HomeMy WebLinkAbout2764 CARLSBAD BLVD; # 100; CBR2022-3749; PermitBuilding Permit Finaled
Residential Permit
Print Date: 01/17/2024
Job Address: 2764 CARLSBAD BLVD, # 100, CARLSBAD, CA 92008-2265
Permit Type: BLDG-Residential Work Class: P/M/E
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
2031722601 Track#:
$0.00 Lot#:
Project#:
Plan#:
Bedrooms: Construction Type:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Description: REPLACE AC (E-REVIEW)
Applicant:
IE INC
MITCH BLUMAN
31225 LA BAVA DR, # 213
WESTLAKE VILLAGE, CA 91362-4019
(818) 735-7876
FEE
Orig. Plan Check#:
Plan Check#:
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
Total Fees: $208.00 Total Payments To Date: $208.00
NOTICE:
Permit No:
Status:
(city of
Carlsbad
CBR2022-3749
Closed -Finaled
Applied: 10/10/2022
Issued: 10/11/2022
Fina led Close Out: 01/17/2024
Final Inspection: 05/09/2023
INSPECTOR: Renfro, Chris
Contractor:
OAK ISLAND HOME SERVICES INC
445 RYAN DR, # STE 101
SAN MARCOS, CA 92078-4072
(760) 839-8383
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
collectively referred to as "fees." You have 90 days from the date this permit was issued to protest the imposition of these fees. To protest
the imposed fees, you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest with the City
Manager. Failure to timely follow the required procedures will bar any subsequent legal action to attack, review, set aside, void, or annul
the imposition of these fees.
You are FURTHER NOTIFIED of your right to request an audit to review the fees imposed on your project. To request an audit, follow the
procedures provided in Government Code Section 66023(a). Additionally, you may file a written request for mailed notice for the public
meeting to review the fee account or fund information related to certain fees that are imposed as a result of the approved permit.
You are FURTHER NOTIFIED that your right to protest the specified fees 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 of which you have previously been given a NOTICE similar to this, and the statute of limitation has 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
n.C-i:>IUCl'11 I 11-\L
\C'Cityof
Carlsbad
BUILDING PERMIT
APPLICATION
B-1
Plan Check ________ _
Est. Value
PC Deposit
Date
Job Address2764 CARLSBAD BLVD #100 Unit: _____ APN: ___________ _
CT/Project #: __________________ Lot #:, ____ Year Built: _________ _
BRIEF DESCRIPTION OF WORK:REPLACE AC
□ 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? O YO N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? -------------
□Solar: ___ KW,. ___ Modules, Mounted:Q Roof O Ground, Tilt: O YO N, RMA:()Y O N,
Battery:O>YO N, Panel Upgrade: O v O N
Other:
PRIMARY APPLICANT
Name:IE INC
Address:31225 LA BAYA DR #213
City:WESTLAKE State:_C_A __ Zip: 91362
Phone:818-735-7876
Email: MITCH@IPERMITCA.COM
PROPERTY OWNER
Name:CHERYL SWANSON
Address:2764 CARLSBAD #100
City:CARLSBAD State:_C_A __ Zip:92008
Phone:909-499-2455
Email: ___________________ _
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: __________________ Business Name:OAK ISLAND HOME SERVICES
Address: Address:445 RYAN DR #201
City: ________ State: ___ .Zip:._____ City:SAN MARCOS State:CA Zip:_92_0_7_8 ____ _
Phone: Phone:760-839-8383
Email: Email:, ___________________ _
Architect State License: CSLB License#: 107 4498 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.
MITCH BLUMAN
NAME (PRINT): _________ _
,N 10110122
SIGN: __ ...... ~ _______ DATE: _____ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
1111.., I,_.. __ ■,-"""'-■■,--,-..1 I -■,■WIii • ..,..,_,_..■W--I --..■w -■ ■--■, ■W-■W ■--■,1 -----------
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. Policy No. _____________________________________________ _
-OR-
(!I 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: _S_E_C_U_R_I_T_Y_N_A_T_I_O_N_A_L ________________ 1
Policy No. SWC1371783 Expiration Date: _1 /_1_/2_3 ______________ 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 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 thMrlTeC HerBcl.LJl~~Nccordance with all regulations in existence at the t~;ff of their construction, unless otherwise n;t;i
10122
NAME (PRINT): _________ SIGNATURE: /V ~ DATE: _____ _
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 lwww.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 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:
Note: If the erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ro ert owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2022-3749)
Permit Type: BLDG-Residential Application Date: 10/10/2022 Owner:
Work Class: P/M/E Issue Date: 10/11/2022 Subdivision:
Status: Closed -Finaled Expiration Date: 11/06/2023 Address: 2764 CARLSBAD BLVD, # 100
IVR Number: 43864 CARLSBAD, CA 92008-2265
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
05/09/2023 05/09/2023 BLDG-43 Air 210386-2023 Passed Chris Renfro Complete
Cond./Furnace Set
Checklist Item COMMENTS Passed
Yes
TEXT
BLDG-Building Deficiency
NOTES Created By
Angie Teanio 909-499-2455 Cheryl
Created Date
05/08/2023
Tuesday, May 9, 2023
BLDG-Final Inspection 210387-2023 Passed
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By
Angie Teanio
COMMENTS
TEXT
909-499-2455 Cheryl
Chris Renfro
Passed
Yes
Yes
Yes
Yes
Yes
Created Date
05/08/2023
Complete
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