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Home My WebLink About2576 INGLETON AVE; ; CBR2021-3422; PermitPrint Date: 12/09/2021 Permit No: CBR2021-3422 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2576 INGLETON AVE, CARLSBAD, CA 92009-3060 BLDG-Residential 2131304100 $8,400.00 Work Class: Lot #: Project #: Cogen Status: Applied: Issued: 11/15/2021 11/15/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled CRenf Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:12/09/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: WILLIAMS; ROOF MOUNT SOLAR (7.67 KW) 21 MODULES (E-REVIEW)Description: Project Title: Contractor: BAKER ELECTRIC INC 1298 PACIFIC OAKS PL ESCONDIDO, CA 92029-2900(760) 745-2001 AMOUNTFEE SB1473 – GREEN BUILDING STATE STANDARDS FEE $1.00 SOLAR–RESIDENTIAL: per kW $268.00 STRONG MOTION – RESIDENTIAL (SMIP)$1.09 Total Fees:$270.09 Total Payments To Date:$270.09 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 1 REV. 08/20 __________________________________________________________________________________________________ RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date Job Address Suite: APN: CT/Project #: Lot #: Year Built: ______________________ Fire Sprinklers: YES NO Air Conditioning: YES NO Electrical Panel Upgrade: YES NO BRIEF DESCRIPTION OF WORK: (all new construction requries FORMS B-50 and B-59 at permit issuance) 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. TURN IN PAGE ONE OF THIS APPLICATION UPON SUBMITTING PLANS. PAGE TWO IS REQUIRED AT PERMIT ISSUANCE. PROPERTY OWNER APPLICANT PROPERTY OWNERS AUTHORIZED AGENT APPLICANT Name: Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: Email: Email: DESIGN PROFESSIONAL APPLICANT CONTRACTOR OF RECORD APPLICANT Name: Address: City: State: Zip: Phone: Email: Architect State License: Name: Address: City: State: Zip: Phone: Email: State License/class: Bus. License: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 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 Patio SF, Garage SF ______ New SF : _Living SF, _ Deck SF, Is this to create an Accessory Dwelling Unit? Y N New Fireplace? Y N , if yes how many? Remodel: SF of affected area Is the area a conversion or change of use ? Y N Ryan Williams jennifer@tamayoconsulting.com CBR2021-3422 11/15/2021 □ □ □ □ □ □ □ ( City of Carlsbad 0 0 00 00 0 0 0 0 0 0 0 0 0 0 0 0 00 00 □ □ □ □ OWNER PRINT: SIGN: (APPLICANT OPTION C) OWNER OR CONTRACTORS AUTHORIZED AGENT: 2 REV. 08/20     IDENTIFY THE PERMIT APPLICANT BELOW BY COMPLETING (OPTION A) (OPTION B) OR (OPTION C) (APPLICANT 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.___________________________________________________________________________________________________ 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: Lender’s Address: DATE: CONTRACTOR PRINT: (APPLICANT 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). 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). I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: _____________________________________________________________________________________________________________________________________ FORM B-61 “Owner Builder acknowledgement and verification form” has been filled out, signed and attached to this application. FORM B-62 "Owners Authorized Agent Form” has been filled out, signed and attached to this application giving the agent authority to obtain the permit. 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 DATE: 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. By my signature below, I certify that: I am authorized to act on the property owner or contra’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. AGENT PRINT: DATE: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov SIGN: SIGN: □ □ □ □ □ □ □ □ 1 OWNERS AUTHORIZED AGENT FORM B-62 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov OWNER’S AUTHORIZED AGENT FORM Only a property owner, contractor or their authorized agent may submit plans and applications for building permits. To authorize a third---party agent to sign for a building permit, the owner’s third party agent must bring this signed form, which identifies the agent and the owner who s/he is representing, and for what jobs s/he may obtain permits. The form must be completed in its entirety to be accepted by the City for each separate permit application. Note: The following Owner’s Authorized Agent form is required to be completed by the property owner only when designating an agent to apply for a construction permit on his/her behalf. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER’S BEHALF Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work): ________________________________________________ Project Location or Address: ______________________________________________________________________ Name of Authorized Agent: __________________________________________Tel No. ______________________ Address of Authorized Agent:_____________________________________________________________________ _____________________________________________________________________ I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Property Owner’s Signature: _______________________________________________ Date: _________________ {'city of Carlsbad Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-3422) BLDG-Residential 11/15/2021Application Date:Permit Type:Owner:TRUST DREYER-PATTON JENNIFER 2015 TRUST 04-20-15 Cogen 11/15/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#02-14 BRESSI RANCH UNIT#01 06/07/2022Expiration Date:Status: IVR Number: 37047 Closed - Finaled 2576 INGLETON AVE CARLSBAD, CA 92009-3060 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 12/09/2021 12/09/2021 BLDG-35 Solar Panel 172312-2021 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 172313-2021 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Thursday, December 9, 2021 Page 1 of 1 {cityof Carlsbad