HomeMy WebLinkAbout1569 TAMARACK AVE; ; CBR2022-0020; PermitPrint Date: 08/23/2022 Permit No: CBR2022-0020
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1569 TAMARACK AVE, CARLSBAD, CA 92008-2607
BLDG-Residential
2071304800
$2,810.56
Work Class:
Lot #:
Project #:
Reroof
Status:
Applied:
Issued:
01/03/2022
01/04/2022
Finaled Close Out:03/01/2022
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:03/01/2022Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:Dreibelbis, Peter
COOBATIS: REROOF 16SQ COMP SHINGLES (E-REVIEW)Description:
Project Title:
Property Owner: CHRISTY COOBATIS
1569 TAMARACK AVE
CARLSBAD, CA 92008
AMOUNTFEE
REROOFING – RESIDENTIAL $89.00
SB1473 – GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION – RESIDENTIAL (SMIP)$0.50
Total Fees:$90.50 Total Payments To Date:$90.50 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 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
16 SQ COMP TILES
CBR2022-0020
$2,810.56
1/3/21
(_ Cifyof
Carlstiad
RESIDENTIAL
BU ILDI NG PERMIT
APP LI CATION
8-1
Plan Check _______ _
Est. Value
PC Deposit
Date
Job Add ress
CT/Project #: _________________ Lot #: ____ Year Buil t: ________ _
Fire Sprinkl ers:QvEsQNo Air Conditioning:Q YES Q NO Electrical Panel Upgrade:Q YES Q No
BRIEF DESCRIPTION OF WORK: '~T2cc:/f -~ __________ _..;;;;;..&.,.__,JL....-......;......;.... _____________ _
0 New SF : _____ Living SF,~~-Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? Q YQ N New Fireplace? Q YQ N, if yes how many? __ _
D Remodel:. _____ SF of affected area Is the area a conversion or change of use? O v Q N
0 Pool/Spa:. ____ SF Additional Gas or Electrical Features? ___________ _
0Solar:. ___ KW, ___ Modules, Mounted:Ooof0 round, Tilt:O vO N, RMA:O vQ N,
Ba~ry: Q v (>J, Panel Upgrade: Q v C)\J ( _
~r:heroof: t:7 ? .Sf'rl ~ c:s e
D Plumbing/Mechanical/Electrical
D Only: Other:
PRIMARY APPLI CANT ....,, O PROPERTY OWNER . . _ __,
Name: C}-\-?1S-Ct (uDt:-?NiJ Name: /:t-{~S'~:' -. . -=-Address:. ________________ Address . .L.j:.~......;;...,.:.......i..::.._;_;_.....,M~-..;.,.....~-=:::...-=~:---::r-~::-"l
City: _______ State: ___ .Zip: ____ City:_~:::""2f-:...__;__-=--=-rr-
Phone: ________________ Phone:-=.~=.-;.=.-~....::;."'---"~~~~=:,..--:--=-:-'--~-"""""±---
Email: ________________ Email: __,J~=-=-==-=:; __ ...s;:;;__.;:;;....._.:.....,;._;_ __ ...;__ __
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name:. _________________ Business Name: _______________ _
Address: Address: _________________ _
City: _______ State: ___ Zip: ____ City: _______ State: ___ Zip: _____ _
Phone: Phone: __________________ _
Email: Email: __________________ _
Architect State License: CSLB License #: _______ Class: ______ _
Carlsbad Business License# (Required): _______ _
APPLICANT CERTIFICATION: I certify that I have read the applicationandsfdte that the above information is correct and that the ~~~;~~;;~~~n the ~a;~;~:r: lag~ t~;:;::,;ith all CitnJtce~~ws relating tlo bu3ilding ~
1
NAME (PRINT): \._,.I 1()..7 \ '-i)<).P7'' f ~ SIGN: LVl/1) DATE: ---,r L...
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 07/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ---------
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaffirm under penaltyof perjury that I am licensed under provisions of Chapter9 (commencingwith Section 7000)of Division]
of the Business and Professions Code, and my license is infu/1 force and effect. I also affirm under penalty of perjury one of the
following declarations (CHOOSE ONE}:
Q1 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. _____________________________________ _
-OR-
r'i1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the p~rformance of the work for which this permit is issued.
'1i;;'y workers' compensation insurance carrier and policy number are: Insurance Company Name: ____________________ _
Policy No. __________________________ Expiration Date: ______________ _
-OR-O 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'sAddress: ___________________ _
CONTRACTOR CERT/FICA TION: 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. /agree to comply with all City ordinances and State laws relating to building
construction.
NAME(PRINT): _________ SIGNATURE: _________ DATE: _____ _
Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead.
-OR -
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempCfrom Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale {Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such
work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
-OR-O 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).
-OR-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
~~M B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner.
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./ 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:Ilwww./eginfo.ca.gov/ ca/aw.html.
t he above informationiscorrectandthat the
and St laws relating to building
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
I.
{ City of
Carlsbad
OWN ER-BUILDER
ACKNOWLEDGE MENT
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:~/ q
Site Address J _) b I (.@\t]f\-{ZL( Cfl Av-e_ (A<0LS ~
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.
(( _Y_ -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
ct_:mits of my insurance coverage for injuries to workers on my property.
II. __ I understand building permits are not required to be signed by property owners unless they are responsible eve construction and are not hiring a licensed contractor to assume this responsibility.
111. __ I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I
C 1:!j 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. __ I understand contractors are required by law to be licensed and bonded in California and to list their license
C Ube rs on permits and contracts.
V. __ 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 "employer" under state and federal law.
1 REV. 08/20
Owner-Builder Acknowledgement Continued
VI. Q__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, provide workers' compensation disability insurance, and
contribute to unemployment compensation for each "employee." I also understand my failure to abide by these
~ may subject me to serious financial risk.
VII. __ 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
~work is performed under contract with a licensed general building contractor.
VIII. __ I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable
for any financial or personal injuries sustained by any subsequent owner(s) which result from any latent
(c_truction 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 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
{ €!:out 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:
Ce,,---__________________ _
XI. __ I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide l by all applicable laws and requirements that govern Owner-Builders as well as employers.
XII. ~I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of 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.
2 REV.08/20
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JoB ADDREss: ) 5 r; i Y A~eAcr <_
COMMERCIAL 2. TYPE OF BUILDING: RESIDENTIAL -y;_ ----
** Please contact HCD for a permit if you will be doing work on a manufactured/mobile home. **
3. ROOF SLOPE: RISE INCHES IN 12 IN CHES ---
4. NUMBER OF EXISTIN G ROOF COVERING (CIRCLE ONE) c0 2 3
5. TYPE OF EXISTING ROOF COVERING SHEATH ING I --~------
6. NEW ROOF MATERIAL COM? 5 ,¢.J-re, A:~ z-x1.s~ CLASS --
7. NUMBER OF SQUARES __ ~~--WEIGHT PER SQ.
8. TRADE NAMJI M&Gzl,(':(L AP~~~UFACTURER 6 ,-A-1 _F_,. '72efYec--kn_
Smiej
-H>_:XU'ci e
9. ROOF svsTEM LISTING: s-kl ~j (e;
UL NO. _____ I.C.C.E.S. Report# 6 61 b -0 >5 fsTM ____ _
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? YES NO
All roof coverings are required to be CLASS A. Combustible roof coverings of any type or
classification are prohibited.
I understand the following inspections are required:
1. Tear Off/Pre-Inspection prior to install new roof covering
2. Final Inspection
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2022-0020)
BLDG-Residential 01/03/2022Application Date:Permit Type:Owner:CHRISTY COOBATIS
Reroof 01/04/2022Work Class:Issue Date:Subdivision:HOLIDAY MANOR
07/13/2022Expiration Date:Status:
IVR Number: 37915
Closed - Finaled 1569 TAMARACK AVE
CARLSBAD, CA 92008-2607
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
01/14/2022 01/14/2022 BLDG-15 Roof/ReRoof
(Patio)
174630-2022 Passed Peter Dreibelbis Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
03/01/2022 03/01/2022 BLDG-Final Inspection 177512-2022 Passed Peter Dreibelbis Complete
COMMENTS PassedChecklist Item
BLDG-Structural Final Yes
Tuesday, March 1, 2022 Page 1 of 1
{cityof
Carlsbad