HomeMy WebLinkAbout2461 BUENA VISTA CIR; ; CBR2023-5130; PermitBuilding Permit Finaled
Residential Permit
Print Date: 12/15/2023
Job Address: 2461 BUENA VISTA CIR, CARLSBAD, CA 92008-1601
Permit Type: BLDG-Residential Work Class:
Pa reel #: 1552211400 Track#:
Valuation: $0.00 Lot#:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Description: KURNER; GAS LEAK REPAIR
Applicant:
NEW VILLAGE ARTS INC
LAURA KURNER
2461 BUENA VISTA CIR
CARLSBAD, CA 92008-1601
(760) 213-6862
FEE
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Property Owner:
NEW VILLAGE ARTS INC
LAURA KURNER
2461 BUENA VISTA CIR
CARLSBAD, CA 92008-1601
(760) 213-6862
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
P/M/E
Total Fees: $221.00 Total Payments To Date: $221.00
NOTICE:
Permit No:
Status:
(city of
Carlsbad
CBR2023-5130
Closed -Finaled
Applied: 11/27/2023
Issued: 11/27/2023
Finaled Close Out: 12/15/2023
Final Inspection: 11/27/2023
INSPECTOR: Renfro, Chris
Balance Due:
AMOUNT
$221.00
so.oo
Please take NOTICE that approval of your project includes the "imposition" of fees, dedications, reservations, or other exactions
collectively referred to as "fees." You have 90 days from the date this permit was issued to protest the imposition of these fees. To protest
the imposed fees, you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest with the City
Manager. Failure to timely follow the required procedures will bar any subsequent legal action to attack, review, set aside, void, or annul
the imposition of these fees.
You are FURTHER NOTIFIED of your right to request an audit to review the fees imposed on your project. To request an audit, follow the
procedures provided in Government Code Section 66023(a). Additionally, you may file a written request for mailed notice for the public
meeting to review the fee account or fund information related to certain fees that are imposed as a result of the approved permit.
You are FURTHER NOTIFIED that your right to protest the specified fees DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other simllar application processing or service fees in connection with this project, NOR DOES
IT APPLY to any fees of which you have previously been given a NOTICE similar to this, and the statute of limitation has 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
{city of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check CJJ:ZDl?-5130
Est. Value
PC Deposit
Date 11121 I 2.3 I I
CT/Project #: _________________ Lot #: ____ Vear Built: ________ _
BRIEF 0EsCR1PT10N o, woRK~;,-,,, d ,9 4_,; le q !.. I
I t?sl?e,Lf/c20 l
□ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N , if yes how many? ___ _
D Remodel: _____ SF of affected area Is the area a conversion or change of use? O YO N
□ Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _
0 Solar: ___ KW, ___ Modules, Mounted:0Roof OGround, Tilt: 0 YON, RMA: 0 YO N,
Battery:OYO N, Panel Upgrade: OvON Electric Meter number: ------------
0th er:
PROPERTY ~WNER ~,
::;r:~-s·=·i;:;.~:..t, .,,,,.s,:,. """',_,_. ..._"'~;,;. .Jt:.J;,,:l ... '::.. _(t.i. ."" --:'--+-.:,:;.(,-,1;,;..::;,•~ ... ....:...,:~'T" .... -"""' '"T .... -_ -_ -_ -_ -_ --=.::::~=.a:t:7Yiu;~:fi<7ka;,
City· J State:(f if Zip:o/2426 City: ~'J;;{OA /•d State: (1£ Zip:92cJc&'
Phone: -zie..Q ;;}J_ 2.., -~ 2-Phone: '::Z.h...Q ~ z_ Cz,,S:./a :J-, ,
Email: W<Ll;;;;;; r~::1114 ,2 t1 ~•Z! Email: J_J;_i, ~ ?14Wjf l/1M z c!JDL-
DESIGN PROFESSIONAL CONTRACTOR OF REWRD -:--:> / ~
Name: _________________ BusinessName: ::::,a Ca J /:·/q ;zc/"7/ d'')
Address: Add • ,<J J X J,, l/ b3 J
City: _______ .State: __ .....,Zip:____ City:......__......._ ............... ~ ...__ __ Zip: C • !.-7-d,_,
Phone: ________________ _
Email: ________________ _
Architect State License: __________ _
Carlsbad Business License# (Required): _______ _
APPLICANT CERTIFICATION: I certify that I have read the application and state that the ab
agree to comply with all City ordinances and State laws relating to building canstruction. ~ -
NAME (PR1Nr1, /a um /..~r1:2.,c,c:: s1G~~-1/L.t.Jl,1,.~~~::::::-
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719
REV. 04122
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 herebyaf f irmunder penaltyof perjury that I am licensedunderprovisionsof Chapter 9 (commencing with Section 7000)of Division]
of the Business and Professions Code, and my license is in full forceandeffect. I also affirm underpenaltyof perjury one of the
following 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 th·1s permit is issued. Policy No. ___________________________________________ _
-OR-
DI have and w·i1I 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: lnsuranceCompany Name: ________________________ 1
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 thls permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _______________________ Lender's Address: _______________________ _
CONTRACTOR CERTIFICATION: The appl'icant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and
utilities/utility easements, All proposed modifications and/or additions are clearly labeled on the .site plan. Any potentially existing detail within these plains inconsistent with the site plan are
not approved for construction and may be required to be altered or removed. The city's approval of the appHcation is based on the premise that the submitted documents. .and plans show
the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed
use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation.
All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted.
NAME (PRINT}: _________ SIGNATURE: _________ DATE: ______ _
Note: If the person signing above is an authorized agent for the contractor rovide a letter of authorization on contractor letterhead.
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 Profess·1ons 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).
-()1<-
[J( 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-
D1 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. I understand that a copy of the applicable/aw, Section 7044of the Businessond Professions Code, is ovailoble upon request when this application is
submitted orat the following Website: http:/ lwww.leginfo.ca.gov/ca/aw.html.
OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility
easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existin detail within these plans inconsistent with the site plan are not approved
for construction and may be required to be altered or removed. The city's approval of the application is ba a the premise that the submitted documents and plans show the correct
dimensions of; the property, buildings, structures and their setbac!cs from property lines and from one an i s roads s ments, and utilities. The existing and proposed use of each
building as stated is true and correct; all easements and other encumbrances to development hav en ac rately s n a d lab led as well as all on-site grading/site preparation. All
improvements existing on the property were completed in accordance with all regulations in exis t t ime oft ir n, unless otherwise noted. lo / NAME (PR1Nr):,Ura. Au r n er SIG
Note: If the erson si nln above Is an authoriied a ent for the ro ert ow
1635 Faraday Ave Carlsbad,CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov
2
REV. 04/22
( 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:
:l 1/~/ l)U&1fi 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.
I. ~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.
IL #,[. 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. 1 Ill. /JJi..[/1 understand as an "Owner--Builder" I am the responsible party of record on the permit. I understand that I
IV.
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.
~&nderstand contractors are required by law to be licensed and bonded in California and to list their license
Arwt;ters on permits and contracts.
V. /E 1---onderstand 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. ~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. & 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
th",.,Wtk is performed under contract with a licensed general building contractor.
VII.
VIII. ~-nderstand 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
~~/;ruction defects in the workmanship or materials.
IX. r!l!{__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 l-800-321-CSLB (2752) or www.cslb.ca.gov for more information
X.
3/r?~t licensed contractors.
~m 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. I ;;igree that, as the party legally and financially responsible forth is proposed construction activity, I will abide ~../Y. applicable laws and requirements that govern Owner-Builders as well as employers.
XII. ~gree 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 a!/ 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 form without the advice of /ego/ counsel.
Jti.,u ra ~ f7r:L (
Property Owner Name (PRINT) ,
2 REV. 08/20
Building Permit Inspection History Finaled
( City of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2023-5130)
Permit Type: BLDG-Residential
Work Class: P/M/E
Status: Closed -Finaled
Application Date: 11/27/2023 Owner: NEW VILLAGE ARTS INC
Issue Date: 11/27/2023 Subdivision:
Expiration Date: 05/28/2024 Address: 2461 BUENA VISTA CIR
CARLSBAD, CA 92008-1601 IVR Number: 53493
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date
11/27/2023 11/27/2023 BLDG-23 231620-2023
Friday, December 15, 2023
Gas/TesURepairs
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Final Inspection 231619-2023
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Structural Final
COMMENTS
Status
Passed Chris Renfro
Passed Chris Renfro
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
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