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1780 BUENA VISTA WAY; ; CBR2022-0380; Permit
PERMIT REPORT Residential Permit Print Date: 05/23/2023 Job Address: 1780 BUENA VISTA WAY, CARLSBAD, CA 92008-1541 (city of Carlsbad Permit No: CBR2022-0380 Status: Closed . Explred Permit Type: BLDG-Residential Work Class: Single Family Attached Parcel#: 1561420900 Track#: Applied: 02/07/2022 Valuation: $203,400.00 Lot#: Occupancy Group: #of Dwelling Units: 1 Bedrooms: Bathrooms: Project Title: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check #: Issued: Finaled Close Out: Final Inspection: INSPECTOR: Description: 1780 BUENA VISTA; NEW ATTACHED 2ND FLOOR ADU (1,200 SF), 2ND FLOOR DECKS (58.0), 1ST FLOOR NEW (594 SF) GAME ROOM AND (132 SF) WORKSHOP Property Owner: CO-OWNERS DAVIS ROBERT A AND DIAKOULA KARA FEE BUILDING PLAN CHECK BUILDING PLAN CHECK BUILDING PLAN CHECK FEE (manual) 1780 BUENA VISTA WAY CARLSBAD, CA 92008-1541 BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) CERTIFICATE OF OCCUPANCY DECKS/BALCONY -NEW/REPLACE GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION REMODEL-RESIDENTIAL -0TH ER SB1473 -GREEN BUILDING STATE STANDARDS FEE SFD & DUPLEXES STRONG MOTION -RESIDENTIAL (SMIP) Total Fees: $5,489.59 Total Payments To Date: $0.00 Balance Due: AMOUNT $976.64 $808.60 $440.39 $194.00 $98.00 $15.00 $825.00 $175.00 $677.52 $9.00 $1,244.00 $26.44 $5,489.59 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. C') l--LCLt1l4- .. ~cjcl9cX 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 \ (cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check C-0R.2o2-2-D3!:,D Est. Value {i 2.0f31 V/f ,5(2.. PC Deposit Ji :21 2.V;;C. '2.3 Date ~ .. 7 -2 O 7--;i... Unit: ______ APN: __________ _ CT /Project #: _________________ lot #: ____ Year Built:--'-\ q--,;.a;S_S-_________ _ Fire Sprinklers:OEs@No Air Conditioning:@YEsQ NO Electrical Panel UpgradeQYES,©No BRIEF DESCRIPTION OF WORK:8..__l-{..._11._.l)._;_.J_,E;, _ __.A_-I ___ A_D._f-1_.___,_,A...,B ... o._v--'c .... -_...,e......_J<.,..Sc.,..1 ... s.a..r ... : .... ,y.._r:7.,.._ ... Ez ....... A .... e ........ &"'-"''--,.._-C ___ _ c:l. New SF: ( 7..90 LivingSF,_~_DeckSF, 6"f> PatioSF, ____ GarageSF __ _ Is this to create an Accessory Dwelling Unit?@YQN New Fireplace? QYQ}N, if yes how many? __ _ ~emodel: ,, 016 SF of affected area Is the area a conversion or change of use? Ov QN 0 Pool/Spa: ____ SF Additional Gas or Electrical Features?~--~~----~~~ osolar: ___ KW, ___ Modules, Mounted0oof0round, Tilt:O vO N, RMA:Ov QN, Battery: Qv OJ, Panel Upgrade: Qv ~ D Re roof: __________________________________ _ D Plumbing/Mechanical/Electrical 0 Only: Other: t~ PRIMARY APPLICANT PROPERTY OWNER Name: fu\oe:,e;:;\: :I)a..v ,':::;, Name: }?..o\:..>e,-..--\. f:w:..ort0 ~v~,~ Address: \3:'QC;.J Y:i,,,,.£;[\O\ \h-;;..\-c,,._ ~ Address: \3:W :S-'::>-1,-Vf\0, \I,~\<-'\. \.P:-1 City: {o..,.n>Y?<N1, State: c A Zip: 0\1-0~ City: (°'-r \ 2 t::;p.,,g. State:CA Zip: oq.--oo~ Phone: ::ha Q• S 2. 2-· -:::\w5 '1-Ph one: ¾ Cl, S 1... '2.. -"'t ~ $~ Email: YY't: Cq..,Q-\;\ ::,D<A ~;'. Q.('{\O..~ \ , ( .O fY, Email: YY\.£: s:,_c..,.rv\,v\.°'-@ "JV\A,: \ . Co {Y\ J ..:J DESIGN PROFESSIONAL J -CONTRACTOR OF RECORD ~ Name:R,oJ L1Nxillf'" -K¢.i$ I-fay!.£ P/AJS BusinessName:SA-J \2'~'-,o .::f¾ .... "'-c,, .... g Address:86'1 '(:,,.,¢ ✓oew ..,,._,;1zo?-Address: 2 ~l?-do~rt-.1 v--ft'tf . ' ( City:6,· . ..-A_, s, -:i ,__ State: CA Zip: "I Zos-':{ City: 6 le'\" s I o < State: c 4 Zip: <=i z 6 ~ '- Phone: -::'ft.,() -'1-2.. ':I, -Lf ( s 1 Phone: + "'"' -e •-\ G:, -(o ?:i 1 !e Email: R,o,.J S f>L A...J5 ($) C.Cx.. , ..f E ::C Email:S "'.., t> 1 E "'c. "&~, ' .... ., ,.~ ~ ~ 6 NJ A IL. <.o ~ Architect State License: ___________ CSLB License#: 't 2, ;:, 9 '-l 2. Class:_g _____ _ Carlsbad Business License# (Required): 81.. ~E l 1. 'i c, ~ z 8 APPLICANT CERT/FICA T/ON: /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 Ci · nd State laws relating to building construction. J NAME(PRINTJ1Ks1e:c.-r A-t:;>A ✓·,) s1GN:~....,,,,,,~===~::::.::::.::.:::.::0ATE: 1/13(2022 1635 Faraday Ave Carlsbad, CA 92008 Em,I: Buil,g@carJsbadca.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 Jam licensed under provisions of Chapter9(commencing with Section 7000)of Division 3 of the BusinessandProfessions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the foUowing 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. Po!icyNo. -OR-n1 have ;_,nd 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. "rv,'y workers' compensation insurance carrier and policy number are: Insurance Company Name:-~~~~~~-~~---~-~~~ Policy No. __________________________ Expiration Date:--------------~ .,-IOR- {YJ 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) Civ·i1 Code). Lender's Name: ____________________ Lender'sAddress: ___________________ _ CONTRACTOR CERTIFICATION: 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. /agree to comply with all City ordinances and State laws relating to building construction. NAME {PRINT): VJ1,Mf 1/w,. {)(f(.fi* SIGNATURE: ________ DATE: /-/ /-2-f Note: If the person signing above is an authorirnd agent for the contractor provide a le (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 w"itl1 wages as the·1r 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 bu"1lding 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 l 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 J 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 70440/ the Business and Professions Code, is available upon request when thisapplicationis submitted or at the following Web site: http: I twww.leginfo.ca.gov/calaw.htm/. 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 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 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21