HomeMy WebLinkAbout1711 LOBELIA CT; ; CB901937; PermitB U I L D I N G P E R M I T Permit Project No: C.:B9019n No: At'~O?I )H 02/06/91 15:38
Page 1 of 1 Development No: [1EV891J8
Job Address: 1711 LOBELIA CT Str: Fl: Ste:
Permit Type: RESIDENTAL ADD/ALT (UNDR $10K)
Parcel No:
Valuation:
Class Code:
2,500
Construction Type: NEW
Occupancy Group: R3
Description: CONVERT GAR TO SALES OFFICE
LOT 34 PLAN 1A CT 85-34 PART OF
Appl/Ownr : WESTANA
4241 JUTLAND DR SUITE 215
SAN DIEGO CA 92117
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Enter "Y" for Plumb r
Enter "Y" for Elec zi,
Single Phase Per AP
***
* ELECTRICAL TOTAL ? O
Enter 'Y' for Meehan ca
i**
0765 02106
Status:
Applied:
Apr/Issue:
Validated By:
619-483-4880
ISSUED
12/13/90
02/0b/91
CD
-~11ected & Credits ***
t
.00
.00
105.00
Ext fee Data
~-----------------
APPROVAL
54.00
35.00
1.00
90.00
N
5.00 Y
•o.oo
1':>.00
N
I NS,-.....--_,; __ DATE ,-.;,::;_.;.;......c__!.,41 CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT AP.PLICATION l!A. V
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1.
A
C
2.
PERMIT TYPE
COMMERCIAL
0 INDUSTRIAL
0 RESIDENTIAL O APARTMENT
□DUPLEX OoEM0LITI0N
□MECHANICAL □POOL
TENANT IMPROVEMENT
0 TENANT IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING □ADDI Tl ON/Al TE RATION
□RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
OSPA □RETAINING WALL □SOLAR □OTHER
PROJECT INFORMATION PLAN CHECK No.
Addcess "7 !J.
Nearest lr!ss Zeets Lo
PLMI CIC DEPOSIT, ____________ _
VALID. BY, ______________ _
DATE _______________ _
LEGAL OESCRIPT t N Phase No.
CHECK BELOW IF SUBNJTTED:
3.
4.
5.
6.
D 2 Energy Cales
ASSESSOfl: 1 S PARCEL
02 Structural Cales Oz Soils Report D 1 Addressed Envelope
EXISTING USE PROPOSED USE
"~~:;~~R1
~-RSON •
0
;;;;; ?.,;n Al,27 j{z~ s
NAME ,p ~'°"L/f'O..,, ADORESS
CITY "(,/,'yf~ a& STATE ZIP COOEP~ ~/_s-DAY TELEPHOfjE1/t/
SIGNATURE
APPLICANT
NAME
CI TY
PROPERTY OWNER
NAME
CITY
CONTRACTOR
NAME
CI TY
SIGNATURE
DESIGNER NAME
CITY
0 CONTRACTOR 0 AGENT FOR CONTRACTOR
ADDRESS
STATE
Ow'NER
STATE
STATE
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
OowNER
STATE LIC. # ____ _ LICENSE CLASS _____ _
STATE
TITLE
ADDRESS
ZIP CODE
□ AGENT FOR mmER
DAY TELEPHONE
QLESSEE □TENANT
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
Workers' Coq:,ensation Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relations,
or a certificate of Workers' Coq:,ensation Insurance by an admitted insurer, or an e,rnct copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of EJ1.eirption: I certify that in the performance of the work for which this permit is issued, I shall not ellllloy any person in any manner
so as to become subject to the Workers• c~nsation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner·Builder Declaration: I hereby affirm that I am eJ1.empt from the Contractor's License La.1 for the following reason:
0 ! as owner of the property or my errployees 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 illllroves 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 illllrove for the purpose
of sale.).
0 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 illllroves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's license Law).
0 I am eJ1.empt 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, cOITmencing with section 7D00 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]).
SIGNATURE DATE
COMPLETE TH!S SECTION FOR N0N-RESIOEIHIAL BUILDING PERMITS 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 ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES ONO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF AMT Of THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OC<l.PANCT NAY NOT BE ISSl.£0 AFTER JULT 1. 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS
Of Tift: OFFICE Of atERGENCY SERVICES ANO THE AIR POLLUTION CXIHROL DISTRICT.
9. CONSTRUCTION LENDING 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
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the abov(' mentioned property for inspection purposes. I ALSO
AGREE TO SAVE IN0Ef4NIFY ANO KEEP HARf4LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by (imitation and become null and void if the building
or work authorized by such permit is not comnenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the work is COl!fllenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE □ O'JNER D CONTRACTOR 0 BY PHONE APPROVED BY: _______ _
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
\
t
(I" • : -z BUILDING PLANCHECK
ENGINEERING CHECKLIST ·~ I ~ □
□
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DATE: ,s DEC 90
PLANCHECK NO. CD-1937
ITEM COMPLETE
ITEM INCOMPLETE
NEEDS YOUR ACTION
fY .q::
1 2 3 1711 LOBEL/ft c., ITEM SELECTED
s N
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C C
H H
E E
Kl K
R
D
C
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K
[Z]□□
PROJECT ID: _____________ _
LEGAL REQUIREMENTS
Site Plan
1.
ci□ 0 2.
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 dimension setbacks.
Show on site plan: Finish floor elevations,
elevations, elevations of finish grade adjacent
building, existing topographical lines, existing
proposed slopes, driveway with percent (%) grade
drainage patterns.
pad
to
and
and
I [Z]□□ 3. Provide legal description and Assessors Parcel Number.
do □ 4.
Discretionary Approval Compliance
No Di scretionary 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
t.J/1[] □ □ 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 p ad or
provide for ultimate street improvement.
Site access visibility problems exist. Provide onsi te
turnaround or engineered solution to problem.
000 F. Other:
azf □□
□□□
--------------------------
De dication Requirements
9 •
10.
No dedication required.
Dedication required. Please have a registered Civil
Engineer or Land Surveyor prepare the appropriate legal
description together with an 8\" x 1111 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 completed, Date __________ _ By: ___ _
~ Improvement Requirements
DD 11. 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
FRM00l0.DH
to occupancy.
Publ i c 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
OD D 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 necess ary 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: __________ _
D D D 1 3a . 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).
d D D 14. No grading required as determined by the informati on
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
czf'DD
DDD
cz(oo
DDD
16.
17.
1 8 .
19 .
cef DD 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 Permit is required. A sewer Permit is required
concurrent with Building Fermi t issuance. The fee required
is noted below in the fees section.
Industrial Waste Permit is not required.
REV. 11/27 /90
• 'L,] □ □ 21. Industrial Waste Permit is required. Applicant mu s t
complete Industrial Waste Permit Application Form and
submit for City approval prior to issuance of a Building
Permits. Permits must be issued prior to occupancy.
Indtistrial Waster Permit accepted -
Date: __________ By: _______________ _
Fees Required
□ r-J/A 21.
o ti/A 23.
□ tJ/A 24.
□ rJ/A 25.
□ tJ/R 26.
□ tJ/~ 27.
□ N/1-28.
_@ 29.
Park-in-Lieu Fee
Quadrant: _____ Fee per Unit: ______ _
Total Fees: __ _
Traffic Impact Fee
Fee Per Unit: __________ Total Fee: ____ _
Bridge and Thorough fare Fee
Fee Per Unit: __________ Total Fee: ____ _
Public Facilities Fee required.
Facilities Management Fee Zone: ____ Fee: ___ _
Sewer Fees Permit No. _______ EDU's ___ _
Fee: ________ _
Sewer Lateral Required: ______________ _
Fee: ______ _
REMARKS: M OJ:;E.L HOME PER.Mt, M( ST BE
APPPDVEO BEFORE C'f"II\JvERSlft\J PFQ_Mt,
ENGINEERING AUTHORIZATION TO ISSUE PERMIT
DATE: 2q JAN 91
FRMOOlO.DH REV. 11/27/90
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PLANNING CHECKLlSf
Plan Check No. fo -I <157 Address
Planner Da J\·~
~/1.'-'-1/.,_! _£'--o..;;...h..:...f L-(...:.:411 _____ APN:
Phone 438-1161
(Name)
Type of Project and Use lov,._,11,t (itAr...,1" -h r.._ ltJ • -l§ve. ·
Zone & ~ I -Q Facilities Management Zone ----=6'---_7
_
Legend
~ [tern Complete
0 [tern Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
Environmental Review Required: YES
DATE OF COMPLET[ON:
NO~TYPE __ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
Discretionary Action Required: YES NO /4E __ _
APPROVAL/RESO. NO. __ _ DATE: ______ _
PROJECT NO. ___ _
OTHER RELATED CASES: _________ _
Compliance with conditions of approval? lf not, state conditions which require action.
Conditions of Approval _______________________ _
Coastal: YES bo _ DATE OF APPROVAL:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
✓□ 0 Landscape Plan Required: YES _ NO /
See attached submittal requirements for landscape. plans
000
l oo
□□□
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: Required
[nt. Side: Required
Street Side: Required
Rear: Required
Lot coverage: Required
Height: Required
Parking: Spaces Required
Guest Spaces Required
~o' Shown·
Shown
Shown
Shown ? 1'
L/01;,shown &I<.
3S 1 Shown -$2.. I
Shown
Shown
H Stir:i, diuo I OJ'\
of f4.. or,.,f t,.,'}i'o,.,,"Jt ;",J.,,,,J.uA. .)f,,c/.1J,'t)-r>.,,..1i,.,r
(l H.1 5 lorAi'))-o-.f e.7 .,:/M 1-., -e t-c. • ~ ~.,,,,. "J-
of-e-yf'I•~ t?J /,,,, ;eA 'Yi
ce,,,/..L t:),,.,l'µr .. 21, /0
for ,4JU")c.i,'"•/ 0 -'\, O(t,J,l,\dj'o"l'I.( .,JJeJ,
OK TO [SSUE _----1:;p:;;;;___Pv __ [ J.. _____ .,_g _: ,_K--_____ DA TE -.....J'~/ J::;.;...;....,,, li:....JZ:.....1/ _____ _ r 1
c: Data Entry PLNCK.FRM