HomeMy WebLinkAbout2615 CHESTNUT AVE; ; CBR2020-3356; PermitPrint Date: 12/24/2020 Permit No: CBR2020-3356
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2615 CHESTNUT AVE, CARLSBAD, CA 92010-2124
BLDG-Residential
1672701200
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
12/23/2020
12/23/2020
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
TAlva
Plan Check #:
Project Title:
Inspector:Orig. Plan Check #:Bathrooms:
Description:WILSON: GAS LEAK REPAIR (E-REVIEW)
Final Inspection:12/24/2020
Bedrooms:Construction Type:
Applicant: WILSON FAMILY TRUST 03-22-12
2615 CHESTNUT AVE
CARLSBAD, CA 92010
Property Owner: WILSON FAMILY TRUST 03-22-12
2615 CHESTNUT AVE
CARLSBAD, CA 92010
AMOUNTFEE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00
Total Fees:$175.00 Total Payments To Date:$175.00 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
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CBR2020-3356
Est. Value
PC Deposit
Date 12-23-2020
JobAddress2615 Chestnut Avenue Suite:, ____ APN: _________ _
CT/Project #: ________________ Lot #: ____ Year Built: .... 1"""'9 __ 7...,0 ______ _
Fire Sprinklers: O vEs® NO Air Conditioning:Q YES 0 NO
BRIEF DESCRIPTION OF WORK:
Electrical Panel Upgrade: Q vEs O NO
Emergency Gas line Repair
0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ____ Garage SF __
Is this to create an Accessory Dwelling Unit? 0 Y O N New Fireplace? 0 Y O N , if yes how many? __
D Remodel: SF of affected area -----Is the area a conversion or change of use? O v O N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
O Solar:. ___ KW, ___ Modules, Mounted: O Roof O Ground, Tilt: 0 vO N, RMA: O v O N,
Battery:Ov O N, Panel Upgrade: O v O N
D Reroof: ----------------------------------Iii Plumbing/Mechanical/Electrical
0 Only: Other:
Gas Line Repair
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 OWNER APPLICANT Ii
Name: Frederick Wilson
PROPERTY OWNERS AUTHORIZED AGENT
Name: Frederick Wilson
APPLICANT 0
Address: 2615 Chestnut Avenue Address: _________________ _
City: Carlsbad State: CA Zip: 92010 City: _________ State: __ .Zip: ____ _
Phone: 7607293905 Phone: _________________ _
Email: yawhomama@att.net Email: _________________ _
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT 0
Name: _______________ _ Name: _________________ _
Address:, ______________ _ Address: ________________ _
City:, ________ State: ___ .Zip:, ___ _ City: _______ .State: ___ Zip: _____ _
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@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:
D 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. ______________________________________ _
D 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: Insurance Company Name: ____________________ _
Policy No. ____________________________ Expiration Date: _______________ _
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 (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 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).
liJ 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).
D I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
D"owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application.
D 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 that a copy 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.ca.gov/calaw.html.
OWNER PRINT: Frederick w. Wilson SIGN: F. Wilson DATE: 12/23/2(
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 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 SAVE,
INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, 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: Gloria Wilson SIGN: F. Wilson DATE: 12/23/20 --------------
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 08/20
( City of
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 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 2615 Chestnut Avenue, Carlsbad, Ca. 92010
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. ~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.
11. ~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.
111. ~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. ~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. ~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. .nY.__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 . ~ 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. .nY.__ 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. .nY.__ 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--800-321-CSLB (2752) or www.cslb.ca.gov for more information
about licensed contractors.
X. lli._1 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:
2615 chestnut ave
XI. .M_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.
XII . .nY.__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 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 have read and understand all of the information provided on this form and that my responses, including my
authority to sign this farm, is true and correct. I am aware that I have the option to consult with legal counsel prior to signing this form, and I 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.
Frederick W. Wilsor F. Wilson 12/2
Property Owner Name (PRINT) Property Owner Signature Date
2 REV. 08/20
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2020-3356)
BLDG-Residential 12/23/2020Application Date:Permit Type:Owner:TRUST WILSON FAMILY TRUST
03-22-12
P/M/E 12/23/2020Work Class:Issue Date:Subdivision:EL CAMINO MESA #5
06/21/2021Expiration Date:Status:
IVR Number: 30656
Closed - Finaled 2615 CHESTNUT AVE
CARLSBAD, CA 92010-2124
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
12/23/2020 12/23/2020 BLDG-23
Gas/Test/Repairs
146975-2020 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency December 23, 2020:
1. Emergency gas leak repair, gas meter
shut off by SDGE crew.
2. Gas pipe repaired and under air
pressure test with gauge, scope of repair
work-approved.
3. Released gas meter to SDGE-approved.
Yes
12/24/2020 12/24/2020 BLDG-Final Inspection 146974-2020 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final December 23, 2020:
1. Emergency gas leak repair, gas meter
shut off by SDGE crew.
2. Gas pipe repaired and under air
pressure test with gauge, scope of repair
work-approved.
3. Released gas meter to SDGE-approved.
Yes
Thursday, December 24, 2020 Page 1 of 1
{cityof
Carlsbad