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Home My WebLink About2766 INVERNESS DR; ; CBR2024-2114; Permit{"Cityof Carlsbad ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address 2766 Inverness Dr, Carlsbad 92010 Unit: ____ _.APN: 2081022000 CT/Project #:, __________________ ,Lot #:, ____ Year Built: _1_98_7 ________ _ BRIEF DESCRIPTION OF WORK: Air Handler Split Heat Pump Duct < 25FT □ 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? 0 YO N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ O solar:, ___ KW, ___ Modules, Mounted:0Roof0Ground, Tilt: CYON, RMA:OY ON, Battery:OvC N, Panel Upgrade: OvGN Electric Meter number: ------------- 0th er: APPLICANT {PRIMARY CONTACT) PROPERTY OWNER Name: JEREMY SENKEVECH Name: Kyle Pacheco Address· 772 JAMACHA RD #165 Address: 2766 Inverness Dr, City: EL CAJON State: CA Zip:,_9_20_1_9 ___ City: Carlsbad State:_C_A _ _.Zip: 92010 Phone: 619-905-0872 Phone: (714) 348-3532 Email:ADMIN@GRIZZLYTESTING.COM Email: kylepacheco@yahoo.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name:_s_e_m_p_er_s_o_la_ri_s ___________ _ Address: Address: 1805 John Towers Ave City:, ________ tate:, __ _.Zip:,_____ City: El Cajon State:_c_A _ _.Zip: 92020 Phone: Phone: (619) 493-4361 Email: Email: HVACpermits@sempersolaris.com Architect State License: CSLB License#: 9?8152 Class: C-20 -------- Carlsbad Business License# (Required):_1_1_51_8_4 _____ _ APPLICANT CERT/ FICA TION: I certify that I have read the application and state that the above information is correct and that the information of the plans is accurate. I agree ta comply with all City ordinances and State laws relating ta building construction. NAME (PRINT): JEREMY SENKEVECH SIGN:~ S~ DATE: 08/13/2024 1635 Faraday Ave carlsbad,CA92008 Ph: 442-339-2719 Email: Byjidjng@caclsbadca goy 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 LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. {OPTION A): LICENSED CONTRACTOR DECLARATION: I herebyaf firm underpenal ty of perjury that I am licensedunder provisionsof Chapter 9 ( commencingwith Section lOOO)of Division 3 of the Business and Professions Code, and my license is in full force and effect. /also affirm under penalty of perjury one of the following declarations (CHOOSE ONE}: D1 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- ~I 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. My workers' compensation insurance carrier and policy number are: Insurance Company Name: MIDWEST EMPLOYERS CASUALTY COMPANY Policy No. BNuwco1s101a Expiration Date: _1_0,_1_012_0_2_4 ______________ 1 -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 Laws of califomia. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to crlmlnal penalties and clvil 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 CERTIFICATION: The applicant 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 utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to developrrt""' h""'-' bee" occu,ote/y,how" ond lobelod.,. well as al I 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 ~therwise noted. NAME (PRINT)= JEREMY sENKEvEcH siGNATURE=S s~ DATE: oa,13512024 Note: If the person signing above Is an authorized agent for the contra t Ide ~ization on contractor letterhead. -OR- {OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, 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- D1, 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- D1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM 8-61 "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 7044of the Business and ProfesslonsCode, ls available upon request when this application Is submitted or at the following Web site: http: I lwww.leglnfo.ca.gov/calaw.html. OWNER CERT/FICA TION: The applicant 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 utilities. 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. NAME (PRINT): Note: If the erson sl nln above Is an authorized a ent for the ro rt owner Include form B-62 sl ned owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2024-2114) Permit Type: BLDG-Residential Application Date: 08/08/2024 Owner: Work Class: P/M/E Issue Date: 08/15/2024 Subdivision: Status: Closed -Finaled Expiration Date: 05/12/2025 Address: 2766 INVERNESS DR IVR Number: 58161 CARLSBAD, CA 92010-6522 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 10/23/2024 10/23/2024 BLDG-43 Air 265444-2024 Failed Dirk de Roggenbuke Reinspect ion incomplete CondJFurnace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency 10/23/24 contractor did not notify No homeowner of inspection BLDG-Final Inspection 265443-2024 Failed Dirk de Roggenbuke Reinspection incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 11/12/2024 11/12/2024 BLDG-43 Air 267362-2024 Passed Tony Alvarado Complete CondJFurnace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency Approved air conditioning heating Yes inspection -OK. BLDG-Final Inspection 267361-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Electrical Final Yes Tuesday, May 6, 2025 Page 1 of 1