HomeMy WebLinkAbout1125 CHINQUAPIN AVE; ; CBR2025-0639; PermitBuilding Permit Finaled
Residential Permit
Print Date: 03/10/2026 Permit No:CBR2025-0639
Job Address:1125 CHINQUAPIN AVE, CARLSBAD, CA 92008-3544 Status:Closed - Finaled
Permit Type:BLDG-Residential Work Class:P/M/E
Parcel #:2061401800 Track #:Applied:03/17/2025
Valuation:$0.00 Lot #:Issued:03/17/2025
Occupancy Group:Project #:Finaled Close Out:03/18/2025
#of Dwelling Units:Plan #:
Bedrooms:Construction Type:Final Inspection:03/18/2025
Bathrooms:Orig. Plan Check #:
Plan Check #:
INSPECTOR:McClane, Duncan
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Description:EMERGENCY GAS REPAIR (E-REVIEW)
Applicant:
ELIPT RACHMAN
1125 CHINQUAPIN AVE
CARLSBAD, CA 92008
Property Owner:
ELIPT RACHMAN
1125 CHINQUAPIN AVE
CARLSBAD, CA 92008
Contractor:
FEE AMOUNT
PLUMBING, MECHANICAL & ELECTRICAL PERMITS $228.00
Total Fees:$228.00 Total Payments To Date:$228.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project.
NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of
limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314ï 442-339-2719ï760-602-8560 fïwww.carlsbadca.gov
{city of
Carlsbad
(Cityof
Carlsbad
RESIDENTIAL BUILDING
PERMIT APPLICATION
FOR CITY USE ONLY
Plan Check No J ~ -I-"uiS-0£,31
PC Deposit: _____ _
B-1 Date: J--f 1-"2-~
This form shall be completed to initiate a residential building permit application. The building permit application
is not a building permit. No work shall start until a building permit is duly issued.
Job Address: \\,is e,l,, ~ V\ ~l,tq Pi >1 !' Je_ Unit#: APN: .{;; I f:j --------------
Description of Work: &o. ~ l -eo, le-c-e&t', -{
Project Valuation:$ ______ Is there an active code enforcement violation on this site? D Y D N
Are Planning permits required?: D Y D 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? □ Y □ N. New fireplace? □ Y □ N.
□ Remodel: ______ SF of affected area . Is the area a conversion or change of use? □ Y □ N.
□ Pool/Spa: ______ SF. Additional Gas or Electrical Features? ___________ _
□ Solar: ____ KW, ____ Modules. Mounted: □ Roof □ Ground. Tilt: □ Y □ N. RMA: □ Y □ N.
Battery: □ Y □ N. Panel Upgrade: □ Y □ N. Electric Meter Number: ____________ _
D Plumbing, Mechanical, Electrical: _______________________ _
□ Other: ----------------------------------
APPLICANT (PRIMARY CONTACT):
Na me: <!J.A e,,..£ Wk:i d11tey
Address: I / 2..S c~ ( V\vl/.A11t r't M &tP
City: (gr(< hAef State: .ffi_ fp: C, ~
Phone: ~O s -JL{& ~3 5 &~
Email : '""'kt~ +4 ~@., ~; L . ~
DESIGN PROFESSIONAL:
Name: _____________ _
Address: -------------
City: ______ State: __ Zip: __ _
Phone : ____________ _
Email : _____________ _
State License: __________ _
PROPERTY OWNER:
Name: ~ W k j ±t-:tRcf
Address: 1 l Z--S Lht V1(LlA Afirt Ave
City: Cc.iflsLi,ut State:UL_ Zip: q ZOO<?
Phone: Sos-]<-{(o-½ ~h
Email: (.,v l,i j ~ t../ £.,ry@_ fj'N\g ; \ . Len--.
CONTRACTOR:
Name: _____________ _
Address: ____________ _
City: ______ State: __ Zip: __ _
Phone: -------------
Em a i I: --------------
CSL B License#: Class: ---------
City Business License#: _______ _
Billing Party: ~pplicant Property Owner □ Contractor □ Other: _____________ _
Page 1 of 4 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 EACH BOX
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.
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.
D A. If the Contractor is the Applicant, the License Contractor Declaration on page 4
must be completed.
D B. If the Applicant is an Owner-Builder, an Owner-Builder affidavit is required and
must be submitted (Form B-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, structures, 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 rejecting the
application, denying the application, suspending or revoking a permit issued on the basis of these or
subsequent representations, or for the seeking of such other and further relief as deemed appropriate
by the City of Carlsbad .
If a 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 of 4 rev 11/24
I/We certify 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
re lating 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.
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
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 operat ions
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 ac ~pt all t rms set forth herein. (This section must be signed by both parties if not the same individual.)
Date:_:J_-_/~],_-_~_5 __ _
Sign!t/e of ~erty wner
~L'z
Signature of Applicant 7
Date: ------------
Page 3 of 4 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 B-1 Form.
Assessor's Parcel Number: ------------------------------
Site Address: l[LS c(;, ~ v1 ~JA~f • '1 ft\J f l
Description of Work: Gers l-.eei /c:.. 'Pe f °' i ,r
OWNER-BUILDER CERTIFICATIONS:
CHECK EACH BOX
Owner-Builder Acknowledgment and Information Verification Form
I understand a frequent practice of unlicensed persons 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 person 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.
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 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.
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 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.
I 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.
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 activity, 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 that 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-Builder 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 withhold 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 the permit issued.
Assembly Bill 2335 amended California Health and Safety Code Section 19825 and 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
that the 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 the declarations above
and accept all terms set forth herein and 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 cannot legally sell a structure
that I have ilt as an wner-Builder if it has not been constructed in its entirety by Licensed Contractors.
Date: '3 -) 7 --z._ 5
FOR CITY USE ONLY
Receipt Acknowledgement: --------------Date: _________ _
BU IL DING STAFF
Page 2 of 2 rev 11/24
Building Permit Inspection History Finaled
Address:1125 CHINQUAPIN AVE
CARLSBAD, CA 92008-3544IVR Number:62341
09/15/2025
Actual
Start Date
Inspection Type Inspection No.Inspection
Status
Primary InspectorScheduled
Date
Reinspection
Expiration Date:Status:
PERMIT INSPECTION HISTORY for (CBR2025-0639)
Permit Type:BLDG-Residential Application Date:03/17/2025
Closed - Finaled
Owner:
Work Class:P/M/E Issue Date:03/17/2025 Subdivision:HARBOR VIEW
ELIPT RACHMAN
Inspection
3/18/2025 03/18/2025 BLDG-23
Gas/Test/Repairs
278819-2025 Passed Duncan McClane Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final Gas leak. Emailed release Yes
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
Tuesday, March 10, 2026 Page 1 of 1
{city of
Carlsbad