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Home My WebLink About1308 CORVIDAE ST; ; CB041246; Permit.' *77 05-04-2004 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No CB041246 Building Inspection Request Line (760) 602-2725 1308CORVIDAESTCBAD RESDNTL Sub Type RAD 2156901200 Lot# 0 $5,10000 Construction Type NEW Reference # 0 Structure Type 0 Bathrooms 0 ROSEN RES- CONVERT EXIST 1-CAR GARAGE INTO HABITABLE OFFICE SPACE Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check* ISSUED 04/12/2004 KMT 05/04/2004 05/04/2004 Applicant DARYL LANTZ 15576PASEOJENGHIZ SAN DIEGO CA 92129 858-672-0699 Owner ROSEN PETER A 37 KNUTSEN DR WEST ORANGE NJ 07052 12*3 05/04/04 0002 01 Total Fees $158 67 Total Payments To Date $4478 Balance Due $11389 113,.39 Building Permit Add'l Building Permit Fee Plan Check 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 $6889 $000 $4478 $000 $000 $1 00 $000 $000 3000 SO 00 3000 $000 $000 $000 3000 3000 3000 3000 3000 Meter Size Add'l Reel Water Con Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing InLieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 3000 3000 $000 $000 $2000 $2400 $000 $000 $000 $000 $000 $000 $15867 Inspector Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION ''CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 "PROJECT INFORMATION^ FOR OFFICE USE ONLY PLAN CHECK NO EST VAL *5. Plan Ck Deposit Valida Date Address (include Bldg/Suite #)Business Name (at this address!CGP-» Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel # - j^ Existing Use i L^.S-* ..... l~j> , n of Work Proposed Use Description FT Stories # of Bedrooms # of Bathrooms CONTACT PERSON (if different from applicant) /—'A^^f^f *y < h ,^/Name X.3 APPLICANT hO Contractor Address Agent for Contractor Owner City D " :*:::| *-*Agent for Owner TelephofTe #Fax* X\ Name PROPERTY OWNER Address City State/Zip Telephone # / C. Name ' " Address City State/Zip Telephone # 5 CONTRACTOR- COMPANY NAME ^ • '..'.^" *: .' 'ff'' --^ .,..:!"". .'" """":'"I... ^ ;•« h J >r'•• (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 I $500)) State License ff / ^ 1 £> 1 cyL Designer Name State License # Address License Class & Address City1' State/Zip Telephone ff City Business License # fl^l Z>Y^ t?^CJ V City State/Zip Telephone WORKERS' COMPENSATION " " " ' ! : Sgfc • ?• ' ""'"' "V; ..]'/ " '" ......... V Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 p2f 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 * ^'PohInsurance Company J^lT >Pohcy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~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 ($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- OWNER-BUILDER DECLARATION ' JPf?: ';' -:-:-; -"- : • "> ;.:. I hereby affirm that I am exempt from the Contractor's License Law for the following reason |~| I, as owner of the property or my employees with 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~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) l~l 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 D YES C]NO 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 and 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINGlPERMITS ONLY N; ;:::•:: 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? Q YES fJ 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? Q YES d 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 8« I CONSTRUCTION LENDING AGENCY^ ......,;iSi. i;J," ; /:[.; '^,..,.,,.., -^ I" ,,.' '•:!"''":"" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 :'-^APPUCANTrCERTIFICATION - %:: '; .Sfo- 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 at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance DATE City of Carlsbad Bldg Inspection Request For 08/04/2004 Permit* CB041246 Title ROSEN RES- CONVERT EXIST 1-CAR Description GARAGE INTO HABITABLE OFFICE SPACE Inspector Assignment JM 1308 CORVIDAEST Lot Type RESDNTL Job Address Suite Location APPLICANT DARYLLANTZ Owner ROSEN PETER A Remarks Sub Type RAD Phone Inspector Total Time Requested By NA CD 19 29 39 49 Description Ac Final Structural ±i Final Plumbing Final Electrical Final Mechanical Entered By CHRISTINE t Comment fc Associated PCRs/CVs Inspection History Date Description 06/08/2004 17 Interior Lath/Drywall 06/08/2004 18 Exterior Lath/Drywall 06/04/2004 14 Frame/Steel/Bolting/Welding 06/04/2004 16 Insulation 06/04/2004 18 Exterior Lath/Drywall 06/04/2004 34 Rough Electric 05/28/2004 14 Frame/Steel/Bolting/Weldmg 05/19/2004 11 Ftg/Foundation/Piers 05/19/2004 14 Frame/Steel/Bolting/Weldmg Act AP AP AP AP Insp JM JM JM JM WC JM AP JM PA JM AP JM WC JM Comments OK TO DRYWALL PRELIM INTERIOR SHEAR OK OK TO POUR GARAGE SLAB & TWO POST FOOTINGS PREFERRED CONSTRUCTION INSPECTIONS, INC. 4888 R6nson Court "G" San Diego, Ca. 92111 (858) 576-9110 Fax (858) 576-7028 INSPECTION REPORT WORK PERFORMED: EPOXY BOLT INSPECTION JOB NO.: 3564 JOB ADDRESS: 1308 CORVIDAE STREET JOB NAME : ROSEN RESIDENCE DESCRIBE MATERIAL: SIMPSON SET EPOXY, ICBO #5279 PERMIT NO.: CB04-1246 PLAN FILE NO.. ARCHITECT: ENGINEER: SIMPSON GENERAL CONTRACTOR: HAMMOND AND MASING CONTRACTOR: HAMMOND AND MASING 5/28 Observed the epoxy bolt installation for new HD5 at the southwest corner of old garage per drag detail on sheet A-3 of the approved drawings. This hole had proper diraaeter, embedment of 10 1/2" and was installed per ICBO #5279. Arrived at jobsite at 9:50 AM, left at 10:30 AM. INSPECTOR: DATE: JEFFREY GAYLER ERT. NO.: S.D #583 EsGil Corporation In Partnership with government for <Bmf(Cing Safety DATE APRIL 3O, 2004 JURISDICTION Carlsbad Q-PtAN^fEViEWER G FILE PLAN CHECK NO O4-1246 SET II PROJECT ADDRESS 1308 CORVIDAE STREET PROJECT NAME SFR (Bedroom Conversion to Office) for Rosen The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes X] 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 X3 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 Lantz Design Group Telephone # (858) 672-0699 Date contacted (by ) \ f £ax # Mail Telephone Fax In Person REMARKS # 1) Dimension a 3' x 3' landing fo/tne office on Sheet A-1 # 2) Specify the name & information of the Special Inspection tean/on the attached list for the building department review & approval prior to the permit being issued By Ali Sadre Enclosures Esgil Corporation D GA D MB D EJ D PC 4/16 tmsmtldot 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 * (858)560-1468 * Fax (858) 560-1576 05/03/2884 15 55 «ftv-03-2C04 8586720699 02-21 P* CPy OF : DARYL LANTZ NO 76C 60? 86b8 PAGE 02 P. 02 Carlsbad 04-1346 APRIL 3O, 2OO4 SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION: PUN CHECK NUMBER- O ^ "OWNER'S NAME: I, as the owner, or agent of the ownefjcontractors may oal employ tho special inspector), certify that I, or the architect/engineer of record, will be responsible for employing the special tnspector(s) as required by Uniform Building Code (UBC) Section 1701 1 for project located at the sue listed above UBC Section 106 3 5 Signed 1 List of work requiring spvclai Inspection Soils Compliance Prior to Foundation inspection Structural Concrtta Over 2500 PSI Pn§»tra«s«d Concrete Structural Masonry J Designer Specified Fieid Welding High Strength g Expanaion/Epoxy Anchors Spray*d-On Ffreproofing Other 2. Nam«(a) of Indlvidual(e) or flrm(s) responsible for the special inspections listed above: A. B. C 3, Duties of the special Inspector* for the work listed above- A. shati choo. in with INS city wid pm*»m ^«lr credttTiVilk for tpprova1 6«0lnnlng work on trie iob a.ts EsGil Corporation In Partnership with government for (Buifefing Safety DATE APRIL 21,2004 QAEEUQANT 'JURIS" JURISDICTION Carlsbad t±-ptAFTREVIEWER Q FILE PLAN CHECK NO 04-1246 SET I PROJECT ADDRESS 13O8 CORVIDAE STREET PROJECT NAME SFR (Bedroom Conversion to Office) for Rosen 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 X] The applicant's copy of the check list has been sent to Lantz Design Group 15576 Paseo Jenghiz, SD, CA 92129 Esgil Corporation staff did not advise the applicant that the plan check has been completed Z<J Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Lantz Design Group Telephone # (858) 672-0699 Date contacted ^ |z_» 'o{ (by P- ) Fax # ( Mail _xTelephone>^ Fax ^^In Person REMARKS By All Sadre Enclosures Esgil Corporation D GA D MB D EJ D PC 4/16 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92 123 * (858)560-1468 + Fax (858) 560-1576 Carlsbad O4-1246 APRIL21,2O04 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO O4-1246 JURISDICTION Carlsbad PROJECT ADDRESS 13O8 CORVIDAE STREET FLOOR AREA REMODEL 170SF, STORIES TWO HEIGHT 22' REMARKS DATE PLANS RECEIVED BY JURISDICTION 4/12 DATE INITIAL PLAN REVIEW COMPLETED APRIL 21, 2004 DATE PLANS RECEIVED BY ESGIL CORPORATION 4/16 PLAN REVIEWER All Sadre FOREWORD (PLEASE READ). This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinance by the Planning Department, Engineering Department, Fire Department or other departments Clearance from those departments may be required prior to the issuance of a building permit Present California law mandates that residential construction comply with the 2001 edition of the California Building Code (Title 24), which adopts the following model codes 1997 UBC, 2000 UPC, 2000 UMC and 1999 NEC (all effective 11/1/02) The above regulations apply to residential construction, regardless of the code editions adopted by ordinance The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans Carlsbad O4-1246 APRIL 21, 2OO4 PLANS • Please make all corrections on the original tracings, as requested in the correction list Submit 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, 1635 Faraday Ave , Carlsbad, CA 92009, (760) 602-2700 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 1 A reminder that the revised plans need to be stamped and signed by the drafts person 2 Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2001 edition of the California Building Code (Title 24), which adopts the 1997 UBC, 2000 UMC, 2000 UPC and the 1999 NEC 3 Please show a 3' x 3' landing for the office on Sheet A-1 Dimension this on A-1 4 Provide a complete shear wall schedule on plans with the anchorage information at top & bottom 5 Specify nail size and spacing for all shear walls 6 Specify all structural material specifications on plans for nails, anchor bolts, plywood, etc 7 On the cover sheet of the plans, specify any items requiring special inspection, in a format similar to that shown below Section 106 3 2 • REQUIRED SPECIAL INSPECTIONS In addition to the regular inspections, the following checked items will also require Special Inspection in accordance with Sec 1701 of the Uniform Building Code ITEM REMARKS EPOXY STEEL DOWELS 8 Please complete and return the attached Special Inspection form and return to the city for review and approval prior to the permit being issued Section 106 3 5 ri Carlsbad O4-1246 APRIL 21, 2O04 • 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 All Sadre at Esgil Corporation Thank you Carlsbad O4-1246 APRIL 21, 2OO4 • SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION. PLAN CHECK NUMBER OWNER'S NAME: I, as the owner, or agent of the owner (contractors may not employ the special inspector), certify that I, or the architect/engineer of record, will be responsible for employing the special mspector(s) as required by Uniform Building Code (UBC) Section 1701 1 for the construction project located at the site listed above UBC Section 106 3 5 Signed I, as the engineer/architect of record, certify that I have prepared the following special inspection program as required by UBC Section 106 3 5 for the construction project located at the site listed above Engineer's/Architect s Seal & Signature Here Signed 1 List of work requiring special inspection: Q Soils Compliance Prior to Foundation Inspection Q Field Welding (if any) D Structural Concrete Over 2500 PSI D High Strength Bolting D Prestressmg Operation on Cables B Epoxy Anchors [H Structural Masonry CH Sprayed-On Fireproofmg n Designer Specified D Other 2 Name(s) of individual(s) or firm(s) responsible for the special inspections listed above* A B C 3. Duties of the special inspectors for the work listed above A B C Special inspectors shall check in with the City and present their credentials for approval prior to beginning work on the job site Carlsbad O4-1246 APRIL 21, 2004 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY All Sadre PLAN CHECK NO 04-1246 DATE APRIL 21, 2004 BUILDING ADDRESS 13O8 CORVIDAE STREET BUILDING OCCUPANCY R3/U1 TYPE OF CONSTRUCTION VN BUILDING PORTION LIVING Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq Ft) 170 CB Valuation Multiplier By Ordinance Reg Mod VALUE ($) 5,100 1994 UBC Building Permit Fee $6889 1994 UBC Plan Check Fee $4478 Type of Review l~l Repetitive Fee ^ I Repeats Comments Complete Review D Other •—1 Hourly fj Structural Only Hour* Esgil Plan Review Fee $3858 Sheet 1 of 1 macvalue doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE RESIDENTIAL SIDENTIAL ADDITION MINOR (<$10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER DATE DATE Docs/Misforms/Planning Engineering Approvals ,3 D D D D PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner APN n^le Address Greg Fisher Phone (760) 602- Type of Project & Use Zoning /^j> General Plan _ CFD (in/out) #_Date of participation Net Project Density _ Facilities Management Zone Remaining net dev acres Circle One (For non-residential development Type of land used created by this permit _ ) Legend Item Complete Environmental Review Required DATE OF COMPLETION Item Incomplete - Needs your action YES NO J TYPE Compliance with conditions of approval7 If not, state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL/RESO NO PROJECT NO YES TYPE DATE OTHER RELATED CASES Compliance with conditions or approval7 If not, state conditions which require action Conditions of Approval CH [13 \ Coastal Zone Assessment/Compliance Project site located in Coastal Zone7 YES A NO CA Coastal Commission Authority7 YES _ NO If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402, (619) 767^23^0 Determine status (Coastal Permit Required or(Exemdt) _ Coastal Permit Determination Form already compTere'b'7 YES If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # _ NO Follow-Up Actions. 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans) 2) Complete Coastal Permit Determination Log as needed Inclusionary Housing Fee required: YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993 ) Data Entry Completed7 YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 Site Plan 1 Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing "street improvements, right- of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes) 2 Provide legal description of property and assessor's parcel number Policy 44 - Neighborhood Architectural Design Guidelines D D 1 Applicability YES N0_ D D 2 Project complies YES N0_ D D D D D D D D Zoning 1 Setbacks Front Interior Side Street Side Rear Top of slope Accessory structure ! iparation Lot Coverage * Required ^""j Required ^'^' Required - — Required (2..^' Required — setbacks Required Required Required Required Required £ C/n e/Required — [^ f. 1$'Shown I (f Shown Qf Shown — Shown **j?' 5' Shown • — Shown Shown Shown Shown Shown Shown L U /-* 4 Height Required £30 Shown n D 5 Parking Spaces Required Shown (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required , Shown Additional Comments I I ot OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 05/04/2004 07 03 FAX 18585367723 HAMMOND&MASING GC @]001/001 I' '^^ >t>%$&$til^ ''}rr'*'?\'"'WwK'™m™™ ""?,:^^.^^^!F^^^^^^^K^ -'tafas&s •'^'W>-*!M$I\ 101/13/04 ft ,, f I t* <t ' ' ft, t < f< , <f t if f t , j ' •' ' ' i, , , li i * '' ' ' , ' ' ti ' ; \ ' /r r t '// ., ( V/L.J [ PRODUCER Barney & Barney, LLC-CA LicOC03950 Barney & Barney, Inc-CA LicOC24310 P.O Box 85638 San Dxego, CA 92186-5638 (858) 457-3414 Mst#: 5043 INSURED HAMMOND & MAS ING GENERAL CONTRACTORS, INC, 9770 CARROLL CENTRE ROAD SUITE E SAN DIEGO CA 92126 THIS CERTIFICATE 1$ ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER 6800 - ARCH SPECIALTY INS. CO. GOLDEN EAGLE - PEERLESS INSURANCE COMPANY COMPANY LETTER COMPANY LETTER STATE COMPENSATION INSURANCE FUND NO"COVERAGE ON THIS DOCUMENT NO COVERAGE ON THIS DOCUMENT THIS IS TO CERTIFY THAT THE POLICIES Of INSURANCE BELOW HAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THS INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE 86EN REDUCED BY PAID CLAIMS TYPE OF INSURANCE,POLICY NUMBER POUCY EFFECTIVEPATE (MWDD/YY)POLICY EXPIRATIONDATE (MM/DD/YY)LIMITS QENERAL LIABILITY COMMERCIAL GENERAL LIABILITY J CLAIMS MADe[_Xj OCCUR OWNER'S & CONTRACTOR S PRQT 72DPC1465000 12/31/03 12/31/04 GENERAL AGGREGATE __ PBOpUCTS-COMP/OP AOS PERSONAL « ADV INJURY EACH OCCURRENCE FIFE DAMAGE (Any one lira) MED, EXPENSE (Any one pemonl t*2.00Q.OOO * ."LL^O-QO-i o_o_o1*1, ob"o,ooo' »***ioo,ooo i EXCLUDED B AUTOMOBILE LIABILITY ANY AUTO AU OWNED AUTOS SCHEDULED AUTOS MIRED AUTOS NON.QWNEO AUTOS QAftAQE LIABILITY CBP9808250 12/31/03 12/31/04 COMBIN^P SINGLE BODILY INJURY(Per person) BODILY INJURY (Peracdd»m) S*1,000A000 '*********Q PROPERTY DAMAGE ******* *1**0 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM NO COVERAGE EACH OCCURRENCE AGGREGATE WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY 1607884 12/31/03 12/31/04 _X_ ISTATUTORY_LIMITS £ACH_ACCIpENT DISEASE - POUCY LIMIT 4*1,000,000 1*1,000,000 DISEASE - EACH EMPLOYEE s*l,000,000 OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLE / SOCIAL ITCM3 *1Q DAY NOTICE FOR NON-PAYMENT OF PREMIUM "EVIDENCE ONLY" •' '"CANiCBLLATlQN ' , / A " ^7, (• TV ^/ /,' '•"•<',', '''iV1- '•f' ™',/l •"/. '/'<'!/SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ' EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO ' MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ''>• LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR • LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE s gc£ xo Si2li-SgdSs*2 " 9 ^ « a5 5 5 S ^ •=(0 LU !/5 O CL 03