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Home My WebLink About2065 CALETA CT; ; CBR2023-3148; PermitPrint Date: 10/09/2025 Building Permit Finaled Residential Permit CBR2023-3148Permit No: Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2065 CALETA CT, CARLSBAD, CA 92009-6117 BLDG-Residential 2151106800 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 06/21/2023 06/23/2023 Finaled Close Out:07/24/2023 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:07/24/2023Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Kersch, Tim INSTALL 2 SPLIT HEAT PUMPS (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: WEST COAST APPLIANCES SERVICES INC 1256 FAYETTE ST EL CAJON, CA 92020-1511 (619) 557-0446 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $208.00 Total Fees:$208.00 Total Payments To Date:$208.00 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: PRIMARY APPLICANT PROPERTY OWNER Name: Name: Address: Address: City: State: Zip: City: State: Zip: Phone: 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: _____________________________ 6/21/2023 2065 Caleta St Install 2 Split Heat Pumps Tara Van Sambeek Susan Hack 3675 Ruffin Rd 2065 Caleta Ct San Diego CA 92009 Carlsbad CA 92009 8889914377 6197433230 t.vansambeek@wegreeninc.com susanhack2065@gmail.com West Coast 1256 Fayette St El Cajon Ca 92020 6195570446 westcoastheatcool@gmail.com 810930 C20 00774 06/21/2023Tara Van Sambeek □ □ □ □ ( City of Carlsbad 0 0 00 0 0 00 00 Tata Vcm 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 - Middlesex Insurance Insurance A0193227004 4/15/2024 Tara Van Sambeek 6/21/2023 □ □ □ □ □ □ □ Tara VaM Sa111beek Scanned with CamScanner West Coast Heating, Air Conditioning, and Solar PV 1256 Fayette St El Cajon, CA 92020 (619) 873-7998 LmER FOR AGENT Company Name: West Coast Heating, Air Conditioning, and Solar PV CSLB:810930 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 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: Tara Van Sambeek Jermaine Maeweather Angel Perez Shannon Phillips Authorized Signature of licensed contractor: ALEX PODKOZHURNIKOV June 7, 2022 SEE ATIACHMENT FOR OFFlClALNOTARIZATION '} /2.) / 2P2.2-@ Scanned with CamScanner ----■--a -ti Yrfffri %t¥tWfd¥fiffiff'M@¥flf' CALIFORNIA ACKNOWLEDGMENT 881 CIVIL CODE § 1189 I( ■Ul E 2 2 E O E E E O l80C E O ■ ■-, A notary public or other officer corn pl ti th· . to which this certlfi . e ng ts certificate verifies only the identity of the individual who signed the document cate rs attached, and not the truthfulness, accuracy, or validity of that document State of Callfornla Countyof >@ D ,'e"° } (/ On Jc.c\t, .i.J. ~J.2-beforeme, Jr)~ t(ri'€:-/qM, ~J>NI•~ Date A LE Here Insert Name and Tttle of the Officer personally appeared Ks,4. 1J pg (>ODkOZJ{tl&N /1:;pV ----'-:i..-..;.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 subsalbed to the within ln~ment and acknowledged to me that@she/lhey executed the same in ~er/their • authorized capacity(ies), and that by~r/their signature(s) on the instrument the personfs). or the entity upon behalf of which the person(s) acted, executed the Instrument J-~ 'JOUNG HEE KIM ~ -II) ~ ri Co1111. t 2277258 Ul l ' NOTARY PUIUC·CAllfOIIIIA ~ SAN DIEGO CcuNtY -~v CoMoi. e-,. iw. a. 2023 j I certify under PENAL TY OF PERJURY under the laws of the State of Callfomla that the foregoing paragraph is true and correct. WITNESS my hand and official seal. s;gnatu,e ~. ~Public OPTIONAL -----------------, Completing this Information can deter alteration of the document or Place Notary Seal and/or Stamp Above fraudulent reattachment of this fonn to an unintended document Description of Attached Document / µ A Trtle or Type of Document ----1~~dfflq.1-"~ ... -~+-=-----'-"-f~➔S._l.A-___________ _ Document Date: '2 l '1 l ~ 2-2-Number of Pages: __ I"--_ Signer(s) Other Than Named Above: _____________________ _ Capaclty(ies) Claimed by Slgner(s) Signer's Name: __________ _ Signer's Name: __________ _ □ Corporate Officer -Title{s): ______ _ □ Corporate Officer -Trtle{s): ______ _ □ Partner -□ Limited □ General □ Partner -□ Limited □ General □ Individual □ Attorney in Fact □ Individual □ Attorney in Fact □ Trustee □ Guardian or Conservator □ Trustee □ Guardian or Conservator □ Other: ____________ _ o Other: ____________ _ Signer is Representing: ________ _ Signer is Representing: ________ _ J E ■I( S S Ji ■O E 5 JD j J 5 E JEE J J j E j E I( ■J■lftll( J L 5 5 0 38l4 ■ !llOC.JJ J88 0 2019 National Notary Association Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2023-3148) BLDG-Residential 06/21/2023Application Date:Permit Type:Owner: P/M/E 06/23/2023Work Class:Issue Date:Subdivision: 01/22/2024Expiration Date:Status: IVR Number: 50143 Closed - Finaled 2065 CALETA CT CARLSBAD, CA 92009-6117 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 07/24/2023 07/24/2023 BLDG-43 Air Cond./Furnace Set 218398-2023 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 218397-2023 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 Thursday, October 9, 2025 Page 1 of 1 {cityof Carlsbad