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HomeMy WebLinkAbout2843 ANDOVER AVE; ; CBR2021-3444; PermitPrint Date: 08/16/2022 Permit No: CBR2021-3444 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2843 ANDOVER AVE, CARLSBAD, CA 92010-7002 BLDG-Residential 1674801851 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 11/17/2021 11/17/2021 Finaled Close Out:12/03/2021 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:12/03/2021Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Dreibelbis, Peter REPLACE WATER HEATER (E-REVIEW)Description: Project Title: Contractor: CALIFORNIA DELTA MECHANICAL INC 6056 E BASELINE RD, # 155 MESA, AZ 85206-4803 (480) 898-0007 AMOUNTFEE WATER HEATER PERMIT $108.00 Total Fees:$108.00 Total Payments To Date:$108.00 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 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-3444 11/17/21 {'city of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check _______ _ Est. Value PC Deposit Date JobAddress'2,542, Ptndcwov fl.yo,. Unit: ____ APN: \\o7Yf>b1M\ CT/Project #: ________________ lot #: ____ Year Built: ________ _ Fire Sprinklers:0E0No Air Conditioning:Q YES0'No Electrical Panel UpgradeQYEs0f(o BRIEF DESCRIPTION OF WORK: 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? __ D Remodel: SF of affected area -----Is the area a conversion or change of use?Qv QN Additional Gas or Electrical Features? □ Pool/Spa: ____ SF ------------ 0solar:. ___ KW, ___ Modules, MountedOoof(foround, Tilt:O v0 N, RMA:QvQN, Batterv:0v 0, Panel Upgrade: Qv O'-J D Re roof:. ________________________________ _ D Plumbing/Mechanical/Electrical 0 Only: Other: PRIMARY APPLICANT PROPERTY OWNER Name: Je:~:F::il C Q\ F\ At Y'. Name: ___ L ..... ~ ........ YV-+~-fu .............. n ...... ib ...... c. b.....__ ____ _ Address: l oD5Lo £ . '"Bu&e \ \ M :Rd-~ ·le&:> Address: ~iBYi fuA;\LJ; f\-\LL. City: M n;.o,. State: A 2 Zip: 8nZDlp City: C.cw:\s'ood State: ('A Zip:91,D\D Phone: 8 \ ol o -l o9 Z ~ 'o -Z.. 7~ Phone:_J ..... le .... D .... -_L-J .... q_?l..._-_7...,Q .... 2 ... 1_._ ________ _ Email: Cf:\?:vm,::\:S 6i ,d g,\-\-f\m, o L\:x,.n\ ca,\ -C C?YY)Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: l\l / A-Business Name: CaI,fur:nia De\¼ l'\.JLl'V,©,\C,a\ Address: Address: l,,05( o E · 1:o..se:\ \VU,, 'RA• ~ \f:)'$ City: _______ State: ___ Zip: ____ City: M Kg State: A 2. Zip: S6 20l o Phone: Phone: 8ulp -u:lZ-52]3. Email: Email :CQ~-<Yh\-\s{pld~o c J)Q.Y\),CCh,\, C,offi Architect State License: CSLB License#: 53\ \ \ \ Y Class: C,3Lo Carlsbad Business License# (Required): ::P-2' 05 l 2. \ 4 2.Bl APPLICANT CERT/FICA T/ON: 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):, )esi,ca E ldev s1GN: .,,l~'--Elk 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: '6-602-8558 DATE: _..:...1 l_j B=-+-"! 2.=.a.\_ Email: Building@carlsbadca.gov REV. 07/21 XXXXXXXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXX 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 herebyaf firm under penalty of perjurythat I am licensedunderprovisionsof 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 fol lowing 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. . R- ave and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the p~rformance of the work for which this permit is issued. y orkers' compensation insurance carrier and policy number are: Insurance Company Name: f1 V'f,1" L \ b-t.v'E' Policy No. \tJCC-:Z,.'1 \ -4 712.4 \ -DID Expiration Date: 1 2.. / 2.. J 2 \ -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 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 CERT/FICA TION: 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): >\e,,~s,CA E \dey (OPTION B}: OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q 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-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 t his reason: At'ID, D 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:I/www.leginfo.ca.gov/ ca/aw.html. OWNER CERTIFICATION: /certify that/ 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): .\ess\UA E lAev SIGN: ._;....,~::::....;:::::;;.i..:::~~-=---DATE:---'-1...,1 [ ....... 64-l.-.2.J.....\ _ Note: If the person signing above is an authorized agent for the property owner in . u e form B-62 signed by property owner. l 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fa/760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-3444) BLDG-Residential 11/17/2021Application Date:Permit Type:Owner: P/M/E 11/17/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#82-16 06/01/2022Expiration Date:Status: IVR Number: 37099 Closed - Finaled 2843 ANDOVER AVE CARLSBAD, CA 92010-7002 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 12/03/2021 12/03/2021 BLDG-25 Water Heater/Vents 171865-2021 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 171866-2021 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Plumbing Final Yes Friday, December 3, 2021 Page 1 of 1 {cityof Carlsbad