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Home My WebLink About2722 LA GOLONDRINA ST; ; CBR2020-2656; PermitPrint Date: 12/15/2020 Permit No: CBR2020-2656 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2722 LA GOLONDRINA ST, CARLSBAD, CA 92009-4324 BLDG-Residential 2155411100 $8,000.00 Work Class: Lot #: Project #: Alteration Status: Applied: Issued: 10/20/2020 10/20/2020 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled CRenf Plan Check #: Project Title: Inspector:Orig. Plan Check #:Bathrooms: Description:ELECTRICAL & PLUMBING AT KITCHEN & BATH + REPLACE WINDOWS/DOORS - SAME SIZE INSTALL RECESSED LIGHTING / DRYWALL WORK (NO PLAN) (E-REVIEW) Final Inspection:12/15/2020 Bedrooms:Construction Type: AMOUNTFEE BUILDING INSPECTION FEE $117.00 BUILDING PERMIT FEE ($2000+)$97.22 BUILDING PLAN CHECK FEE (BLDG)$68.05 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $1.04 Total Fees:$459.31 Total Payments To Date:$459.31 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 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad ---------------------------------------------------------------------------------------------------------- CBR2020-2656 8000 0) ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check _______ _ Est. Value PC Deposit ------,----- Date I O ft ft / 2.o z,o r I Job Address J-1-,;2,;). u 3 0 I CIYld. vi Y1tt,/1 zooq Suite:. ___ APN: ~ 15° -ts" Yt -I/-Q 0 . ________________ Lot #: ____ Year Built: _.......,1,{_1.:.-1--;...,_'6 ___ _ Electrical Panel Upgrade: 0YES£} NO vu l VI oY W,(tfvf C . tJeutJ K f-vo fi + lit) i nu{ow ~ I c ) VtM '{L-f k,vien LAf,ndcrw (f a.YY1G siu, d.J V(.J'\.t J 0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF __ Is this to create an Accessory Dwelling Unit? QY ON New Fireplace? QY ON, if yes how many? __ ~ Remodel: rtD 6 SF of affected area Is the area a conversion or change of use ? Qy '¢ N 0 Pool/Spa: ____ .SF Additional Gas or Electrical Features? __________ _ osolar: ___ KW, ___ Modules, Mounted:0Roof 0Ground, Tilt: 0 vO N, RMA: Ov ON, Battery:Qv ON, Panel Upgrade: Ov ON D Reroof: _______________________________ _ [jl Plumbing/Mechanical/Electrical V\,M ({l,V) I~ h.h, 11\GW FfM.S lti W10),tlll t-I i@IAr .r I ·new ~ Only: Other: . s h tnNGY' va....l Ce { I vu,vJ f,' Y\ It-$ I rV w vt-rv o ht w; V, d M ..r Vttw Tvu,,i lh a o or-o Y\.lw h iAe Y), '1.J, Vlllcnv' &.A.r~n This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent oft e owner or contractor. The person fisted as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS A\..ITHORIZED AGENT APPLICANT ~ Name:. ____________ Name: S-kp. 4Vl/ V K~v f?/0 Address: Address: 1-1-4 t f¼ /o P { a ~ City:. _______ State:. ___ Zip:. ____ City: ¼VI J lo a c( State: Cf'r Zip: q 2.-0 0 4 Phone: Phone: 3 I O 5"0 .3 h I (o Q Email: Email: ILeV'dv i clc Cnin@@ MA ;i . C,OYJ DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT 0 Name: ______________ _ Name:. ________________ _ Address: ______________ _ Address:. ________________ _ City:. _______ State: ____ Zip:. ___ _ City:. _______ State: ____ Zip:. _____ _ Phone: ·---------------Phone: ________________ _ Email: ·----------------Email:. ________________ _ Architect State License: ----------State License/class:. _____ Bus. License:. ___ _ 1635 Faraday Ave cartsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 08/20 j) IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTIO N A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: ·ng with Section 7000) of Division 3 . . . s of Chapter 9 (commenc, . .~ th I hereby affirm under penalty of perjury that I am licensed under prov1st0n rffi under penalty of per1ury one OJ e . . • r, 1/f, nd effect I also a Jfm of the Business and Professions Code, and my hcense ,s ,n Ju orce a · following declarations: . f h Labor Code, for the performance of the , I rovlded by Section 3700 o t e Q r have and wlll maintain a certificate of consent to self-Insure for workers compensat on P work which this permit Is Issued. Polley No. . . 1 d f the work for which this permit 1s ssue . f h L b Code for the performance o Q 1 have and will maintain worker's compensation, as required by Section 3700 o t e a or , • ____________________ _ My workers' compensation Insurance carrier and policy number are: Insurance Company Nam~~piratlon Date: ---------------- Polley No .. _________________________ _ . . ed I shall not employ any person in any manner so as to become 0 Certificate of Exemption: I certify that In the performance of the work for which this permit ts ,ssu ' t' verage is unlawful and shall subject an employer to subject to the workers' compensation Laws of California. WARNING: Failure to secure worker~ compensa 1:: co ovided for In Section 3706 of the Labor Code, criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages pr Interest and attorney's fees. CONSTRUCTION LENDING AGENCY. IF ANY: . . d ) . k th' mit is issued (Sec. 3097 (1) Civil Co e . 1 hereby affirm that there is a construction lending agency for the performance of the wor 1s per Lender's Name: ___________________ _ Lender's Address: ____________________ _ CONTRACTOR PRINT: _________ SIGN: _________ DATE: (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: · ·11 d h k d the structure is not intended or offered for sale (Sec. 01 as owner of the property or my employees with wages as their sole compensation, w1 o t e war an h d h do s such work 1od4 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves t ereo~, an w O t ~ Id within him~lf or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvemen is so 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). 0 f, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busin~ss and_ Professions Cod~: 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). 0 ram exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: 0 1owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. PQ. Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf. 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 :::;;r;~;;wmsftr;;:;~wwI:;;-~;w:::~rtl:=-~It&½= DATE: L6 / ;20 /;l 6 J...O APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT TH Tl OF SUBMITTAL ( 7 By my signature below, I certify that: I am the property owner or State of California licensed Contractor or authorized to act on the property owner or contractors behalf 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 purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY 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 construction of structures over 3 stories in height. APPLICANT PRINT:~ ba11 u.,. · ~1,1(jwN~44.., « DATE: / 0 I /J...d /;;. 0 J-D 1635 Faraday Ave Carlsbad, CA 92008 Ph: 76(}602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 08/20 ( City of Carlsbad OWNERS AUTHORIZED AGENT FORM 8-62 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .carlsbadca.gov OWNER'S AUTHORIZED AGENT FORM Only a property owner, contractor or their authorized agent may submit plans and applications for building permits. To authorize a third-party agent to sign for a building permit, the owners third party agent must bring this signed form, which identifies the agent and the owner who s/he is representing, and for what jobs s/he may obtain permits. The form must be completed in its entirety to be accepted by the City for each separate permit application. Note: The following Owner's Authorized Agent form is required to be completed by the property owner only when designating an agent to apply for a construction permit on his/her behalf. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope 'l c.~nstruction Project ( or Description of Work): J'1A I n ff-CA.fl <UY/ C ~~ JIU,u.) Ltµ,,, g;. IAJ"-W-w L !f-5 VI n,it:n,,.1(1) I i ct h t m r 115Y. w lt.ut,t, b1 k.Jlj ~ vtlW J ho}'.(,,, l/4U v~ v1, ;r, 'YI le /M-ltJ ~Mn 'f w,'kdtAJJ, l t)fU..wh)etA.Lh. adrx., 1· Cl}~ /.ct~ tAJ,.Ac(~ Project Location or Address: d----=,-~ d. LfL<J O J(f'A[)/_ VI ~ ... Name of Authorized Agent: Stcf ~ l(_, Ke~ "e,L_ Tel No. ~ Jo s-o 5 6 I{(; 0 Address of Authorized Agent: 1 ~ L/ / & / U P /~ CL__ CJu,,i_ f0 A_C/ Cl/-1 ~IJ OCj I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2020-2656) BLDG-Residential 10/20/2020Application Date:Permit Type:Owner: Alteration 10/20/2020Work Class:Issue Date:Subdivision:CARLSBAD TCT#73-29 05/04/2021Expiration Date:Status: IVR Number: 29450 Closed - Finaled 2722 LA GOLONDRINA ST CARLSBAD, CA 92009-4324 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 10/30/2020 10/30/2020 BLDG-24 Rough/Topout 142536-2020 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 11/05/2020 11/05/2020 BLDG-27 Shower Pan/Tubs 143249-2020 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 12/11/2020 12/11/2020 BLDG-Final Inspection 146010-2020 Failed Chris Renfro Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final Kitchen countertop areas and peninsula require GFCI protection. Need to install smoke detectors and carbon monoxide detector in bedrooms. Call for final inspection when completed No 12/15/2020 12/15/2020 BLDG-Final Inspection 146237-2020 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Tuesday, December 15, 2020 Page 1 of 1 {cityof Carlsbad