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HomeMy WebLinkAbout1395 YOURELL AVE; ; CB972647; PermitLitS\ eëiUrfi \\r' - ------ \_-- 7.00 7.00 6 50 /q -30/ v3qc BUILDING PERMIT 10/21/97 12:04 Page 1 of 1 Job Address: 1395 YOURELL AV Permit Type: RESIDENTAL ADD/ALT Parcel No: 156-032-06-00 Valuation.: 51,968 Occupancy Group: Description: RAD 520 SF, 1 BATH 120 SF WORKSHOP Appl/Ownr : ALLEE DAVID 116 W. BEECH STREET FALLBROOK, CA 92028 Ref erence#: 2 BEDROOMS Permit No: CB972647 Project No: A9703386 Development No: Suite: 0503 10/21/97 0001 01 02 Lot#: C-PRMT 577.00 Construction Type: Status: Applied: Apr/Issue: Entered By: 760 723-8641 NEW ISSUED 09/19/97 10/21/97 JM Fees ----------------------------- Adjustments: 871 Total Fees: 842.0Og,) TotalP Fee description ------------- Building Permit Plan Check I -•cJ Strong Motion Fee * BUILDING TOTAL Enter 'Y" for PlumWng Issu Each Plumbing Fixture or Tr Each Install/Repai Water * PLUMBING TOTAL \ Enter 'Y" for Electric Is,sq Enter 'Y" for Remodel\ (!~I ' * ELECTRICAL TOTAL \ y Enter 'Y' for Mechanica'l Each Exhaust Fan "N * MECHANICAL TOTAL Collected & Credits -------------------------- edit rrint .00 265.00 577.00 t Ext fee Data ------------------ 424.00 276.00 5.00 705.00 20.00 Y 49.00 7.00 76.00 10.00 Y 10.00 Y 20.00 15.00 Y 26.00 4.1 nn : PEI FINAII APU' CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 /1 ztil FOR OFFICE USE ONLY - PERMIT APPLICATION . PLAN CHECK NO.__________ EST VAL 15'2O CITY OF CARLSBAD BUILDING DEPARTMENT . . . .- Z41!;2075 Las Palmas Dr., Carlsbad CA 92009 - Plan Ck. Deposit (760) 438-1161 ,. 02 Date ________ nqT l 265.00 Business Name (at this address) - Legal Descripflon - Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Pse/'U e — / 2—fhici 3 Descrip n ork SQ. FT. #of Stories # of Bedrooms # of Bathrooms F2_ CTPIERS6_1 ,~i erent frolliff-appiii-57— ss Lj tra D.wneç gent for Owner Name ' Address City State/Zip Tèlephone# !4 P OPER1Y•OWN - ______ ____________ - - -. - ________. ______________ 5 CONTRACTOR COMPANY NAME________________________________________________________________________________ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone # State License # License Class City Business License # Designer Name Address City State/Zip Telephone State License # 6,W6RKERS,,,COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) - o CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as, to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7_OWNERBLflLDER6ECL4RAflON I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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).. "' ' 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following pers n to coordinate, ervise and ovi e,tq major work (include name / address I phone number I contractors license number): ()(E - i\'/c 2'1Th .— su 7J 1, I I will provide some of the work, but I have contracted (hired) the following per ons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE çOMPLETE,THISSECTIONFOR NON-RESIDENTIAL BUILDING PERM!TSONLY_ 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.___CONSTR 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. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS__________________________________________________________ 9APPLI64NLCERTI0ICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is no 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 time af r the i mmence r a iod of 180 days (Section 106.4.4 Uniform Building Code). - APPLICANT'S SIGNATURE DAT WHITE: File YELLOW: Applicant PINK: Finance List 1- Permit-Type From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the identification of the structure-type to be associated with the permit. Choose a structure-type from "List 2 - Structure-Types' and put its code in the appropriate blank on the front of this application. Residential Permits Code Description - APT i . • Apartments - new construction. ' - CONDO Condominiums - new construction. . -i... CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new residential units. CVNRN Conversion. Convert one or more residences in.a building to non-residential usage. • CVNRR - Cohversion. Increase or reduce the number of dwelling Units in a residential structure through interior modifications (i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each). - • I DEMO Demolition permit. (Also specify type of structure froni List 2)-. - - .- DUP Duplex . new construction. . MOHO Moile home, renovation, repair, or addition of accessory structure not yielding.a.new living unit. - MOHON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinctionfrom single-family residence, below). . . RAD Residential addition/alteration, creating no new dwelling unit(s). RREJSSUE Residential permit re-issue. RREPAIR Residential building repair. Damage, fire, etc. RREPLACE Residential building replacement (no additional units). SFA Single-family, attached - new construction. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex) SFD Single-family, detached - new construction: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached 'granny flat'. May be a mobile home or trailer on an individual lot, but not in a mobile home park. Non-Residential/Accessory Permits Code Description COM Commercial structure, new construction. CREISSUE Commercial permit re-issue. - CREPAIR Commercial building - repair. Damage, fire, etc. CREPLACE Commercial building - replacement. CII Commercial tenant imprOvement. DEMO Demolition permit. ELEC Electrical permit, for electrical work only. HOTEL Hotel or motel (including Managed Living Unit hotel) - new construction. HOTELR 1 Hotel renovation. INDUST Industrial structure, new construction. III Industrial tenant improvement. MECH Mechanical permit, for mechanical work only. MISC Miscellaneous. Use only if proposed work doesn't fit another activity type. PATIO Patio and/or deck. PLUM Plumbing permit, for plumbing work only. POOL Gunite pools and spas. RETAIN Retaining wall permit. SIGN Sign construction/installation permit. SOLAR Solar energy system installation permit (specify structure type to be served). SPA Factory-made or Gunite. List 2 - Structure-Type (Use with Residential Permit Only) From the following list, determine the type of residential structure that best describes the structure on which you will be working. Please put the code of that structure-type in the appropriate blank at the top of the page on the front of this application. Code Description SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex). SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached 'granny flat'. May be a mobile home or trailer on an individual lot, but not in a mobile home park. MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex). MF5+ Multi-family, 5 or more units. Same as MF2-4, except the building has a t least five attached units on the same lot. MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park4 (see distinction from single-family residence, above). - Cit of Carlsbad DATE: 09/30/98 TO: ALLEE DAVID 116 W. BEECH STREET FALLBROOK, CA 92028 PLAN CHECK EXPIRATION PC# PCR97082 DATE: 11/04/98 ADDRESS: 1395 YOURELL AV You have applied to have your plans checked on the date shown above, and you have not obtained your building permit. The provisions of Section 304(d) of the Uniform Building Code state: "Section. 304(d) Expiration of Plan Review. Applications for which no permit is issued. within one year following the date of application shall expire by limitation,, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 438-1161 extension 4331. RAENETTE ABBEY Building Department 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576. (760) 438-1161 • FAX (760) 438-0894 Cit of Carlsbad Permit Number: CB972647 Issue Date: 10/21/97 ALLEE DAVID PLEASE CALL FOR AN 116 W BEECH STREET INSPECTION IF WORK IS FALLBROOK CA 92028 COMPLETE RE: BUILDING PERMIT EXPIRATION ADDRESS: 1395 YOURELL AVENUE Our records indicate that your building permit will expire by limitation of time on 08/19/98. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 one calendar year from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of six consecutive calendar months or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one year of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each six month period upon the initial commencement of work authorized by such permit." Before such work can be recommenced, a new permit, or a renewal permit as specified in the attached copy of the code, shall be obtained. Any person holding an unexpired permit may apply for an extension of the time within which he may commence work under that permit when he is unable to commence work within the time required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days upon written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 438-3101. If you have any questions, please contact the Building Inspection Department at (760) 438-3550. PAT KELLEY Principal Building Inspector Attachment 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (760) 438-1161 • FAX (760) 438-0894 Cit of Carlsbad July 21, 1998 MARK NICKELSON 1395 YOURELL AVENUE CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION Permit Number: CB972647 Issue Date: 10/21/97 PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE ADDRESS: 1395 YOURELL AVENUE Our records indicate that your building permit will expire by limitation of time on 08/19/98. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 one calendar year from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of six consecutive calendar months or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one year of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each six month period upon the initial commencement of work authorized by such permit." Before such work can be recommenced, a new permit, or a renewal permit as specified in the attached copy of the code, shall be obtained. Any person holding an unexpired permit may apply for an extension of the time within which he may commence work under that permit when he is unable to commence work within the time required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days upon written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 438-3101. If you have any questions, please contact the Building Inspection Department at (760) 438-3550. PAT KELLEY Principal Building Inspector Attachment 2075 Las Palmas Dr. -Carlsbad, CA 92009-1576. (760) 438-1161 • FAX (760) 438-0894 Inspection List Permit#: CB972647 Type: RAD RAD 520 SF, I BATH 2 BEDROOMS 120 SF WORKSHOP Date Inspection Item Inspector Act Comments 2/20/98 82 Drywall/Ext Lath/Gas Test PD AP 2/17/98 84 Rough Combo PD AP 2/6/98 84 Rough Combo PD CO 12/16/97 13 Shear Panels/HD's PD AP 12/8/97 15 Roof/Reroof PD AP 11/7/97 11 Ftg/Foundation/Piers PD AP Thursday, March 04, 1999 Page 1 of 1 EsGil Corporation Professional Plan Review Engineers DATE: 10/15/97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2647 PROJECT ADDRESS: 1395 Yourell Ave. SET: III El~_ !CA,NT JURIS' U PLAN REVIEWER U FILE PROJECT NAME: Nickelson Room Addition/Workshop 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. I11 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. LI The applicant's copy of the check list has been sent to: J 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: David Allee Telephone #: In person recheck Date contacted: (by: ) Fax #: Mail Telephone Fax In Person LI REMARKS: By: Mike Puckett Enclosures: Esgil Corporation EGA flCM DEJ E] PC trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 560-1576 EsGil Corporation Professional Plan Review Engineers DATE: 10/14/97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2647 PROJECT ADDRESS: 1395 Yourell Ave. SET: II O APPLICANT 2JURIS. (U PLAN REVIEWER U FILE PROJECT NAME: Nickelson Room Addition/Workshop LI The plans transmitted herewith have been corrected where necessary and substantially compl y with the jurisdiction's building codes. LI 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. F] The plans transmitted herewith have significant deficiencies identified on the enclosed check l i s t 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: David Allee 116 W. Beech St. Fallbrook, Ca. 92028 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: David Allee Telephone #: In person recheck Date contacted: (by: ) Fax #: Mail Telephone Fax In Person LI REMARKS: By: Mike Puckett Enclosures: Esgil Corporation E] GA 171 CM LIEJ El PC trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 560-1576 ' Please make all corrections on the original tracings, as requested i n t h e c o r r e c t i o n l i s t . Submit three sets of plans for commercial/industrial projects (two sets o f p l a n s f o r r e s i d e n t i a l projects). For expeditious processing, corrected sets can be subm i t t e d i n o n e o f t w o w a y s : Deliver all corrected sets of plans and calculations/reports direct l y t o t h e C i t y o f C a r l s b a d Building Department, 2075 Las Palmas Drive, Carlsbad, CA 92009, ( 6 1 9 ) 438-1161. The City. will route the plans to EsGil Corporation and the Carlsbad Plannin g , E n g i n e e r i n g a n d F i r e Departments. Bring one corrected set of plans and calculations/reports to EsGil Co r p o r a t i o n , 9 3 2 0 Chesapeake Drive, Suite 208, San Diego, CA 92123, (619) 560- 1 4 6 8 . D e l i v e r a l l r e m a i n i n g s e t s of plans and calculations/reports directly to the City of Carlsbad Build i n g D e p a r t m e n t f o r r o u t i n g t o their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation on l y w i l l n o t b e r e v i e w e d b y t h e City Planning, Engineering and Fire Departments until review by EsG i l C o r p o r a t i o n i s c o m p l e t e . Provide change for revised roof structure from truss to conventional f r a m e . S h o w a l l structural member sizing/spacing/supports and appropriate detai l s . Guardrails (Section 509.1): Openings between railings shall be less than 4". The triangular openings formed by the riser, tread and bottom element of a guardrail at a Stair shall be less th a n 6 " . Show all information on CR1 R and on plans. Since the energy a n a l y s i s is based on the entire house show compliance at existing condition s , t h i s includes mechanical and plumbing design. Show a self-closing door, either 1-3/8" solid core or a listed 20 minute a s s e m b l y , f o r o p e n i n g s between garage/workshop and dwelling. Section 302.4. Garage requires one-hour fire protection on the garage side of walls a n d c e i l i n g c o m m o n t o t h e dwelling. Table 3-13, Section 302.4. All elements supporting floor above garage, including walls support i n g f l o o r j o i s t s , m u s t h a v e one-hour fire-resistive protection on the garage side. Section 302 . 2 . To speed up the review process, note on this list (or a copy) wh e r e e a c h c o r r e c t i o n i t e m h a s b e e n addressed, i.e., plan sheet, note or detail number, calculation page , e t c . Please indicate here if any changes have been made to the plans th a t a r e n o t a r e s u l t o f corrections from this list. If there are other changes, please briefly d e s c r i b e t h e m a n d w h e r e t h e y are located in the plans. Have changes been made to the plans not resulting from this correction li s t ? P l e a s e i n d i c a t e - Yes L3 No U The jurisdiction has contracted with Esgil Corporation located at 9320 Ches a p e a k e D r i v e , S u i t e 208, San Diego, California 92123; telephone number of 619/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review i t e m s , p l e a s e c o n t a c t Mike Puckett at Esgil Corporation. Thank you. EsGil Corporation Professional Plan Review Engineers DATE: 10/1/97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2647 SET:I PROJECT ADDRESS: 1395 Yourell Ave. PROJECT NAME: Nickelson Room Addition/ Workshop c JURlS. U N REVIEWER U FILE 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: David Allee 116 W. Beech St. Fallbrook, Ca. 92028 Esgil Corporation staff did not advise the applicant, except by mail, that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted (by: Fax #: Mail Telephone Fax In Person LI REMARKS: By: Mike Puckett Enclosures: Esgil Corporation GA [I CM EEJ LIPC 9/23197 trnsmti dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619)560-1576 Carlsbad 97-2647 10/1/97 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO.: 97-2647 JURISDICTION: Carlsbad PROJECT ADDRESS: 1395 Yourell Ave. FLOOR AREA: 520sqft RmAdd, 120sqft Workshop REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 9/19/97 DATE INITIAL PLAN REVIEW COMPLETED: 10/1/97 STORIES: 2 HEIGHT: DATE PLANS RECEIVED BY ESGIL CORPORATION: 9/23/97 PLAN REVIEWER: Mike Puckett 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 (effective 12/28/95), 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, etc. 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 97-2647 10/1/97 1. Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 2075 Las Palmas Drive, Carlsbad, CA 92009, (619) 438-1161. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (619) 560- 1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 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. Door #4 in door schedule does not match as shown on elevation as door with glazing. Show tempered glass if glazed. 4. Show window D at stair landing to tempered as per section 2406 UBC 5. Show window F at M. Bath tub to be tempered if less than 60" above tub. 6. Provide cross section through stair tower at front of house. Show how roof and furred area supported. Show size and number of stair stringers. 7. Provide truss details and truss calculations for this project. Specify truss identification numbers on the plans. Carlsbad 97-2647 10/1/97 B. Per UBC Section 2343.6, provide the following note on the plans if trusses are used: "Each truss shall be legibly branded, marked or otherwise have permanently affixed thereto the following information located within 2 feet of the center of the span on the face of the bottom chord: Identity of the company manufacturing the truss. The design load. The spacing of the trusses." Show metal flashing and counterflashing at roof/wall intersections. Guardrails (Section 509.1): Shall be installed at all unenclosed floor and roof openings. Shall be installed at open and glazed sides of landings and ramps. Shall be installed at balconies or-porches more than 30" above grade or floor below. Shall be installed on roofs used for other than service of the building. Shall have a height of 36". Shall be detailed showing adequacy of connections to resist the horizontal force prescribed in Table 16-13. Openings between railings shall be less than 4". The triangular openings formed by the riser, tread and bottom element of a guardrail at a stair shall be less than 6". 11. Provide stairway and landing details. Sections 1006.3, 1006.15 and 1006.2. Maximum rise is 7" and minimum run is 11". When the stairs serves less than 10 occupants, or serves an unoccupied roof, rise may be 8" maximum and run 9" minimum. Minimum headroom is 68". Minimum width is 36". Carlsbad 97-2647 10/1/97 12. Handrails: Handrails are required on each side of stairways. Stairways less than 44" wide or stairways serving one dwelling unit may have one handrail (if not open on both sides). Private stairways (1 tenant) need only have a handrail on one side if 30" or less in height. Stairways having less than four risers and serving one individual dwelling unit need not have handrails. Handrails and extensions shall be 34" to 38" above nosing of treads and be continuous. Except for private stairways, at least one rail shall extend 12" beyond top and bottom risers. All stairs shall have handrails terminating in a newel or safety post. Section 1006.9. The handgrip portion of all handrails shallbe not less than 1-1/4 inches nor more than 2 inches in cross-sectional dimension. Handrails projecting from walls shall have at least 1-1/2 inches between the wall and the handrail. Section 1006.9. Show all information on CR1 R and P2-R on plans. Since the energy analysis is based on the entire house show compliance at existing conditions, this includes mechanical and plumbing design. Show 30" clear width a water closet in powder room and 24" in front of same. Specify roof slope. Specify on the plans the following information for the roof materials, per Section 106.3.3: Manufacturer's name. Product name/number. ICBO approval number, or equal. Carlsbad 97-2647 1OI1/97 17. 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: Skylights are shown on CFI R not on plans. . Manufacturer's name. Model name/number. ICBO approval number, or equal. Show attic ventilation. Minimum vent area is 1/150 of attic area (or 1/300 of attic area if at least 50% of the required vent is at least 3 feet above eave vents or cornice vents). Show area required and area provided. Section 1505.3. Note on the plans: "Attic ventilation openings shall be covered with corrosion-resistant metal mesh with mesh openings of 1/4-inch in dimension." Section 1505.3. Garage requires one-hour fire protection on the garage side of walls and ceiling common to the dwelling. Table 3-13, Section 302.4. All elements supporting floor above garage, including walls supporting floor joists, must have one-hour fire-resistive protection on the garage side. Section 302.2. Show a self-closing door, either 1-3/8" solid core or a listed 20 minute assembly, for openings between garage/workshop and dwelling. Section 302.4. Note on plans that surface water will drain away from building and show drainage pattern and key elevations. Section 1804.7. Dimension foundations per U.B.C. Table 18-1-D: Show foundation at existing wall between house and garage meets the 2 floor supported design. Floors Footing Supported* Thickness Width Depth Stemwall 2 8" 15" 18" 7" Carlsbad 97-2647 10/1/97 Show minimum underfloor ventilation equal to 1 sq. ft. for each 150 sq. ft. of underfloor area. Openings shall be as close to corners as practical and shall provide cross ventilation on at least two approximately opposite sides. Section 2317.7. Show at M.Bdrm extension. Show location of attic access with a minimum size of 22"x30", unless the maximum vertical headroom height in the attic is less than 30". Access must be provided to each separated attic area, shall be located in a hallway or other readily accessible location and 30" headroom clearance is required above the opening. Section 1505.1. Show heating duct extension to Rm Add. Show on the plan that ground-fault circuit-interrupter protection complies with 1993 NEC Art. 210-8, which reads as follows: All 125-volt, single-phase, 15- and 20- ampere receptacles installed in bathrooms, garages, basements, outdoors and within 6 feet of a kitchen sink. Provide a note on the plans: In showers and tub-shower combinations, control valves must be pressure balanced or thermostatic mixing valves. UPC Section 410.7 Provide fluorescent general lighting (40 lumens per watt minimum) in kitchen(s) and bathrooms. 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: YesU No U The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 619/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Mike Puckett at Esgil Corporation. Thank you. Carlsbad 97-2647 10/1/97 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2647 PREPARED BY: Mike Puckett DATE: 10/1/97 BUILDING ADDRESS: 1395 Yourell Ave. BUILDING OCCUPANCY: R3/U TYPE OF CONSTRUCTION: VN BUILDING PORTION BUILDING AREA (ft.2) VALUATION MULTIPLIER VALUE ($) SFD Rm Add 520 94.00 48,800.00 Workshop 120 26.40 3,168.00 Air Conditioning Fire Sprinklers TOTAL VALUE 51,968.00 1991 UBC Building Permit Fee E Bldg. Permit Fee by ordinance: $ 423.50 1991 UBC Plan Check Fee fl Plan Check Fee by ordinance: $ 275.28 Type of Review: El Complete Review Structural Only Hourly E Repetitive Fee Applicable Other: Esgil Plan Review Fee: $ 220.22 Comments: Sheet of macvalue.doc 5196 City of Carlsbad DATE: '7-; BUILDING PLANCHECK CHECKLIST PLANCHECK NO.: CB' 7 BUILDING ADDRESS: 5 (4 PROJECT DESCRIPTION: 5')T-_- ASSESSOR'S PARCEL NUMBER: _/,.-_ ( EST. VALUE: ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your 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 comments attached, as failure to comply with instructions in this report can result in suspension of permit to build. A Right-of-Way permit is required prior to construction of the following improvements: DENIAL Please se th attached report of deficiencies marked with Make necessary corrections to plans or specifi tions for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: Date: By: Date: FOR OFFICIAL USE ONLY ENGINEERINGAUT-HØRI-ZATION TO ISSUE BUILDING PERMIT- By. 73 Date: ATTACHMENTS ENGINEERING DEPT. CONTACT PON Dedication Application Name: Michele Masterson Dedication Checklist City of Carlsbad Improvement Application Improvement Checklist Future Improvement Agreement Grading Permit Application Grading Submittal Checklist Right-of-Way Permit Application Address: 2075 Las Palmas Dr., Carlsbad, CA 92009 Phone: (619) 438-1161, ext. 4315 CFD INFORMATION Parcel Map No: Lots: Recordation: Right-of-Way Permit Submittal Checklist Carlsbad Tract: and Information Sheet Sewer Fee Information Sheet A-4 k%LASPALMAS\SYS~ti-BRARY\ENGkWORDXDOCSICHKLST'Ouiiding Plantheck CkI BP000I Form MM.doc RovO9IO3/Q75 Las Palmas Dr. - Carlsbad, CA 92OO911 576- (619) 438-1161 • FAX (619) 438-0894 I BUILDING PLANCHECK CHECKLIST SITE PLAN 2NDI 3RDI Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Property Lines . B. Existing & Proposed Structures E. Easements C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets G. Driveway widths Show on site plan: A. Drainage Patterns Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course. ADD THE FOLLOWING NOTE: 'Finish grade will provide a minimum positive drainage of 2% to swale 5' away from building." B. Existing & Proposed Slopes and Topography 3. 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 DISCRETIONARY APPROVAL COMPLIANCE 4a. Project does not comply with the following Engineering Conditions of approval for ProjectNo.________________________________________________________ t1Q 4b. All conditions are in compliance. Date: Plancj,eck Cklst BP000I Form MM.doc Rev. 09103/97 BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS 1 S 2ND/ 3RDI 5. Dedication for all street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $______________ pursuant to Carlsbad Municipal Code Section 18.40.030. Dedication required as follows: Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 1/2' x 11" plat map and submit with a title report. All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit. Attached please find an application form and submittal checklist for the dedication process. Submit the 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 $_, 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 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: 0 El 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 $_ so we may prepare the necessary Future Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building permit. Future public improvements required as follows: Plantheck Cklst BP000I Fern, MM.doc Rea. 09/03/97 LI [Ui BUILDING PLANCHECK CHECKLIST 1 sIt 2ndl 3rd1 U L1 L3 6c. Enclosed please find your Future Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: 7' Date: C3 L11 6d: No Public Improvements required. SPECIAL NOTE: Damaged or defective improvements found adiacent to building site must be. repaired to the satisfaction of the City Inspector prior to occupancy. GRADING PERMIT REQUIREMENTS The conditions that invoke the, need for a grading permit are found in Section 11.06.030 of the Municipal Code. 0 ID 7a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). Write "No Grading" on plot plan if none is required. 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: Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) 7d.No Grading Permit required. 7e.If grading is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS LI LI LI 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, tieing into public storm drain, sewer and water utilities. Right-of-Way permit required for: Plancheck Mist BP0001 Fonn MM.doc Rev. 09103/97 BUILDING PLANCHECK CHECKLIST St./ 2nd/ 3rdl 9. A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. 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 153, for assistance. Industrial Waste permit accepted by: Date: U 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. /Q fees qoired are attached 4Jo fees required Additional Comments: \\LASPAt.MASSYSU8RARYENG\WORDDOCS\CHKLST\BuiIding Plantheck Cklst BP000I Penn MMdoc Rev. 09/03197 G) . W W .c .r o 0 0 m t t F' ME Environmental Review Required: DATE OF COMPLETION: Compliance with conditions of approval? Conditions of Approval: If not, sta /econditions which require action. YES NOLJ TYPE PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check N . CB 2b'-M Address 1 ( /iw.et AIJI Planner I f7T?I42IL' Phone (619) 438-1161, extension APN: 1h-'O, —41 Type of Project and Use: flL. Project Density:___________________ Zoning: f2 General Plan: -i' Facilities Management Zone: I CFD tin)i1 # Date of participation: Remaining net dev acres:______ C,r3pe (For non-residential development: Type of land used created by this permit: Legend:1171 1,nJ Item Complete Item Incomplete - Needs your action 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:_________ MM Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES CA Coastal Commission Authority? Y' " S If California Coastal Commission Authority: %onta 200, San Diego CA 92108-1725; (619) 54-8o36 NO them at - 3111 Camino Del Rio North, Suite Deterrrine status (Coastal Permit quired or Exempt): Coastal Permit Determination Fo; already completed? YES NO If NO, complete Coastal Permit Detey1i ion Form now. Coastal Permit Determinatior/Loc Follow-Up Actions: Stamp Building P Floor Plans). Complete Coastal as "Exempt" or "Coastal Permit Required" (at minimum rmit Determination Log as needed. 2. Accessory structure setbacks: Front: Reqjjred- Interior Side: —Ruired Street Side: _— Required Rear: -- Reauired ure separation: Lot Coverage: Height: Required Required Required fl Inclusionary Housing Fee required: YES NO)0 (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES NO (Enter CB #; UACT; NEXT12; Construct housing Y/N; Enter Fee Amount (See fee schedule for amount); Return) 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. 2. Provide legal description of property and assessor's parcel number. 111 Zoning: 1. Setbacks: Front: Interior Side: Street Side: Rear: . Required I Required Z Required Required Shown Shown Shown ?7" Shown C7' Shown Shown Shown Shown Shown Shown Shown 5. Parking: Spaces Required Shown Guest Spaces Required Shown Additional Comments (V ft-1Le4 k ,-è', OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER 1/L5 all TE 7frY17 CERTIFICATE OF COMPLJANC CITY OF CARLSBAD Pn; check No. COMMUNITY DEVELOPMENT 2075 LAS PALMAS DR., CARLSBAD, CA 920(:) (619)438-1161 This form shall be used to determine the amount of school fees for.a projtt andttc verify that the proj applicant has complied with the school fee requirements. No building Ierrnits far the projects shall issued until the certification is signed by the appropriate school distrkt and returned to the City Carlsbad Building Department. SCHOOL DISTRICT: X Carlsbad Unified 801 Pine Avenue Carlsbad CA 92009 (434-0661) Encinitas Union 101 South Rancho Santa Fe Rd. Encinitas CA 92024 (9444300) / A. Project Applicant: Project Address: San Marcos Unified 1290 West San Marcos Blvd. San Marcos CA 92024 (744-477 San Dieguito Union High School 710 Encinitas Boulevard Encinitas CA 92024 (753-6491) APN(q r27O RESIDENTIAL: SQ. FT. of living area number of dwelling units SQ. FT. of covered area SQ. FT. of garage area COMMERCIAL/INDUSTRIAJ. SQ. FT. AREA Prepared by Date 7 FEE CERTIFICATION (To be completed by the School District) _____ Applicant has complied with fee requirement under Government Code 53080 Project is subject to an existing fee agreement Project is exempt from Government Code 53080 Final Map approval and construction started before September 1, 1986. (other school fees paid) Other Residential Fee Levied: $cj4 L) based on 5 0 sq. ft. @ Comm/Indust Fee Levied: $ based on sq. ft. @ . I J. H. Blair Assistant Supt. 10/zi ool District Official Title Date PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PROJECT1. INFORMATION 6, 1 FOR OFFICE USE N,LY PLAN CHECK NO/"6t?78Z- EST. VAL. Plan Ck. Deposit - Validated By, Date /., Address linclude Bldg/Suite SI Business Name (at this Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total S of units Assessor's Parcel S Existing Use Proposed Use - Description of Work I 2. C PERSON SO. FT. INK I ... .ntM,mappQcsntl S of Bathrooms Name /' Address - ) City J - Slate/Zip Telephones Fax S APPLICANT 0 Contractor 0 Agent for Contractor 0b'fl0 Name Address City State/Zip Telephone S PROPERTY OWNER - .... Name Address City State/Zip Telephone S S CONTRACTOR COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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, commanding 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 1850011. Name Address City State/Zip Telephone S State License S License Class City Business License Designer Name Address City State/Zip Telephone State License S S WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one -of the following declarations': 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No._____ Expiration Date____________________ (THIS SECTION NEED NOT. BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) 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 (8100.000). In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attornsy's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION ,. .., "' I hereby affirm that I em exempt from the Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole 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 doss 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). I am exempt under Section ______________ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / Contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 1 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the F pplicant 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the sir pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school situ? 0 YES 0 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. I hereby hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS_____________________________________________________ 9. APPLICANT CERTIFICATION '....................:.. ... ':. .: ..... .......... 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 Cifl' 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 50 deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued 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 m end within 385 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time afte t is ,167en))r ejariod of 180 days (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE "" DATE WHITE: File YELLOW: Applicant PINK: Finance EST. VALUE: BUILDING PLANCHECK CHECKLIST PLANCHECK NO.: CB767 City of Carlsbad DATE: BUILDING ADDRESS: 13 PROJECT DESCRIPTION: ASSESSOR'S PARCEL NUM 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 comments attached, as failure to comply with instructions in this report can result in suspension of permit to build. DENIAL Please see the attached report of deficiencies marked with 0. 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: A Right-of-Way permit is required prior to construction of the following improvements: By: Date: By: Date: FOR OFFICIAL USE ONLY N TO ISSUE BUILDING PERMIT: Date: ENGINEERING DEPT. CONTACT PERSON Name: Michele Masterson City of Carlsbad Address: 2075 Las Palmas Dr., Carlsbad, CA 92009 Phone: (619)438-1161, ext. 4315 CFD INFORMATION Parcel Map No: ENGINEERING AUTHORIZA By ATTACHMENTS Dedication Application Dedication Checklist Improvement Application Improvement Checklist Future Improvement Agreement Grading Permit Application Grading Submittal Checklist Lots: Right-of-Way Permit Application Recordation: Right-of-Way Permit Submittal Checklist Carlsbad Tract: and Information Sheet Sewer Fee Information Sheet A-4 Planchock Cklst BP000I Form MM.doc Rev.O9/O3/075 Las Palmas Dr. • Carlsbad, CA 92OO9u1576. (619) 438-1161 • FAX (619) 438-0894 BUILDING PLANCHECK CHECKLIST 6 1 S1 STf" 2ND/ 3RDJ Q U ,.Ir, PI £ &I 1. Provide a fully dimensioned site plan drawn to scale. Show: North Arrow D. Property Lines Existing & Proposed Structures E. Easements Existing Street Improvements F. Right-of-Way Width & Adjacent Streets G. Driveway widths 2. Show on site plan: A. Drainage Patterns Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course. ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive drainage of 2% to swale 5' away from building." B. Existing & Proposed Slopes and Topography 3. 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 DISCRETIONARY APPROVAL COMPLIANCE Project does not comply with the following Engineering conditions of approval for ProjectNo.________________________________________________________ All conditions are in compliance. Date: \\LASPALMASSYS\LI8RARV\ENG\WORDDOCSCHKLSTBUOding Plancheck CkISI 8P0001 Fonn MM.doc Rev. 09/03/97 BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS 1STJ 2ND/ - 3RDI 5. Dedication for all street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $_, pursuant to Carlsbad Municipal Code Section 18.40.030. Dedication required as follows: Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 1/a" 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 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 $_, 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 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: 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 $_ so we may prepare the necessary Future Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building permit. Future public improvements required as follows: Pla,,theck Mist BP000I Form MM.doc Rev. 09/03/97 BUILDING PLANCHECK CHECKLIST St./ 2nd/ 3rd/ U U U 6c. Enclosed please find your Future Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. / Future Improvement Agreement completed by: Date: p7 U U 6d.. No Public Improvements required. SPECIAL NOTE: Damaged or defective V improvements found adiacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11.06.030 of the Municipal Code. U U U 7a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). Write "No Grading" on plot plan if none is required. U U U 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: U / U U 7c. Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) U U 7d.No Grading Permit required. U U U 7e.If grading is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS U U U 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, tieing into public storm drain, sewer and water utilities. Right-of-Way permit required for: Planthed, Cklst BP000I Fonn MM.doc Rev. 09103/97 BUILDING PLANCHECK CHECKLIST st/ 2ndl 3rdl U U U 9. A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. U U U 10. 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 153, for assistance. Industrial Waste permit accepted by: Date: U U U 11. NPDES PERMIT 9/U 1 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. U 12. U equired fees are attached P/No fees required U 13. Additional Comments: Plantheck Cklst BP000I Forn, MM.doc Rev. 09/03/97 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST y2Plan Check. CB Address /Y/ LeJ1 1ciic4 Planner Phone (619) 438-1161, extension N APN /.-7& Type of Project and Use: 91' i'- Project Density:_____________________ Zoning:_s \ General Plan:_________ Facilities Management Zone: J CFD fin/ # _____ of participation: Remaining net de•v acres:Ord Date (For non-residential development: Type of land used created by thispermit:_________________________________________________ Legend: Item Complete Q1 Item Incomplete Needs - your action Environmental Review Required: YES NO TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: E E 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:_____________________________________________________ E Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES_ .,NO CA Coastal Commission Authority? Y$- ' NO____ If California Coastal Commission Authority*-Cntact them at - 3111 Camino Del Rio North, Suite 200, San Diego CA 92108-1725; (6)9r121-8O36 Determine status (Coastaeffit Required or Exempt): Coastal Permit Detern)inition Form already completed? YES NO If NO, complete CoasI4ermit Determination Form now. Coastal Perrn , 3,Dtermination Log #: Follow- Actions: * 1) S1tàmp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum loor Plans). 2,' Complete Coastal Permit Determination Log as needed. Inclusionary Housing Fee required: YES NO (Effective date of lnclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES NO (Enter CB 1; UACT; NEXT 12; Construct housing YIN; Enter Fee Amount (See tee schedule for amount); Return) Site Plan: 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. Provide legal decription of property and assessor's parcel number. Zoning: Setbacks: Front: '. Required Shown 70 Interior Side: Required 9. Shown /0 Street Side: Required /0' Shown .27 Rear: Required I ' Shown 7' Accessory structure setbacks: cont: Required Shown Interior Side: Required Shown P / Street Side: Required Shown / Rear: Required Shown / Structure separation: Required Shown E E 3. Lot Coverage: Required Shown 1-30 4. Height.: Required Shown fl E 5. Parking: Spaces Required Shown ) Guest Spaces Required Shown Additional Comments sf- 41If+CAeP ? 1. Cu e2 7 It/A-f I - 1th tXA/t(U,S id/ £-$ a,'- wo4hJ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE______