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Home My WebLink About2541 JEFFERSON ST; 15; CBR2024-1933; PermitBuilding Permit Finaled Residential Permit Print Date: 07/23/2024 Job Address: 2541 JEFFERSON ST, # 15, Permit Type: BLDG-Residential Pa rcel #: 1551703200 Valuation: $0.00 Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: CARLSBAD, CA 92008-1409 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Ch eck#: Plan Check#: Description: KUSTER: EMERGENCY GAS LIN E REPAIR. FEE Property Owner: KUSTER 1978 8470 WHALE WATCH WAY LA JOLLA, CA 92037 PLUMBING, MECHAN ICAL & ELECTRICAL PERMITS P/M/E Total Fees: $221.00 Total Payments To Date: $221.00 ( City of Carlsbad Permit No: Status: CBR2024-1933 Closed -Finaled Applied: 07/22/2024 Issued: 07/22/2024 Fina led Close Out: 07/23/2024 Final Inspection: 07/22/2024 INSPECTOR: Alvarado, Tony Co ntractor: JONES PLUMBING SERVICE IN C PO BOX 0637 VISTA, CA 92085-0637 (760) 727-4321 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 lega l 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 plann ing, 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 sim ilar 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 8-1 Job Address Z:..&Lt I Je ~<;.~,,..J Unit: CT /Project #: ~ W.A-i&:. Lot#: BRIEF DESCRIPTION OF WORK: ~ ber-JL1'-A. ' Plan Check Est. Value PC Deposit Date APN: Year Built: ~ \l+-t.u~ • □ 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? ___ _ 0 Remodel: _____ SF of affected area Is the area a conversion or change of use? CY O N □ Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ □Solar: ___ KW, ___ Modules, Mounted:ORoofOGround, Tilt: ()YON, RMA:OY ON, Battery:OYC N, Panel Upgrade: Ov ON Electric Meter number: ------------ 0th er: APPLICANT (PRIMARY CO JACT) PROPERTY OWNER Name: ....l Name: ___ __;.....:.-....... -...;::a--==-......,i..:-..,:,;.;~--- Address:r--~ .... ....11,,;:::i,,..:i.~=--:lioiil~~-7"1'-:------::=::-:-~Address: __________________ _ City: \. City: ____ ----:~---rTT" Phone: Phone: _ __.~-.w....--w...~....,--i:;;.....i..-...._==---- Email: ebi,H: _________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: _____________ ~.-:;; __ _ Address: _________ ~--------Address: _________________ _ City: ________ _:;,,. City: _______ State: ___ Zip: ______ _ Phone:. ____ ""7' ____________ _ Phone: __________________ _ Email: __ ....,. ______________ _ Email: __________________ _ CSLB License #: ______ Class: ______ _ Carlsbad Business License# (Required): _______ _ APPLICANT CERT/FICA T/ON: I certify that I have read the application ond state that the above Information Is correct and that the infarmotion of the plans Is accurate. I agree to comply with all City ordinances and State lows relating ta building construction. NAME (PRINT): -.l6.:::;.;:=:::!5;~..)=-J~0-=:~:::..,:_ SIGN;_: ~...U..--1--.C:.~~=-,LU,\,~...::!~~~!:LS:.. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 ( REV. 04122 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 herebyaff irmunder penalty of perjury that I am licensed underprovisionsof Chapter 9 (commencingwith Section 7000)of Division] 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): D1 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- ave 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 wor ers' compensation insurance carrier and policy number are: Insurance Company Name:-------------------------• Policy No. _____________________________ Expiration Date: _________________ 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: Th e 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 o their construction, unless otherwise note NAME (PRINT): Note: If the person signing above is an authorized agent for the contr on on contractor letterhead. (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). -0~ • DI, 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: A .D, 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 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 capyof the applicable law, Section 7044 of the Business and Professions Cade, 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 erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ned b ro ert owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Ema il: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled (_ City of Carlsbad PERMIT INSPECTION HISTORY for (CBR2024-1933) Permit Type: BLDG-Residential Work Class: P/M/E Status: Closed -Fina led Application Date: 07/22/2024 Owner: TRUST KUSTER 1978 Issue Date: 07/22/2024 Subdivision: Expiration Date: 01/21/2025 IVR Number: 57835 Address: 2541 JEFFERSON ST, # 15 CARLSBAD, CA 92008-1409 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 07/22/2024 07/22/2024 BLDGa23 255626-2024 Passed Tuesday, July 23, 2024 GasfT est/Repairs Checklist Item COMMENTS BLDG-Building Deficiency BLDG-24 Rough/Topout 255641-2024 Passed Checklist Item BLDG-Building Deficiency COMMENTS Gas leak, Gas meter released, to SDGE-approved BLDG-Final Inspection 255627-2024 Passed Checklist Item BLDG-Plumbing Final COMMENTS Gas leak, Gas meter released, to SDGE-approved Tony Alvarado Complete Passed Yes Tony Alvarado Complete Passed Yes Tony Alvarado Complete Passed Yes Page 1 of 1