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Home My WebLink About1965 CASSIA RD; 201; CBR2023-5363; PermitPrint Date: 08/15/2024 Building Permit Finaled Residential Permit CBR2023-5363Permit No: Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1965 CASSIA RD, # 201, CARLSBAD, CA 92011-4184 BLDG-Residential 2150202500 $2,950.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 12/26/2023 12/29/2023 Finaled Close Out:08/15/2024 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:01/05/2024Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:de Roggenbuke, Dirk REPLACE A 40 GALLON WATER HEATER (E-REVIEW)Description: Project Title: Applicant: PRONTO PLUMBING ARACELI REBOLLAR 3495 VISTA AVE LEMON GROVE, CA 91945(619) 691-7765 Contractor: PRONTO PLUMBING AND DRAINS INC 3495 VISTA AVE LEMON GROVE, CA 91945-1527 (619) 691-7765 AMOUNTFEE WATER HEATER PERMIT $129.00 Total Fees:$129.00 Total Payments To Date:$129.00 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 8-1 Plan Check ________ _ Est. Value PC Deposit Date JobAddress \C\L'5 Cc6<S1'1:t Q.d Unit:._~_o_,_APN: ______ _ CT/Project #:. _________________ Lot #: ____ Vear Built: ________ _ BRIEFOESCRIPTI0N0FWORK: kQ\Cl CR; Lj-o 39\\0:0 \fXs,-\c)r v::'Ro!¾ec - 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? @ Y C N □ Pool/Spa:. _____ sF Additional Gas or Electrical Features? ___________ _ 0 Solar: KW, ___ Modules, Mounted:ORoof ()Ground, Tilt: 0 YON, RMA: 0 YO N, Battery:CYC N, Panel Upgrade: Ov ON Electric Meter number: ___________ _ Other: •.....J!::_i.l~~;;:::;..;:~~~~~1..u.~~----Name:,_~~~....a..i~~.....1..:.¥;;...:....;..;..~~..._----- • ....,~_._~~~4J.!"-=---'-~~~---.....-Addre ._...._.......,.S ___ citv:.~~...;,.a.."""",g,o:,;."'.1--- DESIGN PROFESSIONAL CONTRACTOR Name:. ________________ _ Address:. _______________ _ City: _______ .State:. ____ Zip:. ____ _ Phone: ________________ _ Email: ________________ _ Architect State License: __________ _ Carlsbad Business License# (Required):._/ ______ _ APPLICANT CERTIFICATION: I certify that I have read the application and state that t agree ta comply with all City ordinances and State laws relating ta building construction. NAME (PRINT): ~)llcil\ \4_'))~ )\cw 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov REV. 04/22 THIS PAGE REQUIRED AT PERMJT 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 herebyaffirmunder penalty of perjury that I am licensed underprovisionsof Chapter9 ( commencingwith 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- ilJ1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the perfar anc, ti"yworkers' compen_sation insr carrl;_{ and policy number are: lnsuranceCompany Name: -"-l.l..c~!!J.~1--"1,.....c~l"'i'~f-""\-',r''n--=t--".....,...._..,._,....,....,.L..:.~..-, Policy No~ V }L\-:i?u _]~ Expiration Date: --+-L.L..1~--=-"'----f------- -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 subiect 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 i•s a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ______________________ Lender'sAddress: ______________________ _ 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. AM =•;:;l:~;:t:~\romh~::;,~:::;;-. m .. m,om""." -•"' om,MS~~i.), l 2JJ/ 2c\ Note: If the person signing above is an authorized agent for the contractor provide a letter 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: 0 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- O I, as owner of the property, am exclusively contr.ictlng 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 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 7044of the BusinessandProfessionsCode, isavailableupon request when this application is submitted or at the following Web site: http: I lwww.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 buildlngs, structures, access r<>ad$, 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 si ning above is an authorized a ent for the property owner include form B-62 signed by propert 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 (CBR2023-5363) BLDG-Residential 12/26/2023Application Date:Permit Type:Owner: P/M/E 12/29/2023Work Class:Issue Date:Subdivision: 07/03/2024Expiration Date:Status: IVR Number: 53978 Closed - Finaled 1965 CASSIA RD, # 201 CARLSBAD, CA 92011-4184 Address: Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection InspectionActual Start Date 01/05/2024 01/05/2024 BLDG-25 Water Heater/Vents 235753-2024 Passed Dirk de Roggenbuke Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 235754-2024 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, January 5, 2024 Page 1 of 1