HomeMy WebLinkAbout2468 TORREJON PL; ; CBR2020-3414; PermitPrint Date: 01/04/2021 Permit No: CBR2020-3414
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2468 TORREJON PL, CARLSBAD, CA 92009-8033
BLDG-Residential
2162401702
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
12/30/2020
12/30/2020
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Project Title:
Inspector:Orig. Plan Check #:Bathrooms:
Description:GAS LINE REPAIR (E-REVIEW)
Final Inspection:01/04/2021
Bedrooms:Construction Type:
Property Owner: SEYMOUR WALTER S AND SUSAN K
2468 TORREJON PL
CARLSBAD, CA 92009
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
CBR2020-3414
12/30/20
( Cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check _______ _
Est. Value
PC Deposit _______ _
Date _______ _
Job Address :;).L-/-0 g 1o<V q ct-1 ___ ___.APN: _________ _
CT/Project #: ________________ ,Lot #: ____ Year Built: ________ _
Fire Sprinklers: OvEsO NO Air Conditioning:Q YES O NO Electrical Panel Upgrade: @.vesO NO
BRIEF DESCRIPTION Of WORK: ;") rQ-o,:-: ~ n ,..
1::.."-44-"""= lf<~ dltW,-<
0 Addition/New: _____ Living SF,. ___ Deck SF, ___ Patio SF, ____ Garage SF __
Is this to create an Accessory Dwelling Unit? Ov ON New Fireplace? Qv ON, if yes how many? __
0 Remodel: _____ SF of affected area Is the area a conversion or change of use ? Ov ON
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
o solar: ___ KW, ___ Modules, Mounted: 0Roof 0Ground, Tilt: 0 vO N, RMA: Ov ON,
Battery:OY ON, Panel Upgrade: Ov ON
D Reroof: ----------------------------------Etl-Plumbing/Mechanical/Electrical
0 Only: 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 OWNER APPLICANT ~
Name: ...Sg~/
Address: i fi ~ oJ P
CityfnJ$l,? State: (A-Zip: 72Dif(
Phone: ]Cao -:33/ -'1~</
PROPERTY OWNERS AUTHORIZED AGENT APPLICANT ~
Name: ___________________ _
Address: __________________ _
City: _________ .State:. ____ Zip: ____ _
Phone: __________________ _
Email: _________________ Email: ___________________ _
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORp
Name:. _____ Name: ~ £)_(~~'
Address: Address: '?if r ir.~ 1i I i)fl,, C Sw" 1:;--(3
APPLICANT 0
City: _______ .State: ___ .Zip:____ City: )0 ½;nhA " t( State: CA;, Zip: 2J:: 0/99
Phone: Phone: J ~O v_ 1 :LI ,.J/fo</
Email: Email: __________________ _
Architect State License: State license/class: '13 5 J.10 Bus. License: ___ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bulldlng@carlsbadca.gov
i-
IDENTIFY WHO WIU PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby a/firm 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 eff,ct. I also affirm under penalty of perjury one of the
fol/owing dt1claratlons:
0 1 have_ and will mal~tain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work whrch this permit Is Issued. Policy No. ------------------------------□ 1 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. ___________________________ Ex_p_lr-■t-1-on_D_a_te_: ______________ _
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 ls 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 {\) 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: O 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).
_18fi, 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:
D•owner Bullder acknowledgement and verification form" has been filled out, signed and attached to this application.
0 Owners "Authorized Aeent FormH has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behal
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 own r-builder If It has not been constructed in its entirety by licensed
contractors, I understand that a copy of the applicable low, 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/co/ow.html.
OWNER PRINT: _$lliiiilirrri, .. f .. S.,.A:-rJ .... _,iil5iiiiG1111~~----SIGN: -~-J11111114.,.41111i10..,,11115_1111111 ... ~...,.....,, _DATE:_l 2._-_;2_G,_-__ 1
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,
INDEtv'WIFY AND KEEP HARW!LESS THE CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGtv'£NTS, COSTS AND EXPENSES WHICH 1\1\4 YIN ANY WAY ACCR
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: ~U <ii) S~
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558
2
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51\;'.
Email: By)ldln1fllc1rlsbadcuoy
REV . 08/20
,.
II.
(_ Cicyof
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 1s ing · · r f you as the owner-builder of the
property located at: ~ Cl\W,6Jbl0 ('( . a,J; b,:;._J C-i-Y z.__oo 9
Site Address J. ~b ~ ~ I C (
The City of Carlsbad ("City") is providing you with this Owner-Builder ~ckno~ledgment a~d Veri~i~a~io~ for:
to inform you of the responsibilities and the possible risks associated with typical construction activities issue
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 C',ty 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.
a, 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. l, 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.
~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· 51 I understand as an •owner-Builder" I am the responsible party of record on the permit. I understand that 1
may protect '.11yself from potential financial risk by hirln1 a licensed contractor and having the permit filed in his or her name instead of my own.
V.
IV. ~I understand cont111etora ■re required by law to be licensed tnd bonded In Callfomlt and to list their licens numbers on permits and contracts. e
S,..l I understand If I employ or otherwise encqe any persons, other than California licensed contractors d
the total value of my construct1on is at least five hundred dollars ($500), induding labor and mate I Is I • anb
considered an "employer"' under state and federal law. r a ' may e
1
Owner-Builder Acknowledgement Continued
VI. .£,:5 I understand If I am considered an Hemployer" under state and federal law, I must register with the state
and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and
contribute to unemployment compensation for each "employee." I also understand my failure to abide by these
laws may subject me to serious financial risk.
VII. ~ I understand under California Contractors' State License Law, an Owner-Builder who builds single-family
resldentlal structures cannot legally build them with the Intent to offer them for sale, unless all work Is performed
by lfcensed subcontractors and the number of structures does not exceed four within any calendar year, or all of
the work Is performed under contract with a llcensed general building contractor.
VIII. ~ I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable
for any financial or personal injuries sustained by any subsequent owner(s) which result from any latent
construction defects in the workmanship or materials.
IX. 2i_ I understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit
Payments, and the California Division of Industrial Accidents. I also understand I may contact the California
Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information
about licensed contractors.
X. .35_1 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand
that I am the party legally and financially responsible for proposed construction activity at the following address:
XI. 5'.$ I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
by all appl/cable laws and requirements that govern Owner-Builders as well as employers.
XII. __ I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of t he
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 Contractors 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 ond that my responses, including my
authority to sign this form, is true ond 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.
12.-z_,q -2()}_,c)
Property Owner Name (PRINT) Date
2 REV. 08/20
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2020-3414)
BLDG-Residential 12/30/2020Application Date:Permit Type:Owner:COOWNER SEYMOUR WALTER S AND
SUSAN K
P/M/E 12/30/2020Work Class:Issue Date:Subdivision:PARCEL MAP NO 13986
07/06/2021Expiration Date:Status:
IVR Number: 30750
Closed - Finaled 2468 TORREJON PL
CARLSBAD, CA 92009-8033
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
01/04/2021 01/03/2021 BLDG-23
Gas/Test/Repairs
147394-2020 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency January 3, 2021.
1. Gas leak repair, like for like, same size
same location, with tracer wire, and gas
pressure gauge under test-approved.
Yes
BLDG-Final Inspection 147395-2020 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final January 3, 2021.
1. Gas leak repair, like for like, same size
same location, with tracer wire, and gas
pressure gauge under test-approved.
Yes
Monday, January 4, 2021 Page 1 of 1
{cityof
Carlsbad