HomeMy WebLinkAbout2310 ALTISMA WAY; 126; CBR2023-1566; PermitBuilding Permit Finaled
Residential Permit
Print Date: 05/10/2024
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
2310 ALTISMA WAY, # 126, CARLSBAD, CA 92009-6313
BLDG-Residential Work Class: P/M/E
2152402827 Track#:
$2,075.00 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Permit No:
Status:
(cityof
Carlsbad
CBR2023-1566
Closed -Finaled
Applied: 03/31/2023
Issued : 05/01/2023
Finaled Close Out: 05/10/2024
Final Inspection: 08/29/2023
INSPECTOR: de Roggenbuke, Dirk
Description: 2 BATHROOM ELECTRICAL IMPROVEMENTS: ADD 5 RECESS LIGHTS ALTOGETHER AND BRING OUTLETS UP TO CODE (E-REV
Applicant:
CREATIVE DESIGN AND BUILD INC
LIOR SCOTT
9275 TRADE PL, # H
SAN DIEGO, CA 92126-6318
(855) 445-9455
FEE
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
Total Fees: $208.00 Total Payments To Date: $208.00
Contractor:
CREATIVE DESIGN AND BUILD INC
9275 TRADE PL, # STE H
SAN DIEGO, CA 92126-6318
(855) 445-9455
Balance Due:
AMOUNT
$208.00
$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 _______ _
JobAddress ·:23) D ::fi\~i.sm0 \/\((j\,Y\ Und·-l~uite:. ___ APN: 2\ 5 • 240. 2'1--'6
CT/Project #: _________________ Lot #:. ____ Year Built: ________ _
Fire Sprinklers: {)YES{) NO Air Conditioning:{) YES Q NO Electrical Panel Upgrade: 0YEsQ NO
8~~1 D~SCR TION OF WORK: -;; 0~ +-M YV Orn e \...t c.,,h---\ C ~ I YY) vD n:iv l,W\.t,rrk; •.
(,A'..l'lC\ r-r~cess 11 V\i! br-·, Vt Du cocla...
0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? QY ON New Fireplace? Qv ON, if yes how many? __
□Remodel: SF of affected area -----ls the area a conversion or change of use? Ov ON
□ Pool/Spa:. ____ SF Additional Gas or Electrical Features? ___________ _
osolar:. ___ KW,. ___ Modules, Mounted: ORoof OGround, Tilt: 0 vO N, RMA:OvON,
Battery:Qv ON, Panel Upgrade: Ov ON
D Reroof: ____ --,,:.:;::.::::=:;::::..~-T"'"T--~---~---~----~~~s.,._-
(X] Plumbing/Mechanical Electrical (J' lV\~ 6 (.i(A!,f) 'lU) nts ~ bh Vl'j• v"fl .., .......... , LLJ?tb
[J Only: Other: ; ---J C MQ..,
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY11qwNER L o -'~ APPLICANT □ PROPERTY OWNERS AUTHORIZED AGENT
Name: 1"\l\Y--\(i\ .&\lllr-r Name:
Address: -~ A lh.s:ro0 w~ Addres._s: _______________ _
City: Can MiJ State: CA Zip3? 67)~ City:, ________ State:. __ .Zip: ___ _
Phone: 1 lf D • S:8D. oq1,s-Phone:---------------
APPLICANT 0
Email: ________________ Email: __________________ _
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD . 1 '1 , APillCANT ' IL ::::~-s: _____________ ::..<:!4~~ l!laPr) D~rlf ~ Sc,,-ir
City:. ______ State:. __ Zip:.____ City: $12 State: t,A-Zip: c:i Z 4:zjp
Phone: Phone: ,--2..-l,l) • S 6
Email: Email: • I O Sl
Architect State License: State License/class: 1 ull 'S" l \ 1..
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 08/20
IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
{OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty of 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:
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. _________________________________________ _
~ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for tl}(l>erf2rmance of' w~rit for which this permit • issued.
My workers' com:,,.:~wsurance Sil'rer and policy number are: lnsuranceCompany Name: ~
Polley No. ...:::.+ fL'\ llbO-L-Expiration Date: --+-.Z...+-lf---4"--+......,....:::;t-------
0 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:
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the fof{owing 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}.
0 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).
DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
O•0wner Builder acknowledgement and verification form" has been filled out, signed and attached to this application.
D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf.
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 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http.J/www.leginfo.ca.gov/calaw.html.
OWNER PRINT: SIGN: _________ DATE: _____ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME Of SUBMITTAL
By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property
owner or contractor's behalf. I certify that I have read the application and state that the above information is correct and that the information on
the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representat(ve of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO 5A VE,
INDE!IIWIFY AND KEEP HARW!LESS THE QTY OF CARLSBAD AGAINSf ALL LIABILITIES, JUDG/1/JEIVTS, COSTS AND EXPENSES WHICH l'v'II\ YIN ANY WAY ACCRUE
AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and
demolition or construction of structures over 3 stories in height.
APPLICANT PRINT: SIGN: DATE:
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8S58 Email: Building@carlsbadca.gov
2 REV. 08/20
Building Permit Inspection History Finaled
{cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2023-1566)
Permit Type: BLDG-Residential Application Date: 03/31/2023 Owner:
Work Class: P/M/E Issue Date: 05/01/2023 Subdivision: LA COSTA VALLEY #5
Status: Closed -Finaled Expiration Date: 01/16/2024 Address: 2310 AL TISMA WAY, # 126
IVRNumber: 47901 CARLSBAD, CA 92009-6313
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
07/19/2023 07/19/2023 BLDG-24 Rough/Topout 217904-2023 Passed Dirk de Roggenbuke Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
NOTES Created By TEXT Created Date
Angie Teanio 619-925-5805 Kaetlyn 07/18/2023
BLDG-34 Rough 217905-2023 Passed Dirk de Roggenbuke Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
NOTES Created By TEXT Created Date
Angie Teanio 619-925-5805 Kaetlyn 07/18/2023
08/29/2023 08/29/2023 BLDG-Final Inspection 222302-2023 Passed Dirk de Roggenbuke Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Tuesday,August29,2023 Page 1 of 1