HomeMy WebLinkAbout2065 CAMINO VIDA ROBLE; ; CBC2021-0426; PermitPERMIT REPORT
Commercial Permit
Print Date: 05/23/2023
Job Address: 2065 CAMINO VIDA ROBLE, CARLSBAD, CA 92011-1402
(city of
Carlsbad
Permit No: CBC2021-0426
Status: Closed -Expired
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel #: 2130612800 Track #:
Valuation: $0.00 Lot#:
Occupancy Group: Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Plan Check#:
Project Title:
Description: BOB BAKER SUBARU; NEW DETCHED (1,848 SF) PATIO COVER
Property Owner:
FEE
BUILDING PLAN CHECK
CITY OF CARLSBAD
CURTIS JACKSON
2955 ELMWOOD ST
CARLSBAD, CA 92008-1513
(442) 339-2836
BUILDING PLAN REVIEW -MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
CERTIFICATE OF OCCUPANCY
DETACHED ACCESSORY & UTILITY USES
SB1473-GREEN BUILDING STATE STANDARDS FEE
Total Fees: $2,189.33 Total Payments To Date: $1,033.13
Applied: 11/09/2021
Issued:
Finaled Close Out:
Final Inspection:
INSPECTOR:
Balance Due:
AMOUNT
$741.13
$194.00
$98.00
$15.00
$1,140.20
$1.00
$1,156.20
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereaher
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66D2D(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division
flc~•
J4?cyc iCQ_ol
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
Page 1 of 1
(city of
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Checit.-et!-Zo2./-Q'i"'-'-
Est. Value IJ 8?j CJS'b • ..,8
PC Deposit I I~ g;,3. 13 •
Date II -llfl-2. ,;,z./
JobAddress kf!'=i:£ MM(>SC> Vl~cA. t&-ol>~Suite:, ___ _.APN:, _________ _
Tenant Name#:¼,61/5 f1Ms§}0-$'V"\i3A-w....\..J Lot#: ____ Year Built:
Year Built:.___ Occupancy:.___ Construction Type:__ Fire sprinklersOEs@?o"--o--A-/C_:_C)v_E_S_GN_N_O_
sR1EF DEscR1PT10N oF woRK: l N sPrt1;;t., 1.... pva;:142 Cb\fi:1J/\::::: ifuit:: ~ tfRL'-mo--a.R:k.-::
Addition/New: 9A:TIO CZ,Ut5,/l New SF and Use, _________ New SF and Use
______ SF Deck, ______ SF Patio Cover, SF Other (Specify) ___ _
OTenant Improvement: ( ~ tf:~ SF,
____ SF,
Existing Use: P~~b-~ Proposed Use: b-£ "'i'tk(... J\rJuJ.
Existing Use: ______ Proposed Use: _____ _
D Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
D Solar:. ___ KW, ___ Modules, Mounted: 0Roof 0Ground
0 Reroof: _________________________________ _
~lumbing/Mechanical/Electrical t3!d}C,.,'"nLJGdAid---i.t:""vv-: LI l.--:Mt:<f'~ / p""'A.:Jf /oun...,Sr_
Oother: _________________________________ _
PRIMARY APPLICANT PROPERTY OWNER
Name: ,50 (3 f3 M(£°"tf...... Lt.J1P ,u,a..-V < Name:_,6.._;_.,l...,r_'(....._ ... ef-...-C#-l..6,.--' -----· ... ft .... ~ .......... --_______ _
Address: '>$t>-D fAs'qO '>Xrk:: t:lo-itri5' Address:. ________________ _
City: Ci-ti--vs.1'J-QYP State: Cf?CZip: <i 'lut> L City: ________ state: __ Zip:, ___ _
Phone: ·112f!_ -~ D..!±, -[Q .. 1 . .'f Phone:
Email: 2• ;:@) l/4¥[244ir-N Cuu-V 1 4~: ==============================
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: }-"( o~ Business Name:__,;;.,._,...;.....i/"'"'k;...;;.. ___________ _
Address: ________________ Address:. ________________ _
City: _______ State: ___ Zip: ____ City: ________ State:~ __ Zip:. _____ _
Phone: Phone: _________________ _
Email: Email:, _________________ _
Architect State License: CSLB License #:. _______ Class: ______ _
Carlsbad Business Ucense # (Required): ______ _
APPLICANT CERTIFICATION: I certify that I have read the application an state that the above information is correct and that the
information on the plans is accurate. I agree to comply with all City or inane es nd State laws relating to building
construction. ~·
NAME (PRINT): ~ 1; JJ'56.-u0 (?\..A..A"' ll, SIGN:~~~_.:;.-...~11----DATE: _____ _
1635 Faraday Ave Carlsbad, CA 92008 Ph; 760-602·2719 Fax; 7 Email: 8uilding@carlsbadca.gov
REV. 07/21
I i
"1 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
l
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:
lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3
of the Business and Professions Code, and my license is inf ul l force and effect. I also affirm under penaltyof per jury one of the
foUowing declarations (CHOOSE ONE):
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. PolicyNo. _________________________________________ _
-OR-D1 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: _______________ _
-OR-
Ocertificate 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 CERTIFICATION: I certify that/ have read the appUcationandstate 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: n I, as owner of the property or my employees with "':'ages as their sole compensation, will do the work and the structu_re is not intended or offered for sale (Sec.
~44, 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-D1, 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-□I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D 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
contrnctors. 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.govfcalaw.html.
OWNER CERTIFICATION: I certify that I have read the applicationand state that the above information is correct and that the
information on the plans is accurate. I agree to comply with al( City ordinances and State laws relating to building
construction.
NAME (PRINT): SIGN: __________ DATE: ______ _
Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner.
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
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 2-DhS' ~(~0 tJif>A yl.,~ AArH-::'-t\l\b cA 1-t,O (l
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.
~nderstand 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. ~ 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.
Ill. ~nderstand 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. ~derstand contractors are required by law to be licensed and bonded in California and to list their license
v.
n_.~m~n permits and contracts.
~ __ 11 u unndderstand 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.
REV. 08/20
Owner-Builder Acknowledgement Continued
VI. Vr:"nderstand 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 ma'l subject me to serious financial risk.
Vll.~nderstand .: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 wo~erformed under contract with a licensed general building contractor.
VIII. ~--J II unnnd,erstand 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. ~nderstand 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.
a~ut ~sed contractors.
/_~-Ia amm 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:
XI. ~ree that, as the party legally and financially responsibl efor this proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner-Builders as well as employers.
~e 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.
XII.
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 ond understand all of the information provided on this form and that my responses, inr:/uding my
authority to sign this form, is true and correct. I am awa~ that I have the option to consult with legal counsel prior to signing this form, r:md I have
either {1) consulted with legal counsel prior to signing this form or {2) hove waived this right in signing this form without the advice of legal counsel.
perty ner Name (PRINT) Property Owner Signature
2 REV. 08/20