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HomeMy WebLinkAbout1733 ROGUE ISLE CT; ; CB910125; PermitBUILDING PERMIT Permit No: CB910125 Project No: A9100155 Development No: Fl: Ste: 04/08/91 15:57 Page 1 of 1 Job Address: 1733 ROGUE ISLE CT Permit Type: RESIDENTAL ADD/ALT (OVER Parcel No: 207-211-22-00 Valuation: 81,780 Construction Type: VN Occupancy Group: R3/M1 Class Description: 1123 IS BED/BATH/STUDIO + SF DECK Appl/Ownr : SHEEHY,PAT 1150 ARDEN DR C4-1G' Code: Status: ISSUED 88 Applied: 01/25/91 Apr/Issue: 04/08/91 Validated By: KZH 619-942-2654 Str: $10K) ENCINITAS, CA 92024 OWNER : BRUCE, NANCY L1c. OWNER *** Fees Required * Fees Collected & Credits ,----- Fees: 51,46.00 ---------------------------------- Adjustments: .OQ Tot1 Cr'cii .00 Total Fees: 996.06 .: Tcrt-1 Payments- 360.00 Balartc4 Due: 636.00 Fee description Units Fee/Unit Ext fee Data -------------------------------------------------------------------- Building Permit 559.00 Plan Check I 363.00 Strong Motion Fee 6.00 * BUILDING TOTAL 928.00 Enter Y11 for Plumbing Issue Fee., ) 7.50 Y Each Plumbing Fixture or Trap > 6.0) 2.50 15.00 Each Building Sewer : 1.00 ô.0 6.50 * PLUMBING TOTAL 29.00 Enter "Y' for Electric Issue Fee > 5.00 Y Enter uY for Remodel > 10.00 Y * ELECTRICAL TOTAL ($10 .Minnum) - 15.00 Enter 'V for Mechanical Issue Fee> 15.00 Y Each install/Reloc Appliance Vent ) 2.00 4.50 9.00 * MECHANICAL TOTAL 24.00 /1 APPROVAL INSF/' DATE//17 7/ CLEARANCE CflY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 AJ 47DP8/ PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE I A - p COMMERCIAL DNEW DTENANT IMPROVEMENT B - [-]INDUSTRIAL [-]NEW [-]TENANT IMPROVEMENT C - RESIDENTIAL DAPARTMENT [-]CONDO []SINGLE FAMILY DWELLING ADDITION/ALTERAT!ON DDUPLEX DDEMOLITION DRELOCATION []MOBILE HOME []ELECTRICAL D PLUMB ING DMECHANICAL DPOOL DSPA []RETAINING WALL []SOLAR []OTHER EST. VA PLAN CX VALID. I DATE WA' ng or BLDG. 50. FIG. A OF STORIES - CONTACT PERSON NAME P4'Y iØ/,L7 ADDRESS //fD ,JWpP,./ Pol CITY STATE ZIP CODE 8Ij2._f.. DAY TELEPHONE 42&-7 m"Allr^lp SIGNATURE APPLICANT C] CONTRACTOR DAGENT FOR CONTRACTOR DOWNER AGENT FOR OWNER NAME flfr7 ADDRESS ,kz- p.. -, CITY STATE C-?'! ZIP CODE DAY TELEPHONE PROPERTY OWNER OWNER []LESSEE [:]TENANT /JtJ..7 ,a ,s'e ADDRESS /7'p jElC'4E CITY STATE ZIP CODE 41204V19P DAY TELEPHONE 72 -'7Z4 5' CONTRACTOR NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. A SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. A WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial 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 POLICY NO. EXPIRATION DATE 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. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors 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 Cede: 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 Cede for this reason: (Sec. 7031.5 Business and Professions Cede: 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]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? DYES DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES []NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES fl No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES *110 THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I 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 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 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. 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 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 afteQ 2W'_'_ ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGN RE OWNER II 1109 CONTRACTOR 0 B PHONE APPROVDBY _________________ J" ./ DATE YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST FOR 11/07/91 BED/BATH/STUDIO + 88 INSPECTOR AREA NP PLANCK# CB910125 0CC GRP CONSTR. TYPE VN STR: FL: STE: 619-942-2654 PERNIT# CB910125 DESCRIPTION: 1123 iS SF DECK TYPE: RADMAJ JOB ADDRESS: 1733 ROGUE ISLE CT APPLICANT: SHEEHY, PAT CONTRACTOR: OWNER: BRUCE, NANCY REMARKS: RS/ SPECIAL INSTRUCT: PHONE: YT1%%TI . ZflIJLZa PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical - ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 062591 Interior Lath/Drywall AP PD 061991 Insulation AP PD 061891 Frame/Steel/Bolting/Welding AP PD 061891 Insulation NR PD 061891 Rough Electric AP PD 061491 Frame/Steel/Bolting/Welding AP PD 061491 Rough/Topout AP PD 061491 Rough Electric AP PD 061291 Shear Panels/HD's AP PD 060791 Ftg/Foundation/Piers PA MP 060791 Shear Panels/HD's PA MP 052891 Roof/Reroof AP MP 051391 Rough/Topout PA MP 051391 Rough/Ducts/Dampers PA NP 051391 Rough/Ducts/Dampers PA 14 051391 Rough/Ducts/Dampers AP PK 042591 Ftg/Foundation/Piers AP NP 042591 Underground/Under Floor AP MP 042591 Ftg/Foundation/Piers AP NP COMMENTS EXIST WALLS OK TO COVER EXIST WALLS OK TO COVER SUB FLOOR PLUMB OK SUB FLOOR PLUMB OK SUB FLOOR PLUMB OK UPPER LEVEL SLAB ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) S60-1468 DATE: Fe-b - - DA,1cANT URISDICTI JURISDICTION: (1 p<4 'rJPLAN CHECK flFILE COPY PLAN CHECK NO: - i.( SET: DuPs [7.-DESIGNER PROJECT ADDRESS: LI€ PROJECT NAME: E 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. L 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, applicant's copy of the check list has been sent to: Esgil staff didnot advise the applicant contact person that plan check has been completed. 0 Esgil staff did advise applicant that the pl&n check has been completed. Person contated17 Date contacted:____ REMARKS: t- Telephone #_________ UP O.L IS V40% . Th\ CP By: 'j.. Enclosures.: ESGIL CORPORATION 11 GA 11 AA 0 RN [3 DM ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 5601468 DATE: JURISDICTION: C,11 o')- CA r I,bd PLAN CHECK NO: C - 9/ - SET: CY) PROJECT ADDRESS:/733 // C7.. PROJECT NAME: (. tacL) AP RISDICRE N JPL R UFILE COPY []UPS flDESIGNER U The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. h 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. D 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 applicant's copy of the checklist has been sent to: V Esgil staff did not advise the applicant contact person that plan check has been completed. - Esgil staff did advise applicant that the plan check has been completed. Person contacted: Date contacted: Telephone # 0 REMARKS:____________________ By: Enclosures: ESGIL CORPORATION1 0 GA 11 AA 0 RN C3 DM C,- (1) IZcb_ '5—st - LI rT)S Pro.V - ie,uPc- pi 3ç cI ogno 0 a gR 4 LL43 'ate,r S vs,i- Z. , (jc. toAs) TZ c' 's clt 4 ..&.. Ps.5t-. lV jA v t.. - 44 , / U) Cro ,pv-"%,eEt £\ _c!l_ A IL) &-c -- 1 7- i • 4AM** Q -- ô-c. evT t.k ( . (I..SI %bt I% S&S (t I a) ot T ba. tg: OL z1 CkAs- Dt'rI.S :i(Z i (• ,c M3S / Skt ld4t: rz,T;; s ObAe cii.. ?&'V - . (t'i '') • S'I( crAes (tI6\ AW ôt &Lf5tZ ufIWt La IL- o N-f— 'o Nof %o a V.'k° -Xv SM 'sr& p€qrt)Igga - _C41t ot (t,t\ C3 La 0 —l'4& - .' . Datea_______ Jurisdiction (c,&A Prepared by Bldg. Dept. aA VALUATION AND PLAN CHECK FEE 3-Esgi1 PLAN CHECK NO._ C. BUILDING ADDRESS; -_JTi3's R.o'jue.. i14e. T APPLICANT/CONTACT S PHONE NO. - BUILDING OCCUPANCY DESIGNER PHONE_ TYPE OF CONSTRUCTION CONTRACTOR PHONE - BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE Air_ConditloninE Commercial . - Residential Res. or Comm. Fire _Sprinklers Total Value 81i Building Permit Fee $_s Plan Check Fee S $ CDMMCNTS SHEET DOF ) 11197 Discretionary Approval Compliance 4. No Discretionary approvals were required. Project complies with all Engineering Conditions of Approval for Project No.________________ .u'w. BUILDING PLANCHECK ENGINEERING CHECKLIST ITEM COMPLETE (I) PLANCHECK NO.'l-C)(2 ITEM INCOMPLETE a NEEDS YOUR ACTION 1 2 3 I3 UE ISLF C ITEM SELECTED S MR T D D A. P ri. 20-1-2-11 - 72. , (p DATE: 3LT/lqi C C C PROJECT ID: H H H E E E LEGAL REQUIREMENTS Site Plan 1. E2f El El 2. d F1 [:] 3. 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, pad elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes, driveway with percent (%) grade and drainage patterns. Provide legal description and Assessors Parcel Number. EEIE 6. Project does not comply with the following Engineering Conditions of Approval for Project No.___________________ Conditions complied with by: Date: Field Review Field review completed. No issues raised. Field review completed. The following issues or discrepancies with the site plan were found: 000 A. Site lacks adequate public improvements Existing drainage improvements not shown or in conflict with site plan. Site is served by overhead power lines. FRN001O.DH REV. 11/27/90 EEE D. EEIE E. 1] E] F. Grading is required to access site, create pad or provide for ultimate street improvement. Site access visibility problems exist. Provide onsite turnaround or engineered solution to problem. Other: Dedication Reauirements 9. No dedication required. [=1 10. Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8½" x 11" plat map and submit with a title report and the required processing fee. All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit. The description of the dedication is as follows:___________________________ Dedication completed, Date By: Improvement Requirements LJ E 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 to occupancy. OMM12. Public improvements required. This project requires construction of public improvements pursuant to Section .18.40 of the City Code. Please have a registered Civil Engineer prepare appropriate improvement plans and submit for separate plancheck process through the Engineering Department. Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of permit. The required improvements are:_______ Improvement plans signed, Date: by: FR}10010.DH REV. 11/27/90 A 13. Improvements are required. Construction of the public improvements may be deferred in accordance with Section 18.40 of the City Code. Please submit a letter requesting deferral of the required improvements together with a recent title report on the property and the appropriate processing fee so we may prepare the necessary Future Improvement Agreement. The Future Improvement Agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future Improvement Agreement completed, Date: By: El El El 13a. Inadequate information available on site plan to make a determination on grading requirements. Please provide more detailed proposed and existing elevations and contours. Include accurate estimates of the grading quantities (cut, fill, import, export). ELf El El 14. No grading required as determined by the information provided on the site plan. El El El 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 El 16. Right-of-Way Permit not required. El El El 17. Right-of-Way Permit required. A separate Right-of-Way Permit issued by the Engineering Department is required for the following: TIMMMUMPM 18. Sewer Permit is not required. F-100 19. Sewer Permit is required. A sewer Permit is required concurrent with Building Permit issuance. The fee required is noted below in the fees section. Z1:1 El 20. Industrial Waste Permit is not required. FRN001O.DH REV. 11/27/90 A 21. Industrial Waste Permit is required. Applicant must 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. Industrial Waster Permit accepted - Date: By: Fees Required I'/ 27. Park-in-Lieu Fee Quadrant: Fee per Unit: Total Fees: Fs/A 23. Traffic Impact Fee Fee Per Unit: Total Fee:__________ I'IIA 24. Bridge and Thorough fare Fee Fee Per Unit: Total Fee:__________ O t/Fi 25. Public Facilities Fee required. O tJ/F 26. Facilities Management Fee Zone: Fee:________ O N)I 27. Sewer Fees Permit No. EDU's_______ Fee:_________________ o/' 28. Sewer Lateral Required: Fee:______________ EN 29. REMARKS: AUTHORIZATION TO ISSUE PERMIT BY:&S2kLL_ _DATE:31¼J7N J FRM001O.DH REV. 11/27/90 PLANNING CHECKLIST Plan Check No.I_ISAddress /73 5 12cqc'e_ _L5k' C'7 Planner /Zi t Phone 4 -1161 ext. I/1/qq (Name) APN: Type of Project and Use 67 Zone / I Facilities Management Zone Legend ft-em Comniete C (0 Item Incomplete - Needs your action 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified U Environmental Review Required: YES - NO TYPE DATE OF COMPLETION: . Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval 0 0 Discretionary Action Required: YES - NO - TYPE APPROVAL/RESO. NO. DATE: PROJECT NO. OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval California Coastal Commission Permit Required: YES DATE OF APPROVAL: San Diego Coast District, 1333 Camino Del Rio South, Suite 125, San Diego, CA. 92108-3520 (619) 297-9740 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval 6 El El Landscape Plan Required: YES NO See attached submittal requirements for landscape plans Site Plan: Ei'1J U 1. 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. U U U 2. 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. Ulili Zoning: Provide assessor's parcel number. 1. Setbacks: Front: Int. 'hide: Street Side: Rear: Required Required Required Required Shown Shown Shown Shown II.'. Lot coverage: Required Shown Height: Required Shown i' Parking: Spaces Required Guest Spaces Required Shown Shown U U U Additional Comments_____________________________________ -'V~,4 OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE PLNCK.FRM LOCAT PROJECT: State of California, Geor.ge D.eu]cinejian, Governor. California Coastal Commission 1333. Camino Del Rio S., Suite 125 San Diego, Ca 92108 . (619) 297-9740 . DATE:. JW• NAME:•J. fie k A• •• .: .. . I(' 0rc&A-' This is to certify that this location and/or proposed project has been reviewed by the staff on the San Diego Coast District Commission. .A coastal development permit is not necessary because of the item(s) checked below.. Appropriate local permits may now be obtained. . . . . . . .... ... . .... ... . The site is not located within the coastal permit area as adopted in the California Coastal Act of 1976 and effective January 1, 1977, and modified effective..January 1, 1980. . The proposed development is included in Catagorica]. Exclusion No,________________ adopted by the Ca].ifornia.Coastal Commission. The proposed development is judged to be repair or maintenance activity not .... resulting in an addition to or enlargement or expansion of the object of such ivities (Section 30610(d) of Coastal Act). The proposed development is an improvement to an existing single family residence (Section 30610(c) of the Coastal Act) and not located in the area between the sea and first coastal road or 300 feet (whichever is greater) (Section 13250(b) (4) of Administrative Regulations). . The proposed development is an improvement to an existing single family residence and is located in the area between the sea and the first coastal road or 300 feet (whichever is greater) but is not a) an increase of 10% or - ..-.. more of internal floor area, b) the construction of an additional story, or C) a significant non-attached structure (Sections 30610(a) of Coastal Act and Section 13250(b) (4) of Administrative Regulations). The proposed development is an interior modification to an existing use with no change in the density or intensity of use (Section 30106 of Coata1 ACt). The proposed development is an improvement to a structure other than a single family residence or public works facility and is not included in excluded catagories of development (Section 13253 of Administrative Regulations). The proposed development is the rebuilding of a struät1re; other :tha1 a public works facility, destroyed by natural disaster... The replacement conforms to all of the requirements of Coastal Act Section 30610(g). The proposed development is exempt under Section . of the Commission's "Interpretive Guideline on Exclusions from Permit Requirements." - .• - Other; . This certification is based on information provided by the; recipient of this letter. If, at a later date, this information is found to be incorrect, this letter will become invalid, and any development occuring must cease until a coastal development permit is obtained. Very truly yours, 2". Charles Damm District Director - JFMIN ff.-1.50_~ CERTIFICATION OF COMPLIANCE CITY OF CARLSBAD Plan Check No. DEVELOPMENT PROCESSING SERVICES DIVISION 2075 LAS PALMAS CARLSBAD, CA 92009 (619) 438-1161 This form shall be used to determine the amount of school fees for a project and to verify that the project aplicant has complied with the school fee requirements. No building permits for the projects shall be issued until the certification is signed by the appropriate school district and returned to the City of Carlsbad Building Department. ISCHOOL DI CT: _,Z'arlsbad Unified San Marcos Unified 801 Pine Avenue /20 West San Marcos Blvd. Carlsbad, CA 92009 (14314-0610) San Marcos, CA 92069 (744-4776) Encinitas Union Elementary San Dieguito Union High School 189 Union Stre D.6) 710 Encinitas Boulevard Encinitas, CA 2024 (949. Encinitas, CA 920214 (753-61491) Project Applicant: 4Ar APN: 7U7 Project Address: I 7 RESIDENTJ__S4.mFT. of living area )_1__") Number of dwelling units / 01 FT. ,of covered area SQ. FT. of garage area COMMERCIALL TRI SQ. FT. AREA Prepared B ate /q FEE CERTIFICATION :(To be completed by the School District) Applicant has complied with fee requirement under Government Code 53080 Project is subject to an existing fee agreement Project is exempt from Government Code 53080 Final Map approval and construction started before September 1, 1986. (other school fees paid) Other Residential Fee Levied: $ based on sq. ft.@ Comm/IndustFee Levied: $ based on sq. ft.@ r2i. a- S j 44C 47_i School Ditrict Official Title Date AB 2926 and SB 201 fees are capped at $1.58 per square foot for residential. AB 2926 is capped at $.26 per square foot for commercial/industrial. ' CARLSBAD UNIFIED SCHOOL DISTRICT . CARLSBAD HIGH SCHOOL RECEIPT NO. 92155 VALLEY JUNIOR HIGH SCHOOL I 06102 THORIZED BY RTLCEIVED FROM cZO 4A_.. DATE R:1733 1e - TI r: 280 USE OF SCHOOL FACILIES/RENTALS $ REIMBURSEMENTS $ • USE.OF SCHOOL BUS $ $ 7 DAMAGE TO SCHOOL PROPERTY $ ____________ • : $ • $ I DAMAGED OR LOST BOOKS $ ____________ INSURANCE • $ SALE OF SURPLUS • $ TELEPHONE COMMISSIONS $ 'r^rAl 177V31 INCOME ABATEMENT E] ACCOUNT NO. 1 91 ACCOUNT NO. - . _____ -7- ACCOUNT NO. rc ,.• /. -,. 1) RECEIVED CASH E CHECK/J - REPV.e-4e ED BY $092155 RTION BEFORE DEPOSITING