HomeMy WebLinkAbout1861 SOUTH VIEW DR; ; 86-21; Permiten z 0 .:: < a: < _, u Ill D
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O I hefeby affirm that I am licensed under
prOYlalona of Chapter 9 (commencing with
S.Cllon 7000) of OIYlslon 3 of the Buslnesa
and Protenlono Code, and my license Is In
full l0<ce and effect.
I hereby affirm that I am exempt lrom the Contrac· tor's license Law !Of the lollowmg reason (Sec 7031 5
Business and Professions Code Any city or county whkt, re-quires a ptrmtl 10 conslruct. aller. improve. demohsh, 0< repair any structure. prior to its issuance also requires the ap·
pllcant tor such permit to file a signed slalement that he ,s licensed pursuant to the provmons of the Corurac1ot · s
License Law (Chapter 9 commencmg with Section 7000 ol
0tv1s1on J ol lhe Business and PrOfessions Code} or that 1s eJt· empt therefrom anci the basis fOf the alleged e)(emphon Any
VtQlat1on of Secllon 7031.5 by an apphc:ant for a permit sub-1ects the apphcant lo a c1v11 penalty ot not more lhan five hun-
dred dollars ($5001
--L,,_ I. as owner of lhe property, or my employees w1lh wages I; lhe1r sole compensatron. w,11 do !he work, and the struc·
ture 1s not intended 01 offered fOJ sale (Sec 7044, Business
and Proless1ons COCle: The contractor's License law does
nol apply to an owner of property who builds or improves
thereon and who does such work himself or through his own employees. provided lhal such improvements are not Intend-
ed or olfered tor sale. It, however the bu1fd1ng or 1mprove-men1 is sold within one year of compJehon. lhe owner-bu,lder
wilt have the burden ot proving lhat he did not build or 1m·
prove 10< lhe purpose ol sale)
n I, as owner ol the property, am excluswety contracting with hcensed conlractors to construct 1he proJect (Sec 7044,
Business and Professions Code The Contractor's Lteense Law does not apply lo an owner of proper1y who btukis or im·
proves thereon. and who contracts for each proiects with a contractor(s) license pursuant to the Contractor's License UIW)
D As a homeowner I am improving my home, and !he 1oUow mg cond11tons exist: 1. The work 1s being performed prlOf to sale. 2. I have hved ,n my home 10f twelve months
3. r'~!v~ ~~p~::: t
1~ii ::~plion dunng the
lasl three years
0 I am exempl umrer Sec ______ • B & P C
for this reason ____________ _
0 I hereby affifm that I have a cer11lica1e of consent to
self-insure. or a certificate of Workers· Compensation In-
surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Copy ,s tiled with !he city
0 Cerl1f1ed copy is hereby lumished
CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be com~eted if the permit
is tor one hundred dollars lSlOO) or less)
y{__ I certify that in the performance of the work for which
~permit is issued. I shall not employ any person In any
manner so as to become subject to the Workers· Com pen•
sation Laws of California.
NOTICE TO APPLICANT: It, after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation Pf0¥isions of !he Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
tl
0 I hereby affirm that there is a construclton lending
agency fOt" the performance of lhe work for wh,ch this per-f
mit is lssued (Sec. 3097. Civil Code) I
Lender's Name _____________ I
I Lender"s Address, ____________ I
I
I
I
USE BALL POINT PEN ONLY & PII_E!S HARD Ai,>i,>Lll;ANI I U l"ILL IN INl"U HMAI IVr4 WII n 1r,i ;:,nAUCU A HCA A l'IU .,"'"~""' •v1~..,..
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
;QB ADDRESS AV.ST.RD. NEAREST CROSS ST. 17: ~P~R?NI BUSINESS LICENSE # VALUATION PERMIT NUMBER
Ji~/ f O.k TJ:/ v1e-w Or TeLe-e~f)Pe-2~·7#
1:-:,:f I BLOCK \., I sueo1v:s10N I ~~s9J :~~b -I lo .. oD CONTRACTOR CONTRACTORS PHONE • ZONE 7 ?6 -:L/
tfJu1AJ~R -Bu, IJ'f:P
OWJ;::-.! ll. c_f) u l(_,IAJ &: 'f I OWNER'S PHONE
CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
3P/?-OWNER'S MAILING ADDRESS
JR~/ 2o~-r#l)JE"W DESIGNER DESIGNER'S PHONE /
S.+/f-f~ OESCR•PTIQN OF WOR~ .Id 1\ I\ I r; p,1) 3p~f' AAM DESIGNER'S ADDRESS STATE LICENSE NO
3 ~¢ .£,;eJase. f#i () -186-: 3 >-'-~
3~'1
F/P F LR ELEV. NO OCC GP EDU 0004 01/28 0101 02BldPllt
./)e CJ:::. STORIES
YO NO --
-
I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPA
AREA CONST
y D ND vO NO YO NO Not Valid Unl~s Machine Certifitd
QTY. PLUMBING PERMIT · ISSUE /J.5b QTY. MECHANICAL PERMIT -ISSUE .3,C>D SUMMARY/ACCOUNT NUMBER
3 EACH FIXTURE TRAP ...,~ INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 001-810-00·00-8220 /7/-
EACH BUI LO ING SEWER
, OVER 100,000 BTU SIGN PERMIT 001-810·00-00·8221
EACH WATER HEATER ANO/OR VENT ·-BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00-00-8821 ///-
/ EACH GAS SYSTEM 1 TO 4 OUTLETS ~~~__;...-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00-00·8222 _L1~ -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810·00-00·8223 ./~-
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00-00-8224 1------
EACH VACUUM BREAKER MECH EXHAUST H0001oucTs MOBILEHOME 001-810-00-00-8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER SOLAR 001·810-00-00-8226
EACH ROOF DRAIN ( INSIDE) 7 -8R¥~A liEr.lT wA-'II /ff~,e u~ STRONG MOTION 880-519-92-33 / 7.:L-----I -/'U TOTt.L MECHANICAL FIRE SPRINKLERS 001 ·81 0·00·00·8227
TOT AL PJ.UM81NG , . I /11 "'7 7-:-PUBLIC FACILITIES FEE 320·810·00·00·87 40 sin) BRIDGE FEE 360-810-00-00-87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP'SWT llKR CAR PORT TIF 134-810·00-00-8835
I PH 3 PH AWNING LA COSTA TIF 133-810-00-00-8835
EXIST BLOG EA AMP/SWT 'BKR GARAGE FMF
1 PH 3 PH h
LICENSE TAX 001-810·00·00-8162
/ REMOOEL'ALHR PER CIRCUIT . ., /o -MFF 880-519-92-57
TEMP POLE 200 AMPS
OVER 200 AMPS ;. )
TEMP OCCUPAN CY (30 DAYSI
... -\. -... .A .. ... . . . ... CREDIT DEPOSIT <'l3t1 ..-7 -•·
TOTAL ELECTRICAL I
-. I I I>"-TOTAl . ' TOTAL FEES PAYABLE /llYJ
' -... )
I HAVE CAREFU~LY, EXAMINED THE ... COMlll.HED APPLICATION AND PERMIT ANO DO HEREBY Exp1rat,on Every permit ,ssued by the Building Otflc1al onder the prov1s1or,s of this * AN OSHA PERM:T IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER· PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tat,on and become null and void It the bu1ld1ng o, work S' O"' DEEP ANO 0£MOUTION Qfl CONSTRUCTION OF autt'lonzed by such permit 1s not commenced within 180 days trom me date of such
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ permit. or rf the bulldrnri or work authonzed by such permrl rs suspended or STRUCTURES OVER 3 STC>RtES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUN'IY AND STATE LAWS GOVERNING BUILDING CON abandoned at ans time a ter the work 1s commenced for a oenod of 180 davs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN~ (lLICANT S SIG~RE ~ I'\ OWNER~ CONTRACT01<; ' ,P~OVED BY ~ i/;?Jn 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 J ~ ,.._ v_ -,. -BY PHC'"'
GRANTING OF THIS PERMIT, IT ---l ·v---, 1 ,, --, .-JO , ,
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.,'.. BUILDING I .-4
FOUNDATION :// Q~ I FIELD INSPECTION RECORD r;~,,~ REINFORCED STEEL 1\ ~ JlJ'-. '.1111 _,;I _,,,, r-,. REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ; ) ;J r-# -,
REO. IF INSPECTOR'S ~~ ~ ~J..; , ' -. , INSPECTION DATE o'L , '-~ 0 0 GUNITE OR GROUT I CHECKED APPROVAL R, SUB FRAME D FLOOR D CEIUNG SOILS COMPLIANCE C::[ €:) '-14<-S,/3 .. li --SHEATHING D ROOF D S~EAR PRIOR TO D 0 FOUNDATION INSP FRAME J STRUCTURAL CONCRETE EXiERIOR LATH I 1-{)VER 2000 PSI
INSULATION . "'1 ,.. 1'2/] • <t>1~ PRESTRESSED I CONCRETE I I INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING . FIELD WELDING I
D SEWER AND BUCO/ D ~UCO HIGH STRENGTH -BOLTS UNDERGROUND le'WASTE D WATER :J~/ f-~ Vfa-
TOP OUT D WASTE Dt{ATER 0 SPECIAL MASONRY C
-TUB AND SHOWER PAN l }.
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR VyATER
I
ELECTRICAL i .
D ELECTRIC UNDERGROUND qJ UFFER -. -
ROUGH ELECTRIC t
-
' . ~ . D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL ; -
I
MECHANICAL J
D DUCT & PLEM., D REF. PIPilNG . l
HEAT -AIR COND. SYSTEMS I OOO\t or\ss oror 03BJQbl:lf T~•:;3 VE~JILATING SYSTEMS . . I C --·. ' : ',_ "-..... . ... ·. ,-i ( ... ' . -· ' < -. CALL FOR FINAL INSPECTION WHEN ALL.Al?PROPRIATF;..... . -~ ---"..}. ·..,, .\ -ITEMS ABOVE HAVE BEENf:PP.ROVPD.' ·• ·: •. 1 • -• ' -··--, FINAL i •. -. _ _. . I -..... ' • • ' I-, ' ,• \ :: '. PLUMBING • I _( ;.\ I .
ELECTRICAL I -1\ ~ / ...,.,.,,,. . . ' .. ,,..,. .. -~ ~ \ . ";,,.-. -........ .-~ -:, .... ~ \ ,-~, ..... \. -.: I . _, ---. '"; rr V ~7 1' MECHANICAL I -\ \ .. ,. -.... -' GAS J '. i_,.. A jU ' v , U , ' -.~-' ,_. \ L , _I
BUILDING J ,,, J
SPECIAL CONDITIONS J ·I
' _ 1..,..r\ .. -... ' .
FINAL BUILDING INSPECTION
6-11 3-17-
PLAN CHECK NUMBER: DATE:
PROJECT NAME: ---------------------------------
1861 South VI N
ADDRESS:
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT:
r s _____________ NUMBER OF UNITS:
unk CONTACT PERSON: _______________________________ _
unk CONTACT TELEPHONE: ______________________________ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
n ...
~N~T:ECTEDc #APPROVED / DISAPPROVED __ _
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED
APPROVED
rnsAPPROVED ---
DISAPPROVED __ _
COMMENTS: ----------------------------------
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR .. SUITE 208
SAN DIEGO, CA 92123
(619) 56(} 1468
□APPLICANT
JURISDICTION:
D JURISDICTION D PLAN CHECKER
OFILE COPY
OUPS PLAN CHECK NO: D DESIGNER
PROJECT ADDRESS:
PROJECT NAME:
D
□
□
□
□
□
□
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 d·eficien-
cies identified ~-~------~c-------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 p1ans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
Esgil staff did not advise the applicant contact person that
plan check has been completed.
Esgil staff did advise applicant that the plan check has
been completed. Person contacted:
By: 4' ~ d:::#Enclosures: ___________ _
ESGIL CORPORATT-' /.,-1,ifvr
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
DATE: □APPLICANT D JURISDICTION D PLAN CHECKER
OFILE COPY
OUPS
□DESIGNER
JURISDICTION: C4t:1 ifJALJ
PLAN CHECK NO: &:.-21 1lC
PROJECT ADDRESS:
PROJECT NAME: AU>tT7oN
D
□
□
□
□
□
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 deficien-
cies identified-,---,------,-----,,.,,-----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 p:lans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
Esgil staff did not advise the applicant contact person that
plan check has been completed.
Esgil staff did advise applicant that the plan check has
been completed. Person contacted:
Date contacted: _______ Telephone # ________ _
REMARKS : ,4/)~tl~'4Nr p -rR41Uv:» rr /f't. tJ fl/5
SNeer z "',Jtov'-;::, R1:e,,-1c:t: 1;y,,-,z,N? ~Met:7 z. IN c 17'f a ~,
By: A~ /41-2CEnclosures: ________ _
ESGIL CORPORATI~N 415 ,,, /.,.,-r
..
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR .• SUITE 208
SAN DIEGO, CA 92123
(619) 5fi0· l 41l8
JURISDICTION: CARL5840
QAPPLICANT
E:"tJ'lfaISDICTIQN) D PLAN CHECKER
D FILE COPY
QUPS PLAN CHECK NO: 8G<ZI...JL D DESIGNER
PROJECT ADDRESS: IBb I 6cuvt V(Er,t/
PROJECT NAME~ A
□
D
□
□
II
□
□
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 deficien-
cies identified--~-------~----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 E~gil Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
..,Ji/tn,¾ {£)Ul:!J?1/E 'f -A/JPUC&J.1r 1P PICK flt? Ll5 r
Esgil staff did not advise the applicant contact person that
plan check has been completed.
Esgil staff did
been completed.
Date contacted:
advise applicant that the plan check has
Person contacted: ::rim Coul?u,J t=V I
--~1_-~/0'--'·&~~27 __ Telephone#
REMARKS: __________________________ _
, ESGIL CORPORAi'ION
t/zr
Enclosures: ------------
JURISDICTION: 0/,R.U f!Ap DATE 1-/0 -&-.
Enclosures: __________ _
JURISDICTION: ________ DATE. ___ _
PROJECT ADDRESS, IBC,t SoorJI w,111
TO: :::r11r1 Cal{R-CNt:'f
4914-Av,t.A AVe
Date plans received by jurisdiction __ _
Date plans received by plan checker $-Z.9-6,
Date initial plan check completed 9-lp:;% by~v
6f!:u:IAJD '
.FORWARD: PLEASE READ
.Plan check is limited to 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 handicapped. The plan check is based on
regulations enforced by the Building Inspection
Department. You may have other corrections
.based on laws and ordinances enforced by the
Planning Department, Engineering Department
or other departments.
The items sircled below need clarification,
modification or change. All circled items have
to be satisfied before the plans will be in
conformance with the cited codes and regulations.
The approval of the plans does not permit the
violation of any state, county or city law.
A. PLANS
1. Please make all corrections on the original
tracings and submit two new sets of prints,
and any original plan sets that may have
been returned to you by the jurisdiction,
to: EeS~IL Col!'/bl?,..r,p,.J tl~zp C.11€~:El!l"f: /Ji<•
#e;,15 yW /JtEf:Q. Cdt 1e17RN1,., 9z 12 ~ ;
2. To facilitate rechecking, please identify,
next to each circled item, the sheet of
the plans upon which each correction on
this sheet has been made and return this
check sheet with the revised plans.
PLAN CHECK NO: '?f -21 :J£.
s
1.
lo
&I.J&Rf•
'
0 APPLICANT COPY
0 JURISDICTION COPY
0 PLAN CHECKER COPY
D FILE COPY
-5,u. '' n~= -,· -: ½, "/ ,c-r h1 IN
,-:;,n ,""'l,..-1h,.A/_ ~ ,,,,,,,, CJ/.,4,C-r~F 3Z.
,:.,_,,, > A ,-,,::,ol)t,-n£ ~~., I& ,::,-,o <:/-1.<'fil?
'( M/11/JfY)l/lYJ 2.7 ,, 1'AJl€I .-; ~-r ,-,v,,JE.R.-s
&;<JR /?LYWIY)D (J) I /4 "A/ er,/.,C AJ,4/I•
~ •, -::-= .sf.In~~ r.. ,u 1-1,n:ir1;e1., ;µ ·
~ "-sr-o Pmmc:. -, ,.~,..,.. r>-CA I
I 1,-,r 17) PJ<' I u ~ ' ', 4-,,-J .::: I ~~,,I IV&
<,.,,_,, /'t1n1P1 ,/JJ>•C"' 1J/ ..... -. ,
f ,,11,, 11'2~»11?./IJ P', -,:;;;,/K II"-& ., A _ ,:-
/' -~ -A J,,e' {/. rl')..,.-,,:C ,1,/4 V £.I A-<:_<; -
A-I I OUl/1-A I r-::; ?_n q. TlUIJi
P<>-> ,,:::)
41784
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 5(l0· I 4-68
DATE: □APPLICANT
JURISDICTION: C ARt~BAD
~ JURISDICTION D PLAN CHECKER
OFILE COPY
OUPS
ODESIGNER
PLAN CHECK NO: t¾: -z., ;r::
PROJECT ADDRESS:
PROJECT NAME:
□
□
•
□
□
□
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 deficien-
cies identified _______________ 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 the jurisdiction's
copy for your information. The plans are being held at
Esgil Corp. until corrected plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
Esgil staff did not advise the applicant contact person that
plan check has been completed.
Esgil staff did advise applicant that the plan check has
been completed. Person contacted:
Date contacted: Telephone# _________ _
REMARKS: __________________________ _
BY: A
ESGIL
ENCL: _______ _
JURISDICTION: CARI t,RA D DATE: l-11-St..
Enclosures: __________ _
PROJECT ADDRESS: Jf¼J :$a ,Tlj \JI l;lU
TO: ;'iaJ C..--6 't"D)C\/
4'.l 14 A,J,L/l hf
Date plans received by jurisdiction __ _
Date plans received by plan checker J-1~-;SC,
Date initial plan check completedH7·P.C, by1,;Jtg'(
FORWARD: PLEASE READ
Plan check is limited to 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 handicapped. The plan check is based on
regulations enforced by the Building Inspection
Department. You may have other corrections
based on laws and ordinances enforced by the
·Planning Department, Engineering Depart~ent
or other de.partrnents.
The items circled below need clarification,
modification or change. All circled items have
to be satisfied before the plans will be in
confor~ance with the cited codes and regulations.
The approval 0£ the plans does not permit the
violation of any state, county or city law.
A.~
1. Please make all corrections on the original
tracings and submit two new sets of prints,
and any original plan sets that may have
been returned to you by the jurisdiction,
to: ;,,N 0£ CAoilt".ClAl'l R,u:cpi.1,;. r.;;Pt;s,:nJetlT
2. To facilitate rechecking, please identify,
next to each circled item, the sheet of
the plans upon which each correction on
this sheet has been made and return this
check sheet with the revised plans.
PLAN CHECK NO: ?,4· 2J :C:
D APPLICANT COPY
D JURISDICTION COPY
D PLAN CHECKER COPY
□ FILE COPY
4 I 784
Date, 1-\J-Pta
Prepared by,
'2Afl..Y 1h, ¥qfL
Jurisdiction GM'! SBAQ
VALUATION AND PLAN CHECK FEE
PLAN CHECK NO._~&~,"'-"•~z~,--
BUILDING ADDRESS \BC. I SaVIt:I ill 1:-M)
□ Bldg. Dept.
O Esgil
APPLICANT/CONTACT .Jim / CJ M':ro)F't PHONE NO. 72.g 7710
BUILDING OCCUPANCY --~R~--3~~A1)~o~-
TYPE OF CONSTRUCTION v-~l
BUILDING PORTION BUILDING AREA
-, /¾A -r.1·7
' ,.,,.1,. d{;&J,,,,-,o,. ~ I
• • -#.-c./e'SC /'10 ~ .
})ec" /'10
Air Conditioning
Commercial
Residential
Res. or Comm.
Fire Surinklers
Total Value
DESIGNER PHONE. _____ _
CONTRACTOR PHONE ____ _
VALUATION VALUE
MULTIPLIER
.r-et.,,,.,. ::2.2 I.C"Z
-=-~ I ... _:..,_--
V .,
>~ -.3?0
9!! /7/IJ
@ .
(,l
@
~'/.7'~
Fee Adjusted To Reflect D Energy Regulations (Fee x 1.1)
0 Handicapped Regula lions (Fee x 1.065)
L~~--
Plan Check Fee_"'-$ ____________________ $"--,-•~=~~· ~-5' __ _
Building Permit Fee$--------------~-----
COMM EN To;_: _____________________________ _
8/4/82
. .
PLAN CHECK NUMBER f{/4 ~ 7,,,-/ ADDRESS / ib I ~>t:Y I ~
I
TYPE OF STRUCTURE 2--A:--d21? ~ :, PLANNING: ZONE: -----
SCHOOL FEES: SAN DIEGUITO ENCINITAS ----------------
CARLSBAD -----·---SAN MARCOS --------
% COVERAGE ------------REQUIRED SETBACKS -----
BUILDING HEIGHT ----------FRONT +re .]3..,p ~
FENCES/WALLS __________ _
· HJO CAR GARAGE
SIDE 13P: ,~_fl/ "is'
REAR ~ v/~
a::: Lu 3 Lu .... LU > I-~ ~
-----------
COMMENTS : ---------------------------
~ □ REDEVELOP,1ENT A:'PROVAL REQUIRED: 6 ~ □ --------------------
1.u -~~-□LANDSCAPE PLAN COMMENTS: ____________________ _
ENV rnm::--iENTAL REQUIREQ: .;_ ____________________ _
ADDITIONAL COMMENTS : -----------------------
OK TO ISSUE: ~ATE: t/<¢f OK TO FINAL: ____ DATE: ____ _
ENGINEERING LEGAL DESCRIPTION VERIFIED?P ? ,A/Ai-r.;.N. CHECKEO?Y-
P.F.F. PARK IN LIEU -------------------------
R.0.1~: IMPROVEMENTS : ______________ _
E.D.U: ---------------
SEWER:
LATERAL: ------------DRIVEWAY: __________ _
~ ~ GRADING PERMIT:
-Lu > I-~ ~ DRAINAGE:
~ □ -o □
EASEMENTS: ___________ ADDITIONAL COMMENTS : _____ _
I-I.I.I uo::
1.u-
~s-0 · () --·
uo:: OK TO ISSUE:--~"""'--...;.·_-===: __ _ DATE: {/; ~t:~ I I * ENGINEERING INSPECTION REQUIRED: ________________ _
PUBLIC l-!ORKS INSPECTOR: __________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAI NAGE, ETC.)
SCHOOL FEE COMPLIANCE CERTIFICATION
(Government Code Section 530BO(b))
This form shall be used to determine the amount of school fees for a project and
to verify that the project applicant has complied with the school fee requirements.
No building permits for the projects shall be issued until the certification is signed
by the School District and returned to the Building Department of the City of Carlsbad.
PROJECT INFORMATION (To be completed by the appliant)
Project Address: / J' (,. I 'S.::,(,._rci,, V/<"t-c-' le ,)b13J\u
Project Applicant: :S-c.__o, ~, 4. C-,t,t.,_r-C: /V~ (
Project Type: _Hesidential/No. of Dwellings Commercial Industrial
Phased Project: _Yes _No.
Building Permits are for entire project Yes
Square feet of covered or enclosed space ~7c../ "<:-
No.
Plan check or Building Permit No. 3'C:: -.J../ Official checking form µ;~{ f,(,,(_--'="---"-..,.~D-a_t_e __ ,1_1/7L_o_/_?_? ___ _
by the project applicant)
FEE CERTIFICATION (To be completed by the School District)
__.L Applicant has complied with fee requirement under Government Code 53080.
___ Project is subject to an existing fee agreement.
___ Project exempt from Government Code 53080.
Final Map approval and construction started before September 1, 1986.
(other school fees paid) Other _________________ _
Scjh ol D. istr. ict Official: __\ . ·Ifi-(1 n • (-v-. I·~
SIGNATURE
~o½\(\ ~slalc
NAME (PRINT) PHONE NO.
i\)',. ~i'-
TIT
~ -::ARLSBAD UNIFIED SCHOOL DISTRICT
□ CARLSBAD HIGH SCHOOL RECEIPT NO.
□ VALL. Y JUNIOR HIGH SCHOOL 12121
RECEIVED FROM ('. U ..
FOR \ilJ\ ;So~\)\£\,) 'f!\~\-
USE OF SCHOOL.FACILITIES/RENTALS
USE OF SCHOOL BUS
$ ____ _
$ ____ _
DAMAGE TO SCHOOL PROPERTY $ ____ _
DAMAGED OR LOST BOOKS $ ____ _
SALE OF SURPLUS $ ____ _
INCOME B ABATEMENT □
ACCOUNT NO. __.'.1_ -'6 '& <:\I -___ _
ACCOUNT NO. -----
ACCOUNT NO. ------
INSURANCE $ ____ _
TELEPHONE COMMISSIONS $-----
TOTAL $ '\i'ul · e, o
!I, I '--I I) '-\
RECEIVED CASH □ CHECK [3'
RECEIVED BY~~) Gt\,\ 'l>-J~ : 9
I