declaration 1 hereby affirm that I have a certificate of consent to self-Insure issued by~tne Director of Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C)
STATE FUNDINSURANCE COMPANY POLICY NO 229-653 7EXP]RATION DATE 1/96
Certificate Of Exemption 1 certily that in the performance or 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
SIGNATURE DATEa.
D
Owner-Builder Declaration l hereby atrirm that I am exempt rrom die Contractor's License Law lor the tollowing 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 )
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions
Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law)
1 am exempt under Section _Business and Professions Code for this reason
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, pnor 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, commencing 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])
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RKS'llJlWTlAL BUILDING" PERMITS ONIV
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'a YES n NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?n YES n 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 AFTER JULY 1,1989 UNLESS TI ffi APPLICANT
HAS MET OR IS MLF1TNG THE REQUIREMENTS OF TItE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
V UUNSTHUCTIUN LENDING AGENCY ~""
f hereby affirm that there is a construction lending agency tor the performance ot the work for which trns permit is issued (.Sec 3097(ij Civil Code)
LENDER'S NAME LENDER'S ADDRESS
10 APPLICANT
I certify that 1 nave read tne application and stale that tne above jniormation is correct I agree to comply with all City ordinances ana State laws
relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 stones 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 authonzed by such permit is not commenced 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 timejfter the work is comjpenced for a period of 180 days (Section 303(d) Uniform Building Code)
APPLICANTS SIGNATURE ^Y. PA IlL ^/T DATE
WHITE: File plicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB960032 FOR 03/11/96
DESCRIPTION: 440 SF ONE STORY ADDITION
TYPE! RADJOB ADDRESSAPPLICANT:CONTRACTOR:'OWNER :
2834 CAZADERO
B.A. WORTHING
DR
PHONE:
PHONE:
PHONE:
INSPECTOR AREA DC
PLANCK# CB960032
OCC GRP
CONSTR. TYPE VN
STE: LOT:
619 729-3965
REMARKS: RS/KATHY/729-3965
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
19
29
39
49
ACT COMMENTS
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
***** INSPECTION HISTORY *****
DATE DESCRIPTION
022396 Exterior Lath/Drywall
022196 Interior Lath/Drywall
021496 Rough Combo
020896 Roof/Reroof
013196 Sewer/Water Service
012996 Ftg/Foundation/Piers
012996 Underground/Under Floor
012696 Underground/Under Floor
ACT INSP
AP DC
AP DC
DC
DC
PD
PD
PD
PD
AP
AP
AP
AP
AP
AP
COMMENTS
UNDERSLAB ONLY/NOT SEWER CONN
EsGil Corporation
Professional TCan ^evieiif 'Engineers
OATE 1/19/96 a APPLICANT
^a"^0^> a FIRE
JURISDICTION Carlsbad ^a-PLA*NREVIEWER
Q FILE
PLAN CHECK NO 96-32 SET II
PROJECT ADDRESS 2834 Cazadero Drive
PROJECT NAME Johnson SFD Addition
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
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
Date contacted (by ) Telephone #
REMARKS 1 Note on the plan that this project shall comply with 1994(not 1991) UBC.UMC •
and UPC and the 1993 (not 1990)NEC 2 Note on the plan that provide clearance between top
plate of the interior partition and bottom chord of the trusses
By David Yao Enclosures
Esgil Corporation
D GA n CM D GP D PC log tmsmtidot
9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 4 (619) 560-1468 + Fax (619) 560-1576
EsGil Corporation
VrofessionaCfp£m Review Engineers
. \
DATE 1/16/96 U APPLICANT
a FIRE
JURISDICTION Carlsbad a PDtf
a FILE
PLAN CHECK NO 96-32 SET I
PROJECT ADDRESS 2834 Cazadero Drive
PROJECT NAME Johnson SFD Addition
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
| | The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck
X] The check list transmitted herewith is for your information The plans are being held at Esgi
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
IX] The applicant's copy of the check list has been sent to
B A Worthing P O Box 1041 Carlsbad CA 92009
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
Date contacted (by ) Telephone #
REMARKS
By David Yao Enclosures
Esgil Corporation
n GA n CM n GP K pc 1/9
9320 Chesapeake Drive, Suite 208 4- San Diego, California 92123 + (619)560-1468 + Fax (619) 560-1576
Carlsbad 96-32
1/16/96
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO 96-32 JURISDICTION Carlsbad
PROJECT ADDRESS 2834 Cazadero Drive
FLOOR AREA addition 440 SF
REMARKS
DATE PLANS RECEIVED BY
JURISDICTION 1/5/96
DATE INITIAL PLAN REVIEW
COMPLETED 1/16/96
STORIES 1
HEIGHT -13 feet
DATE PLANS RECEIVED BY
ESGIL CORPORATION 1/9
PLAN REVIEWER David Yao
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 Title 24 and the
following model codes 1994 UBC (effective 12/28/95), 1994 UPC (effectivel2/28/95), 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,
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 96-32
1/16/96
1 Please make all corrections on the original tracings and submit two new sets of
prints, to
Esgil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, California
92123, (619)560-1468
2 Provide a statement on the Title Sheet of the plans that this project shall comply
with Title 24 and the 1994 UBC, UMC and UPC and the 1993 NEC
3 Provide evidence to show the truss details and truss calculations for this project
comply with 1994 UBC (the allowablw bending stress has been reduced)
4 Show clearance between top plate of interior partitions and bottom chord of
trusses (To ensure nonbearing condition between supports as designed)
If you have any questions regarding these items, please contact David Yao of
Esgil Corporation at (619) 560-1468 Thank you
Carlsbad 96-32
1/16/96
VALUATION AND PLAN CHECK FEE
JURISDICTION Carlsbad
PREPARED BY David Yao
BUILDING ADDRESS 2834 Cazadero Drive
PLAN CHECK NO 96-32
DATE 1/16/96
BUILDING OCCUPANCY R-3/U-1
TYPE OF CONSTRUCTION V-N
BUILDING PORTION
addition
Air Conditioning
Fire Sprinklers
TOTAL VALUE
BUILDING AREA
(sq ft)
440
VALUATION J VALUE
MULTIPLIER I ($)
94 41,36000
41,36000
UBC Building Permit Fee
UBC Plan Check Fee
Comments
$ 36250
$ 23563
Sheet 1 of 1
valuefee dot
City of Carlsbad
Engineering Department
DATE: /— Jy
BUILDING ADDRESS:
PROJECT DESCRIPTION:
ASSESSOR'S PARCEL NUMBER:
BUILDING PLANCHECK CHECKLIST
PLANCHECK
APPROVAL
The Item you have submitted for review has been
approved The approval is based on plan* information
and/or specifications provided in your submrttal; therefor*
any changes to these Hems after this date, including field
modifications, must be reviewed by this office to insure
continued conformant with applicable codes. Please
review carefully all comments attached, as failure to
comply with instructions in this report can resuft in
suspension of permit to build
LJ A Right-of-way permit is required prior to construction
of the following improvements.
ENGINEERING DEPARTMENT
DENIAL
Please see the attached report of deficiencies marked
with O 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-
By*.Date
By.Date-
f^ ormoAt USE ONLY
ATTACHMENTS
U Oedfcatton Appicatfon
D Dedication CnecUtt
LJ Improvement Applcaflnn
I—I Improvement CheckBst
LJ Future improvement Agreement
LJ Grading Permit Application
D Grading Submtttal Checklist
D Right of Way Permit Appfcctdon
D Right of Way Permit Submtttal Checklist
and Information Sheet
LJ Sewer Fee Information Sheet
P:\OOCS\CHKLXT\SP006lJRM
ENGINEERING DEPT. CONTACT PERSON
Ctty of Cartsbad
ADDRESS- 2075 Las PaJmas Dr . Carlsbad. CA 92009
PHONE f619) 438-1161. Ext
A-4
Revoavii/t4
2O75 Las Pal mas Dr. • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894
BUILDING PLANCHECK CHECKLIST
SITEPUUt
\2i U C] 1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow D. Property Lines Easements
B. Existing & Proposed Structures E. Easements
C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets
D Q 2. Show on site plan:
A. Drainage Patterns C. Existing Topography
3. Existing & Proposed Slopes
D D 3. Include note: "Surface water to be directed away from the building foundation at a 2%
gradient for no less than 5' or 2/3 the distance to the property tine (whichever is less).*
[Per198SUBC2907(d)5].
On graded sites, the top of any exterior foundation shall extend above the elevation
of the street gutter at point of discharge or the inlet of an approved drainage device
a minimum of 12 inches plus two percent" (per 1990 UBC 2907(d)5.).
D D 4. Include on title sheet
A Site address
B. Assessor's Parcel Number
C. Legal Description
For commercial/Industrial buildings and tenant improvement projects, include: Total
building square footage with the square footage for each different use, existing sewer
permits showing square footage of different uses (manufacturing, warehouse, office,
etc.) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
ft\DOCS\CHKLVT\BPQQ01.nUI Ftp 1 Of 4 MV OC/11/M
t BUILDING PLANCHECK CHECKLIST
DISCRETIONARY APPROVAL COMPLIANCE
O 5. Project does not comply with the following Engineering Conditions of approval for
Project No.
Conditions were complied wfth by: Date:
DEDICATION REQUIREMENTS
D 6. Dedication for all street Rfghts-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 vaiue at or exceeding $/£>,noo -pursuant to Code Section
18.40.030.
Dedication required as follows:
Attached please find an application form and submtttal checklist for the dedication
process. Provide the completed application form and the requirements on the
checklist at the time of resubmtttal.
Dedication completed by Date:
IMPROVEMENT REQUIREMENTS
D D D 7a. 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 J -pursuant to Code Section 18.40,040.
Public improvements required as follows:
Ptease haw a registered CM) Engineer prepare appropriate Improvement plans and
submit them together with the requirements on the attached checklist for a separate
planchecfc process through the Engineering Department Improvement plans must be
approved, appropriate securities posted and fees paid prior to issuance of permit
Attached please find an application form and submfttal checklist for the public
improvements requirements. Provide the completed application form and the
requirements on the checklist at the time of resubmittaJ.
Improvement Plana signed by: Date:
ft\DOCS\CHKL*T\BP000I.FftM
a* try
BUILDING PLANCHECK CHECKLIST
7b, ContjRjdlon of the public improvements may be deferred pursuant to code Section
16.40. Plea** submrt a recent property title report or current grant deed on the
property and processing fee of $ so we may prepare the
necetaary 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:
Improvement Plans signed bv: Date:
U D O 7c. Enclosed please find your Future Improvement Agreement Please return signed and
notarized Agreement to the Engineering Department
Future Improvement Agreement completed by:
Date:
D D 7d. No Public Improvements required. SPECIAL NOTE: Damaged or defective-
improvements found adjacent to building site must be repaired to the satisfaction of
the Cttv 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.
D D D 8a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut fill import, export).
Q O D 8b. Grading Permit required. A separate grading plan prepared by a registered CMI
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
Gracing Inspector sign off by: Date:*
D D 8c. No Gracing Permit required.
fc
BUILDING PLANCHECK CHECKUST
Or Q D 9. A RIQHT-QF-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, trees, driveways, tieing into public storm drain, sewer
and water utilities.
Right-of-Waypermit required for
A separate Right-of-Way permit issued by the Engineering Department is required for
the following:
10. A SEWER PERMIT is required concurrent with the building permit issuance. The fee
is noted in the fees section on the following page.
11. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial
Waste Permit Application Form and submit for City approval prior to issuance of a
Permit
Industrial waste permit accepted by:.Date:
P:\DOCSSCHKLST\BP0001 .TOM REVOt/11/M
Plan Check No.£B^-QQ
Planner I// A/ luL
PLANNING CHECKLIST
Address
Phone 438-1161 ext.
(Name)
APN:
dbb /T&*/Type of Project and Use
Zone />"•/ Facilities Management Zone
41 V V
a a ao o o
Legend
71
U U U<U 4) OfnC -C -CU CJ CJ
C C Ca a
a. a.
Ha
(It property in, complete SPECIAL TAX CALCULATION
WORKSHEET provided by Building Department )
Item Complete
Item Incomplete - Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
Environmental Review Required: YES
DATE OF COMPLETION:
NO TYPE
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
D D Discretionary Action Required: YES NO A TYPE
DATE:APPROVAiyRESO. NO.
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval i
D California Coastal Commission Permit Required: YES NO
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval
DD
D
DD
irnn
trnn
Inclusionaiy Housing Fee required: YES NO
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Site Plan:
Zoning:
1. Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width, dimensioned
setbacks and existing topographical lines.
2. Provide legal description of property, and assessor's parcel number.
1.Setbacks:
Front:
Int. Side:
Street Side:
Rear:
Q 1^' 2. Lot coverage:
Q& 3. Height:
^/ 4. Parking:
Additional Comments
Required
Required
Required
Required
Required
Required
Spaces Required
Guest Spaces Required
_ /• / //^O Shown &? -1
/&' Shown fL.-f~
Shown — — '
Zo ' Shown 7 2 f ^
—- 7&& Shown
^?2> x shown ^_ 5>/y
^ — Shown ^5
Shown
,
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE
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