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Home My WebLink About2855 Rancho Cortes; ; CBR2017-0693; Permit• Print Date: 04/19/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2855 Rancho Cortes BLDG-Residential 2226602600 $4,800.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Cogen Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check #: Plan Check#: Description: KARIMI: INSTALL 12 FLUSH-ROOF MOUNTED PV PANELS, 4.28 KW, NORMA, NO UPGRADE BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG! S81473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $121.66 Owner: COOWNER KARIMI IRAJ AND HAGHNIA MARJAN 2855 Rnacho Cortes CARLSBAD, CA 92009 Total Payments To Date: $121.66 Status: Applied: Issued: Fina led: Inspector: Balance Due: 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. Permit No: CBR2017-0693 Closed -Finaled 04/04/2017 04/04/2017 $0.00 $70.61 $49.43 $1.00 $0.62 EHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE, □PLANNING 0 ENGINEERING @BUILDING □FIRE □HEALTH 0 HAZMAT/APCD , {.Cicyof Plan Check No.( j\ Q ~ 611-CYi1,. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Cctrlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date q / Jf Ir ·1 JOB ADDRESS ?.-6 55 ~cl,,. C<'f"'ll2.5 SUITE#/SPACE#/UNIT# IAP:_ ---- CT/PROJECT# ILOT# I PHASE# I#; UNITS I# ~ORO OMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE l OCC. GROUP ~ DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) t 'l\r;,-tatfi'Vlj Plf (~olP,r) .sy~-re rn -\i-f';tneC. M.iC.~o iV1'(ef"1b{" -~L.i>-sli YJ\QO..Y\-t.e_d • 4.-i.g IL w Pt c.. ~ /\lb (R Mft EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESQ NO□ YES □No □ YES□No□ APPLICANT NAME '1("'-1 ~V>\.-\ PROPERTY OWNER r f t?-:J v <t n ""--' Primary Contact ADDRESS ADDRESS 1<-""-'rt.ehP &rt.!. s U 5 .S ~ .. ,.,.cl,, e> ( 't" t,.S '2...S$.5 CITY u,ir~ S.:tol STATE ZIP CITY Cb.., l$ e,d STATE ZIP < 9,-~ 7.-Poq (',,,. G'")..0-0'7 PHONE I FAX PHONE IFAX 8SS-~65-q-;,.q'";:1. - EMAIL EMAIL e t..21! 1:t t'C f .,r 'A OU. {JJ.._ G. l'r\'l ( L . C <> WI DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS -CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL I STATE LIC. # STATE UC.# I CLASS l CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affinn under penalty of perjury one of the following declarations: B I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and wlll maintain workers' 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 Co, ______________________ Policy No, _______________ Expiration Date __________ _ ~tion need not be completed if the permit is for one hundred dollars ($100) or less. IYJ 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 lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama es as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE ~y affirm that I am exempt from Contractor's License Law for the following reason: ~ ~· as owner of the property or my employees with wages as '.heir s~le compensation, will do the work and the st~cture is not intend?d or offered for sale (~c. 7044, Busi~ess and Professions ~ode: 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). 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 Contracto(s License Law). I am exempt under Section ________ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement OYes ONo 2. I (have I have not) signed an application for a building permit for the proposed work. 3, I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number)· 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT ' I Is the applicant or future building occupant required to submit a business p~ acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Haiardous Substance Account Act? □ Yes ~ No Is the applicant or-future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes IY"No Is the facilit~ to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes 'e'No IF ANY OF (HE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE tSSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information ls 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 au1horize representative of the Cify 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 fCX"excavatioos over 5'0' deep and demolition a construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building orwor1<. authorized by such permit is not commenced v.ffllin 180 days from the date of such permit or if the buildi or'Mlrk authorized by such pennit is suspended or abandoned at any time after 1he work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). _15 APPLICANT'S SIGNATURE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of cansbad, Building Division 1635 Faraday Avenue, cansbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY Carlsbad STATE ZIP CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY Ol'TlONS 0 PICK UP: u CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#'----------- 0 MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER: ________________ _ □ CHANGE OF USE/ NO CONSTRUCTION ..f!APPLICANT'S SIGNATURE DATE ., . PERMIT INSPECTION HISTORY REPORT (CBR2017-0693) Pcn(iit Type: Work Class: Status: Scheduled Date BLDG-Residential Cogen Closed -Finaled Actual Start Date Inspection Type Application Date: 04/04/2017 Owner: Issue Date: 04/04/2017 Subdivision: Expiration Date: 10/16/2017 Address: IVR Number: 2933 Inspection No. Inspection Status Primary Inspector 04/19/2017 04/19/2017 BLDG-35 Solar Panel 020420-2017 Passed Peter Dreibelbis April 19, 2017 BLDG-Fina I Inspection Checklist Item BLDG-Building Deficiency 020419-2017 Checklist Item BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Peter Dreibelbis COMMENTS COOWNER KARIMI IRAJ AND HAGHNIA MARJAN CARLSBAD TCT#93-04 RANCHO CARRILLO PHASES 4&5 2855 Rancho Cortes Carlsbad, CA 92009-3035 Reinspection Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1