HomeMy WebLinkAbout1435 YOURELL AVE; ; CBR2018-1740; PermitWork Class: Addition
Lot U:
Reference U:
Construction Type:
Bathrooms:
Orig. Plan Check U:
Plan Check U:
Print Date: 06/20/2019
Job Address: 1435 Yourell Ave
Permit Type: BLDG-Residential
Parcel No: 1560520400
Valuation: $156,709.61
Occupancy Group:
U Dwelling Units:
Bedrooms:
Permit No: CBR2018-1740
Status: Closed - Finaled
Applied: 07/18/2018
Issued: 09/12/2018
Permit
Finaled:
Inspector: AKrog
Final
Inspection: 6/20/2019 8:57:52AM
c,(,c i ty of
Carlsbad
Residential Permit
Project Title:
Description: LLOYD: 465 SF ADDITION, 296 SF ALTERATION (CONVERT GARAGE TO BEDROOM), 559 SF DECK, 1,138 SF REMODEL OF
EXISTING LIVING SPACE
Applicant: Owner:
KYLE LLOYD 'KYLE LLOYD
1435 Yourell Ave 1435 Yourell Ave
CARLSBAD, CA 92008 CARLSBAD, CA 92008
760-525-3596 760-525-3596
BUILDING PERMIT FEE ($2000+) ' $828.35
BUILDING PLAN CHECK FEE (BLDG) $579.84
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL $66.00
GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION ' $170.00
MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL ' ' $92.00
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL ' ' ' •$182.00
5B1473 GREEN BUILDING STATE STANDARDS FEE ' $7.00
STRONG MOTION-RESIDENTIAL ' $20.37
SWPPP INSPECTION FEE TIER 1- Medium BLDG , $246.00
.
SWPPP PLAN REVIEW FEE TIER 1- MEDIUM ' $56.00
Total Fees: $2,247.56 Total Payments To Date: $2,247.56 , Balance Due: $0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this,
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov
RESIDENTIAL
Plan Check C?ii2o)B47IO ('City of BUILDING PERMIT Est. Value
Carlsbad APPLICATION PC Deposit
B1 Date FL
JobAddress i' 024L'(., Af4C_Suite:
CT/Project #:ic3 OOf Lot #: Fire Sprinklers: yes/no
113S 3f=
BRIEF DESCRIPTION OF WORK: ec ILto 99 0 L 't f
O&t*M, 539 Sp Qec(
APN:
Air Conditioning: yes / no
-
I!. Addition/New: ______New SF, _______ Deck SF, Patio SF, Garage SF
Is this to create an Accessory Dwelling Unit? Yes &New Fireplace? Yes / No, if yes how many?
9 Remodel: SF of affected area Is the area a conversion or change of use No 444'-e
LI Pool/Spa: SF Additional Gas or Electrical Features?
LI Solar: _______ KW, Modules, _______ Mounted, Tilt: Yes / No, RMA: Yes / No, Panel Upgrade: Yes / No,
Battery Yes/ No
LI Reroof:
El Plumbing/Mechanical/Electrical Only:
El Other:
APPLICANT (PRIMARY) PROPERTY OWNER
Name: L-LO-1VL Name: Y-rf y-
Address: 1(WM2 LU,_/M- Address:
City: C41-L_c42 State: (13_Zip: 'Z293 City: State: Zip:
Phone: 1&0 <2 Phone:____________________________
Email: I&Ito Email:
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: Name:
Address: Address:
City: State:Zip: City: State:Zip:
Phone: Phone:
Email: Email:
Architect State License: State License: Bus. License:__________________
(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/she 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/she 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).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-i Page 1 of 2 Rev. 06/18
(OPTION A): WORKERS'COMPENSATION DECLARATION:
/ hearby 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 provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
O I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name:
Policy No. Expiration Date:
0 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 be come
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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: LjAGENT DATE:
(OPTION 13 ): OWNER-BUILDER DECLARATION:
/ hereby affirm that I am exempt from Contractor's License Law for the following reason:
111, 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).
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).
IJ 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. lJ Yes IJ No
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 / 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 /
contractors' license number):
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
OWNER SIGNATURE: LIAGENT DATE: ____
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: Lender's Address:
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
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 lJ 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.
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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSESWHICH 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'O' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 clays (Seion 106.4.4 Qnjfarm Building Code).
APPLICANT SIGNATURE: 4t_- DATE: 7/IR/18
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-i Page 2 of 2 Rev. 06/18
* Permit Type: BLDG-Residential Application Date: 07/18/2018 Owner: KYLE LLOYD
Work Class: Addition Issue Date: 09/12/2018 Subdivision: SHANGRILA TRACT
Status: Closed - Finaled Expiration Date: 10/28/2019 Address: 1435 Yourell Ave
Carlsbad, CA 92008-1052
IVR Number: 12612
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
09/20/2018 09/20/2018 BLDG-11 070549-2018 Passed Andy Krogh Complete
FoundationlFtglPier
S (Rebar)
10/1112018 10/11/2018 BLDG-11 072673-2018 Passed Andy Krogh Complete
Foundation!Ftg/Pier
s (Rebar)
11/28/2018 11/28/2018 BLDG-15 077071-2018 Passed Andy Krogh Complete
Roof/ReRoot (Patio)
02/14/2019 02/14/2019 BLDG-13 Shear 083897-2019 Passed Andy Krogh Complete
Panels/HD (ok to
wrap)
03/12/2019 03/12/2019 BLDG-18 Exterior 085839.2019 Passed Andy Krogh Complete
Lath/Drywall
04/10/2019 04/10/2019 BLDG-84 Rough 088468.2019 Passed Andy Krogh Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLOQ-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-welding
(Decks)
BLDG-24 Rough-Topout • Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
04/19/2019 04/19/2019 BLDG-17 Interior 089469.2019 Passed Tim Frazee Complete
• Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Drywall screws ok Yes
05/01/2019 05/01/2019 BLDG-17 Interior 090532.2019 Passed Andy Krogh Complete
Lath/Drywall
• Checklist Item COMMENTS Passed
BLDG-Building Deficiency Shower lath Yes
06/20/2019 06/20/2019 BLDG-Final 095163-2019 • Passed Andy Krogh • Complete
Inspection S •
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes,
BLDG-Structural Final Yes
BLDG-Electrical Final • Yes
June 20,2019 S Page lofi
\ signatu
City of Carlsbad cbR2018-1740
7/30/2018
ons
\J CITY OF
CARLSBAD
SPECIAL INSPECTION
AGREEMENT
B-45
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
In accordance with Chapter 17 of the California Building Code the following must be completed when work being performed
requires special inspection, structural observation and construction material testing.
1435 Yourell Ave Carlsbad
'rojectf Permit: Project Address:_________________________________________
THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNERIAUTHORIZED AGENT. Please check if you are Owner-Builder
0. (If you checked as owner-builder you must also complete Section B of this agreement)
Name: (Please print) JyIe Lloyd
(First) (MI) (Last)
Mailing Address: 1435 Yourell Ave Carlsbad CA 92008
Email___________________________________________________________ Phone:__________________________
I am: 53Property Owner OProperty Owner's Agent of Record DArchitect of Record ElEngineer of Record
State of California Registration Number Expiration Date:
AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of California, that I have read,
understand, acknowledge and promise to comply with the City of Carlsbad requirements for special inspections, structural
observations, construction materials testing and off-site fabrication of building components, as prescribed in the statement of
special inspections noted on the approved plans and, as required by the California Building Code.
\ Signature: Date:
CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706). This section must be completed by the
contractor / builder / owner-builder.
Contractor's Company Name: Please check if you are Owner-Builder
Name: (Please print) Kyle Lloyd
(First) (MI.) (Last)
Mailing Address: 1435 Youre!I Ave Carlsbad CA 92008
Email: Phone:
State of California Contractor's License Number: Expiration Date:
I acknowledge and, am aware, of special requirements contained in the statement of special inspections noted on
the approved plans;
I acknowledge that control will be exercised to obtain conformance with the construction documents approved by the
building official;
I will have in-place procedures for exercising control within our (the contractor's) organization, for the method and
frequency of reporting and the distribution of the reports; and
I certify that I will have a qualified person within our (the contractor's) organization to exercise such control.
I will nrovide a final roncn1/ letter in comnlianca With CRC Section 17041.2 onor to reciuestina final
B-45 Page 1 of I Rev. 08/11
INSULATION CERTIFICATE Lie ' 392293 'Cl
Descriptiol2 of Ins tallatimi
GARAGE CEILING
Material Brand Name Thickness (Inches) Thermal Resistauc:e(R- value)__________________
CEILJING
Bait or Blanket iyp fl J- Brand amefl h ,'i, Thickness (inches)f' 5 Tliennal Resistance (R-value)) Loose Fill Type),oi eo Brand J 0i 2L 'vin fr // e Contractor's min installed weigbL/ft2 lb Minimum thickness /0 2Sinche.s Manufacturer's installed wefght per square foot to achieve Thermal Resistance (R-voiue)____________
EXTERIOR WALL
Frame Type
... Ca'iy nsu!aton
Material
Thickness (inchs)—LS
B. Garage Ext Wall
Material
Thickness (inches)
SUBFLOOR
Material
Thicksies:, (inches)
BETWEEN FLOOR
Thickness (luches)_______
Pcrimete.r lnulation Depth (ines)________
Thickness (iik.hes)
3ránd Nnm 5 ,-i,qnpj//e
iliennal Resismnce(R- value) t?—/ / n_/7
Brand Name________________________
Thermal Resistance(R- value)________________
Brand Name_________________________________
Thermal Resistance(R- value)
8rajni Name
Them iil Resistarice(R- value)
6. INTER1O.i. WALL
Material Brand Name On fl S 4,4614 1,ille Thickness (inches) _3_ Thernil Resistance(R- value) - /_)__ Declaration
thereby certify that die above insulation was i;'taiId in [lie buidir ct the above location in conformance With the current E,ieri EfficiEi;cy &idards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Ceiificate of Compliance, whete ripplicable
, -F- ~--- Western Pif:r Insulation. ftemWs. mature Late Installing Subccractay-
We-stem Insulation. Item is Signature Date litstailia Sa:!)-
EsGV/S
A SAFEbuUf Company
DATE: 9/4/2018
JURISDICTION: \City of Carlsbad
PLAN CHECK#.: cbR2018-1740 SET:!!!
PROJECT ADDRESS: 1435 Yourell Ave.
D APPLICANT
URIS.
PROJECT NAME: Remodel, Addition, New Deck and Garage Conversion for Lloyd
Residence
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
The plans transmitted herewith will substantially comply with the jurisdiction's
bodes when minor deficiencies identified below are resolved and checked by building
department staff.
LII 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
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:
EsGil Corporation staff did not advise the applicant that the plan check has been completed.
EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: - Telephone #:
Date contacted: ) Email:
Mail Telephone Fax L'ffl rerson
REMARKS: A) City to verify project valuation. B) set 3 was submitted as slip sheets 2 and T24
for Set II. Applicant to Update plans held at the city to match plan set being approved.
By: Rich Moreno Enclosures:
EsGil
8/24/2018
9320 Chesapeake Drive, Suite 208 • San Diego, Ca1ifrnia 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil
A SAFEbuiLf Company
DATE: 8/21/2018
JURISDICTION: City of Carlsbad
PLAN CHECK#.: cbR2018-1740 SET: II
PROJECT ADDRESS: 1435 Yourell Ave.
O APPLICANT
i:i JURIS.
PROJECT NAME: Remodel, Addition, New Deck and Garage Conversion for Lloyd
Residence
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
The plans transmitted herewith will substantially comply with the jurisdiction's
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
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:
Kyle Lloyd
EsGil staff did not advise the applicant that the plan check has been completed.
EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Kyle Lloyd Telephone #: 760-525-3596
Date contacte. :bp~by.C)Email: Klloyd526yahoo.com
Ma Telephone Fax In Person
REM A . iy to verify project valuation.
By: David Yao Enclosures:
EsGil
8/13/18
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576
City of Carlsbad cbR2018-1740
8/21/2018
NOTE: The items listed below are from the previous correction list. These
remaining items have not been adequately addressed. The numbers of the items
are from the previous check list and may not necessarily be in sequence. The notes in bold font are current.
PLANS
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE 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, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
Bring TWO corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
9. Sleeping rooms shall have a window or exterior door for emergency escape.
Section R310. The proposed master bedroom do not have any window
comply with egress requirement. All widows are 2040 OH that do not
comply with egress requirements. (clear width? Clear height? Operable
ae ra?)
Windows must have an openable area of at least 5.7 square feet, with the
minimum openable width 20" and the minimum openable height 24".
The bottom of the clear opening shall not exceed 44" above the floor. Do not
measure to the window sill. This generally applies to windows that have a height
of 3' or less. See the figure below to see the correct method of measurement.
City of Carlsbad cbR2018-1740
8/21/2018
38. Please update energy design to reflect tankless water header as noted on plans.
The response shows P1. The energy analysis shown on P1 still shows
tanked water heater. Please provide revised energy analysis to match the
plan. (plan shows tankless water)
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction list?
Please indicate-
Yes Ll No Ll
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact David Yao at EsGil
Corporation. Thank you.
EsGil
A SAFEbuiLt Company
DATE: 7/30/2018 LI APPLICANT
JURIS.
JURISDICTION: City of Carlsbad
PLAN CHECK#.: cbR2018-1740 SET:!
PROJECT ADDRESS: 1435 Yourell Ave.
PROJECT NAME: Remodel, Addition, New Deck and Garage Conversion for Lloyd
Residence
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
The plans transmitted herewith will substantially comply with the jurisdiction's
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
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:
Kyle Lloyd
L EsGil staff did not advise the applicant that the plan check has been completed.
EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Kyle Lloyd Telephone #: 760-525-3596
Date contacted: -713o Ile (byJ) Email Klloyd526yahoo.com
all Telephone Fax In Person
REMARKS Cit' to verify project valuation
By: Rich Moreno Enclosures:
EsGil
7/19/2018
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad cbR2018-1740
7/30/2018
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK#.: cbR2018-1740 JURISDICTION: City of Carlsbad
PROJECT ADDRESS: 1435 Yourell Ave.
FLOOR AREA:
Remodel: 1138 sq-ft
Convert Garage: 296 sq-ft
Deck: 559 sq-ft
Addition: 465 sq-ft
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
COMPLETED: 7/30/2018
STORIES: 2
HEIGHT: 22-ft
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 7/19/2018
PLAN REVIEWER: Rich Moreno
FOREWORD (PLEASE READ):
This plan review is limited to the technical requirements contained in the California version of
the International Residential Code, International 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 construction comply with the 2016 edition of the California
Code. of Regulations (Title 24), which adopts the following model codes: 2015 IRC, 2015 IBC,
2015 UPC, 2015 UMC and 2014 NEC.
The above regulations apply, 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. 105.4 of
the 2015 International 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.
City of Carlsbad cbR2018-1740
7/30/2018
(DO NOT PAY— THIS IS NOT AN IN VOICEJ-
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK#.: cbR2018-1740
PREPARED BY: Rich Moreno DATE: 7/30/2018
BUILDING ADDRESS: 1435 Yourell Ave.
BUILDING OCCUPANCY: R-3/U
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
Addition 465 1416 1 1p'&Jj ir- 6918
Remodel 1138 e'46.51 52,928
Garage Remodel 296 46.5 13,767
Deck 559 1W5 a 0O'3 -94Z5
Air Conditioning 1898
Fire Sprinklers 1898
15-o;1 It)-
TOTAL VALUE - '142.,Q9
Jurisdiction Code Icb IBY Ordinance I
1997 UBC Building Permit Fee "
1997 UBC Plan Check Fee
Type of Review: Complete Review Structural Only
L Other D Repetitive Fee
Repeats El ourly Hi: @
EsGII Fee
Comments:addition to the above fee, an additional fee of
S /hr. for the CaiGreen review.
I $475.O1I
is due ( hour
Sheet of
City of Carlsbad cbR2018-1740
7/30/2018
PLANS
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE 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, 1635 Faraday Ave., Carlsbad, CA 9200B,(.760).
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
Bring TWO corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
2. All sheets of plans to once again be signed by the person responsible for their
preparation on re-submittal. (California Business and Professions Code).
Plans deviating from conventional wood frame construction shall have the
structural portions signed and sealed by the California state licensed engineer or
architect responsible for their preparation, along with structural calculations.
(California.Business and Professions Code).
It appears that Garden wall shown on site plan is loaded with surcharge from
residence. Please note on resubmittal if garden wall was built under a different
permit application.
FIRE PROTECTION
Exterior walls and projections shall comply with one of the following tables.
Section R302.1. Please review and address the following specific concerns:
a)
Use this table if the building DOES have an automatic fire sprinkler system.
Mih. Fire Separation Exterior Wall Element Mm. Fire Rating Distance
(Fire-Resistance Rating) 1-hour, with exposure <3 feet Walls from both sides
(Not Fire Rated) 0 hours a 3feet
Not Allowed N/A <2 feet
Projections (Fire-Resistance-Rating-Y,undërsidè 1-hour on the
a ~ 2 feet to- 3feet
City of Carlsbad cbR2018-1740
7/30/2018
(Not Fire Rated) 0 hours 3 feet
Not Allowed N/A <3 feet Wall Openings Unlimited 0 hours 3 feet
Penetrations All See Sec. R302.4 [ <3 feet
Nonerequired 3feet
a May be reduced to 0 hours on the underside of the projection if fireblocking is
provided from the wall's top plate to the underside of the roof sheathing.
Projections, including eaves, must be at least 24" from a property line. Table
R302.1.
I see that smoke and carbon monoxide alarm was provided for bedrooms, but
they not located close enough to any of the bedroom areas.
GENERAL RESIDENTIAL REQUIREMENTS
Please note operation of all windows and doors on plans.
Sleeping rooms shall have a window or exterior door for emergency escape.
Section R310.
Windows must have an openable area of at least 5.7 square feet, with the
minimum openable width 20" and the minimum openable height 24".
The bottom of theclearopening shall not exceed 44" above the floor.
Do not measure to the window sill. This generally applies to windows that
have a height of 3' or less. See the figure below to see the correct
method of measurement.
IL
BOTTOM OF IVJ
WINDOW OPENING
I'.
Li
City of Carlsbad cbR2018-1740
7/30/2018
10. Glazing in the following locations should be shown on the plans as safety glazing
material in accordance with Section R308.4:
Glazing in doors.
Glazing adjacent to a door where the nearest vertical edge of the glazing is
within a 24" arc of either vertical edge of the door in a closed position and
where the bottom exposed edge of the glazing. is .Ie,ss..than..6.0".above.tbe.
walking surface. Exceptions:
Glazing in walls on the latch side of and perpendicular to the plane of
the door in a closed position.
Glazing in walls on the push side of and perpendicular to the plane
of the door in a closed position (hinge side).
iii)- Glazing--that is adjacent to the fixed panel of patio doors.
EXITS, STAIRWAYS, AND RAILINGS
11. Guards (Section R312):
a) Shall be detailed to show capability to resist a concentrated load of 200
pounds in any direction along the top rail. Table R301.5.
12. Provide stairway and landing details. Section R311.7.
Maximum rise is 7-3/4" and minimum run is 10", measured from the
nosing projection. Where there is no nosing, the minimum run is 11".
Minimum headroom is 6'-8".
c).. M,inimumwidth is 36".-
d) The greatest riser height within any flight of stairs shall not exceed the
smallest by more than 3/8 inch. The greatest tread depth within any flight
of stairs shall not exceed the smallest by more than 3/8 inch.
13. Open risers are only permitted if the opening between treads does not permit the
passage of a 4" diameter sphere. Section R311.7.5. 1.
14. A nosing (between %" and 1-%") shall be provided on stairways with solid risers.
Exception: No nosing is required if the tread depth is at least 11 inches. Section
R311.7.5.3.
15. Handrails (Section R311.7.8):
Shall be provided -on- at least one side of each stairway with four or more
risers.
Handrails and extensions shall be 34" to 38" above nosing of treads and
be continuous.
City of Carlsbad cbR2018-1740
7/30/2018
CONTINUED
The handgrip portion of all handrails shall be not less than 144 inches nor
more than 2 inches in cross-sectional dimension. See Section R311.7.8.3
for alternatives.
Handrails projecting from walls shall have at least 144 inches between
the wall and the handrail.
.ey Ends of handrails shall. be-returned or shall haverounded..terminationsor-
bends.
ROOFS/DECKS/BALCONIES
16. I could not locate ESR 1001 roofing material noted on plans. please provide
manufacturer installation manual with material specification. on resubmittal.
17. Note on the plans: "Attic ventilation openings shall be covered with
corrosion-resistant metal mesh with 1/16" minimum to %" maximum openings.
Section R806.1.
GARAGE AND CARPORTS
18. Garage is being removed from residence, please verify with the city's zoning and
planhing for vehicle parking requirements.
STRUCTURAL
19. Show size of existing headers to support new roof framing.
20. Show size of new headers.
21. Verify structural callouts on S3.
Callout 4/S-2 does not pertain at front or rear porch area.
HDX callout missing.
22. Provide shear transferring detail at drag trusses location.
23. Provide and reference details for:
New to existing continuous footing.
Retrofitting hold-downs with epoxy type proposed.
24. The following locations shall require the use pressure-preservative treated wood
(Section R317.1):
City of Carlsbad cbR2018-1740
7/30/2018
a) Wood joists or the bottom of a wood structural floor when closer than 18"
(or wood girders when closer than 12") to exposed ground.
Show stud size, height and spacing on the plans. Maximum allowable stud
heights shall be per Table R602.3(5).
Specify nail size and spacing for the floor and roof diaphragms on the plans.
TabJa R602.3(1). Specify plywood and/or particle board thickness, grade and.
panel span rating. Table R503.2.1(1)
The plans shall indicate that special inspection will be provided for the following
work. (CBC Chapter 17 and Section 107.2)
a) Expansion/Epoxy anchors. Periodic special inspection should be
provided for anchors installed in hardened concrete. Section 1705.3.
.28. Please provide HEX installation detail sheets with plans.
Show access from new underfloor to existing underfloor.
MECHANICAL
Show on the plans the location, type and size (Btu's) of all heating and cooling
appliances or systems.
Every dwelling unit shall be provided with heating facilities capable of maintaining
a room temperature of 68 degrees E at a location 3 feet above the floor and 2
feet from exterior walls in all habitable rooms. Show basis for compliance. CRC
303;9;
Specify on the plans the following information for the fireplace(s):
Manufacturer's name/model number and ICC approval number, or equal.
Show the height of the factory-built chimney above the roof and the
horizontal clearances per listing approval. Chimneys shall extend at least
3'above the highestpoiniwhere if passes through a roof andaf least 2'
higher than any portion of a building within a horizontal distance of 10
feet. CIVIC Section 802.5.4.
Note on the plans that approved spark arrestors shall be installed on all
chimneys. CRC Section R1003.9.
Decorative shrouds shall not be installed at the termination of chimneys
for factory-built fireplaces, except where such shrouds are listed and
labeled for use with the specific system and installed in accordance with
the manufacturer's installation instructions. Section CRC 1004.3.
City of Carlsbad cbR2018-1740
7/30/2018
PLUMBING
An instantaneous water heater is shown on the plans. Please include a gas pipe
sizing design (isometric or pipe layout) for all gas loads.
.a). The.,.gas pipe sizing .for a,tank..typ.e water heater shaIl..b basect.upon..a
minimum 199,000 Btu gas input rating. Energy Standards 150.0(n).
Specify on the plans: Water conserving fixtures: New water closets shall use no
more than 1.28 gallons of water per flush, kitchen faucets may not exceed 1.8
GPM, lavatories are limited to 1.2 GPM, and showerheads may not exceed 1.8
GPM of flow. CPC Sections 407, 408, 411,412.
3.5... .S.pecify on-the plans whether the existing house was built before or after 1994..
For additions or improvements to a residence built before 1994, note on the
plans that existing "noncompliant" fixtures (toilets that use more than 1.6 gallons
of water per flush, urinals that use more than one gallon of water per flush,
showerheads that have a flow capacity of more than 2.5 gallons of water per
minute, and interior faucets that emit more than 2.2 gallons of water per minute)
shall be replaced. Certification of compliance shall be given to the building
inspector prior to final' permit approval. California SB407.
RESIDENTIAL GREEN BUILDING STANDARDS
Indoor water use. Show compliance with the following table, per CGC Section
4.303.1.
FIXTURE TYPE ... MAXIMUM FLOW RATE
Showerheads 1.8 gpm @80 psi
Recycling. Note on the plans that a minimum of 65% of construction waste is to
be recycled. CGC Section 4.408.1.
ENERGY CONSERVATION.
Please update energy design to reflect tankless water header as noted on plans.
Note or provide the following design requirements for gas water heaters installed
to serve individual dwelling units: ES 150.0(n)
'Gas piping sizing based upon a minimum input of 200,000 btu/hr.
b) A condensate drain installed no higher than 2" above the base of the
heater that also allows for gravity drainage.
City of Carlsbad cbR2018-1740
7/30/2018
The "B" vent installed in a straight position from the room containing the
water-heater to the roof termination. (For future possible 'sleeving for high-
efficiency heater venting.)
A 120 volt receptacle accessible to the heater installed within 3'.
Instantaneous water heaters shall have isolation valves on both the cold and the
hot water piping leaving the water heater complete with hose bibs or other fittings
on each valve for flushing the water heater when the valves are closed. ES 110.3
All domestic hot water piping to have the following minimum insulation installed:
1/2" pipe (1/2" insulation); %" pipe (1" insulation); 1" to 11/2 pipe (1..1/2"
insulation). CPC 609.11 & ES 150.00)
a) Additionally, the W' hot water pipe to the kitchen sink, and the cold water
pipe within 5' of the water heater both require 1" minimum insulation. ES
t50:O(j
Residential Energy Lighting Reguiremen: ES 150.0(k)
All installed luminaires shall be high-efficacy in accordance with ES TABLE
¶50.0-A. Light sources that are not marked"JA8-2016-E" shall not be 1nsta11èdih
enclosed luminaires. ES 150.0(k)
In bathrooms, garages, laundry rooms, and utility rooms at least one luminaire
shall be controlled by a vacancy sensor.
Dimmers or vacancy sensors shall control all LED style luminaires. Two
exceptions: Fixtures installed in hallways or (closets under 70 square feet).
Recessed can light fixtures shall be IC listed, air-tight labeled, and not be
equipped with a standard medium base screw shell lamp holder. ES 150.0(k)
SFD outdoor lighting fixtures that are attached to a building are required to be
high efficacy, be manually on/off switch controlled, and have both motion sensor
and photocell control. See ES 150.0(k) 3 for additional control options.
When replacing or modifying the mechanical system:
If more than 40' of new ductwork is installed in unconditioned space, HERS
inspection is required for both existing and new duct sealing.
Replacement of mechanical equipment (air handler, condensing unit of an air
conditioner or heat pump, cooling or heating coil, or the furnace heat
exchanger) requires HERS inspection.
Note: The CF1 R-ALT-HVAC form may be submitted at the final inspection, it
is not required at initial plan submittal.
0 MISCELLANEOUS
City of Carlsbad cbR2018-1740
7/30/2018
Overflow roof drains shall terminate in an area where they will be readily visible
and will not cause damage to the building. If the roof drain terminates through a
wall, the overflow drain shall terminate 12" minimum above the roof drain. Policy
84-35.
If special inspection is required, the designer shall complete the city's "Special
Inspection Agreement" found at the end of this list.
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 .Iocated.4n.the-p Ian s.
Have changes been made to the plans not resulting from, this correction list?
Please indicate:
Yes L3 No IJ
52. The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you 'have any
questions regarding these plan review items, please contact Rich Moreno at
EsGil Corporation. 'Thank you.
(cityof
Carlsbad
This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City
to issuing a building permit. The City will not issue any building permit without a completed school fee form. CEI VEfj
Project No. & Name:
Plan Check No.: CBR2018-1740
11
Project Address: 1435 YOURELL AVE
Assessor's Parcel No.: 1560520400
Project Applicant: KYLE LLOYD
(Owner Name)
Residential Square Feet:
New/Additions: 761 (465 SF ADDITION + 296 SF CONVERT GARAGE TO BEDROOM)
Second Dwelling Unit:
Commercial Square Feet:
New/Additions:
City Certification: City of Carlsbad Building Division Date: 09/12/2018
Certification of Applicant/Owners. The person executing this declaration ("Owner") certifies
under penalty of perjury that (1) the information provided above is correct and true to the
best of the Owner's knowledge, and that the Owner will file an amended certification of
payment and pay the additional fee if Owner requests an increase in the number of
dwelling units or square footage after the building permit is issued or if the initial
determination of units or square footage is found to be incorrect, and that (2) the Owner is
the owner/developer of the above described project(s), or that the person executing this
declaration is authorized to sign on behalf of the Owner.
OtP 12 2018
E1Carlsbad/dc 5109r1 District
6225 El &iiItcfjb QSBAD
Carlsbad I V CA 92009 ISION
Phone: (760) 331-5000
FOR Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024
Phone: (760) 944-4300 xli 66
FOR San Dieguito Union H.S. District
684 Requeza Dr.
Encinitas, CA 92024
Phone: (760) 753-6491 Ext 5514
(By Appt. Only)
EU San Marcos Unified Sch. District
255 Pico Ave Ste. 100
San Marcos, CA 92069
Phone: (760) 290-2649
Contact: Katherine Marcelja
(By Appt.only)
EU Vista Unified School District
1234 Arcadia Drive
Vista CA 92083
Phone: (760) 726-2170 x2222
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school district(s))
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS
FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED.
The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder,
or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1
has paid all amounts or completed other applicable school mitigation determined by the School District. The
City may issue building permits for this project.
Signature of Authorized School District Official: ',yL'\ LQJLQ
Lc 6eev)
Title: '-, r\\---r-LA jL Date: Q -) 'I
CARLSBAD UNIFIED SCHOOL DISTRICT Name of School District: Phone
6225 Et CAMINO REAL
CARLSBAD, CA 92009
Building Division
1635 Faraday Avenue I Carlsbad, CA 92008 1 760-602-2719 1 760-602-8558 fax I building@carlsbadca.gov
STORM WATER COMPLIANCE FORM
TIER I CONSTRUCTION SWPPP LtPitr1I
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Tracking Non-Storm Water Waste Management and Materials
BMPs SedmentI Control BMPs Control BMPs Management BMPs Pollution Control BMPs
.2 .2 .2 —
E a) E -D
0 CI) L. (1) -
.2 E -
--
.Q-
0 >,
0
CD
0
Best Management Practice* D . - Cl)0 Cl)
- - - -
D Cl) c. a, (1) .- E ci, o . a o c -.-' a, cn a, a Description uivir) LJeSCnpLlOfl (BMP) -
a, -.- . 0 0 a 0 1) E E Q E ,
0 E 0 0 a'51 CD a, '--s a) a)
o o 0 .2 . -D a, a, o 0 -b 0 L. 0 -i-'
a 0 .•. -'-a a 0 L.
> 0 C 0 0) -'--. o 0 -- 0 o 0 0 0 N . 00 c 00 CD Cl 0 L. LU C V, (I) Cl) C) b
L_
Cl (l)> Cl) (l) O Cl) E Cl) Q 0. 0 0 Q > C) CI) Cl) Cl) C.) () C)
CASQA Designation - r-. 00 0) - r) U) (0 r— 00 - .
r T 7 1. U)
'-
C1)
LLLJJJJJJLJJJJLJL1J Cl) (/)C/)Cl)
Construction Activity LU LU LU CI) Cl) Cl) Cl) CI) (I) (I) Cl)
Grading/SoilDisturbance
- Trenching/Excavation - - - - - - - - - - - - - - - - - - - -
Stockpiling
- Drilling/Boring - - - - - - - - - - - - - - - - -
- Concrete/Asphalt Sawcutting - - - _. - - - - - - - - - - - -
Concrete Flatwork
- Paving - - - - - - - - - - - - - - - - - -
- Conduit/Pipe Installation - - -
--
-- - - - - - - - - - - - - - -
- Stucco/Mortar Work
.--
--
---
- - - - - -
— Waste Disposal - -
-
-
-
- - - - - - - -
— Staging/Lay Down Area
--
-- - - - - - - - - - - - - -
— Equipment Maintenance and Fueling
--
- - - - - - - - - - - - -
Hazardous Substance Use/Storage
- Dewatering - - - - - -
--
- - - - - - - - - - - - - - - - -
- Site Access Across Dirt - - - -
------
- - - - - - - - - - - - - - - - - - -
- Other (list): - - - - - - - - - - - - - - - - - - - - - - - - - -
Instructions: Check the box to the left of all applicable construction activity (first column) expected to occur during construction.
Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
STORM WATER POLLUTION PREVENTION NOTES
ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLA110N
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN—OFF PRODUCING
RAINFALL.
THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
(40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
THE CITY INSPECTOR SHALL HAVE-THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
COMPLY NTH This CITY APPROVED hER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY THE CITY OF CARLSBAD.
OWNER(S)/OWNER'S AGE ME (PRINT)
i~~ I - I —Z, - (-~
' OWNER / ''AGENT NAME (SIGNATURE) DATE
E-29
PROJECT INFORMATION
Site Address:
Assessor's Parcel Number:
Emergency Contact:
,Name:
24 Hour Phbne:
Construction Threat to Storm Water Quality
(Check Box)
~§
EDIUM D LOW
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