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Home My WebLink About1565 MARTINGALE CT; ; CBR2024-1423; PermitBuilding Permit Finaled Residential Permit Print Date: 08/09/2024 Job Address: 1565 MARTINGALE CT, CARLSBAD, CA 92011-4036 Permit Type: BLDG-Residential Work Class: P/M/E Parcel#: 2150723400 Track#: Valuation: $18,726.17 Lot#: Occupancy Group: Project#: #of Dwelling Units: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: Sprinkled: Project Title: Permit No: Status: (city of Carlsbad CBR2024-1423 Closed -Finaled Applied: 06/03/2024 Issued: 06/05/2024 Finaled Close Out: 08/09/2024 Final Inspection: 06/10/2024 INSPECTOR: Renfro, Chris Description: REMOVE CURRENT TUB/SHOWER, REPLACE WITH NEW WALK-IN-SHOWER, NEW VALVE, LIKE FOR LIKE (E-REVIEW) Applicant: KOHLER SERVICES ALEXANDER STEVENS 900 S ANDREASEN DR ESCONDIDO, CA 92029-1914 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees: $221.00 Total Payments To Date: $221.00 Balance Due: AMOUNT $221.00 $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 1565 MARTINGALE couRT, CARLSBAD, cA 92011 Unit: APN: 2150723400 ------ CT /Project #: __________________ Lot#: LOT 57 Year Built: 2001 ----------- BRIEF DESCRIPTION OF WORK: REMOVE CURRENT TUB/SHOWER, REPLACE WITH NEW WALK-IN-SHOWER, NEW VALVE, LIKE FOR LIKE □ 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 YON, if yes how many? ___ _ EJ Remodel:_1_5 ____ SF of affected area Is the area a conversion or change of use? O YON Additional Gas or Electrical Features? □ Pool/Spa: ____ SF -------------- □Solar: ___ KW, ___ Modules, Mounted:()RoofOGround, Tilt: 0Y0 N, RMA:()Y ON, Battery:O>YO N, Panel Upgrade: Gv ON Electric Meter number: -------------- 0th er: PRIMARY APPLICANT PROPERTY OWNER Name: Alexander Stevens Name: CHERLIN TRUST 06-07-21 Address: 900 S Andreasen Dr Address: 1565 MARTINGALE couRT City: Escondido State:_c_A __ Zip: 92029 City: CARLSBAD State:_c_A __ Zip: 92011 Phone: (619) 372-6834 Phone: (760) 805-3778 Email: Alexander.Stevens@kohler.com Email: simona.cherlin@gmail.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: N/A Business Name: Kohler Co ---------------------------------------Address: N/A Address: 900 S Andreasen Dr City:_N_1A ________ State:_N_1A __ .Zip:_N_1A ___ _ Phone: NIA --------------------Em a i I: N/A --------------------Architect State License: _N_iA ___________ _ City: Escondido Phone: (619) 372-6834 State:_c_A __ Zip: 92029 Email: Alexander.Stevens@kohler.com CSLB License#: 1098798 Class: B -------- Car Is bad Business License# (Required): BLoso13339-03-2023 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): ALEXANDER STEVENS SIGN: ()1,..J ~ DATE: 06/03/2024 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: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 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 fol lowing declarations (CHOOSE ONE): D 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 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: lnsuranceCompany Name: _s_.,_.1y_N_a_,.,_aa_,_ca_,u_a_,1y_c_°'_" _________________ 1 Policy No. L□84041998 Expiration Date: _0_610_1_12_02_• ________________ 1 -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 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): ALEXANDER STEVE~ SIGNATURE: ___ ~ __ -~_, ,,_.-_.,., __ DATE: 6/03/2024 Note: If the person signing above is an authorized agent for the contra t . 'd tter 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: 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- D 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- D I 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./ 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: I lwww.leginfo.ca.gov/ ca/aw. 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: Note: If the erson si nin above is an authorized a ent for the ro ert owner include form B-62 si 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 {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2024-1423) Permit Type: BLDG-Residential Application Date: 06/03/2024 Owner: Work Class: P/M/E Issue Date: 06/05/2024 Subdivision: Status: Closed -Finaled Expiration Date: 12/04/2024 Address: 1565 MARTINGALE CT IVR Number: 56804 CARLSBAD, CA 92011-4036 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 06/06/2024 06/06/2024 BLDG-24 Rough/Topout 250923-2024 Passed Chris Renfro Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 06/07/2024 06/07/2024 BLDG-17 Interior 251070-2024 Passed Chris Renfro Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 06/10/2024 06/10/2024 BLDG-Final Inspection 251154-2024 Passed Chris Renfro Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Structural Final Yes Monday, June 10, 2024 Page 1 of 1