HomeMy WebLinkAbout1212 OAK AVE; ; CBR2021-0501; PermitBuilding Permit Finaled
Residential Permit
Print Date: 10/06/2021
Job Address: 1212 OAK AVE, CARl5BAD, CA 92008-1929
Permit Type: BLDG-Residential Work Class: Alteration
Parcel#: 1561804700 Track#:
Valuation: $39,533.50 Lot#:
Occupancy Group: Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Occupant Load: Plan Check#:
Code Edition:
Sprinkled:
Project Title:
(city of
Carlsbad
Permit No: CBR2021-0501
Status:
Applied:
Issued:
Finaled Close Out:
Inspector:
Final Inspection:
Closed -Finaled
02/23/2021
08/25/2021
PBurn
10/06/2021
Description: 850 SF REMODEL TO CONVERT EXISTING REC ROOM & CRAWL SPACE TO HABITABLE (NO COOKING FACILITIES)
Applicant:
PAUL LONGTON
2909 MESA DR
OCEANSIDE, CA 920S4-3704
(760) 458-0987
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Property Owner:
OAK AVENUE VENTURE LLC
1640 OCEANSIDE BLVD
OCEANSIDE, CA 92054
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
Total Fees: $733.54 Total Payments To Date: $733.54 Balance Due:
AMOUNT
$342.00
$239.40
$41.00
$42.00
$62.00
$2.00
$5.14
$0.00
Please take NOTICE that approval of your project includes the 11lmposition11 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.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check C£>(?.,2()2l-()5() \
Est. Value ?f:\ 533 • i
PC Deposit
Date '2-2'.5-21
Job Address 1212 OAK AVE.CARLSBAD.CA 92008 Suite: _____ .APN: 156-180-47-00
CT/Project #: _________________ ,Lot #: ____ Year Built: _2_0_1_0 ______ _
Fire Sprinklers: QYES0 NO Air Conditioning:Q YES 0 NO
BRIEF DESCRIPTION OF WORK:
Electrical Panel Upgrade:QYEs0 NO
Addition remodel to existing Rec Room and crawl space
[j] Addition/New: Living SF, ____ Deck SF,. ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? OY 0 N New Fireplace? OY 0 N, if yes how many? __
Ii] Remodel:_8_50 ____ SF of affected area Is the area a conversion or change of use? 0Y ON
0 Pool/Spa:. ____ .SF Additional Gas or Electrical Features? .:_N:_co __________ _
□Solar: ___ KW, ___ Modules, Mounted: 0Roof 0Ground, Tilt: 0 YO N, RMA: 0Y ON,
Battery:OY ON, Panel Upgrade: OY ON
D Reroof: ------------------------------□ 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 0
Name: Oak Avenue Venture, LLC
PROPERTY OWNERS AUTHORIZED AGENT
Paul Lonaton
APPLICANT Ii]
Address: 1640 Oceanside Blvd Address: 1640 Oceanside Blvd
City: Oceanside State:._C_A_~Zip: 92054 City: Oceanside State:~Zip:._9_2_05_4 __ _
Phone=-----,--------------Phone: 858-353-1037
Email:brad@beachfront.com Email: brad@beachfrontonly.com
DESIGN PROFESSIONAL
Name: Paul Longton
Address: 2909 Mesa Drive
APPLICANT O CONTRACTOR OF RECORD APPLICANT 0
City: Oceanside State:_C_A __ .Zip: 92054
Phone: 760-722-4904
Email: brad@beachfront.com
Architect State License: C18757 -----------
Name: owner/builder
Address: _________________ _
City: _______ State: ___ ,Zip: _____ _
Phone: __________________ _
Email: __________________ _
State License/class: ______ ,Bus. License: ___ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 08120
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:
DI 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. ______________________________________ _
0 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: Owner/builder SIGN: _________ DATE: _____ _
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that f am exempt from Contractor's License Law for the following reason:
DI, 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).
Ii] 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).
DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
O"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.
Sy 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 at the following Web site: http://www.leginfo.ca.gov/calaw.html. ~
OWNER PRINT: ADELE NELSON FISCHBAS:H SIGN:tt.JM,~ATE:_/l,=-~_,_l ...... 'f_._.,2,~(i--
0~ ~ Vtt,&h,,r-c.S ~ &'{: J
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 t1roperty
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: BRADLEY G. HAY SIGN: _<:Ji_r~_..__t_. _1/._"'I_.._____DATE: 02/19/2021
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 08120
PERMIT INSPECTION HISTORY for (CBR2021-0501)
Permit Type: BLDG-Residential
Work Class: Alteration
Status: Closed -Finaled
Scheduled Actual Inspection Type
Date Start Date
Wednesday, October 6, 2021
Application Date: 02/23/2021 Owner: OAK AVENUE VENTURE LLC
Issue Date: 08/25/2021 Subdivision:
Expiration Date: 03/21/2022 Address: 1212 OAK AVE
IVR Number: 31711 CARLSBAD, CA 92008-1929
Inspection No. Inspection Primary Inspector Reinspection Inspection
Status
Page 2 of 2
Building Permit Inspection History Finaled
( City of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-0501)
Permit Type: BLDG-Residential Application Date: 02/23/2021 Owner: OAK AVENUE VENTURE LLC
Work Class: Alteration Issue Date: 08/25/2021 Subdivision:
Status: Closed -Finaled Expiration Date: 03/21/2022 Address: 1212 OAK AVE
IVR Number: 31711 CARLSBAD, CA 92008-1929
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
08/30/2021 08/30/2021 BLDG-14 165343-2021 Failed Paul Burnette Relnspection Incomplete
Frame/Steel/BoltlngfWe
ldlng (Decks)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
09/15/2021 09/15/2021 BLDG-14 166438-2021 Partial Pass Tim Kersch Relnspection Incomplete
Frame/Steel/Bolting/We
ldlng (Decks)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-84 Rough 166509-2021 Partial Pass Tim Kersch Relnspection Incomplete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout No
BLDG-34 Rough Electrical No
BLDG-44 No
Rough-Ducts-Dampers
09/21/2021 09/21/2021 BLDG-13 Shear 166899-2021 Failed Paul Burnette Relnspectlon Incomplete
Panels/HD (ok to wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
09/22/2021 09/22/2021 BLDG-13 Shear 167011-2021 Passed Paul Burnette Complete
Panels/HD (ok to wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
10/06/2021 10/06/2021 BLDG•Flnal Inspection 168027-2021 Passed Peter Dreibelbis Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
Wednesday, October 6, 2021 Page 1 of 2
DATE: May 21, 2021
JURISDICTION: Carlsbad
PLAN CHECK#.: CBR2021-0501
PROJECT ADDRESS: 1212 Oak Ave
SET II
PROJECT NAME: Remodel for Oak Avenue Venture, LLC
□ APPLICANT
□ JURIS.
cgJ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's Remodel codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
cgJ EsGil staff did not advise the applicant that the plan check has been completed.
D EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted:
Mail Telephone
0 REMARKS:
By: Abe Doliente
EsGil
(by: Email:
Fax In Person
Enclosures:
5/13/21
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
DATE: July 16, 2021
JURISDICTION: Carlsbad
PLAN CHECK#.: CBR2021-0501 Rev 1
PROJECT ADDRESS: 1212 Oak Ave
✓• EsG1I
SET I
PROJECT NAME: Remodel for Oak Avenue, LLC
D APPLICANT
D JURIS.
[:g] The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
0 The check list transmitted herewith is for your information. The plans are being held at EsGil until
corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
0 The applicant's copy of the check list has been sent to:
[:g] EsGil staff did not advise the applicant that the plan check has been completed.
0 EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: (D _ Telephone#:
Date contacted: (by:¥mail:
Mail Telephone Fax In Person
[:g] REMARKS: Revision 1 includes response to Planning Dept corrections.
By: Abe Doliente
EsGil
7/9/21
Enclosures: Original set of approved plans.
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad CBR2021-0501 Rev 1
July 16, 2021
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
1
PLAN CHECK#.: CBR2021-0501 Rev
PREPARED BY: Abe Doliente
BUILDING ADDRESS: 1212 Oak Ave
BUILDING OCCUPANCY: R3/U
BUILDING AREA Valuation
PORTION ( Sq Ft.) Multiplier
Revision 1
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
--
1997 UBC Bu1ld1ng Permit Fee ....
1997 use Plan Check Fee ..,
Type of Review· □ Complete Review
D Repetitive fee
-... -Repeats
* Based on hourly rate
Comments:
D Other
[J Hourly
EsGil Fee
DATE: July 16, 2021
Reg. VALUE ($)
Mod.
D Structural Only
1,Hr.@*
~=====$=10=5=,0~0 $1 os.oo 1
Sheet 1 of 1
DATE: March 11, 2021
JURISDICTION: Carlsbad
PLAN CHECK#.: CBR2021-0501
PROJECT ADDRESS: 1212 Oak Ave
✓• EsG1I
SET: I
PROJECT NAME: Remodel for Oak Avenue Venture, LLC
□ APPLICANT
□ JURIS.
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's Remodel codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
IZ! The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
IZ! The applicant's copy of the check list has been sent to:
Pa u I Longton
D EsGil staff did not advise the applicant that the plan check has been completed.
IZ! EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Paul Longton Telephone#: 858-353-1037
Date contacted:
Mail Telephone
0 REMARKS:
By: Abe Doliente
EsGil
(by: Email: brad@beachfrontonly.com
Fax In Person
Enclosures:
2/25/21
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad CBR2021-0501
March 11, 2021
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK#.: CBR2021-0501
PROJECT ADDRESS: 1212 Oak Ave
FLOOR AREA: Remodel -850 SF
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
COMPLETED: March 11, 2021
FOREWORD (PLEASE READ):
JURISDICTION: Carlsbad
STORIES:
HEIGHT:
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 2/25/21
PLAN REVIEWER: Abe Doliente
This plan review is limited to the technical requirements contained in the California Residential
Code, California Building Code, California Plumbing Code, California Mechanical Code,
California I Electrical Code and state laws regulating energy conservation, noise attenuation and
access for the disabled. This plan review is based on regulations enforced by the Building
Department. You may have other corrections based on laws and ordinance by the Planning
Department, Engineering Department, Fire Department or other departments. Clearance from
those departments may be required prior to the issuance of a building permit.
Present California law mandates that construction comply with the 2019 edition of the California
Code of Regulations (Title 24), which adopts the following model codes: 2019 CRC, 2019 CBC,
2019 CPC, 2019 CMC and 2019 CEC.
The above regulations apply, regardless of the code editions adopted by ordinance.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of
the 2019 California Building Code, the approval of the plans does not permit the violation of any
state, county or city law.
To speed up the recheck process. please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
r
\.
Carlsbad CBR2021-0501
March 11, 2021
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted in one
of two ways:
1 . Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-
2700. The City will route the plans to EsGil and the Carlsbad Planning, Engineering and
Fire Departments.
2. Bring TWO corrected set of plans and calculations/reports to EsGil, 9320 Chesapeake
Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of
plans and calculations/reports directly to the City of Carlsbad Building Department for
routing to their Planning, Engineering and Fire Departments.
NOTE: Plans that are submitted directly to EsGil only will not be reviewed by the City
Planning, Engineering and Fire Departments until review by EsGil is complete.
PLANS
1. A reminder that due to Covid-19, the City will not permit counter corrections.
Please make sure all the items are satisfied; otherwise, another round of
corrections will be necessary.
2. All sheets of plans must be signed by the person responsible for their
preparation. (California Business and Professions Code). Signatures on the final
sets of plans will be verified before they are approved.
FIRE PROTECTION
3. Note on the plans that the location of the existing smoke alarms and carbon
monoxide alarms will be field verified by the City Building Inspector per Section
R314:
GENERAL RESIDENTIAL REQUIREMENTS
4. Sow on the floor plans the types and sizes of the doors and windows.
Check for light and ventilation of the rooms. Also check the egress
requirements for the bedroom.
ENERGY CONSERVATION
5. When replacing or modifying the mechanical system: If applicable.
o If more than 40' of new ductwork is installed in unconditioned space, HERS
inspection is required for both existing and new duct sealing.
o Replacement of mechanical equipment (air handler, condensing unit of an air
conditioner or heat pump, cooling or heating coil, or the furnace heat
exchanger) requires HERS inspection.
Carlsbad CBR2021-0501 '
March 11, 2021
o Note: The CF1 R-AL T-HVAC form may be submitted at the final inspection, it
is not required at initial plan submittal.
MISCELLANEOUS
6. To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
7. Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
• Have changes been made to the plans not resulting from this correction list?
Please indicate:
Yes □ No □
8. The jurisdiction has contracted with EsGil, located at 9320 Chesapeake Drive,
Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to
perform the plan review for your project. If you have any questions regarding
these plan review items, please contact Error! Reference source not found. at
EsGil. Thank you.
Carlsbad CBR2021-0501
March 11, 2021
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Abe Doliente
BUILDING ADDRESS: 1212 Oak Ave
BUILDING OCCUPANCY: R3/U
BUILDING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
Remnodel 850 46.51
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
1997 UBC Buildin g Permit Fee ....
1997 use Plan Check Fee •
Type of Review:
D Repetitive F-ee
,.. Repeats
Comments:
Complete Review
□ Other
□ Hourly
E&GilFee
PLAN CHECK#.: CBR2021-0501
DATE: March 11, 2021
Reg. VALUE ($)
Mod.
39,534
39,534
D Structural Only
$222.621
Sheet 1 of 1
( 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 1212 OAK 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. ANF 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.
II. ANF 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. ANF 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. ANF 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. ANF 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, l may be
considered an "employer" under state and federal law.
REV.08/20
Owner-Builder Acknowledgement Continued
VI. ANF J 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. ANF 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. ANF I understand as an Owner--Builder if I sell the property for which this permit is issued, l 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. ANF 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. ANF 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:
1212 OAK AVE, CARLSBAD, CA 92008
XI. AN F1 agree that, as the party legally and financially responsible forth is proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner-Builders as well as employers.
XII. ANF 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 form, is true and correct. I om aware that I hove 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.
o~'l.. ~IG Vt,.1Nns, U,A l¼y :
ADELE NELSON FISCHBACH
Property Owner Name (PRINT)
~1W-·
Yi-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 a 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 party 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 separate
permit application.
Note: The following Owners 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 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.
. addition/remodel Scope of Construction Project (or Description of Work): ____________________ _
1212 -1214 Oak Ave Carlsbad Project Location or Address: '
Name of Authorized Agent: _B_r_a_d_l e_y_H_a_y _______ Tel No. _8_5_8_-_3_5_3_-_1_0_3_7_
AddressofAuthorizedAgent: 1640 Oceanside Blvd
Oceanside, CA 92054
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.
(:)eut. P¥,..u,c. l,Je...~s ,1.-t.G ~
Property Owner's Signature: ~Ct{-c, J t/,,-h 1et:--Date: _.._)._---=-l'f'-•-'Z,/'-'--
(_ City of
Carlsbad
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
8-50
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
..o 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.
..o Details on CAP ordinance requirements are available on the city's website .
..o 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
Permit No. Addition/Remodel at 1212-1214 Oak Ave BP No CC)~Z,02l-O::OI
Property Address/APN 1 56-180-4 7 -00
Applicant Name/Co.: Bradley Hay for Oak Avenue Venture, LLC
Applicant Address: 1640 Oceanside Blvd, Oceanside, CA 92054
Contact Phone: 858-353-1037 Contact Email: brad@ beachfrontonly.com
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
8-50
same Contact Phone:
Contact Email:
Page 1 of6
Date: _~,_/t_,._'f L~;./ __
I I
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: $ '39 ,S:3 ~
CIIISlnlt)tlon Type j .Complete Section(e) I t1o1as:
[!] Residential
□ New construction
□ Additions and alterations: ,
~ BPV < $60,000 (
□ 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
A high-rise residential building is 4 or more stories, including a
Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
N/A
1A,4A
1A, 4A'
1B, 2B,
3B,4A
~
N/A)
4A
1B, 4A'
1B, 2B, 3B, 4B and 5
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 Cansbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for
more information when completing this section.
A D Residential addttion or alteration~ $60,000 building permit valuation. □ N/A ________ _
See CMC section 18.30.190. D Exception: Home energy score~ 7
(attach certification)
Year Built Single-family Requirements Multi-family Requirements
□ Before 1978 Select one:
□ Duct sealina □ Atlc insulation □ Cool roof □ Alie insulation
□ 1978 and later Select one
□ Lighting package □ WafEr heating Package
□ Between 1978 and 1991 Select one:
D Duct sealina □Attic insulation □Cool roof
□ 1992 and later Select one
□ Lighting package □Water heating package
B. D Nonresidential' new construction or alterations~ $200,000 building penmit valuation,
or add~ions ~ 1,000 square feet □ N/A
Updated 8/15/2019 2
PERMIT REPORT
Revision Permit
Print Date: 10/07/2021
Job Address: 1212 OAK AVE, CARLSBAD, CA 92008-1929
Permit Type: BLDG-Permit Revision Work Class:
Parcel#: 1561804700 Track#:
Valuation: $0.00 Lot#:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: REVISION TO ADD DOOR TO ACCESS GARAGE
Applicant:
PAUL LONGTON
2909 MESA DR
OCEANSIDE, CA 92054-3704
(760) 458-0987
FEE
BUILDING PLAN CHECK FEE (manual)
BUILDING PLAN REVIEW -Revisions
Property Owner:
OAK AVENUE VENTURE LLC
1640 OCEANSIDE BLVD
OCEANSIDE, CA 92054
Residential Permit Revisi1
Total Fees: $169.50 Total Payments To Date: $169.50
Building Division
{city of
Carlsbad
Permit No: PREV2021-0125
Status: Closed -Finaled
Applied: 09/23/2021
Issued: 10/07/2021
Finaled Close Out: 10/07/2021
Inspector: PBurn
Final Inspection:
Balance Due:
AMOUNT
$105.00
$64.50
$0.00
Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-85601 I www.carlsbadca.gov
(city of
Carlsbad
PLAN CHECK REVISION OR
DEFERRED SUBMITTAL
APPLICATION
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov B-15
Original Plan Check Number C,, ~l'l--z.o -Z. I -o 5 o I Plan Revision Number yea;dO-)..{ --0 l) ~
ProjectAddress l'il'2.. OAl<-Avfii.
General Scope of ~evjsion/Deferred Submittal: tloo~,-, oi::-,. D<>e>"-
(,p....,..c,lf o,-, p. oJ /). e()o,O 1..€: D ,S"-r of'" ]>L"" ,_, S
CONTACT INFORMATION:
Name 1?er<flt.. "R.,o ,-.:,;.,,<.-E -z... Phone
Address I (,40 OCEl\f-15-::roe: City Ou;,,.., 1:D't>€ Zip ?V:,S'i
Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person.
1 . Elements revised: !'i'I Plans D Calculations D Soils D Energy D Other
2. 3.
Describe revisions in detail List page(s) where each
revision is shown
11-1-A-I»=-., -~ ~ noo~ .,-0 (l.Ue-~s "Ii-I~ A_ -7
.1111,ti-r • ....-"f'1101, THt u,..,-z;:r-l,.J'}:-tHuVT (7o-,;.,. (.
4.
5.
Does this revision. in any way, alter the exterior of the project?
Does this revision add ANY new floor area(s)?
6. Does this revision affect any fire related issues?
7. Is this a complete set?
D Yes
D Yes
C>vTt;F°C€
D Yes
~ No
[]_No
Date oq/4 1 /z.1 /I
Fax: 760-602-8558 Email: building@carlsbadca.gov
www.carlsbadca.gov
• ft\!
INTERWEST
DATE: October 2, 2021 □ APPLICANT
□ JURIS.
JURISDICTION: Carlsbad
PLAN CHECK#.: CBR2021-0501 Rev 2 (PREV2021-0125) __ SET I
PROJECT ADDRESS: 1212 Oak Ave
PROJECT NAME: Remodel for Oak Avenue, LLC
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building 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.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at lnterwest
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
~ lnterwest staff did not advise the applicant that the plan check has been completed.
D lnterwest staff did advise the applicant that the plan check has been completed.
Person contacted:
Date contacted:
Mail Telephone
(by:
Telephone#:
) Email:
Fax In Person
~ REMARKS: 1. Revision 2 includes addition of door from the garage into the dwelling unit.
2. Note on the plans that door K between the garage and the house must be solid core ,
self closing and self latching
By: Abe Doliente
lnterwest
9/27/21
Enclosures: Original set of approved plans.
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad CBR2021-0501 Rev 2 (PREV2021-0125)
October 2, 2021
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK#.: CBR2021-0501 Rev
2 (PREV2021-0125)
PREPARED BY: Abe Doliente
BUILDING ADDRESS: 1212 Oak Ave
BUILDING OCCUPANCY: R3
BUILDING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
Revision 2
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: □ Complete Review
D Repetitive Fee
,..·• Repeats
* Based on hourly rate
Comments:
D Other
D Hourly
EsGil Fee
DATE: October 2, 2021
Reg. VALUE ($)
Mod.
D Structural Only
11Hr.@•
~=====$1=0=5=· o~o
$1os.001
Sheet 1 of 1