HomeMy WebLinkAbout1811 VALENCIA AVE; ; CB021442; Permit\231
09-20-2002
City Of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No: CB021442
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
PALENSCAR KAREN C
Building Inspection Request Line (760) 602-2725
1811 VALENCIA AV CBAD
RESDNTL Sub Type: 2DU Status:
2072506400 Lot #: 0 Applied:
$29,584.00 Construction Type: VN Entered By:
Reference #: Plan Approved:
1 Structure Type: MF2-4 Issued:
1 Bathrooms: 1 Inspect Area:
PALENSCAR RES-344 SF INTERIOR Orig PC#:
REMODEL TO CREATE 2ND DWELLING UNIT Plan Check#:
6752
Owner:
PALENSCAR KAREN C
ISSUED
05/14/2002
RMA
09/20/2002
09/20/2002
09/20/02 0002 01 02
COP 397889
1811 VALENCIA AVE 1811 VALENCIA AVE
CARLSBAD CA 92008 CARLSBAD CA 92008
Total Fees: $4,136.83 Total Payments To Date: $157.94 Balance Due: $3,978.89
Building Permit $242.99 Meter Size
Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00
Plan Check $157.94 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 $2.96 PFF $538.43
Park in Lieu Fee $0.00 PFF (CFD Fund) $497.01
Park Fee $0.00 License Tax $0.00
LFM Fee $0.00 License Tax (CFD Fund) $0.00
Bridge Fee $0.00 Traffic Impact Fee $259.44
Other Bridge Fee $0.00 Traffic Impact (CFD Fund) $292.56
BTD #2 Fee $0.00 Sidewalk Fee $0.00
BTD #3 Fee $0.00 PLUMBING TOTAL $76.00
Renewal Fee $0.00 ELECTRICAL TOTAL $20.00
Add'l Renewal Fee $0.00 MECHANICAL TOTAL $30.50
Other Building Fee $0.00 Housing Impact Fee $0.00
Pot. Water Con. Fee $0.00 Housing lnLieu Fee $0.00
Meter Size Master Drainage Fee $0.00
Add'I Pot. Water Con. Fee $0.00 Sewer Fee $2,019.00
Red. Water Con. Fee $0.00 Additional Fees $0.00
TOTAL PERMIT FEES $4,136.83
Inspector: BR __
FINAL APPROVAL I
______ Date: 10 /cii\ Clearance: I
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
A
PERMIT APPLICATION.
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO.____
EST. VAL. 2617.J
Plan Ck. Deposit
Validated By______________
I.rKUJtIIINr RIPUN: . J ini7ancA C rye{
Address (includeBldg/Suite #) Business Name (at this address)
LecrPfjon cô Lot No Subdivision Name/Number UcyN. 0511hpNO2 taI #,unIts
AssessQj's Parcel Existing Use Proposed Use
Descrilltion of Work SO. FT. #of Stories # o Bedrooms # of Bathrooms
afAf,Q_,At-L-=,PP __
fI44L
Name . Address City State/Zip Telephone # Fax #
- - - 0 .7
Name Address City State/Zip Telephone #
,PROPERT,Y"Q.777777
K5 -14
Name Address City State/Zip Telephone #
LS :CONTRACTORCOMPANY NAC' 777 "
(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 l$5001). -
Name Address City State/Zip Telephone #
State License # - License Class City Business License #
Designer Name Address . City State/Zip Telephone
State License #
i QM!ioitJ ..
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date___________________
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subjeãtqn employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE DATE
7 TIOWNERBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Lava for the following reason: .
I, as owner of the property or my employees with wagesas their sole compensation, will do the work and the structure is not intendedor 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).
o
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, -Business and Professions Code: The
Cntractor'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). - C1 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 XO I ave have not) signed an application for a building permit for the proposed work.
I have coptracte4 with the following pqrson (firm) to provide the proposed construction (include name I address / phone number / contractors license number):
0,1010
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number):
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):
LETE THIS SECTION FOR NON-RESIDEN77AL BUILDING PER MWONLY '•" ..---.--- rCOMP
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a schoOl site? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES. AFINAL 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.
I8CONSTRUCTION LENDINGAGENL_ =7 720 -
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'SNAME LENDER'S ADDRESS____________________________________________________
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and becomenull-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 commenjO for a period of 8d (Section 10644 Uniform Building Code)
APPLICANT'S SIGNATURE 4ldfl DATE -
__
WHITE File YELLOW Applicant PINK Finance /1'
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.
Cli Commercial tenant improvement.
DEMO Demolition permit.
ELEC Electrical permit, for electrical work only.
HOTEL Hotel or motel (including Managed Living Unit hotel) - new construction.
HOTELR Hotel renovation.
INDUST Industrial structure, new construction.
III Industrial tenant improvement.
MECH Mechanical permit, for mechanical work only.
MISC Miscellaneous. Use only if proposed work doesn't fit another activity type.
PATIO Patio and/or deck.
PLUM Plumbing permit, for plumbing work only.
POOL Gunite pools and spas.
RETAIN Retaining wall permit.
SIGN Sign construction/installation permit.
SOLAR Solar energy system installation permit (specify structure type to be served).
SPA Factory-made or Gunite.
List 2 - Structure-Type (Use with Residential Permit Only)
From the following list, determine the type of residential structure that best describes the structure on which you will be working.
Please put the code of that structure-type in the appropriate blank at the top of the page on the front of this application.
Code Description
SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls
extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse,
row house, half-plex).
SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached
garage, or a business. May be a detached 'granny flat'. May be a mobile home or trailer on an individual lot, but not
in a mobile home park.
MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or low dwelling units. Units
may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex).
MF5+ Multi-family, 5 or more units. Same as MF2-4, except the building has a t least five attached units on the same lot.
MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, above).
City of Carlsbad Bldg Inspection Request
For: 10/21/2002
Permit# CB021442 Inspector Assignment: SR
Title: PALENSCAR RES-344 SF INTERIOR
Description: REMODEL TO CREATE 2ND DWELLING UNIT
IN
Type: RESDNTL Sub Type: 2DU
Job Address: 1811 VALENCIA AV
Suite: Lot
Location:
APPLICANT PALENSCAR KAREN C
Owner: PALENSCAR KAREN C
Remarks: AM
Total Time:
Phone:
Inspector:
Requested By: KAREN
Entered By: GIOVANNA
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Act Comments
( -5Q 'rç QA
Associated PCRs/CVs
CV020046 OPEN
Inspection History
Date Description
10/16/2002 23 Gas/Test/Repairs
10/16/2002 24 Rough/Topout
10/16/2002 34 Rough Electric
10/16/2002 44 Rough/Ducts/Dampers
Act lnsp Comments
AP SR
WC SR
WC SR
AP SR
EsGil Corporation
In Partners/lip with government for fBui&(ing Safety
DATE: July 23, 2002
JURISDICTION: Carlsbad
PLAN CHECK NO.: 02-1442
PROJECT ADDRESS: 1811 Valencia Ave.
SET: III
U APPLICANT
U PLAN REVIEWER
U FILE
PROJECT NAME: Second Dwelling for Palenscar 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 building codes
when minor deficiencies identified below are resolved and checked by building department staff.
El 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.
Eli 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.
Eli Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Fax #:
Mail Telephone Fax In Person
REMARKS: Applicant to show location of stucco shear owner set)
By: Bill Elizarraras Enclosures: Struct. & Title 24 calc's
Esgil Corporation
DGA E] MB DEJ DPC LOG tmsmtl.dot
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil Corporation
2n Partnership with government for rBui&ingStzfety
DATE: July 18, 2002
JURISDICTION: Carlsbad
PLAN CHECK NO.: 02-1442
PROJECT ADDRESS: 1811 Valencia Ave.
SET: II
O APPLICANT
O PLAN REVIEWER
0 FILE
PROJECT NAME: Second Dwelling for Palenscar Residence
L The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected deficiencies identified below are resolved.
L 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:
Karen Palenscar
1811 Valencia Ave. Carlsbad, CA. 92008
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: Karen Palenscar -
Date contacted: I 11C 10by: .tA)
Mail \.-lelephone Fax\,-1n Person
Telephone #: 760-729-6416
Fax #: (7LOO~A-c-~q-GLo-7
REMARKS: An updated soils report is required for this project (Maximum 3 years old)
By: Bill Elizarraras Enclosures:
Esgil Corporation
fl GA D MB D EJ fl PC 7/11/02 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
F
EsGil Corporation
2n PartnersIiip with goveratnent for Wui(ling Safety
DATE: May 24, 2002
JURISDICTION: Carlsbad
PLAN CHECK NO.: 02-1442
PROJECT ADDRESS: 1811 Valencia Ave.
SET:I
13 NT
U PLAN REVIEWER
U FILE
PROJECT NAME: Second Dwelling for Palenscàr Residence
0 The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
O 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.
LI 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:
Karen Palenscar
1811 Valencia Ave. Carlsbad, CA. 92008
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: Karen Palenscar Lu'-'i Telephone #: 760-729-6416
Date contacted:1S/2L{ (by:5 ) Fax #:
Mail Telephone Fax In Person
LI REMARKS:
By: Bill Elizarraras Enclosures:
Esgil Corporation
U GA EJ MB 0 EJ 0 PC 5/16/02 trnsmU.dot•
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
Carlsbad 02-1442
May 24, 2002
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO.: 02-1442 JURISDICTION: Carlsbad
PROJECT ADDRESS: 1811 Valencia Ave.
FLOOR AREA: 344 sqft. Dwelling STORIES: 1
HEIGHT: 14'
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
COMPLETED: May 24, 2002
FOREWORD (PLEASE READ):
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 5/16/02
PLAN REVIEWER: Bill Elizarraras
This plan review is limited to the technical requirements contained in the Uniform Building Code,
Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws
regulating energy conservation, noise attenuation and access for the disabled. This plan review
is based on regulations enforced by the Building Department. You may have other corrections
based on laws and ordinance by the Planning Department, Engineering Department, Fire
Department or other departments. Clearance from those departments may be required prior to
the issuance of a building permit.
Present California law mandates that residential construction comply with the 1998 edition of
the California Building Code (Title 24), which adopts the following model codes: 1997 UBC,
1997 UPC, 1997 UMC and 1996 NEC (all effective 7/1/99).
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 for 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 02-1442
May 24, 2002
. PLANS
Please make all corrections on the original tracings, as requested in the
correction list. Submit three sets of plans for commercial/industrial projects (two
sets of plans for residential projects). For expeditious processing, corrected sets
can be submitted in one of two ways:
Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 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 one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
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 must be signed by the person responsible for their
preparation. (California Business and Professions Code).
Roof slope is not adequate for roof type specified. Chapter 15.
Provide a copy of the project soil report prepared by a California licensed
architect or civil engineer. The report shall include foundation design
recommendations based on the engineer's findings and shall comply with UBC
Section 1804.
Show double top plate with minimum 48" lap splice. Section 2320.11.2.
Show T and P valve on water heater and show route of discharge line to exterior.
UPC, Section 608.5.
In Seismic Zones 3 and 4, show that water heater is adequately braced to resist
seismic forces. Provide two straps (one strap at top 1/3 of the tank and one strap
at bottom 1/3 of the tank). UPC, Section 510.5
Provide fluorescent general lighting (40 lumens per watt minimum) in kitchen(s)
and bathrooms (containing a tub or shower).
Note on the plans: "The manufactured windows shall have a label attached
certified by the National Fenestration Rating Council (NFRC) and-showing
compliance with the energy calculations."
Carlsbad 02-1442
May 24, 2002
10. Provide design calculations for retaining walls. The City standards are designed
for this application.
11. Show nailing will be in compliance with.Table 23-I1-B-I.
12. 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.
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.
Any braced wall panel required by Section 2320.11.3 may be replaced by
an alternate braced wall panel. UBC Section 2320.11.4. For alternate
braced wall panels in one story buildings, show compliance with the
following on the plans:
Minimum braced panel length is 2'-8" in width and a maximum
height of 10'-0".
Each braced wall panel is sheathed on at least one face with 3/8"
plywood sheathing nailed with 8d common or galvanized box nails
per 23-11-B-1 and blocked at all plywood edges.
A minimum of two anchor bolts installed in accordance with
Section 1806.6 between hold down devices.
An approved hold down device fastened to the foundation and
capable of providing an uplift capacity of not less than 1,800
pounds is provided at each panel end.
The foundation that supports the braced panels is continuous
across the entire length of the braced wall line and reinforced with
a minimum of one #4 bar top and bottom.
13. Note on the plans that receptacle outlet locations will comply with NEC Art.
210-52(a).
14. For a single-family dwelling unit show that at least one receptacle outlet
accessible at grade level will be installed outdoors at the front and back of the
dwelling. NEC Art. 210-52 (e). This receptacle must be GFCI protected.
15. Note on the plans that bathroom receptacle outlets shall be supplied by a
minimum of one 20-ampere branch circuit. Such circuits shall have no other
outlets. This circuit may serve more than one bathroom. NEC Art. 210-52(d).
Carlsbad 02-1442
May 24, 2002
CARLSBAD SPECIAL CODE REQUIREMENTS
All new residential buildings, including additions, require a soils report. An update
letter is required if the report is more than 3 years old. If a room addition is less
than 1000 sq. ft. in area and only one story, then a soils report is not required.
Under this condition, Esgil staff should advise the City (upon final transmittal) to
place their "soils notice" stamp on the plans.
New residential units must be pre-plumbed for future solar water heating.
(City Ordinance No. 8093).
Note "two 3/4" copper pipes must be installed to the most convenient future solar
panel location when the water heater is not in a one story garage and is not
directly below the most south facing roof. (City Ordinance No. 8093).
All piping for present or future solar water heating must be insulated when in areas
that are not heated or cooled by mechanical means (City Policy).
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 02-1442
May 24, 2002
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK-NO.: 02-1442
PREPARED BY: Bill Elizarraras DATE: May 24, 2002
BUILDING ADDRESS: 1811 Valencia Ave.
BUILDING OCCUPANCY: R3 TYPE OF CONSTRUCTION: VN
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
Dwelling 344 City Estimate 29,584
Air Conditioning
Fire Sprinklers
TOTAL VALUE 29,584
Jurisdiction Code Icb IBY Ordinance
Bldg. Permit Fee by Ordinance I vj I $242.991
Plan check Fee by Ordinance I I $157.94i
Type of Review: 21 Complete Review D Structural Only
0 Repetitive Fee 0 Other iRepeats El Hourly I Hour *
Esgil Plan Review Fee I $136.071
Comments:
Sheet 1 of I
macvalue.doc
of Carlsbad
BUILDING PLANCHECK CHECKLIST
DATE: — /& -O PLAN.CHECK NO.: CB £Z&- 141-49
BUILDING ADDRESS:
PROJECT DESCRIPTION:
ASSESSOR'S PARCEL NUMBER:. 9-ei- -4'i EST. VALUE: 5V
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved. The approval is based on plans,
information and/or specifications provided in your
submittal; therefore any changes to these items after
this date, including field modifications, must be
reviewed by this office to insure continued
conformance with applicable codes. Please review
carefully all comments attached, as failure to comply
with instructions in this report can result in
suspension of permit to build.
o 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.
By: Date:
By: Date:
By: . Date:
'FOR OFFICIAL USE ONLY
.7 ENGINEERING AUTHORIZATION .TO ISSUE BUILDING PERMIT:
B!r . °. Date.(
ATTACHMENTS
El Dedication Application
0 Dedication Checklist
0 Improvement Application
O Improvement Checklist
0 Future Improvement Agreement
0 Grading Permit Application
0 Grading Submittal Checklist
0 Right-of-Way Permit Application
ENGINEERING DEPT. CONTACT PERSON
Name: TANIYA BARROWS
City of Carlsbad
Address: 1635 Faraday Avenue, Carlsbad, CA 92008
Phone: (760) 602-2773
CFD INFORMATION
Parcel Map No:
Lots:
Recordation:
O Right-of-Way Permit Submittal Checklist Carlsbad Tract:
and Information Sheet
0 Sewer Fee Information Sheet
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562
FBUILDING PI.ANCHECIC CICI.ST FORMAN 1 Rev. 7114100
BUILDING PLANCHECK CHECKLIST
SITE PLAN
ViD 3RD
U U 1. Provide a fully dimensioned site plan drawn to scale. Show:
North Arrow F. Right-of-Way Width & Adjacent Streets
Existing & Proposed Structures G. Driveway, widths
Existing Street Improvements H. Existing or proposed sewer lateral
Property Lines I. Existing or proposed water service
Easements J. Existing or proposed irrigation service
U 2. Show on site plan:
A. Drainage Patterns
Building pad surface drainage must maintain a minimum slope of one
percent towards an adjoining street or an approved drainage course.
ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive
drainage of 2% to swale 5' away from building."
B. Existing & Proposed Slopes and Topography
C. Size, type, location, alignment of existing or proposed sewer and water service (5)
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
/1 standards.
1Y' U U 3. Include on title sheet:
Site address
Assessor's Parcel Number
Legal Description
For commercial/industrial buildings and tenant improvement projects,, include:
total building square footage with the square footage for each different use,
existing sewer permits showing square footage of different uses. (manufacturing,
warehouse, office, etc.) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
F:8U!LDING PLANCHECIC CICt.$T FORM.doc 2 Rev. 7114100
BUILDING PLANCHECK CHECKLIST
1ST 2ND 3RD DISCRETIONARY APPROVAL COMPLIANCE
LI LI 4a. Project does not comply with the following Engineering Conditions of approval for
Project No. got 2-O
U LI LI 4b. All conditions are in compliance. Date:
9M
DEDICATIONREQUIREMENTS
LI LI 5. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $ 15,000 , pursuant to Carlsbad
Municipal Code Section 18.40.030.
Dedication required as follows:
4o .31
Dedication required. Please have a registered Civil Engineer or Land Surveyor
prepare the appropriate legal description together with an 8 1,4w 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 willnot be accept by mail or fax.
Dedication completed by: Date:
IMPROVEMENT REQUIREMENTS
LI LI 6a. All needed public improvements upon and adjacent to the building site must be
constructed at .time of building construction whenever the value of the
construction exceeds $_75,000 , pursuant to Carlsbad Municipal Code Section
18.40.040.
Public improvements required as follows:
Attached please find an application form and submittal checklist for the public
improvement requirements. A registered Civil Engineer must prepare the
appropriate improvement plans and submit them together with the requirements
on the attached checklist to the Engineering Department through a separate plan
check process. The completed application form and the requirements on the
F:WUILDING PtANCHECK CICLST FORM.doc 3 pay. 7114100
tj BUILDING PLANCHECK CHECKLIST
1ST 2N0 3RD
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:
E U 11 6b. Construction of the public improvements may be deferred pursuant to Carlsbad
Municipal Code Section 18.40. Please submit a recent property title report or
current grant deed on the property and processing fee of $310 so we may
prepare the necessary Neighborhood Improvement Agreement. This agreement
must be signed, notarized and approved by the City prior to issuance of a
Building permit.
Future public improvements required as follows:
U U U 6c. Enclosed please find your Neighborhood Improvement Agreement. Please return
agreement signed and notarized to the Engineering Department.
Neighborhood Improvement
Agreement completed by:
Date:
t2"1 U 6d. No Public Improvements required. SPECIAL NOTE: Damaged or defective
improvements found adjacent to building site must be repaired to the satisfaction
of the City Inspector prior to occupancy.
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section
11.06.030 of the Municipal Code.
U U U 7a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
U U 0 7b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application fOrm
attached. NOTE: The Grading Permit must be issued and rough grading
approval obtained priorto issuance of a Building Permit.
Grading Inspector sign off by: Date:
U U U 7c. Graded Pad Certification required. (Note: Pad certification may be required even
if a grading permit is not required.)
F:BUILDING PLANCHEC4C CKI.ST FORM.doc 4 Rev. 7114100
BUILDING PLANCHECK CHECKLIST
1 ST /2 ~ND 3RD
U 7d .No Grading Permit required.
U U U 7e. If grading is not required, write "No Grading" on plot plan.
MISCELLANEOUS PERMITS
U U 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, driveway construction, tying
into public storm drain, sewer and water utilities.
Right-of-Way permit required for:
U U 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:
U U 0 10. NPDES PERMIT
Complies with the City's requirements of the National Pollutant Discharge
Elimination System (NPDES) permit. The applicant, shall provide best
management practices to reduce surface pollutants to an acceptable level prior to
discharge to sensitive areas. Plans for such improvements shall be approved by
the City Engineer prior to issuance of grading or building permit, whichever
occurs first.
U 11. LkRquired fees are attached
0 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:BUILOlNG PLANCIIECK 0(1ST FORM.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).
E I 0 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 (wl a right of way permit of course), then the
applicant must provide irrigation calculations for estimated worst-case
irrigation demand (largest zone with the farthest reach). Typically, Larry
Black has already reviewed this if landscape plans have been prepared,
but the applicant must provide the calculations to you for your use. Once
you have received a good example of irrigation calculations, keep a set for
your reference. In general the calculations will include:
Hydraulic grade line
Elevation at point of connection (POC)
Pressure at POC in pounds per square inch (PSI)
Worse case zone (largest, farthest away from valve
Total Sprinkler heads listed (with gpm use per head)
Include a 10% residual pressure at point of connection
3. In general, all major sloped areas of a subdivision/project are to be
irrigated via separate irrigation meters (unless the project is only SF0 with
no HOA). As long as the project is located within the City recycled water
FBUILOING PLANcHECK CKLST FORM.doc 6 Rev. 7114100
BUILDING PLANCHECK CHECKLIST
1ST 2ND 3RD
service boundary, the City intends on switching these irrigation
services/meters to a new recycled water line in the future.
E fl fl 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 SDCWA for this.
U U U 13. Additional Comments:
F:BUILDING PLANcHECI( CKLST FORM.doc 7 Rev. 7114100
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
0 Estimate based on unconfirmed information from applicant.
'lculation based on building plancheck plan submittal.
Address:V1fMi AL'Q- Bldg. Permit No._________________
Prepared by: Date: Checked by: Date:
EDUCALCULATIONS: List types and square footages for all uses.
Types of Use: [)L.4 Sq. Ft./Units: L EDU's: (
Types of Use: Sq. Ft./Units: EDU's:
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: CS_cj7LA •Sq. Ft./Units: ADT's: /
Types of Use: Sq. Ft./Units: ADT's:
FEESREQUIRED:
WITHIN CFD: 0 YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) 0 NO
i. PARK-IN-LIEU FEE PARK AREA & #:
FEE/UNIT: X NO. UNITS:
0-2. TRAFFIC IMPACT FEE
ADTs/UNITS: 1 X FEE/ADT: =$____________
3. BRIDGE AND THOROUGHFARE FEE (DIST. #1 ____ DIST. #2 01ST. #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/q =$_____________
BENEFIT AREA:
EDU's: . X FEE/EDU:
6. SEWER LATERAL ($2,500) =$_____________
7. DRAINAGE FEES PLDA : HIGH /LOW_____
ACRES: X FEE/AC:
0 8. POTABLE WATER FEES
UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION
1 o 2
F:WEE CALCULATION WORKSHEETdoc Rev. 7114100
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
o g. RECLAIMED WATER FEES
UNITS CODE CONNECTION FEE METER FEE
TOTAL OF ABOVE FEES*: $
*NOTE: This calculation sheet is NOT a complete list of all fees which maybe due.
Dedications and Improvements may also be required with Building Permits.
2 of 2
F:FEE CALCULATION WORKSHEET.doc Rev. 7114100
mar E4' BUILDI G PLA CH E ,E CHECKLIST
Plan Check No. CB Address 03 eAA Ciex V
Planner Saima Qureshv Phone (760) 602-4619
APN:'2D1-27 '\
Type of Project & Use: 2.! 0 U. Net Project Density: DU/AC
Zoning: - C. General Plan: Facilities Management Zone: 1.
CFD (in/out) #_Date of participation: Remaining net dev acres: \\ I PV
Circle One (For non-residential development: Type of land used created by this
permit: S, ecewj c> _U _b
Legend: Z Item Complete 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:
Discretionary Action Required: YES - NO TYPE
APPROVAL/RNO. 57 P) -- 7 DATE
PROJECT NO. 4tJ_()2-01
OTHER RELATED'CASES: CN'-L.
Compliance with conditions or approval? If not, state conditions which require action.
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES V NO
CA Coastal Commission Authority? YES V 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 NOL-
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.
Inclusionary Housing Fee required: YES - NO
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
*
Data Entry Completed? YES NO -
(A/PIDs, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing
Y/N, Enter Fee, UPDATE!)
H:\ADMlNCOUNTER\BldgPlnchkRevChklst Rev 9/01
3. Lot Coverage:
711100 M7 4. Height:
'e
&( :A *
Provide a fully dimensional site plan drawnto 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).
Provide legal description of property and assessor's parcel number.
Policy 44 — Neighborhood Architectural Design Guidelines
J1 0 0 1. Applicability: YES NO________
0 0 . 2. Project complies YES. )f"No
Zoning:
1. Setbacks:
Front: Required 2..O Shown
Interior Side: Required I Shown /
Street Side: Required J / P Shown
Rear: Required it..j I Shown 7 I
Top of slope: Required J / Shown
2 Accessory structure setbacks:
Front: Required Shown
Interior Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Structure separation: Required Shown
Required t,72 4fShown
Required 'f • 14 Shown
J
1 0 0 5. Parking: Spaces Required Shown
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required k-
f
fç Shown
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE 11-)--0
/
2-.
H:\ADMiNCOUNTERBIdgPInchkRevChkiSt Rev 9/01
STATE OF CALIFORNIA —THE RESOURCES AGENCY GRAY DAVIS, Governor
CALIFORNIA COASTAL COMMISSION
SAN DIEGO COAST AREA
7575 METROPOLITAN DRIVE, SUITE 103 \ff1JJ SAN DIEGO, CA 92108-4402 -
(619) 767-2370
NOTICE OF COASTAL DEVELOPMENT PERMIT WAIVER
DATE: August 30, 2002
TO: Karen Palenscar
FROM: - Peter M. Douglas, Executive Director
SUBJECT: Waiver of Coastal Development Permit Requirement:
Waiver De Minimis Number 6-02-112-W
Based on project plans and information submitted by the applicant(s) 'named below regarding
the development described below, the Executive Director of the Coastal Commission hereby
waives the requirement for a Coastal Development Permit, pursuant to Title 14, Section
13238 of the California Code of Regulations.
APPLICANT: Karen Palenscar
LOCATION: 1811 Valencia Avenue, Carlsbad - Agua Hedionda (San Diego County) (APN(s) 207-
250-64)
DESCRIPTION: Legalize an existing detached 344 sq.ft. second dwelling unit on a 9,450 sq.ft. lot with an
existing single-family residence. No new construction is proposed.
RATIONALE: The proposed project is consistent with the City of Carlsbad requirements for second
dwelling units and with the zoning and planning designations of the City, and has been
approved by the City. The project is located in an established residential neighborhood
and will not be out of character with the surrounding community. The project is
consistent with all applicable policies of the Coastal Act and no adverse impacts to
coastal resources are anticipated.
IMPORTANT: This waiver is not valid unless the site has been posted AND until the waiver
has been reported to the Coastal Commission. This waiver is proposed to be reported to the
Commission at the meeting of Monday, September 9, 2002, in Los Angeles. If four
Commissioners object to this waiver, a coastal development permit will be required.
Persons wishing to object to or having questions regarding the issuance of a coastal permit
waiver for this project should contact the Commission office at the above address or phone
number prior to the Commission meeting date.
Sincerely,
PETER M. DOUGLAS
Executive Director
'I- -
''* r: •..,
By: DIANA LILLY
Coastal Program Analyst
Supervisor:001044 _.'Lk~
6&r MCi
- -•-. ...- --'--- - '
CALIFORNIA COASTAL COMMISSION
Carlsbad
IF oc
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FEES OR OTHER MITIGATION
This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City
prior to issuing a building permit. 3e City will not issue any building permit without a completed school fee form.
Project Name:
Building Permit
Plan Check Number:
Project Address:
A.P.N.:
Project Applicant
(Owner Name):
Project Description:
Building Type:
Residential: Number of New Dwelling Units
Square Feet of Living Area in New Dwelling
Second Dwelling Unit:
Residential Additions:
Commercial/Industrial:
City Certification of
Applicant Information:
Square Feet of Living Area in SDU
Net Square Feet New Area
Square Feet Floor Area
Date:
C1sbad Unified School District
801 Pine Ave.
Encinitas Union School District
101 SouthRancho Santa Fe Rd
Encinitas, CA 92024(944-4300)
San Marcos Unified School District
215 Mata Way
San Marcos, CA 92069 (736-2200)
San Dieguito Union High School District
710 Encinitas Blvd.
Encinitas, CA 92024 (753.6491)
Certification of Applicant/Owners. The person executing this declaration ("Owner") certifies under penalty of perjury that (1) the
Information provided above Is correct and true to the best of the Owner's knowledge, and that the Owner will file an amend
e
d
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 incorrec
t
,
a
n
d
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_Qwner.
Signature: 0
Date:
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 is
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.
SCHOOL DISTRICT:
The undersigned, being duly authorized by the applicable School District, certifies that the
developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that
the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District. The City may isgue building permits for this project.
SIGNATURE OF AUTHORIZED SCHOOL
DISTRICT OFFICIAL
TITLE
NAME OF SCHOOL DISTRICT
801 Pins Avcue
DATE
PHONE NUMBER
rr C13021442 1811 VALENCIA AV CBAD
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