HomeMy WebLinkAbout175 MAPLE AVE; 9; CBR2022-2834; PermitBuilding Permit Finaled
Residential Permit
Print Date: 01/07/2025
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edit ion:
Sprinkled:
Project Title:
175 MAPLE AVE, # 9, CARLSBAD, CA 92008-3232
BLDG-Residential
2042332109
$32,557.00
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Alteration
Permit No:
Status:
Ccity of
Carlsbad
CBR2022-2834
Closed -Finaled
Applied: 08/08/2022
Issued: 10/04/2022
Finaled Close Out: 01/07/2025
Final Inspection: 11/27/2024
INSPECTOR: Alvarado, Tony
Description: 175 MAPLE (UNIT #9): INTERIOR REMODEL (700 SF), NEW STRUCTURAL BEAMS, MOVE GAS LINE AND REPLACE SLIDING GL
DOOR.
FEE
BUILDING PLAN CHECK
REMODEL-RESIDENTIAL-OTHER
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
Total Fees: $955.08 Total Payments To Date: $955.08 Balance Due:
AMOUNT
$356.85
$592.00
$2.00
$4.23
$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
st atute 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 C8IL2o'24 ·-·2g:J'f
Est. Value 3'2y ff 7. £)~
PC Deposit J:t 3~'-. 95
Date .ro ( ~ { 2, Q"2-'Z-
Job Address l 7 s t, ~p\ e_ A-ye. n ue.. Unit: J APN: g ot./-2 33-c1 l ' 0 q
CT/Project#:. __________________ Lot#: PM 132.'H YearBullt: Aet?ro)l U)OO
BRIEF DESCRIPTION OF WORK: 1) Ne,.w beams ~ ~e.w -~l--tPa.lL 6'(~~:-3) rn 0ve j45
----· ~~---Jk O ~ """"'-l)'b.4--\ • / I r} e.,
□ 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? __ _
):8( Remodel: '7 00 SF of affected area Is the area a conversion or change of use? 0 Y ~ N
□ Pool/Spa:. ___ .....;SF Additional Gas or Electrical Features? __________ _
□ Solar:. ___ KW, ___ Modules, Mounted:ORoof O Ground, Tilt: 0 Y() N, RMA: 0 YO N,
Battery:OvO N, Panel Upgrade: Ov ON Electric Meter number: ----------Other:
PRIMARY APPLICANT PROPERTY OWNER
Name:. _______________ .Name:-.i:~=;;;._=~.J..;;.;...:.......,.;._..:...., _ ____,,..... __ _
Address: dd
Clty:. _____ ____,State:, _ ___,JZlp:. ____ c.lty:___;;~:....;..;;;.::;.;;.;,,;:i--~ =----i~•
Phone:. _______________ .Phone: ....... __._-..._-....... ....:;..-.i...........,_3-.... ______ _
Emall:. ______________ Emall: _ _,;;;;.L..;;B:.:.A.r..:.;;.,i.r.:;;o..;..N.;;.0.;;....;;;L.....;T;...:Q)a;;:;._Y'-,;,A-..:...,:.H.;...._00.;;....;. GD=:;;..;...:..M~
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: De.h ·, k I Cb s ''/
Address:. _____________ _
Business Name:. _____________ _
Address:. ______________ _
Clty:.--~~~--State: Zip:. ___ _
Phone: '80'il -3 i.f7 ... 3I ?11
Email: de.bi f:imsecyf¾ bot-ma I I , C..O{Y\
Architect State License: _________ _
Clty:. ______ State:. __ Zlp:. _____ _
Phone:. _______________ _
Email:. _______________ _
CSL& license #:. ______ aass:. _____ _
Carlsbad Business License# (Required):. ______ _
APPLICANT CERTIFICA TIOH: I art/fy that I~ read the applicotlon and state that the abo11e lnfa,matlon Is correct and that the infarmatian af the plans Is accurate. I
CJ9ree ta comply with all City ordinances and State laws relating ta building construct/an.
NAME (PRINT): L 1 .':, A e A 12-ID\J-oL T s1GN; ~ ~ -CQU;-DATE: 8 /(). Leo;;;..;:;-, .
1635 Faraday Ave cansbad, CA 92008 Ph: 442-339-2719 Email: Bullding@carlsbadca.gov
R \I
1 AUG OS 2022 REV. 04/22
Cl1Y )
BJ, '.',I
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 ( commend ng 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):
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 pennlt Is Issued. PollcyNo. _____________________________________ _
-OR-
DI have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit ls Issued.
My workers' compensation Insurance carrier and policy number are: fnsuranceCompany Name: _____________________ 1 Polley No. _______________________ Expiration Date:--------------•
-OR-
D Certificate of Exemption: l certify that In the performance of the work for which this permit ls Issued, I shall not employ any person In any manner so as to become
subject to the workers' compensation Laws of Callfomla. WARNING: Fallun! to secure~ compensation coverage Is unlawful and shall subject an employer to
crtmlnal penalties and clvll flMs up to $100,000.00, In addition the to the cost of compensation, dama&es as provtdecl for In Section 3706 of the Labor Code,
lnten1St and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there ls a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Civil Code).
lender's Name: lender's Addn!SS: ___________________ _
CONTRACTOR CERTIFICA TIOI\J: The appliant certlfles that all documents and plans clearly and accurately show aN existing and proposed buildings, structures, access roads, and
utilltles/utlllty RSt!fflfflts. All proposed modifications and/« .tditlons are clearly labeled on the site p1..,_ Any potentially existllll detail within these plans Inconsistent with the site plan are
not approved for construction and may be required to be altered« removed. The cltys approval d the application Is based on the premise that the submitted clocuments and plans show
the correct dimensions of; the property, buildings, structures and their setbacks fr«n property lines and fr«n one another; access roads/easements, and utUities. The~ 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-sltegradlna/slte preparation.
All lmprOYernents existl111 on the property were completed In accordance with all regulations In existence at the time of their construction, unless otherwise noted.
(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-
-g1, as owner of the property, am exduslvely 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 bullds or Improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the contractor's License Law).
-OR-
DI am exempt under Business and Professions COde Division 3, Chapter 9, Article 3 for this reason:
AND,
0 FORM B-61 #Owner Bullder 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 704-4 of the Business ond Professions Code, ts available upon request when this application ts
submitted or at the following Web site: http: I lwww.legfnfo.ca.gov/ calaw.html.
OWNER CERnFICA TION: The applicant certifies that all documents and plans clearly and accurately show all existi111 and proposed buildings, structures, access roads, and utllltles/utlllty
easements. All proposed modifications arid/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans lnconslstent with the site plan are not approved
for construction and may be required to be altered « removed. The cltys approval of the application Is based on the premise that the submitted documents and plans show the correct
dlmenslons of; the PfOPl!ftY, bulidqs. structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The edsttng ""d 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 exlstlnc on the property were c«npleted In accordance with all regulations In existence at the time of their construction, unless otherwise noted.
NAME (PRINT): L ' SA BM?-' -l_; DATE: 8 J;;. I c}O'J.d-
Note: If the above Is an authorlHd owner Include form 8-62 owner.
1635 Faraday Ave carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov
2
REV. 04/22
( City of
Carlsbad
OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
B-61
Development Services
Building Division
1635 Faraday Avenue
442-339-2719
www.carlsbadca.gov
OWNER-BUILDER ACKNOWLEDGMENT FORM
Pursuant to State of California Health and Safety Code Section 19825-19829
To: Property Owner
An application for construction permit(s) has been submitted in your name listing you as the owner-builder of the
property located at:
Site Address _l_JL...-5-"----_/v\~_A~P_L_E"--'-A-_v_6_N_v_e __ v_N_IT __ 9 ____ _
C.. Ag.LS BAD, C...A q 200~
The City of Carlsbad ("City") is providing you with this Owner-Builder Acknowledgment and Verification form
to inform you of the responsibilities and the possible risks associated wit h typical construction activities issued
in your name as the Owner-Builder.
The City will not issue a construction permit until you have read and initialed your understanding of each
provision in the Property Owner Acknowledgment section below and sign the form. An agent of the owner
cannot execute this notice unless you, the property owner, complete the Owner's Authorized Agent form and
it is accepted by the City of Carlsbad.
INSTRUCTIONS: Please read and initial each statement below to acknowledge your understanding and
verification of this information by signature at the bottom of the form. These are very important construction
related acknowledgments designed to inform the property owner of his/her obligations related to the requested
permit activities.
I. ~I understand a frequent practice of unlicensed contractors is to have the property owner obtain an "Owner•
-Builder" building permit that erroneously implies that the property owner is providing his or her own labor and
material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries
sustained by an unlicensed contractor and his or her employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of
the limits of my insurance coverage for injuries to workers on my property.
11. ~ I understand building permits are not required to be signed by property owners unless they are responsible
for the construction and are not hiring a licensed contractor to assume this responsibility.
Ill. ~I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his
or her name instead of my own.
IV. ~I understand contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
V. ~I understand if I employ or otherwise engage any persons, other than California licensed contractors, and
the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be
considered an "employer" under state and federal law.
1 REV. 08/20
Owner-Builder Acknowledgement Continued
VI. ~I understand if I am considered an "employer" under st ate and federal law, I must register with the state
and federal government, withhold payroll taxes, provide workers' compensation disabi lity insurance, and
contribute to unemployment compensation for each "employee." I also understand my failure to abide by these
laws may subject me to serious financial risk.
VII.~ understand under California Contractors' State License Law, an Owner-Builder who builds single-family
residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed
by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of
ih; ~ork is performed under contract with a licensed general building contractor.
VIII. ~--1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable
for any financial or personal injuries sustained by any subsequent owner(s) which result from any latent
.,6~nAruction defects in the workmanship or materials.
IX. ~ I understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit
Payments, and the California Division of Industrial Accidents. I also understand I may contact the California
Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information
about licensed contractors.
X. ~I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand
that I am the party legally and financially responsible for proposed construction activity at the following address:
I '75 M~e Ave ¾ 9, Co.r\.s bu-A, CA-q J.008
x1.--&oo,.1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
rf.X ~II applicable laws and requirements that govern Owner-Builders as well as employers.
x11.cf:W_1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
information I have provided on this form.
Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who
does not have a license, the Contractor's State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court.
It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm
is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-
Builder and wish to hire contractors, you will be responsible for verifying whether or not those contractors are
properly licensed and the status of their workers' compensation coverage.
Before a building permit can be issued, this form must be completed, signed by the property owner and returned
to the City of Carlsbad Building Division.
I declare under penalty of perjury that I have read and understand all of the information provided on this form and that my responses, including my
authority to sign this form, is true and correct. I am aware that I hove the option to consult with legal counsel prior to signing this form, and I hove
either (1) consulted with legal counsel prior to signing this form or (2) have waived this right in signing this form without the advice of legal counsel.
Property Owner Name (PRINT) Property Owner Signature
2 REV. 08/20
PERMIT INSPECTION HISTORY for (CBR2022-2834)
Permit Type: BLDG-Residential
Work Class: Alteration
Status: Closed -Finaled
Application Date: 08/08/2022 Owner: TRUST OL T THOMAS SAND
BARTON-OL T LI SA TRUST
Issue Date: 10/04/2022 Subdivision: PARCEL MAP NO 13291
Expiration Date: 07/24/2023
IVR Number: 42470
Address: 175 MAPLE AVE, # 9
CARLSBAD, CA 92008-3232
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
12/22/2022 01/24/2023 BLDG-82 Drywall, 201492-2023 Passed Tony Alvarado
11/27/2024
Exterior Lath, Gas Test,
Hot Mop
Checklist Item COMMENTS
BLDG-17 Interior Lath-Drywall Insulation scope of work completed on
December 20, 2022 per virtual inspection.
Noted in computer on January 24, 2023.
Final inter-remodel condominium project
and forgot to update insulation and drywall
work done in December 2022.
BLDG-23 Gas-Test-Repairs Insulation scope of work completed on
December 20, 2022 per virtual inspection.
Noted in computer on January 24, 2023.
Final inter-remodel condominium project
and forgot to update insulation and drywall
work done in December 2022.
11/27/2024 BLDG-Final Inspection
Checklist Item
269520-2024
COMMENTS
Passed Tony Alvarado
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
BLDG-SW-Inspection
Checklist Item
269518-2024
COMMENTS
Are erosion control BMPs
functioning properly?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Has trash/debris accumulated
throughout the site?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
Passed Tony Alvarado
Tuesday, January 7, 2025
Passed
Yes
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Page 2 of 2
Building Permit Inspection History Finaled
{city of
Carlsbad
Permit Type:
Work Class:
Status:
Scheduled
Date
10/05/2022
10/14/2022
10/18/2022
12/19/2022
PERMIT INSPECTION HISTORY for {CBR2022-2834)
BLDG-Residential Application Date: 08/08/2022 Owner: TRUST OL T THOMAS S AND
BARTON-OL T LISA TRUST
Alteration Issue Date: 10/04/2022 Subdivision: PARCEL MAP NO 13291
Closed -Finaled Expiration Date: 07/24/2023 Address: 175 MAPLE AVE, # 9
IVR Number: 42470 CARLSBAD, CA 92008-3232
Actual Inspection Type
Start Date
Inspection No. Inspection Primary Inspector Reinspection Inspection
Status
10/05/2022 BLDG-14 193431-2022 Partial Pass Tony Alvarado
Frame/Steel/Bolting/We
lding (Decks)
Checklist Item
BLDG-Building Deficiency
COMMENTS
Framing (N)post to (N) beam connections
inspection-( only).
1. Verified new floor/ceiling steel and
wood beams at ceiling location of first floor
-approved per engineered plan.
BLDG-13 Shear
Panels/HD (ok to wrap)
194255-2022 Partial Pass Tony Alvarado
Checklist Item
BLDG-Building Deficiency
COMMENTS
October 14, 2022:
1. Seismic metal connector hold-downs,
behind new plywood sheer panel
locations, installed and verified-approved.
10/18/2022 BLDG-24 Rough/Topout 194361-2022 Passed Tony Alvarado
BLDG-34 Rough
Electrical
194360-2022 Passed Tony Alvarado
BLDG-84 Rough
Combo(14,24,34,44)
194504-2022 Passed Tony Alvarado
Checklist Item
BLDG-14
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout
BLDG-34 Rough Electrical
BLDG-44
Rough-Ducts-Dampers
COMMENTS
BLDG-16 Insulation
Checklist Item
201481-2023
COMMENTS
Passed Tony Alvarado
BLDG-Building Deficiency Insulation scope of work completed on
December 20, 2022 per virtual inspection.
Noted in computer on January 24, 2023.
Final inter-remodel condominium project
and forgot to update insulation and drywall
work done in December 2022.
Reinspection Incomplete
Passed
Yes
Reinspection Incomplete
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Passed
Yes
Complete
Complete
Complete
Complete
Tuesday, January 7, 2025 Page 1 of 2