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Home My WebLink About2535 Jefferson St; 1 | 2 | 5 | 6; CBR2018-2338; PermitCcityof Carlsbad Print Date: 02/27/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2535 Jefferson St, 1,2,5,6 BLDG-Residential 1551704512 $0.00 Residential Permit Work Class: Repair Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: LAGUNA DE LOS PATOS: RESIDE BUILDING (UNITS 1,2,5,6) Owner: LAGUNA DE LOS PATOS HOA 760-720-0900 BUILDING INSPECTION FEE Total Fees: $234.0D Total Payments To Date: $234.DO Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Balance Due: 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 ln 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. Permit No: CBR2018-2338 Closed -Finaled 09/06/2018 09/06/2018 TFraz 2/27/2019 11:53:26AM $234.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 76D-602-8560 f I www.carlsbadca.gov Plan Check Est. Value {cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 PC Deposit --~~-z,__ __ _ Date _q~/~L!...,_,l'-'-'-8'.- u -I I, Suite: ____ A N: 155-170 -?,(, 0 -I 5 ,.. 165·1,o -~s 01-1sJ CT/Project,,.. __________ Lot#: ____ Fire Sprinklers: yes f<::3 Air Conditioning: yes/ c!J> 0 Addition/New: ______ New SF, ____ Deck SF, ____ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ ~lo, if yes how many? __ D Remodel: SF of affected area -----Is the area a conversion or change of use ? Yes/ No 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? --- D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ Ne,, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: _____________________________________ _ D Plumbing/Mechanical/Electrical Only: __________________________ _ D Other: _____________________________________ _ APPLICANT (PRIMARY) Name: J:DGre& AAI\NP-I0.2€."Z. Address: '2-'2-o QC13frr61Qc &.\/0 PROPERTY OWNER Name: l.Ae.tUNf) -0£ l..rlS 0',-:rr,s l:lcB Address: :2"'2:5 -S'O""'El2'5aN '2I City: OCf;flNS1Dt: State: CA Zip: qzo54 City: CIISth&FIP State: CA Zip: 92Do8 --+ Phone: :z <,o · -fOS -"3l(45 Phone: ____________________ _ Email: £MlldV{l.1Q,,Jt;z@ \?81MBco CDM Email: ____________________ _ DESIGN PROFESSIONAL Name: _________________ _ Address: ________________ _ City: ________ State: ___ ,Zip: ____ _ Phone: _________________ _ CONTRACTOR BUSINESS Name: PB,ur:co Address: i:zo oel;ii'Ws,oe BLVD City: QC@N$10£ State: CA Zip: 9:Z05':f Phone: Boo ~81. flc, 7 Email: _________________ _ Architect State License: ___________ _ Email: 'f'IZ.IME?!?Pfl i$UcECO. CoM State License: -, 31 ?€'-¼ Bus. License: 1::e-111~:s • {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, impro-'e, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is e~empt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty c.f not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty af perjury ane af the following declarations: □ I have and will maintain a certificate of consent to self~insure for workers' compensation provided by Section 3~·00 of the Labor Code, for the performance of the work which this permit is issued. □ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the perforrr1ance of the work for which this permit is issued. CAuFi£;1nPt CcM~#6 N\11llrol¥> My workers' compensation insurance carrier and policy number are: Insurance Company Name: Policy No. 45o'll· ,Ql"7C/ Expiration Date: QI /01 /Zo/C/ □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall 1not employ any person in any manner so as to be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: /1$ ;7 □AGENT DATE: ~7"'>i""-/.,,_.'6-.,,..'->~----------------------- ( 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 s· ructure 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 b.iilds 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. lf, ~,owever, 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 thtt purpose of sale). □ 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). □ I am exempt under Section ________ ,Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvemr:nt. □ Yes □ No 2. I {have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction {include name address/ phone/ contractors' license number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicatf·d (include name/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT ----------------------DATE: _____ _ 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 (~ec. 3097 (i) Civil Code). Lender's Name: _____________________ _ lender's Address: _____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Ye, 0 No. Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ai .. quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: · 1 certify that I have read the application and state that the above information is correct and that the information {,n the plans is accurate. I agree to comply with alt City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pur:Joses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY VliAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or coP:;truction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and tecome null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work ;5 commenced for a per;od::Oz:un;form Bu;Jd;ng Code). APPLICANT SIGNATURE: ~ DATE: o<a/zq !'ZotB 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 2 of 2 Rev. 06118 PERMIT INSPECTION HISTORY REPORT (CBR2018-2338) Permit Type: BLDG-Residential Application Date: 09/06/2018 Owner: LAGUNA DE LOS PATOS HOA Work Class: Repair Issue Date: 09/06/2018 Subdivision: CARLSBAD TCT#77-01 Status: Closed -Finaled Expiration Date: 05/29/2019 Address: 2535 Jefferson St, 1,2,5,6 Carlsbad, CA 92008-1420 IVR Number: 13735 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 11/2612018 11/26/2018 BLDG-18 Exterior 076895-2018 Passed Tim Frazee Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency T ypar paper on exterior Ok Yes 0212712019 02/27/2019 BLDG-Final 084800-2019 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency See card for final notes about Unit ID Yes February 27, 2019 Page 1 of 1 ~ ' I ~ ASSESSMtNT PAR. NO. 16&-170-'16 SUB IO 13•~ NOTt r tACl-1 SUB LD. INCLUl>ES AN UNO 1/1!> \Nr, IN COMMON AAEA AsstSSMENT l'AA NO ,ss-110-~& sva, ID. §)-Ii) NO!£: tACH sua 10, INCLOOES AN UNO. j/lS INT. IN COMMON AAl:A ' 2525 JEFFERSON ' SHT2 ,...t l!>!>-17 ! /R-/?-tY~~~ , llO S;,.l.1 l;; ,.. o -~s25 ;jH '. : (/) I I A· rf\ u ·~ M'1!SO -..., .. ~~ c~ j tV'J 1@9 - JciP¼oVJ 3 :5 er C J I /l!llO g J>~ ._$;;5 -~Y'SOVL PUtST_ t'~ O~-:.iNO_I 3~ ~-(!W~ litC~ @> \12, r mv,r. •''" fil.l_ . + \ ,_\- 1!)12 r----' '\ '.).._ -r--0 ~-C, • ...:::,-" ocr.o c:ciu11JV '-:-:':::;=-:;; OIi ''~lti'·H'··~ ''NmtG NA fi$.lta11NNIMP0iU,o:JllY @) I , (•. ..L• --1l !fo~:e j. /I . , cf) C .. <® ? ~,.,::, .... \::.Js~·,,~,,~ - ~;\\:=,'JI, '\.o~-',-,9, ~ ~7-:,'5\. n"z:) ,<;:c\· '\ ~'! - °'"'-'= 2535 JEFFERSON CONDOM IN \UM$ DOC, '78•00737&&.80•40380a MAP 6'129-CARLS8AD TCT. '77-1-LOT I DOC 73-92.606 MAP 759?>· CARL.SBAt> TC1 72·10-L01' I z 0 ell ~ ti ..,