HomeMy WebLinkAbout2855 CARLSBAD BLVD; ; CBR2023-2081; PermitPrint Date: 09/05/2024
Building Permit Finaled
Residential Permit
CBR2023-2081Permit No:
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2855 CARLSBAD BLVD, CARLSBAD, CA 92008-2902
BLDG-Residential
2032310100
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
04/25/2023
05/12/2023
Finaled Close Out:09/05/2024
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:08/09/2023Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:de Roggenbuke, Dirk
REPLACE FIREPLACE INSERT LIKE FOR LIKE 2855 CARLSBAD BLVD PH418 CARLSBAD CA 92008 (E-REVIEW)Description:
Project Title:
Applicant: SALLIE CREGAR
2855 CARLSBAD BLVD
CARLSBAD, CA 92008-2902
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
{"Cityof
Carlsbad
{city of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check _______ _
Est. Value
PC Deposit
Date
□ 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? cg, YON
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
□ Solar: ___ KW, ___ Modules, Mounted: QRoof OGround, Tilt: 0 YON, RMA: 0 YO N,
Battery:OYO N, Panel Upgrade: Ov ON Electric Meter number: ------------
0th er:
APPLICA~l PROPE Y N
Name:--'-r"'c:': t/,'-!,-'-~.::;p,;.L.L!'--,:.,J.f.!::.J.-½,,;;j',,"~-'-'-.!.:.--Name /
-'-r'-r'-.i...r--'-"'""-'""""-~",,-''(LJ...'-"-.l.;:,,,;-:::-::~,.-·Addr s
---~City:""'-'""'-'-:"'-':;f-::..,,.-=:::-==':
.,.;.,~<:,--,,l-J'-'-4,-=.,,a<i,:..,,..,..--,----,---,-,-:t.,-Phone:.7'/-,~~7.~~~~77"-f'l""'."'."f-::-'T".:---;:,;;-=/:==
Email: Email: "-"'""""-"'--""=.L.e..!a....:C"'-~--fl./.-","-',/J,""'-'-"~c...L.l="--
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name:. _________________ Buslness Name: _______________ _
Address: Address: ________________ _
Clty: _______ .State: ___ Zlp:____ City: ______ State: __ ~Zlp: _____ _
Phone: Phone: _________________ _
Email: Email:, _________________ _
Architect State License: CSLB License #: ______ Class: ______ _
Carlsbad Business License# (Required):, _______ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Buildlng@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 herebyaf firm under penal tyof 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):
O1 have and wlll 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 ls Issued. PollcyNo. __________________________________________ _
-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 Insurance carrier and policy number are: lnsuranceCompany Name: ------------------------1
Polley No, __________________________ Explration·oate: _______________ 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: Fallure to secure workers compensation coverage Is unlawful and shall subject an employer to
criminal penaltles 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:
1 hereby affirm that there is a construction I ending agency for the performance of the work this permit is Issued (Sec. 3097 (l) Civil Code).
Lender's Name: ______________________ ,Lender's Address: ______________________ _
CONTRACTOR CERTIFICATION: The appUcant certifies that all documents and plans dearly and accurately show all existing and proposed buildings, structures, access roads, and
utltrtles/utlllty easements. All proposed modifications and/or additions are dearly labeled on the site plan. Any potentiallyex!stlng detail within these plans !ncons!stent with the site plan are
not approved for construction and may be required to be altered or removed. The city's approval of the appllcation ls 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 bu!ldlng 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 regulatlons In existence at the time of their construction, unless otherwise noted.
_________ SIGNATURE: _________ DATE: _____ _
Note: If the person signing above is an authorized agent for the contractor rovide a letter of authorization on contractor letterhead.
NAME (PRINT}:
(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
w· hln one year of completion, the owner-bullder will have the burden of proving that he did not bulld or improve for the purpose of sale),
-OR-
I, as owner of the property, am excluslvely contracting with llcensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
tractor'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
pu uant to the Contractor's License Law).
-OR-
DI am exempt under Business and Professions Code Division 3, Chapter 9, Artkle 3 for this reason:
AND,
D FORM 8-61 "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 persona! 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 Website: http://www.leglnfo,ca.gov/calaw.html.
OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed bulld!ngs, structures, access roads, and utlllt!es/utlllty
easements. AU proposed modifications and/or additions are clearly labeled on the site plan. Any potentlally 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, bulldlngs, structures and their setbacks from property lines and from one another; access roads/easements, and utllltles. The existing and proposed use of each
bulldlng as stated ls true and correct; al! easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All
l:::~n;,;:;:~;;h• pr perty w:re 7~pl~e~n a;r;~• with all regul:1;:~ ~xlstei, t the time of their construct,on, unless o::;~:ot0) .~/4 ?
Note: If the erson sl nin above Is an a owner,
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Bulldlng@carlsbadca,gov
2
REV. 04/22
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2023-2081)
BLDG-Residential 04/25/2023Application Date:Permit Type:Owner:
P/M/E 05/12/2023Work Class:Issue Date:Subdivision:TOWN OF CARLSBAD AMENDED
12/18/2023Expiration Date:Status:
IVR Number: 48586
Closed - Finaled 2855 CARLSBAD BLVD
CARLSBAD, CA 92008-2902
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
06/15/2023 06/15/2023 BLDG-14
Frame/Steel/Bolting/We
lding (Decks)
214297-2023 Passed Dirk de Roggenbuke Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency 6/15/23 metal stud framing ok Yes
NOTES Created By TEXT Created Date
Angie Teanio 760-601-4423 Joseph // FRAMING ON NEW
FIREPLACE INSERT
06/14/2023
06/21/2023 06/21/2023 BLDG-17 Interior
Lath/Drywall
214894-2023 Passed Dirk de Roggenbuke Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
NOTES Created By TEXT Created Date
Angie Teanio 760-601-4423 Joseph 06/20/2023
08/09/2023 08/09/2023 BLDG-Final Inspection 219967-2023 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
Wednesday, August 9, 2023 Page 1 of 1
{cityof
Carlsbad