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Home My WebLink About1704 BLACKBIRD CIR; ; CBR2023-5025; PermitBuilding Permit Finaled Residential Permit Print Date: 02/09/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1704 BLACKBIRD CIR, CARLSBAD, CA 92011-5008 BLDG-Residential Work Class: 2156026300 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: LOCKEN: PEX REPIPE Property Owner: P/M/E LOCKEN WILLIAM MAND JULIE M FAMILY TRUST 08-26-99 1704 BLACKBIRD CIR CARLSBAD, CA 92011 FEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees: $221.00 Total Payments To Date: $221.00 {city of Carlsbad Permit No: CBR2023-S02S Status: Closed -Fina led Applied: 11/14/2023 Issued: 11/14/2023 Finaled Close Out: 02/09/2024 Final Inspection: 12/28/2023 INSPECTOR: Alvarado, Tony Contractor: INTEGRITY REPIPE INC 927 CALLE NEGOCIO, # D SAN CLEMENTE, CA 92673-6222 (877) 473-7473 Balance Due: AMOUNT $221.00 $0.00 Please take NOTICE that approval of your project includes the 11lmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 11fees/exaction.11 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 76D-602-8560 f I www.carlsbadca.gov Ccicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ffi'fZ2fil; -5})2-S Est. Value PC Deposit Date Job Address 17 () 1.,/ Unit: ____ _.APN:. __________ _ CT/Project #: _________________ ,Lot #: ____ Year Built: ________ _ BRIEF DESCRIPTION OF WORK:_~,___...,. _ ___.0Zu.:.:.Lf'...;/2.('_t. _________________ _ □ 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 YON, 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, ___ M.odules, Mounted:ORoof QGround, Tilt: 0 YON, RMA: CY O N, Battery:OYO N, Panel Upgrade: OY ON Electric Meter number: ___________ _ Other: APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name: Kw1V' :f/vt-1--1 Name: 8, /I Laek~v, Address:. ________________ ,Address: 'g /II~ City: ___ =-..,........,..-State: __ _.Zip:. _____ C.ity:,..:'1~---._..,. __ ~State: __ _.Zip:, ____ _ Phone: 21 '.3 ?;t I O :roo Phone: 7b019:i !1 !"6/ Email: _________________ ,Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF iµµ>RD Name:. ________________ Business Name: J.. Ylj-..'1.,(f +0 Address: Address:'t'Z 7 C A{.t.~~ Ne,,~e I cJ City: _______ .State: __ ,Zip:,____ City: S /&i.,., (((Plf"1'ft.ateC /£. Zio:'i 7' 7 7 Phone: Phone:CZ,7? "1"7'J 7'1"17 Email: Email: ___ ...,.........,....,,----,,.,....-------,,----- Architect State License: CSLB License #:q D/ $9 ? > Class: C 'I &, Carlsbad Business License# (Required): _______ _ 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}: ){t VI '- 1635 Faraday Ave Carlsbad,CA 92008 1"I ,tf-1,f SIGN: / DATE: f / • / f.//' Zs Ph: 442-339-2719 .._,,_,~'---------Email: Building@carlsbadca.gov REV. 04122 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 hereby affirm under penalty of perjury that I am licensed underprovisionsof Chapter 9 / commencing with Section 7000) of Division 3 of the Businessand 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): 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. PolicyNo. ___________________________________________ _ -OR- r/J1 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. t'vworkers' comP, satio insurance c rier and polic number are: Insurance Company Name:-------~--~~~-----------·• Policy No. Lf • Expiration Date: ~~llf--·~'Z~L-'1~---------I -OR-I 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 CERT/FICA T/ON: 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 co struction, unless otherwise noted. NAME(PRINT): Vf&1-1.fvf.-f.A SIGNATURE: ___ ,r,,p:. ___ DATE: //·/l, ·7,'J Note: If the person signing \tove is an authorized agent for the contractor rovlde a letter of aut ~------------' (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- DI, 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- DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, 0 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. I understand that a copy of the applicable law, Section 7044af the Business and Professions Code, is available upon request when this application is submitted orat the following Web site: http: I lwww.feginfo.ca.gov/calaw.htmf. 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 utllities. 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. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled (cityof Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-5025) Permit Type: BLDG-Residential Work Class: P/M/E Status: Closed -Finaled Scheduled Actual Inspection Type Date Start Date 12/14/2023 12/14/2023 BLDG-24 Rough/Topout Checklist Item Application Date: 11/14/2023 Owner: TRUST LOCKEN WILLIAM MAND JULIE M FAMILY TRUST 08-26-99 Issue Date: 11/14/2023 Subdivision: PARCEL MAP NO 16228 Expiration Date: 06/11/2024 IVR Number: 53281 Inspection No. Inspection Status 233652-2023 Passed COMMENTS Address: 1704 BLACKBIRD CIR CARLSBAD, CA 92011-5008 Primary Inspector Re inspection Tony Alvarado Passed Inspection Complete BLDG-Building Deficiency PEX REPIPE-ok. Yes 12/28/2023 12/28/2023 BLDG-Final Inspection 234942-2023 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes BLDG-Structural Final Yes Friday, February 9, 2024 Page 1 of 1