HomeMy WebLinkAbout1353 FOREST AVE; ; CBR2023-2502; PermitBuilding Permit Finaled
Residential Permit
Print Date : 05/31/2024
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
1353 FOREST AVE, CARLSBAD, CA 92008-1010
BLDG-Residential Work Class:
1561106800 Track#:
$11,600.00 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Cogen
Permit No:
Status:
(cityof
Carlsbad
CBR2023-2502
Closed -Finaled
Applied: 05/15/2023
Issued : 05/19/2023
Finaled Close Out: 05/31/2024
Final Inspection: 08/18/2023
INSPECTOR: de Roggenbuke, Dirk
Description: PRICE/ INSTALL A NEW PV SOLAR SYSTEM ON A RESIDENTIAL HOME/ 10.585KW W// 29MODULES (E-REVIEW)
Property Owner:
CO-OWNERS PRICE WILLIAM T AND DOW
DIANA
PO BOX 1759
CARLSBAD, CA 92018-1759
FEE
BUILDING PLAN CHECK REVISION ADMIN FEE
SB1473-GREEN BUILDING STATE STANDARDS FEE
SOLAR-RESIDENTIAL: per kW
STRONG MOTION -RESIDENTIAL (SMIP)
Total Fees : $341.51 Total Payments To Date: $341.51
Contractor:
BURTEK ENERGY LLC
8445 CAMINO SANTA FE, # STE 201
SAN DIEGO, CA 92121-2648
(858) 746-7557
Balance Due:
AMOUNT
$35.00
$1.00
$304.00
$1.51
$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 1353 Forest Ave., Carlsbad, CA 92008 Unit: APN: 1561106800 -----
CT/ProJ'ect #: Lot#: Year Built: 1976 --------------------------------
BRIEF DESCRIPTION OF WORK: Install a RMIJ!~Solar System on a Residential Home
□ 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: ,o.sa, KW, 29 Modules, Mounted: 0 Roof O Ground, Tilt: 0 YO N, RMA: 0 Y O N,
Battery:OVG> N, Panel Upgrade: O v O N Electric Meter number: -------------
0th er:
APPLICANT (PRIMARY CONTACT}
Name: MELODIE ORTIZ NUNGESSER
PROPERTY OWNER
Name: William Price
Address: 8445 CAMINO SANTA FE #201 Address: 1353 Forest Ave.
City: SAN DIEGO
Phone: 858-746-7557
State:_C_A __ Zip:92121 City: Carlsbad State:_C_A __ .Zip:92010
Phone:. ___________________ _
Email: melodie@burtekenergy.com Email: ____________________ _
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: N/A Business Name: BURTEK ENERGY LLC / JAY BURDEN ------------------Address: Address: 8445 CAMINO SANTA FE #201
City: ________ State: ___ Zip: ____ _ City: SAN DIEGO State:_C_A __ Zip: 92121
Phone: _________________ _ Phone: 858-746-7557
Email: _________________ _ Email: operations@burtekenergy.com
Architect State License: ___________ _ CSLB License#: 1019515 Class: A,B,C10,C46,C20
Carlsbad Business License # (Required): BLOS013556-04-2023
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): Melodie Ortiz Nungesser
1635 Faraday Ave Carlsbad, CA 92008
SIGN __ : -11t----~--------DATE: 05/12/2023
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-
[] 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: State Fund Insurance Company
Policy No. 9294921-2024 Expiration Date: 3/25/2024
-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 AGENCV1 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::::e;:::s~n~;~ th~:~~;;e~~:e~:~:::::t::l~:::::~:sten;X1 ~,~ unless
0
::;~~o;;~ 212023
Note: If the person signing above is an authorized agent for the contractor , rovide 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: 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 (CBR2023-2502)
Permit Type: BLDG-Residential Application Date: 05/15/2023 Owner: CO-OWNERS PRICE WILLIAM T AND
DOW DIANA
Work Class: Cogen Issue Date: 05/19/2023 Subdivision: PARCEL MAP NO 03597
Status: Closed -Finaled Expiration Date: 02/14/2024 Address: 1353 FOREST AVE
CARLSBAD, CA 92008-1010 IVRNumber: 49189
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection
Date Start Date Status
08/18/2023 08/18/2023 BLDG-Electric Meter 221163-2023 Passed Dirk de Roggenbuke Complete
Release
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final Inspection 221164-2023 Passed Dirk de Roggenbuke Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Friday, August 18, 2023 Page 1 of 1