HomeMy WebLinkAbout2636 OCEAN ST; ; CBR2025-0169; PermitBuilding Permit Finaled
Residential Permit
Print Date: 03/03/2025
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
2636 OCEAN ST, CARLSBAD, CA 92008-2237
BLDG-Residential Work Class:
2031410400 Track#:
$0.00 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check #:
Plan Check#:
Description: KA YVON: EMERGENCY GAS LINE REPAIR
FEE
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
P/M/E
Total Fees: $228.00 Total Payments To Date: $228.00
Permit No:
Status:
{cityof
Carlsbad
CBR2025-0169
Closed -Fina led
Applied: 01/22/2025
Issued: 01/22/2025
Finaled Close Out: 03/03/2025
Final Inspection: 01/23/2025
INSPECTOR: Renfro, Chris
Balance Due:
AMOUNT
$228.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest t hem, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure w ill bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with t his
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
(Cityof
Carlsbad
RESIDENTIAL BUILDING
PERMIT APPLICATION
FOR CITY USE ONLY
Plan Check No.: _____ _
PC Deposit: _____ _
8-1 Date: ____ _
This form shall be completed to initiate a residential building permit application. The building permit application
is not a building permit. No work shall start until a building permit is duly issued.
Job Address: U3'7 OceOlvl S+r-e...e+ Unit#: ___ APN: --------
1
, t
Description of Work: ua.S I YLf..-: (e p o..1 <
Project Valuation:$~ "800-H /.ZOO 1 there an active code enforcement violation on this site? □ Y '1 N
Are Planning permits required?: □ Y □ N Case File Nos.: --------------
Please indicate the type of application(s) requested and provide the applicable information:
□ New SF: Living SF,----~· Deck SF,----~· Patio SF,--------'-· Garage SF,----~
Is this to create a new ADU/JADU? DY D N. New fireplace? DY D N.
□ Remodel: ______ SF of affected area. Is the area a conversion or change of use? DY D N.
D Pool/Spa: ______ SF. Additional Gas or Electrical Features? ___________ _
□ Solar: ____ KW, ____ Modules. Mounted: D Roof □ Ground. Tilt: □ Y □ N. RMA: □ Y □ N.
Battery:□ Y □ N. Panel Upgrade: □ Y D N. Electric Meter Number: ___________ _
D Plumbing, Mechanical, Electrical: _______________________ _
D Other: ________________________________ _
~ PROPERTY OWNER:
Name: _____________ _
City: -"=~J....L..',,,~_State: .cf±_ Zip: q:z 00]'
Phone: 70 Z.. -51n_i -0 /LJ 0
Email: S~WI ko,yvon@z1/M-"i.; /, (OvYI
Address: ____________ _
City: ______ State: __ Zip: __ _
Phone: ____________ _
Email: _____________ _
DESIGN PROFESSIONAL: CONTRACTOR:
Name: _____________ _ Name: --------------
Address: -------------Address: ____________ _
City: ______ State: __ Zip: __ _ City: ______ State: __ Zip: __ _
Phone: ____________ _ Phone: ____________ _
Email: --------------Email: _____________ _
St ate License: __________ _ CSLB License#: ______ Class: __ _
City Business License#: _______ _
Billing Party: ~pplicant ✓.roperty Owner D Contractor D Other: _____________ _
Page 1 of4 rev 11/24
The construction, addition, or alteration of buildings is governed by the California Contractors License Law
(commencing with Business Professions Code section 7000). The law has an exemption that allows a person
who is not a California Licensed Contractor to construct a single-family residential structure and engage in
home improvements and repairs, provided they meet certain requirements. (Form B-61 provides information
about the requirements that apply to Owner-Builders makes you aware of your responsibilities and possible
risk you may incur by having a permit issued to an Owner-Builder.) Permits for multi-family projects are only
to be issued to California Licensed Contractors. Refer to Form B-16 for other frequently asked questions.
APPLICANT (PROPERTY OWNER, CONTRACTOR, OR AGENT) CERTIFICATIONS:
CHECK EA/,sox
EJ / I/We certify that I/we a legal right, interest, or entitlement to the use of the property that is the
:=;; subject of this application.
l:'.j I/We understand that State law mandates the Applicant to provide an estimated value of all work
proposed (B-29 form). I/We hereby certify the construction valuation provided is accurate and
includes all proposed work such as all structural work, finish work, painting, roofing, electrical,
plumbing, heating, air conditioning, elevator, labor costs, and all permanent equipment and systems.
'
If the valuation is underestimated, the permit may be denied, unless the Applicant can show detailed
estimates to meet the approval of the Building Official.
If the Applicant is not the Property Owner, both the Property Owner and Applicant (authorized
Contractor or authorized Agent of the Property Owner/Contractor) must sign below. By signing this
declaration, the Property Owner authorizes the Applicant listed in this application to act as the
Property Owner's Agent on all matters before the city pertaining to development on this property.
I/We understand that State law requires construction to be done by a Licensed Contractor and the
Property Owner may apply for an Owner-Builder permit under an exemption from the law.
□ A. If the Contractor is the Applicant, the License Contractor Declaration on page 4
must be completed.
□ B. If the Applicant is an Owner-Builder, an Owner-Builder affidavit is required and
must be submitted (Form 8-61). The city will not issue a building permit until this form
has been submitted. The License Contractor Declaration on page 4 does not need to
be submitted.
I/We have read this application form in its entirety and reviewed the building permit application and
the information I/we have provided is true and correct to the best of our knowledge. Grade lines as
shown on drawings accompanying this application are assumed to be correct. This certifies that the
description of the project and all the plans and supporting documentation; including the location and
labeling of all existing and proposed buildings, stru ctures, access roads, and utilities and easements;
are accurate in all material respects as of the date when made. I/We understand that it is my
responsibility to ensure that statements and representations are not misleading. I/We agree to
promptly remove, correct, or add information as needed to correct any misleading or materially
inaccurate information. I/We understand that any misstatement or omission of the requested
information or of any information subsequently requested might be grounds for rej ecting the
application, denying the application, suspending or revoking a permit issued on the basis of these or
ubsequent representations, or for the seeking of such other and further relief as deemed appropriate
by the City of Carlsbad.
fa digital submittal is made or required, I/we certify that the submittal package includes digital files
that follow the city's electronic submissions standards.) Failure to submit correctly formatted
electronic files may result in the submittal being returned, which will delay intake and/or review.
Page 2 of4 rev 11/24
d I/We certffy that I am (we are) aware of all permit requirements and will not willfully deviate from the
approved plan. I/We agree to comply with all applicable city and county ordinances and state laws
relating to building construction. I/We assume full responsibility for the satisfactory completion of all
work authorized under the permit(s), including work performed prior to assuming control.
d After construction begins, I/we understand that a height certification, pad certification, or boundary
certification may need to be submitted to the Building Inspector, when required.
I understand that a building permit application will expire If a permit has not been issued/obtained
within one year from the application date (original filing date), unless an extension of time has been
granted (Form B-25). With some limited exceptions, if a building permit application expires and there
J is interest in proceeding with the same project, a new application will be required and the project will
be subject to new fees and regulations that are in effect at the time the new application is submitted.
After submitting the application, the Billing Party designated as part of the application will be sent
future city invoices for above referenced building permit(s). I understand that if a permit fee or
development impact fee refund is issued, the check will be mailed to the financial responsible party
'
(the actual person or company that paid the invoice). If the information on file for the financially
responsible party is outdated or inaccurate, it must be corrected before the refund can be sent. Form
B-49B may be completed to update the financially responsible party's contact information.
I/We agree to waive, release, and discharge the City of Carlsbad ("City") and its officers, elected or
appointed officials, employees, volunteers and agents (the "Indemnified Parties") from all claims and
demands, rights and causes of action of any kind with respect to the building permit application, the
purpose of which is to challenge, attack set aside, void, modify, or annul the approval or denial of the
application, or the processing thereof, except liability caused by the Indemnified Parties' sole
negligence or willful misconduct, in which case the indemnity received by the city shall be reduced by
the amount: (a) that the city's active negligence contributed to the liability on a comparative basis; or
(b) such other amount as may be required by law. This obligation is effective without reference to the
existence or applicability of any insurance coverages which may have been required by city or any
additional insured endorsements which may extend to Indemnified Parties. Property Owner(s) and
Applicant, on behalf of themselves and all parties claiming under or through them, waive all rights of
subrogation and contribution against the Indemnified Parties while acting within the scope of their
duties, from all claims, losses and liabilities arising out of or incident to activities or operations
performed, regardless of any prior, concurrent or subsequent passive negligence by the Indemnified
Parties.
By signing below, I acknowledge that I have completely read, understand, and agree to the declarations above
and accept all terms se.t;..ft,Tlfi~rein. (This sec • e signed by both parties if not the same individual.)
Page 3 of 4
Date:-7!-~-?-_z+-,/_,z_S _
Date:--+-/ /_z_z......___/_f _5 _
I
rev 11/24
CONTRACTOR CERTIFICATIONS:
License Contractor Declarations
CHECK EACH BOX
D I hereby affirm under penalty of perjury that I am a licensed under provisions of Chapter 9
(commencing with section 7000) of Division 3 of the Business and Professions Code, and the license is
in full force and effect. □ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Place a check mark next to the
declaration regarding the workers' compensation coverage that applies. Check only one (A), (B), or (C):
□
□
□ A. I have and will maintain a certificate of consent to self-insure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work for which this permit is
issued.
D B. I have and will maintain workers' compensation insurance, 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:
D C. 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, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forth with
comply with those provisions.
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Civil Code section 3097). If not using a
construction lending agency write N/A: Lender: __________________ _
I understand that I will need a current Carlsbad business license to obtain the building permit.
By signing below, I acknowledge that I have completely read, understand, and agree to the declarations above
and accept all terms set forth herein.
Date:. __________ _
Signature of Contractor
FOR CITY USE ONLY
Receipt Acknowledgement: ____________ _ Date:. _________ _
BUILDING STAFF
Page4of4 rev 11/24
( City of
Carlsbad
OWNER-BUILDER FORM
B-61
This form shall be completed to initiate an Owner-Builder residential building permit application. It must be
submitted concurrently with the 8-1 Form .
Assessor's Parcel Number:
Site Address: ---=2-~_)-"---0-_-_-~0-~-~C---e=~-Cl.~V/~~_._S-~-Ji~,r~.ve.~~~f~~~~~~~~~~~~~~~~~~~~~~~~=
Description of Work: _ __._(},_°t_5 __ .._[_/_/1_e_ ___ fi._e+r -"-I_V-______________ _
OWNER-BUILDER CERTIFICATIONS:
Owner-Builder Acknowledgment and Information Verification Form
CHECKEAC/,
~ I understand a frequent practice of unlicensed persons is to have the Property Owner obtain an
"Owner-Builder" building permit t hat 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 person and his or her employees while
working on my property. My homeowner's insurance may not provide coverage for those injuries. I
CT
am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for
injuries to workers on my property.
I understand building permits are not required to be signed by a Property Owner unless the Property
Owner is responsible for the construction and are not hiring a Licensed Contractor to assume this
responsibility.
I understand as an "Owner-Builder" I am the respons ible party of record on the permit. I understand
that I may protect myself from potential financ ial risk by hiring a Licensed Contractor and having the
permit filed in his or her name instead of my own.
I understand Contractors are required by law to be licensed and bonded in California and to list their
license numbers on permits and contracts.
I understand if I employ or otherwise engage any persons, other than California Licensed Contractors,
and the t otal 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.
I understand if I am considered an "employer" under State and Federal law, I must register with the
State and Federa l government, withhold payroll taxes, provide workers' compensation disability
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.
I 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 the work is performed under contract with a licensed general
Page 1 of 2 rev 11/24
building Contractor.
I 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) that result from any
latent construction defects in the workmanship or materials.
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) www.cslb.ca.gov for more information
about Licensed Contractors.
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 in
accordance with the plans and specifications submitted herewith and for the purpose set forth. I agree
that, as the party legally and financially responsible for this proposed construction activit y, I will abide
by all applicable laws and requirements that govern Owner-Builders as well as employers.
Licensed Contractors are regulated by laws designed to protect the public. I understand if I contract
with a person who does not have a license, the Construction Industry Licensing Board, the Department
of Business and Professional Regulation and the Building Department may be unable to assist me with
any financial loss t hat I sustain as a result of a complaint. I understand my only remedy against an
unlicensed person may be in civil court. I also understand that, if an unlicensed person or employee of
an individual or firm is injured while working on my property, I may be held liable for damages. If I
obtain an Owner-Bui lder permit and wish to hire a Licensed Contractor, I will be responsible for
verifying whether the Contractor is properly licensed and the status of the Contractor's workers'
compensation coverage.
The city may wit hhold final approval, revoke the permit, or pursue any action or remedy for
unlicensed activity against the Property Owner and any person performing work that requires
licensure under t he permit issued.
Assembly Bill 2335 amended California Health and Safety Code Section 19825 an d added new application
requirements to enhance consumer awareness and protection. Did you know -unlicensed persons
frequently have the property owner obtain an "Owner-Builder" building permit which erroneously implies
t hat t he Property Owner is providing his or her own labor and material personally? Moreover, your
homeowner's insurance may not provide coverage for injuries sustained on your property by an unlicensed
person and his/her employees. If you are considered an "employer" under State and Federal law, you must
register with the State and Federal government, withhold payroll taxes, provide workers compensation and
disability insurance, and contribute to unemployment compensation for each "employee."
By signing below, I acknowledge that I have completely read, understand, and agree to t he declarations above
and accept all terms set forth herein an d I affirm under perjury that I am exempt from the CSLB requirement. I
also 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 application/permit, I cann ot legally sell a structure
~uilder if it has not been constructed in ~:t:.ntir;;;;;~Contractors
FOR CITY USE ONLY
Receipt Acknowledgement: _____________ _ Date: __________ _
BUILDING STAFF
Page 2 of 2 rev 11/24
Building Permit Inspection History Finaled
{cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2025-0169)
Permit Type: BLDG-Residential
Work Class: P/M/E
Status: Closed -Finaled
Application Date: 01/22/2025 Owner: SAM KAYVON
Issue Date: 01/22/2025 Subdivision: GRANVILLE PK #2
Expiration Date: 07/22/2025
IVR Number: 61271
Address: 2636 OCEAN ST
CARLSBAD, CA 92008-2237
Scheduled Actual Inspection Type
Date Start Date
Inspection No. Inspection Primary Inspector Reinspection Inspection
01 /22/2025 01/22/2025 BLDG-23 274057-2025
Gas/Test/Repairs
Checklist Item COMMENTS
BLDG-Building Deficiency Not ready
01/23/2025 01/23/2025 BLDG-23 274333-2025
Gas/Test/Repairs
Checklist Item COMMENTS
BLDG-Building Deficiency
01/24/2025 01/23/2025 BLDG-Final Inspection 274339-2025
Monday, March 3, 2025
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Status
Failed Chris Renfro Reinspection Incomplete
Passed
No
Passed Chris Renfro Complete
Passed
Yes
Passed Chris Renfro Complete
Passed
Yes
Yes
Yes
Yes
Yes
Page 1 of 1