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HomeMy WebLinkAbout2854 AVENIDA CEREZA; ; CBR2023-3757; PermitBuilding Permit Finaled Residential Permit Print Date : 05/16/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2854 AVENIDA CEREZA, CARLSBAD, CA 92009-2912 BLDG-Residential Work Class: 2552824000 Track #: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: REPLACE WATER HEATER (E-REVIEW) FEE WATER HEATER PERMIT P/M/E Total Fees : $116.00 Total Payments To Date: $116.00 Permit No: Status: {city of Carlsbad CBR2023-3757 Closed -Finaled Applied: 08/03/2023 Issued : 08/08/2023 Finaled Close Out: 05/16/2024 Final Inspection: 09/07/2023 INSPECTOR: de Roggenbuke, Dirk Balance Due: AMOUNT $116.00 $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 DocuSign Envelope ID: C739E849-DEFD-4129-832D-63559759A49E Cicyof CarlsDad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check --------- Est. Value PC Deposit Date Job Address2854 Avenida Cereza Unit: _____ .APN: __________ _ CT/Project #: __________________ Lot #: ____ Vear Built: _________ _ Fire Sprinklers:QvE()No Air Conditioning:Q YESQ NO Electrical Panel UpgradeQ YESQ NO BRIEF DESCRIPTION OF WORK: Replace Water Heater ------------------------------- 0 New SF : _____ Living SF,~---Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit?Q v©N New Fireplace? Q vQ N, if yes how many? __ _ □Remodel: SF of affected area -----Is the area a conversion or change of use?Q v Q N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ 0 Solar: ___ KW, ___ Modules, MountedO oofO round, Tilt:O vQ N, RMA:Q vQ N, Battery: Qv O,J, Panel Upgrade: Q v 0-J D Re roof: ___________________________________ _ [8J Plumbing/Mechanical/Electrical 0 Only: Other: Plumbing PRIMARY APPLICANT PROPERTY OWNER Mike Bryant Name·. Doug Machon Name: ________________ _ Address: 1445 Descanso Ave. Address: 2854 Avenida Cereza City: San Marcos State:_C_A __ Zip: 92069 City: Carlsbad Phone: 760-999-9990 Phone: 858-663-4302 Email: Plumb365hd@gmail.com Email: doug.machon@yahoo.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD State: CA Zip:_9_2_00_9 __ _ Name:. _________________ Business Name:_P_L_U_M_B_36_5_I_n_c. __________ _ Address: Address: 1445 Descanso Ave. City: _______ State: ___ Zip: _____ City: San Marcos State: CA Zip:_9_2 __ 0_69 ______ _ Phone: Phone: 760-999-9990 Email: Email: Plumb365hd@gmail.com Architect State License: CSLB License #: 1055296 Class: C36 -------------- Car Is bad Business License# (Required): BLOS006992-01 -2020 APPLICANT 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 bui [ding COnstrLJCtion. . r:DocuSigned by: NAME (PRINT): M1 ke Bryant SIGN:L~~:s2e!::t~ DATE: _s_;3_;_20_2_3 __ _ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 07/21 DocuSign Envelope ID: C739E849-DEFD-4129-832D-63559759A49E 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. PolicyNo. _____________________________________ _ -OR- rx"\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: Insurance Company Name: _N_o_rG_u_a_r_d ________________ _ Policy No. Pl WC454155 Expiration Date: _,7c..c-... 2_,..5""-2..,O,..2..::4L...-_________ _ -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 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 at l City ordinances and State laws relating to building construction. ~DocuSigned by: NAME (PRINT): Mike Bryant SIGNATURE: L~~~m~~ DATE:_8_1_3_12_0_2_3 __ _ Note: If the person signing above is an authorized agent for the contractor provide a letter 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: 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:I/www.leginfo.ca.gov/ ca/aw.html. OWNER 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 bui (ding construction. NAME (PRINT): SIGN: DATE: ----------------------Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. 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 (CBR2023-3757) Permit Type: BLDG-Residential Work Class: P/M/E Application Date: 08/03/2023 Owner: Issue Date: 08/08/2023 Subdivision: CARLSBAD TCT#88-03-03 ARROYO LA COSTA UNIT#03 Status: Closed -Finaled Expiration Date: 03/05/2024 Address: 2854 AVENIDA CEREZA CARLSBAD, CA 92009-2912 IVRNumber: Scheduled Actual Inspection Type Inspection No. Date Start Date 09/07/2023 09/07/2023 BLDG-25 Water 223118-2023 HeaterNents Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final Inspection 223117-2023 Thursday, September 7, 2023 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS 51102 Inspection Primary Inspector Status Passed Dirk de Roggenbuke Passed Dirk de Roggenbuke Reinspection Inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1