HomeMy WebLinkAbout1012 TULIP WAY; ; CBR2023-2354; PermitBuilding Permit Finaled
Residential Permit
Print Date : 07/29/2024
Job Address: 1012 TULIP WAY, CARLSBAD, CA 92011-4835
Permit Type: BLDG-Residential Work Class:
Parcel#: 2144101100 Track#:
Valuation: $0.00 Lot#:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: MELLISSINOS: NEW HEAT PUMP W ELECTRIC (E-REVIEW)
Applicant:
IE INC
MITCH BLUMAN
31225 LA BAVA DR, # STE 213
WESTLAKE VILLAGE, CA 91362-6333
(818) 735-7876
FEE
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
P/M/E
Total Fees : $208.00 Total Payments To Date: $208.00
Permit No:
Status:
{city of
Carlsbad
CBR2023-2354
Closed -Finaled
Applied: 05/08/2023
Issued : 05/16/2023
Fina led Close Out: 07/29/2024
Final Inspection: 10/31/2023
INSPECTOR: de Roggenbuke, Dirk
Contractor:
OAK ISLAND HOME SERVICES INC
445 RYAN DR, # STE 101
SAN MARCOS, CA 92078-4072
(760) 839-8383
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
Job Address 1012 TULIP WAY
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check ________ _
Est. Value
PC Deposit
Date
Unit: _____ .APN: __________ _
CT/Project #: __________________ Lot #: ____ Vear Built: _________ _
BRIEF DESCRIPTION OF WORK:NEW HEAT PUMP W ELECTRIC
□ 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 Q) N
□ Pool/Spa:. ____ SF Additional Gas or Electrical Features? ____________ _
□Solar: ___ KW, ___ Modules, Mounted:0Roof O Ground, Tilt: 0 Y0 N, RMA:C)Y O N,
Battery:O YQ) N, Panel Upgrade: Q)y O N
Other:
PRIMARY APPLICANT
Name:IE INC
Address:31225 LA BAYA DR #213
City: WESTLAKE State:_C_A __ .Zip: 91362
Phone:818-735-7876
Email: MITCH@IPERMITCA.COM
PROPERTY OWNER
Name:RENEE MELLISSINOS
Address:1012 TULIP WAY
City:CARLSBAD State:_C_A __ .Zip:92011
Phone: 760-518-1040
Email: ___________________ _
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: _________________ Business Name:OAK ISLAND HOME SERVICES
Address: Address: 1950 PACIFIC OAKS PL #103
City: ________ State: ___ Zip:._____ City:ESCONDIDO State:CA Zip:_92_0_2_9 ____ _
Phone: Phone: 760-839-8383
Email: Email: __________________ _
Architect State License: CSLB License #: 107 4498 Class: -------------
Car Is bad Business License # (Required): _______ _
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.
MITCH BLUMAN
NAME (PRINT): ________ _
j / 5/8/23
SIGN: ____ ~ ______ DATE: _____ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
I HI:) IIAbt KtQUIKtLJ A I lltKMI I l:):)UANU IILAN LHtLK NUMtstK: ________ _
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: Insurance Company Name: _S_E_C_U_R_ITY __ N_A_:T_IO_N_A_L _______________ 1
Policy No. SWC1371783 Expiration Date: _1/_1_/2_4 ______________ 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 thMrlTC HerBcl.LJl~~Nccordance with all regulations in existence at the t'.'7i/ of their construction, unless otherwise n;i~/23
NAME (PRINT): _________ SIGNATURE: /V~ DATE: _____ _
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 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at 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: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2023-2354)
Permit Type:
Work Class:
Status:
Scheduled
Date
10/31/2023
BLDG-Residential Application Date: 05/08/2023
P/M/E Issue Date:
Closed -Finaled Expiration Date:
IVRNumber:
Actual Inspection Type
Start Date
Inspection No.
10/31/2023 BLDG-43 Air
Cond./Furnace Set
228840-2023
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Final Inspection 228841-2023
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
05/16/2023
04/29/2024
48945
Inspection
Status
Passed
Passed
Tuesday, October 31, 2023
Owner:
Subdivision:
Address: 1012 TULIP WAY
CARLSBAD, CA 92011-4835
Primary Inspector Reinspection Inspection
Dirk de Roggenbuke
Dirk de Roggenbuke
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
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