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Home My WebLink About1301 OAK AVE; ; CBR2023-4979; Permit                                                       (Cityof Carlsbad ,. (_ Cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check Est. Value PC Deposit Date Job ddress 1301 OAK AVE, CARLSBAD, CA 92008 Unit : APN :2050201300 ----- CT/Project #: _________________ Lot #: ____ Year Built: ________ _ BRIEF DESCRIPTION OF WORK: Installing 18 solar panels that are 400w and roof mounted. 0 New SF : living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an ccessory 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 co nversion or change of use? O Y O N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ □Solar: 7.2 KW, 18 Modul~Mounted: Roof OGround, TIit: 0 Y" N, RMA: 0 Y ~ N, Battery:~ Panel Upgrade: O Y~N Electric Meter number: __ 5~2,-~'j~/~S~i........,g ___ _ Other. APPLICANT (PRJMARY CONTACT) ame: TAMMY K BOOKER PORTER PROPERTY OW NER Name:TAMMY K BOOKER PORTER Address: 1301 OAK AVE Address: 1301 OAK AVE aty:CARLSBAD State:_C_A __ Zip: 92008 City:CARLSBAD, State:CA Zip:92008 -----Phone: 760-687-3967 Phone: 760-687-3967 Email: +b'poobv::por+<.c-e 1 O'.)e+l.t.or'Y'l Email: +'6,fcokfr t7o c b c @grnh ~\ -c,orr:, DE.SJGN PROFESSIONAL CONTRACTOR OF RECORD ame:. _________________ Business Name: ______________ _ Address: Address: ________________ _ City: _______ State: ___ Zip: ___ _ Oty: _____ ---'State: ___ Zip: _____ _ Phone:. _______________ _ Phone: ________________ _ Email:. ________________ _ Email: _________________ _ Architect State License: __________ _ CSLB License #: ______ aass:. ______ _ Carlsbad Business License # (Required): ______ _ AfflJCANfCBlTlRCAOOH ,,__,,_,_, ... _.., __ ,._~,ffl_,:,..-of,__•""""" • ~• ~ -r;IOq~ and SlllU '-5 rrlaong ID crusicDng cammaxin. NAME (PRINT): Tammy K Booker Porter S19 DATE: 0 I n v~ 23 1e5 ~-,Awieurttbad.U.92!111 Ph: 44.2-~2719 Email: 8uidin&f!a,tsb.du,mw REV(Ul22 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 LffiER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby off irm under pena/tyof perjury that I am /icensedunderprovisionsof Chapter 9 (commencing with Section 7000) of Division] of the Business and Professions Code, and my license fs inf ull f orceand effect. J alsoaf f /rm under penal tyof perjury one of the following declarations {CHOOSE ONE): D 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 carrier and policy number are: Insurance Company Name: ------------------------1 Policy No. ____________________________ Expiration Date: -----------------1 -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's Address: ______________________ _ CONTRACTOR CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, ilccess roilds, ilnd utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans Inconsistent with the srte pliln ilre not approved for construction and may be required to be altered or removed, The city's approval of the application Is based on the premise that the submitted documents and plilns show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and ut,htles. The exlsting ilnd 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 gudlng/slte prepilriltlon. 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: _________ OATE: _____ _ Note: If the person slgni_n_g_a_b_o_v_e_is_a_n_a_u_t_h_o-ri-ze-d-ag_e_n_t_f_o_r -th-e 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: ~ 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- D 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). -OR- DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: A '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 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 Che following Web site: http:I/www.leglnfo.ca.gov/ ca/aw.html. OWNER CERT/FICA TION. The applicant certifies that all documents and plans clearly and accurately show all existing and proposed building:,, structures, access roads, and utlllti~/ut,hty easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing 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 based on the premise that the submitted documents ilnd plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and ut,htles. 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 ilnd labeled as well ils 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 nstruct,on, unless otherwise noted. NAME (PRINT): Tammy K Booker Porter Note: If the erson si nln above Is an authorized a ent for the ro ert owner. 1635 Faraday Ave Carlsbad, CA 92008 Email: Building@carlsbadca.gov 2 REV. 04/22 ( City of Carlsbad OWNER-BUILDER ACKNOWLEDGEMENT FORM B-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 1301 Oak Ave. Carlsbad, CA, 92008 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. TBP I 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 the limits of my insurance coverage for injuries to workers on my property. II. TBP 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. III. TBP 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 instead of my own. IV. TBP I understand contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. V. TBP 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. TBP 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 . TBP 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. TBP I 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. TBP 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. TBP I 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: 1301 Oak Ave. Carlsbad, CA, 92008 XI. TBP 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. XII . TBP 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 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 farm, 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. Tammy K Booker Porter 11/28/6 Property Owner Name (PRINT) Date 2 REV. 08/20                                {city of Carlsbad