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Home My WebLink About1013 FOXGLOVE VW; ; CBR2023-2386; PermitBuilding Permit Finaled Residential Permit Print Date: 08/01/2023 Job Address: 1013 FOXGLOVE VW, CARLSBAD, CA 92011-4822 Permit Type: BLDG-Residential Work Class: Parcel#: 2144101800 Track#: Valuation: $0.00 Lot#: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: Description: Applicant: JESSE'S ELECTRIC JESUS TELLEZ 200AMP PANEL UPGRADE 1408 EASTVIEW CT OCEANSIDE, CA 92056-6101 (760) 716-6192 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: P/M/E Total Fees : $208.00 Total Payments To Date: $208.00 Permit No: Status: {city of Carlsbad CBR2023-2386 Closed -Finaled Applied: 05/09/2023 Issued : 05/09/2023 Finaled Close Out: 08/01/2023 Final Inspection: 06/14/2023 INSPECTOR: Dreibelbis, Peter Balance Due: AMOUNT $208.00 $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 RESIDENTIAL - BUILDING PERMI T APPLICATION 8-1 Plan Check C8'220 23 -'Z3~b Est. Value PC Deposit Date JobAddress / OJ;-, Fo~\<>\fc , \L.,_u..1 c,,,IJ~.~-L ____ APN: ________ _ CT/Project #:_· ________________ Lot #: ____ Year Built: ________ _ □ 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? C Y O N □ Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _ 0Solar: ___ l<W, ___ Modu~ Mounted:()Roof Q Ground, Tilt: C)YO N, RMA:O Y O N, Battery:~YC N, Panel Upgrade: SY O N Electric Meter number: ------------ 0th er: APPLICAN~(PRIMARY ~ONTACT) / PROPERTY OWNER Name: , _ -f'~ V ..S.. :r~ { _e,, L Name: H k---C :t, \d: O L----C- Address: / 0~b<i I (,"'-' er::: Address: I .; I ~ k O )c ~ \, e \) e \) i e vJ City:..Q(ec?-:b s: ,ck State: C-> Zip:tfJ:o &"""b City: C2cv: \ S b ;>/ > St~te:C~ Zip: ____ _ Phone: _______________ Phone: kl Lq /"' 9.C/'i -~u Email: Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: _________________ Business Name: J GSS e:'·s e.le e: 1 ~ t e, Address: Address: I '-1 0 8 Gz-sT \I; ,.. \1 ) er= City: _______ State: ___ Zip:____ City: Oc ~J.., s, >c State:~Zip: ra--o/;=l Phone: Phone: J6 <> -VJ/ b -6\¥ 2: Email: Email: dnfi:L c..t--i'1.j'e£C1.' Q 'f 1c:::12.d -c~ ½::::\, Architect State License: CSLB License#:££ f1 ~ 1p-Class: C--c.-o Carlsbad Business License# (Required):PUJS 12,?.l f OS- APPLICANT CERT/FICA TION: I certify that I have read the appl,cation and state that the above information is correct and that the information of the plans is accurate. I o:•:::m;;;;:~,'."J":'~d~l"~''~(Tc":""'::::, /4 ~ DATE: b r -Fl, 1635 earn day A,e Caclsbad, CA 92008 eh, "rnrn,s zi/& ) Cma,J c 8,ildiog@mlsbadca.go, 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 herebyaff irm underpenaltyof petjury that I am licensed underprovisionsof Chapter 9 ( commencingwith Section 7000)of Division] of the Business and Professions Code, and my license is in ful/forceand effect. I a/so affirm underpenaltyof perjuryoneof 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 Labor Code, for the performance of the 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 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: ________________ _ -R- 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 suliject 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: _______________________ Lender's Address: ______________________ _ CONTRACTOR CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown nd labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their canst nless otherwise noted. NAME (PRINT): Je S'-' ~ i'el/4 Le SIGNATURE: Note: If the person signing above 1s an ;;thorized agent for the contractor rovide DATE:_$: ___ £~-ef""-~--.- r letterhead. (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- DI, 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-DI am exempt under Business and Professions Cod e 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:/ !www./eginfo.ca.gov/ ca/aw. html. OWNER 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 accura_tely 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 erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ned b ro ert owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-2386) Permit Type: BLDG-Residential Application Date: 05/09/2023 Owner: Work Class: P/M/E Issue Date: 05/09/2023 Subdivision: CARLSBAD TCT#73-39 UNIT#03 Status: Closed -Finaled Expiration Date: 12/11/2023 Address: 1013 FOXGLOVE VW IVRNumber: 49001 CARLSBAD, CA 92011-4822 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Status 06/14/2023 06/14/2023 BLDG-33 Service 214294-2023 Passed Wednesday, June 14, 2023 Change/Upgrade Checklist Item COMMENTS BLDG-Building Deficiency BLDG-34 Rough Electrical 214158-2023 Passed Checklist Item BLDG-Building Deficiency NOTES Created By Angie Teanio COMMENTS TEXT 760-716-6192 Jessie BLDG-Final Inspection 214292-2023 Passed Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Peter Dreibelbis Complete Passed No Peter Dreibelbis Complete Passed No Created Date 06/13/2023 Peter Dreibelbis Complete Passed No No No No Yes Page 1 of 1