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1820 BASSWOOD AVE; ; CBR2024-1623; Permit
Print Date: 10/23/2024 Building Permit Finaled Residential Permit CBR2024-1623Permit No: Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1820 BASSWOOD AVE, CARLSBAD, CA 92008-1107 BLDG-Residential 2050804200 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 06/18/2024 06/18/2024 Finaled Close Out:10/23/2024 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:06/21/2024Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Renfro, Chris BLALOCK: EMERGENCY GASLINE REPAIR, MOVING GAS LINE TO ACCOMODATE GAS LINE REPAIR (E-REVIEW)Description: Project Title: Property Owner: ZEB BLALOCK 1820 BASSWOOD AVE CARLSBAD, CA 92008-1107 (425) 466-1360 Contractor: 1ST RESPONSE PLUMBING AND FLOOD DAMAGE 301 28TH ST, # STE L NATIONAL CITY, CA 91950-8724(619) 706-7859 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $221.00 Total Fees:$221.00 Total Payments To Date:$221.00 Balance Due:$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. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check C.Blt2C>24 -lu21 Est . Va lue PC Deposit Dat e (Q • l 8 • lO l '--J Job Address / ~ 2.0 B~ssw..-.. d, Av?:; Unit: _____ .APN: __________ _ CT/Project #: __________________ Lot #: ____ Year Built: _________ _ BRIEF DESCRIPTION OF WORK:_(1 .... ~ ____ ____.i"'-11A.e,,~ _ _,_f..ii--+-"QJ=-:,r .......... ___._f-'-V\'\."""-=t, ______________ _ ~ I □ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? @ Y O N New Fireplace? Q YO N, if yes how many? ___ _ D Remodel: _____ SF of affected area Is the area a conversion or change of use? O VO N 0 Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ □Solar: ___ KW, ___ Modules, Mounted:0 Roof O Ground, Tilt: 0 Y0 N, RMA:O Y 0 N, Battery:©VC N, Panel Upgrade: G v O N Electric Meter number: Other: APPLICANT (PRIMARY CONTACT) Name: Zc&, !, IJoe.,l.- Address: 1i"l-o ]34.sswc1 ocJ .Av..,,., City: U\t'l~lr1t(.d State:c,./\ Zip: c:72-ao]. Phone: Lt 2..'; -'ft, {n , I~,....,., Ema i I: Z b W.,. Q&:: \ '\ '11 ~ ~)"''::½ C. c 4:r'::::'. ------------ PROPERTY OWNER Name: 5t.wx:< Address: __________________ _ City: __________ State: ___ Zip: ____ _ Phone: ___________________ _ Email: ___________________ _ 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 CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the informatian of the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): Ze-~ f;, lcc...loc...L SIGN: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 REV. 04/22 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 herebyaff irm underpenalfyof perjury that I am licensed underprovisionsof Chapter 9 ( commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is inf u/1 force and effect. I also affirm under penalty of 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 this permit is issued. Policy No. _________________________________________ _ -OR- DI 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- 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 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 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 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: ~ 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- DI, 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: 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 contractors./ understand that a capyof the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted orat the following Web site:http://www.leginfo.ca.gov/calaw.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 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 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): Zeh 3 lc,.--locJ•- Note: If the erson si nin above is an authorized a ent for the ro ert owner inclu 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 I. II. Ill. IV. V. 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 __ J;_o,g~2.,=o~B~a;""-?'$=--._,W-=.,,e.:>_..o ...... t2'---_..A-v'--'--' ....... t':-"""-'--'(f--__,_,,U..,_,tj""---',,( )-'"Po=a ....... e!""-+t---=C.=A,__,___'1~i ..... cl,._,,{).,__\....__ __ 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. ~ understand a frequent practice of unlicensed contractors is to have the property owner obtain an "Owner• ~r" 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. ~nderstand building permits are not required to be signed by property owners unless they are responsible ~e construction and are not hiring a licensed contractor to assume this responsibility. _::~~runderstand as an "Owner--Builder" I am the responsible party of record on the permit. I understand that I ~ protect myself from potential financial ri sk by hiring a licensed contractor and having the permit filed in his or her name instead of my own. ~understand contractors are required by law to be licensed and bonded in California and to list their lice nse ~ers on permits and contracts. _¼I understand if I employ or otherwise engage any persons, other than California licensed contractors, and t i(g)otal 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. ~ understand if I am considered an "employer" under state and federal law, I must register with the state ~~deral 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. ___z:S"i understand under California Contractors' State License Law, an Owner--Builder who builds single•• family reVential 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. ~ 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. X. XI. XII. ~understand I may obtain more information regarding my obligations as an "employer" from the Internal ~ue 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. ~ am aware of and consent to an Owner-Builder building permit applied for in my name, and understand ~am the party legally and financially responsible for proposed construction activity at the following address: ,2:2s;:J agree that, as the party legally and financially responsible forth is proposed construction activity, I will abide b~I 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 i~ation 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 form, is true and correct. I am aware that I hove 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 f orm or {2} have waived this right in signing this form without the advice of legal counsel. Property Owner Name (PRINT) ~ b~ ~ Owner Signature 3 REV. 05/22 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2024-1623) BLDG-Residential 06/18/2024Application Date:Permit Type:Owner:ZEB BLALOCK P/M/E 06/18/2024Work Class:Issue Date:Subdivision:PARADISE ESTS UNIT # 2 12/18/2024Expiration Date:Status: IVR Number: 57220 Closed - Finaled 1820 BASSWOOD AVE CARLSBAD, CA 92008-1107 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 06/21/2024 06/21/2024 BLDG-23 Gas/Test/Repairs 252549-2024 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 06/24/2024 06/21/2024 BLDG-Final Inspection 252550-2024 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes Sunday, June 23, 2024 Page 1 of 1 {cityof Carlsbad