HomeMy WebLinkAbout2420 GARY CIR; ; CBR2022-1264; PermitBuilding Permit Finaled
Residential Permit
Print Date: 03/13/2023
Job Address: 2420 GARY CIR, CARLSBAD, CA 92010-2804
Permit Type: BLDG-Residential Work Class: P/M/E
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
1671551000 Track#:
$0.00 Lot#:
Project#:
Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Occupant Load: Plan Check#:
Code Edition:
Sprinkled:
Project Title:
Description: RODRIGUEZ: 200 APM ELECTRICAL UPGRADE (E-REVIEW)
FEE
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
Total Fees : $193.00 Total Payments To Date: $193.00
Permit No:
Status:
{city of
Carlsbad
CBR2022-1264
Closed -Finaled
Applied: 04/12/2022
Issued: 04/15/2022
Finaled Close Out: 03/13/2023
Final Inspection: 11/15/2022
INSPECTOR: Alvarado, Tony
Contractor:
JIBRAN CUSTOM HOME BUILDER
531 ENCINITAS BLVD, # STE 201
ENCINITAS, CA 92024-3773
(760) 805-6351
AMOUNT
$193.00
Balance Due: $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
I
..
( City of
Carlstiad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check _______ _
Est. Value
PC Deposit
Date
Job Address j_ L/J..6 ~A:Rj c.·, (lc.,(e G:1£.tseAo Unit: ___ APN: /&]: -l5S'-lo ✓ 00
CT /Project #: ________________ Lot #: ____ Year Built:_..,_{ _.9_(f)...._:f:....._ ___ _
Fire Sprinklers:()vE~NO Air Conditioning:OYES.NO Electrical Panel Upgrade:.YESQNO
BRIEF DEscR1PT10N oF woRK: u ~g {lA~-e :Jo ?J>o fotfh-P 5erv:, c,e E/RcH1 ~ f 14..pe/
• L., New SF: _Living SF,_ __ Deck SF, ___ Patio u ___ Garage SF __ _
Is this to create an Accessory LJwelling Unit?Q vQN New Fireplace? QvQ N, if yes how many? __
D Remodel: SF of affected area ----Is the area a conversion or change of use? O vQ N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? __________ _
0Solar: ___ KW, ___ Modules, Mounted0oof0round, Tilt:O vO N, RMA:QvQ N,
Battery: ()v Q-J, Panel Upgrade: Qv Cr-J
/ , Re roof: _______________________________ _
D Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY APPLICANT PROPERTY OWNER n~
Name: 0 ~55A~ M,v .)~ Name: PATh' cj(. \<U]) ~ 1.ve '.2--
Address:$ 3) frJC1
1/\fl'T"A£ '3\vJ> >'111:hUI Address: 2-:(2-0 §~ c,&[lt
City: fj~CIN® l State: U<t Zip: q 'L01--1 City: CA(?.lS:;AD State: (A; Zip: 9lblQ
Phone: 4{,,o r <{o{• /o3.5'} Phone: -;/f'aO-'6ti-1131
Email: .BA55Att'--€ -S'fB'I..A// VJ /J St(lvc:{,,,.-. "E~ail: Pk~·\'c.k.. -Jk» ~J~ 2-(( 1/&fui ,l6M
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: MA 1>es::,1t1 Business Name: ---r, 8.fl&l:!. ~nvc±i ON
Address: liq+, 5~olLPr,t-4er f'IA~ Address: 531 (Nrpv;i; £Jtiv b.SvJ 26/
City: Pow ~ State: G /Jr Zip: q 10 6 o/ City: Y/v{ /IV IV\ f State: CA--Zip: '.l 2-01. ~
Phone: 7/:z'6.. ?;qo -6 O() q. Phone: ::X:,o go 0 b 3S)
Email: t)e/e.ilf N\Abc..S1q«:t4 · Cot'Y' Email: !3l\CS' Me :p Bi':tn:-Yt:'~:tRvCb'at~•qW\
Architect State License: __________ CSLB License#: f;C, $CJ~ , Class:___,g,=------
Carlsbad Business License ;(Required): S LOS (13 &5 11--,
1635 Faraday Ave Carlsbad, CA 92008 · Email: Building@carlsbadca.gov
REV. 07/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
( A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaffirm underpenaltyof perjury that I am licensed under provisions of Chapter 9 (commend ngwith Section 7000)of Division]
of the Business and Professions Code, and my license is infu/1 force and effect. I also affirm under penalty of perjury one of the
following declarations (CHOOSE ONE):
Qr have and will maint~in a cert.ificate 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. PolicyNo. _____________________________________ _
-OR-
IJl1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
~Y workers' compensation insurance carrier and policy number are: Insurance Company Name: S'~k, ~ t ,
Policy No. 9 l Y, (o q ~ '.+--2..-(> ?-0 Expiration Date: --~1,,.~l ..... 1;~\l04lc.-VZ-_______ _
-OR-O 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees. ·
CONSTRUCTION LENDING AGENCY, IF ANY:
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 CERT/FICA TION: 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 Stat laws relating to building
construction. ~o~~~h!~~~:~~,;,, §!.:f:.~.~J:. ~~'.~~~:~:i-1!J'--'7fJ~~=....;;;.p'--f---DA TE: __ (.,.~-,-f...,t __ ,_i ... / __
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from 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, 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).
-OR-O 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-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner.
By my signature below I acknowledge 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./ understand that a copy of the applicable law, Section 7044 af the Business and Professions Code, is available upon request when this application is
submitted or at the fol lowing Web site: http:IIwww.leginfo.ca. gov I ca/aw. html.
OWNER CERT/FICA TION: /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.
NAME (PRINT): SIGN: __________ DATE: ______ _
Note: If the person signing above is a~ authorized agent for the property owner include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2022-1264)
Permit Type: BLDG-Residential Application Date: 04/12/2022 Owner:
Work Class: P/M/E Issue Date: 04/15/2022 Subdivision: EL CAMINO MESA UNIT#3
Status: Closed -Finaled Expiration Date: 02/06/2023 Address: 2420 GARY CIR
IVRNumber: 39957 CARLSBAD, CA 92010-2804
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
08/09/2022 08/09/2022 BLDG-33 Service 188891-2022 Passed Tony Alvarado Complete
Change/Upgrade
Checklist Item COMMENTS Passed
BLDG-Building Deficiency 1. SDGE work order verified. Yes
2. Disconnect reconnect, 200 amp panel
upgrade for SDGE work order and
approved.
3. Released 200 amp. electrical main
service panel to SDGE-approved.
BLDG-34 Rough 188753-2022 Passed Tony Alvarado Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency 1. SDGE work order verified. Yes
2. Disconnect reconnect, 200 amp panel
upgrade for SDGE work order and
approved.
3. Released 200 amp. electrical main
service panel to SDGE-approved.
BLDG-Electric Meter 188892-2022 Passed Tony Alvarado Complete
Release
Checklist Item COMMENTS Passed
BLDG-Building Deficiency 1. SDGE work order verified. Yes
2. Disconnect reconnect, 200 amp panel
upgrade for SDGE work order and
approved.
3. Released 200 amp. electrical main
service panel to SDGE-approved.
11/15/2022 11/15/2022 BLDG-Final Inspection 196297-2022 Passed Tony Alvarado Complete
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
Tuesday, November 15, 2022 Page 1 of 1