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Home My WebLink About1731 BLACKBIRD CIR; ; CBR2024-2660; Permit{"Cityof Carlsbad {°Cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address 1731 BLACKBIRD CIR Unlt: ____ _,APN:. __________ _ CT/Project #:. __________________ .ot #: ____ Year Built: _________ _ BRIEF DESCRIPTION OF WORK: REPLACE AC AND FAU ------------------------------ □ New SF : living SF,. ____ Deck SF,. ___ Patio SF, ____ G.arage SF __ _ Is this to create an Accessory Dwelling Unit? OY Ci) N New Fireplace? O YON, if yes how many? ___ _ D Remodel: _____ .SF of affected area Is the area a conversion or change of use? 0 YO N □ Pool/Spa:. _______ SF Additional Gas or Electrical Features? ____________ _ □Solar: ___ .KW, ___ Modules, Mounted:0Roof0Ground, Tilt: 0Y0 N, RMA:GY ON, Battery:OvG N, Panel Upgrade:OvON Other: PRIMARY APPLICANT PROPERTY OWNER Name: IE INC Name: CHRIS COX Address: 31225 LA BAVA DR 312 Address: 1731 BLACKBIRD CIR City: WESTLAKE State: CA Zip: 91362 City: CARLSBAD State: CA Zlp:_9_2_01_1 __ _ Phone: 818-735-7876 Phone: 619-517-2744 Email: _________________ Email: ___________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: _________________ Business Name: JOHN STEVENSON PLUMBING Address: Address: 2748 LOKER AVE City: ________ tate: __ _.Zip:_____ City: CARLSBAD State: CA Zip: .• 9_2_0_10 ____ _ Phone: Phone: 760-918-0456 Email: Email:. __________________ _ Architect State License: C5LB License #: 588895 Class: ------------- Car Is bad Business License # (Required): _______ _ APPUCANT CERT/FICA TION: I e2rtify that I have read the application and state that the above information is correct and that the information of the plans is accurate, I agree to comply with all City ordinane2s and State laws relating to building construction. SIGN: _ _./L ______ DATE: 10/7/24 NAME (PRINT): Mitch Bluman 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 Email: Building@carlsbadca.gov REV. 10121 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 underpenaltyof per jury that I am licensed under provisionso f Chapter 9 ( commencingwi th Section 7000 )of Division 3 of the Business and Professions Code, and my license is in full force and effect. I a/so affirm underpenaltyof perjuryoneof the following dec/arations{CHOOSE ONE): D1 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. PolicyNo. __________________________________________ _ -OR- ~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: ...;S:a.E=C~U;.aR..:;l'-'TY...;..;NA;.;:.;'"T"'IO:a.N=Ala::... ______________ 1 Policy No. SWC1371783 Expiration Date: _1;.;./.;.;1/.;;;;2_5 _____________ 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, IE 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: _____________________ __,.ender'sAddress: ______________________ _ CONTRACTOR CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all ex~ting and proposed buildings, structures, access roads, and utilities/utility eas.ements. All propos.ed 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 ti of their construction, unless otherwise noted, NAME (PRINT): MITCH BLUMAN 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: DI, 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- D1, 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 3for this reason: AND, D FORM 8-61 "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 the fol/owing Website: http:l lwww.leginfo.ca.govlca/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 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): Note: If the erson si nin above is an authorized 1635 Faraday Ave Carlsbad,CA 92008 Ph: 760-602-2719 Fax:760-602-8558 2 Email: B11Udioe@caclsbadca gov REV.10/2 CITY AND COUNTY BUILDING DEPARTMENT I hereby authorize the following persons from iE Inc dba iPermit (see al/ached page for complete list) to act on my behalf in obtaining business licenses and permits from the Building and Safety Department and to sign for permit and related applications on my behalf. I am properly licensed as required by the State ofCalifomia. I assume full responsibility under the law for pem1its taken out by persons authorized to act on my behalf. This authorization shall continue for one year from the date signed. Authorizing officer must be listed on the Personnel List maintained by the State Contractors License Board. COMPANY NAME: CONTRACTORS STATE LICENSE# BY: TITLE: SIGNATURE: John Ste\'enson Plumbing & Mechanical Ind dba Complete Comfort Plumbing Heating & Air 588895 -=-Jo-'-h'-'-:n ..... , ... s1" .... f,'-'-'Ye....,n ...... ~ .... oo .......... _____ Oate: ~ )),-()'),.2. Page I of 2 !PERMIT ERATERS PERSONS AUTHORIZED TO SIGN AND OBTAIN PERMITS: ADRIAN MARTINEZ AMY MACARENO ASHLEY FRAZIER BEN MEDINA CASSIDY SNOW CHRJS HARRIS COREY CASTRO GREGBLlJMAN JENNIFER LARA JENNlFER RICHARDSON K.ElTH JOHNSON LEAH SETTLES MARC MALDONADO MARfA HERNANDEZ MARJA LEON MEIRA V EISENBERG MINA !BARRA MITCHBLUMAN NICOLE LEWIS OMARORTIZ RICKY HATCHER RIDGEBRJEL SHAWN DONLON STEVE SCHNlERER YESENIA FLORES Page2 of2 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A nota,v public er other officer complelilg this certificate verifll!S only tile identity of the indM<Ual who signed the document to which this certifteate is attached, and not the truthfulness. accuracy, or vaJidily of that document. Stele of California County of / 0 S: 46 ' GE l.., f S } On 2 h-2:-l).C)")..'2-before me. z--e /( ,,TAC..OA V-AJq[,1'1e {)j) Au<. 1 Date He1e Insert Name ond ffi /,( the OffiCer personally appeared ,Toll f\J C,.A-t{ff<Q/1 1 S V vi /\) Sa,.,J Nome(s) of Signet(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name{s) is/are subscribed to the v.ithin instrument and acknowledged to me that he/she./lhey executed the same in his/her/lheir authorized capac1ty(1esi ancl that t>y his/her/their slgnature(s) on tne Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument Place Notary seat andlot Stamp A.0011e I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ~--------------OPTIONAL -----....,.,.'-----+-----, Completing this information can deter oltercmon of the document or fraudulent reattachment of this form to an unintended document Desalption of Attached Document Title or Type of Document: ________________________ _ DocumentDate: ___________________ Numberof Pages: ___ _ Signer(s) Other Than Named Above: _____________________ _ Capacity(les) Claimed by Signer(s) Signer's Name: __________ _ Signer's Name: __________ _ a Corporete Officer-Title{s): ______ _ a Corpor8te Officer -Title(s~ ______ _ □ Partner -o limited o General o Partner -□ Limited □ General o Individual o Attorney in Fact □ Individual a Attorney in Fact a Trustee a Guardian or Conservator □ Trustee a Guardian or Conservator o Other: ____________ _ □Other: ____________ _ Signer is Representing: ________ _ Signer is Representing: ________ _ Q2019 National Notary Association Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2024-2660) Permit Type: BLDG-Residential Application Date: 10/07/2024 Owner: Work Class: P/M/E Issue Date: 10/08/2024 Subdivision: Status: Closed -Finaled Expiration Date: 05/19/2025 Address: 1731 BLACKBIRD CIR IVR Number: 59387 CARLSBAD, CA 92011-5009 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection Date Start Date Status 11/19/2024 11/19/2024 BLDG-43Alr 268429-2024 Passed Tony Alvarado Complete CondJFurnace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final Inspection 268430-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Electrical Final Yes Thursday,May1,2025 Page 1 of 1