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Home My WebLink About1021 IRIS CT; ; CBR2025-0588; PermitBuilding Permit Finaled Residential Permit Print Date: 03/16/2026 Permit No:CBR2025-0588 Job Address:1021 IRIS CT, CARLSBAD, CA 92011-4824 Status:Closed - Finaled Permit Type:BLDG-Residential Work Class:P/M/E Parcel #:2144020600 Track #:Applied:03/12/2025 Valuation:$7,700.00 Lot #:Issued:03/14/2025 Occupancy Group:Project #:Finaled Close Out:03/31/2025 #of Dwelling Units:Plan #: Bedrooms:Construction Type:Final Inspection:03/31/2025 Bathrooms:Orig. Plan Check #: Plan Check #: INSPECTOR:Kersch, Tim Occupant Load: Code Edition: Sprinkled: Project Title: Description:INSTALL FURNACE. (E-REVIEW) Applicant: WE GREEN INC TARA VAN SAMBEEK 3675 RUFFIN RD, # SUITE 320 SAN DIEGO, CA 92123-1835 (888) 991-4377 Property Owner: Contractor: ASI HASTINGS INC4870 VIEWRIDGE AVE, # STE 200 SAN DIEGO, CA 92123-1671 (619) 590-9300 FEE AMOUNT 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. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314ï 442-339-2719ï760-602-8560 fïwww.carlsbadca.gov {city of Carlsbad Plan Check Est. Value PC Deposit { City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Date 03/12/2025 Job Address 1021 IRIS COURT, CARLSBAD 92011 Unit: _____ .APN: ___________ _ CT/Project #: __________________ Lot #: ____ Vear Built: _________ _ BRIEF DESCRIPTION OF WORK: Install Furnace. □ 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? O Y O N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □Solar: ___ KW, ___ Modules, Mounted:0Roof O Ground, Tilt: 0 Y0 N, RMA:OY O N, Battery:O YQ) N, Panel Upgrade: O v O N Electric Meter number: ------------- 0th er: APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name: Tara Van Sambeek Name: JAMES WEAVER Address: 3675 Ruffin Road, Unit# 320 Address: 1021 IRIS COURT City: San Diego State:_c_A __ .Zip: 92123 City: CARLSBAD State:_c_A __ .Zip:92011 Phone: (888) 991-4377 Phone: (760) 505-8254 Email:. __________________ Email: carmel1048@yahoo.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name: ASI Hastings HVAC Dept Address: Address: 4870 Viewridge Ave, Ste #200 City: ________ State: ___ Zip:._____ City: San Diego State: CA Zip:_9_21_2_3 ____ _ Phone: Phone: (619) 599-5909 Email: Email: sroberts@asiheatingandair.com Architect State License: CSLB License#: 513115 Class: c 2o ------- Carlsbad Business License # (Required):_1_20_0_8_04 _____ _ 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): Tara Van Sambeek SIGN:Tara Van Sambeek DATE: 03/12/2025 163S Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov REV. 04/22 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: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 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}: D 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. 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: _M_id_d_1e_se_x_1_ns_u_ra_nce ___________________ 1 Policy No. 0193221004 Expiration Date: _o_41_1s_,2_0_2s ______________ 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 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 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): Tara Van Sambeek SIGNATURE: Tara Van Sambeek DATE: 03/12/2025 Note: If the person signing above is an authorized agent for the contra t "d I tter of authorization 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: D 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- D 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- D I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D 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./ 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 fol lowing Web site: http: I I www.leginfo.ca.gov/ cal aw. 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 erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ned b owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled Address:1021 IRIS CT CARLSBAD, CA 92011-4824IVR Number:62267 09/29/2025 Actual Start Date Inspection Type Inspection No.Inspection Status Primary InspectorScheduled Date Reinspection Expiration Date:Status: PERMIT INSPECTION HISTORY for (CBR2025-0588) Permit Type:BLDG-Residential Application Date:03/12/2025 Closed - Finaled Owner: Work Class:P/M/E Issue Date:03/14/2025 Subdivision: Inspection 3/31/2025 03/31/2025 BLDG-43 Air Cond./Furnace Set 280107-2025 Passed Tim Kersch Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Checklist Item COMMENTS Passed BLDG-Building Deficiency No Monday, March 16, 2026 Page 1 of 1 {city of Carlsbad