HomeMy WebLinkAbout2435 UNICORNIO ST; ; CB043906; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05311.-2Q06 Residential Permit Permit No: CB043906
Building Inspection Request Line (760) 602-2725
Job Address: 2435 UNICORNIO ST CBAD
Permit Type: RESDNTL Sub Type: 2DU Status: ISSUED
Parcel No: 2152501700 Lot #: 0 Applied: 10/1812004
Valuation: $41,860.00 Construction Type: NEW Entered By: SB
Occupancy Group: Reference #: Plan Approved: 11/30/2004
# Dwelling Units: I Structure Type: SFD Issued: 11/30/2004
Bedrooms: I Bathrooms: 1 Inspect Area: PY
Project Title: BOWMAN RES CONVERT 201 SF EXIS Orig PC#:
LIV, ADD 254 SF HABIT FOR TOTAL 455 SF 2ND DWELL UNIT Plan Check#:
Applicant: Owner:
BLACKFORD, ROY R. BOWMAN BRADFORD R&JACKIE M REVOCABLE LIVING TRUS
2942 HARDING STREET #E 2435 UNICORNIO ST
CARLSBAD, CA 92008 CARLSBAD CA 92009
619-729-0553
Building Permit $309.71 Meter Size
Add'I Building Permit Fee $0.00 Add'I Red. Water Con. Fee $0.00
Plan Check $201.31 Meter Fee $0.00
Add'I Plan Check Fee $0.00 SDCWA Fee $0.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $4.19 PFF (3105540) $425.30
Park in Lieu Fee $0.00 PFF (4305540) $392.58
Park Fee $0.00 License Tax (3104193) $0.00
LFM Fee $0.00 License Tax (4304193) $0.00
Bridge Fee $0.00 Traffic Impact Fee (3105541) $310.20
Other Bridge Fee $0.00 Traffic Impact Fee (4305541) $349.80
BTD #2 Fee $0.00 Sidewalk Fee $0.00
BTD #3 Fee $0.00 PLUMBING TOTAL $41.00
Renewal Fee $0.00 ELECTRICAL TOTAL $20.00
Add'I Renewal Fee $0.00 MECHANICAL TOTAL $30.50
Other Building Fee $0.00 Housing Impact Fee $0.00
HMP Fee ?? Housing lnLieu Fee $0.00
Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00
Meter Size Master Drainage Fee $0.00
Add'I Pot. Water Con. Fee $0.00 Sewer Fee $0.00
Red. Water Con. Fee $0.00 Additional Fees $0.00
TOTAL PERMIT FEES $2,084.59
Total Fees: $2,084.59 Total Payments To Date: $2,084.59 Balance Due: $0.00
FINAL APPROVAL
Inspector: .1 '1pL- Date: /!'/ bfr Clearance:
NOTICE: Please take NOTICE that approval of your project includes the imposition of fees, dedications, reservations, or other exactions hereafter collectively
referred to as fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PERMIT
OF
APPLICATION,
CITY CARLSB,i BUId'P 'IrENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ON -
PLAN CHECK NO. 0q 1'7O
EST.VAL.
Plan Ck. Deposit
Validated By
Am
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description - Lot No. Subdivision Unit No. Phase No. - Total # of-units
Use
Description of Work • 'SQ. FT. #of Stories ' # of Bedrooms - - # of Bathrooms
Name • Address City - State/Zip , Telephone II
L5 I MANYJM --
(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 -#
WOR qC PJjON LT
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
lhave 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 ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person many 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 J - SIGNATURE DATE
1 hereby affirm that I am exempt from the Contractor's License Law for the following reason:
I, as owner of the property or my employees with we 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 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).
I1 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 1 have hired the following person to coordinate, supervise and provide the major work (include name I address / phone
number / contractors license number):
A will providesome of the work, but I have contracted (hired) the following persons to provide the work indicated (include name /-address / phone number / type
of work): A A - - - ' -,
PROPERTY OWNER SIGNATURE J4.#\' LTUJYViTVt ' DATE
-T
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk rnanagementand 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 1,900 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.
f8 TCONSTRUCTION LENDING'.-AGENCY T_ T_J_72_i.Iii*
I hereby affirm that there is a construction lending agency for the performance of thework for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS_______________________________________________________
[LCANT CERTIE11ON T,..
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 Cit! 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 isiequired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions-of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 189Aays from the date of such permit or if the buildingor work authorized by such permit is suspended or abandoned
at any time after the work is co enc for rio f 80 ay(ectio 106.4.4 Uniform Buil ing Code). -
APPLICANT 's SIGNATURE dJ 1Z. I4SziIe JLL)i149 DATE
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 Apartments - new construction.
CONDO Condominiums - new construction.
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 Conversion. 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).
DEMO Demolition permit. (Also specify type of structure from List 2).
DUP Duplex - new construction.
MOHO. Mobile 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 distinction from
single-family residence, below).
RAD Residential addition/alteration, creating no new dwelling unit(s).
RREISSUE 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.
CTI Commercial tenant improvement. /Mt E
DEMO Demolition permit.
ELEC Electrical permit, for electrical work only.
HOTEL Hotel or motel (including Managed Living Unit hotel) - new construction.
HOTELR Hotel renovation.
INDUST Industrial structure, new construction.
ITI 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 1 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 I 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 flats. 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).
MFS+ 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 park (see distinction from
single-family residence, above).
City of Carlsbad Bldg Inspection Request
For: 01/18/2006
Permit# CB043906 Inspector Assignment: PY
Title: BOWMAN RES CONVERT 201 SF EXIS
Description: LIV, ADD 254 SF HABIT FOR TOTAL 455 SF 2ND DWELL
UNIT
Type: RESDNTL Sub Type: 2DU Phone: 6199212917
Job Address: 2435 UNICORNIO ST
Suite: Lot 0
Location: Inspector:
APPLICANT BLACKFORD, ROY R.
Owner: BOWMAN BRADFORD R&JACKIE M REVOCABLE LIVING TRUS
Remarks:
Total Time: Requested By: BRAD
Entered By: CHRISTINE
CD Description Act Comment
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Comments/Notices/Hold
• Associated PCRs/CVs Original PC#
CV030777 CLOSED H- RET WALL W/OUT A PERMIT;
Inspection History
Date Description Act lnsp Comments
08/25/2005 17 Interior Lath/Drywall AP PY
08/19/2005 16 Insulation AP .JM
08/15/2005 84 Rough Combo AP PY
04/27/2005 83 Roof Sheathing/Ext Shear AP PY
02/02/2005 11 Ftg/Foundation/Piers AP PY
02/02/2005 21 Underground/Under Floor AP PY
02/01/2005 11 Ftg/Foundation/Piers CA PY
02/01/2005 21 Underground/Under Floor CA PY
EsGil Corporation
In Partnersliip with government for Bui(&ng Safety
DATE: November 19, 2004 U APPLICANT
JURISDICTION: Carlsbad U PLAN REVIEWER
U FILE
PLAN CHECK NO.: 04-3906 SET:!!
PROJECT ADDRESS: 2435 Unicornip St.
PROJECT NAME: Bowman Residence Dwelling Addition and Remodel
The plans transmitted herewith have been corrected where necessary and substantially comply
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.
LI The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
LI The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
LI 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:
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
LI Esgil Corporation staff did-advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Fax #:
Mail jelephone Fax In Person
LI REMARKS:
By: Bill Elizarraras Enclosures:
Esgil Corporation
El GA fl MB DEJ El PC 11/12/04 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil Corporation
In (Partners flip wit/i government for (Building Safety
DATE: November 1, 2004
JURISDICTION: Carlsbad
PLAN CHECK NO.: 04-3906
PROJECT ADDRESS: 2435Unicornip St.
SET:I
O APPLICANT
O PLAN REVIEWER
0 FILE
PROJECT NAME: Bowman Residence Second Dwelling Addition & Remodel
fl The plans transmitted herewith have been corrected where necessary and substantially comply
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.
fl 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:
Roy Blackford
3616 Oxford St. Carlsbad, CA. 92008
Li 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: Roy Blackford
Date contacted: I /z/'o'
P'In Mail 7 Telephon/ Fax Person
El REMARKS:
Telephone #: 760-729-0553
Fax #: s.a.a
By: Bill Elizarraras Enclosures:
Esgil Corporation
[I GA El MB DEJ [:1 PC 10/19/04 tmsmtl.dot
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
Carlsbad 04-3906
November 1, 2004
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO.: 04-3906 JURISDICTION: Carlsbad
PROJECT ADDRESS: 2435 Unicornip St.
FLOOR AREA: 254 sf Dwelling Add'n STORIES: 1
201 sf Remodel
HEIGHT: 16'
REMARKS:
I
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
COMPLETED: November 1, 2004
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 10/19/04
PLAN REVIEWER: Bill Elizarraras
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 the 2001 edition of
the California Building Code (Title 24), which adopts the following model codes: 1997 UBC,
2000 UPC, 2000 UMC and 1999 NEC (all effective 11/1/02).
The above regulations apply to residential construction, regardless of the code editions adopted
by ordinance.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3,
1997 Uniform Building Code, the approval of the plans does not permit the violation of any
state, county or city law.
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
Carlsbad 04-3906
November 1, 2004
1PLANS
1. Please make all corrections on the originals and submit two new complete sets
of prints, to:
Esgil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego,
California 92123, (858) 560-1468.
2. Plans, specifications and calculations shall be signed and sealed by the
California state licensed engineer or architect responsible for their preparation.
Specify expiration date of license. (California Business and Professions Code).
3. Show braced wall panels @ the existing wall common to the addition on the
plans.
4. Show the following on the plans for the required braced wall panels. If the
requirements of braced wall panels in conventional light frame construction are
not possible, provide design calculations from a licensed Engineer or Architect.
a) Show on the plans the location, length and type of braced wall panel as
per UBC Section 2320.11.3 and Table 23-IV-C-1.
i) Braced wall panels shall start at not more than 8' from each end of
a braced wall line.
b) Interior braced wall panels shall extend to the roof or floor diaphragm
level.
5. Show the. location, type and size (BTU's) of existing heating system. (Extending
duct?)
6. All bedroom branch circuits now require arc fault protection. Note clearly on the
plans that "Bedroom branch circuits will be arc fault circuit protected." NEC Art.
210-12(b).
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.
The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake
Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468,
to perform the plan review for your project. If you have any questions regarding
these plan review items, please contact Bill Elizarraras at Esgil Corporation.
Thank you.
Carlsbad 04-3906
November 1, 2004
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 04-3906
PREPARED BY: Bill Elizarraras DATE: November 1, 2004
BUILDING ADDRESS: 2435 Unicornip St.
BUILDING OCCUPANCY: R3/U1 TYPE OF CONSTRUCTION: VN
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
T VALUE ($)
Dwelling 254 Per City Value 41,860
Remodel 201
Air Conditioning
Fire Sprinklers
TOTAL VALUE 41,860
Jurisdiction Code ICb IBy Ordinance
1997 UBC Building Permit Fee V
$309.71 I
1997 UBC Plan Check Fee
I $201.31
Type of Review: ED Complete Review 0 Structural Only
0 Other ____________ 0 Repetitive Fee
I (Repeats Hourly (Hour *
Esgil Plan Review Fee I $173.44(
Comments:
Sheet I of I
macvalue.doc
ASSESSOR'S PARCEL NUMBER EST. VALUE: 41 390 4
C 1 • (q1
( (o ENGINEERING DEPARTMENT
City of Carlsbad
I II1.1IfTATIT :c— - i1 II iT dl
BUILDING PLANCHECK CHECKLIST
DATE:
BUILDING AbDRESS:
PROJECT DESCRIPTION: Si::
PLANCHECK NO.: CBOL(. 3O '
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 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.
.A
By: Date:
By: Date:
By: Date:
ENGINE
By:
ATTACHMENTS
O Dedication Application
0 Dedication Checklist
O Improvement Application
O Improvement Checklist
AUTHORIZATION TO ISSUE BUILDING PERMIT:
Date: /
ENGINEERING DEPT. CONTACT PERSON
Name: I(ATI.11 FFN RI! FAMR
City of Carlsbad
Address: 1635 Faraday Avenue, Carlsbad, CA 92008
Phone: (760) 602-2741
0 Neighborhood Improvement Agreement
El Grading Permit Application
Grading Submittal Checklist
0 Right-of-Way Permit Application
O Right-of-Way Permit Submittal Checklist
and Information Sheet
CFD INFORMATION
Parcel Map No:
Lots:
Recordation:
Carlsbad Tract:
FFarmT h e&arIsbad, CA 9200-7314 0 (760) 602-2720 • FAX (760) 602R
BUILDING PLANCHECK CHECKLIST
SITE PLAN
ST 2 ND 3 RD
1. Provide a fully dimensioned site plan drawn to scale. Show:
"North Arrow ,R' Right-of-Way Width & Adjacent Streets
B.,Edsting & Proposed Structures,/ 9/Driveway widths
/ ,2 xisting Street Improvements H. Existing or proposed sewer lateral
9"Property Lines (show all dimensions),V Existing or proposed water service
E.)asements J. Existing or proposed irrigation service
Ii I1 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."
Existing & Proposed Slopes and Topography
Size, type, location, alignment of existing or proposed sewer and water service (s)
that serves the project. Each unit requires a separate service, however, second
dwelling units and apartment complexes are an exception.
/ D. Sewer and water laterals should not be located within proposed driveways, per
/ standards.
/o ij 0 3. Include on title sheet:
/ A. Site address
B. Assessor's Parcel Number
C. Legal Description
For commercial/industrial buildings and tenant improvement projects, include:
total building square footage with the square footage for each different use,
existing sewer permits showing square footage of different uses (manufacturing,
warehouse, office, etc.) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
Show all existing use of SF and new proposed use of SF.
Example:
Tenant Improvement for 3500 SF of warehouse to 3500 SF of office.
F:Farme1iXatflyMASTERS\8uiIding Plancheck Cklst Form (Genenc).doc 2 Rev. 7114100
BUILDING PLANCHECK CHECKLIST
1ST 2N0 3RD DISCRETIONARY APPROVAL COMPLIANCE
U U 0 4a. Project does not comply with the following Engineering Conditions of approval for
Project No.________________________________________________________
U U 0 4b. All conditions are in compliance. Date:
DEDICATION REQUIREMENTS
j U U 5. Dedication for all Street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $_15,000 , pursuant to Carlsbad
Municipal Code Sedtion 18.40.030.
Dedication required as follows:
Dedication required. Please have a registered Civil Engineer or Land Surveyor
prepare the appropriate legal description together with an 8 ½" x 11" plat map and
submit with a title report. All easement documents must be approved and signed
by owner(s) prior to issuance of Building Permit. Attached please find an
application form and submittal checklist for the dedication process. Submit the
completed application form with the required checklist items and fees to the
Engineering Department in person. Applications will not be accept by mail orfax.
Dedication completed by: Date:
IMPROVEMENT REQUIREMENTS
U U 6a. All needed public improvements upon and adjacent to the building site must be
Ill constructed at time of building construction whenever the value of the
/ V construction exceeds $ 75,000 , pursuant to Carlsbad Municipal Code Section
18.40.040.
Public improvements required as follows:
Attached please find an application form and submittal checklist for the public
improvement requirements. A registered Civil Engineer must prepare the
appropriate improvement plans and submit them together with the requirements
on the attached checklist to the Engineering Department through a separate plan
check process. The completed application form and the requirements on the
F:WarmenKatbyMASTERS8uIIding Plancheck Cklsl Form (Genezic).doc 3 Rev. 7114100
BUILDING PLANCHECK CHECKLIST
1ST 2ND 3RD
O 0 0 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:
U U 0 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 $_360.00 so we may
• prepare the necessary Neighborhood Improvement Agreement. This agreement
must be signed, notarized and approved by the City prior to issuance of a
Building permit.
Future public improvements required as follows:
0 0 U Enclosed please find your Neighborhood Improvement Agreement. Please return
agreement signed and notarized to the Engineering Department.
Neighborhood Improvement Agreement completed by:
Date:
0 0 0 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.
U 0 0 7a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities in cubic yards (cut, fill import,
export and remedial). This information must be included on the plans.
A U U 7b. Grading Permit required. A separate grading plan prepared by a registered Civil
v V ' 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:
0 U U 7c. Graded Pad Certification required. (Note: Pad certification may be required even
if a grading permit is not required.)
FFmenXathyMASTERS'BuiIdrng Ptancheck Cklsl Form (Genertc).doc 4 .
Rev. 7114100
BUILDING PLANCHECK CHECKLIST
1ST. 2N0 3R0
El 0 0 7d. No Grading Permit required.
U 0 0 7e: If grading is not required, write "No Grading" on plot plan.
MISCELLANEOUS PERMITS
0 0 0 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, drivewayconstruction, tying
into public storm drain, sewer and water utilities.
Right-of-Way permit required for:
U 9. INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad
sewer service area, you need to contact the Carlsbad Municipal Water District,
located at 5950 El Camino Real, Carlsbad, CA 92008. District personnel can
provide forms and assistance, and will check to see if your business enterprise is
on the EWA Exempt List. You may telephone (760) 438-2722, extension 7153,
for assistance.
Industrial Waste permit accepted by:
Date:
101 01 101 10. NPDES PERMIT
Complies with the City's requirements of the National Pollutant Discharge
Elimination System (NPDES) permit. The applicant shall provide best
management practices to reduce surface pollutants to an acceptable level prior to
discharge to sensitive areas. Plans for such improvements shall be approved by
the City Engineer prior to issuance of grading or building permit,, whichever
occurs
11.,"quired fees are attached
Q No fees required
WATER METER REVIEW
0 0 0 12a. Domestic (potable) Use
Ensure that the meter proposed by the owner/developer is not oversized.
Oversized meters are inaccurate during low-flow conditions. If it is oversized, for
the life of the meter, the City will not accurately bill the owner for the water used.
All single family dwelling units received "standard" 1" service with 5/8" service.
F:FarmeñKathyMASTERS8uiIding Plancheck Cklnt Fern, (Qenenc).doc
. 5 Rev. 7114100
BUILDING PLANCHECK CHECKLIST
1ST 2ND 3RD
If owner/developer proposes a size other than the "standard", then
owner/developer must provide potable water demand calculations,
which include total fixture counts and maximum water demand in gallons
per minute (gpm). A typical fixture count and water demand worksheet is
attached. Once the gpm is provided, check against the "meter sizing
schedule" to verify the anticipated meter size for the unit.
Maximum service and meter size is a 2" service with a 2" meter.
If a developer is proposing a meter greater than 2", suggest the
installation of multiple 2" services as needed to provide the anticipated
demand. (manifolds are considered on case by case basis to limit
multiple trenching into the Street).
D fl U 12b. Irrigation Use (where recycled water is not available)
All irrigation meters must be sized via irrigation calculations (in gpm) prior
to approval. The developer must provide these calculations. Please follow
these guidelines:
If the project is a newer development (newer than 1998), check the recent
improvement plans and observe if the new irrigation service is reflected on
the improvement sheets. If so, at the water meter station, the demand in
gpm may be listed there. Irrigation services are listed with a circled "I",
and potable water is typically a circled 'W". The irrigation service should
look like:
STA 1+00 Install 2" service and
1.5: meter (estimated 100 gpm)
If the improvement plans do not list the irrigation meter and the
service/meter will be installed via another instrument such as the building
plans or grading plans (w/ a right of way permit of course), then the
applicant must provide irrigation calculations for estimated worst-case
irrigation demand (largest zone with the farthest reach). Typically, Larry
Black has already reviewed this if landscape plans have been prepared,
but the applicant must provide the calculations to you for your use. Once
you have received a good example of irrigation calculations, keep a set for
your reference. In general the calculations will include:
Hydraulic grade line
Elevation at point of connection (P00)
Pressure at P00 in pounds per square inch (PSI)
Worse case zone (largest, farthest away from valve
Total Sprinkler heads listed (with gpm use per head)
Include a 10% residual pressure at point of connection
3. In general, all major sloped areas of a subdivision/project are to be
irrigated via separate irrigation meters (unless the project is only SFD with
no HOA). As long as the project is located .within the City recycled water
F:FwmenkathAMASTERSBuilding Planclieck Cidsi Form (Genenc).doc 6 Rev. 7/14100
BUILDING PLANCHECK CHECKLIST 1S NO 3RD
service boundary, the City intends on switching these irrigation
services/meters to a new recycled water line in the future.
0 0 0 12c. Irrigation Use (where recycled water is available)
Recycled water meters are sized the same as the irrigation meter above.
If a project fronts a street with recycled water, then they should be
connecting to this line to irrigate slopes within the development. For
subdivisions, this should have been identified, and implemented on the
improvement plans. Installing recycled water meters is a benefit for the
applicant since they are exempt from paying the San Diego County Water
Capacity fees. However, if they front a street which the recycled water is
there, but is not live (sometimes they are charged with potable water until
recycled water is available), then the applicant must pay the• San Diego
Water Capacity Charge. If within three years, the recycled water line is
charged with recycled water by CMWD, then the applicant can apply for a
refund to the San Diego County Water Authority (SDCWA) for a refund.
However, let the applicant know that we cannot guarantee the refund, and
they must deal with the SOC WA for this.
0 0 0 13. Additional Comments:
F\FarmeAICothyMASTERSBuiIding Plancheck Cklsl Form (Genenc) dcc 7 Rev. 7114100
I
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
Estimate based on unconfirmed information from applicant.
Calculation based on building plancheck plan submittal.
Address: Permit NO66L
Prepared by: Date: 'Checked by: Date:
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: ' irk. Sq. Ft./Units: EDU's: __
Types of Use: Sq. Ft./Units: EDU's:
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: Sq. Ft./Units: / ADTs:
Types of Use: Sq. Ft./Units: AOl's:
FEES REQUIRED:
WITHIN CFD: 0 YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) 0 NO
1. PARK-IN-LIEU FEE PARK AREA & #:
FEE/UNIT: X NO. UNITS:_______
2. TRAFFIC IMPACT FEE
ADT's/UNITS: X FEE/ADT: Q~o $ =
3. BRIDGE AND THOROUGHFARE FEE (DIST. #1 DIST. #2 DIST. #3
ADT's/UNITS: X FEE/ADT: = $
4. FACILITIES MANAGEMENT FEE ZONE:_________
UNIT/SQ.FT.: X FEE/SQ. FT. /UNIT: =$___________
5. SEWER FEE
EDU's: X FEE/EDU: = $_________________
BENEFIT AREA:
EDU's: X FEE/EDU: =$_______________
6. SEWER LATERAL ($2,500) = $ _-
7. DRAINAGE FEES PLDA : HIGH /LOW_______
ACRES: X FEE/AC: =$____________
8. POTABLE WATER FEES
UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION
lof2
WordDocsMisformstFee Calculation Worksheet Rev. 7/14/00
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB 044 AD(, Address= LAii ic!Drfl l'O
Planner Chris Sexton Phone (760) 602-4624
APN: 50—/
Type of Project & Use: ScLL,_, Net Project Density:DU/AC
Zoning.Ri General Plan:R UYI Facilities Management Zone:
CFD (in/out) #_Date of participation: Remaining net dev acres:______
. . (For non-residential development: Type of land used created by this
Circle One. permit: )
I I Legend: Item Complete D 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:
'D 0 Discretionary Action Required: YES -NO TYPE
APPROVALJRESO. NO. DATE_____
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions or approval? If.not, state conditions which require action.
Conditions of Approval:
I3"1 0 Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES____ NO 1/"
CA Coastal Commission Authority? YES____ NO____
If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103,
San Diego CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
Coastal Permit Determination Form already completed? YES____ NO____
If NO, complete Coastal Permit Determination Form now.
Coastal Permit Determination Log #:
Follow-Up Actions:
Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans).
Complete Coastal Permit Determination Log as needed.
ID'EJ 0 Inclusionary Housing Fee required: YES ____ NO ____
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Data Entry Completed? YES ___ NO
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing YIN,
Enter Fee, UPDATE!)
Site Plan:
H:ADMlN\COUNTER\BIdgPlnchkRevChklst Rev 9101
0 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines.
easements, existing and proposed structures, streets, existing street improvements, right-of-way
width, dimensional setbacks and existing topographical lines (including all side and rear yard
slopes).
'0 0 2. Provide legal description of property and assessor's parcel number.
Policy 44— Neighborhood ArOhitectural Design Guidelines
E!(E] 0 1. Applicability: YES NO_______
0 0 0 2. Project complies YES NO________
Zoning:
'D 0 1. Setbacks:
Front: Required D' Shown 2O'
Interior Side: Required / IY Shown lO'
Street Side: Required Shown
Rear: Required jp' Shown
Top of slope: Required Shown
[2tJ 0 2. Accessory structure setbacks:
Front: Required Shown
Interior Side: Required Shown
Street Side: Required Shown
Rear: Required Show
Structure separation: Required Shown
E!1i1 0 3. Lot Coverage: Required 41070 Shown <4/0
0 4. Height: Required Shown ______________
ETh1EI 0 5. Parking: Spaces Required Shown 3
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required Shown
0 0 0 Additional Comments________________________________________________________
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE /0 /-: 09
H:ADMIN\COUNTER\BIdgPInchkRevChkIst Rev 9/01
CITY OF CARLSBAD - AFFIDAVIT OF COMPLIANCE
FOR A SECOND DWELLING UNIT
Instructions to Property Owner (Affiant):
Please type or print complete and accurate answers in all blank spaces in Section I. Please read
carefully, particularly Section II. Please read, sign and date Section III indicating that you
understand and agree with the conditions of compliance.
SECTION I - INFORMATION
Propertyowner(s): E A ff F0k1.) P fomftr'i
In (1 CWb'Y\I9?tJ
Name(s)
Property Address: ICck11!O s7.
Street Address
Ls Am 9W
City State Zip Code
Assessor Parcel No. I $c2SO 1 7'0
Subdivision: LPr Co5r4- m CLG&S I / , or._____________
Name Lot/Block Parcel No.
Project Number:
SECTION II- CONDITIONS FOR COMPLIANCE
PLEASE READ CAREFULLY
1. A second dwelling unit is an attached or detached dwelling unit which is located on the same lot as
an existing owner-occupied single-family detached dwelling unit and is:.
Suitable for use as a complete living facility with provisions within the facility for
cooking, eating, sanitation and sleeping;
Occupied by one or more persons; and
C. Subordinate to the main dwelling unit.
2. The Property Owner(s) listed above hereby certifies that he/she owns- the above referenced
property, as of the date of this affidavit, and to his/her belief and knowledge, there are no
conditions, covenants or restrictions on the property prohibiting a second dwelling unit apartment.
3. The Property Owner(s) agrees to the following terms and conditions:
FRM0006 6/03 PAGE 1 OF 2
4
The property and residence referenced above must not contain a second residential
dwelling unit unless it is in compliance with the second dwelling .unit provisions of the
Zoning Ordinance of the City of Carlsbad
The Property Owner(s) shall reside in either the main dwelling unit or second dwelling
unit described above, now, and for the life of this agreement, unless a lessee leases both
the main dwelling unit and the second dwelling unit.
C. The Second Dwelling Unit may only be rented and shall not be sold separately from the
main dwelling unit, unless the lot on which such units are located is subdivided.
d. The Property Owner(s) agree to rent the Second Dwelling Unit at a monthly rental rate
which shall not exceed an amount equal to 30% of the gross monthly income of a low-
income household, adjusted for household size, at 80% of the San Diego County median
income.
e. A copy of this agreement and Affidavit must be given by the Property Owner(s) to
prospective purchasers of the property prior to entering into a sales contract for said
property.
SECTION III - AFFIRMATION AND AGREEMENT
I HEREBY DECLARE AND AFFIRM, under penalty of pel)ury, that all matters and facts set forth in this
agreement are true and correct to the best of my knowledge, information and belief, and that I (we)
understand, accept and will abide by the regulations, requirements, and standards governing the Second
Dwelling Unit.
BY: ThJYAA 10/c V
Prope Owner
-
Date
BY: )ii 4rvi IrAld
Prty Owner Da e
Owner'sephqne Number(s): (760)
Home Office
FRM0006 6I03 - PAGE '2 OF 2
NUV--2804 TUE 11:53 AM CITY OF CARSIBAD
. FAX NO. 760 602 8558 P. 02
c..
C-itv bf Carlsbad
This form must be completed by the City, the applintjñdTh
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Project Name: ',Qj,Ijfl4I •freDn,5 I2i)tL 1,6Jtj tlEur
Building Permit
Plan Check Number:
Project Address: _2 '/J5 1)1? t A /2-IlL AJ7
A.P.N.:
Project Applicant
(Owner Name):
Project Description:
Building Type:
Residential:
Square Feet of Livi'tg Area in New Dwelling
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Second Dwelling Unit: Feet of Living Area in SOU
Residential Additions: Net Square Feet w Area
Commercial/Industrial: Square Feet Floor Area ,'
V
City Certification of
Applicant information:
Carlsbad Unified School District
6225 El Camino Real
Carlsbad CA 92009(331.5000)
Date: l
San Marcos Unified School District
215 Mate Way
San Marcos, CA 92069(290-2649)
Encinitas Union School District San DiegiiiDtDrrItresreotmTic
lOt South Rancho Santa Pa Rd 710 Encinitas Blvd.
Encinitas, CA 92024 (944.4300 ext 16*) Encinitas, CA 92024 (753.6491)
Certification of AppflcarltlOwn era. The person executing this decla
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information providea above Is correct and true to the best of the Owner's Knowledge, and that the Owner will file an amended
ceaifcaton of payment and pay the aciditional fee if Owner requests an increase in the number of dwelling unite or square
footage after the building permit is issued or if the inhtiali determination of units or sq
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1635TFaraday Avenue . Carlsbad. CA 92008-7314 • (760) 602-2700
- ry 17Rflt S02-8558
NOV-23-2004 TUE 11:54 JITY OF CARSLBAD FAX NO. 760 602 8558 P. 03
SCHOOL DISTRICT SHOOL FEE CERTIFICATION
(To be completed by the school district(s))
THIS FORM INUICATES THATTHE SCHOOL DISTRICT REQUIREMENTS
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PROJECT HAVE BEEN OR WILL BE SATISFIED.
SCHOOL DISTRICT:
The undersigned, being duly authorized by tie applicable School D
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the appIican. listed on page 1 has paid all amounts or completed other applicable school
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SIGNATURE OF AUTHORIZED SCHOOL
DISTRICT OFFICIAL
TITU.
NAME OF SCHOOL DISTRICT
JATE
PHONE NUMBER
C.6 ar2149
X 2116
SAN MARCOS UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE
FACILITIES DEPARTMENT 2'i 5 Litvi C, 215 Mata Way, Bldg 5 (2nd Floor) If
San Marcos CA 92069
760-290-2649
Project Description: Tract No.:
LIftJ'nAL - S r--CON uNl
Assessor's Parcel No:
Received From:
iroJ4'-rc4
The Sum of:
Fiz.i'r r4U otl12.eD FeA'J"f-fl'-1E 1,00 5
Number of Square Feet/Units: Rate: 4 !Check Number: Amount:
Ed. Code 17620 and Gov. Code 65995 et seq. 0 CFD No.
0 Not subject to fee requirements 0 Prior Existing Mitigation Agreement
Certification of Applicant/Owners: The person executing this declaration ("Owner") certifies under penalty of
perjury that (1) the information provided is correct and true to the best of Owner's knowledge and that Owner
will file an amended certification of payment and pay the additional fee if Owner requests an increase in the
number of dwelling units/square footage after the building permit is issued, or if the initial determination of
units/square footage is found to be incorrect, and any and all costs of collection thereof including actual
attorneys fees and legal costs, 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.
re:
This is to certify that the applicant listed has paid all amounts determined by the information presented and
due to the San Marcos Unified School District ("District"). The payment of these amounts is a prerequisite to
the issuance of a building permit.
District Official:
Unified School District - Facilities Department, 760-290-2649
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES/EXPIRATION OF CERTIFICATE
Section 66020 of the Government Code enacted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a
written notice to the project applicant, at the time of payment of school fees, mitigation payment or other exactions ("Fees") of the ninety
(90) day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with Section 66020 of the
Government Code and other applicable laws, this Notice shall serve to advise you that the ninety (90) day protest period in regard to such
Fees or the validity thereof, commences with the payment of the fees or performance of any other requirement as described in Section
66020 of the Government Code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole
or in part prior to the issuance of a Certificate of Occupancy. As in the latter, the ninety (90) days starts on the date hereof. This Certificate
of Compliance is valid for one hundred eighty (180) days from the date of issuance. Extensions will be granted only for good cause, as
determined by the Facilities Department of the District, and one (1) sixty (60) day extension may be granted. At such time as this Certificate
of Compliance expires, if a building permit has not been issued for the project that is the subject of this Certificate of Compliance, the owner
will be reimbursed all fees that were paid to obtain this Certificate of Compliance without interest.
THIS CERTIFICATE OF COMPLIANCE EXPIRES: C 2'3- S.
THE ABOVE EXPIRATION DATE IS EXTENDED TO
SIGNATURE VERIFYING AUTHORIZED EXTENSION: Dated:_______________
Distribution: Facilities - White Agency - Canary Customer - Green Accounting - Pink Audit - Goldenrod
'A LEUCADIA WASTEWATER DISTRICT
APPLICATION FOR SEWER SERVICE
The application must be signed by the owner (or his representative) of the property to be served. The
total charges must be paid to the District at the time the application is submitted.
APPLICANT MUST SUBMIT EVIDENCE OF BUILDING PERMIT WITHIN 60 DAYS. FAILURE TO MAKE SUCH
SUBMITTAL WILL RESULT IN AUTOMATIC CANCELLATION OF THE SEWER PERMIT. THE SEWER
CONNECTION FEE LESS A $50 ADMINISTRATIVE FEE WILL BE REFUNDED.
A six-month construction period shall be provided and sewer service charges for the balance of the fiscal
year shall be collected at the time of application for sewer permits. Sewer service charges for subsequent fiscal
years shall be collected on the tax roll in same manner as property taxes. If the six-month construction period
extends into the subsequent fiscal year, a prorated sewer service charge for that fiscal year shall be collected on
the tax roll in the same manner as property taxes. There will be no additional fee or refund if service actually
commences on a different date.
The prorated sewer service charge shall not be required in those applications for sewer permits for
subdivisions. Such applicants shall be required to notify the District, on forms provided by the District, of escrow
closing on individual properties within the subdivision. Sewer service charges shall commence upon close of
escrow and will be the responsibility of the buyer.
If a service lateral is required, it must be installed by the owner/applicant in conformance with the
specifications, rules and regulations of the District and subject to inspection by the District. A DISTRICT
INSPECTOR MUST BE ON THE SCENE AT THE TIME OF CONNECTION. The service lateral is that
part of the sewer system that extends from the main collection line in the street (or easement) to the point in the
street (at or near the applicant's property line) where the service lateral is connected to the applicant's building
sewer. The applicant is also responsible for the construction, at the applicant's expense, of the building of sewer
from the applicant's plumbing to the point in the street (or easement) where a connection is made to the service
lateral and for construction, maintenance and connection of the service lateral to the main line.
IT MUST BE INSPECTED AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY. BE USED
BY THE APPLICANT. THE APPLICANT OR HIS AUTHORIZED REPRESENTATIVE MUST NOTIFY THE DISTRICT AT
THE TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLECTION LINE
WITHOUT PRIOR APPROVAL AND INSPEECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT
BE ACKNOWLEDGED. ALL SUCH CONNECTIONS MUST BE MADE WITH AN LWD INSPECTOR AT THE SCENE AT
THE TIME OF CONNECTION. IF, FOR ANY REASON, A CONNECTION IS IMPROPERLY MADE, IT SHALL BE THE
RESPONSIBILITY OF THE APPLICANT, AT THE APPLICANT'S EXPENSE, TO DIG UP OR OTHERWISE. RE-EXPOSE
THE CONNECTION SO THAT AN INSPECTION MAY BE MADE AND THE APPLICANT AT THE APPLICANT'S EXPENSE
SHALL MAKE ANY CORRECTIONS OR ALTERATIONS REQUIRED BY LWD. IN THE EVENT THAT THE APPLICANT,
FOR ANY REASON, FAILS TO TAKE APPROPRIATE ACTION, THE DISTRICT RESERVES THE RIGHT TO DIG UP AND
INSPECT THE CONNECTION AND MAKE ANY CORRECTIONS NECESSARY, AT THE APPLICANT'S EXPENSE: OR IN
THE ALTERNATIVE, TO DISCONNECT SERVICE. ANY COSTS INCURRED BY LWD IN TAKING SUCH CORRECTIVE
ACTION SHALL BE BILLED TO THE APPLICANT AND MAY BE RECORDED AS A LIEN AGAINST THE APPLICANT'S
PROPERTY EQUAL IN PROIRITY TO A TAX LIEN.
OWNER'S NAME 3ckie & Bradford Bowman MAILING ADDRESS 2'!35 Ur.icornio 5;4-
PHONE NUMBER Carlsbad, CA 92009
SERVICE ADDRESS 2-435 Unicornip St. Carlsbad, CA 92009
TRACT NAME/NO.________ LOT #_______________ CONNECTION FEE: $ 3286.00
ASSESSOR'S PARCEL NO.5_50_700 PRORATED SEWER SERV. FEE $
TOTAL $ 3286.00
Additional Dwellinq
TYPE/BUILDING Unit #/UNITS PAID BY:-0-CASH I &HECK #45t2
The undersigned hereby agrees that the above information given is correct and agrees to the conditions as stated.
&Mw~ &tirvv~ A/va g 4,s-ii 9
1 '5 2146U
Owner's Signature ate Rec'd by Account No.
- - -
CRECEI
DATE _________ 002172
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