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Home My WebLink About2095 TRUESDELL LN; ; CBR2022-1199; PermitPrint Date: 12/22/2022 Permit No: CBR2022-1199 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2095 TRUESDELL LN, CARLSBAD, CA 92008-1141 BLDG-Residential 1671801900 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 04/07/2022 04/13/2022 Finaled Close Out:12/22/2022 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:05/26/2022Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Alvarado, Tony INSTALL DUCTLESS MINI SPLIT (E-REVIEW)Description: Project Title: Applicant: WE GREEN INC TARA VAN SAMBEEK 3675 RUFFIN RD, # SUITE 320 SAN DIEGO, CA 92123-1835(888) 991-4377 Contractor: GABRIEL CARINI HEATING AND AIR CONDITIOING 500 FRONT ST EL CAJON, CA 92020-4233(619) 843-0987 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 RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date Job Address Unit: APN: CT/Project #: Lot #: Year Built: Fire Sprinklers: YES NO Air Conditioning: YES NO Electrical Panel Upgrade: YES NO BRIEF DESCRIPTION OF WORK: PRIMARY APPLICANT PROPERTY OWNER Name: Name: Address: Address: City: State: Zip: City: State: Zip: Phone: Phone: Email: Email: DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: Business Name: Address: City: State: Zip: Phone: Email: Architect State License: Address: City: State: Zip: Phone: Email: CSLB License #: Class: Carlsbad Business License # (Required): 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. NAME (PRINT):SIGN: DATE: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760‐602‐2719 Fax: 760‐602‐8558 Email: Building@carlsbadca.gov 1 REV. 07/21 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 Is the area a conversion or change of use? Y N Remodel: SF of affected area New SF : _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? 4/7/2022 tara van sambeek 3675 Ruffin Rd #320 san diego ca 92123 carlsbad ca 2095 Truesdell Ln Install Ductless Mini Split Install a Ductless Mini Split Dennis Crothers 2095 Truesdell Ln 92008 8889914377 7605186101 t.vansambeek@wegreeninc.com Carini Heating and Air 500 Front St el cajon ca 92020 6198430997 info@cariniair.com 887621 C20 blos123658 Tara Van Sambeek 4/7/2022 □ □ □ □ □ ~ □ Cicyof Carlsbad 00 00 00 0 0 0 0 oo 00 00 0 0 00 00 Tara VaM Sar11beek     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 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 (CHOOSE ONE): 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. -OR- 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: -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 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: 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): SIGNATURE: DATE: Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. ‐ OR ‐ (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). -OR- 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- I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, 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://www.leginfo.ca.gov/calaw.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  x Insurance Company of the West WSD5062688400 11/12/2022 Tara Van Sambeek 4/7/2022 Tara Van Sambeek 4/7/2022 0 0 0 0 a 0 □ Tara VaM Sa111beek Ia.ta Van Sambeek Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2022-1199) BLDG-Residential 04/07/2022Application Date:Permit Type:Owner: P/M/E 04/13/2022Work Class:Issue Date:Subdivision: 11/22/2022Expiration Date:Status: IVR Number: 39872 Closed - Finaled 2095 TRUESDELL LN CARLSBAD, CA 92008-1141 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 05/26/2022 05/26/2022 BLDG-43 Air Cond./Furnace Set 183611-2022 Passed Tony Alvarado Complete BLDG-Final Inspection 183612-2022 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Electrical Final Yes Thursday, May 26, 2022 Page 1 of 1 {cityof Carlsbad