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Home My WebLink About111 SEQUOIA AVE; F; CBR2020-2255; PermitBuilding Permit Finaled Residential Permit Print Date: 04/14/2021 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 111 SEQUOIA AVE, # F, BLDG-Residential 2060132004 $6,511.40 Description: 140 SF KITCHEN REMODEL CARLSBAD, CA 92008--4030 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Property Owner: Alteration BERNSTEIN PAULA LIVING TRUST 08-13-08 111 SEQUOIA AVE, # F FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) CARLSBAD, CA 92008 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: $281.04 Total Payments To Date: $281.04 (city of Carlsbad Permit No: CBR2020-2255 Status: Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Contractor: BA WORTHING INC Closed -Finaled 09/15/2020 09/16/2020 CRenf 04/14/2021 5145 AVENI DA ENCINAS, # STE I CARLSBAD, CA 92008-4322 (760) 729-3965 Balance Due: AMOUNT $88.35 $61.84 $41.00 $39.00 $49.00 $1.00 $0.85 $0.00 Please take NOTICE that approval of your project includes the '1lmposition11 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 changes1 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 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov , Ccityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Cf:£ZD20-2255 Est. Value lll151 I PC Deposit---------q -· I"' -?n Date --'---'~V::...._,(..,IJ="'--- Job Address 111 SEQUOIA AVE Suite:_#_F ___ APN: 206-013-20-04 CT /Project#:. _________ Lot #: ____ Fire Sprinklers: yes /tiid Air Conditioning: liii) BRIEF DESCRIPTION OF WORK: REMODEL KITCHEN ------------------------------ ~ Addition/New: _____ Living SF, ___ Deck SF, ____ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? lilD New Fireplace? Yes /OSiil, if yes how many? __ Remodel: _1~4~0 ___ SF of affected area Is the area a conversion or change of use ? Yes/@ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ O Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ----------------------------------- □ Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: ------------------------------------ APPLICANT (PRIMARY CONTACT) Name: Alena Brooks Blasio Address: 5145 AVENIDA ENCINAS, SUITE I City: CARLSBAD State:~Zip: 92008 Phone: 760-729-3965 Email: INFO@THISISBAWINC.COM DESIGN PROFESSIONAL Name: BROOKS WORTHING Address: 5145 AVENIDA ENCINAS, SUITE I City: CARLSBAD State:~Zip: 92008 Phone: 760-729-3965 Email: INFO@THISISBAWINC.COM Architect State license: -~3"'9""2~8"'9~4~------ PROPERTY OWNER Name: PAULA BERNSTEIN Address: 111 SEQUOIA AVE #F City: Carlsbad state:~Zip: 92008 Phone: (760) 729-5676 Email: INFO@THISISBAWINC.COM CONTRACTOR BUSINESS Name: B.A. WORTHING, INC. Address: 5145 AVENIDA ENCINAS, SUITE I City: CARLSBAD State:~Zip: _9=2=0=0=8~-- Phone: 760-729-3965 Email: INFO@THISISBAWINC.COM State license: 398764 Bus. License: 549200 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she ls licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury Q!Jf_ of the following declarations: □ 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. )I{ I have and wlll 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: _ii c~w~~G=R=O=lJ~P~------------- Pollcy No. WSD 5052565 00 Expiration Date: 01/01/2021 □ 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 be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage ls unlawful, and shall subject an emplayer 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. CONTRACTOR SIGNATURE: ~~ □AGENT DATE: 09/15/2020 ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ l, 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). □ 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). □ I am exempt under Section _______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT DATE: 09/15/2020 --------------------- 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: ___________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that l 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 Oty of(arlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT.OSHA: An OSHA permit ls required for excavations over 5'(1 deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the bun ding or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 10&A.A Ullifonn.~ APPLICANTSIGNATURE: ~0 DATE: 09/15/2020 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 2 of 2 Rev. 06/18 Building Permit Inspection History Finaled (cityof Carlsbad PERMIT INSPECTION HISTORY for (CBR2020-2255) Permit Type: BLDG-Residential Application Date: 09/15/2020 Owner: TRUST BERNSTEIN PAULA LIVING TRUST 08-13-08 Work Class: Alteration Issue Date: 09/16/2020 Subdivision: CARLSBAD TCT#84-18 Status: Closed -Finaled Expiration Date: 06/14/2021 Address: 111 SEQUOIA AVE, # F CARLSBAD, CA 92008-4030 IVR Number: 28694 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Date Start Date Status 12/02/2020 12/02/2020 BLOG-84 Rough 145258-2020 Passed Chris Renfro Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 12/16/2020 12/1612020 BLDG-17 Interior 146335-2020 Passed Chris Renfro Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency FaceTime inspection completed on Yes 12/16/2020 04/1412021 04114/2021 BLOG-Final Inspection 154900-2021 Passed Chris Renfro Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Wednesday, April 14, 2021 Inspection Complete Complete Complete Page 1 of 1