HomeMy WebLinkAbout1961 EAST POINTE AVE; ; CBR2021-1139; PermitPrint Date: 05/04/2021 Permit No: CBR2021-1139
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1961 EAST POINTE AVE, CARLSBAD, CA 92008-3777
BLDG-Residential
2073831800
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
04/20/2021
04/21/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
CRenf
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:05/04/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
100AMP SUB PANEL AND NEMA 14-50R RECEPTACLE (E-REVIEW)Description:
Project Title:
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
CBR2021-1139
04/20/21
( Cifyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check _______ _
Est. Value
PC Deposit
Date _______ _
Job Address 1961 E. Pointe Ave. Carlsbad 92008 Suite: ___ ~APN: _________ _
CT/Project #: _________________ Lot #: ____ Year Built ... 1..,9""8""5'---------
Fire Sprinklers:O ESQ NO Air Conditioning:Q YES O NO Electrical Panel Upgrade: Q YESO NO
BRIEF DESCRIPTION OF WORK:
100 Amp subpanel installation with interlock kit and NEMA 14-SOR receptacle.
Move existing 120V lighting/outlet circuits (15MOA) from main panel to sub panel.
0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ____ Garage SF __
ls this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O v O N, if yes how many? __
0 Remodel: _____ .SF of affected area ls the area a conversion or change of use? O v O N
0 Pool/Spa:. ____ SF Additional Gas or Electrical Features? ___________ _
0 Solar: ___ KW, ___ .Modules, Mounted: 0 Roof 0 Ground, Tilt: 0 YO N, RMA: O v O N,
Batterv:Ov ON, Panel Upgrade: O v O N
0 Reroof: ----------------------------------[j) Plumbing/Mechanfcal/Electrical
0 Only: Other:
100Amp Sub Panel Installation
This permit is to be Issued in the name of the Property Owner as Owner-Builder, llcensed contraaor or Authorited Agent of t he
owner or contractor. TIie person listed os the Appliconr ~low will be the main point of contact throughout the perm,1 process.
PROPERTY OWNER APPLICANT fj] PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0
Name: Eric Simon Name:. __________________ _
Address: 1961 E. Pointe Ave Address: _________________ _
City: Carlsbad State: CA Zip: 92008 City: _________ State:_~Zip: ____ _
Phone: 760-889-7 460 Phone: _________________ _
Email: pitridge @ g mail.com Email: __________________ _
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT D Na me: _______________ _ Name: _________________ _
Address: ______________ _ Address:. ________________ _
City: _______ .State: ___ Zip: ___ _ City:. _______ State:. ___ .Zip:. _____ _
Phone: _______________ _ Phone: _________________ _
Email: _______________ _ Email:. _________________ _
Architect State License: _________ _ State Llcense/class:. _____ Bus. License: ___ _
1635 Faraday Aw Clt1sbad, CA 92008
REV 08/20
IDENTIFY WHO WIU 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 om licensed under provisions of Chapter 9 (commencing with Section 7000} of Division 3
of the Business ond Professions Cade, and my license is in full farce ond effect. I also affirm under penalty of perjury one of the
following declarations:
0 1 have and will maintain a ce.rtifleate of consent to setf.msu,e-ro, worl(er~ compensatiot1 pl'O'tlkf ed by Sea ion 3700 of the Labor Code~ f0t the performance of the
workwhi<:h thlspermh:isl$su-ed.. Policy No. ____________________________________ _
0 I hive and will maintain worker's compensation# as requited by Section 3700 of the tabor Code. for the perfocmance or the work for which mis pe,mit i.s issued.
My workers' compensation insurance carrier and pol,icy number are! Insurance Company Name: ___________________ _
Policy No. __________________________ Expirationoate: ______________ _
0 Certificate of fxernption: t certify that in the performance of the work for which this permit is iSsued. I shall not employ -ilnY person in any manner so as to bec.ome
subject to the worker$" compensatfor, Laws of Cali.fomla. WARNJNG: Failure to secure wotkers compensation coverage is unlawful and s~II subject an empk>yttr to
crimjna.l penaltlH 1nd civil fines up to $100,.000.00, in addition the to the CO$tof compensation, damages as 9<0vlded for In Section 3706 of the Labor COde,
Interest and attorney's feM.
CONSTRUCTION LENDING AGENCY, IF ANY:
1 ~reby 1ffinn that there is a cons.trutticw, lending agency for the performance of the wO(k this permit ii iss.\led {Sec. 3097 (1) Civil COde),
Lendet's Name·:. __________________ _,Lemder'sAddress: __________________ _
CONTRACTOR PRINT: _________ SIGN: _________ DATE: _____ _
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I om exempt from C:Ontroctor's Ucense Law fatr the fallowing rea5an:
~ I, as owner of the propeny or my tmpk,vee5 with wages as their sole compen$ation, will do the wort. and the strutture is not intended or offered for sa!e (Sec.
7044. Business and Professions Code: TM c.ontf.ldots License law does not apptyto ,an owner of property who buDds or Improves thereon, and who does such work
hlm$elt or through rus own empfoyee.s. provided that such Improvements are not inte11dt-d or offered for sate. lf., however. the building or Improvement is sold within
one year of completion, the owner4 buadef wfll hive dle burden of provtng lt\at he did not build o.r improve for the purpose of sale).
0 I, JS owner of the pro~, am e,iclusivety contracting with lice-Med contractors to con~ruet the proJec:t (Sec. 7044, Bu!i.ness and Professlofls Code: The
COr'\tractots Ucense taw does not apply to an owner of property who builds or improves thereon, and 00!\tracts for S'UCh projects with contmctor(s) lfcen.sed
pursuant to the Contractor's t.icense law).
DI am ex em Pt under Business and Professions Code Division 3, Chapter 9, Artlde 3, for this reason:
~owner Builder acknow1edgement and vertflc-atlon form" has been tilted out, signed and attad'led to this application.
D Owners •Authoriled Agent Form-• has been filled out. slgned and attached to lhlj iQPlication giving the agent 011rhorlry to obtain the permit on tM owner's be/lolf.
8Y my signature betaw I adc.nowtedge thii~ except for my pe,l'SMII midence in which I must have resided fOl ~t least one year p(k>< to c.ompletion of the
improvements covered by this permit, I cannot legatly sell a structure that I have bl.Ii.It as an owner-builder if it has not been cons.tructed in its enlttety by tkensed
conttac.to,s. I 11/Jd~and thoc o CO/Yf of the opplicabfe Jaw, Sttdot1 7044 of rhe Bfl'.Siness ottd ProffiSJMs Cede,~ requ~sc when this opplic.r;rrion is
submitted or at tht/ollowlttg Website: http:/fwww.leglnfo.co.gov/colow.html. ~ ~ C,_:_,
OWNERPRINT: C:,1L ~;....,,o" SIGN : '1' /g: i -?I DATE: </-J3-2oz/
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
8y my signature below, I certify that: I om the property ow,,er or State of Cal ifornia Ucensed Conrroaor or authorized to oet on the property
owner or canuactor's behalf. I certify that I have read the application and state that the above Information is correct and that the Information an
the plans is accurate. I agree to comp(y with all City ordinances and State lows relating to bu;/ding constrvction.
I here'7t authorize representative of the City of Carlsbod to enter upon the ab= mentKJnM propetty for inspect;on purpoSeS. I ALSO AGREE TO SAVE,
INDEMNIFY ANO KEEP HARMLESS THE 01Y OF CARLSBAD AGAINST AU. LIABIIJ1lf5, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE
AGAINST SA/O 01Y IN CONSEQUENa OF TH£ GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for xcavations aver S'()' deep and
demolition or cOn$trucrion of structures over 3 stories in height.
APPLICANT PRINT:_::b_r..:.'...;'c;...__~ ... S::c:c•..:.•,,,.,---=a..:.'"'-'---SIGN :
163S Faraday Ave cartsbad., CA 92008 Ph: 760-602•2719 f•.: 76().602-8558 Emait: 8lJDdins@cartsbadca.gov
2 REV.08/20
( Cicy of
Carlsbad
OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
8-61
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
OWN ER-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 1961 E. Pointe Ave. Carlsbad, CA 92008
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. C.S.1 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.
II. .f..l.:_1 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. .fiS..,_1 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. £.S. 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. /;.S. 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 •employerp under state and federal law.
1 REV. 08/20
owner-Builder Acknowledgement Continued
VI. [...r,._ 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, pr·ovide 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. G,S., 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. Q 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. QI 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. €->~ 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:
1961 E. Pointe Ave. Carlsbad, CA 92008
XI. G .S-1 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. G, 5; 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 Soard 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 un'licensed 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 stat us 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.
I dedore under penofry of perjury that I hovt tttld oad und-trnond ol oj the informad<Jn provided on rhis form and that my tespottSl!S~ lnetudif'l'J my
authority to sign this form, ;s ~ ond cotrect I om owore that I have the option to consult with ltgoJ counsel prior to signing this form~ ond t have
either (l}consu/ted with legol counsel pri()( to signjng this form Of (2) havt wa,'ved th.ls right In signing cflis form wirhout the odvke of (eg,ol counstl.
Property Owner Name (PRINT) Property Owner Signature Date
2 REV.08/20
( City of
Carlsbad
OWNERS
AUTHORIZED
AGENT FORM
B-62
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
OWNER'S AUTHORIZED AGENT FORM
Only o property owner, contractor or their authorized agent may submit plans and applications for building
permits. To authorize a third-party agent to sign for a building permit, the owner's third parry agent must bring
this signed form, which identifies the agent and the owner who s/he is representing, and for what Jobs s/he
may obtain permits. The form must be completed in its entirety to be accepted by the City for each separote
permit application.
Note: The following Owner's Authorized Agent form is required to be completed by the
property owner only when designating on agent ta apply far a construct/on permit
on his/her behalf.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility,
I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary
to obtain an Owner-Builder Permit for my project.
Scope of Construction Project (or Description of Work): ____________________ _
Project location or Address: _____________________________ _
Name of Authorized Agent: __________________ Tel No. _________ _
Address of Authorized Agent:. _____________________________ _
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled
out the above information and certify its accuracy.
Property Owner's Signature: ____________________ Date: ______ _
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-1139)
BLDG-Residential 04/20/2021Application Date:Permit Type:Owner:COOWNERS ERIC SIMON AND
PATRICIA CANAS
P/M/E 04/21/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#76-15 UNIT#01
11/01/2021Expiration Date:Status:
IVR Number: 32903
Closed - Finaled 1961 EAST POINTE AVE
CARLSBAD, CA 92008-3777
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
05/04/2021 05/04/2021 BLDG-33 Service
Change/Upgrade
156442-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Final Inspection 156443-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Electrical Final Yes
Tuesday, May 4, 2021 Page 1 of 1
{cityof
Carlsbad