HomeMy WebLinkAbout2411 APPIAN RD; ; CBR2022-2270; PermitBuilding Permit Finaled
Residential Permit
Print Date: 03/20/2023
Job Address: 2411 APPIAN RD, CARLSBAD, CA 92010-2153
Permit Type: BLDG-Residential Work Class: Alteration
Parcel#: 1673810200 Track#:
Valuation: $0.00 Lot#:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: 2411 APPIAN: NEW BATHROOM REMODEL (9 SF) (E-REVIEW)
Applicant:
OLIVIA THIBAULT
980 HOPPER AVE
SANTA ROSA, CA 95403-1649
(707) 527-7727
FEE
BUILDING PLAN CHECK
Property Owner:
HOLLIBAUGH KAREN L TRUST
2411 APPIAN RD
CARLSBAD, CA 92010-2153
REMODEL-RESIDENTIAL-KITCHEN or BATH
SB1473 -GREEN BUILDING STATE STANDARDS FEE
Total Fees: $578.50 Total Payments To Date: $578.50
Permit No:
Status:
{city of
Carlsbad
CBR2022-2270
Closed -Finaled
Applied: 06/27/2022
Issued: 06/28/2022
Finaled Close Out: 03/20/2023
Final Inspection: 12/14/2022
INSPECTOR: Renfro, Chris
Alvarado, Tony
Contractor:
REBORN CABINETS
5515 ELA PALMA AVE, # STE 250
ANAHEIM, CA 92807-2131
(714) 630-2220
Balance Due:
AMOUNT
$227.50
$350.00
$1.00
$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.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
{ City of
Carlsbad
Job Address 2411 Appian Rd
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CBR2022-2270
Est. Value
PC Deposit
Date
Unit: _____ .APN: ___________ _
CT/Project #: __________________ Lot #: ____ Vear Built: _________ _
BRIEF DESCRIPTION OF WORK: Remove existing shower pan. Remove and replace valve. Install new waterproof acrylic shower pan and
waterproof solid surface walls over existing tile walls.
□ 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? ___ _
EJ Remodel:_9 _____ SF of affected area Is the area a conversion or change of use? O Y G N
□ Pool/Spa:. ____ SF Additional Gas or Electrical Features? ____________ _
□Solar: ___ KW, ___ Modules, Mounted:0Roof O Ground, Tilt: 0 Y0 N, RMA:OY O N,
Battery:O>YQ) N, Panel Upgrade: O v O N
Other:
PRIMARY APPLICANT
Name: Olivia Thibault
Address: 980 Hopper Ave
City: Santa Rosa
Phone:7078003264
State:_C_A __ .Zip: 95403
PROPERTY OWNER
Name: Karen Hollibaugh
Address: 2411 Appian Rd
City: Carlsbad
Phone:7608224330
State:_C_A __ .Zip:92010
Email: olivia@permitservices.com Email: ____________________ _
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: __________________ Business Name:_R_e_bo_r_n_c_a_bi_n_et_s ___________ _
Address: Address: 5515 E La Palma Ave 250
City: ________ State: ___ Zip:._____ City: Anaheim State:_C_A ___ Zip: 92806
Phone: Phone: 7075277727
Email: Email: olivia@permitservices.com
Architect State License: CSLB License #: 443682 Class: B, C6 -------
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): Olivia Thibault SIGN: Otwia 7~ DATE: 06/20/2022
163S Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-BSSB Email: Building@carlsbadca.gov
REV. 10/21
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:
lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3
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):
D 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. PolicyNo. ___________________________________________ _
-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: _B_e_rk_s_hi_re_H_a_lh_w_a_y __________________ 1
Policy No. REwc22131s Expiration Date: _1_11_3_01_20_2_2 ______________ 1
-OR-
D 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 CERT/FICA T/ON: 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): Olivia Thibault SIGNATURE: ~twia 7~ DATE: 6/20/2022 ---------------Note: If the person signing above is an authorized agent for the contra t ' · d I 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-
D 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-D 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 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 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: I I www.leginfo.ca.gov/ ca law. 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.
SIGN: DATE: NAME (PRINT): -------------------------Note: If the erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ned b
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558
2
owner.
Email: Building@carlsbadca.gov
REV.10/2
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2022-2270)
Permit Type: BLDG-Residential
Work Class: Alteration
Application Date: 06/27/2022 Owner: TRUST HOLLIBAUGH KAREN L TRUST
Issue Date: 06/28/2022 Subdivision: CARLSBAD TCT#76-02
Status:
Scheduled
Date
10/04/2022
10/05/2022
12/14/2022
Closed -Finaled Expiration Date: 06/12/2023
IVR Number: 41595
Address: 2411 APPIAN RD
CARLSBAD, CA 92010-2153
Actual Inspection Type
Start Date
Inspection No. Inspection Primary Inspector
Status
10/04/2022 BLDG-24 Rough/Topout 193251-2022 Failed Chris Renfro
Checklist Item COMMENTS
BLDG-Building Deficiency Not ready. Need to address mold and
wood rot pm studs and Sheetrock.
Underground waste for shower drain ok.
10/05/2022 BLDG-17 Interior
Lath/Drywall
Checklist Item
193358-2022
COMMENTS
Cancelled Tony Alvarado
BLDG-Building Deficiency
BLDG-27 Shower
Pan/Tubs
12/14/2022 BLDG-17 Interior
Lath/Drywall
Checklist Item
193423-2022 Passed Tony Alvarado
198907-2022 Passed Tony Alvarado
COMMENTS
BLDG-Building Deficiency December 14, 2022:
BLDG-Final Inspection
Checklist Item
BLDG-Plumbing Final
BLDG-Structural Final
1. Repair/remodel-installation of drywall
patchwork, hardy backer/dens glass board
installed for pre-fabricated master
bathroom shower enclosure remodel,
scope of work -approved.
198730-2022
COMMENTS
Passed Tony Alvarado
December 14, 2022: New shower
enclosure final inspection bathroom
remodel work-approved.
1. Repair/remodel-installation of drywall
patchwork, hardy backer/dens glass board
installed for pre-fabricated master
bathroom shower enclosure remodel,
scope of work -approved.
2. Final inspection approval for new master
bathroom shower pre-fabricated shower
enclosure remodel, scope of
work-approved.
Reinspection Inspection
Reinspection Incomplete
Passed
No
Reinspection Incomplete
Passed
No
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
Wednesday, December 14, 2022 Page 1 of 1