HomeMy WebLinkAbout1023 DAISY AVE; ; CBR2024-2165; PermitPrint Date: 06/17/2025
Building Permit Finaled
Residential Permit
CBR2024-2165Permit No:
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1023 DAISY AVE, CARLSBAD, CA 92011-4821
BLDG-Residential
2144011700
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
08/14/2024
08/14/2024
Finaled Close Out:06/17/2025
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:08/15/2024Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:Kersch, Tim
IRONS: AS-BUILT OUTDOOR SHOWER, DRAIN, LIGHT. (CC#2024-0671) (E-REVIEW)Description:
Project Title:
Applicant: LYNDIE IRONS
PO BOX 223842
PRINCEVILLE, HI 96722-3842
(808) 639-1224
Property Owner: LYNDIE IRONS
PO BOX 223842
PRINCEVILLE, HI 96722-3842
(808) 639-1224
AMOUNTFEE
PLUMBING, MECHANICAL & ELECTRICAL PERMITS $221.00
Total Fees:$221.00 Total Payments To Date:$221.00 Balance Due:$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.
1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
(_ City of
Carlsbad
Job Address 1023 Daisy Ave
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit
Date
Unit: APN:2144011700 -----
CT/Project #: __________________ Lot #: ____ Year Built: _________ _
BRIEF DESCRIPTION OF WORK: Outdoor shower and electrical outlet.
0 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 YON , if yes how many? ___ _
D Remodel: _____ SF of affected area Is the area a conversion or change of use? Q Y O> N
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
□ Solar: ___ KW, ___ Modules, Mounted:Q Roof QGround, Tilt: 0 YO N, RMA: 0 YO N,
Battery:OYO N, Panel Upgrade: O Y O>N Electric Meter number: ___________ _
Other:
APPLICANT (PRIMARY CONTACT) PROPERTY OWNER
Name: Lyndie Irons Name: Lyndie Irons
Address: 1023 Daisy Ave Address: 1023 Daisy Ave
City:Carlsbad State:~Zip:._9_2_0_11 ___ City: Carlsbad State:~Zip:_9_20_1_1 __ _
Phone: 808-639-1224 Phone: 808-639-1224
Ema il:lyndieirons@gmail.com Email: lyndieirons@gmail.com
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: __________________ Business Name: ________________ _
Address: Address: __________________ _
City: ________ State: ___ Zip:_____ City: _______ State: ___ Zip: ______ _
Phone: Phone: __________________ _
Email: Email: ___________________ _
Architect State License: CSLB License #: _______ Class:. _______ _
Carlsbad Business License# (Required): _______ _
APPLICANT CERT/FICA T/ON: I cei1/fy that I have read rhe application and state that rhe above infarmatkm is corre d that the information of rhe plans is accurate. I
agree to comply with o/J City ordinances and State lows relating to building construction.
NAME (PRINT): _L_yn_d_i_e_lr_o_n_s ____ _
1635 Faraday Ave carlsbad, CA 92008 Ph: 442-339-2719 Email: Bulldlng@carlsbadca gov
REV. 01//22
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 underpenaltyof perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division]
of the Bus iness and Professions Code, and my license is in full forceandef feet. I also affirm under penalty of perjury one of t/Je
foil owing declarations (CHOOSE ONE):
0 1 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-
DI have and will maintain worker's compensation, as required by Section 3700 of the labor Catie, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: _______________________ ,
Policy No. _____________________________ Expiration Date:-----------------,
.on-
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 Ii) Civil Code).
lender's Name: ______________________ lender's Address: _____________________ _
CONTRACTOR CERT/FICA TION: The applicant certifies that all documents and plans dearly 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 e>.isting detail within these plans inconsiS1ent with the site plan are
not approved for construction and may be required to be altered or removed. The cHy's approval of the application is based on lhe premise that the submitted documents and plans show
the correct dimensions of; the property, buildings, struclufes and their setbacks from property !fnes and from one another; access roads/easement,., and utilities. The exi,.ting and proposed
use of each building as stated is true and correct; all easements and other encumbrances lo development have been accurate!\' shown and labeled ,H well as all on-site grading/site preparation.
All improvements e)(isting on the propetl\' wert1 completed in accordance with all regulations in eit!,tence at the time o( their construction, unleiu otherwise noted.
NAME (PRINT):
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the f ollowing reason:
[i 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 orfered 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-
DI, as owner of the property, am e>1clusively 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 or property who builds or improves thereon, and contracts for such projects with contractor{s) licensed
pursuant to the Contractor's license law).
-OH-□ I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
A~D.
[i} FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for aov permit issued to a property owner.
By my signature below I acknov,ledge that, except for my personal residence in "hich I must have resided for at least one year prior to completion of the
improvements covered by this permit, I Cilnnot legally sell a structure that I have built as an owner·bui!cfer if it has not been constructed in its entirety by licensed
contractors./ understand that acopvof the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted orat the follow irig Web site: http://vtww.leginfo.ca.gov/calaw.html.
OWNER CERTIFICATION: The applicanl cerllfies thal all documents and plans dearly and accurately show all elll.sl.ing and prnposed building.s. slruclures, access roads, and ulilities/utllity
easements. All proposed modifications and/or addilioru are dearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with tJ,e 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 propert\' lines and from one another; access roads/easements, and utilities. The e)(isting and proposed use of each
building as slated is true und correcl; all easements and other encumbrances to development have been accurately shown and lab ed as well as all on•~ile gradlng/sile preparation. AH
improvements existing on the property were completed in accordance \'1ith rtll recutations in exis enc
NAME (PRINT): _L_yn_d_i_e_lr_o_ns _____ _
Note: If the erson si nin above is an authorized a ent for the
163S Faraday Ave Carlsbad. CA 92008 Email: 8uild1ng@carlsbadca.gov
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
I.
II.
11 1.·
IV.
V.
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 1023 Daisy Ave
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 with 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.
L / 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.
LL1 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.
l.i__1 understand as an "Owner-Builder" I am the responsible pa11y 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. U, understand contractors are required by law to be licensed and bonded in California a~d to list their license
npmpers on permits and contracts.
~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.
REV. 08/20
Owner-Builder Acknowledgement Continued
VI.
VII.
VIII.
IX.
U 1 understand if I am considered an "employer" under state and federal law, I must register with the state
and federal 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 .
.1_L 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 building contractor. LL 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) which result from any latent
construction defects in the workmanship or materials.
LL I understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Sma ll Business Administration, the California Department of Benefit
Payments, and the California Division of Industrial Accidents. I also understand I may contact the Ca lifornia
Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information
about licensed contractors.
X. il1 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:
XI. Lf._1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner-Builders as well as employers.
XII. L ( I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
in formation 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 hove read and understand all of the information provided on tliis form and thot 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 J 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.
Lyndie Irons __ _
Property Owner Name (PRINT)
8/13/2024
Date
REV. 08/20
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2024-2165)
BLDG-Residential 08/14/2024Application Date:Permit Type:Owner:LYNDIE IRONS
P/M/E 08/14/2024Work Class:Issue Date:Subdivision:CARLSBAD TCT#73-39 UNIT#03
02/10/2025Expiration Date:Status:
IVR Number: 58242
Closed - Finaled 1023 DAISY AVE
CARLSBAD, CA 92011-4821
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
08/15/2024 08/15/2024 BLDG-Final Inspection 258223-2024 Passed Tim Kersch Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Tuesday, June 17, 2025 Page 1 of 1
{cityof
Carlsbad