HomeMy WebLinkAbout1709 BLACKBIRD CIR; ; CBR2022-2948; PermitPrint Date: 10/20/2022 Permit No: CBR2022-2948
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1709 BLACKBIRD CIR, CARLSBAD, CA 92011-5010
BLDG-Residential
2156028100
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
08/16/2022
08/18/2022
Finaled Close Out:10/20/2022
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:09/23/2022Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:Dreibelbis, Peter
CONDENSER REPLACEMENT (E-REVIEW)Description:
Project Title:
Contractor: AIRMAXX INC
1865 JOHN TOWERS AVE, # STE B
EL CAJON, CA 92020-1116
(619) 655-3010
AMOUNTFEE
PLUMBING, MECHANICAL & ELECTRICAL PERMITS $193.00
Total Fees:$193.00 Total Payments To Date:$193.00 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
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit
Date
---------
Job Address---+-..L....l.~-~:.u..t:~1.!:::.J~:::..\1...:~ ___ Unit: ____ APN: Q\ try"~ C,C L -8\ -0 D
CT/Project #: _________________ Lot #: ____ Year Built: _________ _
Fire Sprinklers:OEQNo Air Conditioning:QYES O Electrical Panel UpgradeQYESQNo
BRIEF DESCRIPTION OF WORK: C cr'v\ __ _..;:::;_~~~~I0,£,!._~4...1::::?:::.~~.U../:L~l--------------
0 New SF :. _____ Living SF,__,, ___ Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling unit? QvQN New Fireplace? QvQN, if yes how many? __ _
D Remodel: SF of affected area -----Is the area a conversion or change of use?Qv QN
Additional Gas or Electrical Features? □ Pool/Spa: ____ SF ------------
0Solar: ___ KW, ___ Modules, MountedOoof();round, TiltO vO N, RMA:QvQN,
Battery: Q{ ~' Panel Upgrade: Qv C)4
D Reroof: ___________________ ~~--__:L----------
D}(r>lumbing/Mechanical/Electrical
0 Only: Other:
PRIMA Y APPLICAN
~
PROP OWN R -
~~~~~-;.;;-it:~-.M:t!--:-r,---Name:_.::2,~~~~r--~~~~...ip---------
Addr :~ir...1,L,;:..t.,..:~:1.l!.:"'~~~:::.J...l.l.!;;~.LL--· r
Name: ~
City:~µJAJ~.....,=--1--v.s,tate: Zip: C\901{) City:.~~~ ~~.._-_..-r--State:~ Zip: ____ ....... .....__
Phon ~~~~0----~ Phone:~-+-1111&..~""""""-""---...;::;:i~...;::;.--'-----------
Email: Email: --------------------
DESIGN PROFESSIONAL CONTRACTOR OF ECORD ,-..,.
Name: _________________ Business Nam · \~V)
Address: Addre : ' 'r-,o~~~u
City:. _______ State:. ___ Zip:. _____ City:._~~~.,...;...i....-_rtate: (}f\ Zip:._~IIC:.;__ __ _
Phone: Phone:_~~~~~,!:.~~-~,---:---~~"'----
Email: Email:___,_,~t..:..L,~ ~~~~~~ ~"---~~~~-
Architect State License: CSLB License #:_....;..i...:.--"1-~I _ _,_ -_Class: .. .,C--..
Carlsbad Business Licens # (1 equired}. l ??_ ~--
APPLICANT CERTIFICATION: I certify that I have read the application and state that the above i formation is correct and that the
information on the plans is accurate. I a ree to comply with all City ord· ances an State law. relating to bui din
construction. \ _ _....,--n ;
NAME (PRINT): \.,2\s;~d\ fAO:,W SIGN:~ '-J'.L:;:__J{.::!:..~~~J._DATE: g \l{ Yj,
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Ema ii: Bu ildi ng@ca rlsbadca .gov
1 REV. 07/21
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 REQUIRE D PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ( commencing with Sect ion 7000) of Division 3
of the Business and Professions Code, and my license is inf ul l force and effect. I also affirm under penalty of perjury one of the
following declarations (CHOOSE ONE):
Q 1 have and will maintain a certificate of consent to self-insure for workers' compensat ion provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. Policy No. ______________________________________ _
-OR-
have and will maintain w orker's compensation, as required by Section 3700 of the Labor Code, for th issued.
y workers' com ns i ......... """ .... ~"';;;_ih policy number are: Insurance Company Name: --¥+JD.~~~A-Wr-~~~~~~~~--
Policy No . --~w...:~--\,_l,,o~Jl.._-'--J----------------Expirati n Date: -~1....-l,-H,.,p...J~--"~-=---------
-OR-a Certificate of Exemption: I certify t hat 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 AGENCYt IF ANY:
I hereby affirm that there is a construction lending agency for t he performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name:. ____________________ Lender's Address: ____________________ _
CONTRACTOR CERTIFICATION: lcertifythatlhavereadthe applicationandstatethattheaboveinformationiscorrectandthat
the information on the plans is accurate . I agree to comply with all City ordi nonces and State laws relating to building
construction.
Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead.
-OR -
(OPTION B): OWNER-BUILDER DECLARATION :
I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q 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 w ho 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-O I, as owner of the property, am exclusively contracting w ith 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-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
0 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 w hich 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 appUcable law, Section 7044of the Business and Professions Code, is available upon request when this application is
submitted or at the fol lowing Web site: http: I /www.leginfo.ca. gov I calaw. html.
OWNER 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 all City ordinances and State laws relating to building
construction.
NAME (PRINT):
Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner.
SIGN: __________ DATE: ______ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2022-2948)
BLDG-Residential 08/16/2022Application Date:Permit Type:Owner:
P/M/E 08/18/2022Work Class:Issue Date:Subdivision:
03/22/2023Expiration Date:Status:
IVR Number: 42679
Closed - Finaled 1709 BLACKBIRD CIR
CARLSBAD, CA 92011-5010
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
09/23/2022 09/23/2022 BLDG-43 Air
Cond./Furnace Set
192502-2022 Passed Peter Dreibelbis Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Final Inspection 192503-2022 Passed Peter Dreibelbis Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final Yes
Friday, September 23, 2022 Page 1 of 1
{cityof
Carlsbad