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Home My WebLink About1700 Bluebird Ln; ; CBR2019-2137; Permit(City of Carlsbad Residential Permit Print Date: 09/13/2019 Permit No: CBR2019-2137 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1700 Bluebird Ln BLDG-Residential Z1588005l3 $0.00 Work Class: P/M/E Lot#: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 08/08/2019 08/08/2019 Plan Check#: Final Inspection: 9/13/2019 9:09:44AM Project Title: Description: XIANG: INSTALLAC-4 TON UNIT Owner: OWNER L\ XIANG AND LIU LULU PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 Contractor: THOMPSON HEATING & AIR 1980 Peacock Blvd, C Oceanside, CA 92056-3581 Balance Due: So.oo 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 hos previously otherwise expired. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $175.00 {'city of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan C~eck Est. Value PC Deposit--------- Date _i ...... 'f __ g'_,_/ __ 11.__ __ Job Address \3::f)D Lct\-Uuite: ____ APN: _________ _ CT /Project #: _________ Lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF 0EscR1PTtoN oF woRK= _A(___.,,,___.2 ...... r'-.Joo ___ ::j ___ \.,r\_·.,...,.· __.__A....._..{_-"L-O__._ ...... ·,_-\:_\.,;..A_<;_,_½)j __ .;;.._. □ Addition/New: _____ living Sf, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: SF of affected area ----!s the area a conversion or change of use? Yes/ No □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □ Solar: ___ KW, ___ Modules, Mounted; Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No Reroof: ____________________________________ _ L] Plumbing/Mechanical/Electrical Only: _______________________ _ D Other: -------------------------------------- APPLICANT (PRIMARY) . ·. .. . ~"'.. . PROPERTY OWNER Name: ~:?:£Cb 2_} ~1Name:_L..._l...__JL...._l A ___ /J_~------- Address: ~~(DC L 4l, Address: _________________ _ City: b ~~.. State: ~Zip: . me ,S'a City: ________ State: __ Zip: ---- Phone:~ 'fi:L{g-:3:t,:3>Q Phone: _____________ _ Email: __________________ Email: ___________________ _ OESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: _________________ _ Name: Thompson Heating & Air Conditioning Company, Inc Address: ________________ _ Address: 1980 Peacock Blvd., Ste. C City: _______ State: ___ .Zip: ___ _ City: Oceanside State: CA Zip: _9_2_05_6_· __ _ Phone: ________________ _ Phone: 760-842~7630 Email: _________________ _ Email: ___________________ _ Architect State License: ___________ _ State License: 974400 Bus, License: BLOS1240618 {Se<:. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's license Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Cooe} orthat he/she 1s exempt thl!l'efrom, and the basis for the alleged exemption, Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars !$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'CQMPENSATION DECLARATION: 1 hearby affirm under penalty of perjury Q!!.f of the following declarations: □ I have and will maintain a certificate of con$ent to self-insure for workers' compensation provided by Sectt0n 3700 of the Labor Code, for the performance of the work which this permit is issued. a I have anti will maintain worker's compensation, as required by Section 3700 of the Labor code, tor the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: _1n_s_. _eo_. ol_th_e_'We_s_t ______________ _ Polley No. WS050407190 Expiration Date: _04_1_0_11_20_1_s _____ _ □ Certlflcate of Exemption: I certify that in the performance of the work for which this permit is Issued, ! shall not employ any person in any manner so as to be come subject to the workers' compensation laws of California. WARNING: Failure to secure workers '°"'pe11$ttlon coverage ls unlawwl, and $hall $1.!bjed an employer to criminal penalties and civil fines up to $1-00,000.00, in addttlon the to the cost of compematlon, dam,ases as provided for in SealOn 3706 of the labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: ______ l(JtfA~__,__ ________ LJAGENT DATE: _z5 ........... /_f_l ____ l ']..._ ( OPTION B ); OWNER·BUILQER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, <'I$ owner of the pro~rty or my employees wlth wages as their sole compensation, will do the work and the structure is not iritended or offered for sale (Set. 7044, Business and Professions Code: The Contractor's Licen,e 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). □ I, as owner of the property, am exclusively contracting with licensed contractor5 to construct the project (Sec. 7044, Business and ProfessloM Code; The Contractor's license law does not apply to an owner of property who builds or lmprove5 thereon, and contracts for such projects with c;ontractor(s) lic;ensed pursuant to the Contractor's License taw). □ I am exempt under Ser;tl,m _______ Business and Professions Code for this reason: l, I personally plan to provide the major labor and mater la Is for construction of the proposed property Improvement. Q Yes LI No 2. I {have / have not) signet! an application for a building permit for the proposed work. 3. I have contnicted with the following person (fjrm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I ha11e hired the following person to coordinate, supervise and provide th~ major work (indude name / address I phone/ contractors' llcense n1.1mber): 5, I w!U provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {include name/ address/ phone/ type of work): OWNER SIGNATURE: _JAGENT DATE: _____ _ ------------------------- CONSTRUCTION LENDING AGENCY, If ANY; I hereby affirm that there is a construction lending agency for the performance of the work this perm,t is Issued (Sec. 3097 0) Ci11il Code). Lender's Name: ____________________ Lender's Address: ___________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON·RESIOENT!Ab 8Ul~DING PERMITS ONLY: 11 the applicant or future building i;,ccupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention progrt1m under ~ctlons 25505, 25533 or 2S534 of the Presley• Tanner Hazardous Substance Account Act? □ Yes □ No Is the apphcant or future building occupant required to obtain a permit from the air pollution control district or air quality managtment district? □ Yes □ No Is the fucility to be <:onstrw::ted within 1,000 feet of the outer boundary of a scnool s!te 7 □ Yes □ No IF AH'f OF THE ANSWERS ARE 'l'!S, A FINAL CERTIFICATE Of' OCCUPANCY MAY NOTIIE ISSU£0 UNlfSSTHE APPLICANT HAS MET OR IS MEETING THE REQUIRfMENTS OF THE OFFICE OF EMERGENCY SERVlCES AND THE AIR POU.UTION CONTROl DISTRICT. APPLICANT CERTIFICATION: 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 illl City ordinances and State laws relating to building construction. I hereby authorize representative of the Qty of earls bad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAAI.S8AO AGAINST ML LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of lrltS PERMIT.OSHA: An OSHA permit Is required for excavations over S'O' tleep and demolitlon or construction of structures over 3 stories in height. EXPIRA TtoN: Every permit issued by the Building Official under the provisions of this Codi:! shall expire by limitation and become null and voo if the building or work authorized by wch permit iS not commenced within 180 ~ from the date of such permit or if the building or work authooted by such permit is suspended or abandonl:!d at any time afrer the work is commenced for a period of 180 davs (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: ___ f/k1.,_....~-----------0ATE:--.~-/;---~_/_(,._q......_ 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2of2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2019-2137) Permit Type: BLDG-Residential Application Date: 08/0812019 Owner: Work Class: PIMIE Issue Date: 08/08/2019 Subdivisio11: Status: Closed -Finaled Expiration Date: 03/11/2020 Address: IVR Number; 20991 Scheduled Actual Inspection Type Inspection No. Date Start Date Inspection Status Primary Inspector 09/13/2019 09113/2019 September 13, 2019 BLOG-43Air 104012-2019 Cond./Furnace Set BLDG-Final Inspection 104011-2019 Checklist Item BLDG-Mechani,;al Final BLDG-Electrical Final Pa8Sed Tony Alvarado Passed Tony Alvarado COMMENTS OWNER LI XIANG AND LIU LULU CARLSBAD TCT#9~03 POINSETTIA HILL 1700 Bluebird Ln Carlsbad, CA 92011-2780 Reinspectlon Passed Yes Yes Complete Compli,te Complete Page 1 of 1