HomeMy WebLinkAbout2712 TIBURON AVE; ; CB901917; PermitPERMIT APPLICATION
City of Carl sbad Building Department
EST. YAL. _____ ---'"'---'---:;..,.-.,..-----2075 las Pa lmas Dr., Carl sbad, CA 92009 (619) 438-1161
PLAN Cl( DEPOSIT _____ _;__(} ____ _
1. PERMIT ::~t_· -8-Y~~~~~~~/.:o/:-=.c:i;-:_v.-:~ .... -=-t}-=-~~~~~~-=--
A CONHERCIAL TENANT IMPROVEMENT
B O INDUSTRIAL ONEIi □TENANT IMPROVEMENT
C • ~RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DI/ELLING □ADDITION/ALTERATION
□DUPLEX ODEHOLITION □RELOCATION OHOBILE HOME □ELECTR ICAL □PLUMBI NG
97 9 12/ 7/90
□MECHANICAL □POOL OSPA □RETAINING I/ALL □SOLAR □OTHER _____ _
2. PROJECT INFORMATION PLAN CHECK No. F
Address '!) 1 I '.cl. 1 B v R O IV Av<. Bui l
Nearest Cross Streets Pol\, [/AC
LEGAL DESCRIPTION Lot No. Subdivision Name/NLlli>er Unit No. Phase No.
TRACT NQ ~'l-.3S: L CHECK BELOW IF SIMNI TTEO :
02 Energy Cales
79
02 Structural Cales D 2 Soi ls Report 0 l Addressed Envelope
3.
4.
5.
6.
7.
ASSESSOR'S PARCEL
BLOG. SO. FTG. "-/io
CONTACT PERSON
NAME GoRDDA.J PAR KC~
CITY c A f(.($ 8A l>
SIGNATURE -!:!(9,-,.--.tkn {ya,.)rv._,,..
APPLICANT D CONTRACTOR
NAME GoR Do,v PARK€, t
CITY S,41n-r
PROPERTY OWNER
NAME
Cl TY 5A Jn -e
CONTRACTOR
NAME
CITY
STATE LIC. #
SIGNATURE
DESIGNER NAME
CITY Si ll1 C,.
WORKERS' COMPENSATION
EXISTING USE PROPOSED USE
# OF STOR JES
ADDRess ;, 1 , ;;,. r , B " R o ,C,I A ,., c.
STATE CA-ZIP CODE '/ ;;Jt>t><t DAY TELEPHONE {.,./C(-7 :l 9 'fr I 7'(
0 AGENT FOR CONTRACTOR
ADDRESS
STATE
O\INER
STATE
STATE
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
~NER
LICENSE CLASS _____ _
STATE
TITLE
ADDRESS
ZIP CODE
D AGENT FOR O\INER
DAY TELEPHONE
□LESSEE □TENANT
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
Workers• C0ff1)ensat1on Oeclarat1on: hereby aff1rm that have a cert1f1cate of consent to self·1nsure issued by the Director of Industrial Relations,
or a cert if kate of Uorkers I COfl1)ensat ion Insurance by an adni tted insurer, or an exact copy or duplicate thereof cert if fed by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
I NSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cert if;cate of Exeq,tion: I cert Hy that in the performance of the work. for which this permit 1s 1Ssued, I shall not Cfll>lOy any person in any manner
so as to become subject to the Workers' Coq:,ensation Laws of California.
SIGNATURE):{~ G?cw!L DATE /;) -7-91J
8 . OWNER-BUILDER DECLARATION
Owner·Builder Declaration: I hereby aff1rm that I am exempt from the Contractor's L1cense Law for the following reason:
0 I as owner of the property or my eq:,loyees with wages as their sole compensation, w1ll do the work and the structure 1s not 1ntencfod 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 i~roves thereon,, and who
does such work himself or through his own eq:,loyees, provided that such i~rovements are not intended or offered for sale. If, however, the building
or irrprovement is sold within one: year of C0n1)letion, the owner·bu1lder wi ll have the burden of proving that he did not build or iq:,rove for the purpose
of sale.).
0 1, as owner of the property, am exclusively contracting with l1censed contractors to construct the proj~t (Sec. 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who builds or i"'l)roves thereon, and contracts for such projects with contractor(s)
l 1censed pursuant to the Contractor•s License Law).
0 I am exer11)t under Section ___________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County whi ch requires a permit to construct, alter, irll)rove, 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, coo1TMmc1ng with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom,
and the basis for the alleged exeq,tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five undred dollars [ l).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON·RESI0ENTIAL BUILDING PERMITS ONLY:
ls 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-Tenner Hazardous Substance Account Act?
Ores □No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
O ves D •o
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
Ores
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCQJPANCY NAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENuING AGENCY
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 'S NAME LENDER'S ADDRESS
10 . APPLICANT'S SIGNATURE
1 certify that I have read the appl1cat1on and state that the above information is correc t. I agree-to COffl>ly with all City ord1nanccs and State laws relating
to build1ng construct ton. I hereby authorize representatives of the C1ty of Cadsbad to enter upon the above mentioned property for 1nspcct1on purposes. I ALSO
ACREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, Jl.OGMCNTS, COSTS ANO EXPENSCS IIHICH NAT IN ANT IIAT ACCRUE AGAINST SAID
CITY IN COIISEQIJENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by l imitation and become null and void if the building
or work authorized by such permit 1s not coomenced w1th1n 180 days from the date of such permit or d the bu1ld1ng or work authorued by such permlt is suspended
or abandoned at any time after the work is conmencod for a period of 180 days (Section 3D3(d) Uniform Building Code).
, O\INER D CONTRACTOR D BY PHONE
WHITE: File YELLOW: Applicant PINK: Finance
APPROVED BY: -=-~-----
DATE: /;J-7-97>
PERMIT# CB901917
DESCRIPTION: ADD 480 SF HOBBY
TYPE: RAD
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/17/95
ROOM
JOB ADDRESS: 2712 TIBURON AV
APPLICANT: PARKER, GORDON
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
INSPECTOR AREA PD
PLANCK# CB901917
OCC GRP M
CONSTR. TYPE VN
LOT:
1---19 ST Final structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
------------------------------------
--------------------
***** INSPECTION HISTORY*****
DATE
082994
030294
051093
042393
082592
DESCRIPTION
Rough Electric
Underground/Conduit-Wiring
Shear Panels/HD's
Roof/Reroof
Ftg/Foundation/Piers
ACT INSP
AP PD
AP PD
AP PD
AP PD
AP MP
COMMENTS
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
DATE : \ 2-l \ ~ \ <j C) □APPLICANT
.JURISDICTION D PLAN CHECKER JURISDICTION: C VhZ-~eA-0
QFILE COPY
QUPS
Q DESIGNER
PLAN CHECK NO: <?x:) -\ 9 \ '::1 SET: 'I..
PROJECT ADDRESS : __ 2-=-:1~l~'Z-,,....,.___,_\~\~6L...>O:V~Q~o.;;.....LyZ..-_H:\}~<..;::=;:;-------
PROJECT NAME: ___ l~d:o~E~B~~---~f2.oo=-c~~.L.1.44-------
□
·□ · ...
□
D
D
WJ
□
The plans trans mitted herewith have been corrected where
necessary and substantially comply with the .jurisdiction's
building codes .
The plans trans mitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified Y:,ca_.o4) are resolved and
checked by building department staff .
Th~ plans tra~smitted h~re with have sig~ificant deficiencies
identified on t he .enclosed check list and should be correcte d
and resubmitted for a compl ete recheck.
The check list transmitted herewith is for your information.
The plans are being held at Esgil Corp. until corrected
p l ahs are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to. the appl icant contact person.
The applicant's copy of the check list has b een sent to :
Esgil staff did not advise the appJicant contact person that
plan c h eck has been completed.
Esgil staff did advise applicant that the plan
been complete d . Person contacted: ---------::,,-'"'-~_,,_...-::;
Date co(!)acted: ________ _
~ REMARKS • _._,:...=..,"""-.__~~---'-'""°"">--L.l."""----'L..>,:,:::..!..-L.!..loo.:-._.!.:>"""-"~~:__a.u.::;;;___,~,-,:..c-___ _
'O 0
By:~ .... " G1L~H:\frN
ESGIL CORPORATION
□GA :__J AA □RN ODM /2/;o
Da:te1 \'l jl~\~O Jurisdiction Cf\12.L.SS? AO
Prepared by,
-Stw, VALUATION AND PLAN CHECK FEE
□ Bldg. Dept.
O Esgil
PLAN CHECK NO. Cjo -!'3\:(
BUILDING ADDRESS z:i I z_ =n Bu rZoN :f\JEf
APPLICANT/CONTACT Goa.pot4, 3?:e-rzK-Gl'-PHONE NO. -12.9 8114
BUILDING OCCUPANCY M DESIGNER PHONE ------
TYPE OF CONSTRUCTION \) .-1'1 CONTRACTOR PHONE -----
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
S~t~ A-:S
P.r-~19--'1 (~ 4-?Jo ( fii> --\ ~ ,oo -?3~40
I
Air Conditionin~
Commercial @ ..
Residential @
Res. or Comm.
Fire S-orinklers @
Total Value 8G4-0
I
Building Perm it re e $ __ J_Q_B""--_, _(J_Q ____________ _,.__ ______ _
Plan Check fee $ '7 D I ZCJ $ --''---------------------.a..-------
CO H HEN TS._• __________________________ _
SHEET OF --12/87
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1 2 3
s N R
T D D
C C C
H H H
E E E
K K K
@ □□
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□□□
□□□
BUILDING PLANCHECK
ENGINEERING CHECKLIST
DATE: 1 ~'] □ ITEM COMPLETE
PLANCHECK NO. 1q17 □ ITEM INCOMPLETE
NEEDS YOUR ACTION
2.7 12. Tl ~U R.Q"-J A\JE ITEM SELECTED
A .P.N , l<e]-SI -23
PROJECT ID:
LEGAL REQUIREMENTS
Site Plan
1.
3 .
Provide a fully dimensioned site plan drawn to scale.
Show: north arrow, property lines, easements, existing a nd
proposed structures, streets, existing street improvements,
right-of-way width and dimension setbacks .
Show on site plan: Finish floor elevations, pad
elevations, elevations of finish grade adjacent to
building, existing topographical lines, existing and
proposed slopes, driveway with percent (%) grade and
drainage patterns.
Provide legal description and Assessors Parcel Number.
Discretionary Approval Compliance
No Discretionary approvals were required.
5. Project complies with all Engineering Conditions of Approval for Project No. ________ _
6. Project does not comply with the following Engineering
Conditions of Approval for Project No. _________ _
Conditions complied with by: ________ Date: ____ _
Field Review
N/111] □ □ 7.
□□□ 8.
Field review completed. No issues raised.
Field review completed. The following issues or
□□□
□□□
□□□
FRM00l0.DH
discrepancies with the site plan were found:
A.
B.
C.
Site lacks adequate public improvements
Existing drainage improvements not shown or in
conflict with site plan.
Site is served by overhead power lines.
REV. 11/27/90
□□□ D.
□□□ E.
Grading is required to access site, create pad or
provide for ultimate street improvement.
Site access visibility problems exist. Provide onsite
turnaround or engineered solution to problem.
□□□ F. Other: ________________________ _
Dedication Requirements
cef□□ 9.
□□□ 10.
No dedication required.
Dedication required. Please have a registered Civ il
Engineer or Land Surveyor prepare the appropriate legal
description together with an 8 ½" x 11" plat map and submit
with a title report and the required processing fee. All
easement documents must be approved and signed by owner(s)
prior to issuance of Building Permit. The description of the dedication is as follows: _______________ _
Dedication compl eted , Date __________ _ By: __ _
Improvement Requirements
0□□ 11.
FRM00l0.DH
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.
Public improvements required. This project requires
construction of public improvements pursuant to Section
18.40 of the City Code. Please have a registered civil
Engineer prepare appropriate improvement plans and submit
for separate plancheck process through the Engineering
Department. Improvement plans must be approved,
appropriate securities posted and fees paid prior to
issuance of permit. The required improvements are: ___ _
Improvement plans signed, Date: _________ by: ___ _
REV . 11/27 /90
13. Improvements are required. Construction of the public
improvements may be deferred in accordance with Section
18.40 of the City Code. Please submit a letter requesting
deferral of the required improvements together with a
recent title report on the property and the appropriate
processing fee so we may prepare the necessary Future
Improvement Agreement. The Future Improvement Agreement
must be signed, notarized and approved by the City prior to
issuance of a Building Permit.
Future Improvement Agreement completed, Date: ______ _ By: __________ _
DD D 13a. Inadequate information available on site plan to make a
determination on grading requirements. Please provide more
detailed proposed and existing elevations and contours.
Include accurate estimates of the grading quantities (cut,
fill, import, export).
C\Z('o □ 14. No grading required as determined by the information
provided on the site plan.
DD D 15. Grading Permit required. A separate grading plan prepared
by a registered Civil Engineer must be submitted for
separate plan check and approval through the Engineering
Department. NOTE: The Grading Permit must be issued and
grading substantially complete and found acceptable to the
City Inspector prior to issuance of Building Permits.
Grading Inspector sign off. Date: ______ by: ____ _
Miscellaneous Permits
0□□
□□□
0□□
□□□
16.
17.
18.
19.
if□ 0 20.
FRM00l0.DH
Right-of-Way Permit not required.
Right-of-Way Permit required. A separate Right-of-Way
Permit issued by the Engineering Department is required for the following: _______________________ _
Sewer Permit is not required.
Sewer Perrni t is required. A sewer Permit is required
concurrent with Building Permit issuance. The fee required
is noted below in the fees section.
Industrial Waste Permit is not required.
REV. 11/27/90
'□□□ 21. Industrial Waste Permit is required. Applicant must
complete Industrial Waste Permit Application Form a nd
submit for City approval prior to issuance of a Building
Permits. Permits must be issued prior to occupancy.
Industrial Waster Permit accepted -
Date: __________ By: _______________ _
Fees Required
□ N/A 21. Park-in-Lieu Fee
Quadrant: _____ Fee per Unit: _______ _
Total Fees: __ _
□ N/A 23. Traffic Impact Fee
Fee Per Unit: __________ Total Fee: _____ _
□ N/A 24. Bridge and Thorough fare Fee
Fee Per Unit: __________ Total Fee: _____ _
□ N/A 25. Public Facilities Fee required.
□ N/A 26. Facilities Management Fee Zone: _____ Fee: ____ _
□ N//-27. Sewer Fees Permit No. ________ EDU's ___ _ Fee: ________ _
□ N/A 28. Sewer Lateral Required: _______________ _
Fee: _______ _
□ 29. REMARKS: _______________________ _
ENGINEERING AUTHORIZATION TO ISSUE PERMIT
FRMOOlO.DH REV. 11/27/90
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Plan Check No. f{) I 1 I 7
Planner iJA,J lft'! c /,,,
(Name)
APN: ?-167-'.>-!2. -Z:3
PLANNING CHECI<LlSf
Address Z 72 ,r <-,_ z; 2-,ns u f'-&N live':
Phone 438-1161 ext. 0/ 3 2 5-
Type of Project and Use::; /N6t6 @.,,,.,,,c't' Db>tp,,-,,e-,0 /pf)J)/pJ,.J >
Zone £ -/-7J, .. v Facilities Management Zone ----=2-=----
Legend
[1]
C
Item Complete
Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
rn✓tJ O Environmental Review Required: YES _ NO ..i,..._ lYPE ___ _
DATE OF COMPLETION: =-•----------------------
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ________________________ _
GVD D Discretionary Action Required: YES NO J( lYPE __ _
APPROVAL/RESO. NO. __ _ DATE: ______ _
PROJECT NO. ___ _
OTHER RELATED CASES: _____________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ________________________ _
e:rtJ D California Coastal Commission Permit Required: YES_ NOL
DATE OF APPROVAL:
San Diego Coast District, 1333 Camino Del Rio South, Suite 125, San Diego, CA. 92108-3520
(619) 297-9740
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ________________________ _
r:g/□ 0 Landscape Plan Required: YES __ NO.::£__
See attached submittal requirements for landscape. plans
Site Plan:
Zoning:
1.
2.
3.
4.
1.
2.
3.
4.
Provide a fully dimensioned site plan dra~ Show: North
arrow, property lines, easements, existin;i -~~sed structures,
streets, existing street improvements, right-of-way width and
dimensioned setbacks.
Show on Site Plan: Finish floor elevations, elevations of finish grade
adjacent to building, existing topographical lines, existing and proposed
slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Required ' 2 -fl' Front: 20 Shown
lnt. ~ide: Required 10 Shown lo
Street Side: Required Shown
Rear: Required ·02 Shown -+ '20
Lot coverage: Required Llfv( Shown ,::: t,to;t
Height: Required c 1r1 Shown c 1)-,
Parking: Spaces Required z Shown '2__
Guest Spaces Required Shown
D D D Additional Comments _______________________ _
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER t)_ ~vvlb
PLNCK.FRM