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176 CHINQUAPIN AVE; ; CB991588; Permit
11/05/1999 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad Residential Permit Permit No CB991568 Building Inspection Request Line (760)438-3101 176 CHINQUAPIN AV CBAD RESDNTL 2060131200 $291 19200 6 1 3 THE PALISADES SFD3435SF GARAGE 414 SF Sub Type Lot# Construction Type Reference # Structure Type Bathrooms SFD 8 VN SFD 3 Status Applied Entered By Plan Approved Issued Inspect Area Orig PC# Plan Check# ISSUED 04/23/1999 JM 09/03/1999 11/05/1999 Applicant BEACH KING 2020 ONE COLUMBIA ALISO VIEJO CA 92656 619-362-9700 Owner BEACH KING 2020'——-^ ONE COLUMBIA^ AL1§O VIEJO;CA 92656 6 *l 9^362-97000 Total Fees $21 280 62 (Total PaymentsPTq Date OOT^/ABalance Due $21 280 62 0° Building Permit Add I 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 Add'l Recr Water/ConrFee1 Traffic ImpacbFeeX Traf/ipJmpact^dFD Fyncl) $000 $000 $2 400 00 D5/8 $000 $000 ,..„_.License Tax / _ INCORK'HAItU / -_iT>- -,^1 License Tax (CFB Fund) , ,LFMZ\Tran*sportation Fee" PLUMBING'TOTAL "ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing InLieu Fee Master Drainage Fee Sewer Fee TOTAL PERMIT FEES $000 $000 $000 $000 $5 299 69 $4 892 03 $000 $000 $409 00 $461 00 $000 $000 $18900 $6000 $5900 $2 925 00 $000 $569 20 $7 546 00 $21 280 62 Inspecto FINAL APPROVAL //-Date 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 Address (inilude Bldg/Suite #) FOR OFFICE USE O PLAN CHECK EST VAL !CK NO 73( Plan Ck Deposit Validated By_ Date 'TV,TVu,Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of work 2 CONTACT PERSON (if different from affclicant) FT #of Stories ' \AgJO, City I ' ^-700 Name Address 3 APPHCANT "d Contractor f,jsO AgentHoFContractor "' rCift*! . \,(VC 0t^ C0\\}9lhi~\ 2 State/Zip Telephone #Fax # Agent for Owner * C-A Name J 4_ PROPERTYOWNER N Address City State/Zip Teiep'hone # Name Address City State/Zip Telephone # S CONTRACTOR 1COMPANY!lAME*™= (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 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 1or the alleged exemption Any violation of Section 7031 5 by any applicant fg_r a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name State License # Address License Class City I State/Zip City Business License # Telephone # TelephoneDesigner Name Address v ' City ' State/Zip State License # ^^^t*7 6™",i WORKERSjJJOMPENSATlON VL. ,|II»ML#**! _J3st8» *_ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations d 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 j2 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 (^,3\ C&TftP Policy No W ^ "^ ( <V ^)"J^C^ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) d 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 an\ 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 attorn y s fees SIGNATURE DATE ff OWNER BUILDER DECLARATION*^ *hs**!! > M3JT «£**.- I hereby affirm that I am exempt from the Contractor s License Law for the following reason d 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) d 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 fHWSECTIOiPFOR NON RESIDENTIAL BUILDING PERMITS ONLY ,^__ m' \ ~" ~. ""iv^^gr jrf Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management ind prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? d YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' d ^ ES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' d 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 81! IFONSTRUCTION LENDING AGENCY »v - _„ ( »* i» ~" _ ,, ^ 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 ^Cy^r^/ ^I'V'fC _ LENDER S ADDRESS 9 „, APPMCANTCERTOfCATJON T»«=™™~*~ ~,^, „ s^ 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 c omply 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 ALI LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PE RMIT 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 after the work is commenced for a period of 1 80 days (Section 1 06 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad •MM! INOV- 32000 Dept Building Engineering Planning CMWD St Lite Fire | Plan Check # Permit # Project Name Address Contact Person Sewer Dist Inspected By Gs -Gas Inspected By Inspected By Comments Date 1 1 /3/2000 OF CARLSBAD CB991568 Permit Type RESDNTL THE PALISADES Sub Type SFD SFD3435SF GARAGE 414 SF 176 CHINQUAPIN AV Lot 8 RENIE GOMEZ Phone CA Water Dist CA • Date / ocivw^w. Inspected iX/7/oo Approved \/ Disapproved Date Inspected Approved Disapproved Date Inspected Approved Disapproved 11/B8/2888 8T9 49 7BB-7281828 SOUTHLAND PALISADES HI/HI City of Carlsbad T«5 Faraday Avenue, Carisbad Califoraia 92808 INSPECTION RECORD INSPECTION RECORD CARD WITH APPROVED PLANS MUST BE KEPT ON THE JOB CALL PRIOR TO 2 00 P M FOR NEXT WORKDAY INSPECTION! BUILDING INSPECTION (760) 602-2725 JOB ADDRESS ERS NAME cassises t *s offhcHMPw &\ CBAO USROCCOPAKCV BUlDiNG OTir-aR GWAS5< ^E^OMTl e^C11 o* •» Be«,o->ONfflP ACTOR DATE^ Tvpe of Inspection $y/£o/i%c FOUNDATION REINFORCED STEtL MASON1? ' Q CROUT D WAIL DRAiMS TILT p><4Eis POUR S^IPS COLUMN FCX3T1NGS SUBriWuiE D FLOOR D CEHINC ROOF SHE4TNMG EXT s-»E>ik PAMELA fitWE NSUb»Tl6t\ EXTERIOR LATH IIMITERIOR IATH S £WVWUL FIMAL WUMg/WC PSEWER AND si/co D PUCO UNDERGROUND (laiVASTE D WATER TOP OUT D WASTE D WATER TUB AKO 3HOWER PAN 3 GAS TEST D C-.S PIPING D WATEX HE,-\T£R D SOliAR W ATER FINAL titCTPICAL a eucnuc UNDERGROUND ' OUFER ROUGH EUECTRIC WALLS ROUGH ELECTRIC CEILING 1 a EUECTPIC ^ERVICE O TEMPORARY Q EO^OI\G D POOL FINAL HKHAH1CAL UMDERGROLfND DUCT"; & PIPING D DUCT & PifM D REF PIPING " HEAT <UR COND S«TEA,(S VENTILATING SV«TEMS FINAL APPROVED TO COVER Date *"-*» N f ,rn *<>> j& ci ff «?- O^7 ^ #{:U {//i TO / / "7/^((00 1/M U < 3.% 00 k-l'ffD f' in A^-la-yo *I' 1>b insptctor fvolet g/J ^^L'^^^ /\ /, . \*t 1/5", /v/f W tt.f. f\,t\ -~r~~^t > 1 I ( ' iK-t — jr^fi/ -h<i A /, / i_.'\l'x A_[;,y--(s^ /? f/ S-IS't,T± $i.tf& {.J* • ^ W J^Jfc jM, CAU FOR P**U fNSPECTJON »**£•« AU AP^OFWATE fTEMS ABOVE Hjifl SfW APPROVED FINAL Sign Wh«n Appropriate J Buildins Dep' nntpecbon>) <7oO) eO2 2725 F re Department J760) 602 20SO Planning Dep-srtmert (760i 81 5-6703 Engmeenpg Ctep (InspecUons1 (7oOI -<38-339Ti Building Inspectors t7am-4fln-J refti b02-27ftO CMWO (T60) 436-2722 Ext 71 51 /f /"/I- I/.^D V> io<=€ n/*/«« jt_- l^Voo / w- ff/V v*&? C^sC- *\ _. -^f^^—T ^x ^- SEE BACK FOR SOCIAL «OTES Inspection List Permit* CB991568 Type RESDNTL SFD Date Inspection Item 11/7/200089 11/7/200089 11/6/200089 11/6/200089 11/3/2000 89 11/3/200089 11/3/200089 9/22/2000 39 7/21/2000 21 7/21/2000 22 6/2/2000 82 6/1/2000 17 5/24/2000 16 5/22/2000 84 5/18/2000 84 5/18/2000 89 5/16/2000 84 5/3/2000 13 4/24/2000 15 4/21/2000 15 3/10/2000 11 3/10/2000 11 3/10/2000 12 3/9/2000 1 1 3/3/2000 11 3/3/2000 12 3/2/2000 1 1 3/1/2000 11 3/1/2000 14 3/1/2000 31 2/18/2000 11 2/7/2000 21 2/7/2000 22 2/3/2000 24 2/2/2000 24 1/31/2000 11 Final Combo Final Combo Final Combo Final Combo Final Combo Final Combo Final Combo Final Electrical Underground/Under Floor Sewer/Water Service Drywall/Ext Lath/Gas Test Interior Lath/Drywall Insulation Rough Combo Rough Combo Final Combo Rough Combo Shear Panels/HD s Roof/Reroof Roof/Reroof Ftg/Foundation/Piers Ftg/Foundation/Piers Steel/Bond Beam Ftg/Foundation/Piers Ftg/Foundation/Piers Steel/Bond Beam Ftg/Foundation/Piers Ftg/Foundation/Piers Frame/Steel/Bolting/Weldm Underground/Conduit Winn Ftg/Foundation/Piers Underground/Under Floor Sewer/Water Service Rough/Topout Rough/Topout Ftg/Foundation/Piers Inspector Act PD - PD JJ JJ PD TL TL PD PD PD PD PD PD PD PD PD TL NF PD NF PD NF NF PD PD PD PD NF PD PD PD PD PD AP Rl Rl AP Rl CO PI AP we AP AP AP AP AP CO we CO AP AP CO AP PA AP NR CO CO NS CO we CO CO AP AP NR NR NR THE PALISADES SFD 3435 SF GARAGE 414 SF Comments APON 11 62000 NEEDENG DEPT SEE NOTICE NOT READY SLAB SEE NOTICE ATTACHED NEED DUAL WASTE Wednesday November 08 2000 Page 1 of 1 City of Carlsbad Bldg Inspection Request For 11/6/2000 Permit# CB991568 Title THE PALISADES Description SFD 3435 SF, GARAGE 414 SF Inspector Assignment PD Type RESDNTL Job Address Suite Location APPLICANT BEACH KING Owner Remarks Total Time Sub Type SFD 176 CHINQUAPIN AV Lot 8 CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Phone 7607204821 Inspector. Requested By RENNY Entered By CHRISTINE Act Comments Associated PCRs PCR00030 ISSUED Inspection History Date 9/22/2000 7/21/2000 7/21/2000 6/2/2000 6/1/2000 5/24/2000 5/22/2000 5/18/2000 5/18/2000 5/16/2000 5/3/2000 4/24/2000 4/21/2000 3/10/2000 3/10/2000 3/10/2000 Description 39 Final Electrical 21 Underground/Under Floor 22 Sewer/Water Service 82 Drywall/Ext Lath/Gas Test 17 Interior Lath/Drywall 16 Insulation 84 Rough Combo 84 Rough Combo 89 Final Combo 84 Rough Combo 13 Shear Panels/HDs 15Roof/Reroof 15Roof/Reroof 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 12 Steel/Bond Beam Act AP we AP AP AP AP AP CO we CO AP AP CO AP PA AP Insp PD TL TL PD PD PD PD PD PD PD PD PD TL NF PD NF Comments NOT READY SLAB City of Carlsbad Bldg Inspection Request For 11/3/2000 Permit# CB991568 Title THE PALISADES Description SFD 3435 SF, GARAGE 414 SF Type RESDNTL Sub Type SFD 176 CHINQUAPIN AV Inspector Assignment PD Job Address Suite Location APPLICANT BEACH KING Owner Remarks Lot 8 Phone Inspector \ Total Time Requested By RENIE GOMEZ Entered By CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments/oi -£> Associated PCRs PCR00030 ISSUED Inspection History Date 9/22/2000 7/21/2000 7/21/2000 6/2/2000 6/1/2000 5/24/2000 5/22/2000 5/18/2000 5/18/2000 5/16/2000 5/3/2000 4/24/2000 4/21/2000 3/10/2000 3/10/2000 3/10/2000 Description 39 Final Electrical 21 Underground/Under Floor 22 Sewer/Water Service 82 Drywall/Ext Lath/Gas Test 17 Interior Lath/Drywall 16 Insulation 84 Rough Combo 84 Rough Combo 89 Final Combo 84 Rough Combo 13 Shear Panels/HDs 15Roof/Reroof 15Roof/Reroof 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 12 Steel/Bond Beam Act AP we AP AP AP AP AP CO we CO AP AP CO AP PA AP Insp PD TL TL PD PD PD PD PD PD PD PD PD TL NF PD NF Comments NOT READY SLAB CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE — <£><=>TIME LOCATION O.VN x^v CP o A PERMIT NO A\ b O FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE? FOR FURTHER INFORMATION CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® CITY OF CARLSBAD BUILDING DEPARTMENT DATE ; / - **> - O LOCATION NOTICE -Zzr (760) 602-2700 1635 FARADAY AVENUE TIME_ PERMIT NO g v5^£\\\§ c\ \0 uv t.N y>^ ^oNj v o ^>y I Y> g. do w d< S >—oC- FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE? FOR FURTHER INFORMATION CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © City of Carlsbad Bldg Inspection Request For 9/22/2000 Permit#>CB991568 Title THE PALISADES Description SFD 3435 SF, GARAGE 414 SF Inspector Assignment PD Type RESDNTL Job Address Suite Location APPLICANT BEACH KING Owner Remarks Sub Type SFD 176 CHINQUAPIN AV Lot 8 Phone 7607204821 Inspecto Total Time CD Description 39 Final Electrical Requested By RENNY Entered By ROBIN Act Comments Associated PCRs Inspection History Date Description 7/21/2000 21 Underground/Under Floor 7/21/2000 22 Sewer/Water Service 6/2/2000 82 Drywall/Ext Lath/Gas Test 6/1/2000 17 Interior Lath/Drywall 5/24/2000 16 Insulation 5/22/2000 84 Rough Combo 5/18/2000 84 Rough Combo 5/18/2000 89 Final Combo 5/16/2000 84 Rough Combo 5/3/2000 13 Shear Panels/HD s 4/24/2000 15Roof/Reroof 4/21/2000 15Roof/Reroof 3/10/2000 11 Ftg/Foundation/Piers 3/10/2000 11 Ftg/Foundation/Piers 3/10/2000 12 Steel/Bond Beam 3/9/2000 11 Ftg/Foundation/Piers 3/3/2000 11 Ftg/Foundation/Piers 3/3/2000 12 Steel/Bond Beam 3/2/2000 11 Ftg/Foundation/Piers 3/1/2000 11 Ftg/Foundation/Piers 3/1 /2000 14 Frame/Steel/Bolting/Weldmg 3/1/2000 31 Underground/Conduit Wiring Act Insp Comments WC TL AP TL AP PD AP PD AP PD AP PD CO PD WC PD CO PD AP PD AP PD CO TL NOT READY PA PD SLAB AP NF AP NF NR PD CO NF CO NF NS PD CO PD WC PD CO PD SEE NOTICE ATTACHED City of Carlsbad Bldg Inspection Request For 5/16/2000 Permit* CB991568 Title THE PALISADES Description SFD 3435 SF, GARAGE 414 SF Inspector Assignment PD Type RESDNTL Job Address Suite Location APPLICANT BEACH KING Owner Remarks Total Time Sub Type SFD 176 CHINQUAPIN AV Lot 8 Phone 7607204821 Inspector Requested By HUGO Entered By CHRISTINE CD Description Act Comments 14 Frame/Steel/Boltmg/Weldmg 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers Associated PCRs Date 5/3/2000 4/24/2000 4/21/2000 3/10/2000 3/10/2000 3/10/2000 3/9/2000 3/3/2000 3/3/2000 3/2/2000 3/1/2000 3/1/2000 3/1/2000 2/18/2000 2/7/2000 2/7/2000 Inspection History Description 13 Shear Panels/HDs 1 5 Roof/Reroof 1 5 Roof/Reroof 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 12 Steel/Bond Beam 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 12 Steel/Bond Beam 1 1 Ftg/Foundation/Piers 1 1 Ftg/Foundation/Piers 14 Frame/Steel/Bolting/Welding 31 Underground/Conduit Wiring 1 1 Ftg/Foundation/Piers 21 Underground/Under Floor 22 Sewer/Water Service Act AP AP CO AP PA AP NR CO CO NS CO we CO CO AP AP Insp PD PD TL NF PD NF PD NF NF PD PD PD PD NF PD PD Comments NOT READY SLAB SEE NOTICE ATTACHED ADDRESS APPROVED PLANS SHALL ' D GROW ©UNITE SHEATHING D FBAME D EXTERIOR LATH'=T*™$' D INSULATION D INTERIOR LATH OR "^^JJsyMSSM&t* *>**>*- D UNDERGROUND PLUMBING D UNDERGROUND WATER /<j\ D ROUGH PLUMBING ^-^ D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST (/^J > J Y D WATERvHEATER , ""\ ^, '' ' >x oi) /- X '7 ^ n/' — «UFER D GFI SMOKE DETECTOR , D PllNlUM AND DUCTS D CONDITIONED AIR SYSTEMS^ D SOLAR D GRADING D PO©L 3' RATIO D /; u ' TIME /^ , if *"*"J I iff DATE J >{-"V U INSPECTOR CITY OF CARLSBAD PHONE 4383550 A/ofe FifiaUpspectiQn Required V ** *» ,- City of Carlsbad Bldg Inspection Request For 3/1/2000 Permit* CB991568 Title THE PALISADES Description SFD 3435 SF, GARAGE 414 SF Inspector Assignment PD Type RESDNTL Job Address Suite Location APPLICANT BEACH KING Owner Remarks PM PLEASE Sub Type SFD 176 CHINQUAPIN AV Lot 8 Phone 6195724292 Inspector Total Time CD Description 14 Frame/Steel/Boltmg/Weldmg 31 Underground/Conduit-Wiring Requested By CHARLIE Entered By ROBIN Act Comments vJC 1 Associated PCRs Inspection History Date Description 2/18/2000 11 Ftg/Foundation/Piers 2/7/2000 21 Underground/Under Floor 2/7/2000 22 Sewer/Water Service 2/3/2000 24 Rough/Topout 2/2/2000 24 Rough/Topout 1/31/2000 11 Ftg/Foundation/Piers Act Insp Comments CO NF AP PD AP PD NR PD NEED DUAL WASTE NR PD NR PD CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE TIME LOCATION . f/ PERMIT NO or tf4> _ o r -, a j)fj l A J p AD ) -me flA p NSPECFOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE? FOR ifURTHER INFORMATION CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © SOILS AND GEOTECHNICAL CONSULTANTS Field Observation Memo 1O641 HUMBOLT STREET LOS ALAMITOS CALIFORNIA 9O72O PHONE 562 799 9469 • FAX 562 799 9 +59 Date J///C)0 Project Number r~r *r Accepted by NorCal Representative EsGil Corporation In ^Partnership With government for 'Building Safety DATE August 30, 1999 JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 99-1568 SET III PROJECT ADDRESS 176 Chinquapin Avenue PROJECT NAME Pahsades- || 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 budding department staff The plans transmitted herewith have significant deficiencies identified on the enclosed checklist and should be corrected and resubmitted for a complete recheck The checklist 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 checklist is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the checklist has been sent to 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 By Tony Embuido Enclosures Esgil Corporation D GA n MB D EJ D PC 08/23/99 trnsmtldot 9320 Chesapeake Drive, Suite 208 *• San Diego, California 92123 + (858)560-1468 <* Fax (858) 560-1576 EsGil Corporation In (Partnersflip with government for (Buidfiny Safety DATE July 22, 1999 a APPLICANT Ca_JURIs3 JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 99-1568 SET II PROJECT ADDRESS 176 Chinquapin Avenue PROJECT NAME Pahsades- | | 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 checklist and should be corrected and resubmitted for a complete recheck The checklist 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 checklist is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the checklist has been sent to Bird Designs One Columbia, Ste #2000, Aliso Viejo, CA 92656 Esgil Corporation staff did not advise the applicant that the plan check has been completed I | 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 n REMARKS By Tony Embuido Enclosures Esgil Corporation D GA Q MB D EJ D PC 7/12/99 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 + Fax (858) 560-1576 Carlsbad 99-1568 II July 22, 1999 RECHECK PLAN CORRECTION LIST JURISDICTION Carlsbad PLAN CHECK NO 99-1568 PROJECT ADDRESS 176 Chinquapin Avenue SET II DATE PLAN RECEIVED BY DATE RECHECK COMPLETED ESGIL CORPORATION 7/12/99 July 22, 1999 REVIEWED BY Tony Embuido 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 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 1994 Uniform Building Code the approval of the plans does not permit the violation of any state, county or city law A To facilitate rechecking, 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 B 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 C 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 99-1568 II July 22, 1999 • 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 2075 Las Palmas Drive Carlsbad, CA 92009 (760)438-1161 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 (619)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 Corporalion is complete • FRAMING 15 Specify truss identification numbers on the plans b) Placement plans must be made part of the plans and stamped & wet signed by engineer of record i) Per applicant response sheet TR-1 None provided Please clarify • MISCELLANEOUS 44 Recheck height-to-width ratio along grid line [1] It exceeds height-to-width ratio Provide framing section elevation proving otherwise a) It still appears to be a problem Per design calc's plate height is 10' If so than width of shear panel must be at least 2 86' Please prove otherwise The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive Suite 208 San Diego California 92123 telephone number of 619/560-1468 to perform the plan review for your project If you have any questions regarding these plan review items please contact Tony Embuido at Esgil Corporation Thank you EsGii Corporation In Tanners kip with government for 'Building Safety DATE May 04, 1999 'a ju JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 99 1568 SET I PROJECT ADDRESS 176 Chinquapin Avenue PROJECT NAME The Pahsades- 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 checklist and should be corrected and resubmitted for a complete recheck The checklist 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 checklist is enclosed for the jurisdiction to forward to the applicant contact person The applicant s copy of the checklist has been sent to Bird Designs One Columbia Ste #2000 AhsoViejo CA 92656 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 By Tony Embuido Enclosures Esgil Corporation D GA D MB D EJ D PC 04/26/99 tmsmtldot 9320 Chesapeake Drive Suite 208 4 San Diego California 92123 * (619)560 1468 4 Fax (619) 560 1576 Carlsbad 99-1568 May 04, 1999 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO 99-1568 JURISDICTION Carlsbad PROJECT ADDRESS 176 Chinquapin Avenue FLOOR AREA 3435-R3 414-U1 REMARKS DATE PLANS RECEIVED BY JURISDICTION 04/23/99 DATE INITIAL PLAN REVIEW COMPLETED May 04, 1999 STORIES 2 HEIGHT DATE PLANS RECEIVED BY ESGIL CORPORATION 04/26/99 PLAN REVIEWER Tony Embuido 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 complies with Title 24 and the following model codes 1994 UBC (effective 12/28/95) 1994 UPC (effective 12/28/95) 1994 UMC (effective 2/23/96) and 1993 NEC (effective 12/28/95) 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 1994 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 LIST NO 1 GENERAL SINGLE FAMILY DWELLINGS AND DUPLEXES WITHOUT SUPPLEMENTS (1994 UBC) rSforwdot Carlsbad 99-1568 May 04, 1999 • PLANS 1 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 2075 Las Palmas Drive Carlsbad CA 92009 (760)438-1161 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 (619) 560-1468 Deliver all remaining sets of plans and calculations/ieports 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 2 Final set of plans specifications and calculations shall be signed and sealed by the California state licensed engineer or architect responsible for their preparation for plans deviating from conventional wood frame construction Specify expiration date of license (California Business and Professions Code) • FIRE PROTECTION 3 Show locations of permanently wired smoke detectors with battery backup a) On each story See 1st floor plan • GENERAL RESIDENTIAL REQUIREMENTS 4 Sleeping rooms shall have a window or exterior door for emergency escape Sill height shall not exceed 44' above the floor Windows must have an openable area of at least 5 7 square feet with the minimum openable width 20' and the minimum openable height 24 The emergency door or window shall be openable from the inside to provide a full clear opening without the use ol separate tools Section 3104 Note as part of the plans 5 Note that the discharge point for exhaust air will be at least 3' from any opening which allows air entry into occupied portions of the building Section 1203 3 Carlsbad 99-1568 May 04, 1999 6 Glazing in the following locations should be of safety glazing material in accordance with Section 2406 4 (see exceptions) Specify tempered glass on floor plans a) Fixed or operable panels adjacent to a door where the nearest exposed edge of the glazing is within a 24-inch arc of either vertical edge of the door in a closed position and where the bottom exposed edge of the glazing is less than 60 inches above the walking surface See window at front door b) Walls enclosing stairway landings or within 5 feet of the bottom and top of stairways where the bottom edge of the glass is less than 60 inches above a walking surface • STAIRWAYS AND RAILINGS 7 Guardrails (Section 509 1) a) Shall have a height of 36' b) Shall be detailed showing adequacy of connections to resist the horizontal force prescribed in Table 16-B c) Openings between railings shall be less than 4" The triangular openings formed by the riser tread and bottom element of a guardrail at a stair shall be less than 6 8 Provide stairway and landing details Sections 1006 3 1006 15 and 1006 2 a) Maximum rise is 7 and minimum run is 11" When the stairs serves less than 10 occupants or serves an unoccupied roof rise may be 8" max and run 9" minimum 9 Handrails a) Handrails and extensions shall be 34 to 38 above nosing of treads and be continuous b) All stairs shall have handrails terminating in a newel or safety post 10 The handgrip portion of all handrails shall be not less than 1-1/4 inches or more than 2 inches in cross-sectional dimension Handrails projecting from walls shall have at least 1-1/2 inches between the wall and the handrail Section 1006 9 • ROOFING/DECKING 11 Specify on the plans the following information for the deck materials per Section 106 3 3 See balcony at 2nd floor plan a) ICBO approval number or equal Carlsbad 99 1568 May 04, 1999 • GARAGE 12 Show garage-framing sections lateral cross bracing at plate line method bracing garage front and adequate hold-downs per design Chapter 16 NOTE Maximum shear panel height-to-width ratio is 3-1/2 to 1 for plywood Table 23-I-I • FOUNDATION REQUIREMENTS 13 The soil's engineer recommended that he review the foundation excavations Note on the foundation plan that' Prior to the contractor requesting a Building Department foundation inspection the soils engineer shall advise the building official in writing that a) The building pad was prepared in accordance with the soils report b) The utility trenches have been properly backfilled and compacted and c) The foundation excavations, the soils expansive characteristics and bearing capacity conform to the soils report 14 Provide a letter from the soils engineer confirming that the foundation plan, grading plan and specifications have been reviewed and that it has been determined that the recommendations in the soils report are properly incorporated into the construction documents (required by the soil report) • FRAMING 15 Provide truss details and truss calculations for this project Specify truss identification numbers on the plans a) City of Carlsbad does not allow deferred submittal b) Placement plans must be made part of the plans and stamped & 'wet signed by engineer of record 16 Show clearance between top plate of interior partitions and bottom chord of trusses (To ensure nonbearmg condition between supports as designed) 17 Per UBC Section 2343 6 provide the following note on the plans if trusses are used Each truss shall be legibly branded marked or otherwise have permanently affixed thereto the following information located within 2 feet of the center of the span on the face of the bottom chord a) Identity of the company manufacturing the truss b) The design load c) The spacing of the trusses Carlsbad 99 1568 May 04, 1999 18 Show or note fire stops at the following locations per Section 708 a) In concealed spaces of stud walls and partitions including furred spaces at the ceiling & floor levels and at 10 intervals both vertical & horizontal b) At all interconnections between concealed vertical and horizontal spaces such as occur at soffits, drop ceilings and cove ceilings c) In concealed spaces between stair stringers at the top and bottom of the run and between studs along and mime with the run of stairs if the walls under the stairs are unfinished d) At openings between attic spaces and chimney chases for factory-built chimneys 19 Show on the plans all structural requirements developed in the structural calculations Section 106 3 3 (See comments at end {miscellaneous}) 20 Detail shear transfer connections including roof and floor diaphragms, to interior bearing shear walls Section 2314 See framing plans on sheet A-21 21 Detail truss layout for 30" x 30 attic access if required for equipment in the attic and detail 30" x 30 clearance through truss webs See floor plan keynote #22 22 Individual concrete or masonry piers shall project at least 8' above exposed ground unless the columns or posts which they support are of approved wood of natural resistance to decay or treated wood is used Sect 2317 5 See 7/SD1 • MECHANICAL (UNIFORM MECHANICAL CODE) 23 Note on the plans that the FAU closet or alcove must be 12 inches wider than the furnace or furnaces being installed UMC Section 3151 24 Note that passageway to the attic furnace shall be unobstructed and have continuous solid flooring not less than 24 inches wide not more than 20 feet in length through the attic Section 319 4 UMC 25 Note on plan Gas vents and noncombustible piping in walls passing through three floors or less shall be effectively draft stopped at each floor or ceiling UBC Section 711 3 26 Show permanent electrical outlet and lighting fixture controlled by a switch for furnace located in attic or underfloor space Sections 3196 and 320 1, UMC • ELECTRICAL (NATIONAL ELECTRICAL CODE) 27 Note on the plans that receptacle outlet locations will comply with 1993 NLC Art 210-52(a) Carlsbad 99-1568 May 04, 1999 28 For a single-family dwelling unit show that at least one receptacle outlet accessible at grade level will be installed outdoors at the front of the dwelling NEC Art 210-52 (e) This receptacle must be GFCI protected 29 Show on the plan that ground-fault circuit-interrupter protection complies with 1993 NEC Art 210-8 which reads as follows All 125-volt, single-phase 15- and 20- ampere receptacles installed in bathrooms and within 6 feet of a kitchen sink See master bathroom and kitchen areas • PLUMBING (UNIFORM PLUMBING CODE) 30 Show water heater size and type location on floor plan UPC Section 501 0 31 Show T and P valve on water heater and show route of discharge line to exterior UPC Section 608 5 32 Show that water heater is adequately braced to resist seismic forces Provide two straps (one strap at top 1/3 of the tank and one strap at bottom 1/3 of the tank) UPC Section 5100 33 Provide a note on the plans In showers and tub-shower combinations control valves must be pressure balanced or thermostatic mixing valves Section 410 7 • ENERGY CONSERVATION 34 The regulations require a properly signed Form CF-1R See T-24 sheet Clarify (two) T-24 sheets on set of plans 35 Provide fluorescent general lighting (40 lumens per watt minimum) in kitchen(s) and bathrooms See bathroom notes on sheet GA/-3 36 'Mandatory Measures Checklist must be made a part of the plans 37 Provide a note on the plans stating All new glazing (fenestration's) will be installed with a certifying label attached showing the U-value ' • CARLSBADSFD SUPPLEMENT 38 New residential units must be pre-plumbed for future solar water heating Note that two roof jacks must be installed where the water heater is in the one story garage and directly below the most south-facing roof (City Ordinance No 8093) Carlsbad 99-1568 May 04, 1999 39 Note that two 3/4" copper pipes must be installed to the most convenient future solar panel location when the water heater is not in a one story garage and is not directly below the most south facing roof (City Ordinance No 8093) 40 All piping for present or future solar water heating must be insulated when in areas that are not heated or cooled by mechanical means (city policy) 41 City Ordinance 9792 requires 2 parking spaces/unit with clear area of 20' x 20 / e no washing machines etc Show compliance and dimensions on garage plan • MISCELLANEOUS 42 Provide concrete level landing to exterior side door at garage 43 Provide design calc's and show stud size and spacing Maximum allowable stud heights Bearing wall 2x4&2x6max 10' Non-bearing 2x4 max 14' 2x6 max 20' Table 23-I-R-3 44 Recheck height-to-width ratio along grid line [1] It exceeds height-to-width ratio Provide framing section elevation proving otherwise 45 Correct shear wall length at grid line [3 ] to indicate 23 5 in lieu of 20 per design 46 Provide design calc's and details of girder trusses and show how they are supported See roof-framing plan on sheet A-9 47 Show size of continuous/pad footings on foundation plan per design calc's 48 Show pad footing and details at garage front per design calc s 49 Please indicate grade lumber on framing plan for beam [H-9] per design calc's 50 Provide complete additional structural details on the plans with cross referencing as needed to show the structural framing will comply with the design calculations and building code requirements 51 Clearly cross-reference ail details on foundation and framing plans sections elevations etc 52 Indicate distance from property lines to the proposed building Section 106 3 3 Additional corrections may follow depending on distance to side yard See site plan and indicate distance from chimney/fireplace to property line Carlsbad 99 1568 May 04, 1999 v 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 619/560-1468 to perform the plan review for your project If you have any questions regarding these plan review items please contact Tony Embuido at Esgil Corporation Thank you Carlsbad 99-1568 May 04, 1999 JURISDICTION Carlsbad VALUATION AND PLAN CHECK FEE PLAN CHECK NO 99-1568 PREPARED BY Tony Embuido DATE May O4, 1999 BUILDING ADDRESS 176 Chinquapin Avenue BUILDING OCCUPANCY R-3/U-1 TYPE OF CONSTRUCTION V-N BUILDING PORTION Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (ft2) VALUATION MULTIPLIER VALUE ($) Q 199 UBC Building Permit Fee G Bldg Permit Fee by ordinance $ 129308 n 199 UBC Plan Check Fee Q Plan Check Fee by ordinance $ 840 50 Type of Review 0 Complete Review Q Structural Only Q Hourly B Repetitive Fee Applicable Q Other Esgil Plan Review Fee $ 168 19 * Comments * 13% of Building Permit Fee See PC #99-1567 Sheet 1 of 1 macvalue doc 5196 City of Carlsbad Engineering Department DATE fe/2/fe BUILDING PLANCHECK CHECKLIST PLANCHECK NO CB BUILDING ADDRESS _ PROJECT DESCRIPTION ASSESSOR S PARCEL NUMBER - f> I 3 -/ ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved The approval is based on plans information and/or specifications provided in your submittal therefore any changes to these items after this date including field modifications must be reviewed by this office to insure continued conformance with applicable codes Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to build [A Right of Way permit is required prior to construction of the following improvements EST VALUE DENIAL Please see v the attached report of deficiencies marked with iS^M i necessary corrections to plans or specificlatioYis for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review Date Date Date FOR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT Date D Dedication Application D Dedication Checklist LJ Improvement Application D Improvement Checklist D Future Improvement Agreement D Grading Permit Application D Grading Submittal Checklist D Right of Way Permit Application [] Right of Way Permit Submittal Checklist and Information Sheet D Sewer Fee Information Sheet ENGINEERING DEPT CONTACT PERSON Name JOANNE JUCHNIEWICZ City of Carlsbad Address 2075 Las Palmas Dr Carlsbad CA 92009 Phone (619)438 1161 ext 4510 CFD INFORMATION Parcel Map No Lots Recordation Carlsbad Tract A4 CA 92OO9 ^576 • (76O) 438 1161 • FAX (76O) BUILDING PLANCHECK CHECKLIST SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show orth Arrow Existing & Proposed Structures Existing Street Improvements Property Lines Easements Right of-Way Width & Adjacent Streets Driveway widths Show on site plan Drainage Patterns 1 Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course 2 ADD THE FOLLOWING NOTE Finish grade will provide a minimum positive drainage of 2% to swale 5 away from building Existing & Proposed Slopes and Topography 3 Include on title sheet Site address Assessors Parcel Number Legal Description SL$r€>~ 6t2 - For commercial/industrial buildings and tenant improvement projects include total building square footage with the square footage for each different use existing sewer permits showing square footage of different uses (manufacturing warehouse office etc ) previously approved EXISTING PERMIT NUMBER DESCRIPTION Q DISCRETIONARY APPROVAL COMPLIANCE 4a Project does not comply with the following Engineering Conditions of approval for Project No >.. O 4b All conditions are in compliance Date H WVORD\DOCS\CHKLST\B Id 9 PI heck Ckl t BP0001 F mn JJ d R 12/26/95 BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS 5 Dedication for all street Rights of-Way adjacent to the building site and any storm dram or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ pursuant to Carlsbad Municipal Code Section 18 40 030 Dedication required as follows Dedication required Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 1/2 x 11 plat map and submit with a title report All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit Attached please find an application form and submittal checklist for the dedication process Submit the completed application form with the required checklist items and fees to the Engineering Department in person Applications will not be accept by mail or fax Dedication completed by Date IMPROVEMENT REQUIREMENTS 6a All needed public improvements upon and adjacent to the building site must be constructed at time of building construction whenever the value of the construction exceeds $ pursuant to Carlsbad Municipal Code Section 1840040 Public improvements required as follows Attached please find an application form and submittal checklist for the public improvement requirements A registered Civil Engineer must prepare the appropriate improvement plans and submit them together with the requirements on the attached checklist to the Engineering Department through a separate plan check process The completed application form and the requirements on the checklist must be submitted in person Applications by mail or fax are not accepted Improvement plans must be approved appropriate securities posted and fees paid prior to issuance of building permit Improvement Plans signed by Date 6b Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 1840 Please submit a recent property title report or current grant deed on the property and processing fee of $ so we may prepare the necessary Future Improvement Agreement This agreement must be signed notarized and approved by the City prior to issuance of a Building permit Future public improvements required as follows H \WORD\DOCS\CHKLST\B Id g PI heck Cklst BP0001 F mn JJ d c BUILDING PLANCHECK CHECKLIST •I st/ Q Q ord/ Q Q 6c Enclosed please find your Future Improvement Agreement agreement signed and notarized to the Engineering Department Future Improvement Agreement completed by Date Please return 6d No Public Improvements required SPECIAL NOTE Damaged or defective improvements found adiacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy Q Q PERMIT REQUIREMENTS The conditions that rvoke the need for a grading permit are found in Section 1 1 06 030 of the Municipal Code 7a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut fill import export) 7b Grading Permit required A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form attached NOTE The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit Grading Inspector sign off by Date Q Q 7c Graded Pad Certification required (Note Pad certification may be required even if a grading permit is not required ) 7d No Grading Permit required 7e If grading is not required write No Grading on plot plan MISCELLANEOUS PERMITS 7 8 A RIGHT-OF-WAY PERMIT is required to do work in City Right of-Way and/or private work adjacent to the public Right-of-Way Types of work include but are not limited to street improvements tree trimming driveway construction tiemg into public storm dram sewer and water utilities Right of Way permit required for BUILDING PLANCHECK CHECKLIST H \WORD\DOCS\CHKLST\B W g PI ch k Cklst BP0001 F rm JJ d R 12/28/96 pnd/ ordy Q Q 9 A SEWER PERMIT is required concurrent with the building permit issuance The fee is noted in the fees section on the following page Q Q 10 INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad sewer service area you need to contact the Carlsbad Municipal Water District located at 5950 El Cammo Real Carlsbad CA 92008 District personnel can provide forms and assistance and will check to see if your business enlerpnse is on the EWA hxempt List You may telephone (760) 438 2722 extension 153 for assistance Industrial Waste permit accepted by Date Q Q 11 NPDES PERMIT Complies with the Citys requirements of the National Pollutant Discharge Elimination System (NPDES) permit The applicant shall provide best management practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit whichever occurs first Required fees are attached No fees required 13 Additional Comments ^ H HYORDIDOCS1CHKLST1B king PI h k CW I BP0001 F rnlJJ d D ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET stimate based on unconfirmed information from applicant Calculation based on building plancheck plan submittal Address rJ-_/\l Bldg Perm.t No Prepared by ,' \ \~~ Date G/g//'?9 Checked by Date EDU CALCULATIONS List typ°s and square footages for all uses Types of Use S^fi*. _ Scl Ft /Umts Sq Ft /UnitsTypes of Use APT CALCULATIONS List types and square footages for all uses Types of Use STP^ _ Sq Ft /Units Sq Ft /UnitsTypes of Use EDU s EDU s ADT s ADT s FEES REQUIRED WITHIN CFD D YES (no bridge & thoroughfare fee in District #1 reduced Traffic Impact Fee) Q"NO PARK IN LIEU FEE FEE/UNIT PARK AREA & # _ X NO UNITS 2 TRAFFIC IMPACT FEE ADT s/UNITS FEE/ADT TE TRANSPORTATION ADT S BRIDGE AND THOROUGHFARE FEE (DIST #1 ADT s/UNITS X FEE/ADT X $10 DIST #2 =$ = $ = $ DIST #3_ ) = $ 4 FACILITIES MANAGEMENT FEE UNIT/SOFT 5 SEWER FEE PERMIT No EDUs ZONE X FEE/SO FT /UNIT =$ = $ DRAINAGE BASIN X FEE/EDU 6 SEWER LATERAL ($2 500) r^7 DRAINAGE FEES PLDA y~> ACRES O fO = $. = $ HIGH /LOW FEE/AC =$£> ^9 TOTAL OF ABOVE FEES* $ *NOTE This calculation sheet is NOT a complete list of all fees which may be due Dedications and Improvements may also be required with Building Permits P \DOCa MU,FORMS\FEE CALCULATION WORKSHEET REV 4/29/99 V £ •g PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner APN Van Lynch Address Phone (619) 438 1161 extension 4447 Type of Project & Use Zoning ^-"^ General Plan Net Project Density DU/AC Facilities Management Zone / CFD (irt/dutj> #_ Cir6le-0fie .Date of participation Remaining net dev acres (For non residential development Type of land used c reated by this permit ) D D D D Legend X Item Complete Environmental Review Required DATE OF COMPLETION Item Incomplete - Needs your action YES NO /X TYPE Compliance with conditions of approval? If not state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL/RESO NO PROJECT NO YES NO A TYPE DATE OTHER RELATED CASES Compliance with conditions or approval7 If not state conditions which require a< tion Conditions of Approval Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES V NO CA Coastal Commission Authority? YES X- NO If California Coastal Commission Authority Contact them at 3111 Camino Del Rio North Suite 200 San Diego CA 92108 1725 (619) 521 8036 Determine status (Coastal Permit Required or Exempt) c Coastal Permit Determination Form already completed? YES_ If NO complete Coastal Permit Determination Form now Coastal Permit Determination Log # NO y 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 ?C NO (Effective date of Inclusionary Housing Ordinance May 21 1993) Data Entry Completed? YES (X NO (A/P/Ds Activity Maintenance enter CB# toolbar Screens Housing Fees Construct Housing Y/N Enter Fee UPDATE') 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 2 Provide legal description of property and assessor s parcel number n n n Zoning 1 Setbacks Front Interior Side Street Side Rear Required 2^ ' Required f Required — •— Required /o 2 Accessory structure setbacks Front Required Interior Side Street Side Rear Structure separation 3 Lot Coverage 4 Height 5 Parking Spaces Guest Spaces Additional Comments Required / Required A// ft Required f /rr Required Required <^~ 6o%> Required <— 3O Required 2L_ Required Shown ZO ' Shown _T Shown — - Shown /-f Shown Shown / Shown A.J/A Shown ' ~f/*~* Shown Shown 3tf% Shown <Z-/7/^- Shown 2— Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER | /DATE OCHOA DESIGNS 7692 QUEBEC DRIVE HUNTINGTON BEACH, CA 92648 (841-0643) PROJECT PALISADES 176CHINQUAPINAVE CARLSBAD, CALIFORNIA CRITERIA UNIFORM BUILDING CODE 1994 MATERIALS EXCEPT AS NOTED OTHERWISE CONCRETE FOUNDATION SOIL CONCRETE BLOCK BRICK REINFORCED STEEL STRUCTURAL STEEL WELDING STRUCTURAL PIPE PLYWOOD SHEATHING GLUE LM BEAMS LUMBER SOIL PRESSURE DESIGN REFERENCES CONCRETE CONCRETE BLOCK STEEL LUMBER ALL WOOD DOUGLAS FIR LARCH Ignacio G Ochoa, P E RCE#35217 Exp 9/30/99 2500 PSl AT 28 DAYS ASSUME 2000 PSF GRADE N LT WT UNITS (ASTM C 90) PER ASTM C 62 MW GRADE 20 000 PSl (ASTM A 615 GRADE 40) 24 000 PSl (ASTM A 36 COMPACT) AISC 1997 ED ELECT ARC PROCESSBY CERTIFIED WELDERS Oi 35000 PSl {ASTM A 53) GRADE B ^ DOUGLAS FIR STRUG 1 INTR P S 1 76 2400 PS! (DF COMBF24) GRADE MARKED DF PER WCLB GROG RULE 16 2000 PSF (SOILS REPORT) ACi DESIGN HANDBOOK CONC MASONRY DESIGN MANUAL CMA MANUAL OF STEEL CONST AISC WOOD STRUCT DESIGN DATA NLMA No 2 No 1 GLB Fv 95 PSl 85 PSl 165 PSl Fb 875 PSl 1350 P[SI 2400 PSl E(X1000000) 16PSI 16 PSl 18 PSl OCHOA DESIGNS IG OCHOA PE HUNTINGTON BEACH CA (714)841-0643 RCE#35217 2 5 20 CSf UL TU PL- tL * , 72 o ftp 2- - i—ii—i fAQ, --jtr^in:- i J 15 is 6? - -ff -= T Rf OCHOA DESIGNS IG OCHOA P E HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 \\4 4 35 - 8 IMP - 2 5 OCHOA DESIGNS I G OCHOA P E HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 H15 * 2. Ult OCHO^l DESIGNS IG OCHOA PE HUNTINGTON BEACH CA (714)841 0643 RCE#35217 v 6 \ =, (<?M rt lo 4-2.3 k\l^fr—t rti-\ 4. OCHOA DESIGNS I G OCHOA P E HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 - I* -ol (I • ff V"7 -? DESIGNS IG OCHOA PE HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 ^4x3^307 31 J) v\.* 3 OCHO4 DESIGNS \ G OCHOA P E HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 i 7 OCHOA DESIGNS 3£ 3° 1- lt>' ^ zS1 /« It \ 51 5 38 7. O) - *r 432,* I G OCHOA P E HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 e OCHOA DESIGNS L LoNQ U •LOO I G OCHOA P E HUNT1NGTON BEACH CA (714) 841-0643 RCE#35217 =00(2,1 U •2.6 F*J*. -?10 <& tA vS> II II > 2. OCHOA DESIGNS IG OCHOA PE HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 /O OCHOA DESIGNS 1V - ('I IS/- IG OCHOA PE HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 - 3 072./4 cr? r\-^ ~I iW 4-/I ji fjf * fjf* It 10 V/MA. OCHOA DESIGNS I G OCHOA P E HUNTINGTON BfEACH (714) 841-0643 RCE#35217 CA 'f OCHOA DESIGNS IG OCHOA PE HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 OCHOXl DESIGNS H M f ff>|4 -s S905/2-- •?•/$} ^I5= & j-"7 I G OCHOA P E HUNTINGTON BEACH CA (714) 841-0643 RCE#35217 '! r\X e^ ' D _(;> 3 - SHEAR WALL SCHEDULE (1994 UBC) Z=572 FOR DOUG-FIR AND Z=478 FOR HFJW FIR K (260 #/FT) 3/8" COX PLYWOOD (BLOCK ALL EDGES) WITH 8D COMMON NAILS @ 6" EN 12"FN 1 60 @ 6" (OR 20D @ 8") SOLE PLATE TO JOIST OR BLOCKING 1/2 'ANCHOR BOLTS @ 2 10" FOR DOUG FIR (OR @ 2 5" FOR HEM FIR) SOLE PLATE TO CONCRETE A 35 @ 1' 8" ROOF RAFTER TO TOP PLATE I (380#/FT) 3/8 CDX PLYWOOD (BLOCK ALL EDGES) WITH 8D COMMON NAILS @ 4" E N , 12* F.N 16D @ 4" (OR 20D @ 5") SOLE PLATE TO JOIST OR BLOCKING 1/2" ANCHOR BOLTS @ 2' 0" FOR DOUG FIR (OR @ 1' 8" FOR HEM FIR) SOLE PLATE TO CONCRETE A 35 @ 1 2" ROOF RAFTER TO TOP PLATE M (490 #/FT) 3/8" CDX PLYWOOD (BLOCK ALL EDGES) WITH 8D COMMON NAILS @ 3" EN 12"FN 160 @ 3" (OR 20D @ 4") SOLE PLATE TO JOIST OR BLOCKING 1/2" ANCHOR BOLTS @ 1 6" FOR DOUG FIR (OR @ 1 3" for HEM FIR ) SOLE PLATE TO CONCRETE A 35 @ 11" ROOF RAFTER TO TOP PLATE N (550 #/FT) 3/8" STRUCT 1 PLYWOOD (BLOCK ALL EDGES) WITH 8D COMMON NAILS @ 3" EN 12" FN 160 @ 3" (OR 20D @ 4") SOLE PLATE TO JOIST OR BLOCKING 1/2 ANCHOR BOLTS @ 1 4" FOR DOUG FIR (@ 1 2" FOR HEM FIR ) SOLE PLATE TO CONCRETE A 35 @ 9" ROOF RAFTER TO TOP PLATE P (640 #/FT) 3/8" CDX PLYWOOD (BLOCK ALL EDGES) WITH 8D COMMON NAILS @ 2" LN , 12" F N TO 3X FRAMING MEMBERS 16D @ 2 5" (OR 20D @ 3 5") SOLE PLATE TO JOIST OR BLOCKING 1/2" ANCHOR BOLTS @ V 2" FOR DOUG FIR (OR @ 1 0" FOR HEM FIR ) SOLE PLATE TO CONCRETE A 35 @ 8" ROOF RAFTER TO TOP PLATE Q (760 #/FT) 3/8" CDX PLYWOOD BOTH SIDES (BLOCK ALL EDGES) WITH 8D COMMON NAILS @ 4" E N , @ 12" F N TO 3X FRAMING MEMBERS @ JOINT 16D @ 2" (OR 20D @ 3") SOLE PLATE TO JOIST OR BLOCKING 1/2" ANCHOR BOLTS @ 1 0' FOR DOUG FIR (@ 10" FOR HEM FIR ) SOLE PLATE TO CONCRETE A 35 @ 7" ROOF RAFTER TO TOP PLATE R (980 #/FT) 3/8" CDX PLYWOOD BOTH SIDES (BLOCK ALL EDGES) WITH 8D COMMON NAILS @ 3" E N 12" F N TO 3X FRAMING MEMBERS @ JOINT 1/2" A B @ 9 FOR DOUG FIR ( OR @ 7" FOR HEM FIR ) SOLE PLATE TO CONCRETE A 35 @ 5" ROOF RAFTER TO TOP PLATE S (1280 #/FT) 3/8" CDX PLYWOOD BOTH SIDES (BLOCK ALL EDGES) WITH 8D COMMON NAILS @ 2" E N , 12" F N TO 3X FRAMING MEMBERS @ JOINT 1/2 A B @ 7" FOR DOUG FIR ( OR @ 6" FOR HEM FIR ) SOLE PLATE TO CONCRETE A 35 @ 4" ROOF RARER TO TOP PLATE "turns. «. e°/ -2.1 SEP-03-99 FRI 14 29 P 03 City of Carlsbad Building Department CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FEES OR OTHER MITIGATION This form must be completed by the City the applicant and the appropriate school districts and returned to the City prior to issuing a building permit The City will not issue any building permit without a completed school fei* form Project Name Building Permit Plan Check Number Project Address APN Project Applicant (Owner(s) Name(s)) Project Description Building Type Residential Number of New Dwelling Units \ Square Feet of Living Area m New Dwelling Second Dwelling Unit Square Feet of Living Area in SOU Res Additions Net Square Feet New Area Comerc / Ind City Certification of Applicant s information Square Feet Floor Area Date Carlsbad Unified School District 801 Pine Ave Carlsbad CA 92009 (729 9291) SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD San Marcos Unified School District 215MataWay San Marcos CA 92069 (736 2200) Encimtas Union School District 101 South Ranch Santa Fe Rd Encimtas CA 92024 (944 4300) San Dieguito Union High School District 710 Encimtas Blvd Encimtas CA 92024 (753 6491) Certification of Applicant /Owners The person executing this declaration ( Owner") certifies under penalty of perjur> that (1) the information provided above is correct and true to the best of the Owners knowledge and that the Owner will file an amended certification of payment and pay the additional fee If Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect and that (2) the Owner is the owner/ developer of the above described project(s) or that the person executing thrs declaration is authorized to sign on behalf of the Owner Signature 2O75 Las Palmas Dr • Carlsbad CA 92009 1576 • (760) 438 1161 • FAX (760) 438 0894 Art ^ 1 ft qq SEP,-03-99 FRI 14 32 P 04 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school distnct(s)) *************************************************************************************************** THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED SCHOOL DISTRICT The undersigned being duly authorized by the applicable School District, certifies that the developer builder or owner has satisfied the obligation for school facilities This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District The City may issue building permits for this project SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL TITLE NAME OF SCHOOL DISTRICT DATE PHONE NUMBER ^ JH. Blair Jeeiofant Cunfnoeiaiam U«|«M Business Services /fc/£/9 9 Car! b Uo P Carlsbad California ,,' 92008_^_^. c?^ Re ed T 18 Ifl Ifigs I, I F 8 8 3 <i 02/17/2000 City of Carlsbad Plan Check Revision Permit No PCR00030 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 176 CHINQUAPIN AV CBAD PCR 2060131200 Lot# 0 $0 00 Construction Type VN REVISE DEPTH OF EXT FOOTINGS Status ISSUED Applied 02/08/2000 Entered By RMA Plan Approved 02/17/2000 Issued 02/17/2000 Inspect Area Applicant BEACH KING INC STE 2020 ONE COLUMBIA ALISOVIEJOCA 92656 "Si Owner BEACH KfNG INC CIO SOUTHLAND"COMMUNITIES p"NE,COLUMBIA#2020 ^ ALISOVIEJO CA956 »•"+» oo/i a/uu T \ j > ^*.4 ' > \ / 1f ^ y *^-"5 /-- \ 1 / j^* Total Fees $59 00 r / ^Total Payments f o D'ate | Plan Check Revision Fee, ~ . *» * j / t•f % ^ -| ^ °\% ^ ^ X \ ^ \ ;^ $0 00 x«,% /'Balance Due•» *^ ^ -i ~ "*~ * *- * "I v ^ '$5900 C-PRMT $5900 59 00 FINAL APPROVAL Inspector Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition offees 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 tmely 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 tees/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 1635 Faraday Ave Carlsbad CA 92008 j1 > pROJECTiNFORMATIlSN* s* f u~~ /wi y Addr/ss (include Bldg/Suite tt) FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Pft Plan Ck Deposit Validated By. Date Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel tt Existing Use Proposed Use Description of CONTACT PERS SQ FT different from applicant) k /)*j. *°f Stories # of-Bedrooms # of Bathrooms <-" " Address APPLICANT i_~~O'Contractor D AgentfoFcontractor "EITy Owner Q Agent^for Owner State/Zip Telephone tt Fax tt Name 4 PRQPERT Address City State/Zip Telephone tt Ju n>'ca JCityAddress State/Zip *Tefephohe ttName ~~ f 5 CONTRACTOR COMPANY NAMEJC -j?J &" * % *H ", * „ (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structuie 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 Sectipa^ 7031 5 by ajny applicant for a pernjtf^sijb/ects the/a_ppliC2nt to a^ivil penalty^fjiot/ngje^than fivejiqpdrejido([arsjl$500i) &Jl flame State License tt ny vie Ai £4- Address License Class ity State/Zip City Business License tt Telephone tt Designer Name Address City State/Zip Telephone State License tt _ 6 WORKERS COMPENSATIONS „„... "1 *# •*** - Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~1 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 0 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 _ Policy No _ Expiration Date __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [~) 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 ""->-.* 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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 ind 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) fj] 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 f~l YES l""lNO 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 / phom number / type of work) _ _ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION, FOR NON RESIDENTIAL BUILDING PERMITS ONLV*<i „. - '„. f *""' It**" 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? [H YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yl S (~1 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? f~| YES l~l 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 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(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 %»» APPLICANT CERTIFICATION a - i 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 buildirra 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 commepjed wj>Wn 180 daysjram the^teje of such permit orji the building or work authorized by such permit is suspended or abandoned at any time after the work is comrrj^fTc^!ipi!/af)eriod of^jSS-tiays/^gefSon 106 4 4 Unjfe[«fBuilding Code) APPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance DATE -fr~ EsGil Corporation In "Partnership with, government for 'BuiUmg Safety DATE February 17, 2000 OJ\PBU£ANT JURIS JURISDICTION Carlsbad ^"FEATTREVIEWE R a FILE PLAN CHECK NO 99 1568 (PCROO 30) SET I PROJECT ADDRESS 176 Chinquapin Avenue PROJECT NAME Foundation Revision- ^i The plams 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 checklist and should be corrected and resubmitted for a complete recheck The checklist 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 checklist is enclosed for the jurisdiction to forward to the applicant contact person The applicant s copy of the checklist has been sent to 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 Please contact Charlie for HAND CARRY 619-572-4292 By Tony Embuido Enclosures APPROVED PLANS Esgil Corporation n GA D MB D EJ D PC 02/08/00 trnsmtldot 9^20 Chesapeake Drive Suite 208 * San Diego California 92123 * (858)560 1468 * Fax (858) 560 1576 Carlsbad 99-1568 (PCROO-3O) February 17, 20OO VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PLAN CHECK NO 99 1568 (PCPOO 30) PREPARED BY Tony Embuido DATE February 17, 2000 BUILDING ADDRESS 176 Chinquapin Avenue BUILDING OCCUPANCY TYPE OF CONSTRUCTION BUILDING PORTION Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (ft2) VALUATION I VALUE MULTIPLIER 1 ($) n 199 UBC Building Permit Fee Q Bld9 Permit Fee by ordinance $ D 199 UBC Plan Check Fee O Plan Check Fee by ordinance $ Type of Review Q Complete Review Q Structural Only Hi Hourly Q Repetitive Fee Applicable Q Other Esgil Plan Review Fee $ 43 58 * Comments * Esgil Fee = $87 15/hr x 1/2 hour Sheet 1 of 1 macvalue doc 5196