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Home My WebLink About2512 LA GOLONDRINA ST; ; CBR2023-5026; PermitBuilding Permit Finaled Residential Permit Print Date: 05/31/2024 Job Address: 2512 LA GOLONDRINA ST, CARLSBAD, CA 92009-4319 Permit Type: BLDG-Residential Work Class: P/M/E Parcel#: 2155612100 Track#: Valuation: $0.00 Lot#: Occupancy Group: Project#: #of Dwelling Units: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: Sprinkled: Project Title: Description: REPLACE WATER HEATER (E-REVIEW) FEE WATER HEATER PERMIT Total Fees: $129.00 Total Payments To Date: $129.00 Permit No: Status: (city of Carlsbad CBR2023-5026 Closed -Finaled Applied: 11/14/2023 Issued: 11/16/2023 Finaled Close Out: 05/31/2024 Final Inspection: 12/04/2023 INSPECTOR: Renfro, Chris Contractor: PLUMB365 INC 1445 DESCANSO AVE SAN MARCOS, CA 92069 (760) 999-9990 Balance Due: AMOUNT $129.00 $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: 8FFB12D9-BBCA-490C-BF2E-845A1CBC52C3 (_ Cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address 2512 La Golondrina St Unit: _____ APN: __________ _ CT/Project #: __________________ Lot #:, ____ Year Built: _________ _ Fire Sprinklers:QvEQ No Air Conditioning:Q YEs Q No BRIEF DESCRIPTION OF WORK: Water Heater replacement Electrical Panel UpgradeQ YEsQ No 0 New SF : _____ Living SF,---,,..,..---Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? o YeN New Fireplace? Q YQ N, if yes how many? --- D 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? ____________ _ O solar: ___ KW, ___ Modules, Mounted:O oof~round, Tilt:O vO N, RMA:Q vQ N, Battery: Ov 0-J, Panel Upgrade: Qv 0-J D Re roof: ___________________________________ _ I@! Plumbing/Mechanical/Electrical 0 Only: Other: PRIMARY APPLICANT Plumbing PROPERTY OWNER Name:Mike Bryant Name:Susan Webster Address: 1445 Descanso Ave Address: 2512 I a Goloodcioa St City: San Marcos State: CA Zip: 92069 City: Carlsbad State: CA Zip: 92009 Phone: 760-999-9990 Phone:760-696-2446 Email: plumb365hd@gmail.com Email:Susanatthebeach@gmail.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name:, _________________ Business Name:,_P_lu_m_b_3_6_5 ____________ _ Address: Address: 1445 Descanso Ave City: _______ State: ___ Zip: _____ City: San Marcos State: CA Zip:_s_2_o_e_s ___ _ Phone: Phone: 760-999-9990 Email: Email: plumb365hd@gmail.com ------------------Architect State License: CSLB License #: 1055296 Class: C36 ·------- Carlsbad Business License# (Required): BLOS006992-01-2020 APPLICANT CERTIFICATION: I certify that I have read the application and state that theaboveinformation is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): _M_ik_e_B_ry_a_n_t _____ _ SIGN: Mikel31'1{au.f DATE: 2023-11-14 ----------- 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 07/21 Document Ref: HRBJN-3BSO9-BGQ4A-ANVPW DocuSign Envelope ID: 8FFB12D9-BBCA-490C-BF2E-845A1CBC52C3 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. 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. ~Y workers' compensation insurance carrier and policy number are: Insurance Company Name: ~N~o~rG~u=a=r~d~~--~~~----------- Policy No. PLWC454155 Expiration Date: _7_-_2_5_-2_4 _________ _ -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's Address: ____________________ _ CONTRACTOR CERT/FICA TION: 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./ agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): _M_ik_e_B_ry_a_n_t _____ SIGNATURE: ___ Mi_iki_e_8 ..... rff_a_1,<f ___ DATE: 2023-11-14 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 orat the following Web site: http:llwww.leginfo.ca.gov/calaw.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 building 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 Document Ref: HRBJN-3BS09-BGQ4A-ANVPW Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-5026) Permit Type: BLDG-Residential Application Date: 11/14/2023 Owner: Work Class: P/M/E Issue Date: 11/16/2023 Subdivision: CARLSBAD TCT#73-29 Status: Closed -Finaled Expiration Date: 06/03/2024 Address: 2512 LA GOLONDRINA ST IVR Number: 53282 CARLSBAD, CA 92009-4319 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date 12/04/2023 12/04/2023 BLDG-25 Water 232129-2023 Monday, December 4, 2023 HeaterNents Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final Inspection 232130-2023 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Status Passed Chris Renfro Passed Chris Renfro Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1