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Home My WebLink About2853 RANCHO RIO CHICO; ; CBR2019-3525; PermitResidential Permit Print Date: 12/17/2019 Job Address: Permit Type: 2853 Rancho Rio Chico BLDG-Residential 2226122200 $5,200.00 Work Class: Cogen Parcel No: Lot#: Valuation: Reference#: Occupancy Group: Construction Type: # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: JALLIL: 13 MODS, 4.09KW, NO RMA, NO UPGRADE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Owner: FARZIN JALLIL 2853 Rancho Rio Chico CARLSBAD, CA 92009 SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $136.80 Total Payments To Date: $136.80 (city of Carlsbad Permit No: CBR2019-3525 Status: Applied: Issued: Permit Finaled: Inspector: Final Closed -Finaled 12/12/2019 12/12/2019 Inspection: 12/17/2019 1:41:lOPr Contractor: ACTION AIR CONDITIONING HEATING AND SOLAR 2750 S Santa Fe Ave San Marcos, CA 92069-5928 760-727-4152 Balance Due: $0.00 $79.48 $55.64 $1.00 $0.68 Please take NOTICE that approval of your project includes the 11lmposition" 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 660201a), 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. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Ccicyor Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 ::;~ ~:.::k c~~3~5 PC Deposit Date -=IJ./i.........,l';t_.../9...___ Job Address ')..15S?:i \2--;ol'-'o R, o C...\:J.c..o SUlte: ____ APN: ________ _ CT/Project#: _______________ Lot#:. __ _ Fire Sprinklers: yes / no Air Conditioning: yes / no Electrical Panel Upgrade: yes / no BRIEF DESCRIPTION OF WORK: -~"-"o.:.D.:.~ -""-o..:."'..:.""'..;... __ 11_._\J_, _ __,_\..;;?, __ ?_"'-"'.:.:''..:.\ s __ '-\.:_.:.\<:;.ovJe;:_ _______ _ .:1 -r:,, V < '< .\; if 0 Addition/New: _____ .Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ 0 Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No Additional Gas or Electrical Features? 0 Pool/Spa: ____ SF ------------ □ Solar: '::\ . 6Dit:, KW, \ ~ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes / No D Reroof: _______________________________ _ 0 Plumblng/MechanlcaVElectrical Only: ____________________ _ D Other: --------------------------------- APPLICANT (PRIMARY CONTACT) Name: }A ~:-\<r:: lo\ v ""',,____ Address: 2 \1,l-S k ~~ 9<. -itll'!> City: iJJ e,Yr \..,'f>e. State:C..~ · Zip:"'\' "l,\g:2- Phone: "'61"b' -1,c, -"1 'iSl t, ·· PROPERTY OWNER Name: f'."o.-r -,..:,.., Address: _').1:;..JJ.'{.,17_:,!.-_R="'::."'~(,~\,-,~o~.:.:<;:>....:.:..: 0;___;:C,.._'-':.;.;.;'L;;.:o;__ ___ _ City: (,.✓\s½:¢ State: Cl' Zip: "\']..oD"I Phone: ,.,o .-'{~ -1'3,o ":> Email: ________________ Eman: _________________ _ DESIGN PROFESSIONAL CONTRAfTOR BUSINESS Name: ________________ Name: f".d .D" ~ k Address: Address: ')75o 5-5...,_...._ r.,, 11-,.._ City: _______ State: ___ .Zlp: ____ City: "3"'" '\'-1.o-rc,o';, State: C,I' Zip:9-=U>;:.IR,..°I..;... __ _ Phone: Phone: '"lt.~-1 ... , ,~ 1"-' l- Em11II: Email: ____________ ..,,.. ____ _ Architect State License: State Ucense: '50"1~0s Bus. License: :?,1,0 S Oo 3 '-1 '{ 1 (Sec. 70315 Busine,; and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repai' anystrudure, prior to Its Issuance, also re(J.lires the applicant for such permit to file a SWfted statement that he/she is licensed pursuant to the provisions of the ContractOl's License law {Chapter 9, commending wth Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basts forthe alleged exemption. Any violation d Section 70315 by any applicant for a permit subjecls the appllcantto a civil penalty af not more than five hon-dollars {$5001). 163S Faraday Ave Carlsbad, CA 92008 Ph:760-602-2719Fax:760~02-8558 Email: Building@carlsbadca.gov ( OPTION A): WQRKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury !!!It of the following dedarations: □ I have and wil maintain a certificate of a,nsent to self-Insure for_,_ oompensation provided by Sedion 3700 of the Labor Code. forthepe,formance of the worl< which this permit Is Issued. iti:ave and wll maintain worl<efs oompensation, as """Ired by Section 3700 of the Labor Code, for the performance of the wort forwhk:h this permit Is Issued. My worl<er•\~mpensation lnsur,nce canier and polky number are: ~~-: M'z , C,,z o& .-l-\oe, \,JC«;~ PollcyNo. "1:'£501-~~l,-, ~.,_'7-~~.,.-+"lil-EL'-"\+'"'-'----- □ Certificate of Exemption: I certify that In the performance of the wort fur which this permit Is Issued, I shaH not employ any person In any manner so as to he come subjecttotheworl<ers'compensatlonLawsofCalifumia.WARNING:Fllihnetosecure~--......._1suni-1u1,anc1-subjedanemployerto criminal penaltles ...t dvll-up~$fn-thetothecaotaf coo,..,. -.. -.... .. prm,lded forln Sedlon 3106 afthel.aboreode, lnt..n!St and attorney's fees. ci CONTRACTOR SIGNATURE: . AGENT DATE: \ 1,, \ '),, M ------------I I ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following ri?ason: □ 1, as owner of the property or my employees with wages as their sole compensation, wll do the wor1< and the strutture Is not Intended or offered for sale (Sec. 7044, Business and Pnlfesslons Code: The ContflldO(s l.lc2nse Law does not apply to an owner of property who buUds or Improves thereon, and who does such wori< himself or through his own emplo,ees. provided that such lmpnM!ments are not Intended or offered for sale. If, i-r, the buUdlng or improvement is sold within one veer of a,mpletion, the owner.lJullderwlll have the burden of pruw,g that he did not build or improve for the purpose of sale). · □ I, as owner of the property, am exdusjyefy contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: Tbe contractor's License Law does not apply to an owner of property who buHds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors license Law). □ I am exempt under Section _______ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and --fur construction of the proposed property Improvement. □ Yes □ No 2. I (have/ h..., not) signed an application fur a building perml for the proposed wor1t. 3.1 have a,ntr.Kted with thefollowing person (firm) to provide the proposed construction (Include name address/ phone/ contnctors' license numherj: 4. J plan to provide portions of the won,, but I have hired thefullowlns person to coordinate, supervise and provide the major wort (lnwde name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have amtracted (hired) the following persons to provide the worl< Indicated (include name/ addcess /phone/ type of worl<): OWNER SIGNATURE: ---------~-------□AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there Is a construction lending agency for the performance of the wori< this permn Is Issued (Sec. 3097 (1) CMI Code). Lende(sName: __________________ Lander's-....: _________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUIWING PERMITS ONLY: ts the applicant or future blikltng ocaJpant required to submit a business plan, amtely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presler-Tanner Hazardous substance Aa:ount Ad? □ Yes □ No Is the applicant orfutun! bulkling oca,pant required to obtain a pennJt from the air pollution control district or air quality management district? □ Yes □ No Is the facility to he constructed within 1,000 feet of the outer boundary of a school 51te? □ Yes □ No IF NIY OF TH£ ANSWERS ARE YES, A ANAL CERTIRCAlE OF OCXllPANCI -y NOT BE ISSUED UNLESS TH£ ~CANT HAS MEr OR IS MEETING 1HE REQIJIREMENlSOF 1HE OFFICE OF EMERGENCY SERVtasAND l1£ AIR POU.UTION CONTROL DISIRICT. APPLICANT CERTIFICATION: I certify that I haw read the application and state that the above-Is correct and that the Information on the plans Is aaurate. I agree to comply with au City ordinances and state laws Rllatingto bu .. 111 construction. I hereby authorize representative of the City of Carlsbad to enter upon the .-mentioned property for Inspection pui1J050S. I AISOAGREElOSAVE, INDEMNIFY AND KEEP HARMLESS ll!E 01V OF CARlSBADAGAINST ALL UABIUTIES,JUDGMENTS, C051S AND EXPENSES WHICH MAY IN Mtf WAY ACCllUE AGAINSTSAIDOTV IN <IlNSEQJENCE Of lHE GRANTING DFlHIS PERMIT.OSHA: AA OSHA pem.lt Is required fur-....-5'0' deep and -or-n of struct..nsCM!f 3 stories In heipt EXPtRATION:Ewrypermit-1,vthelluHdlngOffldalundertheprovisionsofthlsCodeshalecplrel,v-andhecomenuUandwilWthebuldqorworl<authorized l,vsuch pem.lt Is oot mmmeooed wlhln 1llO daysfromthedateofsuch permit or fthe bulldlngorworl<authorlzed by such permit ls..._.iedor abandoned at anytime afterthewodi>coo1■1.a.cedforaperiodaflll0;:::l06AAU~~~Code~ APPLICANT SIGNATURE: -*~Jlt:~9~==------------DATE: \ 7<l1.2::( 15 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760~02-&558 Email: Building@carlsbadca.gov . , , PERMIT INSPECTION HISTORY REPORT (CBR2019-3525) Permit Type: BLDG-Residential Application Date: 12/12/2019 Owner: Work Class: Cogen Issue Date: 12/12/2019 Subdivision: Status: Closed -Finaled Expiration Date: 06/15/2020 Address: IVR Number: 23637 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 12/1712019 1211712019 BLDG-35 Solar Panel 114006-2019 December 17, 2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 114005-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Luke Storno COMMENTS Passed Luke Storno COMMENTS FARZIN JALLIL CARLSBAD TCT#93-01 RANCHO CARRILLO VILLAGE J 2853 Rancho Rio Chico Carlsbad. CA 92009-3003 Reinspection Complete Passed No Passed No No No No No Complete Complete Page 1 of 1