HomeMy WebLinkAbout2864 CAMINO SERBAL; ; CBR2021-1095; PermitPrint Date: 11/09/2022 Permit No: CBR2021-1095
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2864 CAMINO SERBAL, CARLSBAD, CA 92009-6993
BLDG-Residential
2552812800
$26,404.56
Work Class:
Lot #:
Project #:
Pool
Status:
Applied:
Issued:
04/18/2021
06/23/2021
Finaled Close Out:11/09/2022
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:01/05/2022Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:Burnette, Paul
Renfro, Chris
Alvarado, Tony
504 SF POOL & SPA (E-REVIEW)Description:
Project Title:
Applicant: PETER DECAMP
1106 2ND ST, # STE 191
ENCINITAS, CA 92024-5096
(760) 802-5696
Property Owner: CO-OWNERS RASMUSSEN ERIC AND
RASMUSSEN RICHELLE
2864 CAMINO SERBAL
CARLSBAD, CA 92009
Contractor: DECAMP POOLS INC
1106 2ND ST, # STE 191
ENCINITAS, CA 92024-0000
(760) 802-5696
AMOUNTFEE
BUILDING PERMIT FEE ($2000+)$258.80
BUILDING PLAN CHECK FEE (BLDG)$181.16
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL $41.00
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL $62.00 SB1473 GREEN BUILDING STATE STANDARDS FEE $2.00
STRONG MOTION-RESIDENTIAL $3.43
SWPPP INSPECTION FEE TIER 1 - Medium BLDG $246.00
SWPPP PLAN REVIEW FEE TIER 1 - MEDIUM $55.00
Total Fees:$849.39 Total Payments To Date:$849.39 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
CBR2021-1095
26,404
4/18/21
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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:
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Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-1095)
BLDG-Residential 04/18/2021Application Date:Permit Type:Owner:COOWNER RASMUSSEN ERIC &
RASMUSSEN RICHELLE
Pool 06/23/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#88-03-03
ARROYO LA COSTA UNIT#03
03/28/2022Expiration Date:Status:
IVR Number: 32839
Closed - Finaled 2864 CAMINO SERBAL
CARLSBAD, CA 92009-6993
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
06/24/2021 06/24/2021 BLDG-SW-Pre-Con 160468-2021 Failed Paul Burnette Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
06/25/2021 06/25/2021 BLDG-SW-Pre-Con 160543-2021 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency June 25, 2021: (phone/virtual inspection).
No building deficiencies.
1. Inform pool contractor Brad, regarding
the following:
2. Temporary toilet facilities require pan
under toilet
Temporary toilet facilities require pan under
toilet I need to be located outside public
right-of-way and on owners property.
3. Dirt spoils/stockpiling, requires be
covered and protected, dust and runoff
containment, with straw waddle or
gravel/sandbags.
4. Contain all soil erosion and sediment
erosion on property, keep any soil or
debris away from storm water inlet,
adjacent property owners, and
public-right-of-way sidewalk areas
(typical).
5. Final as-built plan revisions need to be
approved prior to final inspection, for
historical purposes and city records
management maintaining latest and
greatest current plans on file.
6. Security perimeter fencing and gates
installed at all times during the construction
process till final clearances and sign offs
from all agencies/depts.
7. Hours of construction observed.,
8. Federal holidays observed and no
construction work allowed.
9. Additional preconstruction requirements
may follow.
Yes
07/22/2021 07/22/2021 BLDG-51
Excav/Steel(Pools)
162563-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
Wednesday, January 5, 2022 Page 1 of 2
{cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-1095)
BLDG-Residential 04/18/2021Application Date:Permit Type:Owner:COOWNER RASMUSSEN ERIC &
RASMUSSEN RICHELLE
Pool 06/23/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#88-03-03
ARROYO LA COSTA UNIT#03
03/28/2022Expiration Date:Status:
IVR Number: 32839
Closed - Finaled 2864 CAMINO SERBAL
CARLSBAD, CA 92009-6993
Address:
Scheduled
Date
Inspection Type Inspection No.Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
BLDG-54 Equipotential
Bond(Pools)
162564-2021 Partial Pass Chris Renfro Reinspection Incomplete
09/23/2021 09/23/2021 BLDG-54 Equipotential
Bond(Pools)
167092-2021 Failed Chris Renfro Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Not ready No
BLDG-55
Fence/Preplaster
167091-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
09/27/2021 09/27/2021 BLDG-54 Equipotential
Bond(Pools)
167309-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
01/05/2022 01/05/2022 BLDG-Final Inspection 173865-2022 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Wednesday, January 5, 2022 Page 2 of 2