HomeMy WebLinkAbout1005 LAGUNA DR; ; CBR2021-2337; PermitPrint Date: 08/13/2021 Permit No: CBR2021-2337
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1005 LAGUNA DR, CARLSBAD, CA 92008-1859
BLDG-Residential
2031300100
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
08/06/2021
08/11/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
PDrei
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:08/13/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
REPLACE WATER HEATER (E-REVIEW)Description:
Project Title:
Contractor:
AFFORDABLE WATER HEATERS AND PLUMBING
INC
28358 CONSTELLATION RD, # 698VALENCIA, CA 91355-5044
(661) 259-7131
AMOUNTFEE
WATER HEATER PERMIT $98.00
Total Fees:$98.00 Total Payments To Date:$98.00 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
CBR2021-23378/6/21Ccityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check _______ _ Est. Value PC Deposit _______ _ Date v ~ Job Address \() 0'5 l,,...a f)i) Y)O, 'PC: Suite: ___ ~APN:. _________ _ CT/Project 11: ________________ Lot #: ____ Year Built: ________ _ Fire Sprinklers: QvEsQ NO Air Conditioning:Q YES ONO Electrical Panel Upgrade: QvEsQ NO ~ BRIEF DESCRIPTION OF WORK: 'SZ£::y\Ctc~,,, \.-\D 56a\\M wg-\e.(~ 'z'Arne,, LoCCt:Moo ]~ms:L · 0 Addition/New: _____ Living SF, ___ Deck SF, ___ ,Patio SF, ____ Garage SF __ Is this to create an Accessory Dwelling Unit? OY ON New Fireplace? QY ON, if yes how many? __ . D Remodel:, _____ .SF of affected area Is the area a conversion or change of use? Ov ON 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ 0Solar:. ___ KW, ___ Modules, Mounted: ORoof OGround, Tilt: 0 YO N, RMA: Qy Q N, Battery:QY ON, Panel Upgrade: Ov ON 0 Reroof: ----------------------------------~ Plumbing/Mechanical/Electrical \,J;)w,-.,ev:: ~¼/ Yl? . .::y\c"-C,Q., yV'\en-t l2'f Only: Other: \)a.\ 0 ov\'\ b v, ~ ;:;, , a t::::, 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 listed as the Applicant be/aw will be the main point of contact thraughout the permit pracess. f>,:. PROPERTY OWNER APPLICANT 0 Name~\(>AO..tO. 'NICJ,1$1 l ·1 Address: \CDS 4!j1}Y)&Qr ' Cit\lU\o/bY29"' State:(' 8::: Zip5:Jon"i, Phone:4\eD::·7,;>q-9,o \ 5 PROPERTY OWNERS AUTHORIZED AGENT APPLICANT D Name: __________________ _ Address: _________________ _ City: _________ .State: ___ .Zip: ____ _ Phone: _________________ _ Email: ________________ E.mail: __________________ _ APPLICANT O CONTRACTOR OF RECORD APPLICANT ~ .:\k-Name:_______________ Name: Aw \,~y Qc:.o. 0 ,':>\ h DY'"' c.w12 Address: Address9 'i's;:,S'b Cc,,.:,":>-~\ io..h 5Y') 'Pd k:>0~ DESIGN PROFESSIONAL City: _______ .State: Zip: ____ City:\)Cj\g.Y)CA QI State: W; Zip: C\ f:25-S Phone: Phone: ':1SS-__Q ~S~ °'1 o'--\ \<:; Email: Email: '9..e-crri,-vi:@ Q,.\0\--ic-'y, LDY'\-') Architect State License: State License/class: C..::?:,<e Bus. License:W,,()'$1?-. I i;;;r7 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760·602-2719 Fax: 760·602-8558 Email: Building@carlsbadca.gov REV. 08/20
IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING {OPTION A) OR {OPTION B) BELOW:
{OPTION A): LICENSED 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 penalty of perjury one of the
following declarations:
D1 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. ___________________________________ _:_ __
00 I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for th performance of the war for whicJ, this permit is Issued.
My workers' compensation insurance carrier and poli number are: Insurance Company Name: · Ct \
Policy No. ---\ 0 Expiration Date: _ll"ly.,};:lc__'3..L,J./;l"----llc--------
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:
l 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 Addres~
CONTRACTOR PRINT6c<:1MN'.)~Q4-f~ SIGN: ~ DATE: 7tJ9 /::t 1 I
{OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
O 1, 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).
D1, 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}.
0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
0 11owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application.
0 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 bullt as an owner-builder if it has not been constructed In its entirety by licensed
contractors./ understand that a copy of the applicable low, Section 7044 of the Business and Professions Code, Is available upon request when this application ls
submitted or at the foJ/owing Web site: http://www.Jeginfo.ca.gov/calaw.htmJ.
OWNER PRINT: _________ _ SIGN: _________ DATE: _____ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature below, J certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property
owner or contractor's behalf. J 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 CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE
AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O' deep ond
demolition or construction of structures over 3 stories in height.
APPLICANT PRINT: c:3\:o,Y\'(\ QI'\ '-1 Qi-\<:. S SIGN:~ DATE://:PJJQ. I
I
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bui!ding@carlsbadca.gov
2 REV. 08/20
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-2337)
BLDG-Residential 08/06/2021Application Date:Permit Type:Owner:
P/M/E 08/11/2021Work Class:Issue Date:Subdivision:VILLAGE HOMES UNIT # 1
08/11/2022Expiration Date:Status:
IVR Number: 35052
Closed - Finaled 1005 LAGUNA DR
CARLSBAD, CA 92008-1859
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
08/13/2021 BLDG-25 Water
Heater/Vents
164143-2021 Scheduled Peter Dreibelbis Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Final Inspection 164144-2021 Passed Peter Dreibelbis Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final Yes
Friday, August 13, 2021 Page 1 of 1
{cityof
Carlsbad