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Home My WebLink About2196 DICKINSON DR; ; CBR2021-3753; PermitBuilding Permit Finaled Residential Permit Print Date: 04/25/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2196 DICKINSON DR, CARLSBAD, CA 92008-4667 BLDG-Residential Work Class: 2081820900 Track #: $4,000.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Cogen Description: ROOF MOUNTED SOLAR PV: 10 MODULES, 3.80 KW (E-REVIEW) FEE Property Owner: CRUZ JOSEPH A AND ANGELA J FAMILY TRUST 2196 DICKINSON DR CARLSBAD, CA 92008-4667 SB1473-GREEN BUILDING STATE STANDARDS FEE SOLAR-RESIDENTIAL: per kW STRONG MOTION -RESIDENTIAL (SMIP) Total Fees : $269.52 Total Payments To Date: $269.52 Permit No: Status: {city of Carlsbad CBR2021-3753 Closed -Finaled Applied: 12/13/2021 Issued : 12/14/2021 Finaled Close Out: 04/25/2024 Final Inspection: 12/20/2021 INSPECTOR: Kersch, Tim Contractor: REHAB SOLAR CONSTRUCTION INC 2525 LOS CERRITOS LN FALLBROOK, CA 92028-2605 (760) 822-7736 Balance Due: AMOUNT $1.00 $268.00 $0.52 $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 CBR2021-3753 Plan Check Est. Value PC Deposit Date 12/13/21 Job Address 2196 Dickinson Dr CArlsbad,CA 92008 Unit: APN: 2081820900 -----· CT/ProJ·ect #: Lot#: Vear Built: 2oo4 -------------------------------- BRIEF DESCRIPTION OF WORK: Roof mounted grid tied 3.800kw solar system (10) PV Modules LG380N1C-A6 & (10) Inverters-Enphase IQ7A-72-2-US (240V) □ 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? O Y O N D Pool/Spa:. _____ SF Additional Gas or Electrical Features? ____________ _ [XI Solar: 3.800 KW, 10 Modules, Mounte&O Roof O Ground, Tilt: 0 Y 9 N, RMA: O Yd N, Battery:OvcSN, Panel Upgrade: ~ O<N Other: PRIMARY APPLICANT Name: Ashley Pieckarzyk Address: 2525 Los Cerritos Ln PROPERTY OWNER City: Fallbrook State:_C_A __ .Zip: 92028 Name: Angela Cruz Address: 2196 Dickinson Dr City: Carlsbad State:_C_A __ .Zip:92008 Phone: 760-575-4413 Phone: 760-7166697 Email: Ashley@Rehabsolar.com Email: busyBz@gmail.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name:_R_e_ha_b_s_o_la_r ____________ _ Address: Address: 2525 Los Cerritos Ln City: ________ State: ___ Zip:._____ City: Fallbrook State:_C_A ___ Zip: 92028 Phone: Phone: 760-575-4413 Email: Email: Ashley@Rehabsolar.com Architect State License: CSLB License #: 1011780 Class: B & C-1 0 ------- Carlsbad Business License # (Required): BL0S005410-05-2019 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): Ashley Pieckarczyk SIG~~,.tJ~~ DATE: 12/01/2021 163S Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 10/21 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 following 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. PolicyNo. ___________________________________________ _ -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: _s_1a_te_fu_n_d _____________________ 1 Policy No. 9205341 Expiration Date: _0_1I_1_a1_20_2_2 ______________ I -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 CERT/FICA TION: 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): Ashley Pieckarczyk SIGNATURp'~P~~ DATE: 12/01/2021 Note: If the person signing above is an authorized agent for the contra t • d I 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 Website: 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. SIGN: DATE: NAME (PRINT): -------------------------Note: If the erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ned b 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 2 owner. Email: Building@carlsbadca.gov REV.10/2 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2021-3753) Permit Type: BLDG-Residential Work Class: Cogen Status: Closed -Finaled Application Date: 12/13/2021 Owner: TRUST CRUZ JOSEPH A AND ANGELA J FAMILY TRUST Issue Date: 12/14/2021 Subdivision: CARLSBAD TCT#97-16A KELLY Expiration Date: 06/13/2022 IVR Number: 37580 RANCH CORE Address: 2196 DICKINSON DR CARLSBAD, CA 92008-4667 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date 12/20/2021 12/20/2021 BLDG-Final Inspection 173026-2021 Monday, December 20, 2021 Checklist Item BLDG-Building Deficiency BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Status Passed Tim Kersch Passed Yes Yes Yes Yes Complete Page 1 of 1