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Home My WebLink About2121 TWAIN AVE; ; CBR2020-2416; PermitPrint Date: 09/30/2020 Permit No: CBR2020-2416 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2121 TWAIN AVE, CARLSBAD, CA 92008-4618 BLDG-Residential 2081811000 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 09/28/2020 09/28/2020 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Project Title: Inspector:Orig. Plan Check #:Bathrooms: Description:BORSETH: REPLACE WATER HEATER (E-REVIEW) Final Inspection:09/30/2020 Bedrooms:Construction Type: Property Owner: OWNER BORSETH MAX AND ELLEN 2121 TWAIN AVE CARLSBAD, CA 92008 Contractor: COASTAL PLUMBING-DO NOT USE PO BOX 1758 CARLSBAD, CA 92018-1758 (760) 720-2991 AMOUNTFEE WATER HEATER PERMIT $98.00 Total Fees:$98.00 Total Payments To Date:$98.00 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 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2020-2416 ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address2121 Twain Ave Carlsbad, CA 92008-4618 Suite: APN: 2081811000 -----· CT/ProJ'ect #: Lot#: 30 Year Built: 2004 --------------------------------- Fire Sprinklers: QvEsQ NO Air Conditioning:Q YES Q NO Electrical Panel Upgrade: QvEsO NO BRIEF DESCRIPTION OF WORK: WATER HEATER REPLACEMENT 0 Addition/New: _____ living SF,. ____ Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? Ov ON New Fireplace? Ov ON , if yes how many? __ □Remodel: SF of affected area -----Is the area a conversion or change of use ? Qy ON □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ 0 Solar: ___ KW, ___ Modules, Mounted:ORoof OGround, Tilt: 0 vO N, RMA: Ov ON, Batterv:Ov ON, Panel Upgrade: Ov ON D Reroof: ------------------------------------Ii] Plumbing/Mechanical/Electrical 0 Only: Other: Replace Water Heater 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 fisted as the Applicant below wilf be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name: Max Borseth Name: __________________ _ Address:2121 Twain Ave Address: __________________ _ City: Carlsbad State:._C_A ___ Zip: 92008 City: _________ ..... State: ___ .Zip:. ____ _ Phone: 442-244-0894 Phone:------------------- Email:. _________________ Email: ___________________ _ DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT liJ Name: ________________ _ Name: Coastal Plumbing Inc. Address: ________________ _ Address:PO Box 1758 City: ________ .State: ___ Zip:. ___ _ City: Carlsbad State:_C_A __ Z.ip: 92018 Phone: ________________ _ Phone: 760-720-2991 Email: ________________ _ Email: mbender@coastalplumbinginc.com Architect State License: 756151 -----------State License/class:C36 Bus. License:BL0s1209355 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: 0 I 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. _______________________________________ _ Ii I have and will maintain worker's compensation, 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: lnsuranceCompany Name: _Secu __ n1_y_N_aij_·on_a_11_nsu_ra_nce_c_o ____________ _ Policy No.SWC1307564 Expiration Date: _91_1t20_21 __________ _ 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: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). lender's Name:. _____________________ lender's Address: ____________________ _ SIGN: 4 { CONTRACTOR PRINT: Kip L Bender ~DATE: 9-28-2020 '- (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). D 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). 0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: O"Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. 0 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 thot a capy of the applicable Jaw, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.co.gov/colow.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 hove 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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIL/TIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN 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: _K_ip_L_B_e_n_d_er _____ SIGN: ~ t M < DATE: 9 r!b"i r M<tO 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760--602-8558 Email: Building@carlsbadca.gov 2 REV. 08/20 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2020-2416) BLDG-Residential 09/28/2020Application Date:Permit Type:Owner:OWNER BORSETH MAX AND ELLEN P/M/E 09/28/2020Work Class:Issue Date:Subdivision:CARLSBAD TCT#97-16A KELLY RANCH CORE 03/29/2021Expiration Date:Status: IVR Number: 28979 Closed - Finaled 2121 TWAIN AVE CARLSBAD, CA 92008-4618 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 09/30/2020 09/30/2020 BLDG-25 Water Heater/Vents 139649-2020 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 139651-2020 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final No BLDG-Electrical Final No Wednesday, September 30, 2020 Page 1 of 1 {cityof Carlsbad