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Home My WebLink About1660 CORTE ORCHIDIA; ; CBR2025-0891; PermitPrint Date: 12/12/2025 Building Permit Finaled Residential Permit CBR2025-0891Permit No: Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1660 CORTE ORCHIDIA, CARLSBAD, CA 92011-4065 BLDG-Residential 2159501500 $21,000.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 04/10/2025 04/11/2025 Finaled Close Out:04/15/2025 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:04/15/2025Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:de Roggenbuke, Dirk SHULAK: REPAIR SEWER CLEANOUTS (E-REVIEW)Description: Project Title: Applicant: IE INC MITCH BLUMAN 31225 LA BAYA DR, # STE 213 WESTLAKE VILLAGE, CA 91362-6333(818) 735-7876 Contractor: AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INC 965 RIDGE LAKE BLVD, # STE 201 MEMPHIS, TN 38120-9401(858) 695-1060 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $228.00 Total Fees:$228.00 Total Payments To Date:$228.00 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 Page 1 of 4 rev 11/24 RESIDENTIAL BUILDING PERMIT APPLICATION B-1 FOR CITY USE ONLY Plan Check No.: _______________ PC Deposit: _______________ Date: _____________ This form shall be completed to initiate a residential building permit application. The building permit application is not a building permit. No work shall start until a building permit is duly issued. Job Address: Unit #: APN: Description of Work: Project Valuation: $______________ Is there an active code enforcement violation on this site? ☐ Y ☐ N Are Planning permits required?: ☐ Y ☐ N Case File Nos.: ___________________________________ Please indicate the type of application(s) requested and provide the applicable information: ☐ New SF: Living SF, . Deck SF, . Patio SF, . Garage SF, . Is this to create a new ADU/JADU? ☐ Y ☐ N. New fireplace? ☐ Y ☐ N. ☐Remodel:SF of affected area. Is the area a conversion or change of use? ☐ Y ☐ N. ☐Pool/Spa:SF. Additional Gas or Electrical Features? ☐ Solar: KW, Modules. Mounted: ☐ Roof ☐ Ground. Tilt: ☐ Y ☐ N. RMA: ☐ Y ☐ N. Battery: ☐ Y ☐ N. Panel Upgrade: ☐ Y ☐ N. Electric Meter Number: ☐Plumbing, Mechanical, Electrical: ☐Other: APPLICANT (PRIMARY CONTACT): Name: __________________________________ Address: ________________________________ City: _______________State: ____ Zip: _______ Phone: _________________________________ Email: __________________________________ DESIGN PROFESSIONAL: Name: _________________________________ Address: ________________________________ City: _______________State: ____ Zip: _______ Phone: _________________________________ Email: __________________________________ State License: ____________________________ PROPERTY OWNER: Name: _________________________________ Address: ________________________________ City: _______________State: ____ Zip: _______ Phone: _________________________________ Email: __________________________________ CONTRACTOR: Name: _________________________________ Address: ________________________________ City: _______________State: ____ Zip: _______ Phone: _________________________________ Email: __________________________________ CSLB License #: _______________Class:_______ City Business License #: ___________________ Billing Party: ☐ Applicant ☐ Property Owner ☐ Contractor ☐ Other: ________________ 1660 CORTE ORCHIDIA REPAIR SEWER CLEANOUTS 2100 CLEAN OUTS IE INC RITA SHULAK 31225 LA BAYA DR #312 1660 CORTE ORCHIDIA WESTLAKE CA 91362 CARLSBAD CA 92011 818-735-7876 442-287-7451 MITCH@IPERMITCA.COM ` ARS 9895 OLSON DR SAN DIEGO CA 92021 858-457-6558 791820 MITCH BLUMAN (_ City of Carlsbad ■ ■ ■ Page 2 of 4 rev 11/24 The construction, addition, or alteration of buildings is governed by the California Contractors License Law (commencing with Business Professions Code section 7000). The law has an exemption that allows a person who is not a California Licensed Contractor to construct a single-family residential structure and engage in home improvements and repairs, provided they meet certain requirements. (Form B-61 provides information about the requirements that apply to Owner-Builders makes you aware of your responsibilities and possible risk you may incur by having a permit issued to an Owner-Builder.) Permits for multi-family projects are only to be issued to California Licensed Contractors. Refer to Form B-16 for other frequently asked questions. APPLICANT (PROPERTY OWNER, CONTRACTOR, OR AGENT) CERTIFICATIONS: CHECK EACH BOX ☐ I/We certify that I/we a legal right, interest, or entitlement to the use of the property that is the subject of this application. ☐ I/We understand that State law mandates the Applicant to provide an estimated value of all work proposed (B-29 form). I/We hereby certify the construction valuation provided is accurate and includes all proposed work such as all structural work, finish work, painting, roofing, electrical, plumbing, heating, air conditioning, elevator, labor costs, and all permanent equipment and systems. If the valuation is underestimated, the permit may be denied, unless the Applicant can show detailed estimates to meet the approval of the Building Official. ☐ If the Applicant is not the Property Owner, both the Property Owner and Applicant (authorized Contractor or authorized Agent of the Property Owner/Contractor) must sign below. By signing this declaration, the Property Owner authorizes the Applicant listed in this application to act as the Property Owner’s Agent on all matters before the city pertaining to development on this property. ☐ I/We understand that State law requires construction to be done by a Licensed Contractor and the Property Owner may apply for an Owner-Builder permit under an exemption from the law. ☐ A. If the Contractor is the Applicant, the License Contractor Declaration on page 4 must be completed. ☐ B. If the Applicant is an Owner-Builder, an Owner-Builder affidavit is required and must be submitted (Form B-61). The city will not issue a building permit until this form has been submitted. The License Contractor Declaration on page 4 does not need to be submitted. ☐ I/We have read this application form in its entirety and reviewed the building permit application and the information I/we have provided is true and correct to the best of our knowledge. Grade lines as shown on drawings accompanying this application are assumed to be correct. This certifies that the description of the project and all the plans and supporting documentation; including the location and labeling of all existing and proposed buildings, structures, access roads, and utilities and easements; are accurate in all material respects as of the date when made. I/We understand that it is my responsibility to ensure that statements and representations are not misleading. I/We agree to promptly remove, correct, or add information as needed to correct any misleading or materially inaccurate information. I/We understand that any misstatement or omission of the requested information or of any information subsequently requested might be grounds for rejecting the application, denying the application, suspending or revoking a permit issued on the basis of these or subsequent representations, or for the seeking of such other and further relief as deemed appropriate by the City of Carlsbad. ☐ If a digital submittal is made or required, I/we certify that the submittal package includes digital files that follow the city’s electronic submissions standards.) Failure to submit correctly formatted electronic files may result in the submittal being returned, which will delay intake and/or review. ✔ ✔ ✔ ✔ ✔ ✔ □ □ □ □ □ □ - Page 3 of 4 rev 11/24 ☐ I/We certify that I am (we are) aware of all permit requirements and will not willfully deviate from the approved plan. I/We agree to comply with all applicable city and county ordinances and state laws relating to building construction. I/We assume full responsibility for the satisfactory completion of all work authorized under the permit(s), including work performed prior to assuming control. ☐ After construction begins, I/we understand that a height certification, pad certification, or boundary certification may need to be submitted to the Building Inspector, when required. ☐ I understand that a building permit application will expire If a permit has not been issued/obtained within one year from the application date (original filing date), unless an extension of time has been granted (Form B-25). With some limited exceptions, if a building permit application expires and there is interest in proceeding with the same project, a new application will be required and the project will be subject to new fees and regulations that are in effect at the time the new application is submitted. ☐ After submitting the application, the Billing Party designated as part of the application will be sent future city invoices for above referenced building permit(s). I understand that if a permit fee or development impact fee refund is issued, the check will be mailed to the financial responsible party (the actual person or company that paid the invoice). If the information on file for the financially responsible party is outdated or inaccurate, it must be corrected before the refund can be sent. Form B-49B may be completed to update the financially responsible party’s contact information. ☐ I/We agree to waive, release, and discharge the City of Carlsbad ("City") and its officers, elected or appointed officials, employees, volunteers and agents (the "Indemnified Parties") from all claims and demands, rights and causes of action of any kind with respect to the building permit application, the purpose of which is to challenge, attack set aside, void, modify, or annul the approval or denial of the application, or the processing thereof, except liability caused by the Indemnified Parties’ sole negligence or willful misconduct, in which case the indemnity received by the city shall be reduced by the amount: (a) that the city’s active negligence contributed to the liability on a comparative basis; or (b) such other amount as may be required by law. This obligation is effective without reference to the existence or applicability of any insurance coverages which may have been required by city or any additional insured endorsements which may extend to Indemnified Parties. Property Owner(s) and Applicant, on behalf of themselves and all parties claiming under or through them, waive all rights of subrogation and contribution against the Indemnified Parties while acting within the scope of their duties, from all claims, losses and liabilities arising out of or incident to activities or operations performed, regardless of any prior, concurrent or subsequent passive negligence by the Indemnified Parties. By signing below, I acknowledge that I have completely read, understand, and agree to the declarations above and accept all terms set forth herein. (This section must be signed by both parties if not the same individual.) _______________________________________________ Date:______________________ Signature of Property Owner _______________________________________________ Date:______________________ Signature of Applicant 4/10/25 4/10/25 ✔ ✔ ✔ ✔ ✔ □ □ □ □ □ I Page 4 of 4 rev 11/24 CONTRACTOR CERTIFICATIONS: License Contractor Declarations CHECK EACH BOX ☐ I hereby affirm under penalty of perjury that I am a licensed under provisions of Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and the license is in full force and effect. ☐ WARNING: FAILURE TO SECURE WORKERS’ COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY’S FEES. Place a check mark next to the declaration regarding the workers’ compensation coverage that applies. Check only one (A), (B), or (C): ☐ A. I have and will maintain a certificate of consent to self-insure for workers’ compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ☐ B. I have and will maintain workers’ compensation insurance, 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: ______________________________________________________________________ ☐ C. 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, and agree that, if I should become subject to the workers’ compensation provisions of Section 3700 of the Labor Code, I shall forth with comply with those provisions. ☐ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Civil Code section 3097). If not using a construction lending agency write N/A: Lender: ____________________________________________ ☐ I understand that I will need a current Carlsbad business license to obtain the building permit. By signing below, I acknowledge that I have completely read, understand, and agree to the declarations above and accept all terms set forth herein. _______________________________________________ Date:______________________ Signature of Contractor FOR CITY USE ONLY Receipt Acknowledgement: _______________________ Date:_______________________ BUILDING STAFF SAFETY NATIONAL LDS4066109 N/A 4/10/25 ✔ ✔ ✔ ✔ □ □ □ □ ■ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2025-0891) BLDG-Residential 04/10/2025Application Date:Permit Type:Owner: P/M/E 04/11/2025Work Class:Issue Date:Subdivision:CARLSBAD TCT#98-17 HADLEY PROPERTY 10/14/2025Expiration Date:Status: IVR Number: 62867 Closed - Finaled 1660 CORTE ORCHIDIA CARLSBAD, CA 92011-4065 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 04/15/2025 04/15/2025 BLDG-22 Sewer/Water Service 281672-2025 Passed Dirk de Roggenbuke Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 281907-2025 Passed Dirk de Roggenbuke Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Structural Final Yes Tuesday, April 15, 2025 Page 1 of 1 {cityof Carlsbad