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Home My WebLink About1746 BLACKBIRD CIR; ; CBR2022-4854; PermitBuilding Permit Finaled Residential Permit Print Date: 03/21/2023 Job Address: 1746 BLACKBIRD CIR, CARLSBAD, CA 92011-5008 Permit Type: BLDG-Residential Work Class: P/M/E Parcel#: Valuation: Occupancy Group: #of Dwelling Units: 2156010800 Track#: $0.00 Lot#: Project#: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: Sprinkled: Project Title: Description: REPLACE AC, FURNACE AND COIL (E-REVIEW) Applicant: WE GREEN INC TARA VAN SAMBEEK 3675 RUFFIN RD, # SUITE 320 SAN DIEGO, CA 92123-1835 (888) 991-4377 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees : $208.00 Total Payments To Date: $208.00 Permit No: Status: {city of Carlsbad CBR2022-4854 Closed -Finaled Applied: 12/31/2022 Issued : 01/05/2023 Finaled Close Out: 03/21/2023 Final Inspection: 01/23/2023 INSPECTOR: Alvarado, Tony Contractor: JOHN STEVENSON PLUMBING AND MECHANICAL INC 2748 LOKER AVE W CARLSBAD, CA 92010-6603 (760) 918-0456 Balance Due: AMOUNT $208.00 $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. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov Plan Check Est. Value PC Deposit { City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Date 12/31/2022 Job Address 1746 Blackbird Circle Unit: _____ .APN: ___________ _ CT/Project #: __________________ Lot #: ____ Vear Built: _________ _ BRIEF DESCRIPTION OF WORK: Replace furnace, ac and coil □ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? O Y o N New Fireplace? O YO N, if yes how many? ___ _ D Remodel: _____ SF of affected area Is the area a conversion or change of use? O YO N □ Pool/Spa:. ____ SF Additional Gas or Electrical Features? ____________ _ □Solar: ___ KW, ___ Modules, Mounted:0Roof O Ground, Tilt: 0 Y0 N, RMA:OY O N, Battery:O YQ) N, Panel Upgrade: O v O N Electric Meter number: ------------- 0th er: APPLICANT (PRIMARY CONTACT) Name: Tara VanSambeek Address: 3675 ruffin rd 320 City: san diego State:_ca __ .Zip: 92123 Phone:8889914377 Email: t. vansambeek@wegreeninc.com PROPERTY OWNER Name: rick willis Address: 1746 blackbird cir City: carlsbad Phone:9512527429 Email: wi11is85202@gmail.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD State:_ca __ .Zip:92011 Name: __________________ Business Name:_io_h_n_s_te_v_en_s_o_n ___________ _ Address: Address: 2748 loker ave w City: ________ State: ___ Zip:._____ City: carlsbad State:_c_a ___ Zip: 92010 Phone: Phone: 7605594589 Email: Email: jeff@jsphvac.com Architect State License: CSLB License #: 588895 Class: c20 --------------- Carlsbad Business License # (Required):_b_ln_o_o7_8_7_8 ____ _ APPLICANT CERTIFICATION: I certify 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 ordinances and State laws relating to building construction. NAME (PRINT): Tara Van Sambeek SIGN: Tara VaM Santbeek DATE: 1213112022 ----------- 163S Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 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: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 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 (CHOOSE ONE): D I 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- D 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: _1_ec_h_no_lo_g_y_in_s_ura_nc_e_co_m_pa_n_y _______________ 1 Policy No. snp13575740 Expiration Date: _21_1_12_0_23 _______________ 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, 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): tara van sambeek SIGNATURE: Tara VaM Sa111beek DATE: 12/31/2022 Note: If the person signing above is an authorized agent for the contra t "d I tter 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: D 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- D 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). -OR-D I 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 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 following Web site: http: I I www.leginfo.ca.gov/ ca law. 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): SIGN: DATE: -------------------------Note: If the erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ned b owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2022-4854) Permit Type: BLDG-Residential Application Date: 12/31/2022 Owner: Work Class: P/M/E Issue Date: 01/05/2023 Subdivision: Status: Closed -Finaled Expiration Date: 07/24/2023 Address: 1746 BLACKBIRD CIR IVRNumber: 45592 CARLSBAD, CA 92011-5008 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 01/23/2023 01/23/2023 BLDG-43 Air 201215-2023 Passed Tony Alvarado Complete Cond./Furnace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final Inspection 201216-2023 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Electrical Final Yes Monday, January 23, 2023 Page 1 of 1