HomeMy WebLinkAbout2580 DAVIS AVE; ; PC2020-0037; PermitPERMIT REPORT
Plan Check Permit
Print Date: 10/21/2021
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2580 DAVIS AVE,
BLDG-Plan Check
1552520600
$0.00
CARLSBAD, CA 92008-1451
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Residential
Description: LUEBBERT: 200 SF BEDROOM ADDITION// 106 SF REMODEL// 480 SF ATTACHED ADU
Applicant:
JAMES CHINN
2120 JIM MY DURANTE BLVD, # 114
DEL MAR, CA 92014-2215
(858) 755-5863
FEE
Property Owner:
D L FAMILY TRUST
2580 DAVIS AVE
CARLSBAD, CA 92008
BUILDING PLAN REVIEW -MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
MANUAL BLDG PLAN CHECK FEE
Total Fees: $910.35 Total Payments To Date:
Building Division
$618.35
Status:
(city of
Carlsbad
Permit No: PC2020-0037
Closed -Finaled
Applied: 09/22/2020
Issued: 11/16/2020
Finaled Close Out: 10/21/2021
Inspector:
Fina! Inspection:
Balance Due:
AMOUNT
$194.00
$98.00
$618.35
$292.00
Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
r
{_ City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check $C2o20-co3l
Est. Value _ {W. l'iO
PC Deposit 11~1
11{. 35'.:
Date 'l ' 2--Z.. -'l-0 2D
Job Address 2580 DAVIS AVE. / A OlJ i< 2 $'".$'2-7)-r,s Suite: APN: 155-252-06-00 ' ----
CT /Project#: MAP 995. BLOCK 13 Lot #:_6 ___ Year Built: _1_9_5_7 ______ _
Fire Sprinklers: 0 YES O NO Air Conditioning: 0 YES O NO
BRIEF DESCRIPTION OF WORK:
Electrical Panel Upgrade: 0 YESQ NO
480 S.F. ATTACHED ACCESSORY DWELLING UNIT. 200 S.F. BEDROOM ADDITION TO MAIN HOUSE & 106 S.F. INT. REMODEL
Iii Addition/New: 680 Living SF, ___ Deck SF, ____ Patio SF,. ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? OY ON New Fireplace? OY ON, if yes how many? __
Iii Remodel: 106 SF of affected area -----Is the area a conversion or change of use? OY ON
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
osolar: ___ KW,. ___ Modules, Mounted:0Roof 0Ground, Tilt: 0 YON, RMA: OY ON,
Battery:OY ON, Panel Upgrade: OY ON
D Re roof:. ______________________________ _
D Plumbing/Mechanical/Electrical Only: _______________________ _
D Other:
This permit Is to be Issued In the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent ofthe
owner or contractor. The person listed os the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER ■ APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT ■
Name: pt:,..✓e \ U§~ Name: ~t::,../"IIZS Ct¼">!::? be.<:.k?,n;!>,S[
Address: 2580 DAVIS AVE. Address: 2120 JIMMY DURANTE BL #114
City: CARLSBAD State:._C_A_~Zip: 92008 City: DEL MAR State: CA Zip:_9_20_1_4 __ _
Phone: 314-246-9692 Phone: 858-755-5863
Email: ddave21@vahoo.com Email: . iOl vw:& d-J\!l"'@e 3 vYI""< ~ I. LOH
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT D
Name: JAMES CHINN
Address: 2120 JIMMY DURANTE BL #114
City: DEL MAR
Phone: 858-755-5863
State:_C_A _ _,Zlp: 92014
Email: jameschinn400@gmail.com
Architect State License: _c_-1_5_73_7 _______ _
Name: __________________ _
Address: _________________ _
City:. _______ State:. __ ~Zip: _____ _
Phone: _________________ _
Email:. __________________ _
State Ucense/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:
01 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. Polley No .. ________________________________________ _
DI 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: _____________________ _
Poticy No .. ___________________________ Explration Date: ______________ _
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 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, dama1es 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) Clvil 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:
IIJl, 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, Buslness and Professions Code: The Contractor's License Law does not apply to an owner of property who bullds 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).
DI, 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 Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached.
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.
Proof of Identification attached.
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 law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or otthefol/owlng Website: (ilii(!:'ww.le,rt~~~--'-~--.. ~ ~
OWNER PRINT/SIGN: Oov...)v~~ b~6e"'¢:'\DATE: _,.,_, __ ,. ____ _
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 contractors 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.
J hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA Vt
INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMEf'ITS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE
AGAINST SAID CITY IN CONSEQUENCE OF THE GRAN7: G THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and
demolition or construction of structur n e · h .
163S Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-BSSB Email: Bui1ding@carlsbadca.gov
2 REV. 08/20
• ✓• EsG1I
DATE 10/9/2020
JURISDICTION: Carlsbad
□ APPLICANT
O JURIS.
PLAN CHECK#.: PC2020-0037 SETI
PROJECT ADDRESS: 2580 Davis Avenue
PROJECT NAME: Attached ADU for Luebbert Residence
□
C8l
□
□
□
□
C8l
□
C8l
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
The applicant's copy of the check list has been sent to:
EsGil staff did not advise the applicant that the plan check has been completed.
EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by~) Email:
Mail Telephone Fax l~~n
REMARKS: Applicant to add note clouded in red on plan sheets 1, 2 and 6 t~ets of plans
held at the City to match the set being approved.
By: Richard Moreno Enclosures:
EsGil
9/24/2020
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
,
Carlsbad PC2020-0037
10/9/2020
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Richard Moreno
BUILDING ADDRESS: 2580 Davis Avenue
BUILDING OCCUPANCY:
BUILDING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
ADU 680
Remodel 106
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
1997 UBC Buildin Permit Fee g ...
1997 UBC Plan Check Fee -.,
Type of Review·
0 Repetitive Fee
.,.. · Repeats
Complete Review
D Other
□ Hourly
EsGil Fee
PLAN CHECK#.: PC2020-0037
DATE: 10/9/2020
Reg. VALUE ($)
Mod.
120,190
120,190
D Structural Only
1-------1I Hr @ *
$455.401
Comments: In addition to the above fee, an additional fee of$ is due ( hour@
$ /hr.) for the CalGreen review.
Sheet of
--
This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior
to issuing a building permit. The City will not issue any building permit without a completed school fee form.
Project# & Name: PC2020-003 7
Permit#:
Project Address:
CBRA2020-0197 & CBRA2020-0198
2580 & 2582 DAVIS AVE
Assessor's Parcel #:
Project Applicant:
(Owner Name)
1552520600
TRUST D L FAMILY TRUST ··~·•~·~--··~-· ·-· ·-· '' ···~·
Residential Square Feet:
New/Additions: 200
Second Dwelling Unit: 480
Commercial Square Feet:
New/Additions:
City Certification: City_of Carls_~~d Builctiri!![)i~ior,i Date: 11/10/2020 _
Certification of ApplicanUOwners. The person executing this declaration ("Owner") certifies
under penalty of perjury that (1) the information provided above is correct and true to the
best of the Owner's knowledge, and that the Owner will file an amended certification of
payment and pay the additional fee If Owner requests an increase in the number of
dwelling units or square footage after the building permit ls issued or if the Initial
determination of units or square footage is found to be incorrect, and that (2) the Owner is
the owner/developer of the above described project(s), or that the person executing this
declaration is authorized to sign on behalf of the Owner.
LJ" I Carlsbad Unified School District
6225 El Camino Real
Carlsbad CA 92009
Phone: (760) 331-5000
12:' ·I Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024
Phone: (760) 944-4300 x1166
I ' j San Dieguito Union H.S. District
684 Requeza Dr.
Encinitas, CA 92024
Phone: (760) 753-6491 Ext 5514
(By Appl. Only)
0 San Marcos Unified Sch. District
255 Pico Ave Ste. 100
San Marcos, CA 92069
Phone: (760) 290-2649
Contact: Katherine Marcelja
(By Appl.only)
[ ·:::1 Vista Unified School District
1234 Arcadia Drive
Vista CA 92083
Phone: (760) 726-2170 x2222
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school district(s))
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS
FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED.
The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder,
or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1
has paid all amounts or completed other applicable school mitigation determined by the School District. The
City may issue building permits for this project.
Signature of Authorized School District Official; [)v:
Title: v ·1 v, I-L1:,d.~~1:vt CADADUNIF!f::B"SCHOOL DlSTRlCT Date: \_i/r :3./l-._O
Name of School District: 6225 EL CAMINO REAL Phone: ]t O 3 3 t -C:,o [.(
CARLSBAD, CA 92r D9
Community & Economic Development -Building Division
1635 Faraday Avenue I Carlsbad, CA 92008 I 760-602-2719 760-602-8558 fax I building@rarlsbadrn.gov
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SJTE TO fAClLITATE RAPID INSTALLATION
OF EROSJON AND SEDIMENT CONffiOL BMPs \\>JEN RAIN
IS EMINENT.
2. me 01\!>JER/CONTRACTOR SHALL RESTORE ALL EROS10N
CONffiOL DEVICES TO WORKING ORDER TO mE SATISFACTION
OF mE CITY INSPECTOR AF11ER EACH RUN-OFF PRODUCING
RAINFALL
3. mE 01\!>JER/CONTRACTOR SHALL INST ALL ADDITIONAL EROSION
CONffiOL MEASURES AS MAY BE REQUIRED BY mE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES ™ICH MAY ARISE.
4. ALL REMOVABLE PRDTECTI\£ DEVICES SHALL BE IN PLACE
AT mE END OF EACH WORKING DAY \\>JEN mE Fl\£ (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OMR DEBRIS SHALL BE REMOl£D AFTER
EACH RAJNF ALL.
5. ALL GRAl£L BAGS SHAUL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION ANO SEDIMENT CONTROL ANO PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTAULED AND MAINTAINED.
7. me CITY INSPECTOR SHAUL HA\£ mE AUmORITY TO ALTER
mis Pl.AN DURING OR BEFORE CONSffiUCllON AS NEEDED
TO ENSJURE COMPLIANCE 111m ClTY STORM WATER QUALITY
REGULATIONS.
OWNER~ CERTIFICATE;
! UNDERSTAND ANO ACKNOYA.EOGE 1HAT I MUST: (1) IMPl.£MENT
8£ST MANAGEMENT PRACTICB (BMPS) DURING CONSTRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
TI-IE MOBILIZATION Of POLLUTANlS SUCH AS SEDIMENT ANO TO
AVOID THE EXPOSURE OF STORM WAlER TO CONSTRUCTION
RELATED POLLUTANTS: AND (2) ADHERE: TO, AHO AT All TIMES,
COMPLY VttTH THIS OTY APPR0\€0 11~ 1 CONSTRUCTION S\\PPP
lttROUGHOUT 1Hf DURA 110N OF 1HE CONSTRUCTION ACTIVITIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPRO'Vffi
BY THE arr Of CAR1.SBAD. CPct "",_,
OWN 'PR!N
0~ RE. l1/4~,~
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP (.! ( '2-{2c -Cl D J ~~
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
'""""' Coolroi $edlm9nt Control SMPs T""""" Non-St)rmWater waste Management and Materials
BMP, """"""" -·-Pollution Comrol BMP5
I ,§ ] -l 1! ~ -ii g ii 0 £ ~ ] .• ti g
1 ii ~ ~ " a, § 8
11
. -. l ;§ ""-.. f .. ~£ ~ ,§ Best Management Practice• .. .• i f!_ E i iii • w E ii j_
i § JV/ i i .f ~ . ! !~ .. l~ .Si -~ (BMP) Description ➔ ~ i 8 1l ~ §I }f O• " " j!l :i O 8, ~ "' 8' c~ Jl. "6 g. -.!! it 0 ,fl ~.\! iii ,,
1! ~--I I J • !l =· =· i· :g Ji§ ·~ :sif n• t!~ ~] I! j ,?i I;; ~ ls j ui£ .8 .. ;nJ j,t 0 'i., ~tii ~ vi 3i !ii ~i ~ ~· .fo .. >0
=-➔ .... "' m ~ v ~ "' .... "' 0 N ~ .... "' ' N ~ • "' m
I I I ' ~ iii I I I J, J, ' ' I ' J, J, J, I I I I '
eo,,.._ ·-· bl bl i.l bl I:! I:! I:! w l!S l!S ~ f f f f f f ~ ~ ~ z z z z
Gtod!nn /Soil Disturbance
Trenchl,i ,ccovation
St "" Drillln ""'" Concn1tefA,,,..holt So-.cutth"I,..
Concrete Flatwork
Pavlno
Conwit Installation
Stucco/Uortcr Work
Waste 01
StanJn-,, O" Down Area ~ X
E t Mointenonce and F-·eHn.: ·
Ha,ar s Substance Use .l!::tora"e X _,
0e¥«Jterlnn
Site Access Across Dirt
Other !list1:
Instructions: 1. Check the box to the left of au applicable constructioo activity (first column} expected to occur during construction.
2, locotl!d along the top of the BMP Table Is a 11st of BMP's with It's e01Tespond!ng Callfomio Storrnwoter Quality Association (CASOA) designation number. ChCOS(I one
or more Bt.fPs )00 Intend to use during construction from the list. CM<:k the box where the chosen activity row inten;ects with the BMP column.
3. Refer to the CASQA construction hondbook for Information and details of the chosen BhlPs and how to apply them to the project
PROJECT INFORMATION
Slle Addi-•"' -2-5 BO QA. '-.I IS A""-
Assessor's Parcel Number:!))-. .. 2)'2 -(.,~ -0:
Emergency Contact:
Namec D t:,,.Je l. '-1 E: 01~(:.1'-T
24 Hoo, Phooec 2 I'{ -2-I.(<, -'7~ 'f2
Construction Threat to Storm 'Noter Qliolity
{Cheek Box) /
0 MEDIUM 5(LOW
ti iii
.SE h §, ~I
"' I f
V
Page 1 of 1 REV 11/17
( City of
Carlsbad
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
B-50
Development Services
Building Division
1635 Faraday Avenue
(760) 602-2719
www.carlsbadca.gov
This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance
requirements apply to their projects. The completed checklist must be included in the building permit application. It may be
necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate
full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach
to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as
specified by the ordinances.
NOTE: The following type of permits are not required to fill out this form
❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool
.i If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance,
an explanation must be provided to the satisfaction of the Building Official.
.i Details on CAP ordinance requirements are available on the city's website .
.i A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be
completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and
download the latest form.
Project Name/Building
PermitNo.: LUEBBERT ADU/ ADDITION BPNof> C?o'l0-00 '5+
PropertyAddress/APN: 2580 DAVIS AVE.
Applicant Name/Co.: JAMES CHINN
Applicant Address: 2120 JIMMY DURANTE BL. #114 DEL MAR, CA. 92014
Contact Phone: 858-7 55-5863 Contact Email: jameschinn400@gmail.com
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
8-50
Contact Phone:
Contact Email:
Page 1 of6 Revised 06/18
City of Carlsbad Climate Action Plan Consistency Checklist
Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project.
For alterations and additions to existing buildings, attach Building Permit Valuation worksheet.
Building Permit Valuation (BPV) from worksheet: $._1_1s-'-,2_so_.o_o __ _
--•·•·~•:· ■-fif•• •. 1111 -• RfPII
A high-rise residential building is 4 or more stories, including a
0 Residential
□ New construction
□ Additions and alterations:
□ BPV < $60,000
0 BPV;, $60,000
Electrical service panel upgrade only ( □
□ BPV;, $200,000
D Nonresidential
□ New construction
□ Alterations:
□ BPV ;, $200,000 or additions " 1,000
square feet
□ BPV" $1,000,000
□ "2,000 sq. ft. new roof addition
1. Energy Efficiency
Low-rise High-rise mixad-use building in which at laast 20% of its conditioned floor
area is residential use
N/A
~-1A, 4A____,
1A, 4A'
I1B, 2B, 3B,4A
N/A
4A
1B, 4A'
1B, 2B, 3B, 4B and 5 j
1B, 5
1B,2B,5
2B,5
All residential additions and alterations
1-2 family dwellings and townhouses with attached garages
only
'Multi-family dwellings only where interior finishes are removed
and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
Building alterations of" 75% existing gross floor area
1 B also applies if BPV;, $200,000
Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for
more infonnation when completing this section.
A. 0 Residential addition or alteration 2 $60,000 building pennlt valuation. □ NIA ________ _
See CMC section 18.30.190. □ Exception: Home energy score " 7
(attach certification)
Year Buitt Single-family Requirements Multi-family Requirements
0 Before 1978 Select one:
□ Duct sealing 0Attic insulation □Cool roof □ Attic insulation
□ 1978 and later Select one:
□ Lighting package □ Water heating Package
□ Between 1978 and 1991 Select one:
□ Duct sealing □ Attic insulation □Cool roof
Select one: □ 1992 and later □ Lighting package □ Water heating package
B. D Nonresidential' MW construction or alterations 2 $200,000 building pennlt valuation,
or addltiions 21,000 square feet □ NIA
Updated 8/1512019 2
City of Carlsbad Climate Action Plan Consistency Checklist
4. Electric Vehicle Charging
A 0 Residential New construction and major alterations*
Please refer to Carlsbad Ordinance CMC section 18.21.140 when com lelin this section.
✓ One and two-family residential dwelling or townhouse with attached garage:
[l]one EVSE Ready parking space required D Exception :
□Multi-family residential· D Exception ·
Total Pari<ing Spaces EVSESoaces
Prooosed Caoable ReadV
Calculations: Total EVSE spaces = .10 x Total parking (rounded up to nearest whole number)
EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number)
EVSE other= Total EVSE spaces -EVSE Installed
(EVSE other may be "Capable," "Ready" or "Installed.")
Installed I Total
I
'Major alterations are: (1) for one and two-family dweRings and tov.nhouses v,;it, attached garages, alterations have a building penntt valuation ~ $60,000
or indude an electrical service panel upgrade; (2) for multifamily dwellings (three untts or more without attached garages), alterations have a building permit
valuation ~ $200,000, interior finishes are removed and significant stte work and upgrades to structural and mechanical, electrical, and/or plumbing
systems are proposed.
B. D Nonresidential ,_ constrvctlon (includes hotels/motels) D Exception ·
Total Pari<ing Spaces EVSE Spaces
Pronnsed Caoable I Readv I Installed I Total
10 2 I 5 I 1 I 8
Calculation: Refer to the table below:
TotalNumberofParkinaSnacesorovided Number of "'"uired EV Soaces Number of reauired EVSE Installed Silaces
□ 0-9 1 1
10-25 2 1
26-50 4 2
51-75 6 3
□ 76-100 9 5
101-150 12 6
151-200 17 9
201 and over 10 ""rcent of total 50 ""rcent of Reouired EV Soaces
Updated 8/15/2019 5
(_ City of
Carlsbad
OWNERS
AUTHORIZED
AGENT FORM
8-62
Development Services
Building Division
1635 Faraday Avenue
760602-2719
www.car1sbadca.gov
OWNER'SAUTHORIZED AGENT FORM
Only a property owner, contractor or their authorized agent may ~ubmit plans and applications for building
permit.s. To authorize a third-party agent to sign for a building permit, the owner's third party agent must bring
this signed form, which idc•nt1fies the agent and tf>' owner who s/he i.s repre5enting, and for what jobs s/he
may obtain permits. The form must be completed J,l its entirety to be accepted by the Citv for each separate
permit application.
Note: The following Owner's Authorized Agent form is required to be completed by the
property owner only when designating an agent to apply for a construction permit
on his/her behalf.
AUTHORIZATION OF }\GENT TO ACT ON PROPERTY OWNER'S PEHALF
Exduciing tl e Property Owner· Acknowledgement, 1 1P i,-·ecution of which I under:>1 and is my peri,onal respons,bil1ty,
l hereby authorize the following person(s) to act iE 'ny agent(s) to apply tor, s.ign, and file the documents necessary
to obtain an Owner-Builder Permit for my project.
. . 2580 Davis Ave ADU Scope of Construnion Project (or Oesrnpt1on c,f Work}:_ ----------.. -.. ~-"~--~,,·•--·--·----
Address of Authorized Agent_? 120 Jimmy C?_~Ec:i~te Blvd #114
Del Mar CA 92078
l dNlare 1mdl:'r penalty of pe,jury that I am the property own1:,r for the acdress listed above and! personally hlled
OJt the above infonnatior ,nd certi'y i .. s accuracy . . , , ' I , /L
Property Owner's Signature: t~~wr 10/6/2020 Date: _______ _
( City of
Carlsbad
OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
B-61
{J_e11_1j'./gp.rr1ent Servicf.~
Building Division
163S Faraday Avenue
760-602·2719
www.c21rlsbadc.1.gov
OWNER-BUILDER ACKNOWLEDGMENT FORM
Pursuant ta State of California Health and Safety Code Section 19825-19829
To: Property Owner
An application for construction permit(s} has been ~ubmitted in your name listing you as the owner builder of the
prupcty lcc:,tcd Jt:
s,te Address 2580 Davis Ave 92008 ------
The City of Carlsb;:id ("City") is providing you with this Owner Builder Acknowledgment and Vcrifrcat1on form
to inform you of the responsibilities and the possib!e rbks associated with typical construction activities issued
;n your '1ame as the Owner-Builder
The City wili not is.sue J construction permit until you have read and mitlaled your understanding of each
provision in the Property Owner Acknowledgment section below Jnd ~ign the forn~. 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: P1eas-e read and inlti.:i! eaCh statement below to acknowledge your llnderstanding and
verification of this information by signature at the bottom of the form. The:.e are very important con:.truction
relatt>d acknowledgments designed to inform the property owner of his/her obligations related to the requested
permit activities.
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V. ~:ncit.Or'ililnd 1f I f'm()IP\' er vfr,f,:w1se eng0;.;r1 M1y 1wr;,_)P':., ,,Jher than C.-iidorn1..,, i'( <:>11'.it.ll CUf'ttilL\on,, and
he :otAl vc1lur: OT mv u:.,'st•ur·t1<:: ',•-t:>t f1v1.' nu :dctd do !cJI'; (~•'iOO). including labnt ,,111(1 ~n:itrrIa:c.. I n1<1v bi•
, :·;r1",ilh:rr·rl ,n·· "ernpiuvf·r"' 1,";dt'f' \Ute <111d 'r:dt ii ,lV-,,
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Owner-Builder Acknowledgement Continued
VI
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prov,:ic wur!<c•-c,m1ru1;:,;i;ic11 (fr<<hdity ii:,·,uran(c, ,1nd
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i'or ,,ff,; fo:,1:F.1ni r:r pcrc,on,i! irn1f:vs >1 .,,,1irl'··d tiv ,!"V ;:,uh-~equent C\V"f'I(':_\ wh:ch 10;uit i1o•r1
•~•on ddect1 '" 1,,i, wcnLrn,1ru,;i1 n· "'"'', 1ic.
1nder;,L:ind i rnav obt:,w n1on:: 1ri/um~;;~·;nn r(;g;:rdinf mv oi·Jtig,;11 1m:, ,-i,; a•·· u:1p:ovcr frc,:n th. »·Hcril:::
P-i•Vf't'<" -:,r,•v,c:', ti·,· \Jn1ted Si;lt(·\ ,:,rnal! B'.,•,i•\L!,:. ,\: rriini /r:;t1~1-:, th" f <1':Jor11 n,•u;1rtrn,~n1 n/ :~i'rk:·d
Pavrncnt:c;, zind tbc Californ;d l)iv s,c,,1 of l'ldthtr,at /\cc ;'.vnt<,. I ;ilso ur:der:-tand ! rn,1y nmt;irt the C;d1torn:,1
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~ J1L dW,H,· r,. d-h,, ,. 1',1'r:t 10 y, Ov/·'r-" Bu:<l!·'r bt1 ld:ng permit .1f)pi:2d fm n:v rL.H:1e, <1nd u,der'"t:1"d
1 '1('d I YTi l h~• pJr ty lt:•g;11ly .)Pd rlil l W,I c'ii IV ,.·«;;)i!' l\,lbit• f:11 pl .!/ ''ff ':u ,. nn',':run I (Jf' d( l',·✓:ty :1r t ilf' f,·1iio·Ni1'(': ,,rJdr, 'S':
:i:r'{j0 ~~\J\i; f\v'_~ ~q;(J<Gbcwi q~o<c;_
~ agree thJt, as the p,nly L:•gJ!ly srn(.i 'inJnc1,1frv rr.:s,pon:, Lite for th::: :n :Jpo·-;ec cons;truct1on w 1iv1ty, I w :! ;,ih1~!(~
GV a:! :,pul•:..:ab:(' L.iw::. -mr:, c,q,rnc nL!:11, ·h,1t y_ovcrn Ownf'( r 11ii;;er,, -i:, v;,•i' ,h t:nip::Jyc
' ,\I ~:J_:;~t'(: to' nt1 y n•n -:,, .. ,:" •1f th:, f,; ,.,, l'i':"o/)('dl.ttvh,-:i'''i ,IUdii (, s•:, dclet; '"'· nr d1,1 1gc•,' l .;
nf;_,rrrH\1:;: i IL<·P p t,,,11, r: o · furw
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 Bou rd may be unable to assist you with any f1nanci;,! loss
you rnay 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
ts irijured while working on y·our property, you may be held liablf~ for damages. If you obtain a permit as Owner
Bwfder and wish to hire contractors, you will be responsible tor verifying whether or not those contractor!! ;HP
properly licensed and the status of thei( worker:,' compen5ation coverage
Before a building permit wn be issued, thf.<, .form must be wmplcted, signed hy thr wopPrty ownN and returned
to the City of Carlsbad Building Division
i dcclnre under penolty !Jf pcrtury thar I hove read und uoder.~ton(f oil of the ,nJormor1u11 prov1dnf on this fcrm and thal my rf>Sp!Hiw~, mclud,nq my
autnorily ta w.;n this form, N ttur und cnrrcct ,' ar>1 awme that! hove rl1f' 011/ion ro ton.~u,'t 11,,1t!1 l1'gfJi ;ounsel p11or tr, \iqning th,.$ form, and i havf'
('fthN ( 1} ccirisu!rcd .v.rth !ego! ;owis2! µr.,,1r to 11gn,ng thi~ fhrm or (2} hove wo,vcd //us right 111 ~1g11111q f/J1,; /our, v;,thnut tlw advr(e of !eqo/ rou,1":>ei
David Luebbert :Pa~Q~l~-t-,
Property Owner Name (PRINT) Property Owner Signature
1015/2020
Date
Rl V 08/2()
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