HomeMy WebLinkAbout140 ACACIA AVE; # 2; CBR2022-0786; PermitBuilding Permit Finaled
Residential Permit
Print Date: 04/09/2024
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
140 ACACIA AVE, # 2, CARLSBAD, CA 92008-3204
BLDG-Residential Work Class:
2042332400 Track #:
$0.00 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Alteration
Permit No:
Status:
{city of
Carlsbad
CBR2022-0786
Closed -Finaled
Applied: 03/09/2022
Issued : 03/30/2022
Finaled Close Out: 04/09/2024
Final Inspection: 12/27/2023
INSPECTOR: Alvarado, Tony
Description: ZANJANI -UNIT 2: BATHROOM REMODEL// NEW WATER LINE AND CANNED CEILING LIGHTS// WINDOW MODIFICATION (
PLAN, INSPECTOR TO VERIFY SCOPE OF WORK, E-REVIEW)
Property Owner:
KHATIB-ZANJANI BEHJAT TRUST 03-03-03
140 ACACIA AVE
CARLSBAD, CA 92008-3204
(714) 488-3056
FEE
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
REMODEL-RESIDENTIAL-KITCHEN or BATH
SB1473 -GREEN BUILDING STATE STANDARDS FEE
WINDOWS/DOOR -RESIDENTIAL
Total Fees : $853.00 Total Payments To Date: $853.00 Balance Due:
AMOUNT
$193.00
$350.00
$1.00
$309.00
$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
(_ Cifyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CBR2022-0786
Est. Value
PC Deposit
Date
Job Address 140 Acacia Ave. Unit: 2 APN: 204-233-24-00 ·------
a/Project #:. _________________ L,ot #: 8..&..8 Vear Built: _1_97_2 _______ _
Fire Sprinklers:OE~NO Air Conditloning:QYES@No Electrical Panel Upgrade0Es@No
BRIEF DESCRIPTION OF WORK: BATHROOM REMODEL// MISC ELECTRICAL AND PLUMBING
0 New SF : _____ living SF,__,_,.___ Deck SF, ____ Patio SF,. ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? Qv@N New Fireplace? ov@N, if yes how many? __
lilRemodel: 676 SF of affected area Is the area a conversion or changed use?Qv@)N
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
osolar: ___ ,KW,, ___ Modules, MountedOoof{):;round, TiltO vO N, RMA:QvQN,
Battery: 0, 0, Panel Upgrade: Qv 0'1
D Re roof:. _________________________________ _
[ii Plumbing/Mechanlcal/Electrlcal
0 Only: Other:
can celling lights, bathroom faucets/shower/fixtures, new water supply line
PRIMARY APPLICANT PROPERTY OWNER
Name: Behjat Zanjani Name: Behjat Zanjani
Address: 2091 Salt Air Dr. Address: 2091 Salt Air Dr.
City: Santa Ana state: CA Zip: 92705 City: Santa Ana State: CA Zip:_9_'ZT_0_5 __
Phone: (714) 488-3056 Phone: (714) 488-3056
Email: bzanjani@iemcm.com Email: bzanjani@iemcm.com
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name:. ________________ Business Name:. ______________ _
Address: Address: -----------------CI ty : _________ State:. ____ Zip:. ____ Clty:. _______ .State:. ____ Zlp:. _____ _
Phone: ________________ Phone: _________________ _
Email: Email:. _________________ _
Architect State License: ___________ CSLB License #:, _______ class:, ______ _
Carlsbad Business license# (Required):, ______ _
APPUCANT CERTIFlCATION: I certify that I have read the application and state that the above information is correct and that the
informationon the plans is accurate. I agree to comply with all City ordinances and StaJe laws relating to building
construction. .6 7
NAME (PRINT): Behjat Zanjani SIGN: _ C..--Z-:,;;,;./DATE: 03/04/2022
~
163S Faraday Ave Carlsbad, CA 92008 Ph: 442•339-2719 Fa11: 7 EmaU: 0uilding@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 herebyaf f irm underpenal tyof per jury that I am licensed under provisionsof Chapter 9 ( commencing with Section 7000) of Division 3
of the Business and Prof essians Cade, and my license is in full farce and effect. I also affirm under penalty of perjury one of the
fol lowing 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. PollcyNo. ___________________________________ _
..QR.
("'\1 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,
'-r:;(y workers' compensation Insurance carrier and policy number are: Insurance Company Name: ___________________ _
Polley No. _________________________ Expiration Date: ______________ _
..OR· Q 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 Callfomla. WARNING: Failure to secure worken compensation coven1e Is unlawful and shall subject an employer to
criminal penahles and dvll fines up to $100,000.00, In addition the to the cost of compensation, dama1es as provided for Jn Section 3706 of the labor Code,
Interest and attomey'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 ts Issued ISec. 3097 (II Civil Code).
lender's Name:. ___________________ lender'sAddress: __________________ _
CONTRACTOR CERTIACATION: 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.
NAME (PRINT): _________ SIGNATURE: _________ DATE: _____ _
Note: If the pl!non sl1nin1 above Is an authorized agent for the contractor provide a letter of authorization on contnctor letterhead.
-OR -
(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 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) 1licensed
pursuant to the Contractor's License Law).
-OR· 0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Bullder 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 t have built as an owner-builder If it has not been constructed in Its entirety by licensed
contractors, I understand that a copy af the applicable law, Section 7044 of the BuslnessandProf esslons Code, lsavallableupon request when this application Is
submitted or at the following Web site: http: I lwww.leglnfo.ca.gov/calaw.html.
OWNER 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. I agree to comply with all City ordinances and State laws relating to building
construction.
NAME (PRINT): Behjat Zanjani
Note: If the penon signing above Is an authorized agent for the property owner I
1635 Faraday Ave Carlsbad, CA 92008 Em all: Buildins@carlsbadca.gov
2 REV. 07121
C cityof
Carlsbad
OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
B-61
Development Services
Building Division
1635 Faraday Avenue
442-339·2719
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 140 Acacia Ave., 1, 2, and 3, Carlsbad, CA 92008
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 Carlsbad.
INSTRUCTIONS: Please read and initial each statement below to acknowledge your understanding and
verification of this lnformatlon 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. BZ I 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. BZ I 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.
Ill. BZ I understand as an "Owner-Builder" I am the responsible party of record on the permit. 1 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. BZ 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. BZ I 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, 1 may be
considered an "employer" under state and federal law.
1 REV.08/20
Owner-Builder Acknowledgement Continued
VI. 82 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 "employee." I also understand my failure to abide by these
laws may subject me to serious financial risk.
VII. BZ 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. BZ 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. BZ I understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit
Payments, and the California 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. 82 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:
140 Acacia Ave., Units 1, 2, and 3, Carlsbad, CA 92008
XI. 82 I agree that, 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. 82 I 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. 1f 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 unllcensed 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 whlle working on your property, you may be held liable for damages. If you obtain 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 can be issued, this form must be completed, signed by the property owner and returned
to the City of Carlsbad Building Division.
I declare under penalty af perjury that I have read and understand all a/ the fn/armatlan provided an this form and that my responses, Including my
autharlty ta sign this form, Is true and carrect. I am aware that I have the aptian ta cansult with ltgal caunse/ prlar ta signing this farm, and I have
either (1J consulted with legal caunse/ prlar to signing this form ar (1) havt waived this right In signing this farm withaut the advir:e a/ /tga/ r:ounsel.
Co~ Behjat Zanjani
Property Owner Name (PRINT)
03/09/2022
Date
REV. 08/20
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2022-0786)
Permit Type: BLDG-Residential Application Date: 03/09/2022 Owner: TRUST KHATIB-ZANJANI BEHJAT
TRUST 03-03-03
Work Class: Alteration Issue Date: 03/30/2022 Subdivision: PARCEL MAP NO 02616
Status: Closed -Finaled Expiration Date: 09/05/2023 Address: 140 ACACIA AVE, # 2
IVRNumber: 39218 CARLSBAD, CA 92008-3204
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
03/06/2023 03/06/2023 BLDG-17 Interior 204720-2023 Partial Pass Tony Alvarado Reinspection Incomplete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-24 Rough/Topout 204718-2023 Passed Tony Alvarado Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
NOTES Created By TEXT Created Date
Becky Falk BEHJAT 714-488-3056 03/03/2023
BLDG-27 Shower 204899-2023 Passed Tony Alvarado Complete
Pan/Tubs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-34 Rough 204719-2023 Passed Tony Alvarado Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-44 204898-2023 Passed Tony Alvarado Complete
Rough/Ducts/Dampers
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
11/01/2023 11/01/2023 BLDG-Final Inspection 229007-2023 Failed Tony Alvarado Reinspection Incomplete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final November 1, 2023: final inspection for No
plumbing, electrical, structural components,
and mechanical scope of work not ready -
failed.
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
BLDG-SW-Inspection 229211-2023 Partial Pass Tony Alvarado Reinspection Incomplete
Wednesday, December 27, 2023 Page 1 of 2
PERMIT INSPECTION HISTORY for (CBR2022-0786)
Permit Type: BLDG-Residential Application Date: 03/09/2022 Owner: TRUST KHATIB-ZANJANI BEHJAT
TRUST 03-03-03
Work Class: Alteration Issue Date: 03/30/2022 Subdivision: PARCEL MAP NO 02616
Status: Closed -Finaled Expiration Date: 09/05/2023 Address: 140 ACACIA AVE, # 2
CARLSBAD, CA 92008-3204
Scheduled
Date
12/27/2023
IVRNumber:
Actual Inspection Type
Start Date
Inspection No.
Checklist Item
Are inactives slopes properly
stabilized?
Are areas flatter than 3: 1
covered or protected?
Are sediment controls properly
maintained?
Are natural areas protected
from erosion?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Have materials collected
around the storm drains?
Has sediment accumulated on
impervious surfaces?
Are dumpsters and trash
receptacles covered?
Has trash/debris accumulated
throughout the site?
Are all storage areas clean
and maintained?
Were spills/leaks observed
during the inspection?
Were there any discharges
during the inspection?
COMMENTS
12/27/2023 BLDG-Final Inspection 234779-2023
Checklist Item
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Wednesday, December 27, 2023
39218
Inspection Primary Inspector
Status
Passed Tony Alvarado
Reinspection Inspection
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Passed
Yes
Yes
Yes
Yes
Complete
Page 2 of2