HomeMy WebLinkAbout2534 LUCIERNAGA ST; ; CBR2021-1523; PermitPERMIT REPORT
Residential Permit
Print Date: 12/23/2021
Job Address:
Permit Type:
Parcel#:
Va luation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2534 LUCIERNAGA ST, CARLSBAD, CA 92009-5819
BLDG-Residential Work Class:
2152603500 Track#:
$12,325.00 Lot#:
Project#:
Plan #:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Retaining Wall
(city of
Carlsbad
Permit No: CBR2021-1523
Status: Closed -Finaled
Applied: 05/26/2021
Issued: 06/09/2021
Finaled Close Out: 12/23/2021
Inspector:
Final Inspection:
TAlva
10/28/2021
Description: DENNIS: RETAINING WALL MAX HT 5'4" X 120 LNFT PER COUNTY STANDARDS (RE: CODE CC2021-0358)
Applicant:
MICHAEL DENNIS
2534 LUCERINAGA ST
CARLSBAD, CA 92009
(949) 892-0057
FEE
Property Owner:
MICHAEL DENNIS
2534 LUCIERNAGA ST
CARLSBAD, CA 92009
SB1473 GREEN BUILDING STATE STAN DARDS FEE
STRONG MOTION-RESIDENTIAL
BUILDING PLAN CHECK FEE (BLDG)
BUILDING PERMIT FEE ($2000+)
Total Fees: $243.27 Total Payments To Date: $243.27 Balance Due:
AMOUNT
$1.00
$1.60
$99.10
$141.57
$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, Ca rlsbad, 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
Est. Value
PC Deposit
Date
CEii~ -u,z,J -I 5.:2'.
,11 o;z.s-.. /
sl.ikb.J 1 J
Job Address_7-~5-Q!\:___,'---...,,\.. ...... \).;;;...t.:;;;..\_e...;.;:v.,,.._N=~=~..,.a0.,_~..a:..:...;...· ___ Suite: ____ APN: ?JS -ZCtp-?:F::r 00
CT /Project #: ________________ Lot#: \ 8C:> Vear Built: ...... f:_00 ___ \ _____ _
Fire Sprinklers: QYEsQ NO Air Conditioning:Q YES ONO Electrical Panel Upgrade: QvEsO NO
BRIEF DESCRIPTION OF WORK:
~e..10.\o°'~ \,Jo_\'\ COC"\~\-\QD :T'tl\Y S ~ on
0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __
Is this to create an Accessory Dwelling Unit? Ov 6b N New Fireplace? Ov (2) N , if yes how many? __
O Remodel:. _____ SF of affected area Is the area a conversion or change of use ? Ov "'N
0 Pool/Spa:. ____ SF Additional Gas or Electrical Features? ___________ _
o solar:. ___ KW, ___ Modules, Mounted: ORoof OGround, Tilt: 0 vO N, RMA: Ov ON,
Battery: Ov ON, Panel Upgrade: Ov 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.
~v_ow~ APPLICANT □ PROPERTY OWNERS AUTHORIZED AGENT
Name: ~'1'\C...~ :::S:. ~ Name:. _________________ _
Address: 7_ 'S~ \..\)~\-tf<Y'OQ, ':;n. Address: _______________ _
City:C.~ .State: C.f\ J Zip: '\Zoo'\ City: _________ State: __ Zip: ____ _
Phone: ~ 'P,B'2--005l Phone: ________________ _
Email: ff\:M,.t."tJ_ (qg.¼\rx.dQ_1So.':t-co (,,oM Email: _______________ _
APPLICANT 0
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT 0
Name: ________________ _ Name: __________________ _
Address:. _______________ _ Address:. _________________ _
City: _______ State: ___ Zip: ___ _ City: _______ State: ___ Zip: _____ _
Phone: _______________ _ Phone: _________________ _
Email: ________________ _ Email: __________________ _
Architect State License: __________ _ State License/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:
0 I 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: _______________ _
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, 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: _________ SIGN: __________ DATE:
(OPTION B): OWNER-BUILDER DECLARATION:
!!'o/by affirm that I am exempt from Contractor's License Law for the following reason:
~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).
0 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).
0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
ifowner Builder acknowledgement and verification form" has been filled out, signed and attached to this application.
'
0 Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority ta obtain the permit on the owner's behalf
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 Cade, is available upon request when this application is
submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. ~
OWNER PRINT: (Y"\1c..'pS,,.\J ~\S SIGN:~~!cr=N,+ DATE: 5-\1\-'L\
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 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 Jaws relating to building construction.
I hereby authorize representative of the City of Carlsbad ta 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: ("{\\~~'a~':>
'
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558
2
Email: Building@carlsbadca.gov
REV. 08/20
{ City of
Carlsbad
OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
8-61
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 __ 'l_s ___ 3 __ 4 ____ ~L~~-Cj~~~C~" ~°' j--C\-~S\"--'-"-,. _C__.a.e__,\~~:w~-'----"(_=-{:\-'--_q-=...2oo---'-_,_~_
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. t't'\_j)_J 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 t o 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.
11. rf\() I understand building permits are not required t o be signed by property owners unless they are responsible
for the 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
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his
or her name inst ead of my own.
IV. f'C"\O I underst and contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
V. r'\~ 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. tn{l_l 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. mP-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. l\1_ 1 understand as an Owner--Builder if I sell the property for which this permit is issued, I may be held liable
for any financial or personal injuries sustained by any subsequent owner(s) which result from any latent
construction defects in the workmanship or materials.
IX. mtL 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. rr{)__1 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:
'2 534 1''-lt·,~cf\"°j?.. :j\ c~~-w C.,B l\ZP?9
XI. mt:L_I agree that, as t he 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. ~I agree to notify the issuer of t his 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 have 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 /ego/ counsel.
Property Owner Name (PRINT)
2 REV. 08/20
Permit Type:
Work Class:
Status:
Scheduled
Date
07/07/2021
10/28/2021
PERMIT INSPECTION HISTORY for (CBR2021-1523)
BLDG-Residential Application Date: 05/26/2021 Owner: MICHAEL DENNIS
Retaining Wall Issue Date: 06/09/2021 Subdivision: LA COSTA MEADOWS #1
Closed -Finaled Expiration Date: 01/04/2022 Address: 2534 LUCIERNAGA ST
IVR Number: 33602 CARLSBAD, CA 92009-5819
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
07/07/2021 BLDG-21 161373-2021 Passed Tony Alvarado
Underground/Underflo
or Plumbing
Checklist Item
BLDG-Building Deficiency
COMMENTS
July 7, 2021:
1. No retaining wall/Building Deficiencies.
2. Retaining wall drains and system, scope
of work-approved.
3. Verified size and type of drain pipe, CMU
block retaining wall moisture resistive
mastic product applied, gravel and filter
fabric installation methods, scope of
work-approved.
10/28/2021 BLDG-Final Inspection
Checklist Item
169548-2021
COMMENTS
Passed Tim Kersch
BLDG-Building Deficiency
BLDG-Structural Final
BLDG-Electrical Final
Passed
No
No
No
No
No
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Thursday, December 23, 2021 Page 2 of 2
Building Permit Inspection History Finaled
{city of
Carlsbad
Permit Type:
Work Class:
Status:
Scheduled
Date
06/11/2021
06/15/2021
06/29/2021
07/06/2021
PERMIT INSPECTION HISTORY for (CBR2021-1523)
BLDG-Residential
Retaining Wall
Closed -Finaled
Actual Inspection Type
Start Date
06/11/2021 BLDG-SW-Pre-Con
Checklist Item
Application Date: 05/26/2021
Issue Date:
Expiration Date:
IVR Number:
Inspection No.
159461-2021
COMMENTS
06/09/2021
01/04/2022
33602
Inspection
Status
Failed
Owner: MICHAEL DENNIS
Subdivision: LA COSTA MEADOWS #1
Address: 2534 LUCIERNAGA ST
CARLSBAD, CA 92009-5819
Primary Inspector Reinspection Inspection
Tony Alvarado Reinspection Incomplete
Passed
BLDG-Building Deficiency June 11, 2021 : No
06/15/2021 BLDG-11
Foundation/Ftg/Piers
(Rebar)
Checklist Item
1. Public works required to perform on site
Inspection -per owner builders.
2. Code enforcement case -per Robbie
Hickerson.
3. No building and safety preconstruction
meeting were conducted, due to stop work
order/code enforcement case and Public
Works on site inspections required.
159689-2021 Passed Tony Alvarado
COMMENTS
BLDG-Building Deficiency June 15, 2021:
06/29/2021 BLDG-66 Grout
Checklist Item
1. No New retaining wall/building
deficiencies.
2. (2) qty. new city standard retaining
walls, with level backfill, located at side
yard property line area.
3. Type 3, retaining wall with level backfill,
max height 3'-6" high.
4. Type 5, retaining wall with level backfill,
max height 5'-4 • high.
5. Foundation and footing reinforcement
steel rebar, per city standard retaining wall
table detail specifications-approved.
160789-2021
COMMENTS
Passed Tony Alvarado
BLDG-Building Deficiency June 29, 2021 :
07/06/2021 BLDG-Final Inspection
1. No CMU retaining block wall grout
lift-building Deficiencies.
2. New side yard, CMU block retaining wall,
per city standard specifications, grout-lift
inspection of block wall cells, per plans
and detail specifications-approved.
161192-2021 Cancelled Tim Kersch
Complete
Passed
Yes
Complete
Passed
Yes
Reinspection Incomplete
Thursday, December 23, 2021 Page 1 of 2