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Home My WebLink About262 DATE AVE; ; CBR2021-3103; PermitPrint Date: 09/28/2022 Permit No: CBR2021-3103 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 262 DATE AVE, CARLSBAD, CA 92008-7429 BLDG-Residential 2060802508 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 10/14/2021 10/17/2021 Finaled Close Out:10/15/2021 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:10/15/2021Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Alvarado, Tony GAS LEAK REPAIR (E-REVIEW)Description: Project Title: Contractor: ANDERSEN COMMERCIAL PLUMBING LLC 999 RANCHEROS DR, # STE B SAN MARCOS, CA 92069-3099-SAN DIEGO (760) 721-2904 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $193.00 Total Fees:$193.00 Total Payments To Date:$193.00 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 262 DATECBR2021-310310/14/21( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check _______ _ Est. Value PC Deposit Date ob Address '2~~ ·Dcd-~ ~e:\'\ve.. Unit:. _____ APN: _________ _ CT/Project #: ________________ Lot #: ____ Year Built: ________ _ Fire Sprinklers:QvEs([}No Air Conditioning:QYES(i}No Electrical Panel Upgrade:QYESQNO BRIEF DEscR1PT10N oF woRK: re.~~1( i\l\q coffc&.ed \ 1/ 4' n:5ev 0 New SF : _____ Living SF,---=ac---Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? QvQN New Fireplace? QYQN, 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? ___________ _ osolar: ___ KW, ___ Modules, Mounted:OoofO;round, Tilt:O vO N, RMA:OvON, Battery: Qv OJ, Panel Upgrade: Ov ~ D Re roof: ________________________________ _ D Plumbing/Mechanical/Electrical D Only: Other: PRIMARY APPLICANT PROPERTY OWNER Name: 'tt:>0P Pv:A:a Name: I-\ ?01('1~~ ~ Aoo..ra.emen-~ Address:. _______________ Addre~s: 31. '2.C\ ~-'fle( R\Jn Gt,. ±t 11 2 City: _______ State: ___ .Zip: ____ City: C.,c,.v l•~,bad State: ~ Zip: 9 Z. C ID Phone: Phone: '1(c() Co32-'8Co(ol Email: _______________ Email: fl'q.f)c.e@ 4 pc:,(ry\--s·ffiet. LO('() DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: ________________ Business Name: (-\S(\P 'Dra~\') Address: Address: qqq Bo.o@ev:P::s Dv: !Ve s·u\ \ <.. B City: _______ State: ___ .Zip: ____ City: 'Sew\ ('-\G'\1/'lQ:5 State: Gt-\ Zip: 91..0(p°t Phone: Phone:Gii;OJ 11...\ -1PI04 Email: Email: \ \n·-z.ee @ O.."SGl.\?Cj0"{S .. c.orn Architect State License: CSLB License#: \oe \1c,e '2. Class: G-3 Cc ----------Car Is bad Business License# (Required): 22. 3"::f-3 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. t /) -NAME (PRINT): l;o:zee ~ h:des s1GN:]1~ ~ DATE: ~o / l 3 I 2--t 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 ~Email: Building@carlsbadca.gov REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: _______ _ A BUILDING PERMIT CAN BE ISSUED TO EITI IER /\ ST/\TE LICENSED COI\JH<ACTOR on A PROPEIHY 0\/111\IEH. IF THE PERSOI\I SIGNING THIS FORIVI IS /\N /\GEm· FOH EITHER ENTITY Al\l /\UTHORli'./\TIOl\l FORM OR I.Erf El1 IS REQUIHED PRIOR TO PEHIVlff ISSU/\NCI:. (OPTION A): LICENSED CONTRACTOR DECLARATION: I herebyaffirm underpenaltyof per jury that I am licensed underprovisionsof Chapter 9 ( commenci ngwi th Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. !also affirm under penalty of perjwyoneof 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. Policy No. _____________________________________ _ -OR- QI have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, foXhe performance _of the work (or wl'.ich this permit is_~~ed. . y workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: L"'I C, O (?.1 :5\<. '5:z;y ,, i Le<; i \ (\ C c)2 1-:\ C~{ j c1u Policy No. () '.\ ~ 3 \v(d,o '>3 Ci'-\ Expiration Date: _1'--'---lf-· ,L+/__,2.e=,-.0'--'7.'"''"''-"'2=-------- -0H-' Q 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 l abor Code, interest and attorney's fees. CO~STl}LJ~TIQI I ~E_NQl[iG f.\GEi\JCY, IF A~Y: 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: /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): l..Jniee.. ~bod,g s DATE: 10/ 14 /2l Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. SIGNATUR E: J.~ ~ ,D (OPTIOI\J B): OWl\lER-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). -OH-· QI, as owner of the property, am exclusively con tracting with licensecl co ntractors to con struct the project (Sec. 7044, Business and Professions Code: The Contractor's License La w 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: AN O, D FORM 8-61 "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 coverecl 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 entirely by licensed contractors./ understand that a copy of the applicable law, Section 7044 of t/Je Business and Professions Code, is available upon request when this application is submitted orat the following Web site: http:ll www.leginfo.ca.gov/calaw.html. OWNER CERT/FICA TION: I certify that! have read the application and state that the above information is correct and that the information on the plans is accurate. /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 8-62 signed by property owner. 1635 Faraday /Ive Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email:. i---· 2 REV. 07/21 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-3103) BLDG-Residential 10/14/2021Application Date:Permit Type:Owner: P/M/EWork Class:Issue Date:Subdivision: Expiration Date:Status: IVR Number: 36450 Closed - Finaled 262 DATE AVE CARLSBAD, CA 92008-7429 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 10/15/2021 10/15/2021 BLDG-23 Gas/Test/Repairs 168693-2021 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency October 15, 2021: (Virtual Inspection). No gas test repair work Deficiencies. 1. Underground poly propylene-yellow continuous gas line, with trace wire, air pressure leak test, scope of work-approved. Yes BLDG-Final Inspection 168721-2021 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Plumbing Final October 15, 2021: (Virtual Inspection). No gas test repair work Deficiencies. 1. Underground poly propylene-yellow continuous gas line, with trace wire, air pressure leak test, scope of work-approved. Yes Friday, October 15, 2021 Page 1 of 1 {cityof Carlsbad