HomeMy WebLinkAbout2781 SOUTHAMPTON RD; ; CB030471; Permiti' •
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ~.~L
03-28-003 .. Residential Permit Permit No: CB030471
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2781 SOUTHAMPTON RD CBAD
RESDNTL Sub Type:
2081401800 Lot#:
$85,593.00 Construction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
HEPNER RES-831 SF FAM RM,MSTR
BEDROOM & NOOK
RAD
0
VN
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
WORTHING INC, B. A. HEPNER RICHARD H JR&L YNDA R
ISSUED
02/19/2003
RMA
03/28/2003
03/28/2003
690 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
619-729-3965
2781 SOUTHAMPTON RD
CARLSBAD CA 92008
1447 03/28/03 0002 01
CGP
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
Total Fees: $912.95
Inspector:
$492.66
$0.00
$320.23
$0.00
$0.00
$8.56
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Payments To Date:
Date:
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD Payoff Fee
PFF
PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnLieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
$320.23 Balance Due:
Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$41.00
$20.00
$30.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$912.95
$592.72
NOTICE: Please take NOTICE th 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
i n h' i I i ii r . . h I' ' '
02
592-72
.\u.
L PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. ~=:::.....,....,;;>--=+-.,=,J.-...-ca---
------,1'1----f~. J.,j
Validated By•--~~..-~~M-.:t...~-
Date, _____ .y,.....,~....:+-+--'-L-~-
I.: . PROJ£0T INFORMATION
Business Name (at this address)
Subdivision Name/Number
Assessor's Parcel ~ r"\ Existing Use Proposed Use '2.ll!3 1--rv -lb
Name Address
:□:Agent Jor Contractor
/'/~rr,~ 0
City
D Ag_ent for Owner
City
# of Bedrooms
Total # of units
# of Bathrooms
ate/Zip Telephone#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
P.tion. 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 ($5001).
\ 'li l r-I l....1--ZDl't> ~c, ·
State License # _'1/J~---lf<$..,_J..._.G.,.of/~~-City Business License # _______ _
Designe, Na~l)IP:::i yv.?v'l n, YI /4.dd,ess f'C> e;o I' IOI-II
Stete License # ? "'J 2-'751":1
8 ... LWORKERSLCOMPEN!IATCON
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
'12IO<il
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.
~ 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
;pued. My worker's co p nsation insuranc arrier and Pjlicy number are:
lnsu,anceCompany C..-"'l----PolicyNo. Ql-jjo-Q\ v\4,77?Expi,ation0ate \}j/~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) J
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, · dltion he ost of ensation, damages as provided for in Section 3706 of the La r code interest and attorney's fees. SIGNATURE=~=~~~~~~12r:;2:::::===:==-=-==~:-== DATE 2_ I Cj 0
7; · • :OWNER41UILDERDEClAR
0 I, as owner of the property or my empl ee 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).
D 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).
0 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. 0 YES ONO
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 I address I phone number/ contractors license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license number): ________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number / type
of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPI.ETE,THIS.S£CTION FOR NON-RESIDENTIAL BUILDING PERMITS ONl Y
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 D 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 O 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _
9. Al'l'I.ICANT ce1mF1CATION
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 Citt 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 bullding or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for erio of 180 days (Section 106.4.4 Uniform Building Code). 2-/VA /11:J...
APPLICANT'S SIGNATURE __ .:::;~~~:t!'.!2'.11':~>i:::=---------------DATE _ _,/-' Ire_.:. IL _ _:~:_,c._ ______ _
ITE: File YELLOW: Applicant PINK: Finance
Inspection List
Permit#: CB030471 Type: RESDNTL RAD HEPNER RES-831 SF FAM RM,MSTR
BEDROOM & NOOK
Date Inspection Item Inspector Act Comments
12/18/2003 89 Final Combo PY AP
12/18/2003 89 Final Combo RI
12/17/2003 89 Final Combo RI
12/17/2003 89 Final Combo PY co SMOKE ALARMS
08/14/2003 15 Roof/Re roof PY WC
08/14/2003 17 Interior Lath/Drywall PY AP
08/14/2003 18 Exterior Lath/Drywall PY PA
08/13/2003 17 Interior Lath/Drywall PY NA
08/13/2003 18 Exterior Lath/Drywall PY AP
08/11/2003 17 Interior Lath/Drywall PY PA R.C. CHANNEL & SOUND BOARD
08/08/2003 16 Insulation PY AP
08/04/2003 14 Frame/Steel/Bolting/Weldin PY AP
08/04/2003 16 Insulation PY NA
07/30/2003 18 Exterior Lath/Drywall PY WC
07/30/2003 84 Rough Combo PY PA NEED TOP OUT
07/29/2003 18 Exterior Lath/Drywall PY CA
07/29/2003 84 Rough Combo PY CA
07/11/2003 84 Rough Combo PY WC OK TO SHEAR INTERIOR WALL
UPSTAIRS
06/24/2003 13 Shear Panels/HD's JE AP
06/24/2003 15 Roof/Re roof JE AP NNED TRUSS CALCS OK TO PAPER·
CHECKED AGAINST CITY APPROVED
SET
06/23/2003 15 Roof/Reroof PY NS
06/20/2003 15 Roof/Re roof PY CA
05/16/2003 14 Frame/Steel/Bolting/Weldin PY PA FLOORSHTG
04/28/2003 11 Fig/Foundation/Piers PY AP INTERIOR FTG
04/25/2003 11 Fig/Foundation/Piers RB CA BY GALE
04/23/2003 11 Fig/Foundation/Piers PY PA EXTERIOR FOOTINGS
Friday, December 19, 2003 Page 1 of 1
City of Carlsbad Bldg Inspection Request
For: 12/18/2003
Permit# CB030471
Title: HEPNER RES-831 SF FAM RM,MSTR
Description: BEDROOM & NOOK
Type: RESDNTL Sub Type: RAD
Job Address: 2781 SOUTHAMPTON RD
Suite: Lot 0
Location:
APPLICANT WORTHING INC, B. A.
Owner: HEPNER RICHARD H JR&L YNDA R
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: PY ---
Phone: 7607293965
Inspector: -----
Requested By: TERESA
Entered By: CHRISTINE
19
29
Final Structural
Final Plumbing M----
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
CV030506 CLOSED O-TRKS TEARING UP STREET;
lns12ection Histo!Y
Date Description Act lnsp Comments
08/14/2003 15 Roof/Reroof WC PY
08/14/2003 17 Interior Lath/Drywall AP PY
08/14/2003 18 Exterior Lath/Drywall PA PY
08/13/2003 17 Interior Lath/Drywall NR PY
08/13/2003 18 Exterior Lath/Drywall AP PY
08/11/2003 17 Interior Lath/Drywall PA PY R.C. CHANNEL & SOUND BOARD
08/08/2003 16 Insulation AP PY
08/04/2003 14 Frame/Steel/Bolting/Welding AP PY
08/04/2003 16 Insulation NR PY
07/30/2003 18 Exterior Lath/Drywall WC PY
07/30/2003 84 Rough Combo PA PY NEED TOP OUT
07/29/2003 18 Exterior Lath/Drywall CA PY
07/29/2003 84 Rough Combo CA PY
07/11/2003 84 Rough Combo WC PY OK TO SHEAR INTERIOR WALL UPSTAIRS
06/24/2003 13 Shear Panels/HD's AP JE
06/24/2003 15 Roof/Reroof AP JE NNED TRUSS CALCS OK TO PAPER -CHECKED AGAINST CITY
City of Carlsbad Bldg Inspection Request
For: 04/28/2003
Permit# CB030471
Title: HEPNER RES-831 SF FAM RM,MSTR
Description: BEDROOM & NOOK
Type: RESDNTL Sub Type: RAD
Job Address: 2781 SOUTHAMPTON RD
Suite: Lot O
Inspector Assignment: PY ---
Phone: 7607293965
Location: Inspector: ----
APPLICANT WORTHING INC, 8. A.
•
Owner: HEPNER RICHARD H JR&L YNDA R
Remarks:
Total Time:
CD Description
11 Fig/Foundation/Piers
Requested By: TERESA
Entered By: CHRISTINE
Al-Com(~~-
Associated PCRs/CVs
Inspection Yistory
Date Description
04/25/2003 11 Ftg/Foundation/Piers
04/23/2003 11 Fig/Foundation/Piers
Act lnsp Comments
CA RB BYGALE
PA PY EXTERIOR FOOTINGS
DATE: March 25, 2003
JURISDICTION: Carlsbad
PLAN CHECK NO.: 03-471
EsGil Corporation
In gfartnersfiip witfi qotJemment for <Buifaing Safety
SET: II
PROJECT ADDRESS: 2781 South Hampton Dr.
PROJECT NAME: Hepner Residence Addition and Remodel
□ A~ANT □~
□ PLAN REVIEWER
□ FILE
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
0 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.
0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
0 The applicant's copy of the check list has been sent to:
~ Esgil Corporation staff did not advise the applicant that the plan check has been completed.
0 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
0 REMARKS:
By: Bill Elizarraras
Esgil Corporation
□GA 0MB 0EJ □PC
Enclosures:
3/17/03 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
DATE: March 6, 2003
JURISDICTION: Carlsbad
PLAN CHECK NO.: 03-471
EsGil Corporation
In fl'artnersfiip witfi government for <Bui(aing Safety
SET:I
PROJECT ADDRESS: 2781 South Hampton Dr.
PROJECT NAME: Hepner Residence Addition and Remodel
D ANT
.
EVIEWER
D FILE
0 The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
0 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.
0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
[81 The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
0 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
[81 The applicant's copy of the check list has been sent to:
BA Worthing Inc.
P.O. Box 1041, Carlsbad, CA. 92018
0 Esgil Corporation staff did not advise the applicant that the plan check has been completed.
[81 Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Brooks Worthing Telephone#: 760-729-3965
Date contacted: 3) r.,, /03 (by:f-Ar) Fax #: 760-729-0784
Mail ..-----jelephone
0 REMARKS:
Fax ✓ In Person
By: Bill Elizarraras
Esgil Corporation
0 GA O MB O EJ O PC
Enclosures:
2/21/03 tmsmtl.dot
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad 03-471
March 6, 2003
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO.: 03-471 JURISDICTION: Carlsbad
PROJECT ADDRESS: 2781 South Hampton Dr.
FLOOR AREA: 831 sq.ft. Dwelling Add'n STORIES: 2
HEIGHT: 24'
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
COMPLETED: March 6, 2003
FOREWORD (PLEASE READ):
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 2/21/03
PLAN REVIEWER: Bill Elizarraras
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 03-471
March 6, 2003
• PLANS
1. Please make all corrections on the original tracings and submit two new
complete sets of prints, to:
Esgil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego,
California 92123, (858) 560-1468.
2. Plans, specifications and calculations shall be signed and sealed by the
California state licensed engineer or architect responsible for their preparation,
for plans deviating from conventional wood frame construction. Specify
expiration date of license. (California Business and Professions Code}.
3. Provide a statement on the Title Sheet of the plans stating that this project shall
comply with the 2001 edition of the California Building Code (Title 24 ), which
adopts the 1997 UBC, 2000 UMC, 2000 UPC and the 1999 NEC.
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.
5. Openable window area in habitable rooms must be 1/20 of the floor area.
Section 1203.3. @ Bedroom #3.
6. Glazing in the following locations should be of safety glazing material in
accordance with Section 2406.4: @ Hallway to Mst. Bedroom.
a) Fixed or operable panels adjacent to a door where the nearest exposed
edge of the glazing is within a 24-inch arc of either vertical edge of the door
in a closed position and where the bottom exposed edge of the glazing is
less than 60 inches above the walking surface.
7. Show the required ventilation for attics. The minimum vent area is 1 /150 of attic
area. Show area required and area provided. Section 1505.3.
8. Provide skylight details to show compliance with Sections 2409 and 2603, or
specify on the plans the following information for the skylight(s), per Section
106.3.3:
+ Manufacturer's name.
+ Model name/number.
♦ ICBO approval number, or equal.
9. Show on the plans that receptacle outlet locations and note that they will comply
with NEC Art. 210-52(a).
10. All bedroom branch circuits now require arc fault protection. Note clearly on the
plans that "Bedroom branch circuits will be arc fault circuit protected." NEC Art.
210-12(b).
Carlsbad 03-471
March 6, 2003
• CITY REQUIREMENTS
11. Please make all corrections on the original tracings, as requested in the correction
list. Submit two sets of plans for residential projects. For expeditious processing,
corrected sets can be submitted in one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
2. Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
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 □ No □
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 Bill Elizarraras at Esgil Corporation. Thank you.
Carlsbad 03-471
March 6, 2003
City of Carlsbad
1:.1 ■11 n ■■ ,,., •JA•EI ;;, ,t§ ,11
BUILDING DEPARTMENT
NOTICE OF REQUIREMENT FOR SPECIAL INSPECTION
Do Not Remove From Plans
Plan Check No. 03-471
Job Address or Legal Description 2781 South Hampton Dr.
Owner _____________ .Address ________________ _
You are hereby notified that in addition to the inspection of construction provided by the
Building Department, an approved Registered Special Inspector is required to provide continuous
inspection during the performance of the phases of construction indicated on the reverse side of
this sheet.
The Registered Special Inspector shall be approved by the City of Carlsbad Building
Department prior to the issuance of the building permit. Special Inspectors having a
current certification from the City of San Diego, Los Angeles, or ICBO are approved as
Special Inspectors for the type of construction for which they are certified.
The inspections by a Special Inspector do not change the requirements for inspections by
personnel of the City of Carlsbad building department. The inspections by a Special
Inspector are in addition to the inspections normally required by the County Building
Code.
The Special Inspector is not authorized to inspect and approve any work other than that for which
he/she is specifically assigned to inspect. The Special Inspector is not authorized to accept
alternate materials, structural changes, or any requests for plan changes. The Special Inspector is
required to submit written reports to the City of Carlsbad building department of all work that
he/she inspected and approved. The final inspection approval will not be given until all Special
Inspection reports have been received and approved by the City of Carlsbad building department.
Please submit the names of the inspectors who will perform the special inspections on each of the
items indicated on the reverse side of this sheet.
Carlsbad 03-471
March 6, 2003
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 03-471
PREPARED BY: Bill Elizarraras DATE: March 6, 2003
BUILDING ADDRESS: 2781 South Hampton Dr.
BUILDING OCCUPANCY: R3/Ul TYPE OF CONSTRUCTION: VN
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Dwellina Add'n 831 Per Citv Value
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
Bldg. Permit Fee by Ordinance
Plan O,eck Fee by Ordinance
Type of Review: 0 Complete Review D Structural Only
0 Repetitive Fee
3Repeats
Comments:
D Other
D Hourly l Hour*
Esgll Plan Review Fee
85,593
85,593
$483.66!
$314.38!
$270.85j
Sheet 1 of 1
macvalue.doc
, City of Carlsbad
l@h ■IMA·li:t•i ■l·■■,1441 ■,1·1
BUILDING PLANCHECK CHECKLIST
DATE: d)_ ..ole)-o.3, PLANCHECK NO.: CBO3 -'/7-/
BUILDING ADDRESS: _ _.g-'-I'?-'--:/:,s-;.:::C,___::_=CAii,.,,__• 1..1--_..kla,..,t!l"-'+~~='-'hc.__sa1)'--',~------
PROJECT DESCRIPTION:
ASSESSOR'S PARCEL NUMBER: ,;;Y;'-6 • /40 -ft:( ' EST. VALUE: "'65; S'1/3
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved. The approval is based on plans,
information and/or specifications provided in your
submittal; therefore any changes to these items after
this date, including field modifications, must be
reviewed by this office to insure continued
conformance with applicable codes. Please review
carefully all comment~ attached, as failure to comply
with instructions in this report can result in
suspension of permit to build.
D A Right-of-Way permit is required prior to
construction of the following improvements:
DENIAL
Please see the attached report of deficiencies
marked with □. 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: --------
FOR OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT:
By: ~ Date: ;l. -cJ-e; -o-3
ATTACHMENTS
□ Dedication Application
□ Dedication Checklist
□ Improvement Application
□ Improvement Checklist
□ Future Improvement Agreement
□ Grading Permit Application
□ Grading Submittal Checklist
D Right-of-Way Permit Application
0 Right-of-Way Permit Submittal Checklist
and Information Sheet
D Sewer Fee Information Sheet
ENGINEERING DEPT. CONTACT PERSON
Name: TANIYA BARROWS
City of Carlsbad
Address: 1635 Faraday Avenue, Carlsbad, CA 92008
Phone: (760) 602-2773
CFD INFORMATION
Parcel Map No:
Lots:
Recordation:
Carlsbad Tract:
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @
F:\BUILOING Pt.ANCHECKCKLST FORM.doc 1 Rev. 7114/00
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BUILDING PLANCHECK CHECKLIST
c-r "'"64 -101-;;i
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SITE PLAN
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F:\BUILDING PLANCHECK CKLST FORM.doc
Provide a fully dimensioned site plan drawn to scale. Show:
North Arrow F. Right-of-Way Width & Adjacent Streets
G. Driveway widths Existing & Proposed Structures
Existing Street Improvements H. Existing or proposed sewer lateral
Property Lines I. Existing or proposed water service
Easements J. Existing or proposed irrigation service
Show on site plan:
Drainage Patterns
1. Building pad surface drainage must maintain a minimum slope of one
percent towards an adjoining street or an approved drainage course.
2. ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive
drainage of 2% to swale 5' away from building."
Existing & Proposed Slopes and Topography
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.
Include on title sheet:
Site address
Assessor's Parcel Number
Legal Description
For commercial/industrial buildings and tenant improvement projects, include:
total building square footage with the square footage for each different use,
existing sewer permits showing square footage of different uses (manufacturing,
warehouse, office, etc.) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
2 Rev. 7/1.WO
BUILDING PLANCHECK CHECKLIST
1ST 2ND 3RD DISCRETIONARY APPROVAL COMPLIANCE
D D D 4a. Project does not comply with the following Engineering Conditions of approval for
Project No. _______________________ _
D D D 4b. All conditions are in compliance. Date: _________ _
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DEDICATION REQUIREMENTS
5. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $ 15.000 , pursuant to Carlsbad
Municipal Code Section 18.40.030.
Dedication required as follows: ________________ _
Dedication required. Please have a registered Civil Engineer or Land Surveyor
prepare the appropriate legal description together with an 8 ½" x 11" plat map and
submit with a title report. All easement documents must be approved and signed
by owner(s) prior to issuance of Building Permit. Attached please find an
application form and submittal checklist for the dedication process. Submit the
completed application form with the required checklist items and fees to the
Engineering Department in person. Applications will not be accept by mail or fax.
Dedication completed by:____________ Date: ___ _
IMPROVEMENT REQUIREMENTS
6a. All needed public improvements upon and adjacent to the building site must be
constructed at time of building construction whenever the value of the
construction exceeds $ 75.000 , pursuant to Carlsbad Municipal Code Section
18.40.040.
Public improvements required as follows: ____________ _
Attached please find an application form and submittal checklist for the public
improvement requirements. A registered Civil Engineer must prepare the
appropriate improvement plans and submit them together with the requirements
on the attached checklist to the Engineering Department through a separate plan
check process. The completed application form and the requirements on the
F:\BUILOING PLANCHECK CKLST FORM.doc 3 Rev. 7/1.UOO
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F:\BUILDING F'LANCHECK CKLST FORM.doc
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: ____ _
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 Neighborhood 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:
6c. Enclosed please find your Neighborhood Improvement Agreement. Please return
agreement signed and notarized to the Engineering Department.
Neighborhood Improvement
Agreement completed by:
Date:
6d. No Public Improvements required. SPECIAL NOTE: Damaged or defective
improvements found adjacent to building site must be repaired to the satisfaction
of the City Inspector prior to occupancy.
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section
11.06.030 of the Municipal Code.
7a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
7b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached. NOTE: The Grading Permit must be issued and rough grading
approval obtained prior to issuance of a Building Permit.
Grading Inspector sign off by: Date: -----------
7c. Graded Pad Certification required. (Note: Pad certification may be required even
if a grading permit is not required.)
4 Rev. 7/14100
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D D D
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F:18UlLOING PLANCHECK CKLST FORM.doc
BUILDING PLANCHECK CHECKLIST
7d .No Grading Permit required.
7e. If grading is not required, write "No Grading" on plot plan.
MISCELLANEOUS PERMITS
8. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way. Types of work include, but are
not limited to: street improvements, tree trimming, driveway construction, tying
into public storm drain, sewer and water utilities. ·
Right-of-Way permit required for:
9. INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad
sewer service area, you need to contact the Carlsbad Municipal Water District,
located at 5950 El Camino Real, Carlsbad, CA 92008. District personnel can
provide forms and assistance, and will check to see if your business enterprise is
on the EWA Exempt List. You may telephone (760) 438-2722, extension 7153,
for assistance.
Industrial Waste permit accepted by:
Date:
10. NPDES PERMIT
Complies with the City's requirements of the National Pollutant Discharge
Elimination System (NPDES) permit. The applicant shall provide best
management practices to reduce surface pollutants to an acceptable level prior to
discharge to sensitive areas. Plans for such improvements shall be approved by
the City Engineer prior to issuance of grading or building permit, whichever
occurs first.
11. □ Ryquired fees are attached
Q-11.lo 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.
5 Rev. 7/14/00
□ □ □ 12b.
F:\BUILOING PLANCHECK CKLST FORM.doc
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
1.5: meter (estimated 100 gpm)
2. 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
3. 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
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BUILDING PLANCHECK CHECKLIST
service boundary, the City intends on switching these irrigation
services/meters to a new recycled water line in the future.
□ □ □ 12c. Irrigation Use (where recycled water is available)
□ □ □
F:\BUILOING PlANCHECK CKI.ST FORM.lloc
1. Recycled water meters are sized the same as the irrigation meter above.
2. If a project fronts a street with recycled water, then they should be
connecting to this line to irrigate slopes within the development. For
subdivisions, this should have been identified, and implemented on the
improvement plans. Installing recycled water meters is a benefit for the
applicant since they are exempt from paying the San Diego County Water
Capacity fees. However, if they front a street which the recycled water is
there, but is not live (sometimes they are charged with potable water until
recycled water is available), then the applicant must pay the San Diego
Water Capacity Charge. If within three years, the recycled water line is
charged with recycled water by CMWD, then the applicant can apply for a
refund to the San Diego County Water Authority (SDCWA) for a refund.
However, let .the applicant know that we cannot guarantee the refund, and
they must deal with the SDCWA for this.
13. Additional Comments:
7 Rev. 7/1,4/00
DD
PLANNING DEPARTMENT
, BUILDING PLAN CHECK REVIEW CHECKLIST • / "'
Plan Check No. cs03Q'('// Address )?If~ ,-/Alf .I(.
Planner ~isher :,1 Phone (760) 602-4629
APN: ~ .. , t{O -1.._
Type of Project & Use: _____ t--_ Net Project Density: ______ =D~U~/~A=C~
Zoning:t7 _. / General Plaif/. C.M Facilities Management Zone:--'?-=-
CFD (inkut) #_Date of participation: ____ Remaining net dev acres: __
Circle One (For non-residential development: Type of land used created by this
permit: ____________________ )
Legend: C8J Item Complete D Item Incomplete -Needs your action
Environmental Review Required: YES NO TYPE ----
DA TE OF COMPLETION: ________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required: YES NO TYPE ----
APPROVAL/RESO. NO. _______ DATE __ _
PROJECT NO. _________ _
OTHER RELATED CASES: ___________________ _
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval: ______________________ _
Coastal Zone Assessment/Compliance
CA Coastal Commission Authority? YES NO
Project site located in Coastal Zone? YES __ N~
If California Coastal Commission Authority: Con ct them at -757,---mo
103, San Diego CA 92108-4402; (619) 767-2 0
Determine status (Coastal Permit Required or Exempt ·
Coastal Permit Determination Form already co
If NO, complete Coastal Permit Determina ·
Coastal Permit Determination Log #:
Follow-Up Actions:
NO
1) Stamp Building Pl as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans).
2) Complete Coas Permit Determination Log as needed.
lnclusionary Housing Fee required: YES NO
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Data Entry Completed? YES __ NO __
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing
Y/N, Enter Fee, UPDATE!)
H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01
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Site Plan:
1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, right-
of-way width, dimensional setbacks and existing topographical lines (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~
2, Project complies YES NO
Zoning:
1. Setbacks: ~o d's-Front: Required Shown
Interior Side: Required ~ Shown ~ ...
Street Side: Required r' Shown
Rear: Required .. z,.~ Shown ,,,3-
Top of slope: Required Shown
2. Accessory structure setbacks:
Front: Required Shown
Interior Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Structure separation: Required Shown
3, Lot Coverage: Required ~~ Shown J-yo,,/4
'=-1CJ ' '-..,Zc,; " 4. Height: Required Shown
5. Parking: Spaces Required 2-Shown ~
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required _____ _ Shown ______ _
Additional Comments _____________________________ _
OK TO ISSUE AND ENTERED APPROVAL INTO COMP
H:IADMINICDUNTER\BldgPlnchkRevChklst Rev 9/01
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I '' •
City of Carlsbad
I =1 1 I Id ■■,,. 1 ·14 ·EI ii I, 14 .,,
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:
Building Permit
Plan Check Number:
Project Address:
A.P.N.:
Project Applicant
(Owner Name(s):
Project Description:
BUILDING TYPE:
rt
Residential: Number of New Dwelling Units (
Square Feet of Living Area in New Dwelling
Second Dwelling Unit: Square Feet of Li•:ing Area in SOU
Residential Additions: Net Square Feet New Area 81.l
Commercial/Industrial:
City Certification of
applicant's information:
;:~e~Area
SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD
Carlsbad Unified School District
801 Pine Ave.
Carlsbad CA 92009 (729-9291)
Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024 (944-4300)
San Marcos Unified School District
215 Mata Way
San Marcos, CA 92069 (290-2649)
San Dieguito Union High School District
710 Encinitas Blvd.
Encinitas, 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 Owne~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 ls 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 autho · d si n behalf of me.-<Mn,er.
Signature: Date: ?J} 2/!!)}o 7,
/-----Mc-'-'-=:S~C:-:=H700~b ....,~ i..v=sT=R=-=1-=c=T-=s-=cc-:H-=o-=0-:-L-=F=E=-E-::C=E=R=TIFICATIOAf l r
( ob completed by the school district(s))
1635 Faraday Avenue• C rlsb d, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 *
R""'"ieM 4117/0n
• •
***************************************************************************************************
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
NAME OF SCHOOL DISTRICT
DATE
PHONE NUMBER
R-vle...-1 4/17tn0
Assistant Su~ BuWne• Se,w111
--....
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