HomeMy WebLinkAbout1397 BASSWOOD AVE; ; CBR2023-5100; PermitPrint Date: 08/05/2024
Building Permit Finaled
Residential Permit
CBR2023-5100Permit No:
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1397 BASSWOOD AVE, CARLSBAD, CA 92008-1904
BLDG-Residential
2051203400
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
11/21/2023
11/23/2023
Finaled Close Out:08/05/2024
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:12/19/2023Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:de Roggenbuke, Dirk
20A 240V EV CIRCUIT INSTALLED (E-REVIEW)Description:
Project Title:
Applicant: WE GREEN INC
TARA VAN SAMBEEK
3675 RUFFIN RD, # SUITE 320
SAN DIEGO, CA 92123-1835(888) 991-4377
Contractor: NB BAKER ELECTRIC INC
2120 HARMONY GROVE RD
ESCONDIDO, CA 92029-2053
(442) 257-0877
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
RESIDENTIAL BUILDING PERMIT
APPLICATION B-1
Plan Check
Est. Value
PC Deposit
Date
Job Address Unit: APN:
CT/Project #: Lot #: Year Built:
BRIEF DESCRIPTION OF WORK:
PROPERTY OWNER
Name:
Address:
State: Zip: City: State: Zip:
Phone:
APPLICANT (PRIMARY CONTACT)
Name:
Address:
City:
Phone:
Email: Email:
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: Business Name:
Address:
City: State: Zip:
Phone:
Email:
Architect State License:
Address:
City: State: Zip:
Phone:
Email:
CSLB License #: Class:
Carlsbad 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.
NAME (PRINT): DATE:
1635 Faraday Ave Carlsbad, CA 92008
SIGN:
Ph: 442-339-2719 Email: Building@carlsbadca.gov
1 REV. 04/22
New SF : 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? _________
Solar: KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N,
Battery: Y N, Panel Upgrade: Y N
Other:
Additional Gas or Electrical Features? Pool/Spa: SF
Is the area a conversion or change of use? Y N Remodel: SF of affected area
Electric Meter number: _____________________________
11/21/2023
1397 Basswood Ave
20a 240v EV circuit installed
Tara Van Sambeek Brett Young
3675 Ruffin Rd 1397 Basswood Ave
San Diego Ca 92008 Carlsbad Ca 92008
888-991-4377 619-701-8347
t.vansambeek@wegreeninc.com bretyoung12@hotmail.com
Baker Home Energy
2120 Harmony Grove Rd
Escondido CA 92029
877-578-8080
tross@bakerhomeenergy.com
858088 C10
Blos1221102
11/21/2023Tara Van Sambeek
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 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 (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. Policy No.
-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:
Policy No. _____________________________________________________________ Expiration Date:
-OR-
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 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 provide 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:
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- I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
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. 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 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 person signing above is an authorized agent for the property owner include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov
2
REV. 04/22
-OR -
Old Republic Insurance
MWC31255523 3/1/2024
Tara Van Sambeek 11/21/2023
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2023-5100)
BLDG-Residential 11/21/2023Application Date:Permit Type:Owner:
P/M/E 11/23/2023Work Class:Issue Date:Subdivision:THUM LANDS
06/17/2024Expiration Date:Status:
IVR Number: 53433
Closed - Finaled 1397 BASSWOOD AVE
CARLSBAD, CA 92008-1904
Address:
Scheduled
Date
Inspection Type Inspection No.Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
12/12/2023 12/12/2023 BLDG-34 Rough
Electrical
233156-2023 Failed Dirk de Roggenbuke Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency 12/12/23 EV receptacle needs GFCI No
BLDG-Final Inspection 233157-2023 Failed Dirk de Roggenbuke Reinspection Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
12/19/2023 12/19/2023 BLDG-34 Rough
Electrical
234277-2023 Passed Dirk de Roggenbuke Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency 12/12/23 EV receptacle needs GFCI
12/19/23 correction made
Yes
BLDG-Final Inspection 234280-2023 Passed Dirk de Roggenbuke Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Tuesday, December 19, 2023 Page 1 of 1