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Home My WebLink About2848 JEFFERSON ST; ; CBR2024-1327; PermitPrint Date: 10/31/2024 Building Permit Finaled Residential Permit CBR2024-1327Permit No: Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2848 JEFFERSON ST, CARLSBAD, CA 92008-1754 BLDG-Residential 2032021900 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 05/23/2024 05/23/2024 Finaled Close Out:10/31/2024 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:05/29/2024Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:de Roggenbuke, Dirk JEFFERSON HOUSE II: BOILER REPLACEMENT (E-REVIEW)Description: Project Title: Applicant: ASAP DRAIN GUYS AND PLUMBING TIMOTHY DEMPSTER 12150 DEARBORN PL POWAY, CA 92064-7110 Property Owner: PGP CARLSBAD SENIORS LIMITED II 1120 SILVERADO ST LA JOLLA, CA 92037 Contractor: ANDERSEN COMMERCIAL PLUMBING LLC 999 RANCHEROS DR, # STE B SAN MARCOS, CA 92069-3099 (760) 721-2904 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $221.00 Total Fees:$221.00 Total Payments To Date:$221.00 Balance Due:$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. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check CB R.2Q7:--'-'l-/3 :z,1 Est. Value PC Deposit Date r:;;· --'M -,Zo 1-v( Job Address 2 <j L( "i j «-f f c.. r ) o"' t '9 t--Unit: APN: ----------------- CT/Project #: _________________ .Lot#: Year Built: _l_?_""_i ______ _ BRIEF DESCRIPTION OF WORK: lS ~ ; I • .....-r <-1' I a 't.N\. '-~ □ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N, if yes how many? ___ _ D Remodel: _____ SF of affected area Is the area a conversion or change of use? O Y C N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □ Solar:. ___ KW, ___ Modules, Mounted: 0 Roof O Ground, Tilt: 0 YO N, RMA: 0 Y 0 N, Battery:OYC N, Panel Upgrade: O v O N Electric Meter number: ------------0th er: l'3 I! c le?,-it <. r I " l.vo\. t.-.. -i- APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name: ~.,._o ~":-r Dc.'Vlr ->k_,_ Name: __________________ _ Address: i2 i 'S'Q Og ~ .~'3,-"-P {.-..c..L Address: __________________ _ City: Q,; V:!ey State: (__A_ Zip: <) l O C. Lf Clty: _________ state:. ___ Zip: ____ _ Phone: G<. O) 7<,, ·1 --L/C,Ll'-1 Phone:. __________________ _ Email: 't',,...kc;,-,,!e..r 5 ' cn1•\eJ"'1 " u""-Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: _________________ BuslnessName: A.~Af Ora.,· .. c.,..,,1\ a."-J ~l..1,._~; ... 7 Address: Address: { l. i'5 u Q(.4::c b~,... "-p ( ... <SI City:. _______ State: ___ .Zip:.____ City: f ~""''."1 State: c ri. Zip: 'i LOC.4 Phone: Phone: '-76 ) "7 b 2 -4 ~ ... ll-f Email: Email: w ~r v.." r J ( r.S(!:~ £Al QI/ c1J '(J (_utr\ Architect State License: CSLB License#: ( o • ~ ~ L Class: C 3(., ---------- Car Is bad Business License# (Required): 6 LgJ 01 <.> 1 t 1 •• 0 ~ - J._/J ).j APPLICANT CERTIFICATION: I certify that I have read the appl/catlon and state that the above Information Is correct ond that the lnfarmatlon af the plans Is accurate. I og~ to wmp/y with ,11 c;• ""'®"" "" Slott lo~ reloHa, to bolldmg w""''""'· /j ~ NAME (PRINT): I t M a ~k;t O t.r"<\f~~ SIGN: /;;.J~1lv DATE: 6 / 1/j /2-'( 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: 8uildlng@carlsbadca.gov REV. 04122 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 LITTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penal tyof 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 fut If orce and effect. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): D 1 have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the l..lbor Code, for the performance of the work which this permit is Issued. Policy No. ________________________________________ _ -OR-~ have and will maintain worker's compensation, as required by Section 3700 of the l..lbor Code, for h performan_ce of the "".'ork for which this permit Is Issued. My workers' compensation insu nee carrier and policy number are: Insurance Company Name: --r-.--; ,,<-.\-e,,-, ·' , 1--. <-. Polley No. \,J L. ft _ C s 3 I q "o 1 '7 Expiration Date: ~u~· 7...,./~0~1'-+-/ "'"'2_._'{ _______ _ -OR- D 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 l..lws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to crlmlnal penalties and clvll 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 CERTIFICATION: The applic,mt certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans Inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application Is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utllltles. The existing and proposed use of each building as stated Is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All Improvements existing on the property were completed In accordance with all regulations In existence at the time their construction, unless otherwise noted. NAME (PRINT):\;""' l k>I Oe..,.,p l-v SIGNATURE~ DATE: 5} I' /2.i-) Note: If the person signing above Is an authorlzeil agent for the contractor rovlde a letter of authorization on contractor letterhead, (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 l..lw 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- 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). -OR- D 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 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 7044 of the Business and Professions Code, Is available upon request when this appltcatlon Is submitted or at the fol/owing Web site: http:I!www.leginfo.ca.gov/ ca/aw.html. OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utllltles/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans Inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application Is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utllltles. The existing and proposed use of each building as stated Is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All Improvements existing on the property were completed In accordance with all regulations In existence at the time of their construction, unless otherwise noted. __________ DATE: ______ _ owner Include form B-62 sl ned b owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2024-1327) BLDG-Residential 05/23/2024Application Date:Permit Type:Owner:PGP CARLSBAD SENIORS LIMITED II P/M/E 05/23/2024Work Class:Issue Date:Subdivision:SCHELL & SITES ADD 11/19/2024Expiration Date:Status: IVR Number: 56616 Closed - Finaled 2848 JEFFERSON ST CARLSBAD, CA 92008-1754 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 05/28/2024 05/28/2024 BLDG-25 Water Heater/Vents 249700-2024 Cancelled Dirk de Roggenbuke Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 249701-2024 Cancelled Dirk de Roggenbuke Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 05/29/2024 BLDG-25 Water Heater/Vents 249903-2024 Scheduled Dirk de Roggenbuke Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 249904-2024 Passed Dirk de Roggenbuke Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Wednesday, May 29, 2024 Page 1 of 1 {cityof Carlsbad