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HomeMy WebLinkAbout1633 FRAZIER AVE; ; CBR2021-1131; PermitPrint Date: 08/27/2021 Permit No: CBR2021-1131 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1633 FRAZIER AVE, CARLSBAD, CA 92008-1102 BLDG-Residential 1562124800 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 04/20/2021 04/21/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled TKers Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:08/27/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: WELLS: GAS LINE AND ELECTRICAL TO OUTDOOR FIREPLACE (UNDER 6FT) AND BBQ (E-REVIEW)Description: Project Title: Property Owner: WELLS EARL JR AND STEPHANIE 1633 FRAZIER AVE CARLSBAD, CA 92008 AMOUNTFEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 Total Fees:$175.00 Total Payments To Date:$175.00 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 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-1131 4/20/2021 {'Cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check _______ _ Est. Value PC Deposit Date Job Address 1633 Frazier Ave, Carlsbad, CA. 92008 Suite: _____ APN:. __________ _ CT/Project #: ________________ Lot #:. ____ Year Built: _2_0_1_6 ______ _ Fire Sprinklers: (!)vEsO NO Air Conditioning:(!) YES ONO BRIEF DESCRIPTION OF WORK: Electrical Panel Upgrade: QvEs(!) NO Add 1 • gas line, add 1 eletrical circuit, trench 110 feet, burry lines and connect to outdoor fireplace and BBQ. liJ Addltlon/New: _____ Living SF,. ____ Deck SF, ____ Patio SF, 500 Garage SF __ _ Is this to create an Accessory Dwelling Unit? Ov 0N New Fireplace? @ v ON, if yes how many? _1 __ 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, Mounted:0Roof0Ground, Tilt:OvO N, RMA: Ov ON, Batterv:Ov ON, Panel Upgrade: Ov ON D Reroof: _______________________________ _ Iii Plumblng/Mechanlcal/Electrical D Only: Other: Add 1 • gas line, 1 electrical circuit This permit Is to be Issued In the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. APPLICANT Ii] PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 PROPERTY OWNER Name: Earl Wells Address: 1633 Frazier Ave Name: __________________ _ Address: _________________ _ Oty: Carlsbad State:_C_A ___ Zlp: 92008 Oty: _________ State: __ ~Zlp: ____ _ Phone: __________________ _ Phone: 408-332-7848 Emau:earl4sc@qmail.com Email: __________________ _ DESIGN PROFESSIONAL APPLICANT 0 CONTRACTOR OF RECORD APPLICANT 0 Name:. ________________ _ Name:. __________________ _ Address: _______________ _ Address:. _________________ _ Clty: _______ State: ____ Zlp: ___ _ Oty:. _______ State:. ____ Zlp: _____ _ Phone: _______________ _ Phone: _________________ _ Ema11:earl4sc@gmail.com Email: __________________ _ Architect State License: __________ _ State Ucense/dass: _____ Bus. License: ___ _ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-©2·2719 Fax: 760-€02-8558 Email: Bullding@lcarlsbadca.gov REV. 08120 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 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: 01 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. _______________________________________ _ 0 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: _____________________ _ Policy No. ____________________________ Expiration Date: _______________ _ 0 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 coverace 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 compenHtion, clama1es 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 fending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) CMI Code). Lender's Name: _____________________ Lender's Address: ____________________ _ CONTRACTOR PRINT: _________ SIGN: _________ OATE: (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 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). liJ 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). 0 I am exempt under Business and Professions Code Division 3, Chapter 9, Artlde 3 for this reason: .Owner Builder ■cknowled1ement ■nd verification form• has been filled out, signed and attached to this application. 0 Owners uAuthorized A1ent Form• has been filled out, signed and attached to this application giving the agent authority to obtom the permit on the owner's behalf 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 ft has not been constructed in Its entirety by licensed contractors. I understand that o copy of the applicable low, Section 7044 of the Business on rofesslons Code, Is oval/able n request when this opp/lcotlon Is submitted orot thefo/lowlng Web site: http://www.leglnfo.co.gov/colow.html. OWNER PRINT: £ y\ 1,J:J\a APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify thot: I om the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf. 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 Jaws relating to building construction. I hereby authorize representative of the Qty of Corlsbod to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE: INDEMNIFY AND KEEP HARMLESS THE QTY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHIG-1 MAY IN ANY WAY ACCRUE AGAINST SAID QTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An HA permit Is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories In height. APPLICANT PRINT: £ e4 w~ 1635 Faraday Ave carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Build ngl!Dcarlsbadca.gov 2 REV. 08/20 ( City of Carlsbad OWNER-BUILDER ACKNOWLEDGEMENT FORM 8-61 Development Services Building Division 1635 Faraday Avenue 760-602-2719 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 1633 Frazier Ave, Carlsbad, CA. C, l.oo 1" 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 p/Jl activities. (U.1 understand a frequent practice of unlicensed contractors is to have the property owner obtain an "Owner- 8uilder" 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 ~i9lits of my insurance coverage for injuries to workers on my property. (W' I nderstand building permits are not required to be signed by property owners unless they are responsible onstruction and are not hiring a licensed contractor to assume this responsibility. 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 r ame instead of my own. understand contractors are required by law to be licensed and bonded in California and to list their license ers on permits and contracts. I understand if I employ or otherwise engage any persons, other than California licensed contractors, and he 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. A)) I understand if I am considered an "employer" under state and federal law, I must register with the state ~ederal 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 may subject me to serious financial risk. VII. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family VIII. IX. ntial 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. /1)) I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable t?:';,y financial or personal injuries sustained by any subsequent owner(s) which result from any latent in r ction defects in the workmanship or materials. I understand I may obtain more information regarding my obligations as an "employer" from the Internal R enue 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 ~t licensed contractors. X. ~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: I~ P" 2 .. ~ c'"'6 f:,J ( XI. agree that, as the party legally and financially responsible for this proposed construction activity, I will abide y all applicable laws and requirements that govern Owner-Builders as well as employers. XII. i},dagree 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 hove read and understand all of the lnformotlon provided on this form and that my responses, lndudlng my authority to sign this form, Is true and correct I om aware that I hove the optJon to consult with /ego/ counsel prior to signing this form, and I hove either (l) 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. '-(-I 1-Z..J Property Owner Name (PRINT) Date 2 REV. 08/20 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-1131) BLDG-Residential 04/20/2021Application Date:Permit Type:Owner:COOWNER WELLS EARL JR AND STEPHANIE P/M/E 04/21/2021Work Class:Issue Date:Subdivision: 11/02/2021Expiration Date:Status: IVR Number: 32889 Closed - Finaled 1633 FRAZIER AVE CARLSBAD, CA 92008-1102 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 05/06/2021 05/06/2021 BLDG-81 Underground Combo(11,12,21,31) 156697-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-21 Underground-Underfloor Plumbing Gas test pass.Yes BLDG-31 Underground-Conduit Wiring Yes 08/27/2021 08/27/2021 BLDG-Final Inspection 165185-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Friday, August 27, 2021 Page 1 of 1 {cityof Carlsbad