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CITY OF CARLSBAD
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2908 06/28/93 0001. 01 02
C-P~MT 70<' '
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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Departaent
2075 Las Pal-,s De., caelsbad, CA 92009 (619) 438-1161
I. P£RMI I i'YPE
A -LI COmmerc1al D New Build mg LI I enanc Improvement
B -D Industrial □ New Building D Tenant Improvement _ ~
C -LI Residential □ Apartment D Condo □ Single Family Dwelling If Addition/ Alteration
□ Duplex □ Demolition LI Relocation □ Mobile Home □ Electrical D Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall D Solar LI Other
BulJdmg or Suite No.
CHECK BEWW IF SOBMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi, zs, -~-75 ~NG USE R I
DESCRIPTION OF WORK A Pp-; ,;.,, ~ ~
SQ. Ff. -Z..5~ I O # OF STORIES /
NAME 1-'!,a C?'f"P ADDRESS v~ ~
CITY ~ STATE~ ZJPCODE '1U£tfDAYTELEPHONE
NAME
CITY
STATE a
STATE
ZIP CODE DAY TELEPHONE
ADDRESS
DAY TELEPHONE
C-PRMT
FOR OFFICE USE ONLY
mt o. ase o.
PROPOSED USE
'7>'t-SZ1'$
STATE UC.#
ZIP CODE
UCENSE CLASS CITY BUSINESS UC. #
152-00
DESIGNER NAME )Ud':e-??.? )ZS
CITY,~ STATEM.
ADDRESS ,f '77' 7'? / L,
ZIP CODE 1,?XJ:F7 DAY TELEPHONE ~ATE UC.# ?i,J¼Af q
7. WORkEic;
Workers' Compensation Oeclarauon: I hereby aUlrm that I have a certificate of consent to self-msure issued by the VI rector of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Ceruhcate of Exemptmn: I certify that m the performance of the work for which this penmt 1s ISSued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-BOllDER DPl!OOlXIION
Owner-Builder beclaratton: I hereby affirm that I am exempt from the COntracto?s Llcense Law for the foliowmg reason: ✓ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Ccxle: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
□
□
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ________ Business and Professions Code for this reason:
(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, commencing 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 [$500]).
SIGNATIJRE DATE
COMPLEIE IRIS SEGIION FOR NON-RESIDEN IIAL BUILDING PERMI l's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF cxnJPANCY MAY Nar BE IS.WED AFJ1!R JULY I, 1989 UNLESS THE APPLICANT
HAS MET OR JS MEIITING THE REQUIREMENTii OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR FOI1.UTION <X>NTilOL DIS'l1IICT.
I hereby athrm that there 1s a nstruct1on lend mg agency for the performance of the work for which this permit 1s issued (Sec 3697(1) Civil Code).
LENDER'S NAME NDER'S ADDRESS
I certify that I have read the apphcat1on and state thac the above mformauon 1s correct. I agree lO comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I A1SO AGREE ID SAVE INDEMNIFY AND KEEP HARMlJlSS THE CTlY OF CARISBAD AGAINST AIL LIABlllTIES, JUDGMENTS, CXJSTS
AND EXPENSES WIDCH MAY IN ANY WAY MilUIE AGAINST SAID CTlY IN <X>NSEQUENCE OF THE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or aha data tim r work is commenced for a pericxl of 180 days (Section 303(d) Uniform Building Code).
DATE: 7-f; -fZ,_.
PINK: Finance
City of Carlsbad
■=11 11611,1·1-)4·6111,,14111
DATE: 01/12/95
TO: ROSS, JOHN
1052 KNOWLES AVENUE
CARLSBAD, CA 92008
•.
RE: BUILDING PERMIT EXPIRATION
PERMIT NUMBER: CB920666
ISSUE DATE: 06/28/93
LAST INSPECTION:
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
ADDRESS: 1052 KNOWLES AV
Our records indicate that your building permit will expire by limitation
of time on 01/24/95.
The provisions of UBC, Section JOJ(d) state: "EXPIRATION. Every permit issued
by the Building Official under the provisions of this code shall expire by
limitation and become null and void if the building or work authorized by such
permit is not commenced within one calendar year from the date of such permit,
or if the building or work authorized by such permit is stopped at any time
after the work is COJl\lllenced for a period of six consecutive calendar months or
if the building or work authorized by such permit exceeds three calendar years
from the issuance date of permit. Work shall be presumed to have commenced if
the permittee has obtained a required inspection approval of work authorized
by the permit by the building official within one year of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not ob-
tained a required inspection approval of work by the building official within
each six month period upon the initial commencement of work authorized by such
permit.
Before such work can be recommenced, a new permit, or a renewal permit as
specified below, shall be obtained.
1. PERMITS WHERE WORK HAS NOT COMMENCED.
not commenced in the first calendar year from the
permit may be obtained provided:
For permits where work has
date of issuance, a renewal
(A) No changes have been made or will be made in the original plans and
specifications for such work.
(B) That the expiration has not exceeded three years from the original
issuance date.
(C) That the same edition of the model codes is in effect as used in
the initial plan check.
(D) That a fee equal to one-half the amount required for a new permit
be paid.
The renewal permit shall expire three calendar years from the date of initial
permit issuance.
2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161
City of Carlsbad ■=i•IIN lilt• 1·14 ·61 I I ,,14 ,; I
DATE: 06/25/93
TO: ROSS, JOHN
1052 KNOWLES AVENUE
CARLSBAD, CA 92008
PLAN CHECK EXPIRATION
PC# CB920666 DATE: 07/08/93
ADDRESS: 1052 KNOWLES AV
You have applied to have your plans checked on the date shown
above, and you have not obtained your building permit.
The provisions of Section 304(d) of the Uniform Building Code
state:
"Section 304(d) Expiration of Plan Review
Applications for which no permit is issued
within one year following the date of
application shall expire by limitation, and
plans and other data submitted for review
may thereafter be returned to the applicant
or destroyed by the Building Official.
In order to renew action on an application
after expiration, the applicant shall resubmit
plans and pay a new plan review fee.11
Please check the appropriate box indicating your choice
and return this letter to the BUILDING DEPARTMENT.
PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS.
PROJECT ABANDONED. PLANS MAY BE DESTROYED.
If you have any questions, please contact the Building
Department at (619) 438-1161.
DORIS COSMAN
Building Department
2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB920666 FOR 01/23/95
DESCRIPTION: 253 SF ADD MASTER BEDROOM
TYPE: RAD
JOB ADDRESS: 1052 KNOWLES AV
APPLICANT: ROSS, JOHN
CONTRACTOR:
OWNER:
REMARKS: MW/JOHN
SPECIAL INSTRUCT: SHOWER FLOOR AND
MONDAY AM
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA TP
PLANCK# CB920666
OCC GRP R3
CONSTR. TYPE VN
STE •. -LOT• , \, . 619 439-573
CD
27
LVL DESCRIPTION ACT COMMENTS
PL Shower Pan/Roman Tubs
------------------------------------------------------
***** INSPECTION HISTORY*****
DATE
072894
013194
013194
012894
012494
012494
012494
012494
012494
011494
011294
011294
011294
011294
011294
100593
100493
092493
092393
092393
092293
082593
081793
DESCRIPTION
Rough Electric
Interior Lath/Drywall
Rough/Ducts/Dampers
Interior Lath/Drywall
Frame/Steel/Bolting/Welding
Gas/Test/Repairs
Rough Electric
Rough/Ducts/Dampers
Rough/Topout
Gas/Test/Repairs
Insulation
Gas/Test/Repairs
Rough/Topout
Rough Electric
Frame/Steel/Bolting/Welding
Shear Panels/HD's
Shear Panels/HD's
Roof/Reroof
Frame/Steel/Bolting/Welding
Roof/Reroof
Roof/Reroof
Ftg/Foundation/Piers
Underground/Under Floor
ACT
AP
AP
AP co
AP
AP
AP co
AP co
NR
NR co co co
AP co
AP
AP
AP
PA
AP
AP
INSP
TP
TP
TP
PD
TP
TP
TP
TP
TP
PD
TP
TP
TP
TP
TP
TP
TP
PD
TP
TP
TP
TP
TP
COMMENTS
WALL FURNACE
INCOMPLETE
ND DOOR LITES TEMP
WALLS/ND PANEL DETAIL & CARD
PROVIDE COMB AIR FOR PILOT
SEE JOB CARD
OK TO WRAP
l-35S@ SHEAR TRANS (FRONT)
INSULATION@ ROOF
2 X 6 T&G UNDER SHTING
DATE: 7-;50-92
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(61 9) 560-I 468
JURISDICTION: C/T'-j Or
PLAN CHECK NO: SET: :J[
PROJECT ADDRESS:_~/_O~S;__:Z;____;K~N..::.,::o~wc.;....:cc~E:......:S;__ _____ _
' PROJECT NAME: ':i'F D Po o N F-01<..
D
D
D
D
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 jurisdic~ion's building codes when minor deficien-
cies identified '>E aec.vv 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
The plans
plans are
list transmitted herewith is for your information.
are being held at Esgil Corp. until corrected
submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
0 The _applicant's copy of the check list has been sent to:
[81 Esgil staff did not advise the applican\contact person that
plan check has been completed. ·
O Esgil staff did advise applicant that th plan check has
been completed. Person contacted: ____________ -:--//&
Date contacted: ________ _
(81 REMARKS : ...:./.:.., -=5_:_f+v-'-_k-l.:____:L_;_O:..C.=.:..l=l:..7:...:l_;_t>:..l.::.J _ _;_<:..,":...F_......::.s..::..;·.:.'.::..".:.k:.=r;:...__;_0::::..,Ec.._!<_;_ri:::....;,L.....::...:..=....::.__
.:£.., 13LPb Pt:?--S/GNE"f2_ /9-lvD TH--e;-oi,,.J1,Jl?/Z /'-11.A.ST s./GIJ
' Cr -I f2.-CA L a:':>
By: A-6/? /:>OL-l~IJ'TF Enclosures: -----------ESGIL CORPORATION 7 -Z-3 -7' Z..
□GA Ocr1
DATE: 7-/C,,-'17..
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
JURISDICTION: c111 or
PLAN CHECK NO: SET: :[
PROJECT ADDRESS: / 0£ 2;,· /c..!Jo vJL f: ~
PROJECT NAME: SFD'" ,q.:b P ?J nR, JD;+/J /2£)'::,. S
D
D
D
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 deficien-
cies identified-,--~------~~--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 Corp. until corrected
plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
~ The applican_t's copy of the check list has been sent to:
k, k...tT Ll-o 't D
Vf!:>TR, C~. 9:z.ogtf
'
~ Esgil staff did not advise the applicant contact person that
plan check has been completed. •
O Esgil staff did advise applicant that the plan check has
been completed. Person contacted: ------------
Date contacted: _________ Telephone# _______ _
~ REMARKS : p C ~ C2 5 (c{? l<'e'V I<: E-D // ,4-(. ~ ;,a. TI t.J f)
By: PBe D0LtG1JT~
ESGIL CORPORATION
□GA OcM
Enclosures: -----------
7 -'7 -'r 2-
JURISDICIION:_---=0-c.aA-'-'-'fU.=...:!,c....::/3;..,'r...c.._P _____ ~Date plans received by plan checker: __ 7'----'7'----"f_Z __
PLAN CHECK NO.: '1 Z-(,t,C, Date plan check completed: 7/1&?("/Z-By: l'ff.Je::-'DOl..tf?tvf/3'
PROJECT ADDRESS:_.!./..::O"'5"'--'k""----'--'K::::N=O_,l,<l=L::::17=:.._..::'=':__ ___________________ _
IO:_.-,Hc...L.:e,..L/c.=ls=--___:L=l,c.::O-=lfLP"'---------------------------
PLAN CORRECTION SHEEI
FOREWORD: PLEASE READ
Plan check is limited to 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 disabled access. The plan check is based on regulations enforced
by the Building Inspection Department. You may have other corrections based on laws and ordinances
enforced by the Planning Department, Engineering Department or other departments.
The items shown below need clarification, modification or change. All items have to be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 303(c), of
the Uniform Building Code, the approval of the plans does not permit the violation of any state,
county or city law.
A. PLANS
0 Please make all corrections on the original
tracings and submit two new sets of prints,
and any original plan sets that may have been
returned to you by the jurisdiction, to:
0 To facilitate checking, please identify, next
to each item, the sheet of the plans upon
which each correction on this sheet has been
4-,
7,.
g,
made and return this check sheet with the
revised plans.
ner:, '"' PU9of.T Pe.1De
5 f'/FCJ,/ F '1 /t)l"r I L s I 'f::<7 "f-
l{BC,,,
0 Please indicate here if any changes have
been made to the plans that are not a result
of corrections from this list. If there are
other changes, please briefly describe them
and where they are located on the plans.
Have changes been made to the plans not
resulting from this correction list? Please
check.
____ Yes ____ ,No
r-HJ01,10V
ro pa>l,o(tJ.D~noJ.J
S P/4 c:.. I t--JG Ft;) e.
tJo.
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(f(._{X,,, J)f?'>JuNER-f
CJvJ/Jelc. St6!J CF-IR /o. ,.._ ¼ us-r '
11. 5/# ',A./ ,tu_, -n/-B f?e-8 vtl )::C?D ,µ,s,,,_ .._n -:-; :>1u of.) 7/ft_.,~
' 5ec..T10,,.J5. e.t..o& C' /Z-t:)$. s
Form No. PCS.41390
•
Jurisdiction CA-f?.L!. B >tr/-:) Date 1 7 /1r,, /~ Z.
Prepared by,
/4-~(7 VALUATION AND PLAN CHECK FEE
□ Bldg. Dept,
O Esgil
PLAN CHECK NO, '12-~ff,(,
BUILDING ADDRESS IO>Z /::...No t,Jt_t75
APPLICANT/CONTACT Hit=~ /.,lol( V PHONE NO,( 61? l d--"'> "')-4-z '-/, ;,
BUILDING OCCUPANCY /!..-~ DESIGNER PHONE _____ _
TYPE OF' CONSTRUCTION '!)-/\) CONTRACTOR PHONE. ____ _
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
5F.P ~pp)c, 57,J,~ 7 tL, 1/'i/ ,Jr, --~ -
"Gq_oo 'I/& ., -'f ~ -z-z..1 . ' -
-
Air Conditionine::
CommercTal @ -
Residential ia .-
Res. or Comm.
Fire Snrinklers @
-, o, 3z.,
Total Value -(l,Q ~-€z:, -'
8 uildirig Perm it fee $ _________________ _.__3_~ __ ;_0?) ___ _
Plan Check fee $ $ 2-") /, l/-D -'<---------------------"'----:...._; __ _
CD M MEN TS._: ----------------------------
SHEET / OF) -'---12/87
1 i .. ,.
City of Carlsbad
■ #,1·11,14411,1· I •JA•RII i, ,19,11
BUILDING PLANCHECK CHECKLIST
DATE:,_ ---'----------PLANCHECK NO,...::'~=-:...:.··-~_:_-'_·_:__::'·--
BUILDING ADDRESS:-~--"-'-/·."--. _, _. ~---------------
PROJECT DESCRIPTION: --'----~~---1~/_' ____________ _
ASSESSOR's PARCEL NUMBER: _l~r_:_·-----~---EST. VALUE. ____ _
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved. The approval is based on plans,
information and/or specifications provided in your
submittal; therefore any changes to these items
after this date, including field modifications, must
be reviewed by this office to insure continued
conformance with applicable codl3S. Please review
carefully all comments attached, as failure to
comply with instructions in this report can result in
suspension of permit to build.
1st CHECK By: ________ Date: ___ _
2nd CHECK By: ________ Date: ___ _
3rd CHECK By: ________ Date: ___ _
ATTACHMENTS
0 Dedication Application
0 Dedication Checklist
0 Improvement Application
0 Improvement Checklist
DENIAL
Please see the attached report of deficiencies
marked with Q 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.
Date:2'3 -Ju/_ )L
By: __________ Date: ___ _
CONTACT PERSON
NAME: ______________ _
0 Future Improvement Agreement
0 Grading Permit Application ADDRESS: ______________ _
D Right of Way Permit Application
D Sewer Fee Information Sheet PHONE: ______________ _
P:\-\chklat\bp0001.frm REV 6/5/92
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 ®
BUILDING PLANCHECK CHECKLIST
SITE PLAN
1 ~✓ 2nd✓ 3rd✓
~ ia_ D 1. Provide a fully dimensioned site plan drawn to scale. Show:
□
□
~□ □
A. North Arrow D. Property Lines Easements
B. Existing & Proposed Structures _s.--Ea.sem~nts ·-· _ ;;--:-=,--~.
C. Existing Street Improvements ; F. Right-of-Way Width & Adjacent Streets ~
( Ev1·''"lG,,.; 1r-1·· ;
2. Show on site plan: -.~-, .. . .. . ·. :
A. Drainage Patterns C. Existing Topography
B. Existing & Proposed Slopes
3. Show on a section drawing or include a note stating that there is a minimum of 6"
difference between the finished floor and the finished grade elevation adjacent to the
structure.
4. Include note: "Surface water to be directed away from the building foundation at a 2%
gradient for no less than 5' or 2/3 the distance to the property line (whichever is less).'
[Per 1985 UBC 2907(d)5).
On graded sites, the top of any exterior foundation shall extend above the elevation
of the street gutter at point of discharge or the inlet of an approved drainage device
a minimum of 12 inches plus two percent" (per 1990 UBC 2907(d)5.).
(L1 0 0 5. 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
Page 1 of 4 REV 6/5/92
I
BUILDING PLANCHECK CHECKLIST
~jl--DISCRETIONARY APPROVAL COMPLIANCE
1st✓ 2nd✓ 3rd✓ D D D 6. Project does not comply with the following Engineering Conditions of approval for Project No. ________________________ _
Conditions were complied with by: ______ _ Date: _______ _
DEDICATION REQUIREMENTS
~ ,E_ D 7. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and for
remodels with a value at or exceeding $ : , · • -pursuant to Code Section
18.40.030. 4
Dedication required as follows: ~==...,,f_,'-'--'----==-· _..,aa.Lc,--'r'-'-:i=i-..:.-;.._T'-'f-"-,:.:..i'...i.(_-~-----'---
_::f i_; f·· ·.: _ ~I y.;.;·.·_ f .:_,-:/.*. C"','-_:l, i)-,l'f'.:_J .rz:
I
Attached please find an application form and submittal checklist for the dedication
process. Provide the completed application form and the requirements on the.
checklist at the time of resubmittal.
Dedication completed by ____________ _ Date: ____ _
IMPROVEMENT REQUIREMENTS
D D D Ba. All needed public improvements upon and adjacent to the· building site must be
constructed at time of building construction whenever the value of the construction
exceeds .._ ________ -pursuant to Code Section 18.40.040.
Public improvements required as follows: ______________ _
Please have a registered Civil Engineer prepare appropriate improvement plans and
submit them together with the requirements on the attached checklist for a separate
plancheck process through the Engineering Department. Improvement plans must be
approved, appropriate securities posted and fees paid prior to issuance of permit.
Attached please find an application form and submittal checklist for the public
improvements requirements. Provide the completed application form and the
requirements on the checklist at the time of resubmittal.
Improvement Plans signed by: __________ _ Date: ___ _
P:-.-\chklat\bp0001.lrm Page 2 of 4 REV 1/5/92
I
BUILDING PLANCHECK CHECKLIST
1st✓ 2nd✓ 3rd✓ 0 0 D Sb. Construction of the public improvements may be deferred pursuant to code Section
18.40. Please submit a recent property title report or current grant deed on the
property and processing fee of $ _________ so we may prepare the
necessary Future Improvement Agreement. This agreement must be signed, notarized
and approved by the City prior to issuance of a Building Permit.
Future public improvements required as follows: ___________ _
Improvement Plans signed by: ___________ _ Date: ____ _
0 0 D ac. Enclosed please find your Future Improvement Agreement. Please return signed and
notarized Agreement to the Engineering Department.
□ D
Future Improvement Agreement completed by: ____________ _
Date: _______ _
8d. 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.
N;I, GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section 11.06.030
of the Municipal Code.
0 0 0 9a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
0 0 D 9b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be Submitted together with the completed application form attached.
NOTE: The Grading Permit must be issued and rough grading approval obtained prior
to issuance of a Building Permit.
Grading Inspector sign off by: ________ _ Date: __ ......,. __
BUILDING PLANCHECK CHECKLIST
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N;/"
1st✓ 2nd✓ 3rd✓
□ □ □
MISCELLANEOUS PERMITS
10. 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, trees, driveways.
A separate Right-of-Way permit issued by the Engineering Department is required for
the following: _______________________ _
Please complete attached Right-of-Way application form and return to the Engineering
Department together with the requirements on the attached Right-of-Way checklist, at
the time of resubmittal.
D D D 11. A SEWER PERMIT is required concurrent with the building permit issuance. The fee
is noted in the fees section on the following page.
0 0 0 12. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial
Waste Permit Application Form and submit for City approval prior to issuance of a
Permit.
Industrial waste permit accepted by: _______ _ Date: ___ _
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l
CALCULATIONS WORKSHEET
EDU CALCULATIONS: EDU's:
ADT CALCULATIONS: ADT's:
/'-..i/'J. FEES REQUIRED:
WITHIN CFO:
0 YES (NO BRIDGE & THOROUGHFARE FEE, REDUCED TRAFFIC IMPACT FEE)
ONO
0 1. PARK-IN-LIEU FEE
PARK AREA: ____ _ FEE/UNIT: ___ _
0 2.TRAFFIC IMPACT FEE
ADT's: _____ FEE/ADT: ___ _
0 3. BRIDGE AND THOROUGHFARE FEE
ADT's:_____ FEE/ADT: ____ _
0 4. FACILITIES MANAGEMENT FEE
ZONE:_____ FEE/EDU: ___ _
0 ·5. PUBLIC FACILITIES FEE
0 6. SEWER FEES PERMIT No. _____ _
EDU's: ____ _ FEE/EDU: ___ _
BENEFIT AREA: ___ _ FEE: -----
0 7. SEWER LATERAL REQUIRED (2,500 DEPOSIT)
0 8. MELLO ROOS
REMARKS: ________________________ _
P:-.-\chldet\bp0001.frm REV 1/5/92
·······-··-·-·-----
PLANNING Q-IECKUSI"
Plan Check No. f .2! 6 6b Address / 0 > 2-f, IJ cJw le _f
Planner Day\ Q: R:ck. Phone 438-1161 ext. __ lf..,J'-Z_S"" __
(Name)
APN: / 5 f" -2 "f I -I J .:;....,---'-,._;_.---'-..:,__ ________________ _
Type of Project and Use Nar.u ('?f'lr~-a,M/7',,-
Zone R-1 Facilities Management Zone ---1---
Legend
l]I Item Complete
(g Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
~Environmental Review Required: YES NO ~---
DATE OF COMPLETION: ____________________ _
Compliance with conditions of approval? If not, state conditions which require action.
. / Conditions of Approval
01] D Discretionary Action Required: YES
/
NO /4E ___ _
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!iJ O California Coastal Commission Permit Required: YES _ NO ✓
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval ______________________ _
✓□ Landscape Plan Required: YES -NO L-
✓□□
/po
cl □□
loo
See attached submittal requirements for landscape plans
Site Plan:
Zoning:
1.
2.
3.
4.
1.
2.
3.
4.
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed 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:
Front:
Int. Side:
Street Side:
Rear:
Lot coverage:
Height:
Parking:
Required
Required
Required
Required
Required
Required
Spaces Required
Guest Spaces Required
..,/\ I Z.? I =LL/=--Shown-='---1.£._ Shown 7' ~ ''
.1J:.._Shown Aft\:
\\?' b 11 Shown '1'1'6'1 +-
~ 4(}fo Shown I ff1,,
&;¼,~s'iiown t7/u~
1 l•' ff Shown £)(;,~
___ Shown __
0 0 0 Additional Comments _______________________ _
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ______ DATE ____ _
PLNCK.FRM