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HomeMy WebLinkAbout1185 TAMARACK AVE; ; CB994046; Permit11/29/1999 ' Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad Residential Permit Permit No CB994046 Building Inspection Request Line (760) 438-3101 1185 TAMARACK AV CBAD RESDNTL 2062611400 $6,596 00 24 0 0 Sub Type Lot# Construction Type Reference # Structure Type Bathrooms RAD BTHRM 46 SF- PRCH 288 SF RAD 0 VN Status Applied Entered By Plan Approved Issued Inspect Area Orig PC# Plan Check# ISSUED 10/28/1999 JM 11/29/1999 11/29/1999 Applicant WORTHING INC, B A 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Owner HEBERTTDANIEL&JANET&09 H/29/99 0001 01 C-PRMT 1185 TAMARACK AVE CARLSBAD CA 92008 v 02 182-33 Total Fees $239 09 Pay merits: To Date ,c$56 \BalanceDue $18233 o--; Building Permit / Add'l Building Permit Fee ! Plan Check I Add'l Plan Check Fee ; Plan Check Discount \ Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee \ $8733""= • $0 00X $56 76 ^\•• ; ±.si ^~x$ofpp'/L, N$1 00^7- \ $b pp7 ^s\$o bdo $000 ; : 100^--. -7 \ :=;;Metef "jXdd'l Repl^Watej/Cbn; ;Fee ] ^Me'ter/Fee /'s- \' 'sS--^.-1 "^SpCWA.Fee: \ fci UPFF |ij \•-> ,*y uu/ /v'$p;poy / $000,, $000 $000 $000 $000 $000 ^PJF-fCFD Fund)' < License Tax -' L0f^j;icense Tax (CFD^und) . Traffic lm'pactFee\ ( / ...^ Traffic Impact (CF-D Fund) cf /LFiyiZ TransportcationTee vSidewafk Fee --y PLUMBING TOTAL ~~ ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing InLieu Fee Master Drainage Fee Sewer Fee TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $4800 $2000 $2600 $000 $000 $000 $000 $239 09 Inspector FINAL APPROVAL Date 7 Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as "fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 T PROJECflNFORMAflON" •• ' FOR OFFICE USE ONLY PLAN CHECK NO 4?) V EST VAL Plan Ck Deposit Validated By v, Date Business Name (at this address) 5&18 10/28/99 OQC1 01 02 Address (include Bldg/Suite r?feLegal Description Lot No Subdivision Name/Number Unit No Phase No "ft'"1' Total tt of units"' Assessor s Parcel tt Existing Use Proposed Use Description of Work Afi^kf i* i CONTACT plRSON<(iLdifflirenr*rom apo/icant) SQ FT #of Stories tt of Bedrooms of Bathrooms Name 3 ~ -APPLICANT?[Contractor Address City 3i.Agent.for Contractor-^. D Owner , ,tO Agen^for .Owner1"*- State/Zip Telephone -Name 4 PROPERTY OWNEI Address City State/Zip Telephone tt Address City State/Zip Telephone #Name S"' CONTRACTOR-ilCOMPANY NAME " ' ''" .... :h ff""'" ":fi f" ^""" i , ,t iilfc*. ....•„... ma (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 basrs for the alleged exemption Any violation of^Sfction 7031 5 by any applicanJjEpr ajDermij subjects the^pplicjant Jo a ci^il penalty^of not more than fivejiundred dollars [$500]) City I State/Zip City Business License tt Designer Name State License tt "6~ WORKET?S"COMPENiSAtlON 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 "fiif 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 \^Qt*f{lC Q CJMC- Policy No (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~l 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 subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($101) OPSy in adtfijion to the cost of compensation damages as provided for in Section 3706 of the Laboj code interest and attorney s fees SIGNATURE ^>KJyfJfXfWV\ ^^' DATE i (o*y^"l <T Expiration Date Pl/O( /*Ft 7 -lillOWNER jBUILDETfbfcCLARATION I hereby affirm that I am exempt from trfe dontractor s License Law for the following reason n I as owner of the property or my Whployees with wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) l~| 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) n I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement £3 YES ON0 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise )nd provide the major work (include name / address / phone number / contractors license number) 5 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) PROPERTY OWNER SIGNATURE DATE [COMPLEIEJHIS SECTION FOR NQN RESIDENTIAL m\Lp\NGPERMnS ONLY ,' "'""^pS™" " 'f-'-*""' "^•"J-7: "™ T " Lh*..,.... :, 1 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? |~l YES f~] NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work for which this pf.rmit is issued (Sec 30970) Civil Code) LENDER S NAME LENDER S ADDRESS '9 "APPLICANT CERTIFICATION" ...^ : 7:r<?Wr " S-15™ ...7" "" "^"'"" ~:~ '<" ;; " r " "" ' -m^.... %, " if T^-« ••-•; I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV 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 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 abandoned at any time aftertbe'wfcrk is corn/riejjced^for a period of 180 days (Section 10644 Uniform Building Code) APPLICANT S SIGNATUrfT^Xv^^fc^T//^ J^"! DATE 'HITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 4/27/2000 Permit# CB994046 Title RAD BTHRM 46 SF- PRCH 288 SF Description Inspector Assignment DM 1185 TAMARACK AV Lot 0 Type RESDNTL Sub Type RAD Job Address Suite Location APPLICANT WORTHING INC, B A Owner HEBERT T DANIEL&JANET C Remarks Total Time Phone 7607293965 Inspector Requested By LINDA CD 19 29 39 49 Entered By CHRISTINE Description A AcU Comments \yUFinal Structural MHT I '• Final Plumbing Final Electrical Final Mechanical Associated PCRs Insoection Historv Date 4/21/2000 2/3/2000 2/3/2000 1/28/2000 1/26/2000 1/26/2000 1/26/2000 1/25/2000 1/24/2000 1/11/2000 12/15/1999 12/13/1999 12/8/1999 Description 89 Final Combo 17 Interior Lath/Drywall 27 Shower Pan/Roman Tubs 16 Insulation 14 Frame/Steel/Bolting/Welding 24 Rough/Topout 34 Rough Electric 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 83 Roof Sheathing/Ext Shear 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 21 Underground/Under Floor Act CO AP AP AP AP AP AP AP CO AP AP CO AP Insp DM DM DM DM DM DM DM DM DM DM DM DM DM Comments CLEAN OUT FIRE WALL Al GARAGE SHOW DETAIL EsGii Corporation In ^Partnership untfi. government for 'Bu.itding Safety DATE November 23, 1999 Q_ARELJCANT JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 99-4046 SET III PROJECT ADDRESS 1 185 Tamarack Ave PROJECT NAME Hebert Residence Remodel The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes XI 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 plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to XJ Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax # Mail Telephone Fax In Person REMARKS Designer to add note to page 2 bottom right detail highhted By Bill Ehzarraras Enclosures Esgil Corporation D GA D MB D EJ D PC LOG trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 * (858)560-1468 * Fax (858) 560-1576 EsGil Corporation In Partnership with government for $ui(ding Safety DATE November 19, 1999 ^APPLICANT JURISDICTION Carlsbad Q PLAN REVIEWER Q FILE PLAN CHECK NO 99-4046 SET II PROJECT ADDRESS 1 185 Tamarack Ave PROJECT NAME Hebert Residence Remodel 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 plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to B A Worthing Inc PO Box 1041, Carlsbad, Ca 92008 Esgil Corporation staff did not advise the applicant that the plan check has been completed except by mail 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 By Bill Ehzarraras Enclosures Esgil Corporation D GA n MB n EJ n PC H/12/99 tmsmtldot 9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 + (858)560-1468 * Fax (858) 560-1576 Carlsbad 99-4046 II November 19, 1999 RECHECK PLAN CORRECTION LIST JURISDICTION Carlsbad PROJECT ADDRESS 1185 Tamarack Ave. DATE PLAN RECEIVED BY ESGIL CORPORATION 11/12/99 REVIEWED BY Bill Elizarraras PLAN CHECK NO 99-4O46 SET II DATE RECHECK COMPLETED November 19, 1999 FOREWORD (PLEASE READ) This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and disabled access This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department or other departments The following items listed need clarification, modification 01 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 A Please make all corrections on the original tracings and submit two new sets of prints to ESGIL CORPORATION B To facilitate recheckmg, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans C The following items have not been resolved from the previous plan reviews The original correction number has been given for your reference In case you did not keep a copy of the prior correction list, we have enclosed those pages containing the outstanding corrections Please contact me if you have any questions regarding these items D 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 not resulting from this list? QYes QNo Carlsbad 99-4046 II November 19, 1999 * The following corrections were either not properly shown or addressed The numbering of correction list refers to original deficiency list dated 11/8/99 • PLANS 1 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 1 Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 2075 Las Palmas Drive, Carlsbad, CA 92009, (760) 438-1161 The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments 2 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 • MISCELLANEOUS 2 Clarify scope of work at west elevation'? Your showing a complete roof structure, is this new work or existing? See following questions * Show adequate support for interior roof loads Show all bearing and intermitted supports <» Existing roof rafters seem to go in opposite direction of proposed new roof support, please clarify 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 Ehzarraras at Esgil Corporation Thank you EsGil Corporation In Partnership witft government for 'Su.iCding Safety DATE November 8, 1999 a APPLICANT JURISDICTION Carlsbad Q PLAN REVIEWER a FILE PLAN CHECK NO 99-4046 SET I PROJECT ADDRESS 1185 Tamarack Ave PROJECT NAME Hebert Residence Remodel 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 XI The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person XI The applicant's copy of the check list has been sent to B A Worthing Inc PO Box 1041, Carlsbad, Ca 92008 XI Esgil Corporation staff did not advise the applicant that the plan check has been completed except by mail 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 By Bill Elizarraras Enclosures Esgil Corporation D GA n MB D EJ D PC 11/1/99 trnsmtldot 9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 + (858)560-1468 4 Fax (858) 560-1576 Carlsbad 99-4O46 November 8, 1999 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO 99-4046 JURISDICTION Carlsbad PROJECT ADDRESS 1185 Tamarack Ave FLOOR AREA 288 sf Porch 46 sf Bath Add'n REMARKS DATE PLANS RECEIVED BY JURISDICTION DATE INITIAL PLAN REVIEW COMPLETED November 8, 1999 STORIES 1 HEIGHT DATE PLANS RECEIVED BY ESGIL CORPORATION 11/1/99 PLAN REVIEWER Bill Ehzarraras FOREWORD (PLEASE READ) This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinance by the Planning Department, Engineering Department, Fire Department or other departments Clearance from those departments may be required prior to the issuance of a building permit Present California law mandates that residential construction comply with the 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 (or a copy) where each correction item has been addressed, i e. plan sheet number, specification section, etc Be sure to enclose the marked up list when you submit the revised plans Carlsbad 99-4046 November 8, 1999 • PLANS 1 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 1 Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 2075 Las Palmas Drive, Carlsbad, CA 92009, (760) 438-1161 The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments 2 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 • MISCELLANEOUS 2 Clarify scope of work at west elevation7 Your showing a complete roof structure, is this new work or existing? 3 At south elevation to the left you're showing some kind of fireplace stack? If so show clearance at roof To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i e , plan sheet, note or detail number, calculation page, etc Please indicate here if any changes have been made to the plans that are not a result of corrections from this list If there are other changes, please briefly describe them and where they are located in the plans • Have changes been made to the plans not resulting from this correction list? Please indicate Yes Q No a 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 99-4046 November 8, 1999 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY Bill Ehzarraras BUILDING ADDRESS 1185 Tamarack Ave. BUILDING OCCUPANCY R3 PLAN CHECK NO 99-4046 DATE November 8, 1999 TYPE OF CONSTRUCTION VN BUILDING PORTION Porch Bath Add'n Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (ft2) 288 sqft 46sqft VALUATION 1 VALUE MULTIPLIER I ($) * Per City Estimate 6596 00 6596 00 n 1994 UBC Building Permit Fee [X] Bldg Permit Fee by ordinance $ 8733 n 1994 UBC Plan Check Fee [X] Plan Check Fee by ordinance $ 56 76 Type of Review ^ Complete Review Q Structural Only O Hourly Q Repetitive Fee Applicable fj Other Esgil Plan Review Fee $ 45 41 Comments Sheet 1 of 1 macvaluedoc5196 4 --R; i^ 6X6 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS I RESIDENTIAL TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE DATE Docs/Mlsforms/Plannmg Engineering Approvals o s 0. U c JS a PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST t r Plan Check No CB ^~ ^O^ Addiess }\<?f Planner APN Phone (619) 438-1161, extension Type of Project & Use Sp Zoning _General Plan Net Project Density Facilities Management Zone DU/AC \ CFD fm/niitJ # Circle One .Date of participation Remaining net dev acres (For non-residential development Type of land used created by this permit ) Legend /\ Item Complete ©I | | Environmental Review Required YES DATE OF COMPLETION Item Incomplete - Needs your action NO TYPE Compliance with conditions of approval7 If not, state conditions which require action Conditions of Approval I I Discretionary Action Required APPROVAL/PESO NO PROJECT NO YES NO DATE TYPE OTHER RELATED CASES Compliance with conditions or approval7 If not, state conditions which require action Conditions of Approval [_J Coastal Zone Assessment/Compliance Project site located in Coastal Zone7 YES NO CA Coastal Commission Authority7 YES NO If California Coastal Commission Authority Contact them at - 3111 Camino Del Rio North Suite 200 San Diego CA 92108-1725 1619)521-8036 Determine status (Coastal Permit Required or Exempt) Coastal Permit Determination Form already completed7 YES NO If NO complete Coastal Permit Determination Form now Coastal Permit Determination Log # Follow-Up Actions 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" fat minimum Floor Plans) 2) Complete Coastal Permit Determination Log as needed I I Inclusionary Housing Fee required YES NO (Effective date of Inclusionary Housing Ordinance - May 21 1993 ) Data Entry Completed? YES NO (A/P/Ds Activity Maintenance enter CB# toolbar Screens Housing Fees Construct Housing Y/N Enter Fee UPDATE1) Site Plan [[] QH 1 provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines / 7 [ [ | | 2 Provide legal description of property and assessor's parcel number Zoning 7/ 1 Setbacks Front Interior Side Street Side Rear \r' 2 Accessory structure Front Interior Side Street Side Rear Structure separation rW-r-i r-i// 3 Lot Coverage Required Required Required Required setbacks Required Required Required Required Required Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown 4 Height Required Shown A_/ I* 5 Parking Spaces Required Guest Spaces Required Additional mentsnts /^fr<*m^ Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTE DATE Wfr SD : rPO BOX' 807, SAN FRArSlClSCO^CA 94l'bl-0807r"^ :-%""~w ..COMPENSATION '-: . ,,. "... / . -\. "'-.- /-- '"::.^-;-f^'"'l'-.'-^y "'..",' - -' • '<"•, •• 'INSURANCE •" . •• ••;, ' ,.,'••;•.-"" ;- . ••;.,;-•'••=: . -^ .->••' -"v,-;'-^ n;;.j' ••>_ •- FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE - -v-. i-•'-•., y " " - „ J~ -A-: POLICY NUMBER- 229-99 UNIT 0006537 ISSUE DATE 01-01-99 a '"" 'Y \.~'^" ^^CERTIFICATE EXPIRES. 01-O1-00 , '' ' CITY OF CARLSBAD - V 7 ., , " VOB ALL OPERATIONS ATTN: BLDG DEPT . - ; 5- .-! ,-i-- 2075 LAS PALMAS OR CARLSBAD CA 92009 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated • ... '-'' • •."•"'•.=;•'::" .'.,ij^wTv.--" .:- .""-;.: >..- " •• "..'" This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer , i . • , .. .. - We will also give you 30 days' advance notice should this policy lie cancelled prior to its normal expiration... • -*•*': v.v:^'- This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such: policies • r PRESIDENT i :- - , ~,. • •• •«?"••" •- .• EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS- 1 $1,000,000 OO PER OCCURRENCE ! ^., '- t •••',<•- ' ' ' ,- ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE O1/O1/99 IS ATTACHED TO AND FORMS A PART OF THIS POLICY r „ T , :^ i , . " ;:. EMPLOYER LEGAL NAME B.A. WORTHING INC. . BA WORTHING. INC PO BOX 10M CARLSBAD CA 92018 PRINTED 12-18-98 P0409