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Home My WebLink About1187 MARIPOSA RD; ; CBR2023-3191; PermitBuilding Permit Finaled Residential Permit Print Date: 03/25/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1187 MARIPOSA RD, CARLSBAD, CA 92011-4205 BLDG-Residential Work Class: 2122213300 Track#: $400.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check #: Description: MAIN ELECTRICAL PANEL UPGRADE (E-REVIEW) Applicant: FRED OTT 1187 MARIPOSA RD CARLSBAD, CA 92011-4205 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS P/M/E Total Fees : $208.00 Total Payments To Date: $208.00 Permit No: Status: {"Cityof Carlsbad CBR2023-3191 Closed -Finaled Applied: 06/22/2023 Issued: 06/28/2023 Finaled Close Out: 03/25/2024 Final Inspection: 06/29/2023 INSPECTOR: de Roggenbuke, Dirk 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 RESIDENT IAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date JobAddtess ,f ,/ C.; .,/sk,{<.. t Unit: ___ ..,JAPN: ________ _ J'.2 e,i; 11 CT/Project #: _________________ .Lot ,: ____ Year Bu t: ________ _ BRIEF DESCRIPTION OF WORK: Reelir: e e,a, ll.rr "" ,Nlinf Cle.,;fy,<:,l/ I"< /I~/ 0 New SF : Living SF,, ____ Deck SF ,. ___ Patio SF, ____ Garage SF --- Is this to create an AccessoryOWelllng Unit? 0 Y O N New Fireplace? 0 YO N , If yes how many? ___ _ D Remodel: _____ SF of affected area Is the area a conversion or change of use? 0 Y O N D Pool/Spa:. ____ SF Additional Gas or Electrical Features? ___________ _ O Solar. ___ KW, ___ Modules, Mounted: 0 Roof O Ground, Tilt: 0 YO N, RMA. 0 y O N, Battery:0 Y0 N, Panel Upgrade: O v O N Electric Meter number: ___________ _ Other. Jvs[ <t ltt:W Bvss 4Yc APPLICANT (PRIMARY CONTACT) S,t't11t~ n-c,,,,~r PROPERTY OWNER Name: r .. e✓ C, t C Name: rre/a Tl Address: ddress: I I J> 7 f1 .-I,."!• '" • Oty:._::_-_-:_-_-::::.s-ta-t-e::.:.:.:.~-ZJ-p_:_-:::~~~-City: C,~., Is J ii,/ State: c ,+ Zip: 9 RO// Phone: Phone: 7p O .3 3 I -7/ j't:J Email: ----------------Email: (>-on-r/re@ ~Ac1a • Can'? DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name:: __________________ Business Name:: ________________ _ Address: Address:: ________________ _ City:. _________ state:. ___ .Zip:._____ City:. ______ ,....;State: __ ...1Zip: ______ _ Phone: Phone:•------------------- Emall: Email:: _________________ _ Architect State Ucense: CSLB Ucense #: Class:. ______ _ carlsbad Business Ucense # (Required): _______ _ APPLICANT CERTIACA TION I «mJy that I haw,-, tM appl1Cl111on and stott thot tM oi-e lt1/«moti0n is cormt and that tlw lnjotmotion oft~ ploflS ,s oaurat~ t ogrt~ co C1JffJP1, with al City ordlnanttS oltd Stat~ laws ,dating to bur7clino ro/lStlllctJon.. NAME (PRINT): Ft e / 0 r T SIGN: 7~ t:) .::17 163!» F~ Ave CMislwi,CA 92008 Ph 442•339-2719 EtNil 8utld10JP0rt>bfdQ coy 1 REV <W22 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{trm underpenaltyof perjury tho ti am lf censedunderprovfsfonsof Chopter 9 (commendngwith Sect ton 7000)0{ DlvisionJ of the Business and Professions Code, and my license fs In full f orceand e{f ect. I alsoo{ftrm under penalty of perjuryoneof the following declaratlons(CHOOSE ONE): D• ~ and wlfl m:ilni.in I certificate of cons~t to stlf-msure for WO<ker( compens.tt,on provided by Section 3700 of the ~r Code, fOf the ~tfonNnc:e of the _. which this permit Is Issued Pofq~o. _________ _ .()ft. DI have and w1ll imlnta1n worker's compensation, as required by Sectlon 3700 of the Libor Code, for the performance of the work ror which this pem,rt is issued. Myworkerl compem.itlon ,nsunllc.l! catMr and pollcynumberatt· lnsuranceCompany Name:------------------• PoRcy No. _______________________ Expiration ~te: ______________ 1 .()R-D Certsf1a1~ of Exemption I certify that In the pel'fonnance of the work for whldl Ulis permit Is Issued, I shall not employ MtY person ln iny mimner so ;as to become wbjl!ct to the wo,bn' compensation Llws of California WARNING: F1Uvre to secute workers compensation ~ Is unlawful and shall sub)ect an employer to aimlnal pe,Qltles and civil fines up to $100,000.00, In addltSon the to the cost of compensation, cbma,es as PfO"lded for In Section 3706 of the Labor eoc., Interest aJ'ld attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY; I here-by ifflrm tJgt there Is a constl\Jttion lend,n, •ocv for the perf01Tmnce of the work this pmnit ls issued (~ 3097 (I) Ovll Code) lander's Name· ~,Address: _________________ _ CONTRACTOR CEFfTIFICA TION; 'Iha ~t ~lf,e that al documtnb and pi.-c1ur1y lftd acan~ lllOW ~ mstq lftd p,0p0led bolldlncJ, "111C116B, :.cceu rold5, and utllltias/uttl,ty--NA proj)CMd moddJuiuons artd/0< lddotlons Me delft\, labeled on lhe 1lt• plJ/\. Al-., pocenwlly alstinc ~ 'lllllthln ~ pllM lnCOnMsUflt With the ute pL1n ..,. not 1pptOWllll l0< CIOIISU'UCtion •nd !NJ bt requ,red to be altered Of r-4 The city's ~I ol lhe aPJlllcation rs bas«d on TN pr-. that th•~ dcx:,..,,.,11, and plans .i.how t1Nt tOffect cl~ of, IN prop«ty, buildln&S, s:ttuctllffl lftd llwtr s«tbKlts from property ~nti and from one another, a«ess rwds/.-U, .r>d lltllrues. The GIR.,_ and PlQPOMd ~of udl bullddla»Sl<llff;, nwllld~all --is and Olhef •~ to ~t haft bHII am,rai.fv~•nd bbeled •-'1S•lon-il(t l'll(lln&/,,ia~ AA uniwo-t.......,,. on the pn,pet1y w.r• COfflpi.ted 111 ~with•• ,.._.~llON 1n tx1Stanca a1 lhe time of thff conmucuon. unleu OlhenoAw notlPCl NAME (PRINT): ________ SIGNATURE: ________ DATE: _____ _ Note: If the person Silnlnt above Is an authorixed agent for the eontnc:t ovlde lettttr of authorization on contncto, lettuhcad. -OR- (OPTION B)· OWNER-BUILDER DECLARATION: I hereby aff,rm that I om exempt from Contractor's License Law for the following reason: Pl•. as ~ of the proprrty o< my ell'lj)loVff,S with w,ps as their sole compeMation, will do lM wof1t ,nd th41 structure Is not Intended or offffed for Sile (Sec. 7044, BusinesJ and ProfftSlofls Code The ContnKto(s Ucense Llw doe not apply to 1n o-of property who builds or 1mprova the~, ind who does wet, work himsalf or throuih his own employees, provided that wch lmprove,nents an not uttended or offered for sale. If,~. tht buikllns or Improvement 15 sold w,thln one y11a, of c.ompletio,,, 1he owner bullctef' will have lhe burden or provm1 that he did not build or Improve fcx tM purpose of ule) .OR- Dt, 11 --of lM property, 1m exclusively contractma w,th lleeMed con,~cton to connruct the project (Sec. 7044, Business and Profnslons Code. The Contractor's Uc.ense Law does not .apply to in owMr of property who builds or improws 1he~n. and COfflnlCtS fOf such projKb with conuactorts) llc:8Med pur11nnt to th Cootractor's Ucenu Law) .()R-01 am Cl:elTIPI under lklslness and Prof4"MOftS Code OlvlS!Ofl 3. Chlpttr 9, Article 3 for this fU50fl, A.11.0, 0 J:ORM Ul "Owne, lllRder ~nt and V~ form• ls r~utm for any penntt ,ssu.d to a prope,tv ownet" ti, my aJs,tature below I acknowl9dp that, «JU:ept for my penonil reJ!denc• In which I must have rnlded r011t le.1st one Y'UI p,ior to comiiiet!Ofl a, u,e ~tnts c.ove,ed b't 1h11 .,.rml!, I cannot lqllly sell I structure Uttt I have built u 1n owner bl.tildtr 1f 11 hH not bffn CONtNCtH In iU tm~ by llUm.td contrlrtOn lundffrtcn1thataa,wafthftapp4lcobl~law,s«tton7tU4afth .. tuslMSSOl'ldProfmtomCad.-,lsaw:dtablrl.9)Q'trrQUntwhfflthfsll'f)flcvOonb submtttftl Of at tJw folltNrlng Wn sft•: http:/ l www.l,gtnfo.ca ,av/ca/aw.html. ~comFICATION The..,,...,.tart.f•U..all~ttHdplarlleswtyalld~ehawd~~~~~acaa,wa._,.~ -,.,. ,,__ IIICldlflQUOnS wtd/or---•• dlwty~Oftlhe •II• lllilft. My~->ntdltlll•llllml'-pianl ~ wlll\ di■ Slit pbn-NIC a;icn,,,wd for~ W mr, N r-.und .. be ....... ,.,,,.,.,,. The •• ~ M 0. app11ca-.11 bwd o,e ltte ,n,mlN tNt Ill■~~ land...,.._ Ow~ ~of.die,,..,., ~ -•• in.tr ~frOMi-llllfflY.._ Ind tram _ _,,_ -~•l«Rln Theellslll1I ud~UMOf ueh builWII u cl:Md II INI,,,,. Cllffect ••• ·-...i oSIWf ena»nlwwa to ......... " heft.,_, acoa,Jtely ~ 11111 b11i1i1N w .... • a11--. ~ --All ....--~Clftlhe..,...-tt-c.clll\,:R,lftlinlCl:OtdalQ.,JChal,...._,onaw,emi.enu.e1 N..,_.of11-~...i.n.,,_.._.. -~-~__;;..._0 _..':;...;..JT __ DATE: 6&2&~~:J OWMt lndude form MJ I ., l REV W11 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-3191) Application Date: 06/22/2023 Owner: Permit Type: BLDG-Residential Work Class: P/M/E Issue Date: 06/28/2023 Subdivision: CARLSBAD TCT#97-14 UNIT#01 Status: Closed -Finaled Expiration Date: 12/26/2023 IVR Number: 50212 MARIANO Address: 1187 MARIPOSA RD CARLSBAD, CA 92011-4205 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 06/29/2023 06/29/2023 BLDG-34 Rough 215918-2023 Passed Dirk de Roggenbuke Thursday, June 29, 2023 Electrical Checklist Item BLDG-Building Deficiency NOTES Created By Angie Teanio COMMENTS 6/29/23 main panel bus bar replacement TEXT 760-331-7190 Fred BLDG-Final Inspection 215919-2023 Passed Dirk de Roggenbuke Checklist Item BLDG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final NOTES Created By Angie Teanio COMMENTS TEXT 760-331-7190 Fred Passed Yes Created Date 06/28/2023 Passed Yes Yes Yes Created Date 06/28/2023 Complete Complete Page 1 of 1