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Home My WebLink About2862 RANCHO PANCHO; ; CBR2021-2214; PermitBuilding Permit Finaled Residential Permit Print Date: 04/18/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2862 RANCHO PANCHO, CARLSBAD, CA 92009-3014 BLDG-Residential Work Class: 2225912800 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: REPLACE AC IN SIDE YARD (E-REVIEW) Applicant: Property Owner: P/M/E IPERMIT KEITH JOHNSON CO-OWNERS JEFFREY AND SUSAN KING 2862 RANCHO PANCHO 31225 LA BAVA DR, # STE 213 WESTLAKE VILLAGE, CA 91362-6325 FEE CARLSBAD, CA 92009 PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees: $175.00 Total Payments To Date: $175.00 Permit No: Status: {city of Carlsbad CBR2021-2214 Closed -Finaled Applied: 07/27/2021 Issued : 07/28/2021 Finaled Close Out: 04/18/2024 Final Inspection: 11/16/2021 INSPECTOR: Kersch, Tim Balance Due: AMOUNT $175.00 $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 B-1 Plan Check cbr2021-2214 Est. Value PC Deposit Date 7/27/21 Job Address 2862 RANCHO PANCHO, CARLSBAD CA 92009 Unit: APN: ----...1 ----------- CT/Project #: _________________ Lot #: ____ Vear Built: ________ _ Fire Sprinklers:QvE()No Air Conditioning:@)YES Q No Electrical Panel Upgrade:0 Es0 No BRIEF DESCRIPTION OF WORK: (3 Ton) New AC Cut in, in left side yard. 0 New SF : _____ Living SF,____,, ___ Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? Q vQ N New Fireplace? Q v Q N, if yes how many? __ _ D Remodel: SF of affected area -----Is the area a conversion or change of use? O v Q N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ O solar: ___ KW, ___ Modules, Mounted:O oof();round, Tilt:O vO N, RMA:Q v Q N, Battery: O v Q'J, Panel Upgrade:~ 0'J D Reroof: -----------------------------------Iii Plumbing/Mechanical/Electrical 0 Only: Other: PRIMARY APPLICANT Name: Keith Johnson (iPermit) Address: 31225 La Baya Dr. #213 PROPERTY OWNER Name: JEFF & SUSIE KING Address: 2862 RANCHO PANCHO City: Westlake Village State:_C_A __ Zip: 91362 City: CARLSBAD State: CA Zip:_9_20_0_9 __ _ Phone: (818)321-3398 Phone: (858) 437-3236 Email: keith@ipermitca.com Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: Business Name: ACTION AIR CONDITIONING HEATING & SOLAR ·-----------------Address: Address: 130 BOSSTICK BLVD City:. _______ State: ___ .Zip: ____ City: SAN MARCOS State: CA Zip:_9_2_06_9 ____ _ Phone: Phone: (760) 727-4152 Email: Email: __________________ _ Architect State License: CSLB License #: 509805 Class: C20 -------------- Carlsbad Business License # (Required): _______ _ APPLICANT CERT/FICA T/ON: I certify that I have read the application and state that the above information is correct and that the informationontheplansisaccurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): Keith Johnson DATE: 7/16/21 1635 Faraday Ave Carlsbad, CA 92008 SIGN: /;,d/4 ~,,,_ Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.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: 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): Q 1 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- tl'ei\1 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. ~y workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: STATE COMPENSATION INSURANCE FUND Policy No. 9266340 Expiration Date: _12~/~3~1 /_2~02_1 _________ _ -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 CERTIFICATION: 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): Keith Johnson Note: If the person signing above is an authorized agent for the contractor provide a l11tter of autho -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: 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:Ilwww./eginfo.ca.govl ca/aw.html. OWNER CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the informationontheplansisaccurate. lagreetocomply with all City ordinances and State laws relating to building construction. NAME (PRINT): Keith Johnson Note: If the person signing above is an authorized agent for the property owner include form B-6 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2021-2214) Permit Type: BLDG-Residential Application Date: 07/27/2021 Owner: COOWNERS JEFFREY AND SUSAN KING Work Class: P/M/E Issue Date: 07/28/2021 Subdivision: CARLSBAD TCT#93-04 RANCHO CARRILLO VILLAGE Q PHASE 01 Status: Closed -Finaled Expiration Date: 05/16/2022 Address: 2862 RANCHO PANCHO CARLSBAD, CA 92009-3014 IVR Number: 34818 Scheduled Actual Inspection Type Inspection No. Date Start Date 11/16/2021 11/16/2021 BLDG-43 Air 170793-2021 Cond./Furnace Set Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final Inspection 170794-2021 Tuesday, November 16, 2021 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Inspection Primary Inspector Status Passed Tim Kersch Passed Tim Kersch Reinspection Inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1