HomeMy WebLinkAbout1370 NIGHTSHADE RD; ; CBR2024-0333; PermitBuilding Permit Finaled
Residential Permit
Print Date: 07/26/2024
Job Address: 1370 NIGHTSHADE RD, CARLSBAD, CA 92011-3500
Permit Type: BLDG-Residential Work Class:
Parcel#: 2156411900 Track#:
Valuation: $3,940.00 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 50 GALLON GAS WATER HEATER (E-REVIEW)
Applicant:
HAUGEN PLUMBING INC
MARK HAUGEN
300 CARLSBAD VILLAGE DR, # 108A-426
CARLSBAD, CA 92008-2990
(760) 729-7777
FEE
WATER HEATER PERMIT
P/M/E
Total Fees: $129.00 Total Payments To Date: $129.00
Permit No:
Status:
(city of
Carlsbad
CBR2024-0333
Closed -Finaled
Applied: 02/07/2024
Issued: 02/09/2024
Fina led Close Out: 07/26/2024
Final Inspection: 02/16/2024
INSPECTOR: Renfro, Chris
Contractor:
HAUGEN PLUMBING INC
300 CARLSBAD VILLAGE DR, # STE 108A-426
CARLSBAD, CA 92008-2990
(760) 729-7777
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
{._ City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check ________ _
Est. Value
PC Deposit
Date
Job Address 1370 Nightshade Rd. Carlsbad, CA 92011 Unit:. _____ .APN: __________ _
CT/Project #: __________________ Lot #: ____ Year Built: _________ _
BRIEF DESCRIPTION OF WORK: Replace 50 gallon gas water heater
□ 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 YE) N , if yes how many? ___ _
D Remodel:. _____ SF of affected area Is the area a conversion or change of use? 0 YO N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
Dsolar: ___ KW, ___ Modules, Mounted:ORoofOGround, Tilt: 0Y0N, RMA:OYO N,
Battery:OYC N, Panel Upgrade: OY ON Electric Meter number: -------------
Other:
APPLICANT (PRIMARY CONTACT) PROPERTY OWNER
Name: Mark Haugen Name: Jim and Linda McArdle
Address:300 Carlsbad Village Dr Ste 108A426 Address: 1370 Nightshade Rd.
City: Carlsbad State: CA Zip:_9_20_0_8 ___ City: Carlsbad State: CA Zip:_92_0_1_1 __ _
Phone: 760-533-0690 Phone: 6178771554
Email:mark@haugenplumbing.com Email: jvmc94@aol.com
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: Business Name: Haugen Plumbing, Inc. ------------------Address: Address: 300 Carlsbad Village Dr Ste 108A426
City: _______ State: ___ Zip:._____ City:Carlsbad State:CA Zip:_9_20_0_8 ____ _
Phone: Phone: 760-533-0690
Email: Email: mark@haugenplumbing.com
Architect State License: CSLB License #: 870118 Class: C-36 -------
Carlsbad Business License# (Required): BLRE1234344
APPLICANT CERT/FICA TION: I certify that I have read the application and state that the above infor tion is correct and thatthe information of the plans is accurate. I
agree to comply with all City ordinances and State laws relating to building construction.
NAME (PRINT): _M_a_rk_H_a_ug_e_n ____ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 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:
I herebyaf firm under penal tyof perjury that I am licensed under provisions of Chapter 9 ( commencingwi th 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 (CHOOSE ONE}:
Di 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-
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-
GJ 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 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 accura ly 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 I e f elr c on, unless o herwise noted.
NAME (PRINT): Mark Haugen
Note: If the person signing above is an authorized agent for the contract
(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-
DI, 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:
AND,
D FORM 8-61 "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 7044of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http:I/www.leginfo-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.
NAME{PRINT): __________ SIGN: _________ DATE: _____ _
Note: If the erson si nin above is an authorized a ent for the ro e 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
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2024-0333)
Application Date: 02/07/2024 Owner: Permit Type: BLDG-Residential
Work Class: P/M/E Issue Date: 02/09/2024 Subdivision: CARLSBAD TCT#90-15 UNIT#3
Status: Closed -Finaled Expiration Date: 08/14/2024 Address: 1370 NIGHTSHADE RD
CARLSBAD, CA 92011-3500 IVR Number:
Scheduled Actual Inspection Type Inspection No.
Date Start Date
02/16/2024 02/16/2024 BLDG-25 Water 239641-2024
Friday, February 16, 2024
HeaterNents
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Final Inspection 239642-2024
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
54645
Inspection Primary Inspector
Status
Passed Chris Renfro
Passed Chris Renfro
Reinspection Inspection
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
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