HomeMy WebLinkAbout1196 LARKSPUR LN; ; CBR2021-1867; PermitPrint Date: 09/13/2021 Permit No: CBR2021-1867
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1196 LARKSPUR LN, CARLSBAD, CA 92008-3405
BLDG-Residential
2054300900
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
06/25/2021
06/26/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
TKers
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:09/13/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
400 AMP PANEL UPGRADE (EVSE REQUIRED, E-REVIEW)Description:
Project Title:
Property Owner:
MICHAEL YAMAMOTO
1196 LARKSPUR LN
CARLSBAD, CA 92008
Contractor:
ZACH CORNELIUS
7040 AVENIDA ENCINAS, # 104-130
CARLSBAD, CA 92011-4653(760) 420-4866
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
CBR2021-1867
6/25/21
( City of
Carlsbad
Job Address 1196 Larkspur Lane
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check _______ _
Est. Value
PC Deposit
Date _______ _
Suite: _____ APN: __________ _
CT/Project #:. _________________ Lot#: Year Built: _1_9_6_4 ______ _
Fire Sprinklers: OvEsO NO Air Conditioning: 0 YES ONO
BRIEF DESCRIPTION OF WORK:
Electrical Panel Upgrade: 0vEs0 NO
_EJ1da,,CA< Setl.v't,...w'u..._~,.-.u~-------------
0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Ov ON New Fireplace ? Ov ON, if yes how many? __
D Remodel: SF of affected area -----Is the area a conversion or change of use? Ov ON
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
o solar: ___ KW, ___ Modules, Mounted:0Roof 0Ground, Tilt: 0 vO N, RMA: Ov ON,
Battery:Ov ON, Panel Upgrade: Ov ON
D Re roof: __________________________________ _
D Plumbing/Mechanical/Electrical
0 Only: 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 listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT D
Name: Michael Yamamoto Name:. ___________________ _
Address: 1196 Larkspur Lane Address: __________________ _
City: Carlsbad State: CA Zip: 92008 City:. _________ State: ___ Zip: ____ _
Phone: 7605879232 Phone: __________________ _
Email: michael.yamamoto@usbank.com Email: ___________________ _
DESIGN PROFESSIONAL
Name: ________________ _
Address:. _______________ _
City:. _______ State:. ___ Zip:. ___ _
Phone: ________________ _
APPLICANT 0 CONTRACTOR OF RECORD APPLICANT 0
Name:~,\AY◄f= -~ Co4,\J£(,kS
Addres;ig 14I~ si
City: ~lSiW State:CA:: Zip:1Zo~
Phone: ]{go-LfZQ -Lf &hh
Email: michael.yamamoto@usbank.com
Architect State License: __________ _
Email: :ZAlJ\ ~e,lh2~o/f1"hl. Cc::t½
State License/class= : 'l1113us. License:C3L-OS l ~ L-f 3 0 I I
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fat: 760-602-8558 Email: 8uilding@carl:;badca.go11
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:
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: Insurance Company Name: ____________________ _
Policy No. Expiration Date: _______________ _
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:. ____________________ _
coNTRACTOR PRINT: _2&=· .__h:..<--Co-=.:.::4"=e=f.:.o.\b ___ _
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law
O 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).
0 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).
0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
O "owner 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.
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
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 contractor's 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 UABIUrtES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE
AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permi
demolition or construction of structures over 3 stories in height.
APPLICANT PRINT: Zt,Ji Covi,/;J5
1635 Faraday Ave Carlsbad, CA 92008 Email: Building@carlsbadca.gov
2 REV. 08/20
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-1867)
BLDG-Residential 06/25/2021Application Date:Permit Type:Owner:MICHAEL YAMAMOTO
P/M/E 06/26/2021Work Class:Issue Date:Subdivision:WOODLAND HEIGHTS
01/04/2022Expiration Date:Status:
IVR Number: 34210
Closed - Finaled 1196 LARKSPUR LN
CARLSBAD, CA 92008-3405
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
07/15/2021 BLDG-Final Inspection 162043-2021 Cancelled Tim Kersch Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final Finish work and call final.
Discount and reconnect done.
No
07/08/2021 07/08/2021 BLDG-33 Service
Change/Upgrade
161354-2021 Passed Tim Kersch Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Final Inspection 161355-2021 Failed Tim Kersch Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final Finish work and call final.
Discount and reconnect done.
No
07/21/2021 07/21/2021 BLDG-Final Inspection 162435-2021 Failed Tim Kersch Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Plumbing Final Not ready No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final Finish work and call final.
Discount and reconnect done.
No
09/13/2021 09/13/2021 BLDG-Final Inspection 166325-2021 Passed Tim Kersch Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Electrical Final Finish work and call final.
Discount and reconnect done.
Yes
Monday, September 13, 2021 Page 1 of 2
{cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-1867)
BLDG-Residential 06/25/2021Application Date:Permit Type:Owner:MICHAEL YAMAMOTO
P/M/E 06/26/2021Work Class:Issue Date:Subdivision:WOODLAND HEIGHTS
01/04/2022Expiration Date:Status:
IVR Number: 34210
Closed - Finaled 1196 LARKSPUR LN
CARLSBAD, CA 92008-3405
Address:
Scheduled
Date
Inspection Type Inspection No.Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
Monday, September 13, 2021 Page 2 of 2