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2317 PIO PICO DR; ; CBR2020-1920; Permit
PERMIT REPORT Residential Permit Print Date: 02/01/2022 Job Address: 2317 PIO PICO DR, CARLSBAD, CA 92008-1037 Permit Type: Parcel#: Valuation: BLDG-Residential 1563500300 $41,601.50 Occupancy Group: #of Dwelling Units: 1 Bedrooms: Bathrooms: Project Title: Work Class: Second Dwelling Unit Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: (city of Carlsbad Permit No: CBR2020-1920 Status: Applied: Issued: Fina led Close Out: Inspector: Final Inspection: Approved -Ready to Issue 08/14/2020 04/05/2021 TKers 11/16/2021 Description: CONVERT EXISTING 860 SF SECOND FLOOR OVER GARAGE TO ADU// ADD 130 SF PATIO COVER AT NEW ENTRY Property Owner: DEREK R/KATHERINE M ORME 2315 PIO PICO CARLSBAD, CA 92008 (760) 402-0049 FEE BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) BUILDING PLAN REVIEW-MINOR PROJECTS (LDE) SB1473 GREEN BUILDING STATE STANDARDS FEE GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION BUILDING PERMIT FEE ($2000+) MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL STRONG MOTION-RESIDENTIAL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PUBLIC FACILITIES FEES -outside CFD Total Fees: $2,678.62 Total Payments To Date: $2,386.62 Balance Due: AMOUNT $98.00 $194.00 $2.00 $175.00 $354.80 $42.00 $5.41 $62.00 $248.36 $41.00 $1,456.05 $292.00 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. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov {"city of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Qf:)l'.\3:X.O.-\q20 Est. Value '--\I 1 \J/02- PC Deposit Date :O·· IL\-· fl', Job Address~ Pio Pico Drive Suite: ____ .APN: 156-350-03-00 CT/Project #:05211 Lot#: P0R TCT 7 Year Built: _1_9_8_5 _______ _ Fire Sprinklers: 0 YES (/J. NO Air Conditioning: 0 YES Q\i NO Electrical Panel Upgrade: 0 YES~ NO BRIEF DESCRIPTION OF WORK: Convert existing and permitted 860 sq ft to an attached ADU; including converting existing kitchenette to kitchen. Build exterior patio with pergola. Convert existing exterior window to an exterior door and window. Ii] Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, 130 Garage SF __ _ Is this to create an Accessory Dwelling Unit? OY 9l(N New Fireplace? OY ~ N, if yes how many? __ liJRemodel:_86_0 ____ SF of affected area Is the area a conversion or change of use? OY 'liO N 0 Pool/Spa: _____ .SF Additional Gas or Electrical Features? ___________ _ osolar: ___ KW, ___ Modules, Mounted:ORoof OGround, Tilt: 0 YON, RMA: OY ON, Battery:OY ON, Panel Upgrade: OY ON D Re roof: ___________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT Iii PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name: l'>tRE"K 0Rt-1E" Name:. ___________________ _ Address: 2315 Pio Pico Dr Address: __________________ _ City: Carlsbad State: CA Zip: 92008 City: __________ State: ___ .Zip: ____ _ Phone: 760-402-0049 Phone: __________________ _ Email: 't>E"RE"K. ORt1E"@G.l"l11:11....cor1 Email: ___________________ _ DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT 0 Name: ________________ _ Name: __________________ _ Address: _______________ _ Address: __________________ _ City: ________ .State: ___ .Zip: ___ _ City: _______ .State: ___ .Zip: ______ _ Phone: ________________ _ Phone: __________________ _ Email: ________________ _ Email: __________________ _ Architect State License: __________ _ State License/class: ______ Bus. License: ____ _ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: BuHding@carlsbadca.gov REV. 08/20 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: D1 have and will 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. Policy No. _________________________________________ ~ DI 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. My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _ Policy No. ____________________________ Expiration Date: _______________ _ 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 $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 PRINT/SIGN: __________________ ,DATE: _____ _ (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: ~ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the str_ucture 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 bwlds 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). DI, 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). DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: D "Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached. D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf. Proof of identification attached. 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. 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://www.leginfo.ca.gov/ca/aw.html. OWNER PRINT /SIGN: __ rx:::.:..;;~=,.:.;;;..:ad::..~=='----1)..:;_;;(.:..:M::::;l<-:;:;;_0=.,;R.,:c>'l.:.;E:,.__ ______ DATE: 13 A\JC.. 'l.O"LO APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf. 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 Carlsbad 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 permit is required for excovotions over 5'0' deep ond demolition or construction of structures over 3 stories in height. APPLICANT PRINT /SIGN:_2:.,,,._,~"""""'"'-'-EJ"-'/-N"':1/==---=bc.:~==~'-'(£."""-tt.:.:E":..._ ______ ,DATE: I\. A"~ Zo 2-0 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 08120 (_ City of Carlsbad OWNER-BUILDER ACKNOWLEDGEMENT FORM B-61 Development Services Building Division 1635 Faraday Avenue 760-602-2719 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 __ 'L,=.3.,__,_I s"'-_,l'...,1c,O,,__,:_P_,~c1,,C,,Od.,!._J,;bt.1R.s..lul/o1.Jl;;,:;,_-_ __,,c,..,1r&ie::c'-!<;C>!fi~tr'1.JblL--'<C.:..:A-_ _:::~_:,:"Z.O:=,~~--- 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 cartsbad. 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 permit activities. I. ..1l_1 understand a frequent practice of unlicensed contractors is to have the property owner obtain an #Owner· Builder" 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 insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. II. _Al understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed contractor to assume this responsibility. 111. ')1,l I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own. IV. -11.l_i understand contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. V. __D,_1 understand if I employ or otherwise engage any persons, other than california licensed contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an uemployer'' under state and federal law. 1 REV.08/20 Owner-Builder Acknowledgement Continued VI. ~I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each Hemployee." I also understand my failure to abide by these laws may subject me to serious financial risk. VII. a I understand under California Contractors' State License 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 the work 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 for any financial or personal injuries sustained by any subsequent owner{s) which result from any latent construction defects in the workmanship or materials. IX. ~ I understand I may obtain more information regarding my obligations as an Hemployer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the (alifornia Division of Industrial Accidents. I also understand I may contact the california Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752} or www.cslb.ca.gov for more information about licensed contractors. X. ~I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: 1.-; ,s e,o p,"" bl\ Cll9-1.q,r.i> &ti :,,mg XI, .J\.-1 agree that1 as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. XII. .Jrl-1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated 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 unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtatn 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 con be Issued, this farm must be completed, signed by the property owner and returned to the City of Carlsbad Building Division. I declare under penalty of per/ury that I halH! read and understand all of rhe Information provided on thfs form and that my ~sponses, lndudlr,g my outhorlty to sign this form, Is true and COITKt. I am aware that I have tM option to consult with legal counsel prior to signing this form, and, have either (1) consultrd with legal collllSel prior to signing this form or (2) h~ walvrd this right In signing this form without the advice of kga/ counsel, Property Owner Name (PRINT) Property Owner Signature 2 REV.08/20 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2020-1920) Permit Type: BLDG-Residential Application Date: 08/14/2020 Owner: DEREK R/KATHERINE M ORME Work Class: Second Dwelling Unit Issue Date: 04/05/2021 Subdivision: LAGUNA MESA TRACTS Status: Closed -Finaled Expiration Date: 01/19/2022 Address: 2317 PIO PICO DR IVR Number: 28059 CARLSBAD, CA 92008-1037 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 07/21/2021 07/21/2021 BLDG-11 162370-2021 Passed Tim Kersch Complete Foundation/Ftg/Piers (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-84 Rough 162371-2021 Passed Tim Kersch Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-34 Rough Electrical Yes 07/23/2021 07/23/2021 BLDG-16 Insulation 162602-2021 Passed Tim Kersch Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-17 Interior 162601-2021 Passed Tim Kersch Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency No 11/16/2021 11116/2021 BLDG-Final Inspection 170791-2021 Passed Tim Kersch Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLOG-Structural Final Yes BLDG-Electrical Final Yes Tuesday, February 1, 2022 Page 1 of 1 ·c ~ Vl <J") 31,,\it' PLOT PLAN p 11 ilr tu ~ 0.. -(I ~ ~ Nortn:t ~ 1.-oT CoVF,t.A~V°; "!)I.\'/• 2 t ~I~ 9 i.\J\\..f>IN( ~oQT"P#t t,.,,. ~1 11?--r_ ,o,o· -4(J.d ---- ~, 'l. 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