HomeMy WebLinkAbout2702 MEDFORD CT; ; CBR2021-1634; PermitPrint Date: 07/07/2021 Permit No: CBR2021-1634
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2702 MEDFORD CT, CARLSBAD, CA 92010-2177
BLDG-Residential
1674331400
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
06/02/2021
06/03/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
PBurn
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:07/07/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
SCHULER: RELOCATE AND UPGRADE SDGE GAS METER (E-REVIEW)Description:
Project Title:
Property Owner:
SCHULER NICHOLAS S AND SHELBY R
2702 MEDFORD CT
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
CBR2021-1634
6/2/21
,
Job Address2702 Medford Court
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Suite: _____ APN: ___________ _
CT /Project It: Gas Meter Upgrade/relocation SDGE Job# 530000224947 Lot It: Year Built: 1984 --------------
Fire Sprinklers: QvEs0 NO Air Conditioning:Q YES 0 NO EI e ctr I ca I Panel Upgrade: Q vesO NO
Relocating and upgarding SDGE Meter
0 Addition/New: ______ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? Ov ON New Fireplace? Ov ON, if yes how many? __
D Remodel: SF of affected area , _____ , Is the area a conversion or change of use ? Ov ON
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
o solar: ___ KW, ___ Modules, Mounted:0Roof 0Ground, Tilt: 0 vO N, RMA: Ov ON,
Battery: Ov ON, Panel Upgrade: Ov ON
D Reroof: -------------------------------------[j] Plumbing/Mechanical/Electrical
0 Only: Other:
Relocating and upgrading SDGE Gas Meter
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 paint of contact throughout the permit process.
~ □
Name: Nick Schuler Name: ---------------------Address: 2702 Medford Court Address: ___________________ _
City: Carlsbad State:~Zip: 92010 City: __________ State: ___ Zip: ____ _
Phone: 619-733-0675 Phone: ___________________ _
Email: battalion3311@,qmail.com Email: ____________________ _
□ □ Name: __________________ Name: ___________________ _
Address: ________________ _ Address: __________________ _
City: ________ State: ___ Zlp: ____ _ City: ________ State: ___ Zip: ______ _
Phone: _________________ _ Phone: ___________________ _
Email: battalion3311@gmail.com Email: ___________________ _
Architect State License: ___________ _ State License/class: ______ Bus. License: ____ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email:
REV. 08/20
I ereby alJ rm tJnaer penalty of per,ury that I om licensed under provisions of Chapter 9 (commencing with Seel/on 7000) of D1v1s1on 3
aJ :he 1>usme5s and PraJernans Code, and my license 1s in f ull farce and effect. I also affirm under penalty of perjury one of the
fa ow ng declarot,ons
0 1 ~and"' I m.111\tn , a certificate of coruent to self-insure for workers' compensation provided by Semon 3700 of the Labor Code, for the performanco of the worlt ,.hfd, th'5 permit lS issued. Policy No .. ______________________________________ _
0 I ~ and v.,I mall\taIn worker's compensat10n, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
My ... u .-rs' compensat10n insurance earner and policy number are. Insurance Company Name: ____________________ _
Policy No. ____________________________ Expiratlon Date: _______________ _
:=; Cl!rtJfate 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
sub!ect to the worlcers' compensation Laws of cahfornla. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to
crimln.ll penalties and cMI 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.
Mttby affirm that there IS a construction lending agency for the performance of the work this permit Is issued (Sec. 3097 (1) Civil Code).
lender's Name: ____________________ ,Lender's Address: ____________________ _
CONTRACTOR PRINT: _________ SIGN: _________ DATE:
I hereby affirm char I am exempl from Contractor's License Law for the following reason: = I, as owner of the property or my employtts with wages as their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec
704-4, BUSU1esS and Professions Cod~. The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such work
twnse I or thtoug)1 hlS own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within
one yea, of com~uon. the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
"i' I, as owner of the property, am 6<:lus,vely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Conuxt.or's LJanse Law does r,ot apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed
pursu.ni to~ Conuactof's Ucense Law)
0 1 am o empt under BUSlneSS and Professions Code D,v1slon 3, Chapter 9, Article 3 for this reason
I Owlwr Build~ acknowltd&ement and venl<cauon form• has t,,,en filled oul. signed and attached to 1h1s apphcatlon
0 Owners •Authonz~ A~"t Form" has ~en fo '!'O out, 1,,gned •nd •ttOLh~d to 1hts appllcauon qlvmg the oq,nr outhortty to obto,n the perm,, on the own,r'< behalf
1"' • f rry r , dt-r t' 111 wt1 fh I muc,t h-,.J,. re-\td d for J\ ll'a\t unt: yf 1r prior to com pl \I, -, ot th
I ,t I " Lu 't wr1◄ r I.Ju d• r 1f It ti 1 11 b r c ,l'll lf d in It r ty ,., 11
I untHrstol'ld thor o UJ(l"IO/ the oppl,cob~ luw, s«tlon 7044 of the 8111/ntu and P,oj,sslons Code, Is ovolloble upon request when this oppllcot/on Is
wbm'ued 01 O11h-Jo laN,ng Vltb Slit hllp //www kgln/o co gov/co/ow hrml
OWNER PRINT: Nick Schuler -------------SIGN: ;l/d, Sc/~ DATE: 5-20-21 -------------
By my s1gnorurt! btlON, I ctrt,/y rhor I am rhe proprny owner or Sr ate of Collfornla Licensed Contractor or authorized 10 act on lhe properry
owntr o, controctor'1 b,hal/ I ctrt1/y 1hor I hove rtod tht oppl/cotlon and Stott thor the obovt Information Is correct and that the information on
tht plans IS ou.urott I ogru 10 comply with all Clry ordmoncts and State laws rtlotlng 10 building construction
1 htrtb'/ outhotut rtpr~motJW! of tht C,ry of Corlsbod ro tnler upon the obcvc menrloned property Jo, lmpectlon pu,poscs I Al.SO AGREE TO SAVE,
lflDlMN/fY AND YECP HARMLESS TH{ OTYOF CARI.S8ADAGAINSr ALL I IAB/Llfl[S, JUOGM[NrS, COSTS AND EXPCNSES W/1/CH MAYIN ANY WAY ACCRUE
AGAINST SAID OT'f IN COIIS[QUU/a or Tl/{ GRA//111/G Or Tl/IS P£RMlf. OSI/A An OSI/A ptr Ir Is required for txcovatlons over 5'0' deep ond
dtmol,t,on or construwon of srrucrures over J 11orlts In height
APPLICANT PRINT: ~,' .,l f t-bv Iv
~h 760 602 27l 9 r •• 760 602 8SS8 [mJII
2 Rev. osno
r OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
B-61
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
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 2702 Medford Court 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, NSS 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 homeowners
insurance may not provide coverage for those 1n1uries. I am willfully acting as an Owner Builder and am aware of
the limits of my insurance coverage for 1n1unes to workers on my property.
II. NSi:'j, 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 responsib1l1ty
Ill N~, 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. N&§, understand contractors are required by law to be licensed and bonded In Cal1forn1a and to list their license
numbers on permits and contracts.
V. NSc1 understand 1f 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
REV. 08/20
Owner-Builder Acknowledgement Continued
VI N~1 understand 1f I am considered an "employer" under slate and federal law, I must register with the state
and federal government, withhold payroll taxes, provide workers' compensation d1sab1l1ty 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. N~ 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 bu1ld1ng contractor
VIII. N~ I understand as an Owner Builder 1f I sell the property for which this permit is issued, I may be held liable
for any fmanc1al or personal Iniunes sustained by any subsequent owner(s) which result from any latent
construction defects in the workmanship or materials
IX ~ I understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Adm1n1strat1on, 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 111format1on
about licensed contractors.
X ~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:
2702 Medford Court-(Gas Meter relocation and upgrade)
XI. nss 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. nss 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 t o 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 farm must be completed, signed by the property owner and returned
to the City of Carlsbad Bu//dlng Division.
I declare under penalty of perjury rho! I have read and understand all of rhe Information provided on this form and rhar my responses, mclud,ng my
ourharlty to sign this f orm, Is rrue and correct. I am aware rhor I have the oprlon ro consul! wlr/1 legal counsel prior ro signing this form, and/ have
either {I) consulted with legal counsel prior to signing rh/1 form or {Z) have waived rh1s right In signing rhis farm without the advice of legal counsel.
Nick Schuler
Property Owner Name (PRINT) Property Owner Signature
5-20-2021
Date
REV. 08/20
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-1634)
BLDG-Residential 06/02/2021Application Date:Permit Type:Owner:COOWNER SCHULER NICHOLAS S
AND SHELBY R
P/M/E 06/03/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#74-04
01/04/2022Expiration Date:Status:
IVR Number: 33769
Closed - Finaled 2702 MEDFORD CT
CARLSBAD, CA 92010-2177
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
07/07/2021 07/07/2021 BLDG-23
Gas/Test/Repairs
161307-2021 Passed Paul Burnette Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Final Inspection 161308-2021 Passed Paul Burnette Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Plumbing Final Yes
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
Wednesday, July 7, 2021 Page 1 of 1
{cityof
Carlsbad