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Home My WebLink About1355 FOREST AVE; ; CBR2021-3044; PermitPrint Date: 11/21/2022 Permit No: CBR2021-3044 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1355 FOREST AVE, CARLSBAD, CA 92008-1010 BLDG-Residential 1561106700 $0.00 Work Class: Lot #: Project #: Alteration Status: Applied: Issued: 10/06/2021 10/17/2021 Finaled Close Out:11/21/2022 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:03/03/2022Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Alvarado, Tony LARSON: BATHROOM RENOVATION (NO PLAN- SUBJECT TO FIELD INSPECTION) (E-REVIEW)Description: Project Title: Property Owner: CO-OWNERS LARSON ERIC AND JENNIFER A 1355 FOREST AVE CARLSBAD, CA 92008 AMOUNTFEE REMODEL-RESIDENTIAL – KITCHEN or BATH $350.00 Total Fees:$350.00 Total Payments To Date:$350.00 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 CBR2021-3044 10/6/2021 ( Cicyof Carlsbad RESIDENTIAL BU ILD ING PERMIT APPLICATION 8-1 Plan Check _______ _ Est. Value PC Deposit Date Job Address __ \ __ ·;, ...... S .... 6=-_--_t42f2......._....._t;;S__,._.f:....__A __ v..,___E _____ Unit: _____ APN : _________ _ CT/Project #: _________________ Lot #: ____ Year Built: ________ _ Fire Sprinklers:O E~NO Air Conditioning:O YEs Q No Electrical Panel Upgrade:Q YES~NO BRIEF DESCRIPTION OF WORK: ~Q.L@ VV\ R&:f,OVAT ~M 0 New SF : _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? Q vQ N New Fireplace? Q vQ N, if yes how many? __ _ ~Remodel: I t..0 SF of affected area Is the area a conversion or change of use? O v ®N 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ □solar: 'KW, ___ Modules, Mounted:O oofO;round, Tilt:O vO N, RMA:O vQ N, Battery:Q Y 0, Panel Upgrade: Qv (')N D Re roof: __________________________________ _ D Plumbing/Mechanical/Electrical D Only: Other: PRIMARY APPLICANT Name: ?f'\v\..... M 12~~, L)C... Address: e04 p,gyz.... V, f;W ½IA':1 <;;.±;: W 3 City: OtEAH >)% State: Ce Zip: q295fl Phone: 7l.eP 410 -Z I O 7 Email: ]Xtv\ e Mevvi bv I Id_ I COM DESIGN PROFESSIONAL Name: N/.A ; PROPERTY OWNER Name: s",''-W½N Address: \35':) ·Fo gg.~ A \Je. City: C.t9'1U..S(?'l\o State: C l:\ Zip: ~-ZOO-& Phone: (&)t\j l0\-:::f \e5:S Email: __________________ _ CONTRACTOR OF RECORD Business Name: vY'l~l '\>V1t..Q Address: _______________ Addr~;_s: BQiJ P1ag...Y16'J VvA-/ Sb 22:>3 City: _______ State: ___ Zip: ____ City: Uce,_q vt s1c\e State: C, Zip: gzo:54 Phone: Phone: J/ro 4]D 2./ D7 Email: ________________ Email: f21v) @ IY'fvV) bv1 )d ,CO)y\ Architect State License:-----------CSLB License#: ®S e1z. Class:_B=------- Carlsbad Business License# (Required): . ...,l} .... ~ .... ~---16:,Jj_· ___ _ APPLICANT 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 co· ordin nces and State laws relating to building construction. / ~ • J. J NAME (PRINT): B \/L---M agyg ,k s1GN: ~ / ~~ DATE: 11,P r z' 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 r Email: Building@carlsbadca.gov REV. 07/21 TH IS 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 herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 ( commencing with Section 7000) of Division] 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): Q 1 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. ______________________________________ _ -OR- r'11 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. '--M'y workers' compensation insurance carrier and policy number are: Insurance Company Name: ____________________ _ Policy No. ___________________________ Expiration Date: _______________ _ -OR-~ 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 onstruction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: N 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 isaccurate. I agree to comply with all Cit ordinances and State laws relating to building construction. -OR - (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 contr~ctors to construct the project (Sec. 7044, Business and Professions Cod e: 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 this reason: AND, 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 yea r 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./ 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 ar at the following Website: http: I I www.leginfo.ca. gov I ca/aw. html. OWNER 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. NAME (PRINT): SIGN: DATE: ------------------------Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-3044) BLDG-Residential 10/06/2021Application Date:Permit Type:Owner:COOWNER LARSON ERIC AND JENNIFER A Alteration 10/17/2021Work Class:Issue Date:Subdivision:PARCEL MAP NO 03597 08/30/2022Expiration Date:Status: IVR Number: 36331 Closed - Finaled 1355 FOREST AVE CARLSBAD, CA 92008-1010 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 03/03/2022 03/03/2022 BLDG-84 Rough Combo(14,24,34,44) 177656-2022 Passed Tony Alvarado Complete BLDG-Final Inspection 177657-2022 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Thursday, March 3, 2022 Page 1 of 1 {cityof Carlsbad