HomeMy WebLinkAbout1013 IRIS CT; ; CBR2023-5126; PermitPrint Date: 07/31/2024
Building Permit Finaled
Residential Permit
CBR2023-5126Permit No:
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1013 IRIS CT, CARLSBAD, CA 92011-4824
BLDG-Residential
2144024600
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
11/27/2023
11/29/2023
Finaled Close Out:07/31/2024
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:12/08/2023Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:de Roggenbuke, Dirk
REPLACE FURNACE (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: ASI HASTINGS INC
4870 VIEWRIDGE AVE, # STE 200
SAN DIEGO, CA 92123-1671
(619) 590-9300
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
{"Cityof
Carlsbad
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:
PRIMARY APPLICANT PROPERTY OWNER
Name: Name:
Address: Address:
City: State: Zip: City: State: Zip:
Phone: 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: _____________________________
11/27/2023
1013 Iris Ct
Replace Furnace
Tara Van Sambeek Mary Mottet
3675 Ruffin Rd 1013 Iris Ct
San Diego cA 92123 Carlsbad cA 92011
888-991-4377 730-717-3443
t.vansambeek@wegreeninc.com mdmottet@outlook.com
ASI Hastings
4870 Viewridge Ave #200
San Diego CA 92123
6195995909
sroberts@asiheatingandair.com
513115 C20
BLOS1200804
11/27/2023Tara Van Sambeek
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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 -
AIU
015990363 8/1/2024
Tara Van Sambeek 11/27/2023
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Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2023-5126)
BLDG-Residential 11/27/2023Application Date:Permit Type:Owner:
P/M/E 11/29/2023Work Class:Issue Date:Subdivision:CARLSBAD TCT#73-39 UNIT#03
06/05/2024Expiration Date:Status:
IVR Number: 53483
Closed - Finaled 1013 IRIS CT
CARLSBAD, CA 92011-4824
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
12/08/2023 12/08/2023 BLDG-43 Air
Cond./Furnace Set
232897-2023 Passed Dirk de Roggenbuke Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Final Inspection 232898-2023 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, December 8, 2023 Page 1 of 1
{cityof
Carlsbad