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HomeMy WebLinkAbout2475 JEFFERSON ST; # 201; CBRA2O23-0057; PermitBuilding Permit Finaled {city of Carlsbad Residential Associated Permit Print Date: 08/25/2023 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2475 JEFFERSON ST, # 201, CARLSBAD, CA 92008-1412 BLDG-Associated Permit Residential Work Class: P/M/E 1551403108 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Permit No: Status: CBRA2023-0057 Closed -Finaled Applied: 05/09/2023 Issued: 05/09/2023 Finaled Close Out: 08/25/2023 Final Inspection: 05/26/2023 INSPECTOR: Dreibelbis, Peter Kersch, Tim Description: ELECTRIC CIRCUIT FROM PANEL TO EXT. STAIRCASE TO POWER DISABILITY CHAIR LIFT Applicant: Property Owner: DREAMWEAVER DESIGN AND CONSTRUCTIOI\ FLORES JACOB NM D FAMILY TRUST 04-14-18 INC 2171 EL CAMINO REAL, # STE 104 SCOTT STERLING OCEANSIDE, CA 92054-6269 2475 JEFFERSON ST, # APT 206 CARLSBAD, CA 92008-1414 (760) 521-8667 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees : $208.00 Total Payments To Date: $208.00 Balance Due: Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov AMOUNT $208.00 $0.00 Page 1 of 1 ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Job Address--2 </:7r ~~ '<" SOV) :st Plan Check C\3r<F\Z,02,.)-00S7 Est. Value PC Deposit Date .r/ '\ / 23 CT /Project #: __________________ Lot #:_...,... __ Year Built:___.._ ........ __ __,....._ __ _ ·~~rt>~ □ 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 YQ N, if yes how many? ___ _ D Remodel: _____ SF of affected area Is the area a conversion or change of use? ©>Y O N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □ Solar: ___ l<W, ___ Modules, Mounted:Q Roof O Ground, Tilt:~ YO N, RMA: 0 Y O N, Battery:O YO N, Panel Upgrade: O v O N Electric Meter number: ------------ 0th er: APPLICANT PROPERTY OWNER Nam .....;;;;=...:.;u..,...,=~-.. .... .:....1.~--.,_--Name: ~11'::'.\l:,, Ad Address: __________________ _ ~.w.:..;,11.y--_City: __________ State: ___ Zip: ____ _ _ ..(...=i:;,.:i,,.___=ai......i.=~"--+------Phone: ___ ......, ______________ _ Email: _________________ Email: ___________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: _________________ Business Name: _______________ _ Address: Address: _________________ _ City: ________ State: ___ Zip: ____ _ City: _______ State: ___ Zip: ______ _ Phone: ________________ _ Phone: _________________ _ Email: _________________ _ Email: __________________ _ Architect State License: __________ _ CSLB License #: ______ Class: ______ _ Carlsbad Business License# (Required): _______ _ APPLICANT CERT/FICA TION: I certify that I have re~d the application and state that the above inf formation of the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I 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 under penalty of perjwythat I am licensed underprovisionsof Chapter 9 (commencingwith Section 7000)of Division 3 of the Business and Professions Code, and my I icense is inf ul I force and effect. I a/soaff irm under penalty of perjury one 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 Labor Code, for the performance of the work which this permit is issued. Policy No. ___________________________________________ _ -OR- D 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: lnsuranceCompany Name:------------------------■ Policy No. _____________________________ Expiration Date: ________________ _ -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 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 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 contra t . 'd ter 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: 'mr, as owner of th~ 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. ~4, 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-~ as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ~ractor'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, D FORM 8-61 "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:Ilwww.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 one another; access roads/easements, and utilit' s. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been a el¥,.s!l!:111!!Ui~iltu,li!!!'"ilS w as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at t otherwise noted. NAME (PRINT): Note: If the erson si nin ail: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBRA2023-0057) Permit Type: BLDG-Associated Permit Residenti; Application Date: 05/09/2023 Owner: TRUST FLORES JACOB N M D FAMILY TRUST 04-14-18 Work Class: P/M/E Issue Date: 05/09/2023 Subdivision: CARLSBAD TCT#72-09 Status: Closed -Finaled Expiration Date: 11/20/2023 IVRNumber: 49018 Scheduled Actual Inspection Type Inspection No. Inspection Date Start Date Status 05/23/2023 05/23/2023 BLDG-34 Rough 211840-2023 Passed Electrical Checklist Item COMMENTS BLDG-Building Deficiency NOTES Created By TEXT Angie Teanio 760-521-8667 Scott BLDG-Final Inspection 211839-2023 Cancelled Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final NOTES Created By TEXT Angie Teanio 760-521-8667 Scott 05/26/2023 05/26/2023 BLDG-Final Inspection 212295-2023 Passed Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final NOTES Created By TEXT Angie Teanio 760-521-8667 Scott Angie Teanio 760-521-8667 Scott Friday, May 26, 2023 Address: 2475 JEFFERSON ST, # 201 CARLSBAD, CA 92008-1412 Primary Inspector Re inspection Tim Kersch Passed Yes Created Date 05/22/2023 Tim Kersch Reinspection Passed Yes Yes Yes Yes Yes Created Date 05/22/2023 Peter Dreibelbis Passed No No No Yes Yes Created Date 05/22/2023 05/25/2023 Inspection Complete Incomplete Complete Page 1 of 1