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Home My WebLink About2433 MICA RD; ; CBR2023-3831; PermitBuilding Permit Finaled Residential Permit Print Date : 05/14/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2433 MICA RD, CARLSBAD, CA 92009-1733 BLDG-Residential Work Class: 2132701800 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: ADD NEW SUB PANEL AND CAR CHARGER (E-REVIEW) Applicant: HA LUU 2433 MICA RD CARLSBAD, CA 92009-1733 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS P/M/E Total Fees : $208.00 Total Payments To Date: $208.00 Permit No: Status: C Cityof Carlsbad CBR2023-3831 Closed -Finaled Applied: 08/08/2023 Issued : 09/01/2023 Finaled Close Out: 05/14/2024 Final Inspection: 09/08/2023 INSPECTOR: de Roggenbuke, Dirk 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 Job Address 2433 MICA ROAD Unit: _____ APN: __________ _ CT/Project #: __________________ Lot #: ____ Year Built: _2_0_10 _______ _ BRIEF DESCRIPTION OF WORK: INSTALL NEW SUB-PANEL AND CAR CHARGER □ 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 YO N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □Solar: ___ KW, ___ Modules, Mounted:0Roof O Ground, Tilt: 0 Y0 N, RMA: Q)Y O N, Battery:O>va> N, Panel Upgrade: G v O N Electric Meter number: 0th er: APPLICANT {PRIMARY CONTACT) Name: HA LUU Address: 2433 MICA ROAD City: CARLSBAD State:_C_A __ ,Zip: 92009 Phone:4085058023 Email: DEREKANDNAT.L@GMAIL.COM ------------ PROPERTY OWNER Name: HA LUU Address: 2433 MICA ROAD City: CARLSBAD Phone:4085058023 State: CA Zip:_9_20_0_9 __ _ Email: DEREKANDNAT.L@GMAIL.COM DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name: SOURCE ONE ELECTRICAL INC. Address: Address: 1381 N. CUYAMACA STREET City: ________ State: ___ Zip:_____ City: EL CAJON State: CA Zip:_9_20_2_0 ____ _ Phone: Phone: 619-328-6293 Email : Email: DILLONB@SOURCEONEELECTRICAL.NET Architect State License: ___________ _ CSLB License#: 865314 Class: ------------- Carlsbad Business License# (Required): BLOS1239721 APPLICANT CERTIFICATION: I certify that I have read the application and state that the above 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): _H_a_L_u_u ______ _ SIGN: ~i_uu DATE: 08/14/2023 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 fut l 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. Policy No. ___________________________________________ _ -OR- [!! 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: _1n_s_u,_an_ce_co_m_pa_n_y_o1_111_e_w_e_s1 ________________ 1 Policy No. wsoso30514oa Expiration Date: _0_1,_01_,2_0_24 _______________ 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 T/ON: 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): Dillon Ballow SIGNATURE: Di-llo-n, 6a.11.o-w DATE: 08/08/2024 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 7044of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http:/lwww.leginfo.ca.gov/ ca/aw.html. OWNER 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): 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 (CBR2023-3831) Permit Type: BLDG-Residential Application Date: 08/08/2023 Owner: Work Class: P/M/E Issue Date: 09/01/2023 Subdivision: Status: Closed -Finaled Expiration Date: 03/06/2024 Address: 2433 MICA RD IVRNumber: 51195 CARLSBAD, CA 92009-1733 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Date Start Date Status 09/06/2023 09/06/2023 BLDG-34 Rough 222894-2023 Failed Dirk de Roggenbuke Electrical Checklist Item BLDG-Building Deficiency COMMENTS 9/6/23 NEMA 14-50 receptacle requires GFCI protection per CEC 625.54 09/08/2023 09/08/2023 BLDG-34 Rough 223471-2023 Passed Dirk de Roggenbuke Friday, September 8, 2023 Electrical Checklist Item BLDG-Building Deficiency COMMENTS 9/6/23 NEMA 14-50 receptacle requires GFCI protection per CEC 625.54 9/8/23 correction made BLDG-Final Inspection 223472-2023 Passed Dirk de Roggenbuke Checklist Item BLDG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final COMMENTS Reinspection Inspection Reinspection Incomplete Passed No Passed Yes Passed Yes Yes Yes Complete Complete Page 1 of 1