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Home My WebLink About201 GRAND AVE; 357; CBR2021-0578; PermitPrint Date: 04/23/2021 Permit No: CBR2021-0578 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 201 GRAND AVE, # 357, CARLSBAD, CA 92008-2924 BLDG-Residential 2032321500 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 03/03/2021 03/03/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled TKers Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:04/23/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: CARLSBAD BY THE SEA: FIREPLACE INSERT REPLACEMENT (E-REVIEW)Description: Project Title: Property Owner: FRONT PORCH COMMUNITIES AND SERVICES 800 N BRAND BLVD GLENDALE, CA 91203(818) 254-4100 AMOUNTFEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 Total Fees:$175.00 Total Payments To Date:$175.00 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-0578 03/03/2021 COMMERCIAL BUILDING PERMIT APPLICATION B-2 !'Ian Clrnd: _______ _ E$t. VitltH; PC Deposit _______ _ t,a!e _______ _ JobAddress 261 t11'ru1..1.,i Wf21t...y,L Suite: ..:_]~7 APN: ________ _ Tenant Name: (bz J t.£0a t'.i tyffJJ. ~~ 14, fi ( e1iu>/~0(1t?111.;,l;;;/w;;;1;;;·,.:v.:.h-4'(_· ----- 1 ' I rzg □ / 6ZJ □ Year Bui t: _____ Occupancy:,_____ Construction Type• Fire Sprink ers: yes no 'A C: yes no !lfll£f: D~SC!lli>TION OF WORK: . / ve...y,~...d d.1 v~ Vrud-QC<..=, +t; ,<11... ,p\s,,_c_,,_ I i' ~~ 1 ;1 \.;,,.l\.,,rt ,J Addlt1on/New:. __________ New SF and Use,, __________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) D Tenant Improvement.: ______ SF, _____ SF, Existing Use, ______ Proposed Use _____ _ Existing Use Proposed Use _____ _ Pool/Spa.: _____ SF Additional Gas or Electrical Features? ___________ _ □□ □□ □□ Solar: KW ,~ __ Modufes, ___ Mounted, TIit: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No '6l'..i>1umblng/Mechanical/Electrical Only: ,, rt (H' Q..~~ 0(:1 cUv.,u:Jr \.IQ rd qf":S f-l ,·:et'~ \.) D Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person /i$/ed as the Applicant below will be the main point of COil tact throughout the permit process. DESIGN !'llOFESSIONtll tll'l"UCANT O CONTRACTOR BUSINESS Name~: ________________ Name:, _________________ _ Address: Address._· ________________ _ City._• _______ State:, ___ Zlp:, ____ City._· _______ State.: ___ Zip,._• _____ _ Phone: Phone:. _________________ _ Email: Email .. · __________________ _ Architect State License: State License.: ______ Bus. License:. _____ _ 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of2 Email: Buildlng@carlsbadca.gov Rev. 08/20 H)lcNTH'Y WHO Will P.:R,ORM \HE worm gy COMPlEHNG {OPTION A) OR (Of'T!ON 8) BELOW: (OPTION A): UCENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000} of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penaity of perjury one of the following dee/orations: 0 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. Policy No, ________________________ _ 0 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: lnsuranceCompany Name: __________________ _ Policy No. ____________________ Explratlon Date: __________________ _ 0 Certificate of Exemption:! 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 Callfornla. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and chill fines up to $100,000.001 in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONSTRUCTIONJl:iNOING_AGl:iNCY,. !F 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 PRINT: ________ _ SIGN: ________ DATE: (OPTION B): Q_IN(\!\:~:.\l.Y.l.h!?..E.~LlECLARAIIQN_: f hereby affirm that I am exempt from Contractors License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the worl1 and the structure is not lntended 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). r::::1(as owner of ~he property, am exclusively contracting with licensed cont.ractor~ to construct the project {Sec. 7044, Business and P~ofessions Code: The ~~ntractor'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). 01 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: 0 "Own.er BuilrJer acknowh:irJgsment and v,erifkatlon form" has been fl!!ed t)tit, signed and auad1e,J to 1.hls appl!!.afaxi. Proof ~lf identlflcatiofl attar.hed. D Owners "Aut.t'mrb:.ed Agent. Form" has been fUIF:rJ r;i;t, signed .,nd attathed to thl~ appllrnt.lon giving the agent m1th1Jrity to obwiri rhr.-permlf." on the owner' behcilf, Proof of identlfltatlo11 attached. BY my slgn<1turn t"ie!t)W I ackt1l)W!l:ldge that, excr:pt tor my 11ersonc,I residence in wh!ch i must have n~skfod for at least one yt'!ar prior tri wmp!etion of the improvr:ments covered by this permit, i c<1nnot legally seU a structure that I havr: built as il!l owner--builder if !t h<1s not been constructed In its entiretv b'f licensed contr;;_r;tor5. I understand that a copy of the applicable low, Section 7044 of the Business and Professions Code, is availabfe upon request when this application is submitted or at the follow~~ ~~b ;ne: http://www.:info,ca,~o~/ca/aw.html. ,t;J--. f-:': \ f ' ,# OWNER PRINT: Cc~""·'~'-" I, vv..,1.J_~,\! SIG~-~-YY:"' c.'--'--~DATE: z\2'"1[ 7b2 I AFPUCANI CHfflf'ICAT!ON: SIGNATURE REQUIRW Al" THE T!Mlc OF· SUBMl"rlAt By my signature befow, J certify that: Jam the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractors behalf. I certify that J 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 afl 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 DF 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: 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 DATE: Email: Building@carlsbadca.gov Rev. 08120 (c.ityof Carlstiad OWNERS AUTHORIZED AGENT FORM B-62 Development Services Building Division 1635·Faraday Avenue 760-602-2719 www.carlsbadca.gov OWNER'SAUTHOfUZED AGENT FORM Only a property owner, contractor or their authorized agent may submit plans and applications for bullding permits. To authorize a third-party agent to sign for a building permit, the owner's 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 Acknowledgement1 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 of Construction Project (or Description of Work):.b {Q!il._--t ,JQ...i<J; cyi._Q':, ~VQ r'u,_~Q.. ,£__,~ Q..(!__,Qj(¼JL,-1__+ Project Location or Address: 2('")\ (7y::c,_t "(} 'rW e, Name of Authorized Agent: Address of Authorized Agent: __ 2"""'-""'-'6-'-. -~"'-···· -··'--'r_,-'0"-.'-::.....;'--:...~=·• ~-"· =u-• -"l-"· ~____,\_='-'("'~-'-------- (v 0-"'-\::b \_"!l..u::\ i Cl¥ 91 :z (iX5) "6' 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. Property Owner's Signatu,;"C':k·······~;tA.'" \..\._l~ Date: 2..J, z '-li zcz I 1 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-0578) BLDG-Residential 03/03/2021Application Date:Permit Type:Owner:FRONT PORCH COMMUNITIES AND SERVICES P/M/E 03/03/2021Work Class:Issue Date:Subdivision:PARCEL MAP NO 03488 09/20/2021Expiration Date:Status: IVR Number: 31850 Closed - Finaled 201 GRAND AVE, # 357 CARLSBAD, CA 92008-2924 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 03/23/2021 03/23/2021 BLDG-11 Foundation/Ftg/Piers (Rebar) 153306-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Gas fireplace insert.Yes 04/23/2021 BLDG-47 Fireplace/Chimney 155834-2021 Scheduled Tim Kersch Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 155836-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Friday, April 23, 2021 Page 1 of 1 {cityof Carlsbad