HomeMy WebLinkAbout2352 ALTISMA WAY; 1; CBR2023-5340; PermitPrint Date: 07/05/2024
Building Permit Finaled
Residential Permit
CBR2023-5340Permit No:
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2352 ALTISMA WAY, # 1, CARLSBAD, CA 92009-6316
BLDG-Residential
2152402001
$6,791.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
12/19/2023
01/09/2024
Finaled Close Out:07/05/2024
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:02/23/2024Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:de Roggenbuke, Dirk
REPLACE FURNACE 80%AFUE (E-REVIEW)Description:
Project Title:
Applicant: ARCHON ENERGY SOLUTIONS
JAMIE MEDLIN
46 UNION WAY
VACAVILLE, CA 95687-4140
Contractor: SAME DAY HEATING AND AIR CONDITIONING
LLC
9771 CLAIREMONT MESA BLVD, # STE E
SAN DIEGO, CA 92124-1300(619) 503-3355
AMOUNTFEE
PLUMBING, MECHANICAL & ELECTRICAL PERMITS $221.00
Total Fees:$221.00 Total Payments To Date:$221.00 Balance Due:$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.
1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
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__________________________________________________________________________________________________
RE6IDEN7IAL
B8ILDING PERMI7
APPLICA7ION
B-1
Plan Check
Est. Value
PC Deposit
Date
Job Address Suite: APN:
CT/Project #: Lot #: Year Built: ______________________
Fire Sprinklers: YES NO Air Conditioning: YES NO Electrical Panel Upgrade: YES NO
BRIEF DESCRIPTION OF WORK:
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT PROPERTY OWNERS AUTHORIZED AGENT APPLICANT
Name: Name:
Address: Address:
City: State: Zip:
Phone:
City: State: Zip:
Phone:
Email: Email:
DESIGN PROFESSIONAL APPLICANT CONTRACTOR OF RECORD APPLICANT
Name:
Address:
City: State: Zip:
Phone:
Email:
Architect State License:
Name:
Address:
City: State: Zip:
Phone:
Email:
State License/class: Bus. License:
1635 Faraday Ave Carlsbad, CA ϵ200ϴ Ph: 760-602-271ϵ Fax: 760-602-ϴ55ϴ Email: Building@carlsbadca.gov
Solar: KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N,
Battery: Y N, Panel Upgrade: Y N
Reroof:
Plumbing/Mechanical/Electrical Only:
Other:
Additional Gas or Electrical Features? Pool/Spa: SF
Addition/New: _Living SF, _ Deck SF, Patio SF, Garage SF ______
Is this to create an Accessory Dwelling Unit? Y N New Fireplace? Y N , if yes how many?
Remodel: SF of affected area Is the area a conversion or change of use ? Y N
2352 Altisma Way, 1 Carlsbad 92009
Replace Furnace 80%AFUE
VALUATION $ 6791.00
Replace Furnace 80%AFUE
2352 Altisma Way #1 46 Union Way
Carlsbad CA 92009 Vacaville CA 95687
(760) 807-0807 888-600-1614
SAME DAY HEATING & AIR CONDITIONING LLC
9771 CLAIREMONT MESA SUITE E
SAN DIEGO CA 92124
(619) 503-3355
chanron@samedaysd.com
1059444/C20
rafael@archonenergy.compermits@archonenergy.com
Tim Calimlin Rafael Martinez - Archon Energy Solutions (contractor agent)
X
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IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3
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:
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.___________________________________________________________________________________________________
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: Insurance Company Name:
Policy No. ________________________________Expiration Date:
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 $ϭϬϬ,ϬϬϬ.ϬϬ, in addition the to the cost of compensation, damages as provided for in Section ϯϳϬϲ 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. 30ϵ7 (i) Civil Code).
Lender’s Name: Lender’s Address:
CONTRACTOR PRINT/SIGN: ______DATE:
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor’s License Law for the following reason:
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).
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).
I am exempt under Business and Professions Code Division 3, Chapter ϵ, Article 3 for this reason:
_____________________________________________________________________________________________________________________________________
“Owner Builder acknowledgement and verification form” has been filled out, signed and attached to this application. Proof of identification attached.
Owners “Authorized Agent Form” has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner’s behalf.
Proof of identification attached.
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. I 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://www.leginfo.ca.gov/calaw.html.
OWNER PRINT/SIGN: ________DATE:
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property
owner or contractor’s behalf. 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.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE,
INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE
AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5’0’ deep and
demolition or construction of structures over 3 stories in height.
APPLICANT PRINT/SIGN: ___DATE:
1635 Faraday Ave Carlsbad, CA ϵ200ϴ Ph: 760-602-271ϵ Fax: 760-602-ϴ55ϴ Email: Building@carlsbadca.gov
PROCENTURY INSURANCE COMPANY
01/07/2024
12/19/23
12/19/23
WCMPRO518208200
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2023-5340)
BLDG-Residential 12/19/2023Application Date:Permit Type:Owner:
P/M/E 01/09/2024Work Class:Issue Date:Subdivision:LA COSTA VALLEY #5
07/08/2024Expiration Date:Status:
IVR Number: 53907
Closed - Finaled 2352 ALTISMA WAY, # 1
CARLSBAD, CA 92009-6316
Address:
Scheduled
Date
Inspection Type Inspection No.Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
02/23/2024 BLDG-43 Air
Cond./Furnace Set
240216-2024 Scheduled Dirk de Roggenbuke Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Final Inspection 240217-2024 Passed Dirk de Roggenbuke Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Friday, February 23, 2024 Page 1 of 1