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HomeMy WebLinkAbout197 CHINQUAPIN AVE; ; CBR2023-4128; PermitPrint Date: 08/01/2024 Building Permit Finaled Residential Permit CBR2023-4128Permit No: Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 197 CHINQUAPIN AVE, CARLSBAD, CA 92008-7414 BLDG-Residential 2060700101 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 08/30/2023 08/30/2023 Finaled Close Out:08/01/2024 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:12/18/2023Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:de Roggenbuke, Dirk LEIBERMAN: ELECTRICAL DISCONNECT TO SPADescription: Project Title: Applicant: THOMAS SEARS 4015 SUNNYHILL DR CARLSBAD, CA 92008-2751 (760) 390-5952 Property Owner: LIEBERMAN FAMILY TRUST 11-02-04 197 CHINQUAPIN AVE CARLSBAD, CA 92008-7414 Contractor: THOMAS SEARS 4015 SUNNYHILL DR CARLSBAD, CA 92008-2751 (760) 390-5952 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $208.00 Total Fees:$208.00 Total Payments To Date:$208.00 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 ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check C BR20'2-:, -4l '2 8 Est. Value PC Deposit Date 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? ©YO N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □ Solar: ___ KW, ___ Modules, Mounted:0 Roof O Ground, Tilt: 0 YO N, RMA: 0 YO N, Battery:~YO N, Panel Upgrade: YO N Other: DESIGN PROFESSIONAL Name: _________ ..,.._ _______ _ Address: ______ .,.... _________ _ City: ______ ..,...__,, ___ Zip: ____ _ -=-::....w..~-~-St te:4£} Zip: 9 > gr,£ Phone: _______ ..,._ ________ _ Email: _____________ ,..... ________ _ Architect Phone: ~:-·ma._~7 Email:. ~ ~ ~rr-~C£P::-.,, CSLB License#:=¼= Class:_1s......._ ____ _ Carlsbad Business License# (Required): f.3 LR.£/ 6L Sf ~(I APPLICANT CERT/FICA TION: I certify that I have read the application and state that the above information i orrect and that the information of the plans is accurate. I agree to comply with all City ordinances and State lows relating to building construction. NAME (PRI~ ~[Z. SIGN:~~~~~~ DATE: <i?:-3'. 0 ~;;? .5 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov REV. 04/22 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 herebyaffirm under penal tyof perjury that I am I icensed underprovisionsof Chapter 9 ( commencing with Section 7000) of Division] of the Business and Professions Code, and my I icense is inf u/ I force and effect. I also affirm under penalty of perjury one of the folio ng declarations {CHOOSE ONE): 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 if)surance carrier and policy number are: lnsuranceCompany 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 1n accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): SIGNATURE~} DATE:""'l!g:.,.....-_;f_7J __ ,._2_3 ve is an aut orized agent for the contractor rovide~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- 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 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 lega lly 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:/ /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 ro ert owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2023-4128) BLDG-Residential 08/30/2023Application Date:Permit Type:Owner:TRUST LIEBERMAN FAMILY TRUST 11-02-04 P/M/E 08/30/2023Work Class:Issue Date:Subdivision:PARCEL MAP NO 10626 06/17/2024Expiration Date:Status: IVR Number: 51717 Closed - Finaled 197 CHINQUAPIN AVE CARLSBAD, CA 92008-7414 Address: Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection InspectionActual Start Date 12/18/2023 12/18/2023 BLDG-34 Rough Electrical 233940-2023 Passed Dirk de Roggenbuke Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 233941-2023 Passed Dirk de Roggenbuke Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Monday, December 18, 2023 Page 1 of 1