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Home My WebLink About1210 PINE AVE; ; CBR2021-2862; PermitPrint Date: 11/02/2022 Permit No: CBR2021-2862 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1210 PINE AVE, CARLSBAD, CA 92008-1938 BLDG-Residential 2050203400 $4,040.18 Work Class: Lot #: Project #: Reroof Status: Applied: Issued: 09/20/2021 09/23/2021 Finaled Close Out:11/02/2022 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:11/24/2021Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Alvarado, Tony REROOF COMP SHINGLES 23 SQUARES CLASS A (E-REVIEW)Description: Project Title: Property Owner: CO-OWNERS DANIEL AND ELIZABETH GLASSER 1210 PINE AVE CARLSBAD, CA 92008 Contractor: REGAN ROOFING INC 2420 INDUSTRY ST, # STE B OCEANSIDE, CA 92054-4877 (858) 255-7100 AMOUNTFEE REROOFING – RESIDENTIAL $89.00 SB1473 – GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION – RESIDENTIAL (SMIP)$0.53 Total Fees:$90.53 Total Payments To Date:$90.53 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 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: 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 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 Addition/New: _Living SF, _ Deck SF, Patio SF, Garage 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 CBR2021-2862 9-20-21 □ □ □ □ □ □ □ ( 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 CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL 2 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: 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: (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: _____________________________________________________________________________________________________________________________________ “Owner Builder acknowledgement and verification form” has been filled out, signed and attached to this application. 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. 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 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5’0’ deep and demolition or construction of structures over 3 stories in height. APPLICANT PRINT: DATE: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov SIGN: SIGN: □ □ □ □ □ □ □ □ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-2862) BLDG-Residential 09/20/2021Application Date:Permit Type:Owner:COOWNERS DANIEL AND ELIZABETH GLASSER Reroof 09/23/2021Work Class:Issue Date:Subdivision:CARLSBAD LANDS SUB TCTS 114 & 120 05/09/2022Expiration Date:Status: IVR Number: 35977 Closed - Finaled 1210 PINE AVE CARLSBAD, CA 92008-1938 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 11/08/2021 11/08/2021 BLDG-15 Roof/ReRoof (Patio) 170460-2021 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency November 8, 2021: 1. Roof plywood; type, size, and anchoring method attachment-approved. Yes 11/24/2021 11/24/2021 BLDG-Final Inspection 171305-2021 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Structural Final Yes Wednesday, November 24, 2021 Page 1 of 1 {cityof Carlsbad