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1019 LANDS END CT; ; CBR2024-1857; Permit
Print Date: 06/17/2025 Building Permit Finaled Residential Permit CBR2024-1857Permit No: Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1019 LANDS END CT, CARLSBAD, CA 92011-3407 BLDG-Residential 2145311600 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 07/16/2024 07/19/2024 Finaled Close Out:06/17/2025 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:09/05/2024Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Kersch, Tim REPLACE FURNACE AND SPLIT HEAT PUMP (E-REVIEW)Description: Project Title: Applicant: WE GREEN INC TARA VAN SAMBEEK 3675 RUFFIN RD, # SUITE 320 SAN DIEGO, CA 92123-1835(888) 991-4377 Contractor: NB BAKER ELECTRIC INC 2120 HARMONY GROVE RD ESCONDIDO, CA 92029-2053 (442) 257-0877 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 RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date Job Address Unit: APN: CT/Project #: Lot #: Year Built: BRIEF DESCRIPTION OF WORK: PROPERTY OWNER Name: Address: State: Zip: City: State: Zip: Phone: APPLICANT (PRIMARY CONTACT) Name: Address: City: Phone: Email: Email: DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: Business Name: Address: City: State: Zip: Phone: Email: Architect State License: Address: City: State: Zip: Phone: Email: CSLB License #: Class: Carlsbad Business License # (Required): APPLICANT CERTIFICATION: 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 to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): DATE: 1635 Faraday Ave Carlsbad, CA 92008 SIGN: Ph: 442-339-2719 Email: Building@carlsbadca.gov 1 REV. 04/22 New SF : Living SF, _ Deck SF, Patio SF, Garage SF Is this to create an Accessory Dwelling Unit? Y N New Fireplace? Y N , if yes how many? _________ Solar: KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N, Battery: Y N, Panel Upgrade: Y N Other: Additional Gas or Electrical Features? Pool/Spa: SF Is the area a conversion or change of use? Y N Remodel: SF of affected area Electric Meter number: _____________________________ 7/16/2024 1019 Lands End Ct Replace Furnace and Split Heat Pump Tara Van Sambeek Glenn Dourado 3675 Ruffin Rd 1019 Lands End Ct San Diego CA 92123 Carlsbad Ca 92011 888-991-4377 858-717-6632 t.vansambeek@wegreeninc.com glenn.dourado@gmail.com Baker Home Energy 2120 Harmony Grove Rd Escondido Ca 92029 877-578-8080 tross@bakerhomeenergy.com 858088 C20 Blos1221102 07/16/0204Tara Van Sambeek □ □ □ □ ( City of Carlsbad 0 0 00 0 0 00 00 Tata VaM Sambeek 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 hereby affirm under penalty of 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 full force and effect. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): I 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. Policy No. -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: Policy No. _____________________________________________________________ Expiration Date: -OR- 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 California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil 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 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): SIGNATURE: DATE: Note: If the person signing above is an authorized agent for the contractor provide 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: 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- 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 Contractor’s License Law). -OR- I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, 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. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER 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 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): SIGN: DATE: Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 -OR - Old Republic Insurance MWC31255523 3/1/2025 Tara Van Sambeek 7/16/2024 □ □ □ □ □ □ □ Tata Va11 Sar11beek BAKER ELECTRIC H (~; 1 [ [ [ R G Y Baker Home Energy 2120 Harmony Grove Rd, Escondido CA 92029 (877) 578-8080 CSLB: 858088 LETTER FOR AGENT January 3, 2024 To Whom it May Concern: The individuals listed below are authorized to apply, pay for, pick up and renew permits on our behalf. The same individuals are also authorized to apply for or renew city business licenses on behalf of the licensed contractor. I understand that it is the licensed contractor's responsibility to provide a copy of this form to the building department upon issuance of a permit. The below listed individuals are: We Green Energy Solutions -Tara Van Sambeek Jermaine Maeweather Mariella Villafranco Andrew De La Cruz Respectfully, Michael Teresso President Phone: 1-877-578-8080 Email: m teresso@bakerhomeenergy.com 2120 Harmony Grove Rd, Escondido, CA 92029 877.578.8080 www.BakerHomeEnergy.com ©2018 Baker Electric Home Energy. All rights reserved. CA License #858088 ~ ' ~ You ve got Baker.™ I CALIFORNIA ACKNOWLEDGMENT l§ C 2 2 B 5 J 2 B E mo !ll§ B B L B Bml!]u§ ?~001J.OO:Mll!J UW&GCJ.LlGQJ:OOJl&l :S@W CIVIL CODE § 1189 □a A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of SQa \), e__~ 0 On \\'2>\2o'2.L\ beforeme, £,,(_(\ f-\ow€.,{ \(A.n0eY- Date Here Insert Name and Title of the Officer personally appeared ___ M __ -_c _h____:o..=--=-42..,-=--\ _ ____.:_\ __;e;=---r__;.e...=-:::s=--s=-=o~-------- Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Place Notary Seal and/or Stamp Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. _ N o\---cv< '-\ Signature ---+---~~~,,.-4-___ 0 v b \ \ ~ OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: ___________________________ _ Document Date: _____________________ Number of Pages: ___ _ Signer(s) Other Than Named Above: _______________________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ___________ _ Signer's Name: ___________ _ o Corporate -Officer -Title(s): ______ _ o Corporate Officer -Title(s): ______ _ o Partner -o Limited o General o Partner -o Limited D General o Individual o Attorney in Fact o Individual o Attorney in Fact o Trustee o Guardian or Conservator o Trustee o Guardian or Conservator D Other: D Other: Signer is Representing: _________ _ Signer is Representing: _________ _ ©2019 National Notary Association I J Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2024-1857) BLDG-Residential 07/16/2024Application Date:Permit Type:Owner: P/M/E 07/19/2024Work Class:Issue Date:Subdivision: 03/04/2025Expiration Date:Status: IVR Number: 57680 Closed - Finaled 1019 LANDS END CT CARLSBAD, CA 92011-3407 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 09/05/2024 09/05/2024 BLDG-43 Air Cond./Furnace Set 260018-2024 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 260017-2024 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes NOTES Created By TEXT Created Date Dirk de Roggenbuke Glenn Dourado Phone (858) 717-6632 Glenn Dourado Phone (858) 717-6632 Glenn Dourado Phone (858) 717-6632 Glenn Dourado (858) 717-6632 09/04/2024 Tuesday, June 17, 2025 Page 1 of 1 {cityof Carlsbad