HomeMy WebLinkAbout2824 RANCHO COSTERO; ; CBR2022-0792; PermitPERMIT REPORT
{cityof
Carlsbad
Residential Permit
Print Date: 05/19/2023
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2824 RANCHO COSTERO,
BLDG-Residential
2218120200
$8,557.84
CARLSBAD, CA 92009-2104
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: REPLACE FRENCH DOOR AND WINDOW WITH SLIDING DOORS
Property Owner:
FEE
BUILDING PLAN CHECK
REMODEL-RESIDENTIAL-OTHER
KARIM ALAMI
2824 RANCHO COSTERO
CARLSBAD, CA 92009-2104
SB1473-GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
Alteration
Total Fees: $795.76 Total Payments To Date: $312.65
Permit No: CBR2022-0792
Status:
Applied:
Issued:
Finaled Close Out:
Final Inspection:
INSPECTOR:
Balance Due:
Closed -Expired
03/09/2022
AMOUNT
$312.65
$481.00
$1.00
$1.11
$483.11
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
'flc~LM
f-cft ~jc ~c\
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
Page 1 of 1
(cicyof
Carlstiad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check([j( 202...2-(Jl C/Z.
Est. Value --~---=---,.-,
PC Deposit -~~:J;,f 5-
Date "i3t-+t 2-L
Job Address Z8 '2-lf lANl Ito (pS!Pfi Unit: ______ APN: 2 2 I -::?l'Z,< O 1..-00
CT/Project #: _________________ Lot #: ____ Year Built: __ 2_tJ_O_\....._ ____ _
Fire Sprinklers:OE~NO Air Conditioning:QYES~O Electrical Panel Upgrade:QYES~NO
BRIEF DESCRIPTION OF WORK: f2e.p/0t.tit3 q ff"-4-t.h o?':)r a,,,J tt,.1~ (.,<>~ft,._ s /t' d,~
Joo~
0 New SF : _____ Living SF,~~ __ Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory DweHing Unit? Qv~N New Fireplace? QY~N, if yes how many? __ _
~emodel: \ 8 j SF of affected area Is the area a conversion or change of use?@_v QN
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------
0Solar: ___ KW, ___ Modules, Mounted0oof0;round, Tilt:O vO N, RMA:OvON,
Battery: Ov O,J, Panel Upgrade: ()v O'-J
D Reroof: -----------------------------------□ Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY APPLICANT PROPERTY OWNER
Name: KArt4M. t4t./W-l\ Name: t/t{~M M-A•·•I..I
Address: t.82-4 tlt/tNC-Ua u~1&z,o Address: t8 2.-lt (1/':rvU1.P l-1;~ao
City: C/1:¼(d&P State: cA Zip: qz,oo'} City: (d\14~(f\n State: tfr Zip: g'1-g 0 :)
Phone: 8Si'-21,l..-°l"=t-1\3 Phone: 8'..s&-1-3 1-C\.'1-9 3
Email: M:ze,r'.\(2 op'f $!C'-(1N t..-• Lo"". Email: M (l(/1.1. f1 OD l/ Sleftl\lC... ("'M
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: __________ ...,.. ______ Business Name: _____ ......,.,..-;;;..._ _______ _
Address: Address: ____ ----,,,...::;.------------
City: __ .. Zip:. _____ City: ____ ~--___ Zip: ______ _
Phone: ____ _,..__ ___________ Phone:_.,_. __________________ _
_______ Class: ______ _
Carlsbad Business License # (Required):. _______ _
APPLICANT CERT/FICA T/ON: 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 buUding
construction.
NAME (PRINT): _.._/t.A14...,___/Vl_..... .... ~___.._\ __ SIGN:_ef:...,;,_111-~..------DATE: 2-/2.-'f ('l--'L
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Buildi11g@carlsbadca.gov
REV. 07/21
I
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:
lherebyaffirmunderpenaltyofperjurythat/amlicensedunderprovisionso/Chapter9(commencingwithSection7000)ofDivision3
of the Business and Professions Code, and my license is in full forceandeffect. la/so affirm under penalty of perjury one of the
following declarations (CHOOSE ONE):
Q1 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. PolicyNo .. _____________________________________ _
-OR-QI 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: ____________________ _
Policy No. __________________________ Expiration Date:--------------~
-OR-
Ocertificate 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'sAddress: ___________________ _
CONTRACTOR CERT/FICA T/ON: /certify that f 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): _________ SIGNATURE: _________ DATE: _____ _
Note: If the person signing above Is an authorized agent for the contractor provide a letter of authorization on contractor letterhead.
-OR -
(OPTION B): OWNER-BUILDER DECLARATION:
f 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
hin one year of completion, the owner-builder wil! have the burden of proving that he did not build or improve for the purpose of sale}.
-OR-
, as owner of the property, am e)(clusively 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,
}(I FORM B,61 "Owner Builder A~knowledgement 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 7044of the Business and Professions Code, isavailableupon request when this application is
submitted or at the fol lowing Web site: http: I !www.leginfo.ca.gov I ca/aw. html.
OWNER CERT/FICA TfON: /certify that I have read the application and state that the above information is correct and that the
informationonthe plans is accurate. /agree to comply with alt City ordinances and State laws relating to building
construction.
NAME (PRINT): /Cll!-tM AlflMl SIGN: ~ DATE: 2/2-'-f /?--?.-
Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad,CA 92008 Ph: 760-602-2719 Fa)(: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07121