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Home My WebLink About1778 GUEVARA RD; ; CB960883; PermitB ~I I L D I N G P E R M I T Permit Nu: CS960~b3 ProJe~t No: A~n0124o Development No: Ot 96 u9;42 Paqe 1 of 1 Job Addres$: 1778 GUEVARA RD Permit Type; RESIDENTAL ADD/ALT Parcel No ; 1$6-270-12-0u Valuation: 59,220 Suite: 8043 06/14/96 0001 01 02 Cunstruction Typ~HTVN 5c5 00 Lot#: Occupancy Group : Refere~ce#: ~tatus: ISSlJE[) Applied: 05/15196 Apr/Issue: 06/14/96 Entf:'ri>d Hy: RMA 619-720-1639 Description: 630 SF RAD-ONE STORY Appl/Ownr : ALVAREZ, RON 355 PINE AV, STE E CARLSBAD CA 92008 Fees Required Fees: Adiustmer~ts: Total Fees : Fee description Building Permit Plan Check Strong Motion Fee * Bll[LDING TOTAL Enter "Y'' for Plumb Each Plumbing Fixtu Each Install/Repair * PLUMBING TOTAL Enter "Y" for Electri Enter "Y' for Remodel * ELECTRICAL ~OTAL *** Enter 'Y' for Mechanical ,Install Furn/Ducts/Heat Each Exhaust Fan * MECHANICAL TOTAL .Oll 299, Oil 56::i.GO *** Ext fee Data 460.00 2.9".l.OO 6,UJ 765.00 20.00 Y 21.00 7,JO 48.00 !0.00 Y 10.00 Y 20.00 15.0(, Y 9.00 6.50 '31.00 FINA)APPROVAL INS..,_µQtJ DATE i;[., LI-1110 / CLEAkAh~E ,~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PIAN CHECK NO. City of Carlsbad Building Department 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PffitMtl' 1YPE From Llst 1 (see back) give code of Permit-Type: ____________ _ 02 For Residential Projects Only: From Llst 2 (see back) give ... 99 0 Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PRQJECT INFORMATION FOR OFFICE USE ONLY Address / 77 8 Gue:-V MA, ,l'?D. Building or Suite No. Nearest Cross Street f-/t(if/LA,vC, LEGAL DESCRIPTION Lot No. su6d1v1S1on Name/Number Unit No. Phase No. 2 Energy Cales D 2 Structural Cales D 2 Soils Report • 1 Addressed Envelope -ASSESSOR'S PARCEL 15~ -'.2.7: ~ EXISTING USE PROPOSED USE I # OF BEDROOMS # OF BATIIROOMS 3. WN IACI PERSON (1f diilerenf from applicant) NAME (last name first) AWAJl!ez... I'~ Cl1Y CML, Sl/!,A£:> STATE C4. NAME (last name first) AL.YAltez. / ,Rp. ADDRESS ~ ,P,NF A1,6' ,,,,g:.1 CITY CAfl!.l,.f/3;tz:::' STATE C4. ZIP CODE ef'k?t!Jt3 DAY TELEPHONE 1ZCJ •/8-3i s. PROPER'IY dWNER 771J ,,,..._...,t,;: ,# ITC~ ADDRESS /7,'7 b /'!, ll::')/,A~ ..di ,l!C), NAME (last name first) I'.,,,.,....._.,.,.., / c.,,,r/ / o <..?~ .,~ CITY (hlL...f~~ STATE (4. ZIP CODE t:flp~~ DAY TELEPHONE f,34, · *3b NAME (last name first) CITY STATE STATE UC.# ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAME (last name first) CITY STATE ZIP CODE ADDRESS DAY TELEPHONE STATE UC.# 1. WORKERS' mMPENsA'i1oN Workers' Compensauon Oeclarauon: I hereby affirm that I have a ceruhcate of consent to sell-insure issued by the Director of Industnal 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 lor which this permit 1s issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE a. oWNER-B0UDER OEGLAitA'tiON • • • uwner-tluuaer vectarafion: I hereby afhrm that I am exempt from the Contractor's License Law ior the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 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 Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense 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)). SIGNATIJRE DATE COMPLETE IBIS SEc'lioN FOR NON-RESIDEN MAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • 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 YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANY OF TI-IE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF ocx:tJPANCY MAY NOT BE ISSlJED AFfER JULY 1, 1989 UNLESS nm APPUCANT HAS MlIT OR IS MEETING 1llE RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POllUTION OON11lOL DISJlUCT. 9. mNs'm0CI ION LENDING AGENcY I hereby affirm that there 1s a construction lending agency ior the performance of the work ior which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CERnFICA:I1ON I ceruty that I have read the apphcauon and state that the above miormauon 1s correct. I agree to comply with au City ordinances ana State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentio ned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP 1-IARMLF.SS Tiffi CTIY OF CARlSBAD AGAINST AIL IJABD.ITIF.S, JUDGMENTS, cnsrs AND EXPENSES WJIICH MAY IN ANY WAY ACXJlUE AGAINST SAID CTlY IN OONSEQUENCE OF nm GRANTING OF nos PFJlMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 0 PERMIT# CB960883 DESCRIPTION: 630 SF RAD-ONE TYPE: RAD CITY OF CARLSBAD INSPECTION REQUEST FOR 04/11/97 STORY STE: INSPECTOR AREA DC PLANCK# CB960883 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 1778 APPLICANT: ALVAREZ, CONTRACTOR: GUEVARA RD RON PHONE: 619-720-1839 PHONE: OWNER: REMARKS: RS/DENNY/434-3538 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical PHONE: INSPECTO~------------ ACT COMMENTS ***** INSPECTION HISTORY***** DATE 101696 101196 101196 100996 090496 090496 082196 071896 071896 DESCRIPTION Interior Lath/Drywall Frame/Steel/Bolting/Welding Insulation Frame/Steel/Bolting/Welding Roof/Reroof Shear Panels/HD's Service Change/Upgrade Ftg/Foundation/Piers Underground/Under Floor ACT AP AP AP co AP AP AP AP AP INSP DC DC DC DC DC DC TP DC DC COMMENTS FINISH/WRAP/SHR NAILING EsGil Corporation Professiona{ P(an !l{.e.view 'Engineers DATE: 6/11/96 JURISDICTION: Carlsbad PLAN CHECK NO.: 96-883 PROJECT ADDRESS: 1778 Guevera Rd PROJECT NAME: Talcove Residential Addition SET: II • APPLICANT ~EVIEWE~ • FILE FIRE • The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's ********** codes when minor deficiencies identified below 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. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: • Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: 0 REMARKS: By: Chuck Mendenhall Esgil Corporation (by: ) 0 GA O CM O EJ O GP O PC Telephone#: Enclosures: 6/7/96 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 560-1576 M DATE: 5/28/96 JURISDICTION: Carlsbad PLAN CHECK NO.: 96-883 EsGil Corporation Professiona( PCan 'l{eview 'E.ngineers SET: I PROJECT ADDRESS: 1778 Guevera Rd PROJECT NAME: Talcove Residential Addition • APPLICANT cCJ .IURls'.) • FIRE • PLAN REVIEWER • FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's *********** codes. • The remarks below are transmitted herewith for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. • The applicant's copy of the check list has been sent to: Ron Alvarez 355 Pine Ave "E". Carlsbad, CA 92008 • Esgil Corporation staff did not advise the applicant ( except by mail ) that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by: ) Telephone#: • REMARKS: 1. Provide a smoke detector in the hall serving the bed rms. 2. Window type "I" adjacent to door "L" must be tempered glass. 3. The existing Dining and Kitchen do not have sufficient exterior light and ventilation ( Light must be 1/10 floor area 1/2 openable). 4. The energy calc's require 2 1/2" of rigid roof insulation. The plans show only 1". 5. Provide the manufacturers specifications for the R-19 rigid roof insulation. 6. Show on the plans electrical receptacles at 6' from doors and 12· OC along the wall of the Family Rm. 7. Note on the plans that solid flooring and a switch controlled light will be provided for the new FAU. 8. Show on the elevations the required exterior wall bracing at the corners and every 25'. 9. Show the location of exterior combustion air for the new WH. Also, note that the WH will have seismic strapping. By: Chuck Mendenhall Enclosures: Esgil Corporation 0 GA O CM O EJ O GP O PC 5/20/96 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 560-1576 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: CM BUILDING ADDRESS: 1778 Guevera Rd BUILDING PORTION BUILDING AREA (sq. fl.) Addition 630 -· Air Conditioning Fire Sprinklers TOTAL VALUE UBC Building Permit Fee: UBC Plan Check Fee: Comments: 94 PLAN CHECK NO.: 96-883 DATE: 5/28/96 BUILDING OCCUPANCY: R3 TYPE OF CONSTRUCTION: VN VALUATION MULTIPLIER VALUE ($) 59220 59220 $ 459.90 $ 298.68 Sheet 1 of 1 valuefee.dot • City of Carlsbad • ¥i h• 1 i ,t44 Ii 11• 1 •14 •Ei I I, ,t4,il DA TE :__,l,LL..-~~L......l,P--=-=-r....- BUILDING PLANCHECK CHECKLIST CHECK NO. csqt, 0 ;ff 3 BU I LO ING ADDRESS: 1-,~.a,_..!::...c!~~~~:L.&c:~~'.!::/--=----=------:,........,,....==,,.___ ____ _ PROJECT DESCRIPTION: ~.;11.~~A~~~~~~___l,.,J_~~~~:::::___----=------= ASSESSOR's PARCEL NUMBER: ..... J'-"-5"'-""'-C;_-...... d.c....7-1----=t.........::1,.___ ___ EST. VALUE_ 59; ;;/ ~0 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. D A Right-of-Way permit is required prior to construction of the following improvements: DENIAL Please see the attached report of deficiencies marked with 0. Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: ___________ Date: ___ _ By: ___________ Date: ___ _ By: __________ Date: ___ _ ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON D Dedication Application D Dedication Checklist D Improvement Application D Improvement Checklist D Future Improvement Agreement D Grading Permit Application D Grading Submittal Checklist D Right of Way Permit Application D Right of Way Permit Submittal Checklist and Information Sheet D Sewer Fee Information Sheet NA~&~~ City of Carlsbad ADDRESS: 2075 Las Palmas Dr., Carlsbad, CA 92009 PHONE : (619) 438-1161, Ext. 4-; 36 A-4 P;IDDCSICHKLSD BP0001.FRM BEY 04/30/96 2075 Las Palmas Dr.• Carlsbad, C A 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 BUILDING PLANCHECK CHECKLIST SITE PLAN 1st/2nd✓ 3rd✓ a( D D 1. Provide a fully dimensioned site plan drawn to scale. Show: • • • A. North Arrow D. Property Lines Easements B. Existing & Proposed Structures E. Easements C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets 2. Show on site plan: A. Drainage Patterns C. Existing Topography B. Existing & Proposed Slopes 3. Include note: "Surface water to be directed away from the building foundation at a 2% gradient for no less than 5' or 2/3 the distance to the property line (whichever is less).• (Per 1985 UBC 2907(d)5]. On graded sites, the top of any exterior foundation shall extend above the elevation of the street gutter at point of discharge or the inlet of an approved drainage device a minimum of 12 inches plus two percent' (per 1990 UBC 2907(d)5.). 4. Include on title sheet A. Site address B. Assessor's Parcel Number C. Legal Description 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 P,\OOCS\CHKLS1\Bl'0001.FAM Page 1 of 4 AEVQol/30/0II 1 stv' 2ndv • • • • • • • • • BUILDING PLANCHECK CHECKLIST DISCRETIONARY APPROVAL COMPLIANCE 3rdv 5. Project does not comply with the following Engineering Conditions of approval for Project No. __________________________ _ Conditions were complied with by: _______ _ Date: _______ _ DEDICATION REQUIREMENTS 6. Dedication for all street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ _______ -pursuant to 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. Provide the completed application form and the requirements on the checklist at the time of resubmittal. Dedication completed by _____________ _ Date: ____ _ IMPROVEMENT REQUIREMENTS 7a. 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 Code Section 18.40.040. Public improvements required as follows: _______________ _ Please have a registered Civil Engineer prepare appropriate improvement plans and submit them together with the requirements on the attached checklist for a separate plancheck process through the Engineering Department. Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of permit. Attached please find an application form and submittal checklist for the public improvements requirements. Provide the completed application form and the requirements on the checklist at the time of resubmittal. Improvement Plans signed by: ____________ _ Date: --- P:\DOCS\CHKLST\BPOOOl .FAM Page 2 of 4 REV 04/30/96 1st✓ 2nd✓ 3rd✓ • D • BUILDING PLANCHECK CHECKLIST 7b. Construction of the public improvements may be deferred pursuant to code Section 18.40. 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: ____________ _ Improvement Plans signed by: ____________ Date: ____ _ D O D 7c. Enclosed please find your Future Improvement Agreement. Please retum signed and notarized Agreement to the Engineering Department. [YO D • • • • • • lo • Future Improvement Agreement completed by: ____________ _ Date: -------- 7d. 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. Dw c; 13 / -1 GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11.06.030 of the Municipal Code. 8a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). 8b. 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: 8c. No Grading Permit required. P:\OOCS\CHl<I..Sl\BR'.l001.FAM Page 3 of 4 BUILDING PLANCHECK CHECKLIST MISCELLANEOUS PERMITS 1 sty-2nd✓ 3rd✓ ua • 0 9. 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, trees, driveways, tielng into public storm drain, sewer and water utilities. Right-of-Way permit required for _________________ _ A separate Right-of-Way permit issued by the Engineering Department is required for the following: _______________________ _ 10. A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. 11. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial Waste Permit Application Form and submit for City approval prior to issuance of a Permit. Industrial waste permit accepted by: _______ _ Date: ___ _ P:\OOCS\CHKI.Sl\Bf'0001.FRM Page 4 of 4 " " " 1u 1u 1u 0 0 0 (5,, >->->-.0 .0 .0 ; "' "' .. .. -"' -"' -"' " " " " " " .c .c .c (.) (.) (.) C ~ C ~ ~ ~ ;;: • PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB f6 · J'&7 > Planner David Rick Address ---'--/-'-7...;.Jf _ ___,,6'-u-~_v:....tl--'---"r0>..._,_ ____ _ Phone (619) 438-1161 ext. 4328 (Name) APN: 5{,-2 _11,. Type of Project and Use: -~R~:R~5_-~a~J~d~n ______________ _ Zone: _P._-_\ ___ Facilities Management Zone: __ ,__ __ _ CFD (l~toijij # _________ _ c1rtfe"' (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department) Legend ~ Item Complete cg) Item Incomplete -Needs your action Environmental Review Required: YES DATE OF COMPLETION: ________ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _____________________ _ ~• D Discretionary Action Required: YES NO /TYPE ___ _ APPROVAL/RESO. NO. ______ DATE _____ _ PROJECT NO. ____ _ OTHER RELATED CASES: __________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval _____________________ _ [Sf"' D D California Coastal Commission Permit Required: YES __ NO L DATE OF APPROVAL: ______ _ San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA 92108 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval ______________________ _ [ef"o • ct'•• ci'o • 1:1• • ~• • [:{o • ~• • • • • lnclusionary Housing Fee required: YES __ NO / (Effective date of lnclusionary Housing Ordinance -May 21, 1993). Site Plan: 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, dimensioned setbacks and existing topographical lines. 2. Provide legal description of property, and assessor's parcel number. Zoning: 1. Setbacks: Front: Required LO I Shown 2o' Int. Side: Required '1,>' Shown 7, ~ I l lf'fl -H,e,1 l/0; Street Side: Required /o' Shown ID' PY..P,t1 Sh,~ < Rear: Required 1,.~t Shown >>' 2. Lot Coverage: Required ~l{O/., Shown LqoP~ 3. Height: Required "30' M4x Shown l~' 4. Parking: Spaces Required ·2-,., 7")?>:": Shown ,_,~, ~ Guest Spaces Required Shown - Additional Comments ______________________ _ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ~ DATE S-Jo-1£ K:\ADMIN\COUNTER\PL.ANCK.FRM 1-17-96 CERTIFICATE OF COMPLIANCE CITY OF CARLSBAD Plan Check No. {'J3 76~J{] COMMUNITY DEVELOPMENT 2075 LAS PALMAS DR., 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 applicant 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. SCHOOL DISTRICT: L Carlsbad Unified 801 Pine Avenue Carlsbad CA 92009 (434-0661) Encinitas Union --101 South Rancho Santa Fe Rd. Encinitas CA 92024 (944-4300) San Marcos Unified 1290 West San Marcos Blvd. · San Marcos CA 92024 (744-4776) San Dieguito Union High School 710 Encinitas Boulevard Encinitas CA 92024 (753-6491) Project Applicant: m µH: UL C'. 0 ti[ APN: /_g-~ / ;z_oo Project Address: RESIDENTIAL: 17 ZJ? 6fJ[,!IA-«: ~ · I ~ ,4--47 1110 ;i) SQ. FT. of living area wJ O number of dwelling units----'/ _____ _ SQ. FT. of covered area ____ _ SQ. FT. of garage area ______ _ COMMERCIA Prepared by +Ab&.~"5-£"2=:::::::,::,l'J..J.sJL.Z:::7-------Date ---=b'--'-/-'--'r,.__r;,._,b,_,,...C __ _ 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/lndust Fee Levied: $ based on sq. ft. @ ------- School District Official Title Date '-~ ,f_ • CARLSBAD UNIFIED SCHOOL DISTRICT • CARLSBAD HIGH SCHOOL • VALLEY JUNIOR HIGH SCHOOL RECEIVED FROM fh r['C-J/ tA--t-Cov°f rnR ~t\/v A.Dn,.,-,t).J / 6 3o fl-1' ·• eQr DATE RECEIPT NO. 02960 b-t<l -9 l. USE OF SCHOOL FACILITIES/RENTALS $ ____ REIMBURSEMENTS $ ___ _ USE OF SCHOOL BUS $ ____ ®/ -~ $ I 115'1. 2.0 $ _____ _ $, ___ _ $ _____ _ INSURANCE $ ___ _ DAMAGE TO SCHOOL PROPERTY DAMAGED OR LOST BOOKS SALE OF SURPLUS $ _____ _ TELEPHONE COMMISSIONS INCOME O ABATEMENT 0 ACCOUNT NO_/j_-'i? lo i-1-!OO O -D c O -a.-OD ACCOUNT NO. - ACCOUNT NO. - TOTAL $ /, /5Ci,20 RECEIVED CASH • CHECK • ~~- ECEIVED BY