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Home My WebLink About1558 MARITIME DR; ; CBR2020-2307; PermitBuilding Permit Finaled Residential Permit Print Date: 01/20/2021 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Project Title: 1558 MARITIME DR, CARLSBAD, CA 92011-4032 BLDG-Residential Work Class: 2150712600 Track#: $9,255.49 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Alteration (City of Carlsbad Permit No: CBR2020-2307 Status: Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Closed -Finaled 09/21/2020 11/20/2020 PDrei 01/20/2021 Description: VAN TREESE: 199 SF CONVERSION OF EXISTING GARAGE TO HABITABLE, 1 BEDROOM AND 1 BATH Applicant: Property Owner: VANTREESE TRAVIS&JENIFER 1558 MARITIME DR CARLSBAD, CA 92011 OWNER VANTREESE TRAVIS AND JENIFER 1558 MARITIME DR FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) CARLSBAD, CA 92011 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $326.63 Total Payments To Date: $326.63 Balance Due: AMOUNT $114.96 $80.47 $41.00 $39.00 $49.00 $1.00 $1.20 $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 Pagelofl 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov • Ccicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date ~~R1-02o-23o1-__ , z.s-s: 'fr-. 'f-7.. /. "1..ol.O Job Address 1558 Maritime Drive, Carlsbad CA 92011 Suite:. ____ _.APN: 215-071-26-00 CT/Project #:. _________________ Lot #:, ____ Year Built: .::2.::0.::0.::0 ______ _ Fire Sprinklers: 0 YES fi/5 NO Air Conditioning: fit YES O NO Electrical Panel Upgrade: 0 YES l!/No BRIEF DESCRIPTION OF WORK: conversion of garage space into a bedroom and half bath (garage will be reduced from a 3 car to a 2 car garage) 0 Addition/New: Living SF, Deck SF,, ___ Patio SF,, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? OY ~N New Fireplace? OY EJN, if yes how many? __ liJRemodel:._1_9_9 ___ SF of affected area Is the area a conversion or change of use ? f!lv ON 0 Pool/Spa:. ____ SF Additional Gas or Electrical Features? ___________ _ osolar:, ___ KW,, ___ Modules, Mounted:0Roof 0Ground, Tilt: 0 YON, RMA: OY ON, Battery:OY ON, Panel Upgrade: OY ON D Re roof: _________________________________ _ D Plumbing/Mechanical/Electrical Only: _______________________ _ D Other: 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 listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNERS AUTHORIZED AGENT APPLICANT D Name:. __________________ _ PROPERTY OWN,ER V ,-.-APPLICANT Iii Name: 1£a.VI~ _AV) \ -('.ee5R...... Address: 1558 Maritime Drive Address: _________________ _ City:Carlsbad State:CA Zip:92011 City:. _________ State:, ___ Zip:, ____ _ Phone: _________________ _ Phone: 619-446-9192 Email:lravis.k.vantreese(.@,Qmail.com Email: travis.k.vantreese(.@,Qmail.com DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT D Name:. _______________ _ Name:. _________________ _ Address:. _______________ _ Address:. _________________ _ City:. _______ state:. ___ Zip:. ___ _ City:. _______ State:. ___ Zlp:, _____ _ Phone:. _______________ _ Phone:. _________________ _ Email:, ________________ _ Email:. _________________ _ Architect State License: __________ _ State License/class:. _____ Bus. License:. ___ _ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@car1sbadca.gov REV. 08/20 IDE0NTIFY 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 fu/1 force and effect. I also affirm under penalty of perjury one of the fa/lowing declarations: 01 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. ______________________________________ _ DI 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: Insurance Company Name: ____________________ _ Polley No. ____________________________ Expiration Date: _______________ _ 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: ____________________ _ CONTRACTOR PRINT/SIGN:. __________________ DATE: _____ _ (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the fa/lowing reason: 0 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). [iii, 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 lam exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: Ii] "Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached. 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 Proof of identification attached. By my signature below 1 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 that a copy of the applicable law, 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.ca.gov/cafaw.html. APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT HE 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 contractors behalf. I certify that f have 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 LIABILITIES, JUOGMEIVTS, 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 requir or excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. APPLICANT PRINT/SIGN. DATE: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 08120 Permit Type: BLDG-Residential Application Date: 09/21/2020 Owner: OWNER VANTREESE TRAVIS AND JENIFER Work Class: Alteration !ssue Date; 11/20/2020 Subdivision: CARLSBAD TCT#93-09A OCEAN BLUFF Status: Closed -Finaled Expiration Date: 06/07/2021 Address: 1558 MARITIME DR IVR Number: 28782 CARLSBAD, CA 92011-4032 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Wednesday, January 20, 2021 Page 2 of 2 Building Permit Inspection History Finaled (city of Carlsbad Permit Type: BLDG-Residential Applicatlon Date: 09/21/2020 Owner: OWNER VANTREESE TRAVIS AND JENIFER Work Class: Alteration Issue Date: 11/20/2020 Subdivision: CARLSBAD TCT#93-09A OCEAN Status: Closed -Finaled Expiration Date: 06/07/2021 IVR Number: 28782 BLUFF Address: 1558 MARITIME DR CARLSBAD, CA 92011-4032 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date 11/2512020 11/2512020 BLDG-21 U nderground/Underflo or Plumbing Checklist Item 144762-2020 COMMENTS BLDG-Building Deficiency 12/01/2020 12/01/2020 BLDG-14 Frame/Steel/Bolting/We ldlng (Decks} Checklist Item 145033-2020 COMMENTS Status Partial Pass Tim Kersch BLDG-Building Deficiency Pass for subfloor framing. Need wet stamp for design of sub floor. 12/08/2020 12/0912020 12/08/2020 BLDG-84 Rough Combo(14,24,34,44} 145605-2020 Checklist Item BLDG-Building Deficiency BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough~Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers COMMENTS 12/09/2020 BLDG-17 Interior Lath/Drywall 145778-2020 Checklist Item COMMENTS TEXT Passed Passed BLDG-Building Deficiency NOTES Created By Paul Burnette Video inspection 01/20/2021 01/20/2021 BLDG-Final Inspection Checklist !torn 148631-2021 COMMENTS BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final Wednesday, January 20, 2021 Passed Tim Kersch Paul Burnette Chris Renfro Passed Yes Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Passed Yes Created Date 12/0912020 Passed Yes Yes Yes Yes Yes Incomplete Complete Complete Complete Page 1 of 2 DATE: 11/13/2020 JURISDICTION: Carlsbad ✓• EsG1I A SAFEbu1lt Co1npany PLAN CHECK#.: cbR2020-2307 PROJECT ADDRESS: 1558 Maritime Dr. SET III PROJECT NAME: Partial Garage Remodel to Create Bedroom 0 APPLICANT 0 JURIS. ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by~ Telephone#: Email: Mail Telephone Fax In Person 0 REMARKS: By: Richard Moreno. Phone: 858-345-6435 EsGil 11/5/2020 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 DATE: 10/30/2020 JURISDICTION: Carlsbad ✓• EsG1I A SAf'tbuilf Company PLAN CHECK#.: cbR2020-2307 PROJECT ADDRESS: 1558 Maritime Dr. SET II PROJECT NAME: Partial Garage Remodel to Create Bedroom □ APPLICANT □ JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. IZI The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. IZI The applicant's copy of the check list has been sent to: Travis Van Reese D EsGil staff did not advise the applicant that the plan check has been completed. IZI EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Travis Van Reese Telephone#: 619-446-9192 Date contacted: (by: ) Email: travis.k.vantreese@gmail.com Mail Telephone Fax In Person 0 REMARKS: By: Richard Moreno. Phone: 858-345-6435 EsGil 10/22/2020 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 DATE: 10/5/2020 JURISDICTION: Carlsbad ✓• EsG1I A SAfLbui!t Company PLAN CHECK#.: cbR2020-2307 PROJECT ADDRESS: 1558 Maritime Dr. SET: I PROJECT NAME: Partial Garage Remodel to Create Bedroom □ APPLICANT □ JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ~ The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ~ The applicant's copy of the check list has been sent to: Travis Van Reese D EsGil staff did not advise the applicant that the plan check has been completed. ~ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Travis Van Reese Telephone#: 619-446-9192 Date contacted: (by: ) Email: travis.k.vantreese@gmail.com Mail Telephone Fax In Person 0 REMARKS: By: Richard Moreno EsGil Enclosures: 9/21/2020 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad cbR2020-2307 10/5/2020 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK#.: cbR2020-2307 JURISDICTION: Carlsbad PROJECT ADDRESS: 1558 Maritime Dr. FLOOR AREA: Remodel: 199 SF REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: 10/5/2020 FOREWORD (PLEASE READ): STORIES: HEIGHT: DATE PLANS RECEIVED BY ESGIL CORPORATION: 9/21/2020 PLAN REVIEWER: Richard Moreno This plan review is limited to the technical requirements contained in the California Residential Code, California Building Code, California Plumbing Code, California Mechanical Code, California I Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinance by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Present California law mandates that construction comply with the 2019 edition of the California Code of Regulations (Title 24), which adopts the following model codes: 2019 CRC, 2019 CBC, 2019 CPC, 2019 CMG and 2019 CEC. The above regulations apply, regardless of the code editions adopted by ordinance. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2019 California Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. Carlsbad cbR2020-2307 10/5/2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Richard Moreno BUILDING ADDRESS: 1558 Maritime Dr. BUILDING OCCUPANCY: PLAN CHECK#.: cbR2020-2307 DATE: 10/5/2020 BUILDING I AREA I Valuation PORTION ( Sq. Ft.) Multiplier remodel 199 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance 1997 USC Buildin Permit Fee g .,. 1997 UBC Plan Check Fee ,.. Type of Review: □ Complete Review D Repetitive Fee .,. • Repeats □ Other □ Ho..-ly EaGilFee Reg. VALUE Mod. D Structural Only Comments: In addition to the above fee, an additional fee of$ $ /hr.) for the CalGreen revi.ew. ($) 9,255 9,255 $74A81 Is due ( hour@ Sheet of Ccicyof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool A If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. A Details on CAP ordinance requirements are available on the city's website. A A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and download the latest form. Project Name/Building PermitNo.: _____________ BPNo.: (J3RZol0 -2XJ+- Property Address/APN: 1558 Maritime Drive, Carlsbad CA 92011 / 215-071-26-00 Applicant Name/Co.: Travis Van Treese Applicant Address: 1558 Maritime Drive, Carlsbad CA 92011 Contact Phone: 619-446-9192 Contact Email: travis.k.vantreese@gmail.com Contact information of person completing this checklist (if different than above): Name: Company name/address: Travis Van Treese 1558 Maritime Drive Carlsbad CA 92011 Contact Phone: Contact Email: 619-446-9192 travis.k. vantreese@gmail.com Applicant Signature,~ Date: 9/18/2020 8-50 Page 1 of 6 Revised 06/18 Ccityof Carlsbad OWNER-BUILDER ACKNOWLEDGEMENT FORM B-61 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov OWNER-BUILDER ACKNOWLEDGMENT FORM Pursuant ta 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 1558 Maritime Drive, Carlsbad CA 92011 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. I. TVT I understand a frequent practice of unlicensed contractors is to have the property owner obtain an "Owner- lluilder" 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. II. TVT 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. TVT 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. TVT 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. TVT 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. TVT 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. VII. TVT 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. VIII. TVT 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. IX. TVT 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 1-80O-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. X. TVT 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: 1558 Maritime Drive, Carlsbad CA 92011 XI. TVT I agree that, as the party legally and financially responsible forth is proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. XII. TVT I 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 con be issued, this form must be completed, signed by the property owner and returned to the City of Carlsbad Building Division. / declare under penalty of perjury that I have read and understand off of the information provided on this form and that my responses, including my authority ta sign this form, is true and correct. I am aware that I have the option to consult with legal counsel prior to signing this form, and J have 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. Travis Van Treese Property Owner Name (PRINT) 2 9/18/2020 Date REV. 08/20