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Home My WebLink About2400 ALTISMA WAY; A; CB160721; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-24-2016 Residential Permit Permit No: CB160721 Job Address: Building Inspection Request Line (760) 602-2725 2400 AL TISMA WY CBAD St: A Permit Type: Parcel No: Valuation: RESDNTL Sub Type: RAD 2152401701 Lot#: 0 $5,000.00 Constuction Type: 58 Status: ISSUED Applied: 02/24/2016 Entered By: JMA Occupancy Group: # Dwelling Units: 0 0 Reference #: Structure Type: Plan Approved: 02/24/2016 Issued: 02/24/2016 Bedrooms: Project Title: Applicant: Bathrooms: 0 Orig PC#: MOEINI: BRING STAIRS/GUARD UP TO CURRENT CODE Owner: Inspect Area: Plan Check#: MOEINI KIAROSH&YOKO FAMILY TRUST 04-01-09 MOEINI KIAROSH&YOKO FAMILY TRUST 04-01-09 7921 BLUE LAKE DR SAN DIEGO CA 92119 619-825-3554 Building Permit Add'l 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 HMP Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Green Bldg Stands Plan Chk Fee $70.24 $0.00 $49.17 $8.59 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 7921 BLUE LAKE DR SAN DIEGO CA 92119 Meter Size Add'l Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (31 05540) PFF (4305540) License Tax (31 04193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees Fire Sprinkler Fees TOTAL PERMIT FEES Total Fees: $130.00 Total Payments to Date: $130.00 Balance Due: Inspector: FINAL APPROVAL Date: >-a-I? Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $130.00 $0.00 NOll CE: Plea<le take NOllCE that approval of your prqect includes the "I rrposition'' of fees, dedications, reservations, or other exactions hereafter oollectively referred to as "fees' exactions." You have 00 days from the date this pemit was issued to protest irrposition of these fees' exactions. If you protest them, you rrust fall em the protest procedures set forth in G:Jvemrrent Code Section 66020(a), and file the protest and any other required information wth the Oty rv1anager for processing in aanrdance wth C8rlsbad Munidpal Code Section 3.32.030. Failure to tiJTely follcmthat procedure wll bar any subsequent legal action to attack, review, set aside, void, or annul ther irrposition. 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH {_City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. cB ( b ~ {)1-Z- Est. Value JOB ADDRESS CT/PROJECT # EXISTING USE APPLICANT NAME ADDRESS CITY STATE PHONE FAX EMAIL SUITE#/SPACE#/UNIT# #BATHROOMS GARAGE (SF) PATIOS (SF) 9 ADDRESS ZIP CITY PHONE EMAIL STATE LIC. # STATE LIC.# Plan Ck. Deposit STATE FAX ZIP CllY BUS. LIC.# OCC. GROUP FIRE SPRINKLERS YEsONoO (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, 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 Section 7031.5 by any applicant for a permit subjects the applicant to a Givil penalty of not more than five hundred dollars [$500]). 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 penmit 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 workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 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 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. ~CONTRACTOR SIGNATURE 0AGENT DATE 0 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). 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 2. I (have I 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 I phone I 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 I address I phone I 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 I address I phone I type of work): J .!:~' PROPERIT OWNffi SIGNATURE ~NT DATE 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 representative of the City of Cartsbad 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 permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permitissued 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 permitis not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gdv or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. : (Office Use Only) CA 0. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE I pecti n List Permit#: CB160721 Type: RESDNTL RAD MOEINI: BRING STAIRS/GUARD UP TO CURRENT CODE Date -~l_nspec;tion l~!;!m ___ ~--~··-·-- 05/16/2016 14 Frame/Steei/Bolting!Weldin 05/16/2016 19 Final Structural Tuesday, May 17,2016 Inspector Act Comments Rl PB AP Page 1 of 1