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HomeMy WebLinkAbout2376 CARINGA WAY; # F; CBR2022-3586; PermitPrint Date: 01/06/2023 Permit No: CBR2022-3586 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2376 CARINGA WAY, # F, CARLSBAD, CA 92009-6354 BLDG-Residential 2152402902 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 09/29/2022 11/07/2022 Finaled Close Out:01/06/2023 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:11/10/2022Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:de Roggenbuke, Dirk MAURINA - SUB-PANEL REPLACEMENT (E-REVIEW)Description: Project Title: AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $208.00 Total Fees:$208.00 Total Payments To Date:$208.00 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 { City of Carlsbad RESIDENTIAL BUILDIN G PERMIT APPLICATION 8 -1 Plan CheckCl3/2.a)Z2 ~ 3~'i'b Est. Value PC Deposit Date APN: __________ _ JobAddress d\3-:J:/o C..a_y;"--(l(\ w~ un;t, f CT/Project #: _________________ Lot #: ____ Year Bu ilt: ________ _ BRIEF DESCRIPTION OF WORK: ____ 12.,.a.=...,'il.-_l)_l_~_C_f! __ ..... n-.......... lC. ___ l ___ ~_Tl_V\._C,.. __ ~ ......... l¼? ......... _P_A-rt __ d ______ _ □ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N, if yes how many? ___ _ D Remodel: _____ SF of affected area Is the area a conversion or change of use? ©>Y O N 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ 0Solar: ___ KW, ___ Modules, Mounted:Q Roof O Ground, Tilt: 0 Y0 N, RMA:O Y 0 N, Battery:O YC N, Panel Upgrade: O Y O N Electric Meter number: ------------ Other: APPLI CANT (PRIMA PROPERTY OWNER . Name: 5 V\u·,.... ,. Name: ~\,1 -e,.v-;'-:I Y'~ [ Mcu,qr ; 1:1,0,, , Address: ~'31--(t1 LA, t£ Address: J.. 3-::}-0 Y • ~0, \ ,1,}~ Ct_\tl ! ± £ City: · State:-!'!'-_. 'p: ct, OD°:\ City: V -S bQ,,,, State: ..__ Zip: 9: ;}...OV7 Phone,,,__,~..,.._"'""'r-li,..;;..;.-.:....,..---...,..........,.--...,....--Phon d-\ 0-. -g =,- Email: ,t.ovv, Emai: ·1/v\ok ;\ +saJ ov,@ WlC\..1 • uv~ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: ____________________ Business Name: ________ .....,,,.-,:;.... _____ _ Address: Address: ________ .-,=:;.. _______ _ City: City: _____ _ Phone: Phone: _____ ,.._ ___________ _ Email: Email: ___ _,..._ ____________ _ Architect Stat . certify that I have read the application and state t agree to comply with all ·ty ordinanc sand State Jaws relating to building construction. ______ Class: ______ _ icense # (Required): ______ _ 1.-1,:1 P ~ ~f1°vJA.-S IGN: .;..._--,""'"""----::::: ...... --- 1635 Faraday Ave Ph: 442-339-2719 REV. 04/22 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 herebyaffirm underpenaltyof 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 inf ul I force and effect. I also affirm under penalty of perjuryo e of the following declarations (CHOOSE ONE}: Di have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the La work which this permit is issued. PolicyNo. ____________________________________________ _ -OR- DI have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the pe My workers' compensation insurance carrier and policy number are: Insurance Company Name:---~---------------------• Policy No. __________________________ E -OR- D Certificate of Exemption: I certify that in the performance of the work for which this R it 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 secu orkers 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 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 fort performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ________________________ Lender's Address: ______________________ _ CONTRACTOR CERTIFICATION: The applica~t cert· · s that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications a or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, build in , structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and car ct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the prop were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT.. _________ SIGNATURE: __________ DATE: ______ _ Note: If the person signing above is an authorized agent for the contra ' 'd tter 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: D 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- ....,_.__---s owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The tractor'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- DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, KJfoRM 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./ understand that a capyaf the applicable law, Section 7044 of the Business and Professions Cade, is available upon request when this application is submitted or at the following Web site: http:llwww.leginfo.ca.gov/ ca/aw.html. OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from nother; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to developm ave be n urately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in f their construction, unless otherwise noted. NAME (PRINT): f;_t~_e,;_:_-(..,...,...._. __ M_ll __ lA __ v~ ___ 1f\.O....._ ~-------DATE: _ .... /o_-:r-_/_;;i_v __ 9.,_<t-_ Note: If the erson si nin above is an uthorized a ned b ro ert owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 { City of Carlsbad OWNER-BUILDER ACKNOWLEDGEMENT FORM B-61 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov OWNER-BUILDER ACKNOWLEDGMENT FORM Pursuant to State of California Health and Safety Code Section 19825-19829 To: Property Owner An application for construction permit(s) has been submitted in your name listing you as the owner--builder of the property located at: Site Addcess a~Jb ~ \"' jC.. \JJ ~ Uv<d:f G_r-/ s loocd LR 9 cl,.O O °\ The City of Carlsbad {"City") is providing you with this Owner-Builder Acknowledgment and Verification form to inform you of the responsibilities and the possible risks associated with typical construction activities issued in your name as the Owner-Builder. The City will not issue a construction permit until you have read and initialed your understanding of each provision in the Property Owner Acknowledgment section below and sign the form. An agent of the owner cannot execute this notice unless you, the property owner, complete the Owner's Authorized Agent form and it is accepted by the City of Carlsbad. INSTRUCTIONS: Please read and initial each statement below to acknowledge your understanding and verification of this information by signature at the bottom of the form. These are very important construction related acknowledgments designed to inform the property owner of his/her obligations related to the requested permit activities. I. ~understand a frequent practice of unlicensed contractors is to have the property owner obtain an "Owner• -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial ris)< for any injuries sustained by an unlicensed contractor and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of ,)b;,limits of my insurance coverage for injuries to workers on my property. 11. g..b-understand building permits are not required to be signed by property owners unless they are responsible. for the construction and are not hiring a licensed contractor to assume this responsibility. 111. ~I understand as an "Owner--Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own. . IV.~ understand contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. V. ~nderstand if I employ or otherwise engage any persons, other than California licensed contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. REV. 05/22 Owner-Builder Acknowledgement Continued VI. ('(\•--,understand if I am considered an "employer" under state and federal law, I must register with the state ~~deral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. Vll.~derstand under California Contractors' State License Law, an Owner--Builder who builds single•· family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of ~ ~o~ is performed under contract with a licensed general building contractor. VIII. ~I Q"nderstand as an Owner-Builder if I sell the proP,erty for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) which result from any latent IX. construction defects in the workmanship or materials. h !"--t-11nderstand I may obtain more information regarding my obligations as an "employer" from the Internal ~~~e-Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1--800-321-CSLB (2752) or www.cslb.ca.gov for more information ~o~censed contractors. X. ~I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: XI. ~ _J.,<,gree that, as the party legally a'nd financially responsible for this proposed construction activity, I will abide ~~;plicable laws and requirements that govern Owner--Builders as well as employers. XII. ~gree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractor's State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner- Builder and wish to hire contractors, you will be responsible for verifying whether or not those contractors are properly licensed and the status of their workers' compensation coverage. Before a building permit can be issued, this form must be completed, signed by the property owner and returned to the City of Carlsbad Building Division. I declare under penalty of perjury that I have read and understand all of the information provided on this form and that my responses, including my authority to sign this form, is true and correct. I am aware that I have the option to consult with legal counsel prior to signing this form, and I have either (1) consulted with legal counsel prior to signing this form or (2) have ,ved this r tin signing this form without the advice of legal counsel. S\i\v.r: -\(\A t ~°"'-"-v:V\f>-. Property Ownd Name (PRINT) Date 3 REV.05/22 RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date Job Address Unit: APN: CT/Project #: Lot #: Year Built: BRIEF DESCRIPTION OF WORK: PROPERTY OWNER Name: Address: State: Zip: City: State: Zip: Phone: APPLICANT (PRIMARY CONTACT) Name: Address: City: 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 of the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): DATE: 1635 Faraday Ave Carlsbad, CA 92008 SIGN: Ph: 442-339-2719 Email: Building@carlsbadca.gov 1 REV. 04/22 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? _________ Solar: KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N, Battery: Y N, Panel Upgrade: Y N 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 Electric Meter number: _____________________________ 2376 Caringa Way Carlsbad CA 92009 F Panel Replacement Three Phase Electric Sheri Maurina2376 Caringa WayUnit FCarlsbad CA 92009 28 Rancho Circle 2376 Caringa Way Unit F Lake Forest CA 92630 Carlsbad CA 92009 949-457-1252 760-804-0787 kim@hoalighting.com Jckeifter09@gmail.com Three Phase Electric 28 Rancho Circle Lake Forest CA 92630 949-457-1252 kim@hoalighting.com 599757 C-10 Pending. 09/29/2022 Kim WeissKimberly Weiss □ □ □ □ ( City of Carlsbad 0 0 0 0 00 00 00     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: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city’s approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. 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. (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: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city’s approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. 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: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 -OR - x Insurance Company of the West WSD505424302 3/10/2023 Kimberly Weiss Kim Weiss 9/29/22 Kimberly Weiss 9/29/22 □ □ □ □ □ □ □ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2022-3586) BLDG-Residential 09/29/2022Application Date:Permit Type:Owner:ALOHA MOBILE PET SALON P/M/E 11/07/2022Work Class:Issue Date:Subdivision:LA COSTA VALLEY #5 05/09/2023Expiration Date:Status: IVR Number: 43655 Closed - Finaled 2376 CARINGA WAY, # F CARLSBAD, CA 92009-6354 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 11/10/2022 11/10/2022 BLDG-34 Rough Electrical 196273-2022 Passed Dirk de Roggenbuke Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 196272-2022 Passed Dirk de Roggenbuke Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Friday, January 6, 2023 Page 1 of 1 {cityof Carlsbad