HomeMy WebLinkAbout134 WINDVANE LN; ; CBR2022-4428; PermitBuilding Permit Finaled
Residential Permit
Print Date: 03/15/2023
Job Address: 134 WINDVANE LN, CARLSBAD, CA 92011-5438
Permit Type: BLDG-Residential Work Class: P/M/E
Parcel#: 2145901313 Track#:
Valuation: $0.00 Lot#:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: VARGA: EMERGENCY GAS LINE REPAIR (E-REVIEW)
Applicant:
VARGA FAMILY TRUST 06-29-07
134 WINDVANE LN
CARLSBAD, CA 92011
(619) 405-2766
FEE
Property Owner:
VARGA FAMILY TRUST 06-29-07
134 WINDVANE LN
CARLSBAD, CA 92011
(619) 405-2766
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
Total Fees : $208.00 Total Payments To Date: $208.00
Permit No:
Status:
(city of
Carlsbad
CBR2022-4428
Closed -Finaled
Applied: 11/29/2022
Issued: 11/29/2022
Finaled Close Out: 03/15/2023
Final Inspection: 12/01/2022
INSPECTOR: Alvarado, Tony
Balance Due:
AMOUNT
$208.00
$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.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
, Cifyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check --------
is t. Value r
PC Deposit
Date
JobAddress ___ l~_ ..... 4 ____ v)_~._·vl_!_v_c.t,_V\JJL ___ ~ _____ unit: ____ APN: ________ _
CT/Project #: _________________ Lot #: ____ Year Built : ________ _
Fire Sprinklers: C)vEsO No Air Conditioning:O YES Q NO Electrical Panel Upgrade:OYESQ No
BRIEF DESCRIPTION OF WORK: 0~-s L,_aj Oo/JQ14 }M~A led.-<Xc-l_ 1.-==f =r'~ I ~\
0 New SF : _____ Living SF, ___ Deck SF, ____ Patio SF, ____ Garage SF __ _
lsthistocreateanAccessoryDwellingUnit? Q YO N New Fireplace? 0 Y O N,ifyeshowmany? __ _
D Remodel: SF of affected area -----Is the area a conversion or change of use? Ov O N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
OSolar: ___ KW, ___ Modules, Mounted:O Roof O Ground, Tilt: 0 vO N, RMA: Ov O N,
Battery:O v ON, Panel Upgrade: Ov ON
D Re roof: __________________________________ _
D Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY APPLICANT PROPERTY OWNER
Name:. ________________ Name:_--:-~~..L.,;;=~---y---_;;__-ct------
Address: Address'...:!: .....J:.""""F--+,~--'IP"'-...i:..;..:,c;.,,.,=.;;."'""""---:~;;;....;.....;;;...-=~--
City: _______ .State: ___ zip: ____ City:_=;,.;.,.....z...~....;;:~:..........,,.,-·
Phone: Phone:~::'.""""'~"'=,._--+_;;....1,o.___~~...._......__-.---
Email: Email: <2.-\ r c....v-. 5 VQ.. ~ <&-@ ~l1\4-1 l , C:P?'.h,,
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 CERT/FICA T/ON: 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 ordin ces and State laws relating to building
construction. <:::[ ,.. . _ . \Jt J I
NAME {PRINT): . ~ ~ SIGN:_....,..~14-.....i... ___ DATE: /) 2-4 J-,2-
1535 Faraday Ave Carlsbad,CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 07/21
THIS PAGE REQUIRED AT PERM IT 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 REQU IRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter9 (commenci ngwi th Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect. I a/so affirm under penalty of perjury one of the
following declarations (CHOOSE ONE):
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. _____________________________________ _
-OR-
D 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 carri er and policy number are: lnsuranceCompany Name: ____________________ _
Policy No. __________________________ Expiration Date: ______________ _
-OR-
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'sAddress: ___________________ _
CONTRACTOR CERTIFICATION: /certify that/ have read the applicationandstate 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.
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 exempt from Contractor's License Law for the following reason:
(g] 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 sa le).
-OR-
~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-, 0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
FORM 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:I/www.leginfo.ca.gov/ ca/aw.html.
OWNER CERT/FICA TION: /certify that I have read the application and state that the above information is correct and that the ~t:;:z~;~~:." the plans /saccurate. I agree ta comply wl th all City oriS State laws re/at/ ng to bu)dlng J
~o~~~,!~:~~~/~,;ag ~d ,,Y. ~~~ :::,.~!~:: ;,d,de;;;;;;.,;, by prnpe"y owae~ATE: { / '2 'l, 22:_
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
I.
II.
Ill.
IV.
V.
{ City of
Carlsbad
OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
8-61
Development Services
Building Division
1635 Faraday Avenue
442-339-2719
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
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.
£zii 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
th! iflts of my insurance coverage for injuries to workers on my property.
_V/./ __ 11 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.
~ 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
o/'~f name instead of my own.
_'7'(/ __ I understand contractors are required by law to be licensed and bonded in California and to list their license
nu~rs on permits and contracts.
~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. 05/22
Owner-Builder Acknowledgement Continued
VI. U 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
I?~ 7ay subject me to serious financial risk.
VII. ":Zl/__ 1 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 sa le, unless all work is performed
VIII.
by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of
t~ ~k is performed under contract with a licensed general building contractor.
_'-71/ __ I understand as an Owner--Bu ilder 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. _q; 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
X.
XI.
XII.
ab~uyicensed contractors.
_7{ __ 11 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand
that I am the party lega lly and financially responsible for proposed construction activity at the following address:
__ I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner--Builders as well as employers.
'71 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 af 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 am 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 farm without the advice of /ego/ counsel.
Date
3 REV. 05/22
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2022-4428)
Permit Type: BLDG-Residential Application Date: 11/29/2022 Owner: TRUST VARGA FAMILY TRUST 06-29-0'.
Work Class: P/M/E Issue Date: 11/29/2022 Subdivision: CARLSBAD TCT#97-22 PACIFIC
SHORES SOUTH
Status: Closed -Finaled Expiration Date: 05/30/2023 Address: 134 WINDVANE LN
IVRNumber: 44924 CARLSBAD, CA 92011-5438
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
12/01/2022 12/01/2022 BLDG-23 197807-2022 Passed Tony Alvarado Complete
Gas/Test/Repairs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final Inspection 197806-2022 Passed Tony Alvarado Complete
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
BLDG-Gas Meter 197809-2022 Requested Tony Alvarado Incomplete
Release
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
Thursday, December 1, 2022 Page 1 of 1