HomeMy WebLinkAbout2712 JEFFERSON ST; ; CBR2021-3828; PermitBuilding Permit Finaled
Residential Permit
Print Date: 04/25/2024
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
2712 JEFFERSON ST, CARLSBAD, CA 92008-1703
BLDG-Residential Work Class:
2032011600 Track#:
$3,168.11 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Reroof
Description: 2712 JEFFERSON; REROOF (18 SQUARES) COMP TO COMP (E-REVIEW)
FEE
REROOFING -RESIDENTIAL
REROOFING -RESIDENTIAL
Property Owner:
BBAD LLC
2712 JEFFERSON ST
CARLSBAD, CA 92008-1703
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
Total Fees : $179.50 Total Payments To Date: $179.50
Permit No:
Status:
{city of
Carlsbad
CBR2021-3828
Closed -Finaled
Applied: 12/20/2021
Issued : 12/20/2021
Finaled Close Out: 04/25/2024
Final Inspection: 12/23/2021
INSPECTOR: Kersch, Tim
Balance Due:
AMOUNT
$89.00
$89.00
$1.00
$0.50
$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
Cifyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check CBR2021-3828
Est. Value
PC Deposit
Date 12/20/2021
Job Address 'L 1 l 1-Unit: _____ APN: _________ _
CT/Project #: ________________ Lot #: ____ Year Built: ________ _
Fire S • Let:£..~sQNo Air Condit ioning:OYESQ NO Electrical Panel Upgrade:Q YESQ No
BRIEF DESCRIPTION~:::> 7?£-Zoo F Co~ /7 a OC--t,z_ ~
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 vQ N, if yes how many? __
D Remodel: SF of affected area -----Is the area a conversion or change of use? Ov O N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
0Solar: ___ KW, ___ Modules, Mounted~oof~rou nd, Tilt:O v0 N, RMA:O v Q N,
Battery:O,, 0,,, Panel Upgrade: ()r 0,, ~
ffReroof: C1A£ 6>"-4 £ SG,'nJ /~ S: /~
D Plumbing/Mechanical/Electrical
D Only: Other:
PRIMARY APPLICANT PROPERTY OWNER
Name: &z , ( v? I 5' t1 c., '-L J C, Name: Dct !:1 ,'~ I I{ • @ u r-k e
Address: 2/t?: 8 oc.J.....,,,·...--. DY-Address: _________________ _
City: lj·~= State: C::4 Zip: 1 20~3/City: _________ State: __ Zip: ____ _
Phone:(7b Q.L<?"::f '7--3'o'5' \ Phone:()<-ol IT/-7 3 30
Email: ~r ~ C, £,'r? ,2@b O t ""'-fr,' I. C '-I vi, Email :..:===-----==------==...:::~::------------
DESIGN PROFESSIONAL CO~TRACTOR 0~
Name: usm .ame.: ______________ _
Address: _______________ Address: ________________ _
City: _______ State: ___ Zip: ____ City: _______ State: ___ Zip: _____ _
Phone: ________________ Phone :. _________ .._ _______ _
Email: Email: ---""'?"'lrr---=----;----------
A r chit e ct State License:___________ 0 :i-· Class:. ______ _
Carlsbad Business License# (Required):.__,.._ ____ _
APPLICANT CERT/FICA TION: I certify that I have read the application and state that the above, n • • correct and that the
information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building
construction. J1 ~
NAME(PRINT): ~<~ fq u~L SIGN: 1/f✓~rl ,~·DATE: 12 /2-.,/2---1
1635 Faraday Ave Carlsba~ Ph: 760-602-2719 Fax: 760-60(-8558 Email: Building@carlsbadca.gov
CB R2021-3828 _ DO1CS _ V 1 _ 12/20/2021 REV. 07/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BtJILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGN ING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQU IRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter9 (commencingwith Section 7000)of Division]
of the Business and Professions Code, and my license is in full force and effect. I a/so affirm under penalty of perjury one of the
following declarations (CHOOSE ONE):
Q1 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-
{;?11 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.
~workers' compensation insurance carrier and policy number are: Insurance Company Name: ____________________ _
Policy No. __________________________ Expiration Date: ______________ _
-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'sAddress: ___________________ _
CONTRACTOR CERT/FICA TION: 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__ ith all City ordinances and State laws relating to building
construe
(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 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 orat the following Web site: http:l lwww.leginfo.ca.gov/calaw.html.
OWNER CERT/FICA TION: I certify that/ have read the application and state that the above information is correct and that the
information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building
construction.
NAME (PRINT): 14. 'j ve.l S a,cct J. • SIGN: " DATE:
Note: If the person signing above is an authorized agent for the property owner include f r 8-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92c B R2 0 21-3828-27[f c5cs-85\/ 1 Email: Building@carlsbadca.gov
12/20/2021
2 REV. 07/21
B-10
RIEROO!F ~~G SlUJIP'IP'llEMIENTAl BlUJ !lD~u~G IP'IERMff AIP'IP'UCAT~ON
1. JOB ADDRESS: ~] I L \e_ +='~,,--Jo '--1 S +--~--------,._,+-~--------------
2. TYPE OF BUILDING: RESIDENTIAL \/ COMMERCIAL ----
** Please contact HCD for a permit if you will be doing work on a manufactured/mobile home. **
3. ROOF SLOPE:-RISE s· INCHES IN 12 INCHES
4. NUM BER OF EXISTIN G ROOF COVER ING (CIRCLE ONE) (Y 2 3
5. TYP E OF EXISTING RO OF COVERING [oY"'-f 5h,'nq(,c) SHEATHING plyw 00J.. . T .
6. NEW ROOF MATERIAL 91 f 5~.·n(/c,;; CLAss_&__
7. NUMB ER OF SQUARES J;://1 / WEIGHT PER SQ. /oC>
s. TRADE NAME {j,t£ T,rnbc.I /,'~ MANU FACTURER_G--,?y41= __ ,,..--, ____ _
SYSTEM LISTING: ESR-1475
u'L2218 ~ • ____ I~rt #_1_1/~Z~c __ ~ __ A_s . • AST~ 031s1
O. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
P~OPOSED ROOF? ~ NO
All roof coverings are required to be CLASS A. 4 Combustible roof coverings of any type or
classification are prohibited.
I understand the following inspections are required:
1 .. Tear Off/Pre-Inspection prior to install new roof covering
2. Final Inspection
I agree to provide a ladder extending at least 2 run gs above the roof for inspection.
Name ~ v
Owner
*6. Roll ed Ro ofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
CBR2021-38~~-€M)~ocs_ V1 _ 12/20/2021 Rev. 04/1 4
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-3828)
Permit Type: BLDG-Residential Application Date: 12/20/2021 Owner: BBAD LLC
Work Class: Reroof Issue Date: 12/20/2021 Subdivision: CARLSBAD LANDS
Status: Closed -Finaled Expiration Date: 06/20/2022 Address: 2712 JEFFERSON ST
IVRNumber: 37693 CARLSBAD, CA 92008-1703
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
12/21/2021 12/21/2021 BLDG-15 Roof/ReRoof 173181-2021 Passed Tim Kersch Complete
(Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
12/23/2021 12/23/2021 BLDG-Final Inspection 173307-2021 Passed Tim Kersch Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
Thursday, December 23, 2021 Page 1 of 1