HomeMy WebLinkAbout2813 CEBU PL; ; CBR2022-2330; PermitBuilding Permit Finaled
Residential Permit
Print Date: 02/25/2025
Job Address: 2813 CEBU PL, CARLSBAD, CA 92009
Permit Type: BLDG-Residential Work Class:
Parcel#: 2153203002 Track#:
Valuation: $117,720.00 Lot#:
Occupancy Group:
#of Dwelling Units: 1
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Project#:
Plan#:
Construction Type:
Orig. Plan Check #:
Plan Check#:
Second Dwelling Unit
Description: NEW DETACHED ADU (800 SF) MANUFACTURED HOME (REPLACES CBM2022-0011)
Applicant:
PERMITS AND MORE
PETER LAPSIWALA
9921 S CARMEL MOUNTAIN RD, # 327
ESCONDIDO, CA 92025-4020
(619) 323-4048
FEE
Property Owner:
TU CHIN YI FAMILY
2813 CEBU PL
CARLSBAD, CA 92009-5905
BUILDING PLAN REVIEW-M INOR PROJECTS (LDE)
BUILDING PLAN REVIEW-M INOR PROJECTS (PLN)
CERTIFICATE OF OCCUPANCY
GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION
MANUFACTURED HOUSE/BU ILDING -RESIDENTIAL
PUBLIC FACILITIES FEES -outside CFD
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
SWPPP INSPECTION TIER 1 -Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-Medium
Total Fees: $5,499.50 Total Payments To Date: $5,499.50
Permit No:
Status:
C cityof
Carlsbad
CBR2022-2330
Closed -Finaled
Applied: 06/30/2022
Issued: 05/25/2023
Finaled Close Out: 02/25/2025
Final Inspection: 01/16/2025
INSPECTOR: Alvarado, Tony
Balance Due:
Renfro, Chris
AMOUNT
$194.00
$98.00
$16.00
$175.00
$515.00
$4,120.20
$5.00
$15.30
$292.00
$69.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
('City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
c~ ~02.2-0 D 'l Plan Check _---:K_....._ _____ _
Est. Value ,b If 3, "10 8.oo
PC Deposit .d, 33'/. -,,
Date 6""~ 'I~ Z D Z.'Z...
CT/Project#: ________________ Lot #:. ____ Year Built: ________ _
BRIEF DESCRIPTION OF woRK:l~-) f\ACA\'\~CAC..+urto. \1vfVI{ a~ 0\1' f.\d"\ (1;10 y 2.J ') tuv ~'-< FT
w SF: Living SF,,U~llla!:_ Deck SF, ___ Patio SF,. ____ Garage SF __ _
Is this to create an Ac ssory Dwelling Unit? O Y o N New Fireplace? O YO N , If yes how many? ___ _
D Remodel:. ____ SF of affected area Is the area a conversion or change of use? O YO N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
□Solar: KW,. ___ Modules, Mounted:0RoofOGround, Tilt: OYON, RMA:OY ON,
Battery:OVO N, Panel Upgrade: OvON
Other: lf) Mc.."~c.v\,w~cl f-t d 4
PRIMA CANT PROPERTY OWNER
Name: P5 ' w •• /e,_ Name: Ch i r) Tl-\
._.....,. ____ a_r_rn __ e,_\ __ M_\-__ ~ ___ 11-___________ Address:._j._~ .. -o __ q~_c ___ e _l-J __ 4 ___ P L ___ "::""J"' ____ ""!-"_
.......... ....,.~....,~-State:(,~ . _____ City: Cgc-b l?~Ol State: cA Zip: q z.ov ?
Phon 3 L./lJ"\'$ Phone:. _________________ _
Email ' -1,JQ C. e, I -€ f "{l d ')Ql'l (Ylt)f e u)/)\Emall: ------------------
DESIGN PROFESSIONAL CONTRACTOR Of RECORD / f31)
Name:, ________________ Buslness Name: ______________ _
Address: Address:. _______________ _
Clty: _______ State:, ___ .Zlp:,____ Clty:. ______ state: ___ Zlp:. _____ _
Phone: Phone: ________________ _
Email: Email:. ________________ _
Architect State license: __________ _ CSLB License #:. ______ Class: ______ _
Carlsbad Business License# (Required): ______ _
APPLICANT CERTIFICATION: I certify that I have read the application and state that the above Information Is correct and that the Information of the plans Is accurate. /
agret ta comply with all City ordinances and Stott laws relatlno to bu/Id/no construction.
NAME (PRtNT): 'Per-er Lo.p5; we. lei. s1GN ...... :()_, ~--t/=-rr---::=:::':_.:>_oAre: c..1 I J.15 /1-t-
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: eu,tdmg@carllli4~a.1Loy
REV. 04/22
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER:~ 2cJ22 -2.330
A BUILDING PERMIT C.AN BE ISSUED TO t.lTHFR A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THC PER ON SIGNINC
THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
lherebyaf{frmunderpenaltyofperjurythat/amlfcensedunderprovislonsofChapter9(commencingwlthSectfon7000)ofDfvision3
of the Business and Prof essfons Code, and my license Is in fut I force and effect. I also af{irm under penal tyof perjury one of the
following declaratfons(CHOOSE ONE):
01 have and wlll maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is Issued. PollcyNo. ______________________________________ _
·OR-
D I have and wlll maintain worker's compensation, as required by Section 3700 or the labor Code, for the performance of the work for which this permit Is Issued.
My workers' compensation Insurance carrier and policy number are: Insurance Company Name:----------------------•
Polley No. __________________________ Expiration Date:---------------•
•OR•
0 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 Callfornla. WARNING: Failure to secu111 workers compensation coveraae Is unlawful and shall subject an employer to
crlmlnal penaltlas and clvll fines up to $100,000.00, In addition the to the cost of compensation, damaaes H provided for In Section 3706 of the Labor Code,
Interest and attorney's fees.
CONSTRUCTION LENDtNG AGENCY, IF AN't'
I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 {I) Civil Code).
Lender's Name: ____________________ lender's Address: ____________________ _
CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly ind 1ccurately show 111 eKlstlns and proposed bulldlnss, struttures, access roads, and
utllltlM/utdlty easements. All proposed modifications and/or additions ,re tlearty labeled on the site plan. Any potentlally eKlstln1 detail within these plans Inconsistent with the site plan are
not approved for construction and may be required to be altered or removed. The city's approv1I of the application Is based on tho premise that the submitted documents end pltns show
the correct dimensions of; the property, bulldln1s, structures and their setbKks from property llnes and from one another; access roads/easements, and utllltles. The exlstln1 and proposed
use of each bulldln1 as stated Is true and correct; 111 easements and other encumbr1nces to development hive been accurately shown and labeled as well as 111 on-site 1r1dlna/slt1 preparation.
All Improvements exlstln, on th1 property were completed In 1ccord1nc1 with 111 reaulatlons In tKlstenct at the time of their construction, unless otherwise noted.
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with waits 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 or property who builds or Improves thereon, and who does such
work himself or throuah his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the bulldlng or Improvement Is sold
within one year of completion, the owner-builder will have the burden of proving that he dtd not build or Improve for the purpose of sale).
•OR• Jg 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).
·OR-D I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
0 FORM B-61 HOwner Builder Acknowledgement and Verification FormH Is required for any permit Issued to a property owner.
By my signature below I acknowledae that, except for my personal residence In which I must have resided for at least one year prior to completion of the
Improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder If It has not been constructed In Its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon request when this application Is
submitted or at the following Web site: http:I/www.teglnfo.ca.gov/ ca/aw.html.
OWNER CERT/FICA T/ON: The appffcant cert Ines that all documents and plans clearly and accurately show 111 axlstlna and proposed bulldlnp, struttures, 1ccHs roads, and ulllltlfl/utlllty
Hsements. All propo$ed modtnc1tlons and/or eddltlons are clHrty labeled on the site plan. Any potentl1My eKlstln1 detail within these plans Inconsistent with the site plan 1r1 not approved
for construction and may bl required to be altered or removed. The city's 1pprov1I of the 1ppllcatlon Is based on the premise that the submitted documents and plans show the correct
dimensions of; the propt,rty, bulldlnas, structures Ind their setbacks from property Unes and from one another; access roads/easements, and utilities. The eKlst1n1 and proposed use of each
bulldlnl as stated Is true and conect; II easements and other encumbrances to development have been accurately shown and labeled as weH as all on-site ar■dlna/slte preparation. All
Improvements 1Klstln1 on the property were completed In accordance with all reaul1tlons In eMlstence at tht time of thtlr con5tructlon, unless otherwise noted.
owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Bu1lding@carlsh,,dc a.go~
2
REV. 04/22
Building Permit Inspection History Finaled
C cityof
Carlsbad
I
PERMIT INSPECTION HISTORY for (CBR2022-2330)
Permit Type: BLDG-Residential Application Date: 06/30/2022 Owner: TRUST TU CHIN YI FAMILY
Work Class: Second Dwelling Unit Issue Date: 05/25/2023 Subdivision: PARCEL MAP NO 1311 3
Status: Closed -Finaled Expiration Date: 04/07/2025 Address: 281 3 CEBU PL
IVR Number: 4 1693 CARLSBAD, CA 92009
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection
Date Start Date Status
10/12/2023 10/12/2023 BLDG-31 226881-2023 Partial Pass Chris Renfro Reinspection Incomplete
Underground/Conduit -
Wiring
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Underground conduit from main to ADU OK Yes
to backfill
BLDG-34 Rough 226815-2023 Passed Chris Renfro Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
12/06/2023 12/06/2023 BLDG-21 232570-2023 Partial Pass Chris Renfro Reinspectlon Incomplete
Underground/Underflo
or Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Partial pass, need to add sewer pump in No
rear yard for UG waste for new modular
home, not enough slope for lateral.
12/11/2023 12/11/2023 BLDG-21 233070-2023 Partial Pass Chris Renfro Reinspection Incomplete
Underground/Underflo
or Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Partial pass, UG Waste partial from front to No
side 1/2 the distance to the rear. Double
check there is at least 12" of coverage of
4" & 2" ABS lines, need to inspect proper
sewer ejector pump is adequately sized
when installed.
01/23/2024 01/23/2024 BLDG-33 Service 237462-2024 Partial Pass Chris Renfro Relnspectlon Incomplete
Change/Upgrade
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
04/09/2024 04/09/2024 BLDG-21 244570-2024 Partial Pass Chris Renfro Re inspection Incomplete
Underground/Underflo
or Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Partial pass underground plumbing for Yes
basin septic pump. OK to backfill.
Tuesday, February 25, 2025 Page 1 of 3
PERMIT INSPECTION HISTORY for (CBR2022-2330)
Permit Type: BLDG-Residential
Work Class: Second Dwelling Unit
Status: Closed -Finaled
Application Date: 06/30/2022 Owner: TRUST TU CHIN YI FAMILY
Issue Date: 05/25/2023 Subdivision: PARCEL MAP NO 13113
Expiration Date: 04/07/2025
IVR Number: 41693
Address: 2813 CEBU PL
CARLSBAD, CA 92009
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
09/04/2024 09/04/2024 BLDG-21 259860-2024 Passed Tony Alvarado
Underground/Underflo
or Plumbing
Checklist Item
BLDG-Building Deficiency
COMMENTS
September 4, 2024: Partial pass
underground plumbing for gas line under
air pressure leak test with gauge OK to
backfill.
BLDG-23
Gas/Test/Repairs
259950-2024 Passed Tony Alvarado
Checklist Item
BLDG-Building Deficiency
COMMENTS
Partial pass underground plumbing for
basin septic pump. OK to backfill.
BLDG-SW-Inspection
Checklist Item
259949-2024
COMMENTS
Partial Pass Tony Alvarado
Are erosion control BMPs
functioning properly?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Has trash/debris accumulated
throughout the site?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
09/23/2024 09/23/2024 BLDG-11 261751-2024 Passed Tony Alvarado
Tuesday, February 25, 2025
Foundation/Ftg/Piers
(Rebar)
Checklist Item COMMENTS
BLDG-Building Deficiency Permanent foundation, verified seismic,
standoff per engineer, plans and detail
specifications -OK.
BLDG-71 Set Ups
Checklist Item
261889-2024
COMMENTS
Passed Tony Alvarado
BLDG-Building Deficiency Manufactured mobile home set up,
grounding/ring out inspection verified -
approved.
BLDG-SW-Inspection 261890-2024 Partial Pass Tony Alvarado
Complete
Passed
Yes
Complete
Passed
Yes
Re inspection Incomplete
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Reinspection Incomplete
Page 2 of 3
Permit Type:
Work Class:
Status:
Scheduled
Date
10/07/2024
01/16/2025
PERMIT INSPECTION HISTORY for (CBR2022-2330)
BLDG-Residential Application Date: 06/30/2022 Owner: TRUST TU CHIN YI FAMILY
Second Dwelling Unit Issue Date: 05/25/2023 Subdivision: PARCEL MAP NO 13113
Closed -Finaled Expiration Date: 04/07/2025 Address: 2813 CEBU PL
IVR Number: 41693 CARLSBAD, CA 92009
Actual Inspection Type
Start Date
Inspection No. Inspection Primary Inspector Reinspection Inspection
Checklist Item
Are erosion control BMPs
functioning properly?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Has trash/debris accumulated
throughout the site?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
COMMENTS
10/07/2024 BLDG-33 Service
Change/Upgrade
263380-2024
Checklist Item COMMENTS
Status
Passed
BLDG-Building Deficiency Released to SDGE
BLDG-Electric Meter
Release
Checklist Item
263253-2024 Passed
COMMENTS
BLDG-Building Deficiency Released to SDGE
BLDG-Gas Meter
Release
Checklist Item
263252-2024 Passed
COMMENTS
BLDG-Building Deficiency Release gas meter to SDGE
01/16/2025 BLDG-Final Inspection
Checklist Item
273497-2025
COMMENTS
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed
Tony Alvarado
Tony Alvarado
Tony Alvarado
Chris Renfro
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Passed
Yes
Passed
Yes
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Complete
Tuesday, February 25, 2025 Page 3 of 3
{'Cityof
Carlsbad
OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
8-61
Development Services
Building Division
1635 Faraday Avenue
442-339-2719
www.carlsbadca.gov
OWNER-BUILDER ACKNOWLEDGMENT FORM
Pursuant to State of California Health and Safety Code Section 19825-19829
To: Property Owner
An application for construction permit(s) has been submitted in your name listing you as the owner-builder of the
property located at:
Site Address ___,;2::::,,,_,8....._.._,,,\3_,___..3,£(/4e....__;___..::.._V ___,P___,_}---=-~..::._,U::::...__ _______ _
The City of Carlsbad ("City") is providing you with this Owner-Builder Acknowledgment and Verification form
to inform you of the responsibilities and the possible risks associated with typical construction activities issued
in your name as the Owner-Builder.
The City will not issue a construction permit until you have read and initialed your understanding of each
provision in the Property Owner Acknowledgment section below and sign the form. An agent of the owner
cannot execute this notice unless you, the property owner, complete the Owner's Authorized Agent form and
it is accepted by the City of Carlsbad.
INSTRUCTIONS: Please read and initial each statement below to acknowledge your understanding and
verification of this information by signature at the bottom of the form. These are very important construction
related acknowledgments designed to inform the property owner of his/her obligations related to the requested
activities.
I. understand a frequent practice of unlicensed contractors is to have the property owner obtain an "Owner-
II.
r" building permit that erroneously implies that the property owner is providing his or her own labor and
material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries
sustained by an unlicensed contractor and his or her employees while working on my property. My homeowner's
ce may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of
its of my insurance coverage for injuries to workers on my property.
__,c.._...c,:,....understand building permits are not required to be signed by property owners unless they are responsible
construction and are not hiring a licensed contractor to assume this responsibility.
111.<.....-~.,<-..:.=--nderstand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I
protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his
name instead of my own.
understand contractors are required by law to be licensed and bonded in California and to list their license
ers on permits and contracts.
V. -v"'\I understand if I employ or otherwise engage any persons, other than California licensed contractors, and
he total value of my construction is at least five hundred dollars ($500), including~or and materials, I may be
coosideced ao "employee'' oodmtate and fedm I law. /"f £: C £:/I/£::
1 M4R I J 2. REV. ~!J
Ct,y O '02J
8U11_D f: C,4.RL_
INGD Sa,4.D
l'v1s10N
Owner-Builder Acknowledgement Continued
VI. cJ 1 ""dmta"d ;f I am coaslde,ed'" "employe," ""'" state aad fedecal law, I m,st ,eglste, with the state
nd federal government, withhold payroll taxes, provide workers' compensation disability insurance, and
cont ·bute to unemployment compensation for each "employee." I also understand my failure to abide by these
ay subject me to serious financial risk.
VI 0 understand under California Contractors' State Lice nse Law, an Owner-Builder who builds single-family
residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed
by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of
ork is performed under contract with a licensed general building contractor.
VIII ~I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable
y financial or personal injuries sustained by any subsequent owner(s) which result from any latent
~
uction defects in the workmanship or materials.
IX. 6 understand I may obtain more information regarding my obligations as an "employer" from the Internal
R venue Service, the United St ates Small Business Administration, the California Department of Benefit
Payments, and the Ca lifornia Division of Industrial Accidents. I also understand I may contact t he California
C ctors' State Lice nse Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information
licensed contractors.
X. am aware of and consent to an Owner-Builder building permit applied for in my name, and understand
m the party lega lly and financially responsible for proposed construct ion activity at the following address:
XI. agree that, as the party legally and financially responsible forth is proposed construction activity, I will abide
applicable laws and requirements t hat govern Owner-Builders as well as employers.
XI . I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
nformation I have provided on this form.
Licensed contractors are regulat ed by laws designed to protect the public. If you contract with someone who
does not have a license, the Contractor's State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court.
It is also important for you to understand that if an un licensed Contractor or employee of that individual or firm
is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-
Builder and wish to hire contractors, you will be responsible for verifying whether or not those contractors are
properly licensed and the status of their workers' compensation coverage.
Before a building permit can be issued, this form must be completed, signed by the property owner and returned
to the City of Carlsbad Building Division.
I declare under penalty af perjury that I have read and understand all of the information provided on this form and that my responses, including my
authority to sign this form, is true and correct. I am aware that I have the option to consult with legal counsel prior to signing this form, and I have
either (1) consulted with legal counsel prior to signing this form or (2) have waived this right in signing this form without the advice af legal counsel.
3
~ l!-(5. No. 005263
SAN MARCOS UNIFIED SCHOOL DISTRICT "4 ~'v~
CERTIFICATE OF COMPLIANCE WITH FEE PROVISIONS ("COC") C;-,. ~ 2 J ,D
Education Code Section 17620 and Government Code Section 65995, et seq. S Y qi lo<1
Facilities Planning & Development, 255 Pico Avenue, Suite 250, San Marcos, CA 92069 -(ii6{l1...~/;[4f:,11yl
Project Description: \' )U Tract No.: Vts,o
Project Mailing Address(es): -z t t
Assessor's Parcel No(s):
Project Applicant:
Owner Mailing Address:
2\C 37..
I•-'\ ("~
I
I I '
r / I-' . ....
v2..
Project Owner:
Ed. Code 17620 and Gov. Code 65995, et seq.
□ Not subject to fee requirements
Note: _____________ _
I ' I Applicant Phone No.:
I I I 1
Owner Phone No.: ,r t1 J
□ Existing Mitigation Agreement or CFO No.:
Applicant Declaration: The person executing this declaration ("Applicant") hereby declares, under penalty of perjury under the laws of
California, that the following is true and correct: (1) Applicant is acting on behalf of the owner of the above-referenced project ("Project") and is
authorized, by such owner, to agree to the terms for issuance for this COC; (2) to the best of the Applicant's knowledge, the information provided
herein is true; (3) the square foot amounts used in the fee calculation below were determined by the building department that will issue a building
permit for the construction; and (4) Applicant or owner of the Project will obtain an amended COC and pay any additional amounts due if there is
an increase in the number of dwelling units ("DU") or the square footage of any DU or commercial/industrial structure in the Project increases
after Applicant has obtained any COC. If the initial determination of the number of units or the square footage is found to be incorrect, Applicant
shall be responsible to pay any costs of collection thereof including attorneys' fees and legal costs .
.r,,-:
' ) -/✓r Date: ' I' Applicant Signature: ___ .__.... ___ .,_,. ______ Print Name: -------------------
Residential Commercial/Industrial or Qualified Senior Housing
D New Construction -~ Room Additions/Conv. (500+Sq. Ft.) D Commercial/Industrial D Qualified Senior Housing
___ )_x \.l, Feepersq.ft.=$ 7_.;lJ ____ x ____ Fee per sq. ft.=$ _______ _
Number and Type of Units: Number and Type of Units:
I I , 'i.; J Total: $ 7 ( ;, / Total: $
DISTRICT CERTIFICATION: The San Marcos Unified School District ("District") hereby certifies that the Applicant has paid the
above-specified amount, which was determined according to the information presented by the Applicant, and that the COC is
issued to Applicant as a prerequisite to the issuance of a building permit(s) for the Lots/DUs specified above.
' \ j ~ l I \J\( \ \ I ~,,er. CheckNo.:_1_o____;l,........._J_ 1 , 1 ,
Received/ Authorized By: __ •__,,...~ ..... rl"-' .... 1 __._f___.,,.._l..,)._I_-• __ _
'.I District ~ignc1lure
\
Received From: Total Amount Collected: $ "' J OJ
.L v
Title
( .? J_l__/20 __ ..,
Date of Issuance
NOTICE OF 90-DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Government Code Section 66020 requires that a district
provide: (1) written notice to the Project applicant, at the time of payment of school fees, or other exactions ("Fees"}, of the ninety (90) day
period to protest the imposition of these Fees and (2) the amount of the Fees. Therefore, this Notice shall serve to advise you that the ninety
(90) day protest period in regard to such Fees or the validity thereof, commences with the payment of the Fees or performance of any other
requirement as described in Government Code Section 66020. Additionally, the amount of the Fees imposed is as stated here, whether payable
at this time in whole or in part, prior to the issuance of a Certificate of Compliance. As in the latter instance, the ninety (90) day protest period
starts on the Date of Issuance.
EXPIRATION OF CERTIFICATE This COC is valid for one hundred eighty (180) days from the Date of Issuance. Extensions will be granted
only for good cause, as determined by the Facilities Planning & Development Department of the District, and one (1) sixty (60) day extension
may be granted. At such time as this COC expires, if a building permit has not been issued for the Project that is the subject of this COC, the
Owner of the Project at the time this COC was issued will be reimbursed all Fees that were paid to obtain this COC without interest. Owner
must submit a request for reimbursement in writing to the District Facilities Planning & Development Department.
THIS COC EXPIRES: _________ _ THE EXPIRATION DATE IS EXTENDED TO: ___ _
SIGNATURE VERIFYING AUTHORIZED EXTENSION: ______________ _ Date: ___ _
**COC Continued on the Back of This Page**
Distribution : Facilities -White Customer -Green Agency -Canary Accounting -Pink Audit -Goldenrod
FEE REGULATIONS
1. Residential Fees
Fees can be charged on any new square footage within the perimeter of a residential structure, excluding carports, walkways, garages, overhangs, patios,
enclosed patios, detached accessory structures, or similar structures (Government Code Section 65995 (b)(I)).
Fees on room additions are limited by the restrictions above. Additionally, fees on room additions cannot be assessed unless the increase in the assessable
square footage of the residence is more than five hundred (500) square feet. If the room addition creates a net increase of greater than five hundred (500)
square feet, the fee is charged on the entire net increase in square footage (Education Code Section 17620 (a)(l)(c)(i)).
2. Commercial/Industrial Fees
Government Code Section 65995(b)(2) specifies the type of commercial/industrial space that may be charged. Fees can be charged on covered and
enclosed space within the perimeter of the commercial/industrial structure, not including storage areas incidental to the principal use of the construction,
garages, parking structures, unenclosed walkways, or utility or disposal area.
3. Exemptions From Fees
Government Code Section 65995(d) states that the following cannot be charged: (1) structures that are tax exempt and used exclusively for religious
purposes; (2) private full-time day schools as described in Education Code Section 48222; and (3) structures owned and occupied by a governmental agency.
Education Code Section 17626 and Government Code Section 66011 together prohibrt charging fees on structures replacing those damaged or destroyed by
a natural disaster. However, if the functioning, size, or use of the previous structure is changing, then the resulting increase or change in function. size or use
may subject all or part of the new structure to the applicable Fees.
4. Senior-Only Facilities
Although senior-only facilities are residences, Government Code Section 65995.1(a) limits the fees on certain senior-only facilities to that of
Commercial/Industrial Fees. The Commercial/Industrial Fee applies to Senior housing, as described in Civil Code Section 51 .3, Health and Safety Code
Sections 1569.2(k) and Government Code Section 15432(d)(9), as well as mobile home parks where residency is limited to older persons, as provided by
Government Code Section 65995.2. Applicants will be required to provide proof that their development satisfies the applicable code section by bringing in their
recorded Covenants Conditions &Restrictions or deed restriction.
5. Mitigation Payments
Mitigation Payments will only be refunded pursuant to the terms of the applicable Mitigation Agreement. None of the provisions herein related to expiration or
refund apply to payments made pursuant to a Mitigation Agreement.
NOTICE OF SCHOOL FEE APPEAL/PROTEST PROCEDURE
Pursuant to the Resolution adopting this COC, the following summarizes the District's School Fee Appeal/Protest Procedure for protesting
Commercial/Industrial Fees and Residential Fees (collectively referred to as "School Fees") in order to provide a process that permits the Applicant an
opportunity for a hearing to appeal the imposition of School Fees ("Hearing") and to consider the required notice of protest filed pursuant to Government Code
Section 66020:
a. Within ninety (90) calendar day of being notified of the School Fees to be imposed or paying the School Fees, Applicant(s) shall file a written request:
1. By personal delivery, certified or registered mail or overnight mail (i.e., FedEx or similar service) ("Allowable Method") for a Hearing.
2. That contains a statement that payment has been tendered or will be tendered when due, or that any conditions which have been imposed are
provided for or satisfied, under protest.
3. That contains a statement(s) informing the Governing Board ("Board") of the factual elements of the dispute and the legal theory forming the basis
for the protest. The possible grounds for appeal include, but are not limited to:
a. For Commercial Fees -the inaccuracy of including the Project within the category pursuant to which the Commercial Fees are to be
imposed, or that the employee generation or pupil generation factor utilized under the applicable category are inaccurate as applied to
the Project. The Applicant appealing the imposition of Commercial Fees shall bear the burden of establishing that the Commercial
Fees are improper ("Commercial Grounds for Appeal").
b. For Residential Fees -the inaccuracy of the pupil generation factors, land cost, development or square footage projections used. The
Applicant appealing the imposition of Residential Fees shall bear the burden of establishing that the Residential Fees are improper
("Residential Grounds for Appeal") (Commercial Grounds for Appeal and Residential Grounds for Appeal collectively referred to as
"Grounds for Appeal.").
4. The written request shall be served on the Assistant Superintendent, Business Services, of the School District ("Assistant Superintendent").
b. Within ten (1 O) calendar days of receipt of the written request for a Hearing, the Assistant Superintendent, or designee, shall give notice in writing of the
date. place and time of the Hearing to Applicant(s). The Assistant Superintendent, or designee, shall schedule and conduct said Hearing within fifteen
(15) calendar days of receipt of the written request. The Assistant Superintendent, or designee, shall render a written decision within ten (10) calendar
days following the Hearing and serve it by an Allowable Method to Applicant's/ Applicants' last known address.
c. Wrthin ten (10) calendar days of receipt of the Assistant Superintendent or designee's written decision, Applicant(s) may appeal the Assistant
Superintendent or designee's decision to the Board. Applicant(s) shall state in the written appeal the Grounds for Appeal and said written appeal shall
be served by an Allowable Method on the Assistant Superintendent.
d. Within ten (10) calendar days of receipt of the written request for a Hearing, the Assistant Superintendent, or designee, shall give notice in writing of the
date, place and time of the Hearing to the Applicant(s). The Board shall schedule and conduct said Hearing at the next regular meeting of the Board,
provided that the Applicant(s) is given notice at least five (5) calendar days prior to the regular meeting of the Board. The Board shall render a written
decision within ten (10) calendar days following the Hearing on the Applicant's/ Applicants' appeal and serve the decision by an allowable Method to the
Applicant's last known address.
REFUND POLICY
If construction does not commence as provided in Education Code Section 17624 and Government Code Section 65995, the amount of the Fees paid,
minus a Fifty and no/100 Dollar ($50.00) application charge, will be refunded to the Owner of the Project at the time this COC was issued. An authorized
written notice from the building department responsible for issuing the building permit declaring that the building permit has been cancelled and no
construction has commenced must be delivered to the District's Facilities Planning & Development Department. Refunds will be processed thirty (30)
days after receipt of notification.
REAOAND REVIEWED: __________________ _
APPLICANT SIGNATURE PRINTED NAME
C cityof
Carlsbad
CERTIFICATION OF SCHOOL FEES PAID
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 fee form.
Project# & Name:
Permit#: CBR2022-2330 -------------------
Project Address: 2813 CEBU PL -------------------
Assessor's Parcel#: 2153203002 -------------------
Project Applicant: TRUST TU CHIN YI FAMILY
(Owner Name)
Residential Square Feet:
New/ Additions: -------------------
Second Dwelling Unit: 800 -------------------
Commer c i a I Square Feet:
New/ Additions: -------------------
City Certification: City of Carlsbad Building Division Date: 02/08/2023
Certification of Applicant/Owners. The person executing this declaration ("Owner")
certifies under penalty of perjury that (1) the information provided above is correct and true
to the best of the Owner's 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
D Carlsbad Unified School District
6225 El Camino Real
Carlsbad CA 92009
Phone: (760) 331-5000
D Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024
Phone: (760) 944-4300 x1166
D San Dieguito Union H.S. District
684 Requeza Dr.
Encinitas, CA 92024
Phone: (760) 753-6491 Ext 5514
(By Appt. Only}
[2J San Marcos Unified Sch. District
255 Pico Ave Ste. 100
San Marcos, CA 92069
Phone: (760) 290-2649
Contact: Katherine Marcelja
(By Appt.only)
D Vista Unified School District
1234 Arcadia Drive
Vista CA 92083
Phone: (760) 726-2170 x2222
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION CJ • lOzJ
(To be completed by the school district(s)) Ty OF CAR
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIR~~G o,v~~8Ao
FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED. ION
The undersigned, being duly authorized by the appllcable School District, certifies that the developer, builder, or
owner has satisfied the obllgatlon for school facilities. This Is to certify that the applicant llsted 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.
SiQnature of Authorized School District Official: __ .,...u-;~;--Ul,=...,JJAO"-'-t-'P--~~--o;/ _____________ _
Title: Aq mt O I S:l(at/ ue Ana}>. st Date: 0 3 / I 6 I 2 023 J < I
Name of School District: ,S:O..n ro atco 5 LJS:D Phone: 760 -z 9 0 -26 yq
COMMUNITY DEVELOPMENT -Building Division
1635 Faraday Ave I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I bullding@carlsbadca.gov I www.carlsbadca.gov
{'Cityof
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Development Services
Building Division
1635 Faraday Avenue
442-339-2719
www.carlsbadca.gov
APPLICABLE TO NEW CONSTRUCTION, All RESIDENTIAL ADDITIONS AND Al TERATIONS AND
COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. If you have questions about the recycling
requirement or completing this form, please contact Republic Services at (760) 332-6464 a certified C&D
recycler, or the Carlsbad Building Division at (442) 339-2700. Please note: Unless you are self-hauling, Republic
Services or approved haulers must be used for all construction projects within the City of Carlsbad.
PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued
without a completed Construction Waste Management Plan.
Applicant Information
Permit No. CBM-2O22-OO11
ProjectAddress2813 Cebu Place
Applicant Name Chin Tu
Project Title Manufactured Home ADU
APN 215-320-30-02
------------------
Last First
Owner ~ □------
Applicant Address 2809 Cebu Place
Phone f 760 ) 458-7337 / s,:s1 -E-mail Address cytucivic@gmail.com/lenskab@gmail.com
Applicant Mailing Address I l7 -03 l'-} --------------------------------( if different than project address)
Project Type
(check all that apply):
Residential ~ Commercial □
Brief Description Manufactured Home as ADU (40x20 ft)
Public Building □
Project Size800 Estimated Cost of Project $275,000 -----------------(square footage)
Please check the appropriate box!
I plan on using REPUBLIC SERVICES roll-off bin{s) for all materials and will provide all receipts after construction.
I plan on using a City Approved Hauler and will provide all receipts after construction.
This is a proposed LEED certified project and I plan on separating materials on site in conjunction with Republic
Acknowledgement: I certify under penalty of perjury under the laws of the State of California that the information
provided in and with this form pertains to construction and demolition debris generated only from the project listed
in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the
best of my knowledge and belief.
Page 1 of 3 Rev. 05122
PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will
(cont'd) not be issued without a completed Construction Waste Management Plan.
DEBRIS RECYCLING ESTIMATE:
Permit No. CBM 2022-0011 Project Title Manufactured HOme ADU
Project Address 2813 Cebu Place APN 250-320-30-02
Applicant Name._C_h_in_T_u _________________ Phone 7p0 )458-7337
last First
SECTION B Complete the following table with estimated waste tonnage to be generated by your project.
This is your plan for construction waste management. Changes can be made on the final recycle report.
Goal: the diversion rate shall be 65% by weights of debris.
A B C
Material Type Estimated Place a (u) check Place a (u) check next Place a (u) check next
Waste Quantity next to items to be to items to be to items to be
(tons) reused or salvaged recycled disposed at landfill
Complete this line of the table only if
only using WASTE MANAGEMENT
roll-off bins. 0-off site built Mixed C&D Debris □ □ □
Asphalt & Concrete 0 □ □ □
Brick / Masonry / Tile 0 □ □ □
Mixed Inert Debris 0 □ □ □
cabinets, Doors, Fixtures, 0 □ □ □ Windows (circle all that apply)
carpet □ □ □
Carpet Padding/ Foam □
Cardboard □
Ceiling Tile (acoustic) □ □ □
Drywall (used, new, scrap) □ □
Landscape Debris (brush, trees, □ □ stumps, etc.) No dirt. □
Unpainted Wood & Pallets □ □
Roofing Materials □ □ □
Scrap Metal □ □ □
Stucco
Other: □ □ □
TOTAL =
SECTION C
To meet 65% Diversion Requirement (estimate) O _________ x 0.65 = ___________ tons
Total Estimated Waste from above Minimum Required Diversion
Page 2 of4 Rev. 05122