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Home My WebLink About2709 MATEO PL; ; CBR2024-2421; Permit{"Cityof Carlsbad ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check _______ _ Est. Value PC Deposit Date Job Address2709 MATEO PLACE CARLSBAD CA 92009 Unit: ____ _.APN: __________ _ CT/Project #:, _________________ ,Lot #:, ____ Year Built: ________ _ BRIEF DESCRIPTION OF WORK:CHANGE OUT, LIKE FOR LIKE, SPLIT SYSTEM (AC & FURNACE) IN THE SAME LOCATIONS. NO DUCT WORK. □ 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:ASHLEY ROBINSON Name: THOMAS APPLEGATE Address-285 E IMPERIAL HWY #200 Address:2709 MATEO PLACE City: FULLERTON State: CA Zip:,_9_28_3_5 __ City: CARLSBAD State: CA Zip:_92_0_0_9 __ _ Phone:626-476-5403 Phone: 760-310-8490 Email:ashley@thepermitguys.com Email: ------------------- DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: _________________ Business Name: WE CARE PLUMBING HEATING AND AIR Address: Address:41085 GOLDEN GATE CIR City:, _______ _,.,tate:, __ _.Zip:,_____ City: MURRIETA state: CA Zip:,_9_25_6_2 ____ _ Phone: Phone: 951-600-0700 Email: Email: _________________ _ Architect State License: CSLB License #:,_7_79_6_0_4 ____ class:_C_-2_0 ____ _ Carlsbad Business License# (Required): _______ _ APPLICANT CERT/ FICA TION: I certifl that I have read the application and state th agree ta comply with all City ordinances and State laws relating ta building construction. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2 719 rrect and that the information of the plans is accurate. I Email: Byjidjng@caclsbadca 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 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- D1 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: _A_1_u_1N_s_u_R_A_N_c_e_c_o_M_PA_NY _______________ 1 Policy No. WC088412524CA Expiration Date: _o_r,_112_0_2_s ______________ , -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 developme ave been accurately shown nd labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existe e t time of their cons ion, unless otherwise noted. NAME (PRINT): ASHLEY ROBINSON Note: If the person signing above Is an authorized agent for the cont {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 h 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 exist the time of their co ruction, unless otherwise noted. NAME (PRINT): ASHLEY ROBINSON Note: If the erson sl nln above Is an authorized a ent for the ro 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 (CBR2024-2421) Permit Type: BLDG-Residential Application Date: 09/11/2024 Owner: Work Class: P/M/E Issue Date: 09/13/2024 Subdivision: Status: Closed -Finaled Expiration Date: 05/14/2025 Address: 2709 MATEO PL IVR Number: 58818 CARLSBAD, CA 92009-8136 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection Date Start Date Status 11/15/2024 11/15/2024 BLDG-43 Air 268055-2024 Passed Tony Alvarado Complete CondJFurnace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final Inspection 268056-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Electrical Final Yes Thursday,May1,2025 Page 1 of 1