HomeMy WebLinkAbout2909 LANCASTER RD; ; CBR2021-3923; PermitBuilding Permit Finaled
Residential Permit
Print Date: 04/25/2024
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
2909 LANCASTER RD, CARLSBAD, CA 92010-6568
BLDG-Residential Work Class:
1674611600 Track#:
$0.00 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
P/M/E
Permit No:
Status:
{city of
Carlsbad
CBR2021-3923
Closed -Finaled
Applied: 12/28/2021
Issued : 12/28/2021
Finaled Close Out: 04/25/2024
Final Inspection: 01/03/2022
INSPECTOR: Kersch, Tim
Renfro, Chris
Description: ELECTRICAL TO PORTABLE SPA (MUST COMPLY WITH POOL SAFETY STDS) (E-REVIEW)
Applicant:
KENNETH CAMPION
2138 SEA ISLAND PL
SAN MARCOS, CA 92078-5477
(562) 947-1700
FEE
Property Owner:
AP C EMPLOYEES RETIREMENT TRUST
3732 ARAPAHO PL
CARLSBAD, CA 92010-5523
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
Total Fees: $193.00 Total Payments To Date: $193.00 Balance Due:
AMOUNT
$193.00
$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
Carlstiad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check CBR2021-3923
Est. Value
PC Deposit
Date 12/28/21
Job Address 2909 Lancaster Rd., Carlsbad, CA 92010 Unit: APN: 167-461-16 -----
CT /Project #: __________________ Lot#: 21 4 Year Built: _1_9_84 _______ _
Fire Sprinklers:OE()No Air Conditioning:QYESQNo Electrical Panel Upgrade:QYESQNO
BRIEF DESCRIPTION OF WORK: Add 220 wiring to electric panel to put on outlet in back yard to plug in a portable spa.
0 New SF :. _____ Living SF,_~--Deck SF,. ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? Qv(!)N New Fireplace? Qv{!)N, if yes how many? __ _
D Remodel: SF of affected area -----Is the area a conversion or change of use?Ov ON
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
0 solar: ___ KW,. ___ Modules, Mounted0oot{)3round, Tilt:O v0 N, RMA:OvON,
Battery: Qv ()'J, Panel Upgrade: Qv ~
D Re roof: __________________________________ _
[j] Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY APPLICANT
Name: Kenneth G. Campion
Address: 2138 Sea Island Place
Electrical
City: San Marcos State:_C_A_-'Zip: 92008
Phone: 562-947-1700
Email: skcampion@hotmail.com
PROPERTY OWNER
Name: Kenneth G. Campion Employees' Retirement Trust
Address: Same ·--------------------City: same
Phone:Same
State: ___ Zip: ____ _
--------------------Em a i I: Same --------------------
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 Busine s License# (Required): _______ _
APPLICANT CERT/FICA TION: I certify that I have read the application and sta1 ? at th above information is correct and that the
information on theplansisaccurate. lagree to comply with all City or ·n n e an S te laws relating to building
construction.
NAME (PRINT): Kenneth G. Campion SIGN:--.;._,~4...,1,,_,_~--t"'i.i.¥--=-l-,,L,--DATE:_8_/3_0_12_1 __ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 76 Email: Building@carlsbadca.gov
REV. 07121
. 1
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:
lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSectionlOOO)ofDivision3
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 (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-
f'71 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.
'r;;fy 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's Address: ____________________ _
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. 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: 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-
@1, 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,
0 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 7044of the Businessond Professions Code, is available upon request when this application is
submitted or at the following Web site: http: I I www.leginfo.ca.gov/ cal aw. html.
OWNER CERT/FICA TION: I certify that I have read the application and state
information on the plans is accurate. I agree to comply with all City o
construction.
bove information is correct and that the
St te laws relating to building
SIGN: ....j.L~qp~:__ __ DATE: _ta:;..l~_g_t>+-I ~--
Note: If the person signing above is an authorized agent for the property owner i
NAME (PRINT): ~~µeJH G· CA HPlo.J
1635 Faraday Ave Carlsbad, CA 92008 Email: Building@carlsbadca.gov
2 REV. 07/21
{ 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 t he owner--builder of t he
property located at:
Site Address ---~cil,"-"-e\_C>_q_l.A-=--_tJ_CA __ SJQ?:,-'--=-'-=--'JZ,D'---'-_,· •---=CA-:t?:LS=--'--"--"c=..=B:c....,A'--'-""D--,--,cA=-.,__q~z=----"'o"""'l_6 __ • 7
The City of Carlsbad ("City") is providing you with t his Owner-Builder Acknowledgment and Verification form
to inform you of the responsibilities and t he possible risks associated w it h typical construction activities issued
in your name as the Ow ner-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 t he 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 init ial each st atement below to acknowledge your understanding and
verification of t his 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. -~ understand a frequent practice of unlicensed contractors is to have the property owner obtain an "Owner-
Builder" building permit that erroneously implies t hat 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
,11.
Ill.
IV.
V.
insurance may not provide coverage for those injuries. I am willfully acting as an Owner--Builder and am aware of
mits of my insurance coverage for injuries to workers on my property.
I understand building permits are not required to be signed by property owners unless they are responsible
~o/Jr, construction and are not hiring a licensed contractor to assume this responsibility.
~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
name instead of my own.
understand contractors are required by law to be licensed and bonded in California and to list their license
rs on permits and contracts.
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. ~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
laws may subject me to serious financial risk.
VII. J.l,tt 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
t~,:;.rork is performed under contract with a licensed general building contractor.
_b.U:_ I understand as an Owner-Builder 1f 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
VIII.
IX.
cltruction defects in the workmanship or materials.
l 1 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. ~ am aware of and consent to an Owner-Builder building permit applied for in my name, and understand
tl'\at I am the party legally and financially responsible for proposed construction activity at the following address:
XI.
XII.
r)/ )' I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide Watt applicable laws and requirements that govern Owner-Builders as well as employers.
~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 w ith 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 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 legal counsel.
lCG t-.H,HSffi G · cA t-{ P Io t---l
Property Owner Name (PRINT)
~_;,()l~
Date
2 REV. 08/20
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-3923)
Permit Type: BLDG-Residential Application Date: 12/28/2021 Owner: TRUST A P C EMPLOYEES
RETIREMENT TRUST
Work Class: P/M/E Issue Date: 12/28/2021 Subdivision: CARLSBAD TCT#81-47 UNIT#02
Status: Closed -Finaled Expiration Date: 06/27/2022
IVRNumber: 37839
Address: 2909 LANCASTER RD
CARLSBAD, CA 92010-6568
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
12/30/2021 12/30/2021 BLDG-34 Rough
Electrical
173602-2021 Failed Chris Renfro
Checklist Item
BLDG-Building Deficiency
COMMENTS
Nobody home. Called and left a voicemail.
No response. Left door hanger.
BLDG-Final Inspection 173603-2021 Failed Chris Renfro
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Nobody home. Called and left a voicemail.
No response. Left door hanger.
01/03/2022 01/03/2022 BLDG-Final Inspection 173732-2021 Passed Tim Kersch
Checklist Item
BLDG-Building Deficiency
BLDG-Electrical Final
Monday, January 3, 2022
COMMENTS
Nobody home. Called and left a voicemail.
No response. Left door hanger.
Reinspection Incomplete
Passed
No
Reinspection Incomplete
Passed
No
No
No
No
No
Complete
Passed
Yes
Yes
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