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Home My WebLink About2855 CARLSBAD BLVD; ; CBR2023-2102; PermitBuilding Permit Finaled Residential Permit Print Date: 05/08/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2855 CARLSBAD BLVD, CARLSBAD, CA 92008-2902 BLDG-Residential Work Class: 2032310100 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: P/M/E Permit No: Status: C Cityof Carlsbad CBR2023-2102 Closed -Finaled Applied: 04/26/2023 Issued : 05/12/2023 Finaled Close Out: 05/08/2024 Final Inspection: 08/09/2023 INSPECTOR: de Roggenbuke, Dirk Description: REPLACE FIREPLACE INSERT LIKE FOR LIKE AT 2855 CARLSBAD BLVD PH421 CARLSBAD CA 92008 (E-REVIEW) Applicant: SALLIE CREGAR 2855 CARLSBAD BLVD CARLSBAD, CA 92008-2902 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees: $208.00 Total Payments To Date: $208.00 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 RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check _______ _ Est. Value PC Deposit Date CT/Project #:. ______ -= ___________ Lot #: ____ Vear Built: ________ _ BRIEF DESCRIPTION OF WORKJ!epiu Eltt;/pce_ ;&s;-r+ b /0 Ju li 0 □ 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? 0 Y 0> N ----- □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ □ Solar: ___ KW, ___ Modules, Mounted: 0Roof OGround, Tilt: 0 YON, RMA: 0 YO N, Battery:CYC N, Panel Upgrade: OY ON Electric Meter number: ----------- 0th er: Pho Emai ·...:...:;...;..:.-=-.=.;..---.......,......,f+-'-......,t,f,,-..::;..I,...:..;..;....;.:;;...;....._ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: ________________ Buslness Name: ______________ _ Address: Address: ________________ _ Clty: _______ State: ___ .Zlp:____ Clty: ______ S.tate: ___ Zip: _____ _ Phone: Phone: ________________ _ Email: Email: _________________ _ Architect State License: CSLB License #: ______ class: ______ _ Carlsbad Business License# (Required): ______ _ APPLICANT CERTIFICATION: I certify that I hove read the app//catlon and state that the above Information is correct and that the Information of the plans Is accurate. I agree to comply with all Ci'fjdlnances and State laws relatin~ to building construction. NAME (PRINr1:fllu/o {) '!J'trl1.e,ss s1GN, 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442·339-2719 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: I herebyaf ff rm under penal tyof per Jury that I am licensed under provisions of Chapter 9 ( commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is Inf ull force and effect. I also affirm under penalty of perjury one of the following declarations(CHOOSE ONE): DI 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- DI have and wlll 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 pollcy number are: I nsuranceCompany Name: ______________________ _ Policy No. ___________________________ Expiration Date: _______________ _ -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 lend Ing agency for the performance of the work this permit is Issued (Sec. 3097 (i) Clvll 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 utilitles/utillty 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 selbacks 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 encumbrancesto 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): _________ SIGNATURE: __________ DATE: ______ _ Note: If the person signing above is an authorized agent for the contractor rovide a letter of authorization on contractor letterhead, (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, as owner of the property or my employees with wages as their sole compensation, wilt do the work and the structure !snot Intended or offered for sate (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- as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The tractor'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 suant 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. I understand that a copy of the applicable law, Section 7044 of the Business and Prof esslons Code, Is available upon request when this application is submitted or at the following Web site: http; I lwww.leglnfo.ca.gov/ ca/aw.html, OWNER CERT/FICA T/ON: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utllltles/utlllty easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detall 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 1::::,;•::::i~• P"r comple<edl""°;~" wUh all"'°':~:~:"• ""00 Um, of ''"°'ttrudloo, ,aim ::::~w.; / lz :5 J Note: If the erson sl nln ro 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Buildlng@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled {cityof Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-2102) Permit Type: BLDG-Residential Application Date: 04/26/2023 Owner: Work Class: P/M/E Issue Date: 05/12/2023 Subdivision: TOWN OF CARLSBAD AMENDED Status: Closed -Finaled Expiration Date: 12/18/2023 Address: 2855 CARLSBAD BL VD IVRNumber: 48617 CARLSBAD, CA 92008-2902 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 06/15/2023 06/15/2023 BLDG-14 214298-2023 Passed Dirk de Roggenbuke 06/21/2023 06/21/2023 08/09/2023 08/09/2023 Wednesday,August9,2023 Frame/Steel/Bolting/We lding (Decks) Checklist Item BLDG-Building Deficiency NOTES Created By Angie Teanio COMMENTS Passed 6/15/23 metal stud framing ok Yes TEXT Created Date 760-601-4423 Joseph// FRAMING ON NEW 06/14/2023 FIREPLACE INSERT BLDG-17 Interior 214895-2023 Passed Dirk de Roggenbuke Lath/Drywall Checklist Item COMMENTS BLDG-Building Deficiency NOTES Created By TEXT Angie Teanio 760-601-4423 Joseph BLDG-Final Inspection 219966-2023 Passed Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Dirk de Roggenbuke Passed Yes Created Date 06/20/2023 Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1