HomeMy WebLinkAbout1047 SAGEBRUSH RD; ; CBR2021-3219; PermitBuilding Permit Finaled
Residential Permit
Print Date: 03/20/2023
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
1047 SAGEBRUSH RD, CARLSBAD, CA 92011-3974
BLDG-Residential
2146441800
$47,707.20
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Addition
Description: 360 SF DETACHED, SOLID ROOF CABANA (NO PLUMBING FIXTURES)
Applicant: Property Owner:
ALEC ZIER
4615 WINNEBAGO AVE
SAN DIEGO, CA 92117-2847
(619) 884-9229
CO-OWNERS ELDRIDGE TOMMIE D AND IRIS S
1047 SAGEBRUSH RD
CARLSBAD, CA 92011
FEE
BUILDING PLAN CHECK
BUILDING PLAN REVIEW-MINOR PROJECTS (LOE)
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
DETACH ED ACCESSORY & UTILITY USES
GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-Medium
Total Fees: $1,984.34 Total Payments To Date: $1,984.34
Permit No:
Status:
(city of
Carlsbad
CBR2021-3219
Closed -Finaled
Applied: 10/28/2021
Issued: 12/23/2021
Finaled Close Out: 03/20/2023
Final Inspection: 03/13/2023
INSPECTOR: Kersch, Tim
Alvarado, Tony
Renfro, Chris
Contractor:
NEW LIFE CONSTRUCTION CO INC
4855 RUFFNER ST, #STEA
SAN DIEGO, CA 92111-1531
(858) 638-1900
Balance Due:
AMOUNT
$462.54
$194.00
$98.00
$711.60
$175.00
$2.00
$6.20
$271.00
$64.00
$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
(cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check~<:.C)c'.,\-32\C\
Est. Value 4-7 70-=\-
PC Deposit ~2. ~4
Date \0-8Q -ZJ
JobAddress--tD-41 SN-p12vJf '.f:Q, O\llL-"· nit:y APN:2( 4-,£.4-4 -ltc~ 00
CT/Project #:, _______________ Lot#: j t?;Cf) Year Built: _.'l-"'0.._\1-7+-------
Fire Sprinklers:OEsQNo Air Conditioning:QYEsQNo Electrical Panel UpgradeQYESQNo
BRIEF DESCRIPTION oF woRK, ~ 1s'f: CA:f,A1JNJm-A:r-kt, fl'Q,Jll ~16., t:-1 r.es.
~ New SF: 3k£J Living SF, Deck SF, Patio SF,, ___ Garage SF __
Is this to create an Accessory Dwelling Unit? Qv0N New Fireplace? QY0N, if yes how many? __
D Remodel: JZf SF of affected area Is the area a conversion or change of use? Q~N
D Pool/Spa: gf SF Additional Gas or Electrical Features? --~fi'----=---------
0Solar: KW,, ___ Modules, Mounted:Ooof();round, Tilt:OvON, RMA:QYQN,
Battery: Ov Q>J, Panel Upgrade: Qv QN
D Reroof:, ______________________________ _
D Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY APPLICANT
Na me: A;~ , 7 l£2)'s
Address: 1-k<2 f:<l l&)~\c'&'\~D ¥-
City:<;;A~§~ State: cJ,: Zi;(?..( (]
Phone: • "t: 9'1-1..cJ
Ema ii: J,:Z I I;? rz-4.-5,. Ali r :j;2 12. • CO W'\
PROPERTY OWNER
Name: f:./.J?E[ ~ -t:;:,
Address: l,041 ~?ifi "f3(2JJS\f £st-,~
City:(Af2(,$$-A!QA:. State:C.,A Zip:t'.;f<JO//
Phone: 4J q ' S:'.2-t) -5i:7i77
Email: ________________ _
DESIGN PROFESSIONAL CONTRACTOR OF Jl~CORD / .,.., • J
Name: A EC 2 l.£.(L'.__ Business Name: N evv L,,( ft:. GtJ<01l~ucno N
Address: 4f;,( 5 (,,, i i l'\lN:fl¢'-;,-A:'4,6 A, ¼ia Address: ±5 S::5 f:t 2 ~rz_ sr .,,. A
City:~SP\,€f:i,6 StatS:::¢1 0 Zip: 'i:Z-1 l,l City:~l¼O st:CCA Zip: 92..tt/
Phone: 'e\9; '334.-: :'f72 '\ Phone:...115~ c:;, -39', ' (j O ()
Email: ::AZ'.(JB.\717 ~\, AA v L-Ol/y'I, Email: C;.J G(~~S-'1 it]@: ML~ C"-f)/11
Architect State License: __________ CSLB License#: C,,0:[ 7 '7 J Class:, __ :f;,"""""-----
Carlsbad Business License# (Required): \ ~ 3 3
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 isaccurate. I agree to comply with all City ordinances and State laws relating to building
construction. . . r7 V--Z ,
NAME(PR1Nr1, ~c_.,, L-leJ2--s1GN:,....!:,.__:;__.i.:::;;::__----1c......::,,;...__0Are, !O-zo ... 2...1
1635 Faraday Ave Carlsbad, CA 92008 Email: Building(nlcarlsbadca.gov
REV. 07/21
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:
I herebyaf firm under penalty of perjury that I am licensed under provisions of Chapter 9 ( commencing with Section 7000) of Divis ion 3
of the Business and Professions Code, and my license is in fullforceandeffect. I alsoaffirm under penalty of perjury one of the
following declarations/CHOOSE ONE):
e}ihave and will maintain a certificate of conse t to self-insure for wo k 'compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. Policy No._----,;,14-:;} ...... L,CJ--1,1-'.;.;::+11-1,-1,.J,~d---------t,l-,f-+~+-,,..,:--------------
~~:a:~ 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.
~Y workers' compensation insurance carrier and policy number are: Insurance Company Name: _____________________ _
Policy No. ___________________________ Expiration Date: _______________ _
-OR-O 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 TION: /certify that/ have read the applicationandstate 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.
-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 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-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
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, I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this appf ication is
submitted or at the following Web site: http: I !www.feginfo.ca.gov/cafaw.html.
OWNER 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 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
PERMIT INSPECTION HISTORY for (CBR2021-3219)
Permit Type: BLDG-Residential Application Date: 10/28/2021 Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND IRIS S
Work Class: Addition Issue Date: 12/23/2021 Subdivision: CARLSBAD TCT#98-14-03
THOMPSON/TABATA
Status:
Scheduled
Date
03/13/2023
Closed -Finaled Expiration Date: 10/31/2022
IVR Number: 36719
Address: 1047 SAGEBRUSH RD
CARLSBAD, CA 92011-3974
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
Checklist Item
BLDG-Building Deficiency
NOTES Created By
Angie Teanio
COMMENTS
March 9, 2023:
1. Informed contractor representative Juan,
permit and plans required to be available at
pool cabana house Final sign off
clearance.
2. Building inspector Tony Alvarado
verifying note on computer tracking
system, pertaining to plumbing fixtures
inside pool cabana house, not allowed if
call cabana house occupancy is for
condition-habitable space.
TEXT
619-342-5853
03/13/2023 BLDG-Final Inspection
Checklist Item
205483-2023
COMMENTS
Passed Tony Alvarado
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By
Angie Teanio
March 13, 2023:
1. Informed contractor representative Matt,
permit and plans required to be available at
pool cabana house Final sign off
clearance-verified and approved.
2. Building inspector Tony Alvarado
verifying note on computer tracking
system, pertaining to plumbing fixtures
inside pool cabana house, not allowed if
call cabana house occupancy is for
conditioned habitable space-verified note
and building inspector Tony Alvarado's
signature on front architectural plan sheet
-approved.
3. The rest of final inspection, electrical,
plumbing, mechanical, and structural,
scope of work per engineered plans and
detail specifications -OK.
TEXT
619-342-5853
Passed
Yes
Created Date
03/07/2023
Passed
Yes
Yes
Yes
Yes
Created Date
03/07/2023
Complete
Monday, March 20, 2023 Page 9 of9
PERMIT INSPECTION HISTORY for (CBR2021-3219)
Permit Type: BLDG-Residential Application Date: 10/28/2021
Work Class: Addition Issue Date: 12/23/2021
Status:
Scheduled
Date
Closed -Finaled Expiration Date: 10/31/2022
IVR Number: 36719
Actual Inspection Type
Start Date
Inspection No.
Checklist Item
Are inactives slopes properly
stabilized?
Are areas flatter than 3: 1
covered or protected?
Are sediment controls properly
maintained?
Are erosion control BMPs
functioning properly?
Are natural areas protected
from erosion?
Do basins appear to be
maintained as required?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Are storm drain inlets
protected and maintained?
Have materials collected
around the storm drains?
Has sediment accumulated on
impervious surfaces?
Are dumpsters and trash
receptacles covered?
Has trash/debris accumulated
throughout the site?
Are stockpiles and spoils
protected from runoff?
Are all storage areas clean
and maintained?
Were there any discharges
during the inspection?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
COMMENTS
Inspection
Status
Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND IRIS S
Subdivision: CARLSBAD TCT#98-14-03
THOMPSON/TABATA
Address: 1047 SAGEBRUSH RD
CARLSBAD, CA 92011-3974
Primary Inspector Reinspection Inspection
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
03/09/2023 03/13/2023 BLDG-Final Inspection 205166-2023 Partial Pass Tony Alvarado Reinspection Incomplete
Monday, March 20, 2023 Page 8 of9
PERMIT INSPECTION HISTORY for (CBR2021-3219)
Permit Type: BLDG-Residential Application Date: 10/28/2021 Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND IRISS
Work Class: Addition Issue Date: 12/23/2021 Subdivision: CARLSBAD TCT#98-14-03
THOMPSON/TABATA
Status: Closed -Finaled Expiration Date: 10/31/2022
IVR Number: 36719
Address: 1047 SAGEBRUSH RD
CARLSBAD, CA 92011-3974
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
04/28/2022 04/28/2022
05/02/2022 05/02/2022
03/08/2023 03/08/2023
Monday, March 20, 2023
BLDG-44
Rough-Ducts-Dampers
BLDG-16 Insulation
BLDG-17 Interior
Lath/Drywall
BLDG-17 Interior
Lath/Drywall
Checklist Item
April 14, 2022:
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads;
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing ; type, size,
and method of attachment per engineered
plans-approved.
4. Shearwalls plywood sheathing ; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
181578-2022 Passed Tony Alvarado
181577-2022 Passed Tony Alvarado
181800-2022 Passed Tim Kersch
COMMENTS
BLDG-Building Deficiency
BLDG-Final Inspection 204981-2023 Partial Pass Tony Alvarado
Checklist Item COMMENTS
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By TEXT
Angie Teanio 619-342-5853
BLDG-SW-Inspection 205167-2023 Passed Tony Alvarado
Yes
Complete
Complete
Complete
Passed
Yes
Reinspection Incomplete
Passed
Yes
Yes
Yes
Yes
Created Date
03/07/2023
Complete
Page 7 of9
PERMIT INSPECTION HISTORY for (CBR2021-3219}
Permit Type: BLDG-Residential
Work Class: Addition
Status: Closed -Finaled
Application Date: 10/28/2021
Issue Date: 12/23/2021
Expiration Date: 10/31/2022
IVR Number: 36719
Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND IRIS S
Subdivision: CARLSBAD TCT#98-14-03
THOMPSON/TABATA
Address: 1047 SAGEBRUSH RD
CARLSBAD, CA 92011-3974
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
BLDG-24 Rough-Topout
BLDG-34 Rough Electrical
Monday, March 20, 2023
April 14, 2022:
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads:
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing ; type, size,
and method of attachment per engineered
plans-approved.
4. Shearwalls plywood sheathing ; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
April 14, 2022:
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads:
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing ; type, size,
and method of attachment per engineered
plans-approved.
4. Sheatwalls plywood sheathing ; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
Yes
Yes
Page 6 of 9
PERMIT INSPECTION HISTORY for (CBR2021-3219)
Permit Type: BLDG-Residential
Work Class: Addition
Status: Closed -Finaled
Application Date: 10/28/2021
Issue Date: 12/23/2021
Expiration Date: 10/31/2022
IVR Number: 36719
Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND IRIS S
Subdivision: CARLSBAD TCT#98-14-03
THOMPSON/TABATA
Address: 1047 SAGEBRUSH RD
CARLSBAD, CA 92011-3974
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
Monday, March 20, 2023
Checklist Item
BLDG-Building Deficiency
BLDG-14
Frame-Steel-Bolting-Welding
(Decks)
COMMENTS
April 14, 2022:
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads:
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing ; type, size,
and method of attachment per engineered
plans-approved.
4. Shearwalls plywood sheathing ; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
April 14, 2022:
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads:
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing ; type, size,
and method of attachment per engineered
plans-approved.
4. Shearwalls plywood sheathing ; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
Passed
Yes
Yes
Page 5 of9
PERMIT INSPECTION HISTORY for (CBR2021-3219)
Permit Type: BLDG-Residential Application Date: 10/28/2021 Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND IRIS S
Work Class: Addition Issue Date: 12/23/2021 Subdivision: CARLSBAD TCT#98-14-03
THOMPSONrTABATA
Status: Closed -Finaled Expiration Date: 10/31/2022 Address: 1047 SAGEBRUSH RD
IVR Number: 36719 CARLSBAD, CA 92011-3974
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
BLDG-84 Rough 180682-2022 Passed Tony Alvarado Complete
Combo(14,24,34,44)
Monday, March 20, 2023 Page 4 of9
PERMIT INSPECTION HISTORY for {CBR2021-3219)
Permit Type: BLDG-Residential Application Date: 10/28/2021 Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND !RISS
Work Class: Addition Issue Date: 12/23/2021 Subdivision: CARLSBAD TCT#98-14-03
THOMPSON/TABATA
Status:
Scheduled
Date
Closed -Finaled Expiration Date: 10/31/2022
IVR Number: 36719
Address: 1047 SAGEBRUSH RD
CARLSBAD, CA 92011-3974
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector
Checklist Item
BLDG-Building Deficiency
COMMENTS
April 14, 2022:
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads:
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing ; type, size,
and method of attachment per engineered
plans-approved.
4. Sheaiwalls plywood sheathing ; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
BLDG-18 Exterior
Lath/Drywall
180531-2022 Cancelled Tony Alvarado
Checklist Item
BLDG-Building Deficiency
COMMENTS
April 14, 2022: Exterior stucco wire lath
paper not ready.
BLDG-23
GasfTest/Repairs
180680-2022 Passed Tony Alvarado
Checklist Item
BLDG-Building Deficiency
COMMENTS
April 14, 2022;
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads:
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing : type, size,
and method of attachment per engineered
plans-approved.
4. Shearwalls plywood sheathing ; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
Reinspection Inspection
Passed
Yes
Reinspection Incomplete
Passed
No
Complete
Passed
Yes
Monday, March 20, 2023 Page 3 of9
PERMIT INSPECTION HISTORY for (CBR2021-3219)
Permit Type: BLDG-Residential
Work Class: Addition
Status: Closed -Finaled
Scheduled Actual Inspection Type
Date Start Date
04/14/2022 04/14/2022 BLDG-13 Shear
Panels/HD (ok to wrap)
Checklist Item
Application Date: 10/28/2021
Issue Date: 12/23/2021
Expiration Date: 10/31/2022
IVR Number: 36719
Inspection No.
180679-2022
COMMENTS
Inspection
Status
Passed
Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND IRIS S
Subdivision: CARLSBAD TCT#98-14-03
THOMPSON/T ABATA
Address: 1047 SAGEBRUSH RD
CARLSBAD, CA 92011-3974
Primary Inspector Reinspection Inspection
Tony Alvarado Complete
Passed
BLDG-Building Deficiency April 14, 2022: Yes
Monday, March 20, 2023
BLDG-14
Frame/Steel/Bolting/We
lding (Decks)
Checklist Item
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads:
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing ; type, size,
and method of attachment per engineered
plans-approved.
4. Shearwalls plywood sheathing; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
180527-2022 Passed Tony Alvarado
COMMENTS
BLDG-Building Deficiency April 14, 2022:
BLDG-15 Roof/ReRoof
(Patio)
1. Building official requested note to be
written on front page of approved plans at
jobsite.
Written note reads:
"this structure is not approved for
conversion to habitable space".
Building inspector signed and dated
notation.
2. Rough combination inspection per
engineered plans Dash approved.
3. Roof plywood sheathing ; type, size,
and method of attachment per engineered
plans-approved.
4. Shearwalls plywood sheathing ; type,
size, and method of attachment per
engineered plans-approved.
5. New gas line, to detached, solid roof
cabana, under air leak pressure test with
tracer wire, scope of work-approved.
180678-2022 Passed Tony Alvarado
Complete
Passed
Yes
Complete
Page 2 of9
Building Permit Inspection History Finaled
(city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-3219)
Permit Type: BLDG-Residential Application Date: 10/28/2021 Owner: CO-OWNERS ELDRIDGE TOMMIE D
AND IRISS
Work Class: Addition Issue Date: 12/23/2021 Subdivision: CARLSBAD TCT#98-14-03
THOMPSONfTABATA
Status: Closed -Finaled Expiration Date: 10/31/2022 Address: 1047 SAGEBRUSH RD
IVR Number: 36719 CARLSBAD, CA 92011-3974
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
03/04/2022 03/04/2022 BLDG-84 Rough 177753-2022 Passed Tim Kersch Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
03/09/2022 03/09/2022 BLDG-11 178072-2022 Failed Chris Renfro Reinspection Incomplete
Foundation/Ftg/Piers
(Rebar)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Please provide Form Certification and Soils No
Report. Cati for reinspection
BLDG-84 Rough 177998-2022 Failed Chris Renfro Reinspection Incomplete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Wrong inspection No
BLDG-14 No
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout No
BLDG-34 Rough Electrical No
BLDG-44 No
Rough-Ducts-Dampers
03/15/2022 03/15/2022 BLDG-11 178340-2022 Passed Chris Renfro Complete
Foundation/Fig/Piers
(Rebar)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
04/07/2022 04/07/2022 BLDG-14 180007-2022 Cancelled Tim Kersch Reinspection Incomplete
Frame/Steel/Bolting/We
lding (Decks)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
Monday, March 20, 2023 Page 1 of9
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTI~TIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTI~TIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY THE CITY OF CARLSBAD.
OWNER(S)/OWNER'S AGENT NAME (PRINT)
OWNER(S)/OWNER'S AGENT NAME (SIGNATURE)
E-29
DATE
-----------------------
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP CB~mu -&-:19
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Stonm Water Waste Management and Materials
BMPs Control BMPs Management BMPs Pollution Control BMPs
C -C C 0 -,Q 0 :;:; C C 'O -:;:; "' a ., 'O ., 'O "' C " " C C "' E C E C -a ::, ::, 0 ·c: a a -'o c.. ., a E L L :;:; L .,
::,; 'O "' "' L ., --C ':, >, "' -C O> L C ., c "'"' "' a ·c: '-0-L a C "' "' c.. ., > Best Management Practice• ~ .5 a o a 'c. ·c: -CU> C L Cl L w ~ C 0 a
" L ID L 0 ., 0 ., ., ., a :;:; -3::-"' "' ., a C 0 -"' .c C >-E "' ., "' 'i5 C
OL "' 'O "' j 'O al "' ::,; ~ O> C C
(BMP) Description ➔ " ., (/) -~ "' ID "' C C -., "' ., ., ., a 3' C ~~ CC Cl :::, " =: Q) " -a '5 L Q 'O >, 0"' a "' ., [!J E "E :;:; C Cl ID (/) ·-"' Cl,-0., a o .,
X ::,; Cl c> C:l C ., a:: E a -~~ :!la " en:;:; ., Q) C o ., o 'a. L-3:: ., 0 ., ., a ., E .,, ~ -::, .0 E al =3 '-:.;:; :0 u·c ·-"' ·.::: c.. e "' l:' "' -'O .C C " "-" L ., ::, 'O :0 ~ ·-'O ., " cC LQ ., .,,
'O a a a 0 -·-Q, 'o ., ., " L-.o a -~ ~ a ·-a Q) L " --0 L 0 0 -., a C 0 0 a "' .8 0 -a -.c ., -o -0 = C ,_ C NC ., j 0 L en ., .c C: L ~a a -L VJ C CL 0 ., -a_ a -c..O ca ca
Cl WO vi (/) 0 Cl (/) > (/) (/) c.. (/) a:: 3:: c.. C..0 c.. >O ::,; (/) ::,; (/) (/) 0 (/) ::,; ::c ::,;
CASOA Designation ➔ ,.._ co 0) "' ... LO <D ,.._ 0 N "' ,.._ co N "' ... LO <D co ' I I I I ' I I I I I I I I I I I I I I I I I I
0 0 0 0 w w w w w w w w ~ ~ (/) (/) (/) (/) ::,; ::,; i i i i Construction Activity w w w w ' (/) (/) (/) (/) (/) (/) (/) (/) z z z z 3:: 3::
Gradinn /Soil Disturbance
Trench inn !Excavation
Stockoilina
Drill inn ll>orinn
Concrete/Asohalt Sawcuttina
Concrete Flatwork V '-·
Povina
Conduit/Pioe Installation
Stucco/Mortar Work y ?'
Waste Disoosal
Staainn /Lav Down Area
Enuinment Maintenance and Fuelinn
Hazardous Substance Use /Storane
Dewaterina
Site Access Across Dirt 'YI .>< '-J" ' Other !list1: '
Instructions:
1. Check the box to the left of all applicable construction activity (first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during constructio~ from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
PROJECT INFORMATION
Site Address: [0"\J ~-At:;-c.WlJSlf fzD
Assessor's Parcel Number: Z-[ A:,bH: / / ~ 1 OD
Emergency ContAi . . Z 1 ~
Name: 1=---C. / Llc-,£
24 Hour Phone: a{ q <fffi4 t:1,ufr
Construction Threat to Storm Water Quality
(Check Box)
D MEDIUM N LOW
., -"' a-3:: C .,
., E -., ~ "' ua
CC o a o::,;
co I
i
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