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Home My WebLink About1704 BLACKBIRD CIR; ; CB153692; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 05/01/2017 Residential Permit Permit No: CB153692 www.carlsbadca.gov Job Address:1704 Blackbird Cr Permit Type:BLDG-Residential Work Class:Addition Status:Closed -Expired Parcel No:2156026300 Lot #:Applied:10/28/2015 Valuation:$36,490.00 Reference #:Issued: Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:RESDNTL -RAD LOCKEN: 429 SF LOFT INFILL W/100 SF REMODEL Total Fees:Total Payments To Date:Balance Due: 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. • 61.estai ‘1/4.. ebLAA--a- ----- THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:El PLANNING I:]ENGINEERING Ej BUILDING ED FIRE ID HEALTH 0 HAZMATIAPCD Building Permit Application Plan Check No.CE5(s •so7.-- (.._City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 517 Z Z.9ffPh: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date to .2.S .I ‘SWPPP JOB ADDRESS SUITEIVSPACEVUNIT•APN 1704 BLACKBIRD CIRCLE 215 -602 -63 -00 CT/PROJECT #LOT #PHASE 0 0 OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP V-B DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) SECOND FLOOR LOFT INFILL ADDITIONS TO, AND REMODELING OF, AN EXISTING TWO STORY SINGLE FAMILY RESIDENCE. ADDITIONS =429 SQUARE FEET.REMODELING =100 SQUARE FEET. EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)' FIREPLACE AIR CONDITIONING FIRE SPRINKLERS 620 YESOff NOO YES j NOD YESO NOE APPLICANT NAME PROPERTY OWNER NAMEBART SMITH, DZN PARTNERS WILLIAM & JULIE LOCKENPrinary Contact ADDRESS ADDRESS 682 SECOND STREET 1704 BLACKBIRD CIRCLE CITY STATE ZIP CITY STATE ZIP ENCINITAS CA 92024 CARLSBAD CA 92011 PHONE FAX PHONE FAX 760-753-2464 760-753-0600 760-559-4561 EMAIL EMAIL B.SMITH@DZNPARTNERS.COM DESIGN PROFESSIONAL BART SMITH, DZN PARTNERS CONTRACTOR BUS. NAME ADDRESS ADDRESS 682 SECOND STREET CITY STATE ZIP CITY STATE ZIP ENCINITAS CA 92024 PHONE FAX PHONE FAX 760-753-2464 760-753-0600 , EMAIL EMAIL B.SMITHADZNPARTNERS.COM STATE LIC. #STATE LIC.#CLASS CITY BUS. LIC.# 22557 (Sec.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 is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). WORKERS' •COMPENSA TI•0 Al-••..••• Workers' Compensation Declaration: I hereby affirm under penaltyofperjury one ofthe following declarations: BI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' 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 Co.Policy No.Expiration Date 14section need not be completed if the permit is for one hundred dollars ($100) or less. 11 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 Califomia.WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ..iiS CONTRACTOR SIGNATURE 0 AGENT DATE '.",,4'''.:-.,.,A"'.;;,r.- 1:. ---0`t!":"-:':-'''.-Z1'.'''.--- 'sf' '4''r.A":'--.i;'"',f,--•f ..r,;',.,--•••.— $rtifitAifaVVAASM-5.1'044-'0101WiiteAPAWOMVP.M16.- . •.... ---,;-----'.t -.,,?4...:::...-......:•.-,. ...;...!••...4I.,..:..,:-4....4.1:...... •..0 c4-.:::gdr.wzare2.1.61.4:41t..4.litgivia.;.4u-Agalaws44.imo.A .. I hereby affirm thatlam exempt from Contractor's License Law for the following reason:GI,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 yearofcompletion, the owner-builder will have the burden ofproving that he did not build or improve for the purpose of sale). ElI,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).0 I am exempt under Section Business and Professions Code for this mason: 1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.Dyes ON° 2.I (have/have not) signed an application for a building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name address/phone Icontractors' license number): 4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / addressI phone / contractors' license number): 5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include nameI address /phone / type of work): AKPROPERTYOWNER SIGNATURE ['AGENT DATE , -;•-,,,4-:7-140HrIi!'iiii*44.b N -RESIDENT 14/11.BUILDING PERMITS ONLY t.r..!.]. '.f.'•'%Ift:. 7:‘. ,..;=';'_.'••.?I Is the applicant or future building occupant required to submit a business plag. acutely hazardous materials registration formorrisk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?CI Yes p(No Isthe applicant or future building occupant required to obtain a permit fn3m the air pollution control district or air q ality management district?CI Yes 3KNo Isthe facility to be constructed within 1,000 feet of the outer boundary of a school site?Cl Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UN SS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . . . .LENDING AGENCY '.....,- ' .:-..,,•'-•••• 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). Lenders Name Lender's Address ,-_.• 4'1.if. c.A ilitt YCERTIFICATION Icertify that I have read the application and state that the above information is correct and that theintimationon the plans is accurate. I agreeto comply with all Cityordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required faexcavations over 60' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by imitation and become null and void if the building orwort authorized by such permit is not commenced within 180 days from the date ofsuch permitaifthe budding a .•'r...•such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE 4E5td'at Ilk ."1—(&DATE I (5 /2.1//5