HomeMy WebLinkAbout2535 Jefferson St; 9-15; CBR2018-2340; Permit(city of
Carlsbad
Print Date: 04/23/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2535 Jefferson St, 9-15
BLDG-Residential
1551704510
$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 9,10,11,12,13,14,lS)
Owner:
LAGUNA DE LOS PATOS HOA
760-720-0900
BUILDING INSPECTION FEE
Total Fees: $234.00 Total Payments To Date: $234.00
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 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.
Permit No: CBR2018-2340
Closed -Finaled
09/06/2018
09/06/2018
PBurn
4/23/2019 12:26:38PM
$234.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 I I www.carlsbadca.gov
,;-~ Cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit------+----
Date _ __,q'-'-/--'-4--l-f ....... l 8'.L..__ •
□ Addition/New: ______ New SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: SF of affected area -----Is the area a conversion or change of use? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ Ne•, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ---------------------------------------
□ Plumbing/Mechanical/Electrical Only: __________________________ _
D Other: ______________________________________ _
APPLICANT (PRIMARY) PROPERTY OWNER
Name: :EDbAA MANBIQ ,t:---z.
Address: '2--Z.o OC6fltN<$rQc &.vD
City: 0Cli/\N$1Q!': State: CB Zip: "l:ZOS'i
-4 Phone: :z <,o -4o$ · 34k$
Email: f:MIWP,1Q9£'Z6 \'81MBco. COM
DESIGN PROFESSIONAL
Name: _________________ _
Address: ________________ _
City: ________ State: ___ ,Zip: ____ _
Phone: _________________ _
Email: _________________ _
Architect State License: ___________ _
Name: 1.A&uM\ DE' UJS 0'ra:,$ lhB
Address: zg'25 A~"'E\?',;QN '7T
City: C'fSE)bBAP State: Cf\ Zip: q-zoos
Phone: ____________________ _
Email: ____________________ _
CONTRACTOR BUSINESS
Name: PB1ur:co
Address: z:zo ocEt'lr,i;;.,()€ &vD
City: OWANSI Qi; _ State: CA Zip: 9:zo 54
Phone: 8oo '381. Be 7
Email: yl2-1MEga>€} @il4ECQ. coM
State License: ""1315€!{ Bus. License: I~ I] n
{Sec. 7031.S 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.S by any applicant for a permit subjects the applicant to a civil penalty 01" 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. 06118
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the fallowing declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3 ·oo 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 perforn,ance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: CALl.me~'Jt!r C~"26 Nf;::1rur)Bf:,
Policy No. lj!;o iii • 0/ '7Cf Expiration Date: QI Ml / Zo/q
□ Certificate of Exemption: J 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 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-L'------------
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Low for the following reason:
□AGENT DATE: _____ _
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the s1 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 bJilds 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 th,· 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).
□ 1 am exempt under Section ________ .Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvem1!nt. D 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. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/
contractors' license number):
5. I wm provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (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 (Sec. 3097 (i) Civil Code).
lender's Name: _____________________ _ Lender's Address: _____ ~----------------
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PEl~MITS 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? □ Ye; D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ai · quality management district? D Yes D 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 APPllCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
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 purr.ioses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABltlTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY V..AY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit-is required for excavations over S'O' deep and demolition or con<rtruction 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 become 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 ~uch permit is suspended or abandoned at any time
;;::::::~:;~";~;;::"~-··,.,~., ,m ofl/zq !?<>18
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. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2018-2340)
Permit Typo: BLDG-Residential Application Date: 09/06/2018
Work Class: Repair Issue Date: 09/06/2018
Status: Closed -Finaled Expiration Date: 04/15/2019
IVR Number: 13737
Scheduled
Date
Actual
Start Date
10/17/2018
04/23/2019 04/23/2019
Inspection Type
BLDG-13 Shear
Panels/HD (ok to
wrap)
Inspection No.
073558-2018
Checklist Item
BLDG-Final
Inspection
BLDG-Building Deficiency
089678-2019
Checklist Item
BLDG-Structural Final
··-·-----···-·-----··-------Aprll 23, 2019
Inspection Status
Passed
COMMENTS
Passed
COMMENTS
Owner: LAGUNA DE LOS PATOS HOA
Subdivision: CARLSBAD TCT#77-01
Address: 2535 Jefferson St, 9-15
Carlsbad, CA 92008-1420
Primary Inspector Reinspection Complete
Paul Burnette Complete
Passed
No
Andy Krogh Complete
Passed
Yes
Page 1 of 1
~ ' I ~
ASSESSMENT PAR. NO, 1&5-170-'!6 sue IO ilJ-[9
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2535 JEFFERSON
CONDOMINIUMS
DOC, '18-00737e&80•403802
MAP6729-CARLS8AO TC'!: 77-1-LOT t
DOC 73 -92606
MAP 7593-CARLSBAD TCl' ,72·10-LO"I' I
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