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Home My WebLink About2842 AVENIDA VALERA; ; CBR2021-2679; PermitPrint Date: 09/10/2021 Permit No: CBR2021-2679 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2842 AVENIDA VALERA, CARLSBAD, CA 92009-7109 BLDG-Residential 2164610300 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 08/31/2021 08/31/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled PDrei Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:09/10/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: SEHR: REPLACE A/C AND COIL (E-REVIEW)Description: Project Title: Property Owner: COOWNERS MOSELEY TIMOTHY A AND ELIZABETH K 2842 AVENIDA VALERA Contractor: GABRIEL CARINI HEATING AND AIR CONDITIOING 500 FRONT STEL CAJON, CA 92020-4233 (619) 843-0987 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $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 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 State License: 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, CA 92008 Ph: 760‐602‐2719 Fax: 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 Electrical Features? Pool/Spa: SF Is the area a conversion or change of use? Y N Remodel: SF of affected area New SF : _Living SF, _ Deck SF, Patio SF, Garage SF Is this to create an Accessory Dwelling Unit? Y N New Fireplace? Y N , if yes how many? 8/31/2021 2842 Avenida Velara Replace AC and coil Replace AC and coil Tara Van Sambeek Bob Sehr 3675 Ruffin Rd #320 2842 Avenida Velara San Diego Ca 92123 Carlsbad Ca 92009 212-518-1517888-991-4377 t.vansambeek@wegreeninc.com Carini Heating and Air 500 Front St El Cajon CA 92020 619-843-0997 info@cariniair.com 887621 C20 blos123658 8/31/2021Tara Van Sambeek CBR2021-2679 8/31/21 □ □ □ □ □ ~ □ Cicyof Carlsbad 00 00 00 @) 0 0 0 oo 00 00 0 0 00 00 Tara VaM Sa111beek     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 workers’ compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No. -OR- 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: Insurance Company Name: Policy No. _____________________________________________________________ Expiration Date: -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 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: 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 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 hereby affirm that I am exempt from Contractor’s License Law for the following reason: 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 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). -OR- 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). -OR- I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, FORM B‐61 “Owner Builder Acknowledgement and Verification Form” 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, CA 92008 Ph: 760‐602‐2719 Fax: 760‐602‐8558 Email: Building@carlsbadca.gov 2 REV. 07/21  x Zenith Insurance Agency 11/12/2021Z136315502 Tara Van Sambeek 8/31/2021 0 0 0 0 a 0 □ Tara Va11 Sawrbeek Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-2679) BLDG-Residential 08/31/2021Application Date:Permit Type:Owner:COOWNERS MOSELEY TIMOTHY A AND ELIZABETH K P/M/E 08/31/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#90-23 08/31/2022Expiration Date:Status: IVR Number: 35599 Closed - Finaled 2842 AVENIDA VALERA CARLSBAD, CA 92009-7109 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 09/10/2021 BLDG-43 Air Cond./Furnace Set 166184-2021 Scheduled Peter Dreibelbis Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 166185-2021 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes BLDG-Electrical Final Yes Friday, September 10, 2021 Page 1 of 1 {cityof Carlsbad