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Home My WebLink About225 HEMLOCK AVE; ; CBR2022-4046; PermitBuilding Permit Finaled Print Date: 06/12/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 225 HEMLOCK AVE, BLDG-Residential 2042700401 $0.00 Residential Permit CARLSBAD, CA 92008-8226 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check #: Plan Check#: P/M/E Description: ALLEN: AS-BUILT ELECTRICAL FOR ABOVE GROUND SPA CODE CASE CC2022-0535 FEE Property Owner: CO-OWNERS JASON AND KERI ALLEN 225 HEMLOCK AVE CARLSBAD, CA 92008-8226 PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees: $208.00 Total Payments To Date: $0.00 Permit No: Status: Applied: Issued: (city of Carlsbad CBR2022-4046 Closed -Expired 10/27/2022 Finaled Close Out: Final Inspection: INSPECTOR: Balance Due: AMOUNT $208.00 $208.00 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 t o 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 (cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check C'6t<1 ZQ22'"'Y;:H~ Est. Value PC Deposit Date Job Address µ 6 Jkwr fo C-l<c ,,.1/6" Unit:. ____ .APN: '104../--?-7 0 -o(/ -o / CT/Project #: __________________ Lot #: ____ Year Built: _________ _ BRIEF DESCRIPTION OF WORK: Pu// t 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? O YO N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ Osolar:. ___ KW,. ___ Modules, Mounted:QRoofQGround, Tilt: ()YON, RMA:OY ON, Battery:OYC N, Panel Upgrade: Ov ON Electric Meter number: ___________ _ Other: APPLICANT (PRIMARY CONTACT) Name: Jo4S0 /J ti · ,4-1/ ,:-W Address: 7:::2,;: thrttt / octc.. ,we PROPERTY OWNER Name: S ,..,..,,8 As /Jr/VV,~ r --, City: C"1Yh f>"W State: CtA-Zip: Address: __________________ _ 'Jz,o O 9 City: __________ State: ___ Zip: ____ _ Phone: 7 <, O -2::7 "2.--/ 0 '5 O Phone:. ___________________ _ Email: J 14 s~ € T ..... '4-v-+1;G:t:, '9•0Blf tU., l-J~mail: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name: _______________ _ Address: Address: _________________ _ City:. ________ State:. ___ Zip: ____ _ City: _______ State: ___ Zip: ______ _ Phone:. _________________ _ Phone: __________________ _ Email:. _________________ _ Email: __________________ _ Architect State License: ___________ _ CSLB License #:. _______ Class: ______ _ Carlsbad Business License# (Required):. _______ _ APPLICANT CERT/FICA T/ON: I certify that I have read the application and state that the above information is correct ond thot the information of the plans is accurate. I agree to comply with o/1 City ordinances and State lows relating to building construction. • NAME (PRINT)= J,J,,,S-1:1111 +I . tdkvz s1GN: ~ f/-IUJ--oATE: 10 -, , ,zi. "" ""'" .,, '""""· C. 92008 '"' m 339-2719 {/ Email: Building@carlsbadca.gov REV. 04122 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 Businessand 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- DI 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: Insurance Company 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 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 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: 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- ~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- DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: A D, 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 construct ed in its entirety by locensed contractors./ understand that a copy of t he applicable law, Section 7044of the Business and Professions Cade, is available upon request when this application is submitted orat the following Web site: http:I/www.leglnfo.ca.gov/calaw.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. SIGN: ______ ._M--____ DATE:_f_o_-_1_'?>_-_~_?. __ NAME (PRINT): JASQV\ tJ. Mkv, Note: If the erson si nin above Is an authorized a ent f~r the ro owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Bulidlng@carisbadca.gov REV. 04/22 December 07, 2023 CO-OWNERS JASON AND KERI ALLEN 225 HEMLOCK AVE CARLSBAD, CA 92008-8226 Re: Plan Check Expiration Notification for CBR2022-4046 APPLICATION DATE: PLAN CHECK #: ADDRESS: EXPIRATION DATE: PERMIT TYPE: 10/27/2022 CBR2022-4046 225 HEMLOCK AVE 01/31/2024 BLDG-Residential (city of Carlsbad DESCRIPTION: ALLEN: AS-BUILT ELECTRICAL FOR ABOVE GROUND SPA CODE CASE CC2022-0535 You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained and the original plan review application will expire on the date noted above. This courtesy notice is sent to advise you of the following provisions of the City's codes regarding expiration: 18.04.035 -Section 105.3.2 amended -Expiration of plan review. *CODE CHANGE* Section 105. 3. 2 of the California Building Code is amended to read: Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee . Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. In order to prove better service, please indicate your handling choice for the plan originally submitted an return this letter to the Building Department. D Project Abandoned -I will pick up the plans within 10 days D Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Division at (760) 602-2719. Community Development -Building Division 1635 Faraday Ave I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I building@calrsbadca.gov I www.carlsbadca.gov