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Home My WebLink About1266 MARIPOSA RD; ; CBR2023-3789; PermitBuilding Permit Finaled Residential Permit Print Date: 04/26/2024 Job Address: 1266 MARIPOSA RD, CARLSBAD, CA 92011-4208 Permit Type: BLDG-Residential Work Class: Parcel#: 2122200800 Track#: Valuation: $0.00 Lot#: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: Description: REPLACE AC AND FURNACE (E-REVIEW) Applicant: WE GREEN INC TARA VAN SAMBEEK 3675 RUFFIN RD, # SUITE 320 SAN DIEGO, CA 92123-1835 (888) 991-4377 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: P/M/E Total Fees: $208.00 Total Payments To Date: $208.00 Permit No: Status: (cityof Carlsbad CBR2023-3789 Closed -Finaled Applied: 08/04/2023 Issued : 08/10/2023 Finaled Close Out: 04/26/2024 Final Inspection: 08/16/2023 INSPECTOR: de Roggenbuke, Dirk Contractor: WEST COAST APPLIANCES SERVICES INC 1256 FAYETTE ST EL CAJON, CA 92020-1511 (619) 557-0446 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 Plan Check Est. Value PC Deposit ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Date 8/4/2023 Job Address 1266 Mariposa Rd Unit: _____ APN: ___________ _ CT/Project #: __________________ Lot #: ____ Year Built: _________ _ BRIEF DESCRIPTION OF WORK: Replace AC and Furnace □ 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 Y O N □ Pool/Spa:. ____ SF Additional Gas or Electrical Features? ____________ _ □ Solar: ___ KW, ___ Modules, Mounted: 0 Roof O Ground, Tilt: 0 YO N, RMA: 0 Y O N, Battery:OvQ) N, Panel Upgrade: O v O N Electric Meter number: ------------- 0th er: APPLICANT (PRIMARY CONTACT} Name: Tara Van Sambeek Address: 3675 ruffin Rd City: San diego State:_C_A __ .Zip: 92123 Phone:8889914377 Email: t. vansambeek@wegreeninc.com PROPERTY OWNER Name: John Madrid Address: 1266 Mariposa Rd City: Carlsbad Phone:8588299406 Email: jmadrid32@gmail.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD State:_C_A __ .Zip: 92011 Name: __________________ Business Name:_W_e_s_t c_o_a_s_t ____________ _ Address: Address: 1256 Fayette St City: ________ State: ___ Zip:_____ City: El Cajon State:_C_A __ Zip: 92020 Phone: Phone: 6195570446 Email: Email: westcoastheatcool@gmail.com Architect State License: CSLB License#: 810930 Class: c20 ------- Carlsbad Business License # (Required):_0_07_7_4 _____ _ APPLICANT CERTIFICATION: I certify that I have read the application and state that the abave 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. NAME (PRINT): Tara Van Sambeek SIGN: Tara VaM Sanfbeek DATE: 08/04/2023 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 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: 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. PolicyNo. ___________________________________________ _ -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: _M_i_dd_le_s_ex_ln_su_ra_n_ce_c_om_pa_n_y _______________ , Policy No. A0193227004 Expiration Date: _4_11_s_12_02_4 ______________ 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 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): Tara Van Sambeek SIGNATURE: Tata VaM San-rbeek DATE: 8/4/2023 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 Prof essionsCode, is available upon request when this application is submitted orat the following Website: http:/ /www.leginfo.ca.gov/calaw.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: DATE: -------------------------Note: If the erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ned b owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled {cityof Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-3789) Permit Type: Work Class: Status: Scheduled Date 08/16/2023 BLDG-Residential Application Date: 08/04/2023 P/M/E Issue Date: Closed -Finaled Expiration Date: IVRNumber: Actual Inspection Type Start Date Inspection No. 08/16/2023 BLDG-43 Air Cond./Furnace Set 220769-2023 Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final Inspection 220770-2023 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS 08/10/2023 02/12/2024 51141 Inspection Status Passed Passed Wednesday,August16,2023 Owner: Subdivision: Address: 1266 MARIPOSA RD CARLSBAD, CA 92011-4208 Primary Inspector Reinspection Inspection Dirk de Roggenbuke Dirk de Roggenbuke Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1