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HomeMy WebLinkAbout2428 BADAJOZ PL; ; CBR2021-2211; PermitPrint Date: 08/18/2021 Permit No: CBR2021-2211 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2428 BADAJOZ PL, # A, CARLSBAD, CA 92009-8044 BLDG-Residential 2161905301 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 07/27/2021 07/28/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:08/18/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: REPLACE WATER HEATER (E-REVIEW)Description: Project Title: Applicant: IPERMIT KEITH JOHNSON 31225 LA BAYA DR, # STE 213WESTLAKE VILLAGE, CA 91362 Property Owner: BLAIR FAMILY TRUST 2428 BAJADOZ PL, # A CARLSBAD, CA 92009 Contractor: ASI HASTINGS INC 4870 VIEWRIDGE AVE, # STE 200 SAN DIEGO, CA 92123-1671(619) 590-9300 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 RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date Job Address Unit:APN: CT/Project #:Lot #: Year Built: Fire Sprinklers:YES NO Air Conditioning:YES NO Electrical Panel Upgrade:YES NO BRIEF DESCRIPTION OF WORK: PRIMARY APPLICANT PROPERTY OWNER Name:Name: Address:Address: City:State: Zip:City:State: Zip: Phone:Phone: Email:Email: DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name:Business Name: Address: City:State: Zip: Phone: Email: Architect StateLicense: Address: City:State: Zip: Phone: Email: CSLB License #:Class: Carlsbad Business License # (Required): 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. NAME (PRINT):SIGN:DATE: 1635 Faraday Ave Carlsbad,CA92008 Ph: 760 602 2719Fax:760 602 8558 Email:Building@carlsbadca.gov 1 REV. 07/21 Solar:KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N, Battery: Y N, Panel Upgrade: Y N Reroof: Plumbing/Mechanical/Electrical Only: Other: Additional Gas or ElectricalFeatures?Pool/Spa:SF Is the area a conversion or change ofuse? Y NRemodel:SF of affectedarea New SF :_Living SF, _ Deck SF, Patio SF, Garage SF Is this to create an AccessoryDwelling Unit? Y N New Fireplace? Y N , if yes how many? 2428 BADAJOZ PLACE UNIT ACARLSBAD CA 92009 (50 GAL) Water heater change out, in garage. Like for like. JERE KIMBRELL 2428 BADAJOZ PLACE UNIT A CARLSBAD CA 92009 (760) 436-6938 513115 A S I HASTINGS INC 4870 VIEWRIDGE AVENUE #200 CA 92123 (619) 590-9300 C36 7/14/21 SAN DIEGO CBR2021-2211 7/27/21 □ □ □ □ □ [i] □ (_ Cicyof Carlsbad 00 00 Keith Johnson (iPermit) 31225 La Baya Dr. #213 Westlake Village (818)321-3398 keith@ipermitca.com CA Keith Johnson ® 0 0 0 00 00 00 0 0 00 00 00 91362 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: __________________ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (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 (CHOOSE ONE): I have and will maintain a certificate of consent to self insure for compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. PolicyNo. -OR- I have and will maintain compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My compensationinsurance carrierand policy numberare:InsuranceCompany Name: Policy No. _____________________________________________________________ ExpirationDate: -OR- 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 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 fees. 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). Name:Address: CONTRACTOR 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. NAME (PRINT):SIGNATURE:DATE: Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. OR (OPTION B): OWNER BUILDER DECLARATION: I, 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 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). -OR- I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The 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 License Law). -OR- I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, FORM B 61 Builder Acknowledgement and Verification is required for any permit issued to a property owner. 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 submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER 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. NAME (PRINT):SIGN:DATE: Note: If the person signing above is an authorized agent for the property owner include form B 62 signed by property owner. 1635 Faraday Ave Carlsbad,CA92008 Ph: 760 602 2719Fax:760 602 8558 Email:Building@carlsbadca.gov 2 REV. 07/21 EVEREST NATIONAL INSURANCE COMPANY RM8WC00054211 04/01/2022 7/14/21 7/14/21 0 workers' ® workers' worker's 0 workers' attorney's Lender's ____________________ Lender's Keith Johnson !tter of autho I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 Contractor's a Contractor's Contractor's 0 □ -"Owner Form" Keith Johnson ude form B-6 HASTINGS THE WHITE GLOVE GUYS CITY AND COUNTY BUILDI G DEPARTMENTS I hereby authorize the following persons from iPermit ERaters (see attached page for complete list) to act on my behalf in obtaining busine s licenses and permits from the Building and Safety Department, and to sign for permit and related applications on my behalf. 1 am proper I I icensed as required by the State of California. I assume full re ponsibility under the law for permits taken out by persons authorized to act on my behalf. This authorization shall continue until the Department of Building and Safety of each City and County is notified in writing that such authorization has been canceled. Authorizing officer must be listed on the Personnel List maintained by the State Contractors License Board. COMPANY AME: CONTRACTORS STATE LICENSE# BY: IGNATURE: A S I HASTINGS INC. 513115 PffiLJUSTO TITLE: PRES! DENT DATE: _/_D_0__,~'-"'='=-6_·2..._._.r)..__ Page 1 of 2 CALLEN JOHNSON IPERMIT ERATERS PERSONS AUTHORIZED TO SIGN AND OBTAIN PERMITS: ERIC JACOBY IAN JACOBY JENNIFER JACOBY ARYELIIlLL BEN MEDINA STEVE SCHNIERER ROBERT MILLER ADRIAN MARTINEZ HOW ARD VANLANDINGHAM TOMBROWN RAY THOMAS CHARLIE PARK KEITH JOHNSON MEIRA V EISENBERG JENNA BEALS KALEO SPALDING ASHLEY MCDONALD NINEVEH MORADKHAN STEPHANIE SHRYOCK LETICIA GONZALEZ CASSIDY SNOW KYLE EPSTEIN SIA VASH MA YELAFSHAR Page 2 of2 FO who proved to me on the basis o sa .n:.r-s,-vv ~oeric to the within instrument and ac o eageo authorized capacity(ies), and that b upon behalf of which the persor s a ea e Place Notary Seo/ and/or Stomp Above CIVfl CODE § 1189 o signed the document e person(s) whose name(s) is/are subscribed s e ey executed the same in his/her/their re{s) on the instrument the person(s), or the entity I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand :nd official seal. n , Sig~ffiw_t-_, :0 ~~ 1 Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: ___________________________ _ Document Date: _____________________ Number of Pages: ____ _ Signer(s) Other Than Named Above: ________________________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ____________ _ □ Corporate Officer -Title(s): ______ _ o Partner -□ Limited □ General o Individual o Trustee □ Other: o Attorney in Fact □ Guardian or Conservator Signer is Representing: _________ _ ©2019 National Notary Association Signer's Name: ____________ _ o Corporate Officer -Title(s): ______ _ □ Partner -□ Limited o General D Individual □ Trustee D Other: o Attorney in Fact □ Guardian or Conservator Signer is Representing: _________ _ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-2211) BLDG-Residential 07/27/2021Application Date:Permit Type:Owner:TRUST BLAIR FAMILY TRUST P/M/E 07/28/2021Work Class:Issue Date:Subdivision:PARCEL MAP NO 11232 02/14/2022Expiration Date:Status: IVR Number: 34815 Closed - Finaled 2428 BADAJOZ PL, # A CARLSBAD, CA 92009-8044 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 08/18/2021 08/18/2021 BLDG-25 Water Heater/Vents 164414-2021 Passed Paul Burnette Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 164415-2021 Passed Paul Burnette Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Plumbing Final Yes BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No Wednesday, August 18, 2021 Page 1 of 1 {cityof Carlsbad