HomeMy WebLinkAbout2622 HALF DOME PL; ; CBR2021-2275; PermitPrint Date: 09/22/2021 Permit No: CBR2021-2275
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2622 HALF DOME PL, CARLSBAD, CA 92010-7912
BLDG-Residential
1675111400
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
08/03/2021
08/04/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
CRenf
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:09/22/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
PLUMB, SHOWER VALVE STAY IN KIND (E-REVIEW)Description:
Project Title:
Property Owner:
STATMAN JAN S LIVING TRUST 07-09-14
2622 HALF DOME PL
CARLSBAD, CA 92010
Contractor:
TNT DESIGN AND BUILD INC
3142 TIGER RUN CT, # STE 108
CARLSBAD, CA 92010-6693(760) 363-5584
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
CBR2021-2275
8/3/21
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check _______ _
Est. Value
PC Deposit
Date
Job Address 2622 Half Dome Pl Unit:, _____ APN: 1675111400
CT/Project #:, _________________ Lot #: ____ Year Built: _1_9_88 _______ _
Fire Sprinklers:QrEs@No Air Conditioning:@YESQNo Electrical Panel UpgradeOEs@NO
BRIEF DESCRIPTION OF WORK: Stay in kind.Rough Plumbing, Replace Shower Valve, Hot Mop
0 New SF : _____ Living SF,,__, ___ Deck SF,, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? QvQN New Fireplace? QvQN , if yes how many? __ _
Ii] Remodel: 190 SF of affected area , ____ _ Is the area a conversion or change of use?O v (!)N
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
0Solar: ___ KW, ___ Modules, MountedOoof();round, TiltO vO N, RMA:QvQN,
Battery: O< O,J, Panel Upgrade: Qr ~
D Re roof:, _________________________________ _
D Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY APPLICANT PROPERTY OWNER
Name: Virginia Fajardo Name: Jan Statman
Address: 3142 Tiger Run Ct STE 108 Address: 2622 Half Dome Pl
City: Carlsbad State: CA Zip: 92010 City: Carlsbad
Phone: 760.607.8138 Phone: 760.434.8997
Email: virginla@tntdnb.com Email: maril85140@aol.com
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
State: CA Zip:,_9_20_1_0 __ _
Name: Business Name: TNT Design & Build ·-----------------Address: Address: 3142 Tiger Run Ct St 108
City:. _______ State:, ___ Zlp:. _____ City: Carlsbad State: CA Zlp:._9_2_0_10 ____ _
Phone: Phone: 760.607.8138 ·-----------------Email: Email: virginia@tntdnb.com
Architect State License: CSLB License #: 1012379 Class: B ·-------
Carlsbad Business License# (Required): BLNR004269-11-2018
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: Bulldlng@carlsbadca.gov
REV. 07/21
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:
lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3
of the Business and Professions Code, and my license is in ful/forceandef feet. I also affirm underpenaltyof perjury one of the
following declarations (CHOOSE ONE):
Q1 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. PolicyNo. ___________________________________ _
-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.
'lfyworkers' compensation Insurance carrier and policy number are: lnsuranceComp1ny Name: State Compensation Insurance Fund
Polley No. 9230670 Explr1tlon D1te: _04/2 __ 7_122 ___________ _
-OR-O 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 califomia. WARNING: Failure to secure workers compensation covera1e Is unlawful and shall subject 1n employer to
criminal penalties i nd d vll fines up to $100,000.00, In addition the to the cost of compensation, dam11es IS 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'sAddress: __________________ _
CONTRACTOR CERTIFICATION: I certf fy that I have read the application and state that the above f nformatlon is correct and that
the information on the plans is accurate. I agree to comply with all City_ dinances and State laws relating to building
construction.
,... DATE: 1 /2.,_/z-f
horlzatlon on contractor letterhead. /
{OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt f rom Contractor's License Law f or the f ollowing reason:
r"I 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. Y044, 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-O 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-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property o>Yner.
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./ understand that a cow of the oppllcable law, Section 7044 of the Business and Prof esslons Code, Is available upon request when this application Is
submitted or at the fol/owing Web site: http: I /www.leglnfo.ca.gov/ ca/aw.html.
OWNER CERTIFICATION: lcertifythatlhavereadthe applicationandstatethattheaboveinformatfoniscorrectandthatthe
information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to bull ding
construction.
NAME (PRINT):
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 F Email: Bulldin
2 REV. 07/21
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-2275)
BLDG-Residential 08/03/2021Application Date:Permit Type:Owner:TRUST STATMAN JAN S LIVING TRUST
07-09-14
P/M/E 08/04/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#84-35 UNIT#01
02/22/2022Expiration Date:Status:
IVR Number: 34946
Closed - Finaled 2622 HALF DOME PL
CARLSBAD, CA 92010-7912
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
08/17/2021 08/17/2021 BLDG-24 Rough/Topout 164348-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-27 Shower
Pan/Tubs
164349-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-84 Rough
Combo(14,24,34,44)
164409-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-14
Frame-Steel-Bolting-Welding
(Decks)
Yes
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44
Rough-Ducts-Dampers
Yes
08/18/2021 08/18/2021 BLDG-17 Interior
Lath/Drywall
164527-2021 Partial Pass Chris Renfro Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Partial pass on interior lath drywall in
downstairs bathroom only.
Yes
BLDG-Final Inspection 164453-2021 Cancelled Chris Renfro Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Not ready No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
08/25/2021 08/25/2021 BLDG-17 Interior
Lath/Drywall
165026-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Partial pass on interior lath drywall in
upstairs bathroom
Yes
Wednesday, September 22, 2021 Page 1 of 2
{cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-2275)
BLDG-Residential 08/03/2021Application Date:Permit Type:Owner:TRUST STATMAN JAN S LIVING TRUST
07-09-14
P/M/E 08/04/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#84-35 UNIT#01
02/22/2022Expiration Date:Status:
IVR Number: 34946
Closed - Finaled 2622 HALF DOME PL
CARLSBAD, CA 92010-7912
Address:
Scheduled
Date
Inspection Type Inspection No.Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
09/22/2021 09/22/2021 BLDG-Final Inspection 167021-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Not ready Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Wednesday, September 22, 2021 Page 2 of 2